Innovative and Affordable Benefit Designs

Categories: Foster Public-Private Coverage Solutions

Anthem Blue Cross and Blue Shield has developed a portfolio of affordable individual and small group products aimed at helping to reduce the number of uninsured Maine residents.

• NextRxSM Generic Plus One – Provides employers with a reliable pharmacy benefit with affordable, quality coverage for members of widely used brand-name medications.  The product covers all generically available medications and provides single-source branded products for highly utilized drug categories such as ADHD, arthritis, asthma, depression, diabetes, hypertension, insomnia and migraines.  Financial incentives shift employees from high-cost branded products to a lower-cost, clinically equivalent alternative, and mandatory mail-ordering further reduces costs.
• Chamber Blue SM Options – The Chamber Blue Options plan is a collaborative relationship with the Maine State Chamber of Commerce aimed at increasing the number of local employers who provide health insurance for their employees.  Employers receive a discount on the employer contribution if 75% of eligible employees complete a health risk assessment and 25% percent participate in certain defined wellness activities.  The product is offered as four PPO plans with varying deductibles and coinsurance, one HMO and two HSAs.