- Self Only (111)
- Self + One (113)
- Self & Family (112)
Our Preferred provider network includes 96% of hospitals across the U.S. and 8,400 overseas.
Smart online tools
MyBlue® tools and resources like the Blue Health Assessment and Nurse Line help you take charge of your health 24/7.
Discounts and incentives
Earn up to $170 a year with wellness incentives and save on gym memberships nationwide.
Convenient benefit plans
Choose from our Standard or Basic Option
- 2017 Basic Option Rates
- 2017 Standard Option Rates
- Self Only (104)
- Self + One (106)
- Self & Family (105)
These rates do not apply to all Enrollees. If you are in a special enrollment category, please contact the agency or Tribal Employer which maintains your health benefits enrollment.
This is a summary of the features of the Blue Cross and Blue Shield Service Benefit Plan. Before making a final decision, please read the Plan’s federal brochure (RI 71-005). All benefits are subject to the definitions, limitations and exclusions set forth in the federal brochure.