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myBlue Silver 24M06-76B ($0 Virtual Visits / $10 PCP Visits / $0 Labs / Rewards $$$)
Member Experience
Medical Care
Plan Administration
$ /mo.
myBlue Silver 2237B ($0 Deductible / $0 Virtual Visits / $10 PCP Visits / $15 Labs / Rewards $$$)
Member Experience
Medical Care
Plan Administration
$ /mo.
BlueSelect Silver 1443B ($0 Deductible / $0 Virtual Visits / $5 PCP Visits / $0 Labs / Rewards $$$)
Member Experience
Medical Care
Plan Administration
$ /mo.
Doctor Availability
| myBlue Silver 24M06-76B ($0 Virtual Visits / $10 PCP Visits / $0 Labs / Rewards $$$) | myBlue Silver 2237B ($0 Deductible / $0 Virtual Visits / $10 PCP Visits / $15 Labs / Rewards $$$) | BlueSelect Silver 1443B ($0 Deductible / $0 Virtual Visits / $5 PCP Visits / $0 Labs / Rewards $$$) | |
|---|---|---|---|
| Are my providers in this network? | Are my Providers In-Network? | Are my Providers In-Network? | Are my Providers In-Network? |
Plan Information
| myBlue Silver 24M06-76B ($0 Virtual Visits / $10 PCP Visits / $0 Labs / Rewards $$$) | myBlue Silver 2237B ($0 Deductible / $0 Virtual Visits / $10 PCP Visits / $15 Labs / Rewards $$$) | BlueSelect Silver 1443B ($0 Deductible / $0 Virtual Visits / $5 PCP Visits / $0 Labs / Rewards $$$) | |
|---|---|---|---|
| Annual Deductible | Medical Deductible: N/A Drug Deductible: N/A Combined Medical and Drug Deductible: Individual: $500 / Family: $500 per person | $1000 per group | Medical Deductible: N/A Drug Deductible: N/A Combined Medical and Drug Deductible: Individual: $0 / Family: $0 per person | $0 per group | Medical Deductible: N/A Drug Deductible: N/A Combined Medical and Drug Deductible: Individual: $0 / Family: $0 per person | $0 per group |
| Annual Out-of-Pocket Maximum (includes deductibles, copays and coinsurance) | Medical Benefits: N/A Drug Benefits: N/A Medical and Drug Benefits Total: Individual: $3,150 / Family: $3150 per person | $6300 per group | Medical Benefits: N/A Drug Benefits: N/A Medical and Drug Benefits Total: Individual: $3,000 / Family: $3000 per person | $6000 per group | Medical Benefits: N/A Drug Benefits: N/A Medical and Drug Benefits Total: Individual: $3,150 / Family: $3150 per person | $6300 per group |
Prescription Drugs
| myBlue Silver 24M06-76B ($0 Virtual Visits / $10 PCP Visits / $0 Labs / Rewards $$$) | myBlue Silver 2237B ($0 Deductible / $0 Virtual Visits / $10 PCP Visits / $15 Labs / Rewards $$$) | BlueSelect Silver 1443B ($0 Deductible / $0 Virtual Visits / $5 PCP Visits / $0 Labs / Rewards $$$) | |
|---|---|---|---|
| List of Covered Drugs | View Details | View Details | View Details |
| Generic Drugs | $35 In-Network Only: $0 preventive and low cost generics for certain drugs, plus Mail Order for these drugs is $0. | $30 In-Network Only: $0 preventive and low cost generics for certain drugs, plus Mail Order for these drugs is $0. | $25 In-Network Only: $0 preventive and low cost generics for certain drugs, plus Mail Order for these drugs is $0. |
| Preferred Brand Drugs | $60 Copay after deductible In-Network Only: Certain drugs are available for a lower cost. | $53 In-Network Only: Certain drugs are available for a lower cost. | $47 In-Network Only: Certain drugs are available for a lower cost. |
| Non-Preferred Brand Drugs | 50% Coinsurance after deductible | 50% | 40% |
| Specialty Drugs | 50% Coinsurance after deductible | 50% | 50% |
| Three Month Mail Order Pharmacy Benefits | Yes | Yes | Yes |
| Prescription Drug Deductible | Included with Medical Deductible | Included with Medical Deductible | Included with Medical Deductible |
| Prescription Drug Out of Pocket Maximum | N/A | N/A | N/A |
Physician Office Services – In-Person Visit
| myBlue Silver 24M06-76B ($0 Virtual Visits / $10 PCP Visits / $0 Labs / Rewards $$$) | myBlue Silver 2237B ($0 Deductible / $0 Virtual Visits / $10 PCP Visits / $15 Labs / Rewards $$$) | BlueSelect Silver 1443B ($0 Deductible / $0 Virtual Visits / $5 PCP Visits / $0 Labs / Rewards $$$) | |
