Silver 2017 Small Group Plans, Q2

Our Silver plans offer a variety of coverage options at lower than average premiums. View plan details below. Please note, all premiums listed represent coverage for dependents up to age 26. 

 

Region 1: Albany, Columbia, Fulton, Greene, Montgomery, Rensselaer, Saratoga, Schenectady, Schohaire, Warren, and Washington.

Region 7: Clinton & Essex

 

If you are an existing group with BlueShield of Northeastern New York, visit BlueConnect to enroll. If you are a new group and would like to enroll in a Silver plan, please contact your broker or account executive.

 
Region 1 Silver Standard Silver EPO 8000 Silver PPO 8000 Silver POS 8000
Monthly Premium        
   Single $484.47 $525.52 $540.96 $466.45
   Employee and child $823.60 $893.39 $919.63 $792.97
   Employee and spouse/domestic partner $968.94 $1,051.04 $1,081.92 $932.90
   Family $1,380.74 $1,497.73 $1,541.74 $1,329.38
Primary Care Doctor/Specialist $30/$50 after deductible 0% after deductible 0% after deductible

0% after deductible
Deductible (Single/Family) $2,000/$4,000 $3,000/$6,000 $3,000/$6,000  $3,000/$6,000
Inpatient Hospital (per admission) $1,500 after deductible 0% after deductible 0% after deductible   0% after deductible
Prescription Drugs:        
   Tier 1/2/3 $10/$35/$70  $10/$35/$70 after
deductible
$10/$35/$70 after
deductible
 $10/$35/$70 after
deductible
   Generic Oral Contraceptives Covered in full Covered in full Covered in full Covered in full
   Mail Order Drugs 2.5 Copays/90-day supply 2.5 Copays/90-day supply 2.5 Copays/90-day supply 2.5 Copays/90-day supply
 

Benefits & Coverage

Benefits & Coverage

Benefits & Coverage

Benefits & Coverage

 

 
Region 1 Silver EX 8000 Silver EPO 6300 Silver EPO 6000
Monthly Premium        
   Single $494.85 $524.40 $567.08
   Employee and child $841.25 $891.48 $964.04
   Employee and spouse/domestic partner $989.70 $1,048.80 $1,134.16
   Family $1,410.32 $1,494.54 $1,616.18
Primary Care Doctor/Specialist 0% after deductible $40/$60 after deductible $30/$50
Deductible (Single/Family) $3,000/$6,000 $2,000/$4,000 $2,500/$5,000 
Inpatient Hospital Stay 0% after deductible $500 after deductible 20% after deductible 

Prescription Drugs:      
   Tier 1/2/3 $10/$35/$70 after deductible $4/$35/$70 after deductible $10/$50/$80
   Generic Oral Contraceptives Covered in full Covered in full Covered in full
   Mail Order Drugs 2.5 Copays/90-day supply 2.5 Copays/90-day supply 2.5 Copays/90-day supply
 

Benefits & Coverage

Benefits & Coverage

Benefits & Coverage

 

 
Region 7 Silver Standard Silver EPO 8000 Silver PPO 8000 Silver POS 8000
Monthly Premium        
   Single $576.64 $626.99 $645.95 $554.51
   Employee and child $980.28 $1,065.88 $1,098.11 $942.67
   Employee and spouse/domestic partner $1,153.28 $1,253.98 $1,291.90 $1,109.02
   Family $1,643.43 $1,786.92 $1,840.96 $1,580.36
Primary Care Doctor/Specialist $30/$50 after deductible 0% after deductible 0% after deductible

0% after deductible
Deductible (Single/Family) $2,000/$4,000 $3,000/$6,000 $3,000/$6,000  $3,000/$6,000
Inpatient Hospital (per admission) $1,500 after deductible 0% after deductible 0% after deductible   0% after deductible
Prescription Drugs:        
   Tier 1/2/3 $10/$35/$70  $10/$35/$70 after deductible $10/$35/$70 after deductible  $10/$35/$70 after deductible
   Generic Oral Contraceptives Covered in full Covered in full Covered in full Covered in full
   Mail Order Drugs 2.5 Copays/90-day supply 2.5 Copays/90-day supply 2.5 Copays/90-day supply 2.5 Copays/90-day supply
 

Benefits & Coverage

Benefits & Coverage

Benefits & Coverage

Benefits & Coverage

 

