BLUE CROSS PLANS

• Designed to meet the Federal requirements to be offered in conjunction with Health Savings Account (HSAs).
• Allows you to design your own plan.
• Preventive Services covered at 100% up to $250 per person per year.
• Prescription Drugs covered up to $2,500 per person per year.
• Four healthcare options to choose from:
  • Option 1: $3,000 individual deductible with $3,000 maximum out of pocket. Coinsurance at 100% after deductible
  • Option 2: $3,000 individual deductible with $4,000 maximum out of pocket. Coinsurance at 70% after deductible
  • Option 3: $3,000 individual deductible with $5,000 maximum out of pocket. Coinsurance at 50% after deductible.
  • Option 4: $5,950 individual deductible with $5,950 maximum out of pocket. Coinsurance at 100% after deductible
    

For details, phone 406-541-8080

HDHP Premier HealthLink Details (PDF 252KB)
Individual Application (PDF 332KB)

• Designed to meet the Federal requirements to be offered in conjunction with Health Savings Account (HSAs).
• Two healthcare options to choose from:
  • Option 1: $2,500 individual deductible/$5,000 family deductible
  • Option 2: $5,000 individual deductible/$10,000 family deductible
    No co-payments

For details, phone 406-541-8080

HDHP Montana Individual Details (PDF 305KB)
Individual Application (PDF 332KB)

Benefits of the Blue Evolution Plan include:

• Low Premiums
• Up to $750 in Primary Care Benefit
• Hospitalization and surgery
• Emergency care and outpatient services
• Office visits, lab tests, physician charges
• Allows you to create your own plan and choose your own deductible, coinsurance, and out-of-pocket amount
• Includes prescription drug coverage
  

For details, phone 406-541-8080

Blue Evolution Plan Details (PDF 143KB)
Individual Application (PDF 332KB)

There are many different plan combinations, so please download the PDF to view rates.

Benefits of the Montana YouthCare plan include:

• Low Premiums
• $400 for primary care
• Hospitalization and surgery
• Emergency care and outpatient services
• Pharmacy benefit
• A health plan just for children from 3 months to 19 years of age

For details, phone 406-541-8080

Montana YouthCare Details (PDF 136KB)
Montana YouthCare Application (PDF 926KB)