BCBSIL Group Plans

2024 BCBSIL Small Group Health Insurance Plans

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2024 Small Group Plan Summaries

2024 BCBSIL Blue PPO

Platinum & Gold

Plan Name Deductible Ind/Fam Out of Pocket Ind/Fam Coinsurance PCP Visit Specialist Visit
Blue PPO Platinum 119 $250 / $750 $1,500 / $4,500 80% $30 $60
Blue PPO Platinum 136 $500 / $1,500 $1,500 / $4,500 90% $20 $40
Blue PPO Gold 114 $1,000 / $3,000 $7,750 / $18,200 80% $50 $70
Blue PPO Gold 502 (2025)
Blue PPO Platinum 501 (2025)
Blue PPO Gold 107 $1,500 / $3,000 $6,250 / $12,500 80% $40 $60
Blue PPO Gold 116 $2,000 / $6,000 $5,750 / $17,250 90% $45 $65
Blue PPO Gold 102 $2,500 / $5,000 $5,000 / $10,000 80% $20 $60
Blue PPO Gold 123 $2,800 / $8,400 $2,800 / $8,400 100% DC DC
Blue PPO Gold 101 $4,000 / $12,000 $5,500 / $16,500 100% $50 $70
Blue PPO Gold 113 $3,200 / $9,600 $3,700 / $11,100 90% DC DC
Blue PPO Gold 115 $3,200 / $9,600 $5,250 / $14,000 80% DC DC

Silver

Plan Name Deductible Ind/Fam Out of Pocket Ind/Fam Coinsurance PCP Visit Specialist Visit
Blue PPO Silver 120 $3,600 / $10,800 $9,100 / $18,200 60% $60 $80
Blue PPO Silver 104 $5,000 / $15,000 $9,100 / $18,200 70% $45 $65
Blue PPO Silver 105 $7,900 / $15,800 $9,000 / $18,000 100% $45 $65
Blue PPO Silver 133 $5,250 / $15,000 $5,250 / $15,000 100% DC DC
Blue PPO Silver 200 $6,250 / $12,500 $6,250 / $12,500 100% DC DC

Bronze

Plan Name Deductible Ind/Fam Out of Pocket Ind/Fam Coinsurance PCP Visit Specialist Visit
Blue PPO Bronze 132 $6,950 / $13,900 $7,300 / $14,600 80% DC DC
Blue PPO Bronze 106 $7,200 / $14,400 $7,200 / $14,400 100% DC DC
Blue PPO Bronze 401 $7,250 / $14,500 $7,500 / $15,000 70% DC DC

2024 BCBSIL Blue Choice Preferred PPO

Platinum & Gold

Plan Name Deductible Ind/Fam Out of Pocket Ind/Fam Coinsurance PCP Visit Specialist Visit
Blue Choice Preferred Platinum PPO 119 $250 / $750 $1,500 / $4,500 80% $30 $60
Blue Choice Preferred Platinum PPO 136 $500 / $1,500 $1,500 / $4,500 80% $20 $40
Blue Choice Preferred Gold PPO 502 (2025)
Blue Choice Preferred Platinum PPO 501 (2025)
Blue Choice Preferred Gold PPOSM 123 (2025)
Blue Choice Preferred Gold PPO 107 $1,500 / $3,000 $6,250 / $12,500 80% $40 $40
Blue Choice Preferred Gold PPO 102 $2,500 / $5,000 $5,000 / $10,000 80% $20 $20
Blue Choice Preferred Gold PPO 101 $4,000 / $12,000 $5,500 / $16,500 100% $50 $50
Blue Choice Preferred Gold PPO 113 $3,200 / $9,600 $3,700 / $11,100 90% DC DC
Blue Choice Preferred Gold PPO 114
Blue Choice Preferred Gold PPO 115 $3,200 / $9,600 $5,250 / $14,000 80% DC DC

Silver

Plan Name Deductible Ind/Fam Out of Pocket Ind/Fam Coinsurance PCP Visit Specialist Visit
Blue Choice Preferred Silver PPO 120 $3,600 / $10,800 $1,500 / $4,500 80% $60 $80
Blue Choice Preferred Silver PPO 104 $5,000 / $15,000 $1,500 / $4,500 90% $45 $65
Blue Choice Preferred Silver PPO 105 $7,900 / $15,800 $7,750 / $18,200 80% $45 $65
Blue Choice Preferred Silver PPO 133 $5,250 / $15,000 $6,250 / $12,500 80% DC DC
Blue Choice Preferred Silver PPO 200 $6,250 / $12,500 $5,750 / $17,250 90% DC DC

Bronze

Plan Name Deductible Ind/Fam Out of Pocket Ind/Fam Coinsurance PCP Visit Specialist Visit
Blue Choice Preferred Bronze PPO 132 $6,950 / $13,900 $7,300 / $14,600 80% DC DC
Blue Choice Preferred Bronze PPO 106 $7,200 / $14,400 $7,200 / $14,400 100% DC DC
Blue Choice Preferred Bronze PPO 401 $7,250 / $14,500 $7,500 / $15,000 70% DC DC

