Silver Individual and Family Plans

 

Our Silver plans offer a wide-variety of coverage options at lower than average premiums.  Some of our health plans provide you with access to a choice of doctors, specialists, and hospitals throughout Western New York that are focused on coordinated, quality health care with two benefit levels:

To see if your doctor, specialist, or hospital is available under Optimum Choice, visit bcbswny.com/findadoctor or call 1-855-344-3425, Monday-Friday (8 a.m. - 8 p.m. EST).

  • Optimum Choice:  Optimum Choice doctors, specialists, and hospitals have the lowest cost-share.
  • Flexible Choice:  Flexible Choice doctors, specialists, and hospitals have a higher cost-share.  

We are happy to include a $250 Wellness Debit Card as an added benefit on all of our 2016 individual and family plans. This card can be used for many products and services including: gym memberships, massage therapy and nutritional supplements.

View more details
on the Wellness Debit Card

2016 Plans will be available for purchase beginning on 11/1/2015.
All premiums listed represent coverage for dependents up to age 26.

Additional Silver Cost Share Reduction Plans are available based on income and family size guidelines through the NY State of Health™. 

The contracts on this page are generic versions. For a detailed version, specific to your plan, please log in to your member portal.
2016 Plan Information Silver Standard Silver POS 8100EX
Silver  Ind align
Silver  POS 7100
Monthly Premium:        
        Single $403.43 $397.67 $351.64 $378.88
        Single + Child $685.84 $676.04 $597.79 $644.10
        2 Person $806.86 $795.34 $703.28 $757.76
        Family $1,149.77 $1,133.36 $1,002.18 $1,079.81
Primary Care Doctor/Specialist $30 / $50 after deductible 20% after deductible $30/ 60 after deductible, Optimum 
50% after deductible, Flexible
$25 / $40 after deductible
Deductible (single/family) $2,000 / $4,000 $2,000 / $4,000
$2,000/ $4,000 Optimum
$5,000/ $10,000, Flexible
$2,000 / $4,000
Inpatient Hospital Stay $1,500 after deductible $750 after deductible $1,000 after deductible Optimum
50% after deductible Flexible 
$750 after deductible
Prescription Drugs:        
        Tier 1/2/3 $10 / $35 / $70 (Not subject to deductible) $5 / $30 / 50% after deductible $15 / $50 / 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
         
         
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View Summary of Benefits and Coverage

Summary of Benefits and Coverage

View Summary of Benefits and Coverage View Summary of Benefits and Coverage
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  View Glossary of Medical Terms View Glossary of Medical Terms View Glossary of Medical Terms View Glossary of Medical Terms
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      *Silver Individual align-This plan is only offered in Erie and Niagara County