Silver  2017 Small Group Plans

Our Silver plans offer a variety of coverage options at lower than average premiums. View the plan details below. Please note, all premiums listed represent coverage for dependents up to age 26. 

If you are part of an existing group with BlueCross BlueShield of Western New York, visit BlueConnect to enroll. If you are a new group and would like to enroll in a Silver plan, please contact your broker or account executive.

  Silver Standard Silver align*
Silver focus*
Silver POS 7100 Silver POS 8100
Monthly Premium        
 Individual $430.53 $392.06 $414.65 $415.22
 Individual & Child(ren) $731.91 $666.50 $704.91 $705.87
 Individual & Spouse/Domestic partner $861.06 $784.12 $829.30 $830.44
Family $1,227.01 $1,117.37 $1,181.76 $1,183.38
Primary Care Doctor/Specialist $30/$50
after deductible

$30/$50 after deductible,
Optimum Choice/ Preferred


50% afer deductible,
Flexible Choice/Participating
 

$25/$50
after deductible
20%
after deductible
Deductible (Single/Family) $2,000/$4,000 embedded 

$1,300/$2,600 true family,
Optimum/Preferred


$3,500/$7,000 true family,
Flexible/Participating

$2,000/$4,000
true family 
$2,000/$4,000
true family 
Inpatient Hospital Stay (per admission) $1,500 after deductible 30% after deductible,
Optimum/Preferred

50% after deductible,
Flexible/Participating 
$750 after deductible $750 after deductible
Prescription Drugs:        
   Tier 1/2/3 $10/$35/$70  $5/$30/50% after deductible $5/$30/50%
after deductible
 $5/$30/50%
after deductible
   Generic Oral Contraceptives Covered in full Covered in full Covered in full Covered in full
   Mail Order Drugs 2.5 Copays/90-day supply 2.5 Copays/90-day supply 2.5 Copays/90-day supply 2.5 Copays/90-day supply
 

Benefits & Coverage

Benefits & Coverage, align

 

Benefits & Coverage, focus

Benefits & Coverage

Benefits & Coverage

*Available in Erie and Niagara counties only

  Silver POS 8100EX Silver PPO 8100 Silver Blended
Monthly Premium        
   Individual $436.20 $490.41 $399.71
   Individual & Child(ren) $741.54 $833.70 $679.50
   Individual & Spouse/Domestic partner $872.40 $980.82 $799.42
   Family $1,243.17 $1,397.67 $1,139.18
Primary Care Doctor/Specialist 20% after deductible 20% after deducdible  $25/50 after deductible
$0 for the first three adult PCP visits after deducitble  
Deductible (Single/Family) $2,000/$4,000 true family  $2,000/$4,000 true family  $3,000/$6,000 embedded 
Inpatient Hospital Stay (per admission) $750 after deductible $750 after deductible 20% after deductible 
Prescription Drugs:      
   Tier 1/2/3 $5/$30/50% after deductible  $5/$30/50% after deductible $15/$50/50% 
   Generic Oral Contraceptives Covered in full Covered in full Covered in full
   Mail Order Drugs 2.5 Copays/90-day supply 2.5 Copays/90-day supply 2.5 Copays/90-day supply
 

Benefits & Coverage

Benefits & Coverage

Benefits & Coverage

*Available in Erie and Niagara counties only

Silver Standard
   
Monthly Premium  
   Individual $430.53
   Individual & Child(ren) $731.91
   Individual & Spouse/Domestic partner $861.06
   Family $1,227.01
Primary Care Doctor/Specialist $30/$50 after deductible
Deductible (Single/Family) $2,000/$4,000 embedded 
Inpatient Hospital Stay (per admission) $1,500 after deductible
Prescription Drugs:  
   Tier 1/2/3 $10/$35/$70 
   Generic Oral Contraceptives Covered in full
   Mail Order Drugs 2.5 Copays/90-day supply
 

Benefits & Coverage

Silver align* & Silver focus*
   
Monthly Premium  
   Individual $392.06
   Individual & Child(ren) $666.50
   Individual & Spouse/Domestic partner $784.12
   Family $1,117.37
Primary Care Doctor/Specialist $30/$50 after deductible, Optimum 
50% after deductible, Flexible 
Deductible (Single/Family) $1,300/$2,600 true family, Optimum 
$3,500/$7,000 true family, Flexible 
Inpatient Hospital Stay (per admission) 30% after deductible, Optimum 
50% after deductible, Flexible
Prescription Drugs:  
   Tier 1/2/3 $5/$30/50% after deductible
   Generic Oral Contraceptives Covered in full
   Mail Order Drugs 2.5 Copays/90-day supply
 

Benefits & Coverage, ALIGN

 

