VantageBlue

Ideal if you’re looking for: The highest levels of coverage, flexibility to choose your doctors, and enhanced benefits including $0 copayment for your first sick visit with your PCP and your first Telemedicine visit, $2 copayments on certain generic maintenance drugs, and no-cost annual foot and eye exams for members who have diabetes.

VantageBlue provides traditional benefits with added features and incentives for healthy living. This plan empowers your employees with many preventive benefits that make it easier to be healthier and take an active role in their healthcare.

Plan Features

  • $2 copayments for certain maintenance drugs used to treat diabetes, asthma, and COPD
  • $0 copayments for foot and eye exams for members with diabetes
  • Full coverage for education programs on smoking cessation, weight loss, and managing conditions such as asthma and diabetes

 

Summary of Benefits and Coverage (SBC) 
Please note that the following are sample SBCs only and are not specific to any group. If you have any questions, please contact your sales representative.

SBCs for plans that renew in 2017

Plans with Pedi dental:

Platinum VantageBlue, 100/80, 250/500
Platinum VantageBlue, 100/80, 500/1000
Platinum VantageBlue, 100/80, 750/1500

Gold VantageBlue 80/60, 1000/2000
Gold VantageBlue 100/60, 1500/3000
Gold VantageBlue 100/80, 1000/2000
Gold VantageBlue 100/80, 2000/4000

Silver VantageBlue, 70/50, 2000/4000
Silver VantageBlue, 80/60, 2250/4500
Silver VantageBlue, 80/60, 4000/8000
Silver VantageBlue, 80/60, 3000/6000
Silver VantageBlue, 100/80, 2250/4500
Silver VantageBlue, 100/80, 3000/6000
Silver VantageBlue, 100/80, 4000/8000

Plans without Pedi dental:

Platinum VantageBlue, 100/80, 250/500
Platinum VantageBlue, 100/80, 500/1000
Platinum VantageBlue, 100/80, 750/1500

Gold VantageBlue 80/60, 1000/2000
Gold VantageBlue 100/60, 1500/3000
Gold VantageBlue 100/80, 1000/2000
Gold VantageBlue 100/80, 2000/4000

Silver VantageBlue, 70/50, 2000/4000
Silver VantageBlue, 80/60, 2250/4500
Silver VantageBlue, 80/60, 4000/8000
Silver VantageBlue, 80/60, 3000/6000
Silver VantageBlue, 100/80, 2250/4500
Silver VantageBlue, 100/80, 3000/6000
Silver VantageBlue, 100/80, 4000/8000


SBCs for plans that renew in 2016

Platinum VantageBlue, 100/80, 250/500
Platinum VantageBlue, 100/80, 500/1000
Platinum VantageBlue, 100/80, 750/1500

Gold VantageBlue 80/60, 1000/2000
Gold VantageBlue 100/60, 1500/3000
Gold VantageBlue 100/80, 1000/2000
Gold VantageBlue 100/80, 2000/4000

Silver VantageBlue, 70/50, 2000/4000
Silver VantageBlue, 80/60, 2000/4000
Silver VantageBlue, 80/60, 4000/8000
Silver VantageBlue, 80/60, 3000/6000
Silver VantageBlue, 100/80, 2000/4000
Silver VantageBlue, 100/80, 3000/6000
Silver VantageBlue, 100/80, 4000/8000


SBCs for plans that renew in 2015

 

*The description provided above is only a summary of benefits provided by the plan. Other exceptions, reductions and limitations may also apply to your benefits. For complete benefit details please see the subscriber agreement for the plan.