Mid-Sized Business and Balanced Funding Plan Documents July 2026
Plan Year:
Pharmacy
| Documents | Download/Access |
|---|---|
Open Drug List BlueSignature Prosano PPO, BluePreferred PPO, BluePreferred PPO HSA, Ascend HMO Plus, Ascend HSA HMO |
Employer Health Plan Product Guide
| Guide | Download |
|---|---|
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.
| PLANS | DOWNLOAD |
|---|---|
BlueSignature Prosano 1000 80 | |
BlueSignature Prosano 2500 80 | |
BlueSignature Prosano 5000 80 | |
BlueSignature Prosano 7000 70 |
Pharmacy
| Documents | Download/Access |
|---|---|
AZ Blue HSA Prosano Saver 3400 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 3400 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 3400 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 3400 70 | |
AZ Blue HSA Prosano Saver 4000 70 | |
AZ Blue HSA Prosano Saver 5000 70 | |
AZ Blue HSA Prosano Saver 6000 70 |
| PLANS | DOWNLOAD |
|---|---|
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 |
| PLANS | DOWNLOAD |
|---|---|
BluePreferred HSA Plus 3400 100 | |
BluePreferred HSA Plus 4000 100 | |
BluePreferred HSA Plus 5000 100 | |
BluePreferred HSA Plus 6000 100 | |
BluePreferred HSA Plus 7000 100 | |
BluePreferred HSA Plus 1700 90 | |
BluePreferred HSA Plus 3400 90 | |
BluePreferred HSA Plus 4000 90 | |
BluePreferred HSA Plus 5000 90 | |
BluePreferred HSA Plus 6000 90 | |
BluePreferred HSA Plus 3400 80 | |
BluePreferred HSA Plus 4000 80 | |
BluePreferred HSA Plus 5000 80 | |
BluePreferred HSA Plus 6000 80 | |
BluePreferred HSA Plus 3400 70 | |
BluePreferred HSA Plus 4000 70 | |
BluePreferred HSA Plus 5000 70 | |
BluePreferred HSA Plus 6000 70 |
| PLANS | DOWNLOAD |
|---|---|
Ascend HMO Plus 8300 100 | |
Ascend HMO Plus 3000 80 | |
Ascend HMO Plus 5000 80 | |
Ascend HMO Plus 6000 80 | |
Ascend HMO Plus 7000 80 | |
Ascend HMO Plus 3000 70 | |
Ascend HMO Plus 5000 70 | |
Ascend HMO Plus 6000 70 | |
Ascend HMO Plus 7000 70 | |
Ascend HMO Plus 8000 70 |
Benefit Books
| Documents | Download |
|---|---|
| Group Prosano PPO Base Benefit Book | |
| Group BluePreferred PPO Base Benefit Book | |
| Group BluePreferred PPO Balanced Funding Rider | |
| Group Ascend HMO Plus Base Benefit Book | |
| Group Ascend HMO Balanced Funding Rider |
| Group BlueSignature Prosano PPO 1000 80 | |
| Group BlueSignature Prosano PPO 2500 80 | |
| Group BlueSignature Prosano PPO 5000 80 | |
| Group BlueSignature Prosano PPO 7000 70 |
| Group AZ Blue HSA Prosano Saver PPO 3400 100 | |
| Group AZ Blue HSA Prosano Saver PPO 4000 100 | |
| Group AZ Blue HSA Prosano Saver PPO 5000 100 | |
| Group AZ Blue HSA Prosano Saver PPO 6000 100 | |
| Group AZ Blue HSA Prosano Saver PPO 7000 100 | |
| Group AZ Blue HSA Prosano Saver PPO 3400 80 | |
| Group AZ Blue HSA Prosano Saver PPO 4000 80 | |
| Group AZ Blue HSA Prosano Saver PPO 5000 80 | |
| Group AZ Blue HSA Prosano Saver PPO 6000 80 | |
| Group AZ Blue HSA Prosano Saver PPO 3400 90 | |
| Group AZ Blue HSA Prosano Saver PPO 4000 90 | |
| Group AZ Blue HSA Prosano Saver PPO 5000 90 | |
