Blue Cross Blue Shield of WNY

Gold Individual and Family Plans

Our Gold plans offer a robust level of coverage with lower deductibles, copays, and other cost-shares.  If you visit your doctor and receive medical care regularly, consider a Gold plan. Their higher monthly premiums cover more health care costs and make your expenses more predictable.
 

Our tiered benefit plans, align and focus, give you the same great access to doctors, specialists, and hospitals throughout Western New York. Check them out below.

2018 Plans will be available for purchase beginning on November 1, 2017.

All premiums listed represent coverage for dependents up to age 26. 

 

Gold Standard
Monthly Premium
~Individual$687.06
~Individual & Child(ren)$1,168.00
~Individual & Spouse$1,374.12
~Family$1,958.12
Primary Care Doctor/Specialist$25/$40 after deductible
Deductible (Single/Family)$600/$1,200
Inpatient Hospital Stay$1,000 after deductible
Prescription Drugs:
~Tier 1/2/3$10/$35/$70 (Not subject to deductible)
~Generic Oral ContraceptivesCovered in full
~Mail Order Drugs2.5 Copays/90-day supply
Benefits and Coverage1
Enroll1
#Gold Ind align*
Monthly Premium
~Individual$626.11
~Individual & Child(ren)$1,064.38
~Individual & Spouse$1,252.22
~Family$1,784.41
Primary Care Doctor/Specialist$20/$40 after deductible - Optimum, 50% after deductible - Flexible
Deductible (Single/Family)$500/$1,000 - Optimum, $4,000/$8,000 - Flexible
Inpatient Hospital Stay$750 after deductible - Optimum, 50% after deductible - Flexible
Prescription Drugs:
~Tier 1/2/3$5/$40/50% after deductible
~Generic Oral ContraceptivesCovered in full
~Mail Order Drugs2.5 Copays/90-day supply
Benefits and Coverage2
Enroll1
#Gold Ind focus**
Monthly Premium
~Individual$626.11
~Individual & Child(ren)$1,064.38
~Individual & Spouse$1,252.22
~Family$1,784.41
Primary Care Doctor/Specialist$20/$40 after deductible - Optimum, 50% after deductible - Flexible
Deductible (Single/Family)$500/$1,000 - Optimum, $4,000/$8,000 - Flexible
Inpatient Hospital Stay$750 after deductible - Optimum, 50% after deductible - Flexible
Prescription Drugs:
~Tier 1/2/3$5/$40/50% after deductible
~Generic Oral ContraceptivesCovered in full
~Mail Order Drugs2.5 Copays/90-day supply
Benefits and Coverage3
Enroll1

*Features Kaleida Health facilities; available to residents of Erie and Niagara counties only. Learn more about align .

**Features Catholic Health System facilities; available to residents of Erie and Niagara counties only. Learn more about focus.