FULL-NETWORK TIERED BENEFIT PLANS

*Minimum of 5% savings compared to our other plans; savings may vary based on plan design

Lower cost-share options for members who choose Kaleida Health providers and

other select hospitals and facilities.

Lower cost-share options for members who choose Catholic Health providers

and other select hospitals and facilities.

Premium Savings*

Access to the full Blue network with monthly premium savingsBlueCross BlueShield of Western New York full network tiered benefit plans (align and focus) are designed to help keep your costs in line while offering choices for you and your employees. A side-by-side offering of these plans to your employees presents an opportunity for you to save a minimum of 5% on your monthly premiums.

When given the choice, approximately 30% of members choose a full-network tiered benefit plan.

More effectively manage your health care costs year-over-yearFull network tiered benefit plans provide maximum value to your employees and will limit your overall health care spend. Offering align and focus is an effective way to implement a defined contribution strategy – provide a pre-determined amount toward your employees’ health insurance premiums and let them pick the plan that’s best for them.

You’ll receive:

• A minimum premium savings of 5%*

• More cost-saving plan options to offer to your employees

• More effective budgeting of your health care expenses

Your employees will receive:

• Plans with access to the full Blue network

• Choice of a plan that best meet their needs

• Lower monthly premiums

For more information on full- network tiered benefit plans and the savings you can realize, contact your broker or BlueCross BlueShield account executive today.

Niagara

Erie

Chautauqua Cattaraugus

Genesee

Orleans

Allegany

Wyoming

align and focus plans are available to employers who are located in Erie or Niagara counties. Eligible employees may reside or work in any of the eight counties in Western New York: Allegany, Cattaraugus, Chautauqua, Erie, Genesee, Niagara, Orleans, and Wyoming.

align focusOptimum Choice Optimum Choice

All Kaleida Health facilities

• Bradford Regional Medical Center

• Brooks Memorial Hospital

• Buffalo General Hospital/ Gates Vascular Institute

• DeGraff Memorial Hospital

• Eastern Niagara Health System

• John R. Oishei Children’s Hospital

• Lake Shore Hospital Inc.

• Millard Fillmore Suburban Hospital

• Olean General Hospital

Other facilities

• Buffalo VA Medical Center

• Erie County Medical Center

• Niagara Falls Memorial Medical Center

• Roswell Park Comprehensive Cancer Center

• United Memorial Medical Center

All Catholic Health facilities

• Kenmore Mercy Hospital

• Mercy Hospital of Buffalo

• Mount St. Mary’s Hospital

• Sisters of Charity Hospital

• Sisters of Charity Hospital (St. Joseph’s)

Other facilities

• Bertrand Chaffee Hospital

• BryLin Hospital

• Buffalo VA Medical Center

• Eastern Niagara Health System

• John R. Oishei Children’s Hospital

• Medina Memorial Hospital

• Roswell Park Comprehensive Cancer Center

• Westfield Memorial Hospital

Flexible Choice Flexible Choice

Includes all remaining providers in the BlueCross BlueShield of Western New York network that are not in the align Optimum Choice cost-share.

Includes all remaining providers in the BlueCross BlueShield of Western New York network that are not in the focus Optimum Choice cost-share.

All emergency care, urgent care, primary care doctors, pediatricians, and OB-GYNs are covered in the align Optimum Choice cost-share and focus Optimum Choice cost-share.

An employee choice model with lower cost-share options

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A division of HealthNow New York Inc., an independent licensee of the Blue Cross and Blue Shield Association.

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