Small Group Plan Changes for 2022

  • Small Group News
    Published November 9, 2021

    If your client offers one of the plans below, we have decided to update select plan benefits for January 1, 2022, effective dates and beyond. Mailing of notices to groups regarding the changes began October 27, 2021, and will continue monthly as impacted groups renew throughout the year.

    What does this mean?
    The group will automatically re-enroll in their current plan. Please be advised of the benefit changes below.

    What other options do your clients have?
    Your clients don’t need to choose a different plan. However, if they wish to make a change, they can choose a new health plan from the 2022 Premera small group portfolio of plans. Product guides to support those decisions can be found in the Premera Producer Portal.

    Questions?
    Contact your Premera account team for more information.

    Plan Name Benefit 2021 2022
    Premera Blue Cross Plus HSA Qualified Bronze 6900 In-Network Deductible $6,900 $5,950
    Out-of-Network Deductible $13,800 $11,900
    In-Network Coinsurance 0% 50%
    Out-of-Network Participating Coinsurance 40% 50%
    Pharmacy Deductible, then 0% Coinsurance Deductible, then 50% Coinsurance
    HSA Generic Preventive Drug List PV1 PV Core
    Premera Blue Cross Plus Platinum 250 Mail Order Copays (Tiers 1/2/3) $30/$120/$300 $25/$100/$250
    Premera Blue Cross Plus Platinum 500 Mail Order Copays (Tiers 1/2/3) $30/$120/$300 $25/$100/$250
    Premera Blue Cross Plus Gold 500 Mail Order Copays (Tiers 1/2/3) $60/$150/$300 $50/$125/$250
    Premera Blue Cross Plus Gold 1000 Mail Order Copays (Tiers 1/2/3) $30/$120/$300 $25/$100/$250
    Premera Blue Cross Plus Gold 1500 Mail Order Copays (Tiers 1/2/3) $30/$120/$300 $25/$100/$250
    Premera Blue Cross Plus Gold 2000 Mail Order Copays (Tiers 1/2/3) $60/$150/$375 $50/$125/$312.50
    Premera Blue Cross Plus Silver 2000 Mail Order Copays (Tiers 1/2/3) $75/$195/$450 $62.50/$175/$375
    Premera Blue Cross Plus Silver 2500 Mail Order Copays (Tiers 1/2/3) $75/$195/$450 $62.50/$175/$375
    Premera Blue Cross Plus Silver 3000 Mail Order Copays (Tiers 1/2/3) $75/$195/$450 $62.50/$175/$375
    Premera Blue Cross Plus Silver 4000 Mail Order Copays (Tiers 1/2/3) $75/$195/$450 $62.50/$175/$375
    Premera Blue Cross Plus Bronze 5500 Mail Order Copays (Tiers 1/2/3) $75/Ded, $255/Ded, $525 $62.50/Ded, $212.50/Ded, $437.50
    Premera Blue Cross Plus Bronze 6350 Mail Order Copays (Tiers 1/2/3) $75/Ded, $255/Ded, $525 $62.50/Ded, $212.50/Ded, $437.50
    Premera Blue Cross Plus Bronze 8150 In Network Ambulance Transportation (air and ground) $25 copay, then in network deductible and coinsurance In network deductible and coinsurance
    Out of Network Ambulance Transportation (emergent air and ground) $25 copay, then in network deductible and coinsurance In network deductible and coinsurance
    In Network Emergency Room Cost Share $250 copay, then in network deductible and coinsurance In network deductible and coinsurance
    Out of Network Emergency Room Cost Share $250 copay, then in network deductible and coinsurance In network deductible and coinsurance
    Mail Order Copays (Tier 1) $75 $62.50
    Premera Blue Cross Plus Bronze 8550 Mail Order Copays (Tier 1) $90 $75
    Premera Blue Cross Plus HSA Qualified Gold 1500 HSA Generic Preventive Drug List PV1 PV Core
    Premera Blue Cross Plus HSA Qualified Silver 2800 HSA Generic Preventive Drug List PV1 PV Core
    Premera Blue Cross Plus HS A Qualified Silver 3500 HSA Generic Preventive Drug List PV1 PV Core
    Premera Blue Cross Plus HSA Qualified Bronze 5950 HSA Generic Preventive Drug List PV1 PV Core
    Out of network Participating Coinsurance 40% coinsurance 50% coinsurance

     

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