BlueOptions HSASM Benefits 

BlueOptions HSASM links a high-deductible health plan to a health savings account (HSA)1, which can be used to pay for qualified medical expenses tax-free.2 Monthly premiums are as much as 50% lower than traditional health plans.3 The HSA is portable and an unused balance rolls over at the end of the year.


Click on the thumbnails below to view the benefits.

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BlueOptions HSASM Rate Tables for 2008

North Carolina Counties

Individuals

                          

Family or People Purchasing together as a group


Step 1: Find the appropriate rate table for the county of residence.

Step 2: Use the appropriate table to determine the plan, the deductible and its corresponding rates for the applicant, and his/her spouse and dependents if applying for coverage.

  • For dependent children, add the appropriate age band rate for every child listed on the application.
  • For a child applying without parent(s), use the Child Only rate. Child(ren) applying without parent(s) must each apply on a separate application.

Step 3: Add the Optional Maternity Benefit if applicable (use the deductible that corresponds to the deductible selected in Step Two above).

Step 4: Sum the rates.

Note: Actual rates may change based on medical underwriting review. Rates are effective from 1/1/08 through 12/31/08.

FOOTNOTES:
1: The health savings account is provided to you directly by Mellon Trust of New England, N.A. and is unaffiliated with BCBSNC®. The HSA is not part of the health benefit plan administered by BCBSNC®. BCBSNC® is not responsible or liable for administration of your fund. Detailed information regarding your HSA will be provided by Mellon.
2: A full list of qualified medical expenses can be found at irs.gov
3: BCBSNC® internal data, 2007: Compares rates for BlueAdvantage® Plan A $2500 deductible / 80% coinsurance and BlueOptionsHSASM $5,000 deductible / 100% coinsurance for a 40 year old male in Wake County.

*2005 BCBSNC Internal data
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