BlueEdgeSM Individual HSA
Health Savings Account (HSA) Compatible Plans
Beginning on October 1st our new health insurance products for 2014 will be made available to you. If you are looking for coverage now:
- You have until August 30th to apply for major medical coverage for the remainder of 2013.
- You can apply for our temporary coverage plans at any time.
Are you looking for an HSA compatible high-deductible plan? If so, these plans may be right for you.1 Our HSA compatible plans include BlueEdgeSM and BlueEdge 5000.
BlueEdge high deductible health plans offer reliable coverage and affordable monthly premiums. Key coverage and plan features include:
- Benefits for preventive care services covered
- Prescription drug coverage
- Diagnostic testing
- Hospital services
- Select the participating provider coverage level that fits your budget — 100 percent or 80 percent
- Choice of several deductible levels
- Optional dental coverage (see "Add-ons and Options")
The typical BlueEdge Individual HSA buyer is an individual or family who:
- Is actively involved in their health care decisions and finances
- Seeks additional tax and retirement planning benefits
- Is willing to fund some of their own health care expenses
Compare the features, options and costs of BlueEdge Individual HSA plans to find the one that’s right for you.
Learn more about valuable member services and features you get when you join the Blue Cross and Blue Shield of Illinois family.
1 Health Savings Accounts (HSA) have tax and legal ramifications. Blue Cross and Blue Shield of Illinois does not provide legal or tax advice, and nothing herein should be construed as legal or tax advice. These materials, and any tax-related statements in them, are not intended or written to be used, and cannot be used or relied on, for the purpose of avoiding tax penalties. Tax-related statements, if any, may have been written in connection with the promotion or marketing of the transaction(s) or matter(s) addressed by these materials. You should seek advice based on your particular circumstances from an independent tax advisor regarding the tax consequences of specific health insurance plans or products.
Health insurance costs include monthly payments, individual deductibles, drug coverage deductibles, out-of-pocket expenses, copayments, and coinsurance. For BlueEdge plans, here's what you can expect:
- Individual in-network deductibles ranging from $1250 to $5000 – customize your plan by choosing a deductible amount that works best for your situation
- Benefits for preventive care services covered
- Coinsurance ranging from 0 to 20 percent of services provided in-network, after deductible and copayments are met
- Out-of-pocket prescription drug costs range from 0 to 20 percent once you have met your deductible, depending on the plan you choose
The BlueChoice Network option allows you to save on premiums and the cost of covered services when you use a contracting BlueChoice® hospital, doctor or specialist. You do not need to select a primary care physician or obtain a referral to see a specialist.
For more information on cost, including out-of-pocket costs, get a quick quote or see the Outline of Coverage documents under What's Included with BlueEdge Individual HSA — More Plan Details.
- Coverage for major hospital, medical, and surgical expenses incurred as a result of a covered accident or sickness
- Coverage for daily hospital room and board, miscellaneous hospital services, surgical services, anesthesia services, in-hospital medical services, and out-of-hospital care
- Although you can go to the hospitals and doctors of your choice, your benefits under a BlueEdge plan will be greater when you use the services of network participants
- The freedom of not having to select a primary care doctor or obtain a referral to see a specialist
More Plan Details
It’s important to know the features of the health plan you are considering. Our Outline of Coverage documents give you brief descriptions of the basic details of our BlueEdge Individual HSA plans, as well as details on renewability, exclusions and limitations.
At Blue Cross and Blue Shield of Illinois, we understand your concerns about coverage continuity. Blue Cross and Blue Shield of Illinois will never terminate or refuse to renew your Policy because of the condition of your health. However, to protect you and the rights of all policy holders, there are situations when a plan may be terminated or a renewal refused:
- Failure to pay premiums
- The plan is discontinued (90 days notice given with an option to convert to any plan we offer)
- Discovery of fraud or an intentional misrepresentation of facts (30 days prior written notice given)
- If you no longer reside, live or work in an area where we are authorized to do business
For more information on renewability, see the Outline of Coverage documents under What’s Included with BlueEdge Individual HSA — More Plan Details.
Every insurance plan has limitations. These limits are there to keep health care costs down for everyone. A pre-existing condition is just one example of a plan limitation. For example:
- A pre-existing condition may limit or exclude your participation in a plan. This means your health care expenses related only to that specific condition will not be covered by the plan during that time.
- Children under 19 cannot be denied coverage due to a pre-existing condition(s).
- There is a waiting period of 365 days for pre-existing conditions.
It’s important to know the limitations of your health plan. For a list of exclusions and limitations, see the Outline of Coverage documents under What’s Included with BlueEdge Individual HSA - More Plan Details.
You can customize either BlueEdge Individual HSA plan with add-on coverage and insurance.
Optional Maternity Coverage
Effective 7/12/2013, optional maternity coverage is no longer available.
Optional Dental Coverage
- Covers cleanings, check-ups and other preventive procedures immediately — no waiting period
- One of the highest maximum benefit amounts available — up to $1,500 per person per year
- Up to 20 percent discount for orthodontic services at participating providers
- Learn more about optional dental coverage
- Once you’ve met your deductible, your out-of-pocket cost for prescription drugs is 0 percent or 20 percent, depending on the plan you choose.
- Your benefit plan includes a mail service program that offers you the convenience of having covered maintenance medications delivered directly to you.
- Members have access to a variety of online tools that can help you learn more about prescription drugs and manage your pharmacy benefit.
- Prescription Drug Utilization/Benefit Management Programs are being added to policies with effective dates on or after 1/1/2012. See Compare Plans Chart for more information.