 
Region 7 Silver EX 8000 Silver EPO 6300 Silver EPO 6000
Monthly Premium        
   Single $585.87 $625.62 $678.01
   Single & Child $995.98 $1,063.56 $1,152.62
   Person $1,171.74 $1,251.24 $1,356.02
   Family $1,669.73 $1,783.02 $1,932.32
Primary Care Doctor/Specialist 0% after deductible $40/$60 after deductible $30/$50
Deductible (Single/Family) $3,000/$6,000 $2,000/$4,000 $2,500/$5,000 
Inpatient Hospital Stay 0% after deductible $500 after deductible 20% after deductible 

Prescription Drugs:      
   Tier 1/2/3 $10/$35/$70 after deductible $4/$35/$70 after deductible $10/$50/$80
   Generic Oral Contraceptives Covered in full Covered in full Covered in full
   Mail Order Drugs 2.5 Copays/90-day supply 2.5 Copays/90-day supply 2.5 Copays/90-day supply
 

Benefits & Coverage

Benefits & Coverage

Benefits & Coverage

 

Silver Standard
Region 1  
Monthly Premium  
   Single $484.47
   Employee and child $823.60
   Employee and spouse/
domestic partner
$968.94
   Family $1,380.74
Primary Care
Doctor/Specialist
$30 / $50 after deductible
Deductible (Single/Family) $2,000 / $4,000
Inpatient Hospital
(per admission)
$1,500 after deductible
Prescription Drugs:  
   Tier 1/2/3 $10/$35/$70 after deductible
   Generic Oral
Contraceptives
Covered in full
   Mail Order Drugs 2.5 Copays/90-day supply
 

Benefits & Coverage

Silver Standard
Region 7  
Monthly Premium  
   Single $576.64
   Employee and child $980.28
   Employee and spouse/
domestic partner
$1,153.28
   Family $1,643.43
Primary Care
Doctor/Specialist
$30/$50 after deductible
Deductible (Single/Family) $2,000 /$4,000
Inpatient Hospital
(per admission)
$1,500 after deductible
Prescription Drugs:  
   Tier 1/2/3 $10/$35/$70 after deductible
   Generic Oral
Contraceptives
Covered in full
   Mail Order Drugs 2.5 Copays/90-day supply
 

Benefits & Summary

Silver  EPO 8000
Region 1  
Monthly Premium  
   Single $525.52
   Employee and child $893.39
   Employee and spouse/
domestic partner
$1,051.04
   Family $1,497.73
Primary Care
Doctor/Specialist
0% after deductible
Deductible (Single/Family) $3,000 / $6,000
Inpatient Hospital
(per admission)
0% after deductible
Prescription Drugs:  
   Tier 1/2/3 $10/$35/$70 after deductible
   Generic Oral
Contraceptives
Covered in full
   Mail Order Drugs 2.5 Copays/90-day supply
 

Benefits & Summary

Silver  EPO 8000
Region 7  
Monthly Premium  
   Single $626.99
   Employee and child $1,065.88
   Employee and spouse/
domestic partner
$1,253.98
   Family $1,786.92
Primary Care
Doctor/Specialist
0% after deductible
Deductible (Single/Family) $3,000/$6,000
Inpatient Hospital
(per admission)
0% after deductible
Prescription Drugs:  
   Tier 1/2/3 $10/$35/$70 after deductible
   Generic Oral
Contraceptives
Covered in full
   Mail Order Drugs 2.5 Copays/90-day supply
 

Benefits & Summary

Silver  PPO 8000
Region 1  
Monthly Premium  
   Single $540.96
   Employee and child $919.63
   Employee and spouse/
domestic partner
$1,081.92
   Family $1,541.74
Primary Care
Doctor/Specialist
0% after deductible
Deductible (Single/Family) $3,000/$6,000
Inpatient Hospital
(per admission)
0% after deductible
Prescription Drugs:  
   Tier 1/2/3 $10/$35/$70 after deductible
   Generic Oral
Contraceptives
Covered in full
   Mail Order Drugs 2.5 Copays/90-day supply
 

Benefits & Summary

Silver  PPO 8000
Region 7  
Monthly Premium  
   Single $645.95
   Employee and child $1,098.11
   Employee and spouse/
domestic partner
$1,291.90
   Family $1,840.96
Primary Care
Doctor/Specialist
0% after deductible
Deductible (Single/Family) $3,000/$6,000
Inpatient Hospital
(per admission)
0% after deductible
Prescription Drugs:  
   Tier 1/2/3 $10/$35/$70 after deductible
   Generic Oral
Contraceptives
Covered in full
   Mail Order Drugs 2.5 Copays/90-day supply
 

