Blue Optimum
A traditional PPO plan with copays for office visits and urgent care
*Range of calendar year deductibles from $250 to $10,000
*$5 million lifetime max
*Coinsurance of $2,500 (80/20)
*Unlimited $25 PCP copays
*Labs covered at 100%
*Drug coverage with copays ($250 brand name deductible) and no annual max
*One routine vision exam per year covered with a $25 copay
*Mental health coverage included (limited benefit)
Blue Value
A PPO plan with a mix of copay and coinsurance cost sharing
*Deductibles from $250 to $10,000
*$5 million lifetime max
*Coinsurance of $3,000 (70/30)
*$25 copays up to $160 (total amount of copays paid) annual max
*Labs covered at 100%
*Drug coverage with copays ($500 brand name deductible) with no annual max
*Mental health coverage included (limited benefit)
Blue Portfolio
An HSA qualified, high deductible health plan
*Deductibles from $1,750 to $5,500
*100% plan
*Prescription drugs count towards deductible with no annual max
*Mental health coverage included

