Platinum Blue, a Medicare-approved Cost plan from Blue Cross and Blue Shield of Minnesota, can help pay for your medical costs and provide additional benefits and services as well.
The Platinum Blue plan includes:
Access to a large provider network of doctors, clinics and hospitals.
Flexible coverage that allows you to change among three
plan options at any time
The Silver&Fit Exercise and Healthy Aging Program at no additional cost
A single ID card for medical and prescription drug coverage
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Cost & Coverage
Embedded Pediatric Dental
Exclusive Member Benefits
As our member, you'll enjoy:
- NEW! Calm® stress management program to support better emotional wellbeing
- No referrals needed for specialist appointments
- ExerciseRewardsTM - earn up to $600 a year for working out
- Discounts with Blue365®
- 24/7 Nurse Call Line
- Access to 6,000+ health topics
- And more!
A Great Provider Network
Need Help?
We can help you get coverage.
Call:1-888-679-71051-844-829-8513 (TTY 711)
Monday - Thursday: 8 a.m - 5:30 p.m.
Friday: 9 a.m. to 5:30 p.m.
Monday - Thursday: 8 a.m. to 7 p.m.
Friday: 9 a.m. to
7 p.m.
Closed: New Year’s Day, Memorial Day, Labor Day, Thanksgiving Day, Day after Thanksgiving, Christmas Eve, Christmas Day
Estimate Medical Costs
As a member you will have access to our Estimate Medical Costs tool to compare out-of-pocket costs for hundreds of procedures across many different treatment categories.
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Plan Costs & Overview
Monthly premium
Your premium is the amount you pay for your health insurance each month.
Deductible amount
The dollar amount you pay for services and/or medications before your plan begins to pay a larger portion of costs.
Deductible type
There are two kinds of deductibles: stacked and aggregate. Stacked deductible plans pay benefits for an individual once the individual deductible is met, even on a two-person or family plan. With aggregate deductibles, the full single or family deductible must be satisfied before benefits are paid.
Stacked
Out-of-pocket maximum
A limit on the amount you will pay for covered services (medical or prescriptions) in a calendar year. Once you meet this limit, we will pay for 100% of covered health care costs for the rest of the calendar year.
Health Savings Account (HSA) compatibility
A Health Savings Account (HSA) is a savings account that allows you to save money tax-free which can be used to pay for qualified health care expenses set by the IRS.
Not Compatible
Health Reimbursement Arrangement (HRA) compatibility
A Health Reimbursement Arrangement (HRA) is for some employer-funded health plans in which employees are reimbursed tax-free for qualified medical expenses up to a fixed dollar amount per year.
Not Compatible
Network type
The type of health insurance plan offered that determines the network of providers and facilities available in that health plan. For example, our EPO network plans cover services for doctors, specialists, or hospitals in our Blue Cross network within Vermont and nationwide.
EPO
Plan documents
Prescriptions
Prescription deductible
The amount you pay toward the cost of medications before your plan will begin to pay costs.
$0
Prescription out-of-pocket maximum
A limit on the amount you will pay for covered prescriptions in a calendar year. Once you meet this limit, we will pay for 100% of covered costs for the rest of the calendar year. Some plans may have a separate prescription out-of-pocket maximum, or it may be combined with the overall out-of-pocket maximum.
$2,800
A generic drug is a medication created to be the same as an existing approved brand-name drug. $10 co-pay $10 co-pay Brand-name drugs that are listed on our formulary drug list (drugs covered by your plan). $50 co-insurance $50 co-pay A medication that has been determined to have an alternate drug available that is clinically equivalent such
as a generic equivalent. 50% co-insurance 50% co-insurance A medication that has been determined to have an alternate drug available that is clinically equivalent such as a generic equivalent. $10 co-pay $10 co-pay Preferred brand medications for select conditions such as asthma, antidepressants, cardiovascular/heart disease, diabetes, smoking deterrents, and more. $50 co-payGeneric prescriptions
Before Deductible
After Deductible
Preferred brand prescriptions
Before Deductible
After Deductible
Non-preferred brand prescriptions
Before Deductible
After Deductible
Generic wellness prescriptions
Before Deductible
After Deductible
Preferred wellness prescriptions
Before Deductible
After Deductible
$50
co-pay
Non-preferred wellness prescriptions
Preferred brand medications for select conditions such as asthma, antidepressants, cardiovascular/heart disease, diabetes, smoking deterrents, and more.
Before Deductible
50%
co-insurance
After Deductible
50%
co-insurance
Office Visits
Preventive care
Services used to find or reduce your risks when you do not have symptoms, signs, or specific increased risk for the condition being targeted. It can include annual check-ups, immunizations, as well as certain tests and screenings.
$0
Screening
A test that helps find diseases and conditions early. Routine health screenings are recommended for people throughout life as part of preventive care.
$0
Immunization
Vaccinations for adults and children.
$0
A health care provider who provides primary,
routine care services. 3 visits per member at $0, then $15 $15 co-pay A visit to a healthcare provider that is considered a medical specialist, such as an orthopedic surgeon or cardiologist. $40 co-payPrimary Care & Mental Health
Before Deductible
After Deductible
Specialist
Before Deductible
After Deductible
$40
co-pay
Chiropractor
A visit to a healthcare provider that is considered a medical specialist, such as an orthopedic surgeon or cardiologist.
Before Deductible
$20
co-pay
After Deductible
$20
co-pay
Outpatient Physical Therapy
A series of visits to a clinic (either in a hospital or facility) to receive therapy that relieves pain of an acute condition, restores function, and prevents disability following disease, injury. or loss of body part.
Before Deductible
$20
co-pay
After Deductible
$20
co-pay
Nutritional Counseling
A healthcare provider helps you assess your dietary habits to help create an individual action plan for ongoing self-care. Nutritional counseling benefits are covered up to 3 visits. There is no limit on the number of nutritional counseling visits for treatment of diabetes.
Before Deductible
$40
co-pay
After Deductible
$40
co-pay
Outpatient Speech and Occupational Therapy
Speech therapy services provide treatment of swallowing, speech-language and cognitive-communication disorders. Occupational therapy services promote the restoration of a physically disabled person’s ability to accomplish the ordinary tasks of daily living or the requirements of person’s particular occupation.
Before Deductible
$40
co-pay
After Deductible
$40
co-pay
Hospital Services
Health care services that are necessary to treat a condition or illness of an individual that if not treated within 24 hours would cause risk. $50 co-pay $50 co-pay Care for illness or injuries that need immediate attention and care. Full price $100 co-pay Transportation provided to the nearest facility or hospital, such as by an ambulance service. $60 co-pay $60 co-pay A patient who receives services/care while not
an inpatient. Outpatient care may be provided in a hospital, walk-in clinic, outpatient surgery center, and your doctor’s office. It includes diagnostic tests, treatments, or other types of procedures. Full price 10% co-insurance Inpatient hospital stay is when you are
admitted to a hospital or other type of inpatient facility and spend at least one night. Full price 10% co-insuranceUrgent Care
Before
Deductible
After Deductible
Emergency Room Care
Before Deductible
After Deductible
Emergency Medical Transportation
Before Deductible
After Deductible
Outpatient
Before Deductible
After Deductible
Inpatient Hospital Stay
Before Deductible
After Deductible
Enrollment & Help
Ready to enroll? Based on whether you qualify for federal subsidies or not, we have outlined the enrollment options below.
For those who do not qualify for subsidies or want to enroll directly with us
You can enroll directly online or download a PDF form to send to us.
For those who may qualify for subsidies
If you do qualify for subsidies, you must enroll through the Vermont Health Connect website.