|---|---|---|---|
| Primary Care Physician | $10 No charge for unlimited visits rendered by Value Choice Providers. Check your Online Provider Directory for providers in your area. | $10 No charge for unlimited visits rendered by Value Choice Providers. Check your Online Provider Directory for providers in your area. | $5 In-Network Only: $0 Copay may apply for the first 3 visits. No charge for unlimited visits rendered by Value Choice Providers. Check your Online Provider Directory for providers in your area. |
| Specialist | $50 Lower out of pocket costs for virtual visits and reduced cost may be available at Value Choice Providers. Check your Online Provider Directory for providers in your area. | $35 Lower out of pocket costs for virtual visits and reduced cost may be available at Value Choice Providers. Check your Online Provider Directory for providers in your area. | $70 Lower out of pocket costs for virtual visits and reduced cost may be available at Value Choice Providers. Check your Online Provider Directory for providers in your area. |
Physician Office Services – Virtual Visit
| myBlue Silver 24M06-76B ($0 Virtual Visits / $10 PCP Visits / $0 Labs / Rewards $$$) | myBlue Silver 2237B ($0 Deductible / $0 Virtual Visits / $10 PCP Visits / $15 Labs / Rewards $$$) | BlueSelect Silver 1443B ($0 Deductible / $0 Virtual Visits / $5 PCP Visits / $0 Labs / Rewards $$$) | |
|---|---|---|---|
| Primary Care Physician | No Charge Value Choice Provider - No Charge | No Charge Value Choice Provider - No Charge | No Charge Value Choice Provider - No Charge |
| Specialist | $50 Copayment Value Choice Provider - $5 Copayment Behavioral Health - No Charge | $35 Copayment Value Choice Provider - $5 Copayment Behavioral Health - No Charge | $70 Copayment Value Choice Provider - $5 Copayment Behavioral Health - No Charge |
Urgent Care and Emergency
| myBlue Silver 24M06-76B ($0 Virtual Visits / $10 PCP Visits / $0 Labs / Rewards $$$) | myBlue Silver 2237B ($0 Deductible / $0 Virtual Visits / $10 PCP Visits / $15 Labs / Rewards $$$) | BlueSelect Silver 1443B ($0 Deductible / $0 Virtual Visits / $5 PCP Visits / $0 Labs / Rewards $$$) | |
|---|---|---|---|
| Urgent Care Center | $50 Reduced cost available at Value Choice Providers. Check your Online Provider Directory for providers in your area. | $35 Reduced cost available at Value Choice Providers. Check your Online Provider Directory for providers in your area. | $70 Reduced cost available at Value Choice Providers. Check your Online Provider Directory for providers in your area. |
| Emergency Room Facility | 50% Coinsurance after deductible | 40% | $675 |
Hospital and Surgical Care
| myBlue Silver 24M06-76B ($0 Virtual Visits / $10 PCP Visits / $0 Labs / Rewards $$$) | myBlue Silver 2237B ($0 Deductible / $0 Virtual Visits / $10 PCP Visits / $15 Labs / Rewards $$$) | BlueSelect Silver 1443B ($0 Deductible / $0 Virtual Visits / $5 PCP Visits / $0 Labs / Rewards $$$) | |
|---|---|---|---|
| Outpatient Hospital Facility | 50% Coinsurance after deductible | 40% | 40% |
| Inpatient Hospital Facility | 50% Coinsurance after deductible | 40% | 40% |
| Physicians Services | No Charge | No Charge | No Charge |
Outpatient Diagnostic Services
| myBlue Silver 24M06-76B ($0 Virtual Visits / $10 PCP Visits / $0 Labs / Rewards $$$) | myBlue Silver 2237B ($0 Deductible / $0 Virtual Visits / $10 PCP Visits / $15 Labs / Rewards $$$) | BlueSelect Silver 1443B ($0 Deductible / $0 Virtual Visits / $5 PCP Visits / $0 Labs / Rewards $$$) | |
|---|---|---|---|
| Laboratory Services | No Charge | $15 | No Charge |
| Basic Imaging (e.g. x-ray, ultrasound) | No Charge | $35 | $80 |
| Advanced Imaging (e.g. CT/CAT Scan, MRI, MRA) | 50% Coinsurance after deductible | 40% | 40% |
Vision
| myBlue Silver 24M06-76B ($0 Virtual Visits / $10 PCP Visits / $0 Labs / Rewards $$$) | myBlue Silver 2237B ($0 Deductible / $0 Virtual Visits / $10 PCP Visits / $15 Labs / Rewards $$$) | BlueSelect Silver 1443B ($0 Deductible / $0 Virtual Visits / $5 PCP Visits / $0 Labs / Rewards $$$) | |
