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Introducing a New Plan for Small Groups

Beginning April 1, 2013, we will offer a new option for small groups: HMO Blue New England $3,000 DeductibleSM. This affordable plan is available for fully insured groups eligible for a Health Reimbursement Account.

Combining New England-wide coverage with the savings of our HMO Blue New EnglandSM regional managed care plans, benefits include:

  • A $3,000 individual and $6,000 family deductible
  • $25 primary care provider and $40 specialist copayments
  • Value-Based Benefits enhancement as a core benefit feature
  • Hospital Choice Cost Sharing for additional savings

Must Be Paired with an HRA

In order to offer this plan design, the account must attest that the plan has been paired with a Health Reimbursement Account (HRA) that is funded to at least $1,000 individual/$2,000 family but not to more than 50 percent of the deductible amount. All members under the plan must be covered under the HRA.

Accounts can fund the HRA through one of our preferred vendors or through the vendor of their choice. For more information about pairing this plan with an HRA, please contact your account executive.

NOTE: The HMO Blue New England $3,000 Deductible plan design, on its own, does not meet Massachusetts Minimum Creditable Coverage (MCC) but does meet MCC with the HRA account.

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