Blue Shield of Northeastern NY

We are excited to be offering new reduced rates on 2019 Small Group Plans. 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 marketplace.

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

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.

Bronze Standard POS

Deductible: $4000 Individual / $8000 Family
‍Co-Insurance: 50%
‍Prescriptions: $10/$35/$70 - after deductible met
‍Individual: $481.55
‍Subscriber & Spouse: $963.10
‍Family: $1372.43 (plus pediatric dental charges)

Bronze Value HMO

Deductible: $6650 Individual / $13300 Family
‍Co-Insurance: 0% after deductible
‍Prescriptions: 0% after deductible
‍Individual: $485.88
‍Subscriber & Spouse: $971.76
‍Family: $1384.75(plus pediatric dental charges)

Silver Standard POS

Deductible :$1750 Individual / $3400 Family
‍Co-Payments: $30/$50 after deductible
‍Prescriptions: $10/$35/$70
‍Individual: $590.09
‍Subscriber & Spouse: $1180.17
‍Family: $1681.74 (plus pediatric dental charges)

Silver EX 8000

Deductible: $3450 Individual / $6900 Family
‍Co-Insurance: 0% after deductible
‍Prescriptions: $10/$35/$70 after deductible
‍Individual: $579.59
‍Subscriber & Spouse: $1159.16
‍Family: $1651.80 (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: $677.28
‍Subscriber & Spouse: $1354.55
‍Family: $1930.25 (plus pediatric dental charges)

Gold Standard POS

Deductible: $600 Individual / $1200 Family
‍Co-payment: $25/$40 subject to deductible
‍Prescriptions: $10/$35/$70
‍Individual: $661.50
‍Subscriber & Spouse: $1323.00
‍Family: $1885.28 (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: $781.33
‍Subscriber & Spouse: $1562.66
‍Family: $2226.78 (plus pediatric dental charges)

Platinum Standard Copay Plan

Deductible:$0
‍Co-payment: $15/$35
‍Prescriptions: $10/$30/$60
‍Individual: $752.65
‍Subscriber & Spouse: $1505.33
‍Family: $2145.07 (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

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: $4000
Co-Insurance: 50%
Prescriptions: $10/$35/$70 Subject to deductible
Individual: $392.21
Couple: $784.43
Family: $1117.81

Silver Standard:
Deductible: $1700
Co-payments: $30/$50
Prescriptions: $10/$35/$70 Not subject to deductible
Individual: $537.07
Couple: $1074.13
Family: $1530.64 

Gold Standard:

Deductible: $600
Co-Payments: $25/$40
Prescriptions: $10/$35/$70 Not subject to deductible
Individual: $694.74
Couple: $1389.48
Family: $1980.02

Platinum Standard:

Deductible: $0
Co-Payments: $15/$35
Prescriptions: $10/$30/$60
Individual: $848.44
Couple: $1696.88
Family: $2418.05