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Medical Plans

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You Buy Insurance Through Your Employer

HealthyBlue encourages greater interaction between you and your primary care provider (PCP) as you both work toward the goal of a healthier you. Partnering with your PCP can also help you to earn a financial reward – up to $300 for an individual and up to $750 for a family.

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Plan Highlights
  • Rewards program - Earn up to $300 per adult or up to $750 per family
  • No cost, no copay for preventive care, well-child visits/immunizations and cancer screenings when you access care in-network
  • No referrals required
  • Access to an extensive provider network
  • Out-of-network benefits for some plans
Plan Comparison (In- and Out-of-Network Comparison)

 

HealthyBlue Plans

 

 
HMO
2.0/Plus
Advantage
PPO
Network
In-Network
In-Network
Out-of-Network
In-Network
Out-of-Network
In-Network
Out-of-Network
Provider Network 35,000 BlueChoice providers  and 80 local hospitals In:
35,000 BlueChoice
providers and 80
local hospitals

Out:
600,000 BlueCard providers and 4,500 hospitals or
Non-participating providers
In: MD/DC/VA
35,000 BlueChoice providers and
80 local hospitals 

In: Outside of
MD/DC/VA
600,000 providers
and 4,500 hospitals

Out: 40,000 PPO providers or
Non-participating providers
In: MD/DC/VA
40,000 PPO providers and
96 local hospitals 

In: Outside of
MD/DC/VA
600,000 BlueCard
providers and
4,500 hospitals

Out: Non-participating providers
PCP Selection Yes In: Yes

Out: No*
In: No*

Out: No*
In: No*

Out: No*
Referrals No In: No

Out: No
In: No

Out: No
In: No

Out: No
Preventive Services $0 In: $0

Out: Deductible,
then $0
In: $0

Out: Deductible,
then $0
In: $0

Out: Deductible,
then $0
Sick Visits
(w/ PCP)**
$0 In: $0

Out: Deductible,
then $0
In: $0

Out: Deductible,
then $0
In: $0

Out: Deductible,
then $0
Lab,
X-Ray, Diagnostic Testing**
$0 In: $0

Out: Deductible,
then $0
In: $0

Out: Deductible,
then $50
In: $0

Out: Deductible,
then $50

*You are required to select a PCP in order to earn your reward.

**If you have an HSA-compliant plan, these services are subject to the deductible

Rewards Program

Our innovative rewards program offers you incentives for getting healthy and staying healthy.

To learn more about our rewards program, log in to My Account or refer to your enrollment materials.

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