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Medical Plans for Groups 51-99*

Blue Cross Blue Shield of Arizona has many plan options so you can easily choose a plan to match your specific needs. Choose from a wide range of deductibles, including high deductible health plans that work with a health savings account (HSA).

Brief summaries of certain plans are shown below. These summaries show in-network benefits only. Cost share amounts for out of network services are higher and usually include a balance bill. Some services may not be available out-of-network. To see more information on plans of interest, click on the “Details” button, or call us.

The chart below is meant to help you compare key features of different 2015 plans for 51-99 groups. It doesn’t show all differences between displayed plans. Some applicable limitations are shown in the Disclaimers and Footnotes at the bottom of the page.

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An exclusive network option. Most Arizona in-network doctors and hospitals are located in Maricopa County, so this plan works well for employees who receive their healthcare in Maricopa County. Outside Arizona members of this plan still have access to the BlueCard® network. Provider Network Available: Alliance§.

BlueAlliance

Deductibles Available

Individual
$1,500 - $5,000
Family
$3,000 - $10,000

Coinsurance

30% after deductible

OOP Max

Individual
$6,350
Family
$12,700

Office Visits

Primary Care
$20 copay
Specialist
$50 copay

View Doctor Directory

Preventive Services

No cost to you for covered preventive services.

Prescription Medications

$10/$120

View Pharmacy Details

NOTE: the above link takes you to a 4-tier formulary

Offers the convenience of copays on office visits, urgent care and retail pharmacy. A wide variety of deductible and coinsurance options. Provider Network Available: Statewide PPO.

BluePreferred 100, 90, and 80

Deductibles Available

Individual
$250 - $5,000
Family
$500 - $10,000

Coinsurance

0%, 10%, 20% after deductible

OOP Max

Individual
$1,250 - $6,350
Family
$2,500 - $12,700

Office Visits

Primary Care
$25 copay
Specialist
$40 copay

View Doctor Directory

Preventive Services

No cost to you for covered preventive services.

Prescription Medications

$15/$35/$65/$120

View Pharmacy Details

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BluePreferred $250/$25/$40 (100%/50%) Individual
BluePreferred $250/$25/$40 (100%/50%) Family
BluePreferred $500/$25/$40 (100%/50%) Individual
BluePreferred $500/$25/$40 (100%/50%) Family
BluePreferred $1,000/$25/$40 (100%/50%) Individual
BluePreferred $1,000/$25/$40 (100%/50%) Family
BluePreferred $1,500/$25/$40 (100%/50%) Individual
BluePreferred $1,500/$25/$40 (100%/50%) Family
BluePreferred $2,000/$25/$40 (100%/50%) Individual
BluePreferred $2,000/$25/$40 (100%/50%) Family
BluePreferred $2,500/$25/$40 (100%/50%) Individual
BluePreferred $2,500/$25/$40 (100%/50%) Family
BluePreferred $3,000/$25/$40 (100%/50%) Individual
BluePreferred $3,000/$25/$40 (100%/50%) Family
BluePreferred $4,000/$25/$40 (100%/50%) Individual
BluePreferred $4,000/$25/$40 (100%/50%) Family
BluePreferred $5,000/$25/$40 (100%/50%) Individual
BluePreferred $5,000/$25/$40 (100%/50%) Family
BluePreferred $250/$25/$40 (90%/70%) Individual
BluePreferred $250/$25/$40 (90%/70%) Family
BluePreferred $500/$25/$40 (90%/70%) Individual
BluePreferred $500/$25/$40 (90%/70%) Family
BluePreferred $1,000/$25/$40 (90%/70%) Individual
BluePreferred $1,000/$25/$40 (90%/70%) Family
BluePreferred $1,500/$25/$40 (90%/70%) Individual
BluePreferred $1,500/$25/$40 (90%/70%) Family
BluePreferred $2,000/$25/$40 (90%/70%) Individual
BluePreferred $2,000/$25/$40 (90%/70%) Family
BluePreferred $2,500/$25/$40 (90%/70%) Individual
BluePreferred $2,500/$25/$40 (90%/70%) Family
BluePreferred $3,000/$25/$40 (90%/70%) Individual
BluePreferred $3,000/$25/$40 (90%/70%) Family
BluePreferred $4,000/$25/$40 (90%/70%) Individual
BluePreferred $4,000/$25/$40 (90%/70%) Family
BluePreferred $5,000/$25/$40 (90%/70%) Individual
BluePreferred $5,000/$25/$40 (90%/70%) Family
BluePreferred $250/$25/$40 (80%/60%) Individual
BluePreferred $250/$25/$40 (80%/60%) Family
BluePreferred $500/$25/$40 (80%/60%) Individual
BluePreferred $500/$25/$40 (80%/60%) Family
BluePreferred $1,000/$25/$40 (80%/60%) Individual
BluePreferred $1,000/$25/$40 (80%/60%) Family
BluePreferred $1,500/$25/$40 (80%/60%) Individual
BluePreferred $1,500/$25/$40 (80%/60%) Family
BluePreferred $2,000/$25/$40 (80%/60%) Individual
BluePreferred $2,000/$25/$40 (80%/60%) Family
BluePreferred $2,500/$25/$40 (80%/60%) Individual
BluePreferred $2,500/$25/$40 (80%/60%) Family
BluePreferred $3,000/$25/$40 (80%/60%) Individual
BluePreferred $3,000/$25/$40 (80%/60%) Family
BluePreferred $4,000/$25/$40 (80%/60%) Individual
BluePreferred $4,000/$25/$40 (80%/60%) Family
BluePreferred $5,000/$25/$40 (80%/60%) Individual
BluePreferred $5,000/$25/$40 (80%/60%) Family

