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Cost & Coverage

Platinum Standard is a copay plan, which has a higher monthly premium but lower costs when you get care. It's a good option if you use a lot of health care services and want predictable, lower out-of-pocket costs for routine care.

View a Summary of Benefits & Coverage

View a Contract & Other Legal Information for Prospective Members

Embedded Pediatric Dental

In compliance with New York State mandates, all our medical plans include low-cost pediatric dental coverage for those under age 19. You can choose to exclude pediatric dental coverage, while maintaining comprehensive coverage for adults, if you already have coverage from another health plan.

Exclusive Member Benefits

NEW! ThriveWellSM, powered by Virgin Pulse, is your digital home base for health and wellbeing. Get access to tools and support to make small, everyday changes in the areas you want to improve most.

As our member, you'll enjoy additional perks including:

  • No referrals needed for specialist appointments
  • Discounts with Blue365®
  • 24/7 Nurse Call Line
  • Access to 6,000+ health topics
  • And more!

A Great Provider Network

All of our plans give you access to thousands of top-quality doctors, hospitals and pharmacies locally and nationwide through the BlueCard Network.

Need Help?

We can help you get coverage.

Call:1-888-679-71051-844-829-8513 (TTY 711)

Monday - Thursday: 8 a.m - 5:30 p.m.
Friday: 9 a.m. to 5:30 p.m.

Monday - Thursday: 8 a.m. to 7 p.m.
Friday: 9 a.m. to 7 p.m.

Closed: New Year’s Day, Memorial Day, Labor Day, Thanksgiving Day, Day after Thanksgiving, Christmas Eve, Christmas Day

Estimate Medical Costs

As a member you will have access to our Estimate Medical Costs tool to compare out-of-pocket costs for hundreds of procedures across many different treatment categories.