Mid-Sized Business and Balanced Funding Plan Documents January 2027

Pharmacy

DocumentsDownload/Access
Open Drug List
Prosano PPO, BluePreferred PPO, BluePreferred PPO HSA, Ascend HMO Plus, Ascend HSA HMO

Employer Health Plan Product Guide

GuideDownload
Balanced Funding
Mid-Sized Business

Summary of Benefits and Coverage (SBC)

The Summary of Benefits and Coverage (SBC) provides a concise description of what services your plan covers along with what you will pay for covered benefits.

PLANSDOWNLOAD
BlueSignature Prosano 1000 80
BlueSignature Prosano 2500 80
BlueSignature Prosano 5000 80
BlueSignature Prosano 7000 70

PLANSDownload
AZ Blue HSA Prosano Saver 3500 100
AZ Blue HSA Prosano Saver 4000 100
AZ Blue HSA Prosano Saver 5000 100
AZ Blue HSA Prosano Saver 6000 100
AZ Blue HSA Prosano Saver 7000 100
AZ Blue HSA Prosano Saver 3500 90
AZ Blue HSA Prosano Saver 4000 90
AZ Blue HSA Prosano Saver 5000 90
AZ Blue HSA Prosano Saver 6000 90
AZ Blue HSA Prosano Saver 3500 80
AZ Blue HSA Prosano Saver 4000 80
AZ Blue HSA Prosano Saver 5000 80
AZ Blue HSA Prosano Saver 6000 80
AZ Blue HSA Prosano Saver 3500 70
AZ Blue HSA Prosano Saver 4000 70
AZ Blue HSA Prosano Saver 5000 70
AZ Blue HSA Prosano Saver 6000 70

PLANSDOWNLOAD
BluePreferred 250 100
BluePreferred 500 100
BluePreferred 1000 100
BluePreferred 1500 100
BluePreferred 2000 100
BluePreferred 2500 100
BluePreferred 3000 100
BluePreferred 4000 100
BluePreferred 5000 100
BluePreferred 6000 100
BluePreferred 8300 100
BluePreferred 250 90
BluePreferred 500 90
BluePreferred 1000 90
BluePreferred 1500 90
BluePreferred 2000 90
BluePreferred 2500 90
BluePreferred 3000 90
BluePreferred 4000 90
BluePreferred 5000 90
BluePreferred 6000 90
BluePreferred 500 80
BluePreferred 1000 80
BluePreferred 1500 80
BluePreferred 2000 80
BluePreferred 2500 80
BluePreferred 3000 80
BluePreferred 4000 80
BluePreferred 5000 80
BluePreferred 6000 80
BluePreferred 7000 80
BluePreferred 1000 70
BluePreferred 1500 70
BluePreferred 2000 70
BluePreferred 2500 70
BluePreferred 3000 70
BluePreferred 4000 70
BluePreferred 5000 70
BluePreferred 6000 70
BluePreferred 7000 70
BluePreferred 8000 70
BluePreferred 2000 50

PLANSDOWNLOAD
BluePreferred HSA Plus 3500 100
BluePreferred HSA Plus 4000 100
BluePreferred HSA Plus 5000 100
BluePreferred HSA Plus 6000 100
BluePreferred HSA Plus 7000 100
BluePreferred HSA Plus 1750 90
BluePreferred HSA Plus 3500 90
BluePreferred HSA Plus 4000 90
BluePreferred HSA Plus 5000 90
BluePreferred HSA Plus 6000 90
BluePreferred HSA Plus 3500 80
BluePreferred HSA Plus 4000 80
BluePreferred HSA Plus 5000 80
BluePreferred HSA Plus 6000 80
BluePreferred HSA Plus 3500 70
BluePreferred HSA Plus 4000 70
BluePreferred HSA Plus 5000 70
BluePreferred HSA Plus 6000 70