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Excellus Health Plans

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Emblem Health Plans

 

 

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Excellus Health Plans

Excellus - Healthy Blue 500 408607002 - Click here for the detailed plan summary.

This policy is an PPO (Preferred Provider Organization) with both in- and out-of-network coverage, no referrals needed. There is a $500 (single) $1,500 (family) in-network deductible with an 80% coinsurance. This plan also has a $500 (single) $1,500 (family) out-of-network deductible with an 60% coinsurance. The primary in-network copay is $15 and specialist copay is $25 per visit. With inpatient hospital on both in and out-of-network you must meet the deductible and coinsurance. Emergency room visits are a $150 copay. The prescription coverage is $5/$25/$50 with no deductible. Full time dependant coverage to age 26.
 

Quarterly

Sole Proprietor

Small Group

Employee

$1,498.68

$1,363.77

Employee + Spouse

$2,982.36

$2,712.54

Employee + Child(ren)

$3,101.71

$2,738.34

Family

$4,147.59

$3,771.81

  Plan Selection Plan Selection
  Instructions Instructions
  Application Application

Excellus - Healthy Blue 1000 408608002 - Click here for the detailed plan summary.

This policy is an PPO (Preferred Provider Organization) with both in- and out-of-network coverage, no referrals needed. There is a $1,000 (single) $3,000 (family) in-network deductible with an 80% coinsurance. This plan also has a $1,000 (single) $3,000 (family) out-of-network deductible with an 60% coinsurance. The primary in-network copay is $15 and specialist copay is $25 per visit. With inpatient hospital on both in- and out-of-network you must meet the deductible and coinsurance. Emergency room visits are a $150 co-pay. The prescription coverage is $5/$25/$50 with no deductible. Full time dependant coverage to age 26.
 

Quarterly

Sole Proprietor

Small Group

Employee

$1,413.45

$1,286.31

Employee + Spouse

$2,811.90

$2,557.62

Employee + Child(ren)

$2,837.10

$2,580.51

Family

$3,908.07

$3,554.10

  Plan Selection Plan Selection
  Instructions Instructions
  Application Application

Excellus - EPO Balance 404999002 - Click here for the detailed plan summary.

This policy is an EPO (Exclusive Provider Organization) with no out-of-network coverage and no referrals needed. There is a $500 (single) $1,500 (family) in network deductible with an 85% coinsurance. A primary and specialist office visit has a $15 copay. With the inpatient hospital you must meet the deductible and coinsurance. Emergency room visits have a $50 copay. The prescription coverage is $10/$30/$50 with no deductible. Full time dependant coverage to age 23.
 

Quarterly

Sole Proprietor

Small Group

Employee

$1,556.46

$1,416.30

Employee + Spouse

N/A

N/A

Employee + Child(ren)

N/A

N/A

Family

$3,931.56

$3,575.49

  Plan Selection Plan Selection
  Instructions Instructions
  Application Application

Excellus - HMO Blue 25 -  Click here for the detailed plan summary.

This policy is an HMO (Health Maintenance Organization) with no out-of-network coverage and referrals are required. This plan is has a $25 primary and $40 specialist office visit copay. Inpatient hospital has a $500 copay and an emergency room visit has a $100 copay. The prescription coverage is $10/$30/$50 with no deductible. Full time dependant coverage to age 23.
 

Quarterly

Sole Proprietor

Small Group

Employee

$1,613.49

$1,468.14

Employee + Spouse

N/A

N/A

Employee + Child(ren)

N/A

N/A

Family

$4,075.86

$3,706.68

  Plan Selection Plan Selection
  Instructions Instructions
  Application Application

Excellus - 1300/2600 -  Click here for the detailed plan summary.

Details to come

 

Quarterly

Sole Proprietor

Small Group

Employee

$948.93

$864.03

Employee + Spouse

$1,882.86

$1,713.06

Employee + Child(ren)

$1,915.68

$1,742.85

Family

$2,636.94

$2,398.56

  Plan Selection Plan Selection
  Instructions Instructions
  Application Application

Excellus - 5500/11000 -  Click here for the detailed plan summary.

Details to come

 

Quarterly

Sole Proprietor

Small Group

Employee

$577.41

$523.56

Employee + Spouse

$1,133.85

$1,032.12

Employee + Child(ren)

$1,154.04

$1,032.12

Family

$1,586.37

$1,443.48

  Plan Selection Plan Selection
  Instructions Instructions
  Application Application

Excellus - BCBS MEDICARE -  Click here for the detailed plan summary.

Please click here to read the

Medicare Supplement Plan C Benefit Summary

 

Quarterly

 
Employee

$1,016.55

Employee + Spouse

N/A

Employee + Child(ren)

N/A

Family

N/A

  Plan Selection
  Instructions
  Application

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