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 Colorado 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.
- Tonik® – Provides simplified and affordable insurance aimed at covering the “invincible” young adult population. “Big Picture” coverage includes prevention services, emergency, prescriptions, vision and dental. The plans are simplified, and enrollment is tailored to distinct personalities and lifestyles: Calculated Risk Taker, Part-Time Daredevil and Thrill Seeker. Average premiums are below $150 per month, with a $30 co-payment.
- SmartSenseSM – A new, price-conscious, choice-driven health insurance plan targeted to “early” retirees, students and the uninsured. SmartSense is designed to provide protection against expensive and unexpected medical bills and offers a variety of deductibles that allow consumers to find a premium they can afford.
- BeneFits – An option for small businesses with fewer than 50 employees that do not currently offer health insurance. The six BeneFits plan options feature low employer contribution and employee participation rate requirements, making them more affordable for small businesses and offering flexibility in choosing coverage.
