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Flex Your Alternatives. Control costs and care with Consumerism.

How the Plan Works

Flex Deductible Series

1. Choose a health plan

Choose from Keystone Health Plan East HMO, Keystone Direct POS, or Personal Choice® PPO.

The copay for office visits, therapy, and diagnostic care is pre-selected: $20/$40 option — $20 for primary care/$40 for specialist care. View copay schedule.

2. Select a deductible for facility/ancillary care

The deductible applies to hospital services, outpatient surgery, and emergency room care. Select from four levels of coverage. View facility/ancillary deductible options.

3. Select the network coinsurance level for facility/ancillary care

The coinsurance applies to hospital services, outpatient surgery, and emergency room care. Select from two levels of coinsurance and out-of-pocket maximums. View network coinsurance options.

Keystone Direct POS and Personal Choice PPO plans allow members to obtain care out-of-network. All Flex Deductible plans use the same cost-sharing schedule for out-of-network benefits. View cost-sharing schedule.

4. Select prescription drug, dental, vision, and life benefits

Six prescription drug formulary options are offered through our Select Drug Program®. View Select Drug Program options.

Create a consumerism health plan option that combines quality health care coverage with access to a funding arrangement to assist employees in paying for health care needs by pairing a Flex plan with a BlueSaverSM Health Account Solution.

For a specific information on benefits, limitations, and exclusions, please refer to the applicable benefits materials.

BlueSaverSM Health Account Solutions

Compare the three savings account options that can be paired with Consumerism plans.

High-level chart

PDF icon Detailed chart