中型企業和平衡融資計畫文件 2026年1月

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Open Drug List
BlueSignature Prosano PPO, BluePreferred PPO, BluePreferred PPO HSA, Ascend HMO Plus, Ascend HSA HMO

雇主健康计划产品指南

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平衡资金
中型企业

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。

福利書籍

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Group BlueSignature Prosano PPO基本福利手冊
藍十字藍盾優先PPO基本福利手冊
Group BluePreferred PPO Balanced Funding Rider
Group Ascend HMO Plus 基本福利手冊
Group Ascend HSA HMO基本福利手冊
Group Ascend HMO平衡資金附加條款

BlueSignature Prosano PPO 1000 80
BlueSignature Prosano PPO 2500 80
BlueSignature Prosano PPO 5000 80
BlueSignature Prosano PPO 7000 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
藍十字藍盾優選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
藍十字藍盾優選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

Group Ascend HSA HMO 3400 90
Group Ascend HSA HMO 5000 90
Group Ascend HSA HMO 6000 90
Group Ascend HSA HMO 3400 80
Group Ascend HSA HMO 5000 80
Group Ascend HSA HMO 6000 80
Group Ascend HSA HMO 3300 70
Group Ascend HSA HMO 5000 70
Group Ascend HSA HMO 6000 70