Benefits & Coverage, FOCUS

* Available in Erie and Niagara counties only

Silver POS 7100
   
Monthly Premium  
   Individual $414.65
   Individual & Child(ren) $704.91
   Individual & Spouse/Domestic partner $829.30
   Family $1,181.76
Primary Care Doctor/Specialist $25/$50 after deductible
Deductible (Single/Family) $2,000/$4,000 true family 
Inpatient Hospital Stay (per admission) $750 after deductible
Prescription Drugs:  
   Tier 1/2/3 $5/$30/50% after deductible
   Generic Oral Contraceptives Covered in full
   Mail Order Drugs 2.5 Copays/90-day supply
 

Benefits & Coverage

Silver POS 8100
   
Monthly Premium  
   Individual $415.22
   Individual & Child(ren) $705.87
   Individual & Spouse/Domestic partner $830.44
   Family $1,183.38
Primary Care Doctor/Specialist 20% after deductible
Deductible (Single/Family) $2,000/$4,000 true family 
Inpatient Hospital Stay (per admission) $750 after deductible
Prescription Drugs:  
   Tier 1/2/3 $5/$30/50% after deductible
   Generic Oral Contraceptives Covered in full
   Mail Order Drugs 2.5 Copays/90-day supply
 

Benefits & Coverage

Silver POS 8100EX
   
Monthly Premium  
   Individual $436.20
   Individual & Child(ren) $741.54
   Individual & Spouse/Domestic partner $872.40
   Family $1,243.17
Primary Care Doctor/Specialist 20% after deductible
Deductible (Single/Family) $2,000/$4,000 true family 
Inpatient Hospital Stay (per admission) $750 after deductible
Prescription Drugs:  
   Tier 1/2/3 $5/$30/50% after deductible
   Generic Oral Contraceptives Covered in full
   Mail Order Drugs 2.5 Copays/90-day supply
 

Benefits & Coverage

Silver PPO 8100
   
Monthly Premium  
   Individual $490.41
   Individual & Child(ren) $833.70
   Individual & Spouse/Domestic partner  $980.82
   Family $1,397.67
Primary Care Doctor/Specialist 20% after deductible
Deductible (Single/Family) $2,000/$4,000 true family
Inpatient Hospital Stay (per admission) $750 after deductible
Prescription Drugs:  
   Tier 1/2/3 $5/$30/50% after deductible
   Generic Oral Contraceptives Covered in full
   Mail Order Drugs 2.5 Copays/90-day supply
 

Benefits & Coverage

Silver Blended
   
Monthly Premium  
   Individual $399.71
   Individual & Child(ren) $679.50
   Individual & Spouse/Domestic partner $799.42
   Family $1,139.18
Primary Care Doctor/Specialist $25/$50 after deductible 
$0 for first three adult PCP visits after deductible
Deductible (Single/Family) $3,000/$6,000 embedded
Inpatient Hospital Stay (per admission) 20% after deductible
Prescription Drugs:  
   Tier 1/2/3 $15/$50/50% 
   Generic Oral Contraceptives Covered in full
   Mail Order Drugs 2.5 Copays/90-day supply
 

Benefits & Coverage

>> View Silver Plan Contracts 

>> Select preventive drugs are a $0 cost-share; not subject to deductible on select plans. 

Visit BlueConnect to enroll. If you are a new group and would like to enroll in a Silver plan, please contact your broker or account executive.

Fourth Quarter Silver Standard* Silver align** Silver POS7100 Silver POS8100
Monthly Premium        
   Single $398.89 $357.61 $382.34 $379.51
   Employee & Child $678.11 $607.94 $649.98 $645.17
   Employee and spouse/domestic partner $797.78 $715.22 $764.68 $759.02
   Family $1,136.84 $1,019.19 $1,089.67 $1,081.60
Primary Care Doctor/Specialist $30/$50 after deductible $30/$50 after deductible, Optimum
$30/50% after deductible Flexible 
$25/$40 after deductible 20% after deductible
Deductible (Single/Family) $2,000/$4,000 embedded  $1,300/$2,600 embedded, Optimum
$3,500/$7,000 embedded, Flexible 
$2,000/$4,000 true family  $2,000 / $4,000 true family 
Inpatient Hospital Stay (per admission) $1,500 after deductible 25% after deductible, Optimum
50% after deductible, Flexible 
$750 after deductible $750 after deductible
Prescription Drugs:        
   Tier 1/2/3 $10/$35/$70  $5 /$30 / 50% after deductible  $5/ $30 / 50% after deductible  $5 / $30 / 50% after deductible
   Generic Oral Contraceptives Covered in full Covered in full Covered in full Covered in full
   Mail Order Drugs 2.5 Copays/90-day supply 2.5 Copays/90-day supply 2.5 Copays/90-day supply 2.5 Copays/90-day supply
 

Benefits & Coverage

Benefits & Coverage

Benefits & Coverage

Benefits & Coverage

 

