2026 年祖父條款計畫文件
藥局
| DO | DO /訪問 |
|---|---|
3 級和 4 級標準計劃 | |
共同保險和品牌通用標準計劃 |
福利與保障概要（SBC）
《福利與保障概要》（SBC）簡要描述了您的計劃涵蓋哪些服務以及您需要為涵蓋的福利支付多少費用。
| BluePreferred 100 1500 | |
| BluePreferred 100 2500 | |
| BluePreferred 100 5000 | |
| BluePreferred 90 100 | |
| BluePreferred 90 250 | |
| BluePreferred 90 500 | |
| BluePreferred 80 250 | |
| BluePreferred 80 500 | |
| BluePreferred 80 1000 | |
| BluePreferred 80 2000 | |
| BluePreferred Saver 100 1700 | |
| BluePreferred Saver 100 3400 | |
| BluePreferred Saver 100 5000 | |
| BluePreferred Saver 80 1700 | |
| BluePreferred Saver 80 3400 | |
| BlueSelect Plan 10 | |
| BlueSelect Plan 20 |