It Pays to Know Your Options

With BCBSVT and MVP premiums increasing by an average 11.7% and 18.3% on Exchange plans for 2023, your health care choices can make a big difference. For Vermont businesses insuring 5 employees or more, Blue Edge Business is an important alternative to consider as businesses are eligible to earn money back on annual premiums.

70% of businesses enrolled in Blue Edge Business Health Plans will receive an average refund of $1,500 per employee on their 2021 premiums!

Call us at (802) 865-4560 or fill out the form below to find out if these plans are the right choice for your business.

To learn more about the 2023 Exchange rate increases, read VT Digger’s article: Vermont Health Connect enrollees to pay hundreds more in premiums next year

Now more than ever, health plan choices can make a big difference. As costs continue to rise, employers must understand all of the options available in order to identify the best solution for their business.

Through a partnership with Blue Cross and Blue Shield of Vermont, Blue Edge Business health plans combine the flexibility of self-funding with the peace of mind of predictable and capped monthly costs.

These plans are best suited for employers who:

  • Have 5+ enrolled employees
  • Are looking for an alternative to traditional health insurance programs
  • Have or want to create a culture of health and wellness in the workplace
  • Are committed to a multi-year partnership to achieve longer term, health outcomes for their employees

 

Blue Edge Business Overview:

  • Four plan designs, available to groups with as few as 5 enrolled employees
  • Maximum exposure quantified to make budgeting for health care expenses more predictable
  • Businesses are eligible to earn money back on BEB premiums, and to share in positive claim results of the BEB group
  • All four plans are HRA and/or HSA compatible

Blue Edge Business Health Plans

Blue Edge Business: Copay 1
Benefit Cost-share
Deductible (stacked) $850 / $1,700
Coinsurance 30% after deductible
Out-of-pocket maximum (stacked) $4,500 medical, $1,400 prescription
Preventive Covered at 100%
Office Visits (PCP/Specialist) $30/$50 not subject to deductible
Emergency Room $500 after deductible
Urgent Care $40 not subject to deductible
Ambulance $50 not subject to deductible
Hospital Services Subject to deductible and coinsurance
Prescriptions Generic: $5
Preferred and Non-Preferred: $100 deductible
the $50 preferred and 50% for non-preferred

Download Copay 1 Overview PDF

Blue Edge Business: Copay 2
Benefit
Deductible (stacked) $3,000/$6,000
Coinsurance 0%
Out-of-pocket maximum (stacked) $8,150/$16,300
Preventive Covered at 100%
Office Visits (PCP/Specialist) $30/$50 not subject to deductible
Emergency Room $500 after deductible
Urgent Care $50 not subject to deductible
Ambulance $500 after deductible
Hospital Services Outpatient: Deductible then $2,000
Inpatient: Deductible then $500/day
Prescriptions Generic: $10
Preferred: $50
Non-Preferred: $75

Download Copay 2 Overview PDF

Blue Edge Business: CDHP 1
Benefit Cost-share
Deductible (aggregate) $2,750/$5,500
Coinsurance 0%
Out-of-pocket maximum (aggregate) $2,750/$5,500
Preventive Covered at 100%
Office Visits (PCP/Specialist) Subject to deductible
Emergency Room Subject to deductible
Urgent Care Subject to deductible
Ambulance Subject to deductible
Hospital Services Subject to deductible
Prescriptions Subject to deductible then*:
Generic: $5 | Preferred: 40%
Non-preferred: 60%
*wellness drugs are not subject to the deductible first,
will process as $5/40%/60%

Download CDHP 1 Overview PDF

Blue Edge Business: CDHP 2
Benefit Cost-share
Deductible (aggregate) $5,250/$10,500
Coinsurance 50% after deductible
Out-of-pocket maximum (aggregate) $6,550/$13,100 ($8,150 individual OOP max)
Preventive Covered at 100%
Office Visits (PCP/Specialist) Subject to deductible and coinsurance
Emergency Room Subject to deductible and coinsurance
Urgent Care Subject to deductible and coinsurance
Ambulance Subject to deductible and coinsurance
Hospital Services Subject to deductible and coinsurance
Prescriptions Subject to deductible then*:
Generic: $12 | Preferred: 40%
Non-preferred: 60%
*wellness drugs are not subject to the deductible first,
will process as $12/40%/60%

Download CDHP 2 Overview PDF

Take better control of your businesses healthcare costs, and put your wellness plans to work.

Schedule a cost free analysis today.

Let's Get Started!

    Please contact us at (802) 865-4560, or send us an email via the form provided below.





    Blue Edge Business Forms & Resources