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Blue Shield | New LG Fertility Rider Offering and HMO Pharmacy Riders in 2025

Jun 13, 2024
Category
Carrier News

New fertility rider offering

Blue Shield will be expanding their portfolio of Assisted Reproductive Technology riders by creating portfolio offerings with a dollar maximum. Four plan designs with different dollar maximums and coinsurance amounts will be available in the portfolio:

  • Additional Assisted Reproductive Technology Benefits Rider 10K 50%
  • Additional Assisted Reproductive Technology Benefits Rider 10K 90%
  • Additional Assisted Reproductive Technology Benefits Rider 20K 90%
  • Additional Assisted Reproductive Technology Benefits Rider 25K 90%

 

New HMO pharmacy riders

Based on market demand for a lower premium product, Blue Shield will introduce a new Enhanced RX $15/50% pharmacy rider option in 2025. With this rider, Tier 1 will feature a $15 copayment to encourage the utilization of generic drugs. Tiers 2-4 will apply a 50% coinsurance, up to $250 maximum per prescription.

These riders will be available for either the Plus or Value formulary.

 

Reach out to your Amwins Connect team to discuss Blue Shield solutions for your large groups. 

 

 

 

Tags
Blue Shield of California

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