Benefits & Summary

Silver POS 8000
Region 1  
Monthly Premium  
   Single $466.45
   Employee and child  $792.97
   Employee and spouse/
domestic partner
$932.90
   Family $1,329.38
Primary Care
Doctor/Specialist
0% after deductible
Deductible (Single/Family) $3,000/$6,000
Inpatient Hospital
(per admission)
0% after deductible
Prescription Drugs:  
   Tier 1/2/3 $10/$35/$70 after deductible
   Generic Oral
Contraceptives
Covered in full
   Mail Order Drugs 2.5 Copays/90-day supply
 

Benefits & Summary

Silver POS 8000
Region 7  
Monthly Premium  
   Single $554.51
   Employee and child  $942.67
   Employee and spouse/
domestic partner
$1,109.02
   Family $1,580.36
Primary Care
Doctor/Specialist
0% after deductible
Deductible (Single/Family) $3,000/$6,000
Inpatient Hospital
(per admission)
0% after deductible
Prescription Drugs:  
   Tier 1/2/3 $10/$35/$70 after deductible
   Generic Oral
Contraceptives
Covered in full
   Mail Order Drugs 2.5 Copays/90-day supply
 

Benefits & Coverage

Silver  EX 8000
Region 1  
Monthly Premium  
   Single $494.85
   Employee and child $841.25
   Employee and spouse/
domestic partner
$989.70
   Family $1,410.32
Primary Care
Doctor/Specialist
0% after deductible
Deductible (Single/Family) $3,000/$6,000
Inpatient Hospital
(per admission)
0% after deductible
Prescription Drugs:  
   Tier 1/2/3 $10/$35/$70 after deductible
   Generic Oral
Contraceptives
Covered in full
   Mail Order Drugs 2.5 Copays/90-day supply
 

Benefits & Coverage

Silver  EX 8000
Region 7  
Monthly Premium  
   Single $585.87
   Employee and child $995.98
   Employee and spouse/
domestic partner
$1,171.74
   Family $1,669.73
Primary Care
Doctor/Specialist
0% after deductible
Deductible (Single/Family) $3,000/$6,000
Inpatient Hospital
(per admission)
0% after deductible
Prescription Drugs:  
   Tier 1/2/3 $10/$35/$70 after deductible
   Generic Oral
Contraceptives
Covered in full
   Mail Order Drugs 2.5 Copays/90-day supply
 

Benefits & Coverage

Silver EPO 6300
Region 1  
Monthly Premium  
   Single $524.40
   Employee and child $891.48
   Employee and spouse/
domestic partner
$1,048.80
   Family $1,494.54
Primary Care
Doctor/Specialist
$40/$60 after deductible
Deductible (Single/Family) $2,000/$4,000
Inpatient Hospital
(per admission)
$500 after deductible
Prescription Drugs:  
   Tier 1/2/3 $4/$35/$70 after deductible
   Generic Oral
Contraceptives
Covered in full
   Mail Order Drugs 2.5 Copays/90-day supply
 

Benefits & Coverage

Silver EPO 6300
Region 7  
Monthly Premium  
   Single $625.62
   Employee and child $1,063.56
   Employee and spouse/
domestic partner
$1,251.24
   Family $1,783.02
Primary Care
Doctor/Specialist
$40/$60 after deductible
Deductible (Single/Family) $2,000/$4,000
Inpatient Hospital
(per admission)
$500 after deductible
Prescription Drugs:  
   Tier 1/2/3 $4/$35/$70 after deductible
   Generic Oral
Contraceptives
Covered in full
   Mail Order Drugs 2.5 Copays/90-day supply
 

Benefits & Coverage

Silver EPO 6000
Region 1  
Monthly Premium  
   Single $567.08
   Employee and child $964.04
   Employee and spouse/
domestic partner
$1,134.16
   Family $1,616.18
Primary Care
Doctor/Specialist
$30/$50
Deductible (Single/Family) $2,500/$5,000
Inpatient Hospital
(per admission)
20% after deductible
Prescription Drugs:  
   Tier 1/2/3 $10/$50/$80
   Generic Oral
Contraceptives
Covered in full
   Mail Order Drugs 2.5 Copays/90-day supply
 

Benefits & Coverage

Silver EPO 6000
Region 7  
Monthly Premium  
   Single $678.01
   Employee and child $1,152.62
   Employee and spouse/
domestic partner
$1,356.02
   Family $1,932.32
Primary Care
Doctor/Specialist
$30 / $50
Deductible (Single/Family) $2,500 / $5,000
Inpatient Hospital
(per admission)
20% after deductible
Prescription Drugs:  
   Tier 1/2/3 $10/$50/$80
   Generic Oral
Contraceptives
Covered in full
   Mail Order Drugs 2.5 Copays/90-day supply
 

Benefits & Coverage

>> View Silver Plan Contracts

>> Some preventive drugs are a $0 cost--share; not subject to deductible on select plans. 

