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.

Two business owners standing in front of their store

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 health and wellness in the workplace – health and wellness participation is mandatory
  • Are committed to a multi-year partnership to achieve longer term, health outcomes for their employees

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.

Experience Blue Edge

Blue Edge weaves together insights from population health data with the flexibility of self-funding and financial predictability from its captive product design. Blue Edge rewards employers with cost savings and healthier, more productive employees.

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

 

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 Accountable Blue, 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.