Sep 24, 2019

2020 Small and Large Group Product Updates

Small Group Updates

Plan Pairing Restrictions

There will not be any plan pairing restrictions as of Quarter 4, 2019. This will continue throughout 2020.

Deductible changes

  • BlueSolutions 100/60 $3,000/$6,000
    • Deductible changed to $3,400/$6,800
  • BlueSolutions 100/60 $6,550/$6,750
    • Deductible changed to $6,750/$13,500

Out-of-pocket value changes

  • BlueSolutions 100/60 $1,500/$3,000
    • Out-of-pocket limits changed from $4,500/$9,000 to $6,750/$13,500
  • VantageBlue 100/80 $4,000/$8,000
    • Out-of-pocket limits changed from $6,350/$12,700 to $5,000/$10,000

Copay changes

  • Effective upon a client’s 2020 renewal, the routine and non-routine vision office visits will have the same copay.  Previously, the routine vision copay was higher than the non-routine vision copay. The new copay follows the Specialist copay. This change will impact all VantageBlue plans, as well as one BlueSolutions plan.

Routine/Non-routine

  • $50/$20 will now be $20/$20
  • $50/$30 will now be $30/$30
  • $50/$40 will now be $40/$40
  • $55/$40 will now be $40/$40
  • $55/$50 will now be $50/$50

2020 Small Group Portfolio – Plan Additions

  • Network Blue New England 80/NC $1,000/$2,000
  • Network Blue New England 100/NC $4,000/$8,000
  • Blue Choice New England 100/80 $4,000/$8,000
  • VantageBlue 100/80 $8,150/$16,300

VantageBlue

Free Sick Visit

  • Currently, our VantageBlue plans provide members with a free, first sick visit.
  • This benefit was introduced a few years ago to encourage members to see their PCPs rather than utilize urgent care and emergency room services.
  • We haven’t seen this benefit have the impact we’d hoped for; therefore, this benefit will be removed in 2020 upon renewal.

Acupuncture

  • Acupuncture coverage was added to the VantageBlue 100/80 $1,000/$2,000 plan
  • All platinum VantageBlue plans also will now include acupuncture coverage.

Large Group Updates

Product Family and Plan Removals

Product Family Drop:

  • The BlueCHiP with Flex product family is being withdrawn from the 2020 Large Group Portfolio
  • If a client is currently enrolled in this product, they can continue to enroll in their existing plan(s).

Plan Drops:

  • HMC2C Coin 83 – 100/80, $1,500 deductible with $15/25/50/100 office visits
  • HMC2C Coin 94 – 100/80, $2,000 deductible with $15/25/50/200 office visits
  • HMC2C Coin 342 – 100/80, $5,000 deductible with $25/40/50/100 office visits
  • HMC2C Coin 52 – 80/60, $1,000 deductible with $25/40/50/150 office visits
  • VantageBlue 113 – 100/80, $250 deductible with $25/40/50/150 office visits
  • VantageBlue 22 – 100/80, $2,000 deductible with $15/25/50/150 office visits
  • BlueSolutions Plan 65 – 100/60, $5,000 deductible with $25/40/50/150 office visits after deductible
  • BlueSolutions Plan 69 – 80/60, $3,000 deductible with $25/40/50/150 office visits after deductible

BlueSolutions

  • For BlueSolutions Plans 81 and 82 – now plans 83 and 84 respectively – the OOP will be changed from $2,750/$5,400 to $2,800/$5,600
  • These changes were made in order to comply with the IRS annual minimum values.

VantageBlue

Free Sick Visit

  • Currently, our VantageBlue plans provide members with a free, first sick visit.
  • This benefit was introduced a few years ago to encourage members to see their PCPs rather than utilize urgent care and emergency room services.
  • We haven’t seen this benefit have the impact we’d hoped for; therefore, this benefit will be removed in 2020 upon renewal.

Network Blue New England

  • Network Blue New England 23 – 80/NC $1,000/$2,000 with $30/50/100/200 office visit copays – will be added to the Large Group Portfolio.
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