Blue Edge Plans

For small to mid-sized Vermont companies, Blue Edge is a simplified and competitively priced health plan solution that meets day-to-day coverage needs while rewarding employers and employees for embracing health and well-being.

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Using population health data, we've combined the flexibility of self-funding with a predictable maximum cost to help lower your health care costs and simplify the delivery of high-quality health benefits to your employees.

Blue Edge is best suited for employers who:

  • Have between 25-250 enrolled employees; Blue Edge Business plans can also work for those with a minimum of 5 enrolled employees
  • Are re-thinking traditional health plan programs but still want predictable, monthly costs
  • Have or want to create a culture of worksite health and wellness – health and wellness participation is mandatory
  • Are committed to a multi-year partnership to achieve longer term, health outcomes for their employees

Experience Blue Edge

We offer two products under Blue Edge — Blue Edge Classic and Blue Edge Business. Both provide an array of benefits to your organization, including:

  • The benefits and services of our medical plans and an integrated stop loss policy
  • Predictable and consolidated monthly payments
  • Access to our nationwide network of providers (EPO/PPO)
  • Access to our Vermont Blue Rx pharmacy services, which maximize savings while still providing medications that groups and their employees need to stay healthy
  • Personalized support with a registered nurse or licensed social worker through our care management programs—from healthy goal setting to helping people manage chronic or acute conditions
  • Award-winning customer service and support
Couple Running with Dog

Refunds for Living Well

Two thirds of businesses enrolled in one of our Blue Edge plans received an average refund of $1,400 per employee on their 2020 premiums.

    Blue Edge Funding

    • Max Costs: You get the expected results of your claims settlement up front, so you have a lower billing rate. However, you will have to perform better than expected to get money back in your settlement and can get 50 percent of that excess funding back.
       

    Blue Edge Classic

    Designed for organizations that have a minimum of 25 enrolled employees, Blue Edge Classic offers flexibility for your health and wellness plan.

    • Build a plan that aligns with your organization's unique needs and goals
    • Deliver better health outcomes for employees
    • Recognize cost savings for your company

    • Participation in Be Well@Work, an innovative program that helps organizations create a sustainable culture of health and wellness

    Depending on your organization's level of engagement with health and wellness, you will receive between $1,000-$3,000 in program funding. The Blue Edge Classic wellness programs also pay your employees to participate.

    Learn More

    See if Blue Edge Classic is a fit for your company. Contact our sales executive by calling (802) 371-3681 or emailing oconnork@bcbsvt.com.

    Blue Edge Business

    Blue Edge Business plans provide predictable maximum costs while offering benefits and services from our nationwide network of providers (EPO/PPO). We provide four different plan options to help you find the plan that best fits you and your organization's needs and goals.
    Benefit Cost-Share
    Deductible (stacked) $850 / $1,700
    Coinsurance 30% after deductible
    Out-of-pocket maximum (stacked) $4,500 medical, $1,400 prescription
    Preventive Covered at 100%
    Office Visits (PCP/Specialist) $30/$50 not subject to deductible
    Emergency Room $500 after deductible
    Urgent Care $40 not subject to deductible
    Ambulance $50 not subject to deductible
    Hospital Services Subject to deductible and coinsurance
    Prescriptions Generic: $5
    Preferred and Non-Preferred: $100 deductible
    the $50 preferred and 50% for non-preferred

    View Brochure

    Benefit Cost-Share
    Deductible (stacked) $3,000 / $6,000
    Coinsurance 0%
    Out-of-pocket maximum (stacked) $8,150/$16,300
    Preventive Covered at 100%
    Office Visits (PCP/Specialist) $30/$50 not subject to deductible
    Emergency Room $500 after deductible
    Urgent Care $50 not subject to deductible
    Ambulance $500 not subject to deductible
    Hospital Services Outpatient: Deductible then $2,000 Inpatient: Deductible then $500/day
    Prescriptions Generic: $5
    Preferred: $50
    Non-Preferred: $75

    View Brochure

    Benefit Cost-Share
    Deductible (stacked) $2,750/$5,500
    Coinsurance 0%
    Out-of-pocket maximum (aggregate) $2,750/$5,500
    Preventive Covered at 100%
    Office Visits (PCP/Specialist) Subject to deductible
    Emergency Room Subject to deductible
    Urgent Care Subject to deductible
    Ambulance Subject to deductible
    Hospital Services Subject to deductible
    Prescriptions Subject to deductible then*: Generic: $5 | Preferred: 40%
    Non-preferred: 60% *wellness drugs are not subject to the deductible first, will process as $5/40%/60%

    View Brochure

    Benefit Cost-Share
    Deductible (stacked) $5,250/$10,500
    Coinsurance $5,250/$10,500
    Out-of-pocket maximum (aggregate) $6,550/$13,100 ($8,150 individual OOP max)
    Preventive Covered at 100%
    Office Visits (PCP/Specialist) Subject to deductible
    Emergency Room Subject to deductible
    Urgent Care Subject to deductible
    Ambulance Subject to deductible
    Hospital Services Subject to deductible and coinsurance
    Prescriptions Subject to deductible then*:
    Generic: $12 | Preferred: 40%
    Non-preferred: 60%
    *wellness drugs are not subject to the deductible first,
    will process as $12/40%/60%

    View Brochure

    Learn More

    Blue Edge Business plans are distributed through Business Resource Services. To learn more about Blue Edge Business Plans, and to get started with the enrollment process, visit www.brsvt.com. You can also call (802) 865-4560 or email info@brsvt.com for more information.