Plan features
Preventive services are covered with no deductible or copay. Beyond that, BluePartner members have the option to choose between copay plans and high deductible health plan options. Employees use Sanford Health providers to receive in-network benefits.
In addition to health care coverage, BluePartner includes HealthyBlue online wellness center with powerful tools employees can use to manage their health and well-being.
Plan highlights
- Available for employers in Cass, Richland and Traill counties
- A network partnership with Sanford allows you to offer comprehensive benefits at an attractive price
- Opportunities to adjust employee contributions and cost-sharing amounts
- 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 Plan | Gold Plan | Silver plan | Bronze plan | |
|---|---|---|---|---|
| BluePartner Platinum 90 500 | BluePartner Gold 100 3200 | BluePartner Silver 60 3000 | BluePartner Bronze 50 5500 | |
| Available to Businesses Based in | Cass, Richland and Traill counties | Cass, Richland and Traill counties | Cass, Richland and Traill counties | Cass, Richland and Traill counties |
| Deductible |
Individual: $500 Family: $1,000 |
Individual: $3,200 Family: $6,400 |
Individual: $3,000 Family: $6,000 |
Individual: $5,500 Family: $11,000 |
| Out-of-pocket Maximums |
Individual: $1,800 Family: $3,600 |
Individual: $3,200 Family: $6,400 |
Individual: $9,400 Family: $18,800 |
Individual: $7,800 Family: $15,600 |
| Coinsurance | 10% of total cost* | Not applicable | 40% of total cost* | 50% of total cost* |
| Preventive Visits | $0 | $0 | $0 | $0 |
| HealthyBlue Online Wellness | $0 | $0 | $0 | $0 |
| Doctor Visits, Chiropractic Care, Physical, Speech and Occupational Therapy | $20 | Deductible applies | $45 | Deductible and coinsurance applies |
| Prescription Drugs |
Value Drugs: $5 Preferred Generic: $5 Non-Preferred Generic: $5 Preferred Brand: $20 Non-Preferred Brand: $40 Preferred Specialty: 20%* Non-Preferred Specialty: 50%* |
Preventive Drugs: $5 Preferred Generic: 0%* Non-Preferred Generic: 0%* Preferred Brand: 0%* Non-Preferred Brand: 0%* Preferred Specialty: 0%* Non-Preferred Specialty: 0%* |
Value Drugs: $5 Preferred Generic: $20 Non-Preferred Generic: $20 Preferred Brand: $150 Non-Preferred Brand: $200 Preferred Specialty: 50%* Non-Preferred Specialty: 50%* |
Preventive Drugs: $5 Preferred Generic: 50%* Non-Preferred Generic: 50%* Preferred Brand: 50%* Non-Preferred Brand: 50%* Preferred Specialty: 50%* Non-Preferred Specialty: 50%* |
| Specialist Visit | $20 | Deductible applies | $45 | Deductible and coinsurance applies |
| Emergency Room Visit | Deductible and coinsurance applies | Deductible applies | Deductible and coinsurance applies | Deductible and coinsurance applies |
| Hospitalization | Deductible and coinsurance applies | Deductible applies | Deductible and coinsurance applies | Deductible and coinsurance applies |
| Telehealth | $0 for the first three visits at a Sanford provider | 0%* | $0 for the first three visits at a Sanford provider | 50%* |
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(Compare up to 3 plans) |
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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. |
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