Your employer offers medical insurance to protect the health of you and your family. It covers medical expenses such as visits to the doctor’s office, emergency care, and prescription drugs. It’s important to have a medical plan that meets your needs and the needs of your family.

Keep in mind that your out-of-pocket costs will be lower if you receive care from an in-network doctor and facility. To find an in-network doctor, please visit www.bcidaho.com.

	In-Network
Deductible (Individual/Family)	$1,500 / $3,000
Out-of-Pocket Max (Individual/Family)	$5,500 / $11,000
Member Coinsurance	30%
Physician Visits
Primary Care Visit	$40 Copay
Routine Preventive	$0 Copay
Specialist	$60 Copay
Telehealth	$10 Copay
Hospital Services
Physician Services	30% after Deductible
Inpatient Hospitalization	30% after Deductible
Outpatient Surgery	30% after Deductible
Basic Outpatient Diagnostics	First $400 paid in full then 20% after Deductible
Urgent Care	$40 Copay
Emergency Room	$100 Copay, then 30% after Deductible
Retail & Mail Order Prescriptions
Prescription Out-of-Pocket Max	$2,000 individual / $4,000 Family
Generic Drugs	Preferred $10 / Non-preferred $20
Preferred Brand Drugs	$30
Non-preferred Brand Drugs	$50
Specialty Drugs	Preferred 20% / Non-preferred 30%

	Per Pay Period Cost
Employee Only	$59.24
Employee + Adult	$247.05
Employee + Child	$124.36
Employee + Child(ren)	$165.44
Family	$259.89

Downloads

Summary of Benefits

Your employer offers medical insurance to protect the health of you and your family. It covers medical expenses such as visits to the doctor’s office, emergency care, and prescription drugs. It’s important to have a medical plan that meets your needs and the needs of your family.

Keep in mind that your out-of-pocket costs will be lower if you receive care from an in-network doctor and facility. To find an in-network doctor, please visit www.bcidaho.com.

	In-Network
Deductible (Individual/Family)	$3,400 / $6,800
Out-of-Pocket Max (Individual/Family)	$5,000 / $10,000
Member Coinsurance	20%
Physician Visits
Primary Care	20% After Deductible
Routine Preventive	$0
Specialist	20% After Deductible
Telehealth	$10
Hospital Services
Physician Services	20% After Deductible
Inpatient Hospitalization	20% After Deductible
Outpatient Surgery	20% After Deductible
Basic Outpatient Diagnostics	20% After Deductible
Urgent Care	20% After Deductible
Emergency Room	$100 Copay, then 20% after Deductible
Retail Prescriptions
Generic Drugs	20% After Deductible
Preferred Brand Drugs	20% After Deductible
Non-preferred Brand Drugs	20% After Deductible
Specialty Drugs	20% After Deductible

	Per Pay Period Cost
Employee Only	$40.86
Employee + Adult	$213.13
Employee + Child	$107.27
Employee + Child(ren)	$142.71
Employee + Family	$224.21

Downloads

Summary of Benefits

	Per Pay Period Cost
Employee Only	$2.42
Employee + Adult	$2.42
Employee + Children	$2.42
2 Adults + Children	$2.42

Downloads

Teladoc Mobile App

Welcome to Sharecare, a new tool for a new, healthier you!

Overview of wellbeing resources and incentives for those on the medical plan.

Blue Cross of Idaho has partnered with Sharecare to help you live your happiest, healthiest and most productive life. You have access to wellbeing resources to help keep your mind and body strong at no cost to you.

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Sharecare for Group Members

Medical Benefits