|---|---|---|---|
| Routine Eye Exam for Adults | Not Covered | Not Covered | Not Covered |
| Routine Eye Exam for Children | No Charge 1 Visit(s) per Year | No Charge 1 Visit(s) per Year | No Charge 1 Visit(s) per Year |
Adult Dental Coverage
| myBlue Silver 24M06-76B ($0 Virtual Visits / $10 PCP Visits / $0 Labs / Rewards $$$) | myBlue Silver 2237B ($0 Deductible / $0 Virtual Visits / $10 PCP Visits / $15 Labs / Rewards $$$) | BlueSelect Silver 1443B ($0 Deductible / $0 Virtual Visits / $5 PCP Visits / $0 Labs / Rewards $$$) | |
|---|---|---|---|
| Routine Dental Care | Not Covered | Not Covered | Not Covered |
| Basic Dental Care | Not Covered | Not Covered | Not Covered |
| Major Dental Care | Not Covered | Not Covered | Not Covered |
| Orthodontia | Not Covered | Not Covered | Not Covered |
Child Dental Coverage
| myBlue Silver 24M06-76B ($0 Virtual Visits / $10 PCP Visits / $0 Labs / Rewards $$$) | myBlue Silver 2237B ($0 Deductible / $0 Virtual Visits / $10 PCP Visits / $15 Labs / Rewards $$$) | BlueSelect Silver 1443B ($0 Deductible / $0 Virtual Visits / $5 PCP Visits / $0 Labs / Rewards $$$) | |
|---|---|---|---|
| Routine Dental Care | Not Covered | Not Covered | Not Covered |
| Basic Dental Care | Not Covered | Not Covered | Not Covered |
| Major Dental Care | Not Covered | Not Covered | Not Covered |
| Medically Necessary Orthodontia | Not Covered | Not Covered | Not Covered |
Other Benefits
| myBlue Silver 24M06-76B ($0 Virtual Visits / $10 PCP Visits / $0 Labs / Rewards $$$) | myBlue Silver 2237B ($0 Deductible / $0 Virtual Visits / $10 PCP Visits / $15 Labs / Rewards $$$) | BlueSelect Silver 1443B ($0 Deductible / $0 Virtual Visits / $5 PCP Visits / $0 Labs / Rewards $$$) | |
|---|---|---|---|
| Mental/Behavioral Health Outpatient Services | No Charge | $10 | $5 |
| Substance Abuse Dependency Outpatient Services | No Charge | $10 | $5 |
| Outpatient Rehabilitation Services | $50 35 Visit(s) per Benefit Period Combined limit for all outpatient therapy plus chiropractic. | $35 35 Visit(s) per Benefit Period Combined limit for all outpatient therapy plus chiropractic. | $70 35 Visit(s) per Benefit Period Combined limit for all outpatient therapy plus chiropractic. |
| Habilitation Services | $50 35 Visit(s) per Benefit Period Supplementing with the federal definition of habilitative services: Health care services that help a person keep, learn, or improve skills and functioning for daily living. Examples include therapy for a child who is not walking or talking at the expected age. These services may include physical and occupational therapy, speech-language pathology and other services for people with disabilities in a variety of inpatient and/or outpatient settings. | $35 35 Visit(s) per Benefit Period Supplementing with the federal definition of habilitative services: Health care services that help a person keep, learn, or improve skills and functioning for daily living. Examples include therapy for a child who is not walking or talking at the expected age. These services may include physical and occupational therapy, speech-language pathology and other services for people with disabilities in a variety of inpatient and/or outpatient settings. | $70 35 Visit(s) per Benefit Period Supplementing with the federal definition of habilitative services: Health care services that help a person keep, learn, or improve skills and functioning for daily living. Examples include therapy for a child who is not walking or talking at the expected age. These services may include physical and occupational therapy, speech-language pathology and other services for people with disabilities in a variety of inpatient and/or outpatient settings. |
| Prenatal and Postnatal - Office Visit | $50 | $35 | $70 |
| Labor and Delivery - Hospital Stay | 50% Coinsurance after deductible | 40% | 40% |
This is a lower cost option than your recommended plan.
