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Mid-Sized Business and Balanced Funding Plan Documents January 2024

Pharmacy

DocumentsDownload/Access
3 & 4 Tier Standard Plans
BlueSignature Prosano PPO, BluePreferred PPO, Ascend HMO Plus
Coinsurance & Brand-Generic Standard Plans
BluePreferred PPO HSA, Ascend HSA HMO

Employer Health Plan Product Guide

GuideDownload
Balanced Funding
Mid-Sized Business

Summary of Benefits and Coverage (SBC)

The Summary of Benefits and Coverage (SBC) provides a concise description of what services your plan covers along with what you will pay for covered benefits.

Benefit Books

DocumentsDownload
Group BlueSignature Prosano PPO Base Benefit Book
Group BluePreferred PPO Base Benefit Book
Group Ascend HMO Plus Base Benefit Book
Group Ascend HSA HMO Base Benefit Book
Group Ascend HMO PCP Removal Rider