Members who choose our green-green providers can either have the incentive applied to their out-of-pocket cost or waive out-of-pocket costs. How Does Plan Design+ Work?
The Member Experience
The claim is adjudicated, and the out-of-pocket cost is fully waived or reduced for the member.
The member looks for care on Healthcare Bluebook’s platform or engages with our team to find high-quality care for their procedure at a Fair Price™.
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If the member doesn’t seek care from a green-green provider, they pay an increased out-of-pocket cost.
The member receives care from a green-green provider.
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Plan Example: Out-of-Pocket Max Differential
Plan Design+ Incentive Benefit* (Only green claims apply)
Network Benefit (All claims apply to green or red providers)
Individual Deductible
$4,000
$1,500
Coinsurance
80%
90%
Individual OOP maximum
$6,000
$3,000
*Continue using green providers and OOP is met after $3,000
Let’s Talk
Plan Design+ is an engagement and incentive program incorporated into the medical plan design rather than existing outside the plan.
Contact Us
1 (888) 866-8159 healthcarebluebook.com explore@healthcarebluebook.com
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