BluePreferred ValuePlan HSA-Eligible

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Plans Starting At

$110 Single

$306 Family

$97 Single

$264 Family

$113 Single

$314 Family

$103 Single

$285 Family

$122 Single

$340 Family

$116 Single

$324 Family

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Beneficial Tax Savings

Tax-advantaged Plans for Singles, Couples and Families

BluePreferred ValuePlan High Deductible Health Plans, used in combination with a health savings account (HSA), are designed to help you maximize your dollars and minimize your health care expenses.

View plan option by deductible:

  In Network
Single/Family		 Out of Network
Single/Family
Deductible
(Calendar year)		 $2,900/$5,800 $5,800/$11,600
Coinsurance Max
(Calendar year)		 $0 $2,000/$4,000
Total out-of-pocket
(Deductible + coinsurance max; no copays)		 $2,900/$5,800 $7,800/$15,600
Coinsurance % for most covered services 0%* 20%
First dollar routine care coverage $150 first dollar routine care
Maternity care/pregnancy services No Coverage
Inpatient mental illness/substance abuse treatment No Coverage
Outpatient mental illness/substance abuse treatment 30% 60%
Prescription Drug Coverage Coinsurance applies after deductible (Medical plan deductible applies)
Mental illness/substance abuse contract benefit maximum $10,000 per covered person
Total contract benefit maximum $10 million per covered person
  In Network
Single/Family		 Out of Network
Single/Family
Deductible
(Calendar year)		 $2,700/$5,400 $5,400/$10,800
Coinsurance Max
(Calendar year)		 $2,000/$4,000 $4,000/$8,000
Total out-of-pocket
(Deductible + coinsurance max; no copays)		 $4,700/$9,400 $9,400/$18,800
Coinsurance % for most covered services 20%* 40%
First dollar routine care coverage N/A
Maternity care/pregnancy services No Coverage
Inpatient mental illness/substance abuse treatment No Coverage
Outpatient mental illness/substance abuse treatment 30% 60%
Prescription Drug Coverage Coinsurance applies after deductible (Medical plan deductible applies)
Mental illness/substance abuse contract benefit maximum $10,000 per covered person
Total contract benefit maximum $10 million per covered person
  In Network
Single/Family		 Out of Network
Single/Family
Deductible
(Calendar year)		 $2,250/$4,500 $4,500/$9,000
Coinsurance Max
(Calendar year)		 $0 $2,000/$4,000
Total out-of-pocket
(Deductible + coinsurance max; no copays)		 $2,250/$4,500 $6,500/$13,000
Coinsurance % for most covered services 0%* 20%
First dollar routine care coverage $150 first dollar routine care
Maternity care/pregnancy services No Coverage
Inpatient mental illness/substance abuse treatment No Coverage
Outpatient mental illness/substance abuse treatment 30% 60%
Prescription Drug Coverage Coinsurance applies after deductible (Medical plan deductible applies)
Mental illness/substance abuse contract benefit maximum $10,000 per covered person
Total contract benefit maximum $10 million per covered person
  In Network
Single/Family		 Out of Network
Single/Family
Deductible
(Calendar year)		 $1,800/$3,600 $3,600/$7,200
Coinsurance Max
(Calendar year)		 $2,000/$4,000 $4,000/$8,000
Total out-of-pocket
(Deductible + coinsurance max; no copays)		 $3,800/$7,600 $7,600/$15,200
Coinsurance % for most covered services 20%* 40%
First dollar routine care coverage N/A
Maternity care/pregnancy services No Coverage
Inpatient mental illness/substance abuse treatment No Coverage
Outpatient mental illness/substance abuse treatment 30% 60%
Prescription Drug Coverage Coinsurance applies after deductible (Medical plan deductible applies)
Mental illness/substance abuse contract benefit maximum $10,000 per covered person
Total contract benefit maximum $10 million per covered person
  In Network
Single/Family		 Out of Network
Single/Family
Deductible
(Calendar year)		 $1,500/$3,000 $3,000/$6,000
Coinsurance Max
(Calendar year)		 $0 $2,000/$4,000
Total out-of-pocket
(Deductible + coinsurance max; no copays)		 $1,500/$3,000 $5,000/$10,000
Coinsurance % for most covered services 0%* 20%
First dollar routine care coverage $150 first dollar routine care
Maternity care/pregnancy services No Coverage
Inpatient mental illness/substance abuse treatment No Coverage
Outpatient mental illness/substance abuse treatment 30% 60%
Prescription Drug Coverage Coinsurance applies after deductible (Medical plan deductible applies)
Mental illness/substance abuse contract benefit maximum $10,000 per covered person
Total contract benefit maximum $10 million per covered person
  In Network
Single/Family		 Out of Network
Single/Family
Deductible
(Calendar year)		 $1,200/$2,400 $2,400/$4,800
Coinsurance Max
(Calendar year)		 $2,000/$4,000 $4,000/$8,000
Total out-of-pocket
(Deductible + coinsurance max; no copays)		 $3,200/$6,400 $6,400/$12,800
Coinsurance % for most covered services 20%* 40%
First dollar routine care coverage N/A
Maternity care/pregnancy services No Coverage
Inpatient mental illness/substance abuse treatment No Coverage
Outpatient mental illness/substance abuse treatment 30% 60%
Prescription Drug Coverage Coinsurance applies after deductible (Medical plan deductible applies)
Mental illness/substance abuse contract benefit maximum $10,000 per covered person
Total contract benefit maximum $10 million per covered person
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* Coinsurance applies after deductible (medical plan deductible applies)
** This is the coinsurance maximum for most covered services. Outpatient mental illness/substance abuse benefits have a $2,000 individual and $4,000 family in-network coinsurance maximum.

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