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Bronze plan details

Regardless of the network you choose, all plans below are available. Amounts in the table reflect covered, in-network services only. For PPO and POS plans, additional cost shares will apply to out-of-network services. All plans include easy-to-navigate pharmacy benefits with Blue Rx EssentialsSM. Blue Rx Essentials prescription tiers are designated based on factors like cost and effectiveness when compared to similar drugs.

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myBlue HDHPSM Bronze SimplyBlueSM Modified SimplyBlueSM 6000 SimplyBlueSM Primary
Medical deductible annual amount you pay before Wellmark pays
Single $7,000 $8,500 $6,000 $7,000
Family $14,000 $17,000 $12,000 $14,000
Coinsurance portion of medical cost you pay after your deductible is met 0% 0% 50% 50%
Out-of-pocket maximum (OPM)  the most you'll spend in a year
Single $7,000 $8,500 $8,700 $8,700
Family $14,000 $17,000 $17,400 $17,400
Medical benefits
Preventive care screenings Free Free Free Free
Virtual visits Deductible $30 $30 $20
Primary care office services $80 $70 $20
Non-primary care office services $160 $150 $150
Emergency room visit $1,000 Deductible plus 50% coinsurance Deductible plus 50% coinsurance
Outpatient Deductible
Hospitalization
Pharmacy benefits — Blue Rx EssentialsSM
Preventive Free Free Free Free
Tier 1 Deductible $30 $30 $20
Tier 2 Deductible Deductible plus 50% coinsurance Deductible plus 50% coinsurance
Tier 3
Biosimilar and generic specialty
Specialty preferred
Specialty non-preferred
Other benefits
Qualifies for health savings account (HSA) Yes No No No
Medicare Part D Creditable Coverage No No No No

Virtual Visits with Doctor On Demand®

Reduce absenteeism and costs while increasing employee satisfaction with virtual visits, included in all our plans. Offered at a lower cost than an office visit, Doctor On Demand allows employees to connect face-to-face with a board-certified doctor or mental health professional from virtually anywhere.