This plan offers more enhanced benefits than your recommended plan.
Back to All Plans
Compare Health Plans
myBlue Silver 24M06-76B ($0 Virtual Visits / $10 PCP Visits / $0 Labs / Rewards $$$)
$ /mo.
Doctor Availability
Are my providers in this network?
Are my Providers In-Network?
Plan Information
Annual Deductible
Medical Deductible: N/A
Drug Deductible: N/A
Combined Medical and Drug Deductible: Individual: $500 / Family: $500 per person | $1000 per group
Annual Out-of-Pocket Maximum (includes deductibles, copays and coinsurance)
Medical Benefits: N/A
Drug Benefits: N/A
Medical and Drug Benefits Total: Individual: $3,150 / Family: $3150 per person | $6300 per group
Prescription Drugs
List of Covered Drugs
Generic Drugs
$35
In-Network Only: $0 preventive and low cost generics for certain drugs, plus Mail Order for these drugs is $0.
Preferred Brand Drugs
$60 Copay after deductible
In-Network Only: Certain drugs are available for a lower cost.
Non-Preferred Brand Drugs
50% Coinsurance after deductible
Specialty Drugs
50% Coinsurance after deductible
Three Month Mail Order Pharmacy Benefits
Yes
Prescription Drug Deductible
Included with Medical Deductible
Prescription Drug Out of Pocket Maximum
N/A
Physician Office Services – In-Person Visit
Primary Care Physician
$10
No charge for unlimited visits rendered by Value Choice Providers. Check your Online Provider Directory for providers in your area.
Specialist
$50
Lower out of pocket costs for virtual visits and reduced cost may be available at Value Choice Providers. Check your Online Provider Directory for providers in your area.
Physician Office Services – Virtual Visit
Primary Care Physician
No Charge Value Choice Provider - No Charge
Specialist
$50 Copayment Value Choice Provider - $5 Copayment Behavioral Health - No Charge
Urgent Care and Emergency
Urgent Care Center
$50
Reduced cost available at Value Choice Providers. Check your Online Provider Directory for providers in your area.
Emergency Room Facility
50% Coinsurance after deductible
Hospital and Surgical Care
Outpatient Hospital Facility
50% Coinsurance after deductible
Inpatient Hospital Facility
50% Coinsurance after deductible
Physicians Services
No Charge
Outpatient Diagnostic Services
Laboratory Services
No Charge
Basic Imaging (e.g. x-ray, ultrasound)
No Charge
Advanced Imaging (e.g. CT/CAT Scan, MRI, MRA)
50% Coinsurance after deductible
Vision
Routine Eye Exam for Adults
Not Covered
Routine Eye Exam for Children
No Charge
1 Visit(s) per Year
Adult Dental Coverage
Routine Dental Care
Not Covered
Basic Dental Care
Not Covered
Major Dental Care
Not Covered
Orthodontia
Not Covered
Child Dental Coverage
Routine Dental Care
Not Covered
Basic Dental Care
Not Covered
Major Dental Care
Not Covered
Medically Necessary Orthodontia
Not Covered
Other Benefits
Mental/Behavioral Health Outpatient Services
No Charge
Substance Abuse Dependency Outpatient Services
No Charge
Outpatient Rehabilitation Services
$50
35 Visit(s) per Benefit Period
Combined limit for all outpatient therapy plus chiropractic.
