All our Simply Blue PPO plans use the Custom Select Drug List (PDF).

• Simply Blue Platinum $250
• Simply Blue Gold $500 
• Simply Blue Gold $1000 
• Simply Blue Gold $1500 
• Simply Blue Silver $2500 
• Simply Blue Silver $3000 
• Simply Blue Silver $4000

Routine Care plans

• Simply Blue Routine Care Silver $2000 
• Simply Blue Routine Care Silver $3000

HRA plans

• Simply Blue HRA Gold $1500 ($500) 
• Simply Blue HRA Gold $2000 ($750) 
• Simply Blue HRA Gold $4000 ($1450) 
• Simply Blue HRA Platinum $5000 ($3500)

HSA plans

• Simply Blue HSA Gold $1450 0% ($0) 
• Simply Blue HSA Gold $1300 ($0) 
• Simply Blue HSA Gold $2700 ($700) 
• Simply Blue HSA Silver $2700 ($0)
• Simply Blue HSA Silver $3500 ($250) 
• Simply Blue HSA Bronze $5500 ($0) 
• Simply Blue HSA Bronze $6350 ($0)