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SIGNATURE PLANS

Consider Signature Plans if providing your employees the freedom to choose a plan with the richest benefits is important. The benefits below apply to each employee.


Benefits Platinum 500.2 Gold 1000 Gold 1500.2
Deductible Amount $500 $1,000 $1,500
Coinsurance 20% coinsurance 20% coinsurance 20% coinsurance
Annual Limit on Cost Sharing $1,250 $3,000 $3,500
Primary Care Physician Office Visit $30 copay. $20 copay. $30 copay.
Specialist Office Visit $50 copay. $40 copay. $50 copay.
Prescription Drugs $10 copay for generics
$30 copay for preferred brand-name
$50 copay for non-preferred brand-name
$10 copay for generics
$30 copay for preferred brand-name
$50 copay for non-preferred brand-name
$10 copay for generics
$40 copay for preferred brand-name
$50 copay for non-preferred brand-name
Deductible Type** Fulfillment Fulfillment Fulfillment

Benefits Silver 2000.5* Silver 2000.3
Deductible Amount $2,000 $2,000
Coinsurance 20% coinsurance 30% coinsurance
Annual Limit on Cost Sharing $4,000 $6,350
Primary Care Physician Office Visit NA $30 copay
Specialist Office Visit NA NA
Prescription Drugs NA $10 copay for generics
$40 copay for preferred brand-name
$60 copay for non-preferred brand-name
Deductible Type** True Family Aggregate Fulfillment


* A plan that meets requirements to be a tax advantaged, qualified high-deductible health plan.

** For more information, please contact your agent or your local Arkansas Blue Cross Sale and Service Center.

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