Habilitation Services
$50
35 Visit(s) per Benefit Period
Supplementing with the federal definition of habilitative services: Health care services that help a person keep, learn, or improve skills and functioning for daily living. Examples include therapy for a child who is not walking or talking at the expected age. These services may include physical and occupational therapy, speech-language pathology and other services for people with disabilities in a variety of inpatient and/or outpatient settings.
Prenatal and Postnatal - Office Visit
$50
Labor and Delivery - Hospital Stay
50% Coinsurance after deductible
myBlue Silver 2237B ($0 Deductible / $0 Virtual Visits / $10 PCP Visits / $15 Labs / Rewards $$$)
$ /mo.
Doctor Availability
Are my providers in this network?
Are my Providers In-Network?
Plan Information
Annual Deductible
Medical Deductible: N/A
Drug Deductible: N/A
Combined Medical and Drug Deductible: Individual: $0 / Family: $0 per person | $0 per group
Annual Out-of-Pocket Maximum (includes deductibles, copays and coinsurance)
Medical Benefits: N/A
Drug Benefits: N/A
Medical and Drug Benefits Total: Individual: $3,000 / Family: $3000 per person | $6000 per group
Prescription Drugs
List of Covered Drugs
Generic Drugs
$30
In-Network Only: $0 preventive and low cost generics for certain drugs, plus Mail Order for these drugs is $0.
Preferred Brand Drugs
$53
In-Network Only: Certain drugs are available for a lower cost.
Non-Preferred Brand Drugs
50%
Specialty Drugs
50%
Three Month Mail Order Pharmacy Benefits
Yes
Prescription Drug Deductible
Included with Medical Deductible
Prescription Drug Out of Pocket Maximum
N/A
Physician Office Services – In-Person Visit
Primary Care Physician
$10
No charge for unlimited visits rendered by Value Choice Providers. Check your Online Provider Directory for providers in your area.
Specialist
$35
Lower out of pocket costs for virtual visits and reduced cost may be available at Value Choice Providers. Check your Online Provider Directory for providers in your area.
Physician Office Services – Virtual Visit
Primary Care Physician
No Charge Value Choice Provider - No Charge
Specialist
$35 Copayment Value Choice Provider - $5 Copayment Behavioral Health - No Charge
Urgent Care and Emergency
Urgent Care Center
$35
Reduced cost available at Value Choice Providers. Check your Online Provider Directory for providers in your area.
Emergency Room Facility
40%
Hospital and Surgical Care
Outpatient Hospital Facility
40%
Inpatient Hospital Facility
40%
Physicians Services
No Charge
Outpatient Diagnostic Services
Laboratory Services
$15
Basic Imaging (e.g. x-ray, ultrasound)
$35
Advanced Imaging (e.g. CT/CAT Scan, MRI, MRA)
40%
Vision
Routine Eye Exam for Adults
Not Covered
Routine Eye Exam for Children
No Charge
1 Visit(s) per Year
Adult Dental Coverage
Routine Dental Care
Not Covered
Basic Dental Care
Not Covered
Major Dental Care
Not Covered
Orthodontia
Not Covered
Child Dental Coverage
Routine Dental Care
Not Covered
Basic Dental Care
Not Covered
Major Dental Care
Not Covered
Medically Necessary Orthodontia
Not Covered
Other Benefits
Mental/Behavioral Health Outpatient Services
$10
Substance Abuse Dependency Outpatient Services
$10
Outpatient Rehabilitation Services
$35
35 Visit(s) per Benefit Period
Combined limit for all outpatient therapy plus chiropractic.
Habilitation Services
$35
35 Visit(s) per Benefit Period
Supplementing with the federal definition of habilitative services: Health care services that help a person keep, learn, or improve skills and functioning for daily living. Examples include therapy for a child who is not walking or talking at the expected age. These services may include physical and occupational therapy, speech-language pathology and other services for people with disabilities in a variety of inpatient and/or outpatient settings.
Prenatal and Postnatal - Office Visit
$35
Labor and Delivery - Hospital Stay
40%
BlueSelect Silver 1443B ($0 Deductible / $0 Virtual Visits / $5 PCP Visits / $0 Labs / Rewards $$$)
$ /mo.
Doctor Availability
Are my providers in this network?
Are my Providers In-Network?
