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Transitional Plans 2026

Plan Year:

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
BluePortfolio Plus 70% 3750
BluePortfolio Plus 80% 3750
BluePortfolio Plus 90% 2000
BluePortfolio Plus 100% 3750
BluePortfolio Plus 100% 5500

Benefit Books

DOCUMENTSDOWNLOAD
Individual PPO

BlueOptimum Plus PPO 500 80
BlueOptimum Plus PPO 1000 80
BlueOptimum Plus PPO 2000 80
BlueOptimum Plus PPO 3000 80
BlueOptimum Plus PPO 5000 80
BlueOptimum Plus PPO 7500 80
BlueOptimum Plus PPO 10000 80

BlueValue Plus PPO 1000 70
BlueValue Plus PPO 2000 70
BlueValue Plus PPO 3000 70
BlueValue Plus PPO 5000 70
BlueValue Plus PPO 7500 70
BlueValue Plus PPO 10000 70

BlueBasic Plus PPO 2000 80
BlueBasic Plus PPO 3000 80
BlueBasic Plus PPO 5000 80
BlueBasic Plus PPO 7500 80
BlueBasic Plus PPO 10000 80

BlueEssential Plus PPO 2000 60
BlueEssential Plus PPO 3000 60
BlueEssential Plus PPO 5000 60
BlueEssential Plus PPO 7500 60
BlueEssential Plus PPO 10000 60

BluePortfolio Plus PPO 3750 70
BluePortfolio Plus PPO 3750 80
BluePortfolio Plus PPO 2000 90
BluePortfolio Plus PPO 3750 100
BluePortfolio Plus PPO 5500 100