BlueClassic $0 Deductible Plan
BlueClassic $0 Deductible Plan with EAP
BlueClassic $250 Deductible Plan
BlueClassic $250 Deductible Plan with EAP
BlueClassic $1000 Deductible Plan
BlueClassic $1000 Deductible Plan with EAP

BlueClassic $100 Deductible Plan
BlueClassic $100 Deductible Plan with EAP
BlueClassic $500 Deductible Plan
BlueClassic $500 Deductible Plan with EAP
BlueClassic $1500 Deductible Plan
BlueClassic $1500 Deductible Plan with EAP

$0 Deductible Benefit Summaries
BluePreferred $0 Deductible Plan
BluePreferred $0 Deductible Plan with EAP
BluePreferred $0 Deductible Plan with Accidental Injury Benefit
BluePreferred $0 Deductible Plan with Accidental Injury and EAP

$250 Deductible Benefit Summaries
BluePreferred $250 Deductible Plan
BluePreferred $250 Deductible Plan with EAP
BluePreferred $250 Deductible Plan with Accidental Injury Benefit
BluePreferred $250 Deductible Plan with Enhanced Partial Deductible Waiver
BluePreferred $250 Deductible Plan with Accidental Injury and EAP
BluePreferred $250 Deductible Plan with Enhanced Partial Deductible Waiver and Accidental Injury Benefit
BluePreferred $250 Deductible Plan with Enhanced Partial Deductible Waiver and EAP
BluePreferred $250 Deductible Plan with Enhanced Partial Deductible Waiver, Accidental Injury Benefit and EAP

$500 Deductible Benefit Summaries
BluePreferred $500 Deductible Plan
BluePreferred $500 Deductible Plan with EAP
BluePreferred $500 Deductible Plan with Enhanced Partial Deductible Waiver
BluePreferred $500 Deductible Plan with Accidental Injury Benefit
BluePreferred $500 Deductible Plan with Accidental Injury and EAP
BluePreferred $500 Deductible Plan with Enhanced Partial Deductible Waiver and Accidental Injury Benefit
BluePreferred $500 Deductible Plan with Enhanced Partial Deductible Waiver and EAP
BluePreferred $500 Deductible Plan with Enhanced Partial Deductible Waiver, Accidental Injury Benefit and EAP

$1000 Deductible Benefit Summaries
BluePreferred $1000 Deductible Plan
BluePreferred $1000 Deductible Plan with EAP
BluePreferred $1000 Deductible Plan with Accidental Injury Benefit
BluePreferred $1000 Deductible Plan with Enhanced Partial Deductible Waiver
BluePreferred $1000 Deductible Plan with Accidental Injury and EAP
BluePreferred $1000 Deductible Plan with Enhanced Partial Deductible Waiver and Accidental Injury Benefit
BluePreferred $1000 Deductible Plan with Enhanced Partial Deductible Waiver and EAP
BluePreferred $1000 Deductible Plan with Enhanced Partial Deductible Waiver, Accidental Injury Benefit and EAP

$1500 Deductible Benefit Summaries
BluePreferred $1500 Deductible Plan
BluePreferred $1500 Deductible Plan with EAP
BluePreferred $1500 Deductible Plan with Accidental Injury Benefit
BluePreferred $1500 Deductible Plan with Enhanced Partial Deductible Waiver
BluePreferred $1500 Deductible Plan with Accidental Injury and EAP
BluePreferred $1500 Deductible Plan with Enhanced Partial Deductible Waiver and Accidental Injury Benefit
BluePreferred $1500 Deductible Plan with Enhanced Partial Deductible Waiver and EAP
BluePreferred $1500 Deductible Plan with Enhanced Partial Deductible Waiver, Accidental Injury Benefit and EAP

$2000 Deductible Benefit Summaries
BluePreferred $2000 Deductible Plan
BluePreferred $2000 Deductible Plan with EAP
BluePreferred $2000 Deductible Plan with Accidental Injury Benefit
BluePreferred $2000 Deductible Plan with Enhanced Partial Deductible Waiver
BluePreferred $2000 Deductible Plan with Accidental Injury and EAP
BluePreferred $2000 Deductible Plan with Enhanced Partial Deductible Waiver and Accidental Injury Benefit
BluePreferred $2000 Deductible Plan with Enhanced Partial Deductible Waiver and EAP
BluePreferred $2000 Deductible Plan with Enhanced Partial Deductible Waiver, Accidental Injury Benefit and EAP

BlueEssentials $1000 Deductible Plan
BlueEssentials $1000 Deductible Plan with EAP
BlueEssentials $2000 Deductible Plan
BlueEssentials $2000 Deductible Plan with EAP
BlueEssentials $4000 Deductible Plan
BlueEssentials $4000 Deductible Plan with EAP

Additional Benefits and/or Riders

Rx Drug Card

Rx Drug Option 1 - $5/20%/50%
Rx Drug Option 2 - $10/20%/35%
Rx Drug Option 3 - $5/40%/50%
Rx Drug Option 4 - $10/50%/50%

Rx Drug Option 1 with Deductible Waiver - $5/20%/50%
Rx Drug Option 2 with Deductible Waiver - $10/20%/35%
Rx Drug Option 3 with Deductible Waiver - $5/40%/50%
Rx Drug Option 4 with Deductible Waiver - $10/50%/50%

Mental Health Condition and Substance Abuse
Option 1 Small Group Mental Health 50%/50%
Option 2 Catastrophic Mental Health 80%/20%
Option 3 Catastrophic Mental Health 50%/50%

Dental
Option F
Option G
Option K
Option S
Option V

Vision
Option “AN” Vision

Regence HSA Healthplan New!

2-50 Groups

Six deductible options:
$1,500 individual, $3,000 family
$2,500 individual, $5,000 family
$3,000 individual, $5,000 family
$3,000 individual, $7,000 family
$3,500 individual, $7,000 family
$5,000 individual, $10,000 family

Six deductible options:
$1,500 individual, $3,000 family
$2,500 individual, $5,000 family
$3,000 individual, $5,000 family
$3,000 individual, $7,000 family
$3,500 individual, $7,000 family
$5,000 individual, $10,000 family