The Blue Cross plan with the best rates right now is their plan with a $3,000 deductible. You have co-payments for:
- Office Visits
- Actually no co-payment for your annual physical
- Emergency Room
All other services go towards the $3,000 plan year deductible:
- day surgeries
- MRI-CAT-PET scans
- diagnostic testing
The thing about this plan is that it is about 8% less then the $2,000 deductible, which alot of employers already have. Many employers have opted for the $3,000 deductible and taken the 8% of premium savings to cover the extra $1,000 of exposure through an HRA plan.
In fact, employers have to do this to keep the exposure at 2,000 to meet MCC (minimum credible coverage) and avoid any state penalties. Employers don’t have to set up an HRA but the plan would now not meet MCC and employers and employees would have to pay penalties.
If you already have a deductible plan, might as well go with the $3,000 plan to keep the premiums as low as possible and use the premium savings to fund an HRA plan. We see the deductible plan getting higher and higher with an employer having to fund an HRA plan to keep plan MCC compliant going forward; for example, a $5,000 deductible and an HRA plan that pays 3,000 after the first $2,000.