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Medium Group Health Insurance Plans

Blue Cross and Blue Shield of Illinois offers health care plans with the choice, flexibility and affordable options that growing companies in the 51-150 market want.

The 2024-2025 BCBSIL Mid-Market Group Portfolio is available from July 1, 2024, through June 30, 2025. Check out what's in store this year to help employers reduce health care costs and improve the lives of their employees. And learn what we're doing to make it easier for members to stay healthy throughout the year. 

Mid-Market Business Coverage with Big Benefits

The following network products are available for mid-market groups with 51-150 participants.

BluePrint PPOSM

  • Broad statewide PPO
  • BlueCard and Away from Home Care (AFHC)
  • No Medical Group selection required
  • No referral required to see a specialist
  • Some out-of-network benefits

Blue Choice Select PPOSM

  • Select, nearly statewide PPO
  • More affordable network than a broader PPO network
  • BlueCard and Away from Home Care (AFHC)
  • No Medical Group selection required
  • No referral required to see a specialist
  • Some out-of-network benefits

Blue Choice OptionsSM

  • Tiered Statewide PPO
  • Leverages benefit design to increase utilization at cost-effective providers
  • There are three benefit tiers: 
    • Tier 1 - Blue Choice OPT PPO. Lower cost-share when this network is utilized.
    • Tier 2 - PPO Network. Higher cost-share when accessing broader PPO network.
    • Tier 3 - Out of network. Highest cost-share when out-of-network providers are used.
  • BlueCard access and Away from Home Care (AFHC) paid at Tier 1
  • No Medical Group selection nor referral required

 

Blue Advantage HMOSM

  • Broad HMO available in major metro areas
  • Must select a Medical Group
  • Referrals to specialists are required
  • No out-of-network benefits
  • Affordable, member-focused health care benefit plan that emphasizes preventive care and condition management
  • Built around creating value — and can help improve members’ health outcomes

More Programs Available to Help Members Take Control of Their Health

We're empowering members to take control of their health through programs that can help them save money and prevent certain types of health conditions. We're also helping employers reduce health care costs by giving employees access to these programs, which can reduce doctor visits and hospitalizations.

Teladoc Health

This personalized diabetes management program helps members understand their blood sugar, develop healthy habits and improve glycemic control.

Wondr Health™

This digital weight-management program teaches members science-based skills to help them lose weight, sleep better and manage stress.

Hinge Health

This digital musculoskeletal program is led by physical therapists and health coaches  and done in the comfort of the member’s own home.

Bundling Life and Disability Programs Reduces Premiums

Offering ancillary benefits alongside medical coverage can help employers protect their employees’ physical and financial wellbeing while providing them with peace of mind.  We offer ancillary benefits with medical benefits under a single brand. This comprehensive approach to coverage enables us to focus on supporting the overall health, wellbeing and financial security of your client's employees.

The Ancillary Producers Corner, our secure password-protected site, offers up-to-date sales tools to save you time, help grow your business and successfully service existing ancillary group customers. If you're not already using the Ancillary Producers Corner, register today.

Last Updated: Dec. 23, 2024