Transitional Plans 2026
Pharmacy
| DOCUMENTS | DOWNLOAD/ACCESS |
|---|---|
3 & 4 Tier Standard Plans | |
Coinsurance & Brand-Generic Standard Plans |
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.
Documents Download BlueOptimum Plus 500BlueOptimum Plus 1000BlueOptimum Plus 2000BlueOptimum Plus 3000BlueOptimum Plus 5000BlueOptimum Plus 7500BlueOptimum Plus 10000Documents Download BlueValue Plus 1000BlueValue Plus 2000BlueValue Plus 3000BlueValue Plus 5000BlueValue Plus 7500BlueValue Plus 10000Documents Download BlueBasic Plus 2000BlueBasic Plus 3000BlueBasic Plus 5000BlueBasic Plus 7500BlueBasic Plus 10000Documents Download BlueEssential Plus 2000BlueEssential Plus 3000BlueEssential Plus 5000BlueEssential Plus 7500BlueEssential Plus 10000Plans Download BluePortfolio Plus 70% 3750BluePortfolio Plus 80% 3750BluePortfolio Plus 90% 2000BluePortfolio Plus 100% 3750BluePortfolio Plus 100% 5500