| Group AZ Blue HSA Prosano Saver PPO 6000 90 | |
| Group AZ Blue HSA Prosano Saver PPO 3400 70 | |
| Group AZ Blue HSA Prosano Saver PPO 4000 70 | |
| Group AZ Blue HSA Prosano Saver PPO 5000 70 | |
| Group AZ Blue HSA Prosano Saver PPO 6000 70 |
| Group BluePreferred PPO 250 100 | |
| Group BluePreferred PPO 500 100 | |
| Group BluePreferred PPO 1000 100 | |
| Group BluePreferred PPO 1500 100 | |
| Group BluePreferred PPO 2000 100 | |
| Group BluePreferred PPO 2500 100 | |
| Group BluePreferred PPO 3000 100 | |
| Group BluePreferred PPO 4000 100 | |
| Group BluePreferred PPO 5000 100 | |
| Group BluePreferred PPO 6000 100 | |
| Group BluePreferred PPO 8300 100 | |
| Group BluePreferred PPO 250 90 | |
| Group BluePreferred PPO 500 90 | |
| Group BluePreferred PPO 1000 90 | |
| Group BluePreferred PPO 1500 90 | |
| Group BluePreferred PPO 2000 90 | |
| Group BluePreferred PPO 2500 90 | |
| Group BluePreferred PPO 3000 90 | |
| Group BluePreferred PPO 4000 90 | |
| Group BluePreferred PPO 5000 90 | |
| Group BluePreferred PPO 6000 90 | |
| Group BluePreferred PPO 500 80 | |
| Group BluePreferred PPO 1000 80 | |
| Group BluePreferred PPO 1500 80 | |
| Group BluePreferred PPO 2000 80 | |
| Group BluePreferred PPO 2500 80 | |
| Group BluePreferred PPO 3000 80 | |
| Group BluePreferred PPO 4000 80 | |
| Group BluePreferred PPO 5000 80 | |
| Group BluePreferred PPO 6000 80 | |
| Group BluePreferred PPO 7000 80 | |
| Group BluePreferred PPO 1000 70 | |
| Group BluePreferred PPO 1500 70 | |
| Group BluePreferred PPO 2000 70 | |
| Group BluePreferred PPO 2500 70 | |
| Group BluePreferred PPO 3000 70 | |
| Group BluePreferred PPO 4000 70 | |
| Group BluePreferred PPO 5000 70 | |
| Group BluePreferred PPO 6000 70 | |
| Group BluePreferred PPO 7000 70 | |
| Group BluePreferred PPO 8000 70 | |
| Group BluePreferred PPO 2000 50 |
| Group BluePreferred PPO HSA Plus 3400 100 | |
| Group BluePreferred PPO HSA Plus 4000 100 | |
| Group BluePreferred PPO HSA Plus 5000 100 | |
| Group BluePreferred PPO HSA Plus 6000 100 | |
| Group BluePreferred PPO HSA Plus 7000 100 | |
| Group BluePreferred PPO HSA Plus 1700 90 | |
| Group BluePreferred PPO HSA Plus 3400 90 | |
| Group BluePreferred PPO HSA Plus 4000 90 | |
| Group BluePreferred PPO HSA Plus 5000 90 | |
| Group BluePreferred PPO HSA Plus 6000 90 | |
| Group BluePreferred PPO HSA Plus 3400 80 | |
| Group BluePreferred PPO HSA Plus 4000 80 | |
| Group BluePreferred PPO HSA Plus 5000 80 | |
| Group BluePreferred PPO HSA Plus 6000 80 | |
| Group BluePreferred PPO HSA Plus 3400 70 | |
| Group BluePreferred PPO HSA Plus 4000 70 | |
| Group BluePreferred PPO HSA Plus 5000 70 | |
| Group BluePreferred PPO HSA Plus 6000 70 |
| Group Ascend HMO Plus 8300 100 | |
| Group Ascend HMO Plus 3000 80 | |
| Group Ascend HMO Plus 5000 80 | |
| Group Ascend HMO Plus 6000 80 | |
| Group Ascend HMO Plus 7000 80 | |
| Group Ascend HMO Plus 3000 70 | |
| Group Ascend HMO Plus 5000 70 | |
| Group Ascend HMO Plus 6000 70 | |
| Group Ascend HMO Plus 7000 70 | |
| Group Ascend HMO Plus 8000 70 |