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% before Deductible.
• Prescription Drugs covered at 100% after Deductible.
• 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)

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
• Healthcare options:
  
  • Option 1: $2,500 individual deductible with $7,500 maximum out of pocket. Coinsurance at 60% after deductible. Primary Care Benefit of $275.
    No co-payments
  • Many different options of deductible, maximum out of pocket, coinsurance and Primary Care Benefit available. Please call for details.

For details, phone 406-541-8080

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

Rates and benefits remain unchanged from 2011 to 2012.
There are not changes to the rates listed for the 50/50 or 80/20 options listed for the $500, $1,000 and $2,500 plans.

Benefits of the Montana Short Term Blue plan include:

• Not subject to the PPACA annual enrollment restrictions on children less than age 19
• Benefit Period from 30 days of coverage to 183 days
• Deductible options from $500, $1,000, or $2,500
• Coinsurance options of either 50/50 or 80/20
• Maximum out of pocket amount of $5,000
• Nationwide benefits through BlueCard
• No Application Fee

For details, phone 406-541-8080

Montana Short-Term Blue Details & Application (PDF 494KB)