SMALL GROUP UPDATES

Our 2019 Small Group Portfolio includes the following product families:

• VantageBlue
• BlueSolutions
• Network Blue New England
• Blue Choice New England

2019 Small Group Product Family and Plan Removals:

• BasicBlue: The three plans will be mapped to a comparable BlueSolutions plan
• BlueCHiP Advance: The three plans will be mapped to a comparable Network Blue New England plan

There is one additional plan being removed due to the parameters of the 2019 Actuarial Value (AV) calculator:

• BlueSolutions 100/60 $2,650/$5,300 and it will be mapped to BlueSolutions 100/60 $3,000/$6,000

   Out-of-pocket value changes:

• VantageBlue 100/80 $500/$1,000

     Out-of-pocket limits changed from $1,500/$3,000 to $1,800/$3,600

• VantageBlue 100/80 $2,000/$4,000

     Out-of-pocket limits changed from $3,600/$7,200 to $4,100/$8,200

• BlueSolutions 100/60 $1,900/$3,800

     Out-of-pocket limits changed from $2,600/$5,200 to $2,700/$5,400

Copay changes:

• Network Blue New England 100/NC $2,000/$4,000 
• Network Blue New England 100/NC $3,000/$6,000 
• Blue Choice New England 100/80 $2,000/$4,000 
• Blue Choice New England 100/80 $3,000/$6,000 
• PCP, Telemedicine and Retail Clinic copays changed from $25 to $30, Specialist and Chiro copays changed from $40 to $50

LARGE GROUP UPDATES

Our regional BlueCHiP family is expanding in Large Group with the addition of Access Blue New England. The Access Blue New England product family includes 12 high-deductible health plans with New England regional coverage. Members get all of the advantages of a regional BlueCHiP plan, and the flexibility to pair with a health savings account (HSA) that allows employees to save pre-tax dollars for qualified medical expenses now or in the future. Access Blue New England plans will be available in the Large Group segment starting October 1, 2018.

Our 2019 Large Group Portfolio includes the following product families:

• HealthMate Coast-to-Coast
• BlueSolutions
• VantageBlue
• BlueCHiP with Flex
• Network Blue New England
• Blue Choice New England
• Access Blue New England – new effective 10/1/18

2019 Large Group Product Family and Plan Removals

Product Family Drop:

• Basic Blue product family is being withdrawn from the 2019 Large Group Portfolio

Plan Drops:

• BasicBlue 1 - 100/NC $2,750/$5,550 Ded with $15/25/30/0/0 office visits
• BasicBlue 2 - 100/NC $5,000/$10,000 Ded with $20/30/45/0/0 office visits
• BasicBlue 3 - 100/NC $7,150/$14,300 Ded with $50/70/85/0/0 office visits
• BlueCHiP Flex 21 - 80/60 $2,000/$4,000 Ded with $30/50/50/200 office visits
• BlueCHiP Flex 24 - 80/60 $5,000/$10,000 Ded with $25/40/50/150 office visits
• BlueCHiP Flex 25 - 80/60 $5,000/$10,000 Ded with $30/50/50/200 office visits
• HMC2C Coin 51 - 80/60 $1,000/$2,000 Ded with $20/30/50/150 office visits
• HMC2C Coin 349 - 80/60 $1,500/$3,000 Ded with $30/50/50/200 office visits
• HMC2C Coin 353 - 80/60 $5,000/$10,000 Ded with $30/50/50/200 office visits
• HMC2C Ded 66 - 100/80 $1,500/$3,000 Ded with $0/0/0/0 office visits after deductible
• BlueSolutions plan 60 – 100/60 $2,000/$4,000 Ded with $0/0/0/0 office visits after deductible

Four new plans are being added to the New England Health plan offering:

Network Blue New England

• Network Blue New England 21 - 100/NC $2000 Ded with $30/50/100/200 office visit copays
• Network Blue New England 22 - 100/NC $3000 Ded with $30/50/100/200 office visit copays

Blue Choice New England

• Blue Choice New England 21 -100/80 $2000 Ded with $30/50/100/200 office visit copays
• Blue Choice New England 22 - 100/80 $3000 Ded with $30/50/100/200 office visit copays

2019 POLICY UPDATES

As part of our commitment to improving the health of all Rhode Islanders, Blue Cross & Blue Shield of Rhode Island (BCBSRI) recently announced two important investments to improve access to behavioral healthcare in the state:

• As of August 1, 2018, BCBSRI will no longer require prior approval for in-network behavioral health or substance use disorder services.
• Effective upon renewal in 2019, all BCBSRI-insured plans will provide coverage for behavioral health and substance use disorder office visits, including medication-assisted treatment (MAT), at copays that are consistent with primary care office visits. These services are currently subject to specialist visit copays, which are typically higher.

Changes to Mastectomy Cost Share

• Effective upon renewal in 2019, all BCBSRI-insured non-HDHP plans will provide coverage for inpatient and outpatient services for mastectomies and reconstruction of the breast at 100%.
• Effective upon renewal in 2019, all BCBSRI-insured HSA-qualified HDHP plans (BlueSolutions and Access Blue New England) will provide coverage for inpatient and outpatient services for mastectomies and reconstruction of the breast at 100% post deductible.