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  • General
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  • Individuals and Families (2025)
  • Individuals and Families (2024)
  • Blue Solutions: Small Employer (2025)
  • Blue Solutions: Small Employer (2024)
  • Large Group Options 51-99 (2025)
    • POS
    • DPOS
    • Personal Choice/PPO
    • Rx-Freestanding/Rider
    • Vision
    • Dental
  • Large Group Options 51-99 (2024)
  • Large Group Options 100+ (2025)
  • Large Group Options 100+ (2024)

Personal Choice 2025Groups 51 – 99

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

Forms are in pdf format.

PPO $500/$20-$40/100%
PPO $1,000/$20-$40/100%
PPO $1,500/$20-$40/100%
PPO $2,500/$30-$60/100%
PPO $2,000/$30-$60/80%
PPO $3,000/$30-$60/100%
PPO $3,000/$30-$60/90%
PPO $4,000/$30-$60/90%
PPO $5,000/$30-$60/90%
PPO $5,000/$40-$70/100%
PPO $6,000/$20-$40/100%
PPO $15-$35/$150
PPO $20-$40/$250
PPO $30-$60/$400
PPO $40-$70/$500
PPO $50-$80/$500-$250
PPO HSA $2,000/$30-$60/$500 w Int Rx
PPO HSA $3,000/$30-$60/$500 w Int Rx & VPCP
PPO $4,000/90% w Int Rx
PPO HSA $2,000/80% w Int Rx
PPO HSA $2,000/100% w Int Rx
PPO HSA $2,500/90% w Int Rx
PPO HSA $3,000/$30-$60/$500 w Int Rx
PPO HSA $3,000/100% w Int Rx
PPO HSA $3,000/80% w Int Rx
PPO HSA $3,000/90% w Int Rx
PPO HSA $4,000/$40-$70/$250 w Int Rx
PPO HSA $4,000/90% w Int Rx
PPO HSA $5,000/$40-$70/100% w Int Rx
PPO HSA $5,000/100% w Int Rx
PPO HSA $5,000/80% w Int Rx
PPO HSA $5,000/70% w Int Rx
PPO HSA $6,350/100% w Int Rx
PPO CA $40-$85/$500
PPO CA $4,000/$30-$75/90%
PPO CA $3,000/$25-$65/80%
PPO HSA $2,500/100% w Int Rx
PPO HSA $5,000/$40-$70/$250 w Int Rx

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Independence Blue Cross is a subsidiary of Independence Health Group, Inc. ‐ independent licensees of the Blue Cross and Blue Shield Association, serving the health insurance needs of Philadelphia and southeastern Pennsylvania.