SimplyBlue Health Insurance Plan

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Budget-friendly plan covering ND doctors

Open Enrollment begins November 1, 2022 - January 15, 2023.
If you have a qualifying life event, like a new baby or marriage, you can get a quote and apply today.

Consider this plan if

You’re comfortable with just the basics and don’t need to go outside of North Dakota to receive care.

Coverage available for:

Individual
Families

Plan features

Coverage for medical care within North Dakota
Preventive care, screening and immunization coverage
One doctor office visit with a low copay in addition to preventive care
Generic prescriptions have low copays and are covered even before deductible is met
Wellness rewards for actively managing your health
Covers the 10 essential health benefits

Plan highlights

Plan has a lower monthly premium in return for using the Preferred Blue PPO network
Network includes most ND doctors
Preventive visits are free if they are in network
Low copay for generic drugs
Out-of-state emergency care covered at the same rates as within the network
Includes HealthyBlue online wellness and rewards for managing your health

Simply Blue

Cost sharing amounts apply to covered services you receive within the Preferred Blue PPO network.
The SimplyBlue plan prescription drug coverage is not considered creditable coverage.

Preventive Visits

HealthyBlue Online Wellness

Doctor Visits

$40

Chiropractic Care, Physical, Speech and Occupational Therapy

Deductible and coinsurance apply

Prescription Drugs

Value Drug: $5
Generics: $40
Preferred Brand: Deductible and coinsurance applies
Non-Preferred Brand: Deductible and coinsurance applies
Specialty: Deductible and coinsurance applies

Emergency Room Visit

Deductible and coinsurance apply

Hospitalization

40%

Deductible

Individual: $6,800
Family: $13,600

Coinsurance

40% of total cost

Out-of-Pocket Maximums

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

Additional information:

2022 SimplyBlue Brochure

Summary of Benefits and Coverage and Certificate of Insurance

Questions? Talk to an Agent

Our Partners in Health:
Employers
Providers
Producers

Fargo (Headquarters)
4510 13th Ave. S.
Fargo, North Dakota 58121

Common Member Forms