Benefit Summaries and Health Plan Rates

Health Plan Rates FY15
Health Plan Rates FY16
Health Plan Rates FY17
Health Plan Rates FY18
Health Plan Rates FY19
Health Plan Rates FY20
Health Plan Rates FY21
Health Plan Rates FY22

Effective 7/1/2021

Blue Care Elect Value
Blue Care Elect Deductible
Blue Care Elect High Deductible with Health Savings
Network Blue Value
Network Blue Value Deductible
Network Blue High Deductible with Health Savings

Effective 7/1/2020

Blue Care Elect Value
Blue Care Elect Deductible
Blue Care Elect High Deductible with Health Savings
Network Blue Value
Network Blue Value Deductible
Network Blue High Deductible with Health Savings

Effective 1/1/2021

Medex 2 with PDP
Managed Blue for Seniors with PDP
Blue Medicare Rx PDP
Blue Medicare Rx PDP enrollment form 

Blue Medicare Rx PDP formulary 2021