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Tiered Benefit 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.

Optimum Choice

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

All Kaleida Health facilities

  • Bradford Regional Medical Center
  • Brooks Memorial Hospital
  • Buffalo General Hospital/Gates Vascular Institute
  • DeGraff Memorial Hospital
  • Gates Vascular Institute
  • John R. Oishei Children's Hospital (formerly Women & Children's Hospital of Buffalo)
  • Lake Shore Hospital Inc.
  • Millard Fillmore Suburban Hospital
  • Niagara Falls Memorial Medical Center
  • Olean General Hospital

Additional Participating Facilities

  • BryLin Hospital
  • Buffalo VA Medical Center
  • Eastern Niagara Health System
  • Erie County Medical Center
  • Roswell Park Comprehensive Cancer Center
  • 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.

Flexible Choice

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.

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

Optimum Choice- 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)


Additional Participating Facilities

  • Bertrand Chaffee Hospital
  • Bradford Regional Medical Center
  • BryLin Hospital
  • Buffalo VA Medical Center
  • Eastern Niagara Health System
  • John R. Oishei Children's Hospital (formerly Womens & Children's Hospital of Buffalo)
  • Medina Memorial Hospital
  • Westfield Memorial Hospital
  • 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.

Flexible Choice

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.

Need More Help?

View our Tiered Benefit Plans Brochure.