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BLUE CROSS PLANS
HDHP Premier HealthLink »
HDHP Montana Individual Plan »
Blue Evolution »
Montana Youthcare »
(Effective 3rd Quarter rates for 2010 - July, Aug, Sept)
HDHP Premier HealthLink
- 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)

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Preferred Rates: |
Age |
Option I |
Option II |
Option III |
Option IV |
0-24 |
113.30 |
95.79 |
90.64 |
85.49 |
25-29 |
128.75 |
103.00 |
86.52 |
91.67 |
30-34 |
143.17 |
110.21 |
93.73 |
97.85 |
35-39 |
164.80 |
124.63 |
108.15 |
109.18 |
40-44 |
185.40 |
138.02 |
121.54 |
120.51 |
45-49 |
227.63 |
166.86 |
144.20 |
144.20 |
50-54 |
265.74 |
191.58 |
162.74 |
164.80 |
55-59 |
309.00 |
220.42 |
185.40 |
189.52 |
60 plus |
361.53 |
255.44 |
214.24 |
218.36 |
1 Child |
54.59 |
41.20 |
38.11 |
36.05 |
2 Children + |
109.18 |
82.40 |
76.22 |
72.10 |
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HDHP Montana Individual Plan
- 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)

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Premiums: |
Age |
Option I |
Option II |
0-24 |
160.29 |
117.70 |
25-29 |
172.29 |
126.50 |
30-34 |
182.79 |
134.21 |
35-39 |
215.78 |
158.43 |
40-44 |
262.28 |
192.58 |
45-49 |
326.78 |
239.94 |
50-54 |
392.76 |
288.39 |
55-59 |
472.17 |
339.95 |
60 plus |
554.97 |
399.70 |
1 Child |
46.61 |
34.22 |
2 Children + |
93.22 |
68.44 |
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Blue Evolution
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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)

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

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Age |
Monthly Premium
per Person |
0-5 years |
151.04 |
6-14 |
117.88 |
15-18 |
171.92 |
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