BlueCare for Small Groups

A traditional plan for more predictable health care costs

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Consider this plan if

You want to offer employees a comprehensive, convenient plan with set copayments and predictable health care costs.

Coverage available for

Individuals
Families

Plan features

Preventive services are covered with no deductible or copay. Beyond that, BlueCare members pay a set copayment for doctor, chiropractor, therapy and prescriptions and a percentage of inpatient/outpatient hospitalization costs.

In addition to health care coverage, BlueCare includes HealthyBlue online wellness center with powerful tools employees can use to manage their health and well-being.

Plan highlights

A traditional health care plan
Opportunities to adjust employee contributions and cost-sharing amounts
Employees pay a set cost for most office visits
Preventive coverage with no deductible or copay
Plans include HealthyBlue online wellness center, powered by WebMD

Amounts indicated are your share of the medical expenses.

Platinum Plans

Gold Plans

Silver Plan

BlueCare 90 500

BlueCare 80 250

BlueCare 80 1000

BlueCare 70 1800

BlueCare 60 2500

Preventive Visits

HealthyBlue Online Wellness

Doctor Visits, Chiropractic Care, Physical, Speech and Occupational Therapy

$20

$40

$20

$45

Prescription Drugs

Preferred Generic: $5
Non-Preferred Generic: $5
Preferred Brand: $20
Non-Preferred Brand: $40
Preferred Specialty: 20%*
Non-Preferred Specialty: 50%*

Preferred Generic: $10
Non-Preferred Generic: $10
Preferred Brand: $20
Non-Preferred Brand: $40
Preferred Specialty: 30%*
Non-Preferred Specialty: 50%*

Preferred Generic: $5
Non-Preferred Generic: $5
Preferred Brand: $50
Non-Preferred Brand: $150
Preferred Specialty: 30%*
Non-Preferred Specialty: 50%*

Preferred Generic: $20
Non-Preferred Generic: $20
Preferred Brand: $80
Non-Preferred Brand: $100
Preferred Specialty: 40%*
Non-Preferred Specialty: 50%*

Preferred Generic: $20
Non-Preferred Generic: $20
Preferred Brand: $150
Non-Preferred Brand: $200
Preferred Specialty: 50%*
Non-Preferred Specialty: 50%*

Specialist Visit

$20

$40

$20

$45

Emergency Room Visit

Deductible and coinsurance applies

Hospitalization

Deductible and coinsurance applies

Deductible

Individual: $500
Family: $1,000

Individual: $250
Family: $500

Individual: $1,000
Family: $2,000

Individual: $1,800
Family: $3,600

Individual: $2,500
Family: $5,000

Coinsurance

10% of total cost*

20% of total cost*

30% of total cost*

40% of total cost*

Out-of-pocket Maximums

Individual: $1,800
Family: $3,600

Individual: $1,900
Family: $3,800

Individual: $8,150
Family: $16,300

Individual: $6,000
Family: $12,000

Individual: $9,100
Family: $18,200

(Compare up to 3 plans)

All cost sharing amounts apply to covered services you receive within the Preferred Blue PPO network. Covered services received out-of-network are paid at a lesser benefit or no benefit amount.
For a family plan, an individual on the plan must meet the individual deductible before coinsurance begins.
The BlueCare prescription drug coverage is considered creditable coverage.
*After deductible is met.

Additional information

2023 BlueCare Brochure

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Fargo, N.D., 58121