2024 BCBSIL Blue Options PPO

Platinum & Gold

Plan Name Deductible Ind/Fam Out of Pocket Ind/Fam Coinsurance PCP Visit Specialist Visit
Blue Options Platinum PPO 403 $250 Tier 1/ $750 Tier 2 || $750 Tier 1/ $2,250 Tier 2 $2,250 Tier 1/ $6,750 Tier 2 || $6,750 Tier 1/ $18,900 Tier 2 90% Tier 1/ 70% Tier 2 $15 Tier 1/ $30 Tier 2 $30 Tier 1/ $60 Tier 2
Blue Options Gold PPO 503 (2025)
Blue Options Gold PPO 101 $750 Tier 1/ $2,250 Tier 2 || $2,250 Tier 1/ $6,000 Tier 2 $6,750 Tier 1/ $8,500 Tier 2 || $17,300 Tier 1/ $18,200 Tier 2 80% Tier 1/ 60% Tier 2 $40 Tier 1/ $60 Tier 2 $60 Tier 1/ $100 Tier 2
Blue Options Gold PPO 106 $1,500 Tier 1/ $3,750 Tier 2 || $1,500 Tier 1/ $3,750 Tier 2 $5,850 Tier 1/ $7,850 Tier 2 || $14,650 Tier 1/ $18,200 Tier 2 90% Tier 1/ 70% Tier 2 $35 Tier 1/ $60 Tier 2 $50 Tier 1/ $100 Tier 2
Blue Options Gold PPO 102 $1,500 Tier 1/ $3,750 Tier 2 || $4,000 Tier 1/ $8,500 Tier 2 $4,350 Tier 1/ $7,350 Tier 2 || $9,300 Tier 1/ $18,200 Tier 2 90% Tier 1/ 70% Tier 2 $35 Tier 1/ $60 Tier 2 $50 Tier 1/ $100 Tier 2
Blue Options Gold PPO 200 $3,200 Tier 1/ $4,700 Tier 2 || $9,600 Tier 1/ $14,100 Tier 2 $3,200 Tier 1/ $6,650 Tier 2 || $9,600 Tier 1/ $14,100 Tier 2 100% Tier 1/ 80% Tier 2 DC DC
Tier 1 refers to the benefit level when using the Blue Choice OPT PPO network, Tier 2 refers to the benefit level when using the PPO network.

Silver

Plan Name Deductible Ind/Fam Out of Pocket Ind/Fam Coinsurance PCP Visit Specialist Visit
Blue Options Silver PPO 104 $5,250 Tier 1/ $6,250 Tier 2 || $15,750 Tier 1/ $18,200 $8,150 Tier 1/ $9,100 Tier 2 || $18,200 Tier 1/ $18,200 Tier 2 80% Tier 1/ 60% Tier 2 $50 Tier 1/ $70 Tier 2 $70 Tier 1/ $110 Tier 2
Blue Options Silver PPO 107 $4,800 Tier 1/ $5,500 Tier 2 || $14,000 Tier 1/ $14,300 Tier 2 $4,800 Tier 1/ $7,250 Tier 2 || $14,000 Tier 1/ $14,300 Tier 2 100% Tier 1/ 70% Tier 2 DC DC
Blue Options Silver PPO 404 $5,250 Tier 1/ $6,250 Tier 2 || $5,250 Tier 1/ $6,250 Tier 2 $5,250 Tier 1/ $7,500 Tier 2 || $13,125 Tier 1/ $15,000 Tier 2 100% Tier 1/ 70% Tier 2 DC DC
Tier 1 refers to the benefit level when using the Blue Choice OPT PPO network, Tier 2 refers to the benefit level when using the PPO network.

2024 BCBSIL Blue Precision HMO

Platinum & Gold

Plan Name Deductible Ind/Fam Out of Pocket Ind/Fam Coinsurance PCP Visit Specialist Visit
Blue Precision Platinum HMO 107 $0 / NC $0 / NC 100% / NC $10 $45
Blue Precision Platinum HMO 200 $0 / NC $0 / NC 100% / NC $20 $30
Blue Precision Platinum HMO 110 $1,000 / NC || $3,000 / NC $3,000 / NC || $9,000 / NC 80% / NC $25 $50
Blue Precision Gold HMO 402 $0 / NC $0 / NC 80% / NC $50 $75
Blue Precision Gold HMO 201 $0 / NC $0 / NC 100% / NC $50 $70
Blue Precision Gold HMO 101 $2,750 / NC || $8,250/NC $9,100 / NC || $18,200 / NC 70% / NC $55 $75
Tier 1 refers to the benefit level when using the Blue Choice OPT PPO network, Tier 2 refers to the benefit level when using the PPO network.

Silver

Plan Name Deductible Ind/Fam Out of Pocket Ind/Fam Coinsurance PCP Visit Specialist Visit
Blue Precision Silver HMO 106 $3,250/NC || $9,750/NC $9,100/NC || $18,200/NC 70% / NC $30 $60
Blue Precision Silver HMO 102 $7,000/NC || $17,100/NC $9,100/NC || $18,200/NC 70% / NC $55 $75
Tier 1 refers to the benefit level when using the Blue Choice OPT PPO network, Tier 2 refers to the benefit level when using the PPO network.