BlueCare Plan | BCBSND

The most coverage with the most predictable costs

Special Enrollment

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Consider this plan if

You want comprehensive coverage that begins without having to meet a deductible.

Coverage available for

Individual
Families

This plan

Contributes to your health care expenses from the start, before you meet your deductible
Has variables you can adjust for a plan that fits your budget
Includes rewards for actively managing your health

Plan features

A variety of deductible options to help you control your costs
Little or no paperwork for you to manage
Low copays for doctor visits
Covers the 10 essential health benefits

Plan highlights

Individual or family coverage
Free preventive visits
Extensive provider network, through ND or around the world
Low Rx copays
HealthyBlue online wellness center and rewards for managing your health

Gold Plan

Silver Plans

BlueCare 70 2000

BlueCare 60 2500

BlueCare 60 2400

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.
Drug formularies and drug listings are reviewed on an ongoing basis and subject to change.
*After deductible is met

Deductible

Individual: $2,000
Family: $4,000

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

Individual: $2,400
Family: $4,800

Coinsurance

30% of total cost*

40% of total cost*

Out-of-Pocket Maximums

Individual: $8,700
Family: $17,400

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

Preventive Visits

HealthyBlue Online Wellness

Doctor Visits

$25

$45

Chiropractic Care, Physical, Speech and Occupational Therapy

$25

$45

Prescription Drugs

Value Drug: $5
Preferred Generic: $5
Non-Preferred Generic: $5
Preferred Brand: $50
Non-Preferred Brand: $100
Preferred Specialty: 40% of total cost*
Non-Preferred Specialty: 50% of total cost*

Value Drug: $5
Preferred Generic: $20
Non-Preferred Generic: $20
Preferred Brand: $150
Non-Preferred Brand: $200
Preferred Specialty: 50% of total cost*
Non-Preferred Specialty: 50% of total cost*

Emergency Room Visit

30% of total cost*

40% of total cost*

Hospitalization

30% of total cost*

40% of total cost*