Affordable care
Lowest out-of-pocket costs in the Altru Health System
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DakotaBlue | Altru - An affordable tiered-network plan
Tiered-network plans have lower out-of-pocket costs and high quality care from providers in the Altru Health System.
Tiered Access
Receive care outside of the Preferred network at increased cost
Telehealth
No cost within the Preferred network
Well-being
Plans include valuable wellness benefits
| Gold Plan | Silver Plans | ||
|---|---|---|---|
| DakotaBlue | Altru 70 2000 | DakotaBlue | Altru 60 2500 | DakotaBlue | Altru 60 2400 | |
|
Altru is an independent healthcare organization partnering with BCBSND to provide the lowest out-of-pocket costs to members through the DakotaBlue | Altru preferred network. All cost sharing amounts apply to covered services you receive within the DakotaBlue | Altru network. Covered services received from a non-participating provider 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. *After deductible is met |
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|
Deductible
|
$2,000 (Individual)
$4,000 (Family) |
$2,500 (Individual)
$5,000 (Family) |
$2,400 (Individual)
$4,800 (Family) |
|
Enhanced Standard Non-Participating |
$3,000 $6,500 $9,750 $6,000 $13,000 $19,500 |
$5,000 $6,250 $9,375 $10,000 $12,500 $18,750 |
$4,800 $6,000 $9,000 $9,600 $12,000 $18,000 |
|
Out-of-pocket Maximums
|
$8,700 (Individual)
$17,400 (Family) |
$9,100 (Individual)
$18,200 (Family) |
$9,100 (Individual)
$18,200 (Family) |
|
Enhanced Standard Non-Participating |
$9,100 $10,750 $16,125 $18,200 $21,500 $32,250 |
$9,100 $22,750 $34,125 $18,200 $45,500 $68,250 |
$9,100 $22,750 $34,125 $18,200 $45,500 $68,250 |
|
Coinsurance
|
30% of total cost* | 40% of total cost* | 40% of total cost* |
|
Enhanced Standard Non-Participating |
50% of total cost* 50% of total cost* 50% of total cost* |
50% of total cost* 50% of total cost* 50% of total cost* |
50% of total cost* 50% of total cost* 50% of total cost* |
|
Preventive Visits
|
Covered at 100% | Covered at 100% | Covered at 100% |
|
Enhanced Standard Non-Participating |
Covered at 100% Covered at 100% No Coverage |
Covered at 100% Covered at 100% No Coverage |
Covered at 100% Covered at 100% No Coverage |
|
HealthyBlue Online Wellness
|
$0 | $0 | $0 |
|
Doctor Visits, Chiropractic Care, Physical, Speech and Occupational Therapy
|
$25 | $45 | $45 |
|
Enhanced Standard Non-Participating |
50% of total cost* |
50% of total cost* |
50% of total cost* |
|
Prescription Drugs
|
Value drugs: $5 Preferred Generic: $5 Non-Preferred Generic: $5 Preferred Brand: $50 Non-Preferred Brand: $100 Preferred Specialty: 40%* Non-Preferred Specialty: 50%* |
Value drugs: $5
Preferred Generic: $20 Non-Preferred Generic : $20 Preferred Brand: $150 Non-Preferred Brand: $200 Preferred Specialty: 50%* Non-Preferred Specialty: 50%* |
Value drugs: $5 Preferred Generic: $20 Non-Preferred Generic: $20 Preferred Brand: $150 Non-Preferred Brand: $200 Preferred Specialty: 50%* Non-Preferred Specialty: 50%* |
|
Specialist Visit
|
$25 | $60 | $60 |
|
Enhanced Standard Non-Participating |
50% of total cost* |
50% of total cost* |
50% of total cost* |
|
Emergency Room Visit
|
30% of total cost* | 40% of total cost* | 40% of total cost* |
|
Enhanced Standard Non-Participating |
30% of total cost; Preferred network deductible applies |
40% of total cost; Preferred network deductible applies |
40% of total cost; Preferred network deductible applies |
|
Hospitalization
|
30% of total cost* | 40% of total cost* | 40% of total cost* |
|
Enhanced Standard Non-Participating |
50% of total cost* |
50% of total cost* |
50% of total cost* |
Verify the network level of your favorite doctors
An easy search will help guide your decisions on where to get care within the DakotaBlue | Altru network.
- Search by provider to find their associated network level
- Search by specialty to find available doctors and their associated network level
- Plan Sales: 800‑280‑2583
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Member Services:
844‑363‑8457
High call volume ›
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