BlueNet EPOSM

2021 – 2022 Plan Highlight Sheets*

Mid-Market (51-150) and Large Group (151+) employees
Summaries are for groups that have:

An original effective date beginning on or renewing between July 1, 2021 through June 30, 2022

*Non-grandfathered benefit plans
BlueNet EPO 0010 Option B ($500) 
BlueNet EPO 0010 Option C ($500) 
BlueNet EPO 0020 Option B ($750) 
BlueNet EPO 0030 Option B ($1,000) 
BlueNet EPO 0030 Option C ($1,000)  
BlueNet EPO 0040 Option C ($1,500) 
BlueNet EPO 0051 Option B ($2,000) 
BlueNet EPO 0051 Option C ($2,000) 
BlueNet EPO 0061 Option B ($3,000) 
BlueNet EPO 0061 Option C ($3,000) 
BlueNet EPO 0071 Option B ($4,000) 
BlueNet EPO 0071 Option C ($4,000) 
BlueNet EPO 0081 Option B ($5,000) 
BlueNet EPO 0081 Option C ($5,000) 
BlueNet EPO 0091 Option B ($6,000) 
BlueNet EPO 0091 Option C ($6,000) 
BlueNet EPO 0101 Option B ($7,000) 
BlueNet EPO 0101 Option C ($7,000)