Comprehensive coverage for individuals and families

Our plans offer comprehensive coverage for individuals and families and comply with the Affordable Care Act (ACA). These plans are only available during the annual open enrollment period or within 60 days of a qualifying life event, such as a change in marital, family or job status.

Individual and Family annual health plans

Your clients can choose from a broad selection of distinct plans, with options to fit almost any budget. Many individuals and families even qualify for help paying for these plans. 

Our plans cover the essential health benefits defined by the Affordable Care Act (ACA), plus perks and rewards to promote healthy living! Members can earn cash rewards for completing wellness activities, such as getting a flu shot or doing a telehealth visit. 

Our plans are categorized by metal type: 

• Gold 
• Silver 
• Bronze 

All metallic tiers cover the same set of benefits. The difference of each tier is how much clients pay for monthly premiums, and how much they pay for care. For example, copays, coinsurance and deductible costs vary depending on metal tier.

If a client is under age 30 or qualifies for a hardship exemption, a catastrophic plan* may be an option for them.

*A catastrophic plan option is only available with our BlueEssentials products. 

For more information, download our 2023 brochures to see a plan comparison:  

• BlueEssentials Brochure – Largest Provider Network in South Carolina
• BlueExclusive Reedy Brochure – Exclusive Provider Network in Greenville, Laurens, Pickens and Oconee counties
• BlueExclusive Cooper Brochure – Exclusive Provider Network in Berkeley, Charleston, Dorchester, Orangeburg and Williamsburg counties
• BlueExclusive Congaree Brochure – Exclusive Provider Network in Lexington, Richland and Kershaw counties
• BlueExclusive Pee Dee Brochure – Exclusive Provider Network in Florence, Georgetown, Horry and Marion counties
• Blue VirtuConnect Brochure – Access to virtual healthcare in Aiken, Anderson, Spartanburg and York counties
  • Blue VirtuConnect FAQ Page
• BlueExtend Brochure – Private Marketplace only plan with nationwide doctor and hospital coverage

When can your clients enroll?

Most clients can only sign up for ACA plans during the annual open enrollment period. Special enrollment periods are available within 60 days of a qualifying life event, such as:

• Getting married or divorced
• Having or adopting a child
• Losing a job
• Moving
• Losing other health coverage

Do you have a client who has missed the window to enroll in a ACA plan? Blue Term^SM short-term plans can help fill in gaps when clients are in between traditional coverage.