Blue Shield NENY/Highmark

Lisa Bedard-Dupee, Director of Health Insurances Services can help you find an individual or small business plan from Blue Shield of NE NY, including policies both on and off the NYS marketplace for 2022.

If you would like details please call 518.563.1000 for more information or email Lisa directly.

The prices below are for the 4th quarter of 2022 - October through December.

Small Group and Business Plans (Up 100 People)

‍New expanded (EX) network plans available and includes:

• Enhanced network access with POS locally, PPO for out-of-area
• Available for employees who work and/or live in the Blue Shield service area‍

Product Availability

• BSNENY/Highmark now offers competitive rates for Clinton, Essex, Warren, and Washington  
• Rates for other counties are available upon request

This is just an example of products, tiers, and pricing available. For a current and personalized quote please contact Lisa directly.  Below are examples and estimates.

Fourth Quarter - October through December

*All Rates are per month

Bronze Value EPO

Deductible: $6900 Individual / $13800 Family
‍Co-Payments: $0 after deductible
‍Prescriptions: $0 - after deductible met
‍Individual: $611.70
‍Subscriber & Spouse: $1223.40
‍Family: $1743.35 (plus pediatric dental charges)

Silver EX 6300

Deductible :$1500 Individual / $3000 Family
‍Co-Payments: $40/$60 after deductible
‍Prescriptions: $10/$35/$70 after deductible
‍Individual: $686.27
‍Subscriber & Spouse: $1372.54
‍Family: $1955.87 (plus pediatric dental charges)

Silver EX 8000

Deductible: $4000 Individual / $8000 Family
‍Co-Insurance: 0% after deductible
‍Prescriptions: $10/$35/$70 after deductible
‍Individual: $625.45
‍Subscriber & Spouse: $1250.90
‍Family: $1782.53 (plus pediatric dental charges)

Gold EX Blended

Deductible: $750 Individual / $1500 Family
‍Co-Payments: $25/$50 ($0 pediatric PCP visits)
‍Prescriptions: $10/$35/$70
‍Individual: $757.64
‍Subscriber & Spouse: $1515.28
‍Family: $2159.27 (plus pediatric dental charges)

Gold EX High

Deductible: $0
‍Co-payment: $25/$40 (First 3 PCP visits $0)
‍Prescriptions: $10/$35/$70
‍Individual: $844.49
‍Subscriber & Spouse: $1688.98
‍Family: $2406.80 (plus pediatric dental charges)

Platinum EX Plus

Deductible: $0
Co-payment: $15/$20 (first 3 PCP Visits are $0)
‍Prescriptions: $10/$35/$70
‍Individual: $882.42
‍Subscriber & Spouse: $1764.84
‍Family: $2514.90 (plus pediatric dental charges)

‍

Pediatric dental charges are not included and are additional.  
All plans have prescription drug benefits as required under the ACA.

Individual Plans - Jan 1, 2022 - Dec. 31, 2022

Rates are available for individuals from BS of NENY this year.  You need to be very aware of your network area and using in network providers. Not available in Franklin County. 

Bronze Standard:

Deductible: $4700
Co-Insurance: $50/$75 after deductible (first 3 PCP Visits are $0)
Prescriptions: $10/$35/$70 Subject to deductible
Individual: $444.27
Couple: $888.54
Family: $1266.17

Silver Standard:

Deductible: $1300
Co-payments: $30/$50 after deductible
Prescriptions: $10/$35/$70 Not subject to deductible
Individual: $604
Couple: $1208
Family: $1721.40

Gold Standard:

Deductible: $600
Co-Payments: $25/$40 after deductible
Prescriptions: $10/$35/$70 Not subject to deductible
Individual: $777.47
Couple: $1554.94
Family: $2215.79

Platinum Standard:

Deductible: $0
Co-Payments: $15/$35
Prescriptions: $10/$30/$60
Individual: $948.58
Couple: $1897.16
Family: $2703.45