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For groups of 51-99 employees

Give employees affordable health insurance and freedom of choice. Members see physicians and select hospitals of their choice with flat-rate copayments for routine office visits. PPO members have access to VirtualCare ($5 copay for many plans) and wellness programs, including Healthy Blue Rewards and more.

2024 plans

Deductibles $0 - $1500

Plan HRA option Deductible Coinsurance Out-of-pocket max PCP Specialist Emergency room
PPO 0/0/35 No $0 0% $6,900 $35 $65 $300
PPO 500/0/25 No $500 0% $6,900 $25 $50 $200
PPO 1000/0/25 No $1,000 0% $8,550 $25 $50 $200
PPO 1500/0/30 No $1,500 0% $8,550 $30 $50 $200

Deductibles $2000 - $3000

Plan HRA option Deductible Coinsurance Out-of-pocket max PCP Specialist Emergency room
PPO 2000/0/30 Yes $2,000 0% $8,550 $15/$302 $50 $200
PPO 2000/20/35 No $2,000 20% $2,000 coinsurance only 
$8,550 overall out-of-pocket max
$35 $70 $200
PPO 2500/0/30 Yes $2,500 0% $8,550 $15/$302 $50 $200
PPO 3000/0/30 Yes $3,000 0% $8,550 $15/$302 $50 $200
PPO 3000/20/35 No $3,000 20% $3,000 coinsurance only 
$8,550 overall out-of-pocket max
$35 $70 $200

Deductibles $4000 - $8000

Plan HRA option Deductible Coinsurance Out-of-pocket max PCP Specialist Emergency room
PPO 4000/0/30 Yes $4,000 0% $8,550 $15/$302 $50 $200
PPO 5000/0/30 Yes $5,000 0% $8,550 $15/$302 $50 $200
PPO 6000/0/30 Yes $6,000 0% $8,550 $15/$302 $50 $200
PPO 7000/0/30 Yes $7,000 0% $8,550 $15/$302 $50 $200
PPO 8000/0/30 Yes $8,000 0% $8,550 $15/$302 $50 $200
PPO 9000/0/50 Yes $9,000 0% $9,000 $25/$502 $75 $300

2023 plans

Deductibles $0 - $1000

Plan HRA option Deductible Coinsurance Out-of-pocket max PCP Specialist Emergency room
Simple PPO 0/0/401 No $0 0% $9,100 $40 $65 $350
PPO 0/0/35 No $0 0% $6,900 $35 $65 $300
PPO 500/0/25 No $500 0% $6,900 $25 $50 $200
PPO 1000/0/25 No $1,000 0% $8,550 $25 $50 $200

Deductibles $2000 - $3000

Plan HRA option Deductible Coinsurance Out-of-pocket max PCP Specialist Emergency room
PPO 2000/0/30 Yes $2,000 0% $8,550 $15/$302 $50 $200
PPO 2000/20/35 No $2,000 20% $2,000 coinsurance only 
$8,550 overall out-of-pocket max
$35 $70 $200
PPO 2500/0/30 Yes $2,500 0% $8,550 $15/$302 $50 $200
PPO 3000/0/30 Yes $3,000 0% $8,550 $15/$302 $50 $200
PPO 3000/20/35 No $3,000 20% $3,000 coinsurance only 
$8,550 overall out-of-pocket max
$35 $70 $200

Deductibles $4000 - $8000

Plan HRA option Deductible Coinsurance Out-of-pocket max PCP Specialist Emergency room
PPO 4000/0/30 Yes $4,000 0% $8,550 $15/$302 $50 $200
PPO 5000/0/30 Yes $5,000 0% $8,550 $15/$302 $50 $200
PPO 6000/0/30 Yes $6,000 0% $8,550 $15/$302 $50 $200
PPO 7000/0/30 Yes $7,000 0% $8,550 $15/$302 $50 $200
PPO 8000/0/30 Yes $8,000 0% $8,550 $15/$302 $50 $200
PPO 9000/0/50 Yes $9,000 0% $9,000 $25/$502 $75 $300

1Simple PPO features copays for nearly all services, in lieu of any deductible or coinsurance for in-network medical services, and free VirtualCare visits when using Capital Blue Cross's VirtualCare platform.

2These plans have a tiered PCP office visit benefit, called "Office Visit Plus - Total Care". The copay is lower when visiting one of these designated PCPs.


1Simple PPO features copays for nearly all services, in lieu of any deductible or coinsurance for in-network medical services, and free VirtualCare visits when using Capital Blue Cross's VirtualCare platform.

2These plans have a tiered PCP office visit benefit, called "Office Visit Plus - Total Care". The copay is lower when visiting one of these designated PCPs.