Blue Solutions^® Gold Plans 2022

Please note that we have updated our Benefit Highlights documents with a new logo and design. Benefit information has not changed.

Forms are in pdf format.

On/Off Exchange

Option

Off

Personal Choice PPO Gold HSA-0 $2,100/100%

Off

Personal Choice PPO Gold HSA-25 $2,400/$25/$50/90%

Off

Personal Choice PPO Gold HRA-20 $3,700/100%

Off

Personal Choice PPO Gold Preferred $40/$80/$600

Off

Personal Choice PPO Gold Classic $1,500/$20/$40/80%

Off

Personal Choice PPO Gold Classic $2,500/$40/$80/100%

Off

Keystone HMO Gold Proactive

Off

Keystone HMO Gold Preferred $40/$80/$650

Off

Keystone HMO Gold Secure $1,000/$40/$80/$650

Off

Keystone HMO Gold Classic $1,500/$30/$60/90%

Off

Keystone HMO Gold Classic $2,500/$40/$80/100%

Off

Keystone DPOS Gold Preferred $40/$80/$650

Off

Keystone DPOS Gold Classic $1,500/$30/$60/90%