Coverage for Midsize and Large Businesses

With three types of plans and multiple options, we have coverage that’s right for every group and every member. Our network gives you access to more of the best doctors, specialists, and hospitals in your neighborhood and around the globe than any other. We’ve also negotiated great rates with these providers, which means everyone pays less for a higher quality of care.

• Local 31-County Network: 100% hospital participation, 99% physician participation and more than 98% participation of hospital-based providers
• National Network: >1,700,000 providers, 96% hospital participation, and 95% doctor and specialist participation
• Global Network: 7,400 hospitals (including the U.S.), thousands of hand-picked doctors and dentists fluent in English, and providers in 190 countries

Also, we know that going to the doctor’s office isn’t always an option, so our plans allow employees to access care and support right from home through telehealth, telemedicine, and the Wellframe® app. Learn more about these convenient tools in Tools & Resources.

Blue Simplicity is Now Available to Fully Insured Businesses*

The simplicity and predictability of a copay plan - without the higher premiums. Blue Simplicity is a new way for employers to offer an easy-to-understand copay plan at a lower price point. It works just like a traditional copay plan, only with additional copay levels that help businesses keep expenses in check while still providing a simple copay plan employees love.

• Six copay levels so costs are always transparent and predictable.
• No deductible or coinsurance to figure out.
• Copays go toward the out-of-pocket max.
• Preventive care is covered in full from day one.
• All plans are FSA and HRA compatible.

*Subject to DFS approval

Medicare Solutions

We can also help you with Medicare Advantage, Part D, and Supplement Plans for retirees and employees working past age 65. View Group Medicare Options.

When your team is healthier, your business runs more smoothly. That’s why our comprehensive approach to Member Health Management is essential. With our system of clinical programs, reminders, and education, we surround your employees with the help they need to stay on track with their health goals, live better, and work harder.

Whether someone on your team is dealing with a chronic or complex condition, or just needs a reminder to go to the doctor once in a while, you can feel confident knowing someone is looking out for them—at no additional cost^*.

Some highlights of our comprehensive roster of Member Health Management services include:

• Utilization Management
• Care Management
• Disease Management
• Behavioral Health Management
• Wellbeing and Incentive Programs

We’re dedicated to making health care more convenient for greater employee engagement. That’s why we offer free self-service support tools that make it easier than ever to get care.

• Online Member Accounts: From viewing their member card and benefits to viewing claims, tracking their deductible and out-of-pocket spending, and more, members have more visibility into their plan than ever before.
• NEW! Calm^® App: Members receive a 12-month premium subscription to the Calm app, a digital experience to help members build resilience and manage stress through better sleep, mindfulness, and meditation.*^†
• Telemedicine: For non-emergency conditions and emotional wellbeing needs, telemedicine gives members convenient access to medical and behavioral health care 24/7/365 from the comfort of their home. In-network telehealth services provided by a member’s physician or our partner, MDLIVE, are covered in full (subject to deductible where applicable).
• Wellframe^® app: Wellframe is a convenient way for members to receive confidential, text-based, one-on-one outreach from our Care Managers using a smartphone or tablet. Members can receive guidance, support, and tips to help achieve their health care goals and reduce costs.
• 24/7 Nurse Call Line: Members can contact a nurse by phone anytime—24 hours a day, seven days a week—with general health questions. If ongoing support is needed, members may be referred to a member care manager so they’ll have the support that best fits their needs.
• Find a Doctor & Estimate Medical Costs Tool: Members are more in control of their care with the ability to quickly and easily find their most affordable local, national, and global care options with our online tools.

*Subject to final approvals
†Included in Fully Insured Large Group plans; Buy-up for Self-Funded and Minimum Premium groups. Calm is an independent company that provides a mobile app for sleep, meditation, and relaxation to Excellus BCBS members.

When you integrate services like dental, administrative services and stop loss with medical benefits, Excellus BCBS can support employees with a more complete view of their health. Leading to more proactive support to help keep employees healthy and costs of care down.