Plan Information
Annual Deductible
Medical Deductible: N/A
Drug Deductible: N/A
Combined Medical and Drug Deductible: Individual: $0 / Family: $0 per person | $0 per group
Annual Out-of-Pocket Maximum (includes deductibles, copays and coinsurance)
Medical Benefits: N/A
Drug Benefits: N/A
Medical and Drug Benefits Total: Individual: $3,150 / Family: $3150 per person | $6300 per group
Prescription Drugs
List of Covered Drugs
Generic Drugs
$25
In-Network Only: $0 preventive and low cost generics for certain drugs, plus Mail Order for these drugs is $0.
Preferred Brand Drugs
$47
In-Network Only: Certain drugs are available for a lower cost.
Non-Preferred Brand Drugs
40%
Specialty Drugs
50%
Three Month Mail Order Pharmacy Benefits
Yes
Prescription Drug Deductible
Included with Medical Deductible
Prescription Drug Out of Pocket Maximum
N/A
Physician Office Services – In-Person Visit
Primary Care Physician
$5
In-Network Only: $0 Copay may apply for the first 3 visits. No charge for unlimited visits rendered by Value Choice Providers. Check your Online Provider Directory for providers in your area.
Specialist
$70
Lower out of pocket costs for virtual visits and reduced cost may be available at Value Choice Providers. Check your Online Provider Directory for providers in your area.
Physician Office Services – Virtual Visit
Primary Care Physician
No Charge Value Choice Provider - No Charge
Specialist
$70 Copayment Value Choice Provider - $5 Copayment Behavioral Health - No Charge
Urgent Care and Emergency
Urgent Care Center
$70
Reduced cost available at Value Choice Providers. Check your Online Provider Directory for providers in your area.
Emergency Room Facility
$675
Hospital and Surgical Care
Outpatient Hospital Facility
40%
Inpatient Hospital Facility
40%
Physicians Services
No Charge
Outpatient Diagnostic Services
Laboratory Services
No Charge
Basic Imaging (e.g. x-ray, ultrasound)
$80
Advanced Imaging (e.g. CT/CAT Scan, MRI, MRA)
40%
Vision
Routine Eye Exam for Adults
Not Covered
Routine Eye Exam for Children
No Charge
1 Visit(s) per Year
Adult Dental Coverage
Routine Dental Care
Not Covered
Basic Dental Care
Not Covered
Major Dental Care
Not Covered
Orthodontia
Not Covered
Child Dental Coverage
Routine Dental Care
Not Covered
Basic Dental Care
Not Covered
Major Dental Care
Not Covered
Medically Necessary Orthodontia
Not Covered
Other Benefits
Mental/Behavioral Health Outpatient Services
$5
Substance Abuse Dependency Outpatient Services
$5
Outpatient Rehabilitation Services
$70
35 Visit(s) per Benefit Period
Combined limit for all outpatient therapy plus chiropractic.
Habilitation Services
$70
35 Visit(s) per Benefit Period
Supplementing with the federal definition of habilitative services: Health care services that help a person keep, learn, or improve skills and functioning for daily living. Examples include therapy for a child who is not walking or talking at the expected age. These services may include physical and occupational therapy, speech-language pathology and other services for people with disabilities in a variety of inpatient and/or outpatient settings.
Prenatal and Postnatal - Office Visit
$70
Labor and Delivery - Hospital Stay
40%
This is our lowest priced plan that matches your preferences.
This is a richer plan that matches your preferences.
Please note these are estimated costs based on the responses you’ve provided. Actual costs are based on the answers provided on the application.
! This plan has benefits and services in addition to essential health benefits. Subsidies may only be applied to the essential health benefits portion of a plan. In some cases only a portion of your selected subsidy can be applied to this plan.To see information about the Medical Loss Ratio on our plans go to Health Insurance MarketplaceThese policies have limitations and exclusions. The amount of benefits and premium provided may vary based on the plan selected.BCRQ.IU.BB 0516 - BlueCare For Individuals Non-Group Contract
BOPQ.IU.BB 0516 - BlueOptions For Individuals Non-Group Contract
BSEQ.IU.BB 0516 - BlueSelect For Individuals Non-Group Contract
MBL.IU.BB 0516 - myBlue For Individuals Non-Group Contract
2Plan quality ratings and enrollee survey results are calculated by CMS using data provided by health plans in 2023. The ratings are being displayed for health plans for the 2024 plan year. Learn more about these ratings.
CWS SHP 039 NF 102023
