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 NameDeductible Ind/FamOut of Pocket Ind/FamCoinsurancePCP VisitSpecialist Visit
Blue PPO Platinum 119$250 / $750$1,500 / $4,50080%$30$60
Blue PPO Platinum 136$500 / $1,500$1,500 / $4,50090%$20$40
Blue PPO Gold 114$1,000 / $3,000$7,750 / $18,20080%$50$70
Blue PPO Gold 502 (2025)
Blue PPO Platinum 501 (2025)
Blue PPO Gold 107$1,500 / $3,000$6,250 / $12,50080%$40$60
Blue PPO Gold 116$2,000 / $6,000$5,750 / $17,25090%$45$65
Blue PPO Gold 102$2,500 / $5,000$5,000 / $10,00080%$20$60
Blue PPO Gold 123$2,800 / $8,400$2,800 / $8,400100%DCDC
Blue PPO Gold 101$4,000 / $12,000$5,500 / $16,500100%$50$70
Blue PPO Gold 113$3,200 / $9,600$3,700 / $11,10090%DCDC
Blue PPO Gold 115$3,200 / $9,600$5,250 / $14,00080%DCDC

Silver

Plan NameDeductible Ind/FamOut of Pocket Ind/FamCoinsurancePCP VisitSpecialist Visit
Blue PPO Silver 120$3,600 / $10,800$9,100 / $18,20060%$60$80
Blue PPO Silver 104$5,000 / $15,000$9,100 / $18,20070%$45$65
Blue PPO Silver 105$7,900 / $15,800$9,000 / $18,000100%$45$65
Blue PPO Silver 133$5,250 / $15,000$5,250 / $15,000100%DCDC
Blue PPO Silver 200$6,250 / $12,500$6,250 / $12,500100%DCDC

Bronze

Plan NameDeductible Ind/FamOut of Pocket Ind/FamCoinsurancePCP VisitSpecialist Visit
Blue PPO Bronze 132$6,950 / $13,900$7,300 / $14,60080%DCDC
Blue PPO Bronze 106$7,200 / $14,400$7,200 / $14,400100%DCDC
Blue PPO Bronze 401$7,250 / $14,500$7,500 / $15,00070%DCDC

2024 BCBSIL Blue Choice Preferred PPO

Platinum & Gold

Plan NameDeductible Ind/FamOut of Pocket Ind/FamCoinsurancePCP VisitSpecialist Visit
Blue Choice Preferred Platinum PPO 119$250 / $750$1,500 / $4,50080%$30$60
Blue Choice Preferred Platinum PPO 136$500 / $1,500$1,500 / $4,50080%$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 / $12,50080%$40$40
Blue Choice Preferred Gold PPO 102$2,500 / $5,000$5,000 / $10,00080%$20$20
Blue Choice Preferred Gold PPO 101$4,000 / $12,000$5,500 / $16,500100%$50$50
Blue Choice Preferred Gold PPO 113$3,200 / $9,600$3,700 / $11,10090%DCDC
Blue Choice Preferred Gold PPO 114
Blue Choice Preferred Gold PPO 115$3,200 / $9,600$5,250 / $14,00080%DCDC

Silver

Plan NameDeductible Ind/FamOut of Pocket Ind/FamCoinsurancePCP VisitSpecialist Visit
Blue Choice Preferred Silver PPO 120$3,600 / $10,800$1,500 / $4,50080%$60$80
Blue Choice Preferred Silver PPO 104$5,000 / $15,000$1,500 / $4,50090%$45$65
Blue Choice Preferred Silver PPO 105$7,900 / $15,800$7,750 / $18,20080%$45$65
Blue Choice Preferred Silver PPO 133$5,250 / $15,000$6,250 / $12,50080%DCDC
Blue Choice Preferred Silver PPO 200$6,250 / $12,500$5,750 / $17,25090%DCDC

Bronze

Plan NameDeductible Ind/FamOut of Pocket Ind/FamCoinsurancePCP VisitSpecialist Visit
Blue Choice Preferred Bronze PPO 132$6,950 / $13,900$7,300 / $14,60080%DCDC
Blue Choice Preferred Bronze PPO 106$7,200 / $14,400$7,200 / $14,400100%DCDC
Blue Choice Preferred Bronze PPO 401$7,250 / $14,500$7,500 / $15,00070%DCDC

2024 BCBSIL Blue Options PPO

Platinum & Gold

Plan NameDeductible Ind/FamOut of Pocket Ind/FamCoinsurancePCP VisitSpecialist 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 290% 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 280% 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 290% 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 290% 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 2100% Tier 1/ 80% Tier 2DCDC
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 NameDeductible Ind/FamOut of Pocket Ind/FamCoinsurancePCP VisitSpecialist 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 280% 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 2100% Tier 1/ 70% Tier 2DCDC
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 2100% Tier 1/ 70% Tier 2DCDC
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 NameDeductible Ind/FamOut of Pocket Ind/FamCoinsurancePCP VisitSpecialist Visit
Blue Precision Platinum HMO 107$0 / NC$0 / NC100% / NC$10$45
Blue Precision Platinum HMO 200$0 / NC$0 / NC100% / NC$20$30
Blue Precision Platinum HMO 110$1,000 / NC || $3,000 / NC$3,000 / NC || $9,000 / NC80% / NC$25$50
Blue Precision Gold HMO 402$0 / NC$0 / NC80% / NC$50$75
Blue Precision Gold HMO 201$0 / NC$0 / NC100% / NC$50$70
Blue Precision Gold HMO 101$2,750 / NC || $8,250/NC$9,100 / NC || $18,200 / NC70% / 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 NameDeductible Ind/FamOut of Pocket Ind/FamCoinsurancePCP VisitSpecialist Visit
Blue Precision Silver HMO 106$3,250/NC || $9,750/NC$9,100/NC || $18,200/NC70% / NC$30$60
Blue Precision Silver HMO 102$7,000/NC || $17,100/NC$9,100/NC || $18,200/NC70% / 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.