Grandfathered Plans 2026
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 |
|---|---|
BluePreferred Copay 500 | |
BluePreferred Copay 1000 | |
BluePreferred Copay 1500 | |
BluePreferred Copay 2500 | |
BluePreferred Copay 3500 | |
BluePreferred Copay 5000 | |
BluePreferred Copay 7500 | |
BluePreferred Copay 10000 |
| Plans | Download |
|---|---|
BluePreferred Basic 1500 | |
BluePreferred Basic 2500 | |
BluePreferred Basic 3500 | |
BluePreferred Basic 5000 | |
BluePreferred Basic 7500 | |
BluePreferred Basic 10000 |
| Plans | Download |
|---|---|
BlueClassic 1250 | |
BlueClassic 2500 | |
BlueClassic 5000 |
| Plans | Download |
|---|---|
ExecuCare 1000 | |
ExecuCare 1250 | |
ExecuCare 1500 | |
ExecuCare 2500 | |
ExecuCare 5000 |
| Plans | Download |
|---|---|
BlueOptimum 1000 | |
BlueOptimum 2000 | |
BlueOptimum 3000 | |
BlueOptimum 5000 | |
BlueOptimum 7500 | |
BlueOptimum 10000 |
| Plans | Download |
|---|---|
BlueValue 1000 | |
BlueValue 2000 | |
BlueValue 3000 | |
BlueValue 5000 | |
BlueValue 7500 | |
BlueValue 10000 |
| Plans | Download |
|---|---|
BlueEssential 2000 | |
BlueEssential 3000 | |
BlueEssential 5000 | |
BlueEssential 7500 | |
BlueEssential 10000 |
| Plans | Download |
|---|---|
BluePortfolio 2000 | |
BluePortfolio 3750 | |
BluePortfolio 5500 |
Benefit Books
| Documents | Download |
|---|---|
| BluePreferred Copay | |
| BluePreferred Basic | |
| BluePreferred Saver | |
| BlueClassic | |
| ExecuCare | |
| BlueOptimum | |
| BlueValue | |
| BlueEssential | |
| BluePortfolio |