Tiered Benefit Plans

Introducing our tiered plans: Giving your clients the same great access to doctors and hospitals, while offering additional cost savings for specific medical facilities and specialists. As the region's largest health insurer, BlueCross BlueShield of Western New York now offers align and focus plans. When you offer one of these plans, your clients have two tiers — or cost-shares — of in-network benefits to choose from.

Whether you choose align or focus, your clients will receive:

  • the same premium and plan benefits for small group and individual plans
  • the same broad network of BlueCross BlueShield doctors and hospitals
  • a team of health coaches and nurses provided by BlueCross BlueShield to further support your clients’ health care needs

Check out the details below:

 

align

A plan that provides lower cost-share options for members who choose Kaleida Health System providers and other select hospitals and health care facilities.

 

focus

A plan that provides lower cost-share options for members who choose Catholic Health System providers and other select hospitals and health care facilities.

Optimum Choice

Preferred

Optimum Choice- lower out-of-pocket costs when you use specific doctors, specialists, and hospitals.

 

All Kaleida Health facilities

  • Buffalo General Hospital/Gates Vascular Institute
  • DeGraff Memorial Hospital
  • Gates Vascular Institute
  • Millard Fillmore Suburban Hospital
  • Women & Children’s Hospital of Buffalo

Other facilities

  • Brooks Memorial Hospital
  • Buffalo VA Medical Center
  • Eastern Niagara Health System
  • Erie County Medical Center
  • Niagara Falls Memorial Medical Center
  • Olean General Hospital
  • Roswell Park Cancer Institute
  • United Memorial Medical Center
  • Woman’s Christian Association (WCA) Hospital


*All urgent care centers, emergency care, primary care doctors, pediatricians, and OB-GYNs are covered at the lowest cost-share.

Preferred- lower out-of-pocket costs when you use specific doctors, specialists, and hospitals.


All Catholic Health facilities

  • Kenmore Mercy Hospital
  • Mercy Hospital of Buffalo
  • Mount Saint Mary’s Hospital
  • Sisters of Charity Hospital
  • Sisters of Charity Hospital (Saint Joseph’s)

Other facilities

  • Bertrand Chaffee Hospital
  • BryLin Hospital
  • Buffalo VA Medical Center
  • Eastern Niagara Health System
  • Medina Memorial Hospital
  • Roswell Park Cancer Institute
  • Westfield Memorial Hospital
  • Woman’s Christian Association (WCA) Hospital
  • Women & Children’s Hospital of Buffalo

*All urgent care centers, emergency care, primary care doctors, pediatricians, and OB-GYNs are covered at the lowest cost-share.

Flexible Choice

Participating

Flexible Choice- Gives members access to all the remaining providers in the BlueCross BlueShield network, however, out-of-pocket costs may be higher depending on the doctor or facility they choose.

Participating- Gives members access to all the remaining providers in the BlueCross BlueShield network, however, out-of-pocket costs may be higher depending on the doctor or facility they choose.

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