Visit BlueConnect to enroll. If you are a new group and would like to enroll in a Silver plan, please contact your broker or account executive.

Region 1 Silver Standard Silver EPO 8000 a Silver EPO 8000 b
Monthly Premium      
   Single $441.55 $473.22 $497.11
   Employee and child $750.64 $804.47 $845.09
   Employee and spouse/domestic partner $883.10 $946.44 $994.22
   Family $1,258.42 $1,348.68 $1,416.76
Primary Care Doctor/Specialist $30/$50 after deductible 20% after deductible 0% after deductible
Deductible (Single/Family) $2,000/$4,000 
embedded deductible
$2,000/$4,000
embedded deductible
$3,000/$6,000
embedded deductible
Inpatient Hospital Stay (per admission) $1,500 after deductible 20% after deductible 0% after deductible
Prescription Drugs:      
   Tier 1/2/3 $10/$35/$70  $4/$35/$70 after deductible  $4/$35/$70 after deductible
   Generic Oral Contraceptives Covered in full Covered in full Covered in full
   Mail Order Drugs 2.5 Copays/90-day supply 2.5 Copays/90-day supply 2.5 Copays/90-day supply
 

Benefits & Coverage

Benefits & Coverage

Benefits & Coverage

 
Region 1 Silver EPO 6300  Silver EPO 6000 Silver Aqua
Monthly Premium      
   Single $496.91 $527.32 $448.58
   Employee and child $844.74 $896.45 $762.59
   Employee and spouse/domestic partner $993.82 $1,054.64 $897.16
   Family $1,416.20 $1,502.86 $1,278.45
Primary Care Doctor/Specialist $40/$60 after deductible $30/$50 20% after deductible
Deductible (Single/Family) $1,500/$3,000
embedded deductible
$2,500/$5,000 
embedded deductible
$3,000/$6,000
embedded deductible
Inpatient Hospital Stay (per admission) $500 after deductible 20% after deductible 20% (not subject to deductible)
Prescription Drugs:      
   Tier 1/2/3 $4/$35/$70 after deductible $10/$50/$80   $15/$60/$100 
   Generic Oral Contraceptives Covered in full Covered in full Covered in full
   Mail Order Drugs 2.5 Copays/90-day supply 2.5 Copays/90-day supply 2.5 Copays/90-day supply
 

Benefits & Coverage

Benefits & Coverage

Benefits & Coverage

 
Region 7 Silver Standard Silver EPO 8000 a
Monthly Premium    
   Single $522.60 $561.24
   Employee and child $888.43 $954.11
   Employee and spouse/domestic partner $1,045.20 $1,122.48
   Family $1,489.41 $1,599.53
Primary Care Doctor/Specialist $30/$50 after deductible 20% after deductible
Deductible (Single/Family) $2,000/$4,000 
embedded deductible
$2,000/$4,000
embedded deductible
Inpatient Hospital Stay (per admission) $1,500 after deductible 20% after deductible
Prescription Drugs:    
   Tier 1/2/3 $10/$35/$70  $4/$35/$70 after deductible
   Generic Oral Contraceptives Covered in full Covered in full
   Mail Order Drugs 2.5 Copays/90-day supply 2.5 Copays/90-day supply
 

Benefits & Coverage

Benefits & Coverage

 
Silver Standard
Region 1  
Monthly Premium  
   Single $441.55
   Employee and child $750.64
   Employee and spouse/
domestic partner
$883.10
   Family $1,258.42
Primary Care
Doctor/Specialist
$30/$50 after deductible
Deductible (Single/Family) $2,000/$4,000 embedded deductible
Inpatient Hospital
(per admission)
$1,500 after deductible
Prescription Drugs:  
   Tier 1/2/3 $10/$35/$70 
   Generic Oral
Contraceptives
Covered in full
   Mail Order Drugs 2.5 Copays/90-day supply
 

