2nd quarter rates now available

The Blue Shield second-quarter 2023 rate action is a statewide average of 1.9%.

Medical plan updates

There are minimal changes and impacts to plans. Both Mirror and Off-exchange plans have cost share changes. Blue Shield is expanding their network options for Bronze HMO 7000/70.

Off-Exchange PPO plans

  • Impacted plans with cost share changes
  • Silver PPO 2000/60
  • Silver PPO 2350/65
  • Silver PPO 2550/70
  • Bronze PPO 5500/65
  • Bronze PPO 6500/70
  • Bronze PPO 6850/55
  • Bronze PPO 7500/65
  • Gold PPO Savings 1750/15% HDHP Prev RX
  • Silver PPO Savings 23500/25%
  • Silver PPO Savings 2600/35%
  • Blue Shield Silver 70 PPO 2500/55

Off-exchange HMO plans:

  • Network expansion for Bronze HMO 7000/70
  • The Bronze HMO 7000/70 is now available on Access+ and Local Access+. This plan has rich benefits at a low cost. It includes integrated pharmacy deductibles, flat copays, and chiropractic services. All professional services are available prior to deductibles.
  • Impacted plans with cost share changes
  • Platinum HMO 0/20
  • Gold HMO 0/30
  • Silver HMO 2750/70
  • Bronze Trio HMO 7000/70
  • Blue Shield Trio Silver 70 HMO 2500/55

Complete benefits for all of our small business plans can be found on  Broker Connection.

Check out these helpful sales resources to learn more about plan offerings for 2023

Dental Plan Updates

Introducing 2023 new Dental PPO plans

These 8 new DPPO plans will give your groups more options and increased offerings. We expanded our “Marketed” DPPO portfolio plan from 22 to 30 DPPO portfolio plans.

The newly designed plans include:

  • Offering a $1500 calendar year maximum option under Bronze DPPO
  • Existing Bronze DPPO plans include a $1000 calendar year maximum
  • Offering MAC out-of-network reimbursement option under Gold DPPO
  • Existing Gold DPPO plans include U90 out-of-network reimbursement

New plans:

  • Bronze DPPO/1500/MAC
  • Bronze DPPO/MAC/Child Only Ortho
  • Bronze Voluntary DPPO/ $1500/MAC
  • Bronze Voluntary DPPO/$1500/MAC/Child Only Ortho
  • Gold DPPO/$1500/MAC
  • Gold DPPO/$1500/MAC/Adult+Child Ortho
  • Gold DPPO/$2000/MAC
  • Gold DPPO/$2000/MAC/Adult+Child Ortho

Dental plans to be withdrawn in 2023

Five DPPO plans and five DINO plans ( listed here) will be withdrawn from Specialty portfolio beginning January 1, 2023, as part of product transformation and portfolio simplification efforts.

For your groups impacted by these withdrawn plans, check out this small business dental plan mapping for withdrawn plans guide.

Summary of Benefits updated with new deductible amounts for 3 PPO Savings plans

Blue Shield recently updated our Summary of Benefits (SBCs) with increased embedded individual deductibles for three PPO Savings plans. The new in-network deductible amount is $3,000 for each plan – with an out-of-network deductible of $6,000 – per DMHC requirements.

We don’t anticipate any market impact as the plans currently have no membership. The three plans affected are listed below. Each plan features a Full and a Tandem option.

  • Silver PPO Savings 2300/25% HDHP
  • Silver PPO Savings 2600/35% HDHP
  • Gold PPO Savings 1750/15% HDHP

Contact Rogers Benefit Group for additional information and a same-day proposal.