NATIONAL BLUE CROSS/BLUE SHIELD ASSOCIATION PLANS
BC/BS Program
While PBG specializes in alternative medical programs like Day-Limit MVP, the organization recognized the need for traditional plan options. These can be offered as a buy-up to MVP, an executive plan carve-out, or a complete replacement for an employer’s current healthcare program.
There are 10 national plan options ranging from HSA-qualified, first-dollar deductible plans (no co-insurance) to full copay plans. These plans provide fully insured equivalent rates, are ACA compliant, and meet the requirements of both Part A and Part B penalties enforced by the IRS for groups with over 50 full-time employees.
Plan Highlights
- Rates and plans are the same in all 50 states
- Employer can choose to offer multiple plan options
- Program is not a MEWA, association, or multiple employer trust program
- Rates are guaranteed
- Guaranteed issue with no group underwriting (employees answer medical questions for care coordination purposes)
- Participation requirement is one covered employee
- Can be offered on a stand-alone basis or alongside another employer option
- Fully insured rates
- Utilizes the BC/BS National Blue Card PPO Network
- All technology, communication, education, and enrollment services are built into the cost of the program
- Consolidated billing for medical and other benefit programs offered at open enrollment and new hire benefit election period can also be included
Get Started
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Testimonials
Partner Experiences That Speak for Themselves
Partnering with Prime Benefit Group allowed us to offer healthcare benefits that hourly employees can actually afford and use. Enrollment improved, employee satisfaction increased, and healthcare costs became more predictable.
Affordable, Engaging Healthcare “Partnering with Prime Benefit Group allowed us to offer benefits for our client's hourly employees that they can actually afford and use. Enrollment improved, satisfaction grew, and costs are now far more predictable.”
A Smart Approach to GLP-1 Costs “With GLP-1 medications skyrocketing, we needed a sustainable approach. The membership solutions from Prime Benefit Group gave us a responsible, cost-controlled way to support employers without breaking the plan.”