Standard Option
Why choose between in-network and out-of-network care? With Standard Option, you get both.
Benefits at a glance:
Get the details
Want to see detailed benefits for this plan? Download the 2021 Blue Cross and Blue Shield Service Benefit Plan Brochure below. For a convenient summary of our three coverage options, download the 2021 Benefit Summary Book.
See Plan Brochure2021 Standard Option Rates
Non-Postal Premium
| Enrollment Code | Bi-weekly | Monthly |
|---|---|---|
| Self Only (104) | $123.45 | $267.48 |
| Self + 1 (106) | $280.81 | $608.43 |
| Self & Family (105) | $300.12 | $650.26 |
Postal Premium
| Enrollment code | Bi-weekly Category 1 | Bi-weekly Category 2 |
|---|---|---|
| Self Only (104) | $120.09 | $110.03 |
| Self + 1 (106) | $273.62 | $252.06 |
| Self & Family (105) | $292.31 | $268.89 |
These rates do not apply to all enrollees. If you are in a special enrollment category, contact the agency or Tribal employer that manages your health benefits enrollment.
Get prescriptions delivered right to your door
All Standard Option members get access to our Mail Service Pharmacy Program. It’s a convenient way to get any prescription drugs you take regularly sent to your home.
Learn More