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 2021.

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

The prices below are for the 3rd quarter of 2021 - July - September.

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 BlueShield service area‍

Product Availability

• BSNENY 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.

Third Quarter: July - September 2021

*All Rates are per month

Bronze Value EPO

Deductible: $6900 Individual / $13800 Family
‍Co-Payments: $0 after deductible
‍Prescriptions: $0 - after deductible met
‍Individual: $560.02
‍Subscriber & Spouse: $1120.04
‍Family: $1596.06 (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: $628.95
‍Subscriber & Spouse: $1257.90
‍Family: $1792.51(plus pediatric dental charges)

Silver EX 8000

Deductible: $4000 Individual / $8000 Family
‍Co-Insurance: 0% after deductible
‍Prescriptions: $10/$35/$70 after deductible
‍Individual: $584.34
‍Subscriber & Spouse: $1168.68
‍Family: $1665.37 (plus pediatric dental charges)

Gold EX Plan - POS/PPO Wrap

Deductible: $750 Individual / $1500 Family
‍Co-Payments: $25/$50 ($0 pediatric PCP visits)
‍Prescriptions: $10/$35/$70
‍Individual: $698.77
‍Subscriber & Spouse: $1397.54
‍Family: $1991.49 (plus pediatric dental charges)

Gold EX High

Deductible: $0
‍Co-payment: $25/$40 (First 3 PCP visits $0)
‍Prescriptions: $10/$35/$70
‍Individual: $749.86
‍Subscriber & Spouse: $1499.72
‍Family: $2137.10 (plus pediatric dental charges)

Platinum EX Copay Plan

Deductible: $0
Co-payment: $15/$20 (first 3 PCP Visits are $0)
‍Prescriptions: $10/$35/$70
‍Individual: $821.26
‍Subscriber & Spouse: $1642.52
‍Family: $2340.59 (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, 2021 - Dec. 31, 2021

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: $429.53
Couple: $859.06
Family: $1224.16

Silver Standard:

Deductible: $1300
Co-payments: $30/$50 after deductible
Prescriptions: $10/$35/$70 Not subject to deductible
Individual: $584.94
Couple: $1169.88
Family: $1667.08

Gold Standard:

Deductible: $600
Co-Payments: $25/$40 after deductible
Prescriptions: $10/$35/$70 Not subject to deductible
Individual: $751.68
Couple: $1503.36
Family: $2142.29

Platinum Standard:

Deductible: $0
Co-Payments: $15/$35
Prescriptions: $10/$30/$60
Individual: $917.11
Couple: $1834.22
Family: $2613.76