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New Flex Options for Small Groups |
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To offer our small groups more flexibility when choosing a health plan in both design and cost, we created 22 new HMO, POS, Direct POS and Personal Choice® Flex Series options. Highlights of the new options include:
| Facility Copay (F5) |
| Hospital Services |
$400 a day/ max. 5 days ($2,000) |
| Outpatient Surgery |
$200 |
| Skilled Nursing Facility |
$200 a day/ max. 5 days ($1,000) |
Emergency Room
(Copay not waived if admitted) |
$125 |
| Prosthetics and Durable Medical Equipment |
50% |
| Office Visit Copay (C4) |
| Primary Care |
$30 |
| Specialist |
$50 |
X-ray
Mammogram
Routine Radiology
Complex |
$0
$50
$100 |
Injectable Medications
Standard
Biotech/Specialty |
$0
$125 |
Preventive Services
Routine GYN
Pediatric Immunizations |
$30
$0 |
To maintain competitively priced premiums, only certain options may be paired together. Please note the following combinations:
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The new C4 options may be paired only with our existing F3, F4, and the new F5.
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The new F5 option may be paired only with our existing C3 or the new C4 option.
- For POS and PPO plans, the new F5 option may be paired only with our existing O2 option.
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Click here for complete details on the new Flex Copay options in our small group brochure
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Independence Blue Cross offers products directly, through its subsidiaries Keystone Health Plan East and QCC Insurance Company, and with Highmark Blue Shield. Independent licensees of the Blue Cross and Blue Shield Association.
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