BasicBlue

Basic Blue

Ideal if you’re looking for: A plan that covers basic services, like most office visits, and most generic drugs before the deductible, while also providing no-cost coverage for all covered services after the deductible is met

Summary of Benefits and Coverage (SBC) 
Please note that the following is a sample SBC only and is not specific to any group. If you have any questions, please contact your sales representative.

SBCs for plans that renew in 2017
Plans with Pedi dental:
Gold BasicBlue 100/0, 2750/5500
Silver BasicBlue 100/0, 5000/10000
Bronze BasicBlue 100/0, 7150/14300

Plans without Pedi dental:
Gold BasicBlue 100/0, 2750/5500
Silver BasicBlue 100/0, 5000/10000
Bronze BasicBlue 100/0, 7150/14300


SBCs for plans that renew in 2016
Gold BasicBlue 100/0, 2750/5500
Silver BasicBlue 100/0, 5000/10000
Bronze BasicBlue 100/0, 6850/13700