Offers the convenience of copays for some office visits , urgent care and retail pharmacy. A wide variety of deductible options. Members get up to 3 in-network office visits (PCP and specialist combined) at copay cost share before coinsurance applies. Provider Network Available: Statewide PPO.

BluePreferred 70

Deductibles Available

Individual
$250 - $5,000
Family
$5,000 - $10,000

Coinsurance

30% after deductible

OOP Max

Individual
$6,350
Family
$12,700

Office Visits

Primary Care
$25 copay
Specialist
$40 copay
OR
30% coinsurance

View Doctor Directory

Preventive Services

No cost to you for covered preventive services.

Prescription Medications

$15/$125

View Pharmacy Details

NOTE: the above link takes you to a 4-tier formulary

A qualified high-deductible preferred provider organization (PPO) plan that can be used in conjunction with a health savings account (HSA). Provider Network Available: Statewide PPO.

BluePreferred HSA Plus

Deductibles Available

Individual
$2,600 - $5,000
Family
$5,200 - $10,000

Coinsurance

0%, 10%, 20%, 30% after deductible

OOP Max

Individual
$5,000
Family
$10,000
Except 100 plans: OOP limit equals deductible

Office Visits

0%, 10%, 20% 30% after deductible

View Doctor Directory

Preventive Services

No cost to you for covered preventive services.

Prescription Medications

0%, 10%, 20%, 30% after deductible

View Pharmacy Details

NOTE: the above link takes you to a 4-tier formulary

A health maintenance organization (HMO) plan that requires members to use network providers for most covered services. Copays apply to many covered services. Provider Network Available: HMO.

BlueSelect HMO Plus

Deductibles Available

Individual
$0
Family
$0

Coinsurance

None, except 50% for:
physical/occupational therapy over 80 modalities/year and speech therapy over 20 visits/year

OOP Max

Individual
$6,350
Family
$12,700

Office Visits

Primary Care
$25 copay
Specialist
$40 copay

View Doctor Directory

Preventive Services

No cost to you for covered preventive services.

Prescription Medications

$15/$35/$65/$120

View Pharmacy Details

Disclaimers and Footnotes

*These plans are available only to “large” employers as defined under the Affordable Care Act (ACA) and Arizona law:

  • ACA -- the average number of total employees on business days during the previous calendar year is more than 50
  • Arizona law -- on a typical business day, more than 50 employees are eligible for health benefit plan coverage

Members of the 51-99 BlueSelect HMO Plus plan generally receive out-of-network coverage only for emergencies and other limited circumstances. For all other plans, which are PPO, out of network cost share is higher, and members usually pay a balance bill, which is the difference between the BCBSAZ allowed amount and the provider’s billed charges. For example, if an out-of-network hospital charges $1,500 for a service, and the allowed amount is $1,000, the member must pay the $500 difference plus out-of-network cost share.

More detailed information about benefits, cost share, exclusions and limitations is in the benefit plan booklets and plan Summary of Benefits and Coverage (SBC), and is available prior to enrollment, on request. If you would like a copy of a plan Summary of Benefits and Coverage (SBC) please call us at 1 (877) 475-8440. If the terms of this webpage summary or the terms of the SBC differ from the terms of the benefit book, the benefit book controls. 

§BlueAlliance is offered with our exclusive network, called “Alliance.” Within Arizona, Alliance Network providers are located primarily in Maricopa County and include hospitals and doctors that are part of Banner Health, Scottsdale Healthcare and John C. Lincoln Health Network. If you choose the Alliance network, most Arizona in-network doctors and hospitals are located in Maricopa County. 

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