*Available on SHOP
**Available in Erie and Niagara counties only

Fourth Quarter Silver POS 8100EX Silver PPO 8100
Monthly Premium      
   Single $403.28 $442.91
   Employee & Child $685.57 $752.94
   Employee and spouse/domestic partner $806.56 $885.82
   Family $1,149.35 $1,262.29
Primary Care Doctor/Specialist 20% after deductible 20% after deducdible 
Deductible (Single/Family) $2,000 / $4,000 true family  $2,000 / $4,000 true family 
Inpatient Hospital Stay $750 after deductible $750 after deductible
Prescription Drugs:    
   Tier 1/2/3 $5/$30/50% after deductible  $5 / $30 / 50% after deductible
   Generic Oral Contraceptives Covered in full Covered in full
   Mail Order Drugs 2.5 Copays/90-day supply 2.5 Copays/90-day supply
 

Benefits & Coverage

Benefits & Coverage

Silver Standard*
Fourth Quarter  
Monthly Premium  
   Single $398.89
   Employee & Child $678.11
   Employee and spouse/domestic partner $797.78
   Family $1,136.84
Primary Care Doctor/Specialist $30/$50 after deductible
Deductible (Single/Family) $2,000 / $4,000 embedded 
Inpatient Hospital Stay (per admission) $1,500 after deductible
Prescription Drugs:  
   Tier 1/2/3 $10/$35/$70 
   Generic Oral Contraceptives Covered in full
   Mail Order Drugs 2.5 Copays/90-day supply
 

Benefits & Coverage

*Available on SHOP

Silver align**
Fourth Quarter  
Monthly Premium  
   Single $357.61
   Employee & Child $607.94
   Employee and spouse/domestic partner $715.22
   Family $1,019.19
Primary Care Doctor/Specialist $30/$50 after deductible, Optimum
$30/50% after deductible, Flexible 
Deductible (Single/Family) $2,000 / $4,000 embedded 
Inpatient Hospital Stay (per admission) 25% after deductible, Optimum
50% after deductible, Flexible 
Prescription Drugs:  
   Tier 1/2/3 $5/$30/50% after deductible
   Generic Oral Contraceptives Covered in full
   Mail Order Drugs 2.5 Copays/90-day supply
 

Benefits & Coverage

**Available in Erie and Niagara counties only

Silver POS 7100
Fourth Quarter  
Monthly Premium  
   Single $382.34
   Employee & Child $649.98
   Employee and spouse/domestic partner $764.68
   Family $1,089.67
Primary Care Doctor/Specialist $25/$40 after deductible
Deductible (Single/Family) $2,000 / $4,000 true family  
Inpatient Hospital Stay (per admission) $750 after deductible
Prescription Drugs:  
   Tier 1/2/3 $10/$35/$70 after deductible
   Generic Oral Contraceptives Covered in full
   Mail Order Drugs 2.5 Copays/90-day supply
 

Benefits & Coverage

Silver POS 8100
Fourth Quarter  
Monthly Premium  
   Single $379.51
   Employee & Child $645.17
   Employee and spouse/domestic partner $759.02
   Family $1,081.60
Primary Care Doctor/Specialist 20% after deductible
Deductible (Single/Family) $2,000 / $4,000 true family  
Inpatient Hospital Stay (per admission) $750 after deductible
Prescription Drugs:  
   Tier 1/2/3 $5/$30/50%  after deductible
   Generic Oral Contraceptives Covered in full
   Mail Order Drugs 2.5 Copays/90-day supply
 

Benefits & Coverage

Silver POS 8100EX
Fourth Quarter  
Monthly Premium  
   Single $403.28
   Employee & Child $685.57
   Employee and spouse/domestic partner $806.56
   Family $1,149.35
Primary Care Doctor/Specialist 20% after deductible
Deductible (Single/Family) $2,000 / $4,000 true family 
Inpatient Hospital Stay (per admission) $750 after deductible
Prescription Drugs:  
   Tier 1/2/3 $5/$30/50%  after deductible
   Generic Oral Contraceptives Covered in full
   Mail Order Drugs 2.5 Copays/90-day supply
 

Benefits & Coverage

Silver PPO 8100
Fourth Quarter  
Monthly Premium  
   Single $442.91
   Employee & Child $752.94
   Employee and spouse/domestic partner $885.82
   Family $1,262.29
Primary Care Doctor/Specialist $30/$50 after deductible
Deductible (Single/Family) $2,000 / $4,000 true family 
Inpatient Hospital Stay (per admission) $750 after deductible
Prescription Drugs:  
   Tier 1/2/3 $5/$3/50%  after deductible
   Generic Oral Contraceptives Covered in full
   Mail Order Drugs 2.5 Copays/90-day supply
 

Benefits & Coverage

Benefits of Blue

BlueConnect

A comprehensive online benefits solution.

Wellness Card

Offered with every small group plan.

Preventive Services

$0 preventive drugs for small group plans.

Tiered Plan Benefits

Keep costs in line while having choices.