Silver Standard 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 Card as an addded benefit on all of our 2015 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 Card

2015 Plans will be available for purchase beginning on 11/15/2014.
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™. 

 

 

2015 Plan Information Silver Standard Silver 2000*
Silver POS 7100
Monthly Premium:


        Single $432.35 $341.75 $399.35
        2 Person $864.70 $683.50 $798.70
        Single + Child $735.00 $580.98 $678.89
        Family $1,232.20 $973.99 $1,138.15
Primary Care Doctor/Specialist $30 / $50 $5 Optimum / $30 Flexible
(2 PCP Visits @ PCP copay not subject to deductible)
35% Optimum / 50% Flexible
$25 / $40
Deductible (single/family) $2,000 / $4,000 $2,000 / $4, 000 Optimum
$3,000 / $6,000 Flexible 
$1,500 / $3,000
Inpatient Hospital Stay $1,500 35% Optimum / 50% Flexible  $750 
Prescription Drugs:


        Tier 1/2/3 $10 / $35 / $70 Not subject to deductible $5 / 50% / 50% (Tier 1 not subject to deductible)  $5 / $30 / 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









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*Silver 2000-This plan is only offered in Erie and Niagara County





Silver Standard Silver
Standard A
Silver
Standard B
Silver
Standard C
Eligibility
Available based on income and family size guidelines. Available based on income and family size guidelines. Available based on income and family size guidelines.
Monthly Premium:



        Single $425.88 $425.88 $425.88 $425.88
        2 Person $851.76 $851.76 $851.76 $851.76
        Single + Child $724.00 $724.00 $724.00 $724.00
        Family $1,213.76 $1,213.76 $1,213.76 $1,213.76
Primary Care Doctor/Specialist $30/$50 copayment after deductible $30/$50 copayment after deductible $15/$35 copayment after deductible $10/$20 copayment after deductible
Deductible (single/family) $2,000 / $4,000 $1,750 / $3500
$250 / $500 $0 / $0
Inpatient Hospital Stay $1,500 copayment after deductible $1,500 copayment after deductible $250 copayment after deductible $100 copayment
Prescription Drugs:



        Tier 1/2/3 $10 / $35 / $70 copayment $10 / $35 / $70 copayment $9 / $20 / $40 copayment $6 / $15 / $30 copayment
        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











Shop Plans

Shop Plans

Shop Plans

Shop Plans


View Summary of Benefits and Coverage

View Summary of Benefits and Coverage

View Summary of Benefits and Coverage

View Summary of Benefits and Coverage


View Glossary of Medical Terms

View Glossary of Medical Terms

View Glossary of Medical Terms

View Glossary of Medical Terms