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Employee Benefits

 

Employee Benefits | Health Insurance | BCBS 2011

Business Resource Services
Blue Cross Blue Shield of Vermont- Medical Plans and Rates
January 1, 2011- December 31, 2011

Vermont Freedom Plans
(PPO)		 Single 2-Person Family Medicare
Carve-Out
$750/1500 Deductible,
$30 OV 
RX $5/40%/60%		 $681.06 $1362.36 $1,879.60 $461.26
$1,500/3000 Deductible,
$30 OV
RX $5/40%/60%		 $635.69 $1,271.39 $1,754.35 $415.91
$2,500/5000 Deductible,
$30 OV
RX $5/40%/60% 		 $596.19 $1,192.38 $1,645.39 $375.32
$5,000/10,000 Deductible,
$30 OV
RX $5/40%/60%    		 $549.77 $1,099.55 $1,488.41 $339.54
$10,000/20,000 Deductible, $30 OV Rx $100 Ded. RX $5/40%/60%   $443.88 $888.68 $1,203.68 $317.37
All Above Plans offer 100% Preventive Coverage    
Note: Carve-Out available to Medicare eligibles    

 

Blue CDHP
(HSA)		 Single 2-Person Family Medicare Carve-Out
HSA:$2250/$4500 Ded. (aggregate)
80/20% to $3250/6500
OOP
100%/Preventive Care Benefit		 $587.55 $1,030.76 $1,503.92 $377.23
HSA:$4000/8000 Ded.
(aggregate)
80/20% to $5000/10,000 OOP
100% Preventive Care Benefit		 $515.60 $857.54 $1,250.45 $292.32
Note: Carve-Out available to Medicare eligibles

 

Vision Care Rates for Vermont Freedom Plan or Blue CDHP
Single 2-Person Family Medicare
Carve-Out
$4.54 $9.08 $12.26 $4.54
 $20 Vision Materials Buy-Up Rider
($20 Vision Exam now included in All Above Plans)

 

BlueCare CDHP
(HMO)		 Single 2-Person Family  

$2000/4000 Ded.
(aggregate)
100% coverage after deductible
100% preventive coverage

 

 $437.48 $743.18 $1,078.92  
$2500/5000 Ded.
(aggregate)
100% coverage after deductible
100% preventive coverage

 

 407.12 $675.19 $979.18  
$2000/4000 Ded.
(aggregate)
OOP limit equals annual deductible
100% preventive coverage
Wellnes Drug Rider
$5/40%/60% (before Ded.)		 $439.40 $746.44 $1,083.68  
$2500/5000 Ded.
(aggregate)
OOP limit equals annual
deductible
100% preventive coverage
Wellness Drug Rider
$5/40%/60% (before Ded.)


 		 $409.65 $679.38 $985.27  

$25000/5000 Ded.
(aggregate)
80% coinsurance
$5959/11,900 OOP limit
50% Wellness Drug Rider(before Ded.)
50% RX rider for all RX
(after Ded.)
100% Preventive Coverage

 $354.58 $587.97 $1852.46  
$3000/6000 Ded.
(stacked)
100% Coverage (after Ded.)
100% Preventive Coverage
 		 $385.93 $771.86 $1,062.78  

$5000/10,000 Ded.
(stacked)
100% Coverage (after Ded.)
100% Preventive Coverage

 $289.91 $579.82 $797.83  

 

BlueCare Access CDHP (HMO)  Single  2-Person  Family  

$2000/$4000 Ded.
(aggregate)
80% coinsurance
$3000/6000 OOP limit
100% Preventive Coverage

 $415.19 $705.28 $1,023.82  
$3000/6000 Ded.
(stacked)
80% coinsurance
$4000/8000OOP limit
100% Preventive Coverage
 		 $368.25 $736.51 $1,014.00  

 

BlueCare (HMO)  Single  2- Person  Family  
BlueCare D:  $20/30OV 
$500/200 IP/OP Copay
100% Preventive Coverage
Rx $100 Ded,$5/$40%/$60%		 $571.30 $1,142.61 $1,574.29  
BlueCare I: $20/30 OV
$1000 IP/OP Comb Ded.
100% Preventive Coverage
Rx $100 Ded. $5/40%/60% 		 $539.30 $1,078.60 1,485.97  
BlueCare K: $20/30 OV, $2000/1000 IP/OP Ded.
100% Preventive Coverage
RX $100 Ded.,$5/40%/60%		 $508.33 $1,016.67 $1,400.53  
BlueCare Basic (HMO)  Single  2-Person Family   

$2500/6250 Ded.
(aggregate)
$30/50 OV (after Ded.)
IP/OP/DME 20% coinsurance
100% Preventive Coverage
RX $5/50%/100%

 

 $324.33 $648.67 $892.81  

 

BlueCare Access (HMO)  Single  2-Person  Family  
$1500/750 IP/OP Ded.
$20/30 OV
100% Preventive Coverage
RX $100 Ded. $5/40%/60%

$534.41

$1,068.82

$1472.49 

 
Vision Care for BlueCare Plans

 $20 Vision Materials Buy-Up Rider
($20 Vision exam now included in ALL plans)

$6.92

$13.84

$19.09

  

Note: Must be a member of Business Resource Services to access above plans.

Choosing the best plan for your business can be complicated.
Fleischer Jacobs Group specializes in helping businesses and individuals select the most appropriate plan to meet their needs.

Call us for a health plan comparison analysis. 865.5000

620 Hinesburg Road | PO Box 2343 | South Burlington, VT 05407-2343 | P: 802.865.5000 | F: 802.865.4919

© Fleischer Jacobs Group 2006-2012

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© Fleischer Jacobs Group 2006-2012

 

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