Benefits & Coverage

Silver Standard
Region 7  
Monthly Premium  
   Single $522.60
   Employee and child $888.43
   Employee and spouse/
domestic partner
$1,045.20
   Family $1,489.41
Primary Care
Doctor/Specialist
$30/$50 after deductible
Deductible (Single/Family) $2,000/$4,000 embedded deductible
Inpatient Hospital
(per admission)
$1,500 after deductible
Prescription Drugs:  
   Tier 1/2/3 $10/$35/$70 
   Generic Oral
Contraceptives
Covered in full
   Mail Order Drugs 2.5 Copays/90-day supply
 

Benefits & Coverage

Silver EPO 8000 a
Region 1  
Monthly Premium  
   Single $473.22
   Employee and child $804.47
   Employee and spouse/
domestic partner
$946.44
   Family $1,348.68
Primary Care
Doctor/Specialist
20% after deductible
Deductible (Single/Family) $2,000/$4,000 embedded deductible
Inpatient Hospital
(per admission)
20% after deductible
Prescription Drugs:  
   Tier 1/2/3 $4/$35/$70 after deductible
   Generic Oral
Contraceptives
Covered in full
   Mail Order Drugs 2.5 Copays/90-day supply
 

Benefits & Coverage

Silver EPO 8000 a
Region 7  
Monthly Premium  
   Single $561.24
   Employee and child $954.11
   Employee and spouse/
domestic partner
$1,122.48
   Family $1,599.53
Primary Care
Doctor/Specialist
20% after deductible
Deductible (Single/Family) $2,000/$4,000 embedded deductible
Inpatient Hospital
(per admission)
20% after deductible
Prescription Drugs:  
   Tier 1/2/3 $4/$35/$70 after deductible
   Generic Oral
Contraceptives
Covered in full
   Mail Order Drugs 2.5 Copays/90-day supply
 

Benefits & Coverage

Silver EPO 8000 b
Region 1  
Monthly Premium  
   Single $497.11
   Employee and child $845.09
   Employee and spouse/
domestic partner
$994.22
   Family $1,416.76
Primary Care
Doctor/Specialist
0% after deductible
Deductible (Single/Family) $3,000/$6,000 embedded deductible
Inpatient Hospital
(per admission)
0% after deductible
Prescription Drugs:  
   Tier 1/2/3 $4/$35/$70 after deductible
   Generic Oral
Contraceptives
Covered in full
   Mail Order Drugs 2.5 Copays/90-day supply
 

Benefits & Coverage

Silver EPO 6300
Region 1  
Monthly Premium  
   Single $496.91
   Employee and child $844.74
   Employee and spouse/
domestic partner
$993.82
   Family $1,416.20
Primary Care
Doctor/Specialist
$40/$60 after deductible
Deductible (Single/Family) $1,500/$3,000
Inpatient Hospital
(per admission)
$500 after deductible
Prescription Drugs:  
   Tier 1/2/3 $4/$35/$70 after deductible
   Generic Oral
Contraceptives
Covered in full
   Mail Order Drugs 2.5 Copays/90-day supply
 

Benefits & Coverage

Silver EPO 6000
Region 1  
Monthly Premium  
   Single $527.32
   Employee and child $896.45
   Employee and spouse/
domestic partner
$1,054.64
   Family $1,502.86
Primary Care
Doctor/Specialist
$30/$50 after deductible
Deductible (Single/Family) $2,500/$5,000 embedded deductible
Inpatient Hospital
(per admission)
20% after deductible
Prescription Drugs:  
   Tier 1/2/3 $10/$50/$80 
   Generic Oral
Contraceptives
Covered in full
   Mail Order Drugs 2.5 Copays/90-day supply
 

Benefits & Coverage

Silver Aqua
Region 1  
Monthly Premium  
   Single $448.58
   Employee and child $762.59
   Employee and spouse/
domestic partner
$897.16
   Family $1,278.45
Primary Care
Doctor/Specialist
20% after deductible
Deductible (Single/Family) $3,000/$6,000
Inpatient Hospital
(per admission)
20% (not subject to deductible)
Prescription Drugs:  
   Tier 1/2/3 $15/$60/$100 after deductible
   Generic Oral
Contraceptives
Covered in full
   Mail Order Drugs 2.5 Copays/90-day supply
 

Benefits & Coverage

Benefits of Blue

BlueConnect

A comprehensive online benefits solution

Wellness Card

 

Offered with every small group plan

Preventive Services

$0 preventive services

HealthyLife Rewards

Eat healthy and save money