BCBS PPO+ Health Plan

Copayments and Deductibles

At MIT Health, plan members have a $0 copay for office visits and a $10 copay for specialist office visits. For other providers in the BCBS PPO network, members have a $15 copay for office visits and a $30 copay for specialist office visits.

In-network deductibles of $150 individual, $300 individual + spouse/domestic partner, individual + child(ren), and family apply to higher-cost services such as in-patient hospitalization, outpatient surgery, ER, and imaging. There will be modest changes to prescription drug copays.

More Benefits of This Plan

• BCBS TrueCare 360 Advocacy and Care Management – Dedicated Blue Care Managers and Service Advocates will help you and your family navigate the complex healthcare system, find resources in your community, coordinate care and access to services for complex cases, provide education about conditions, and support caregivers. See more about TrueCare and other support and advocacy resources for you.
• BCBS Virtual Primary Care – $0 cost for virtual primary care and mental health visits offered via chat, text, phone, and video with select providers. See more about virtual care.
• Expanded and updated fertility benefits (new egg cryopreservation benefit and updates to frozen embryo requirements) and enhanced gender-affirming care benefits. Learn more about these benefits.
• BCBS PPO+ Plan members have access to SaveOnSP, a copay assistance benefit for some specialty medications. This benefit is designed to help members save money by taking advantage of funds available through drug manufacturers.

Need Help or Have Questions?

Visit our Health Plans overview for information on eligibility, enrollment, mental health and other services, and more. If you still have questions, see the plan contacts below.