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Small Group Fully Funded Metallic Plans

Blue Cross and Blue Shield of Montana offers a variety of fully-funded standard ACA plans for your small group clients with 1–50 employees.

Network Options

Plan Name Blue Preferred PPO Blue Focus POS
Plan Type Broad Statewide PPO Point of Service HMO in select areas*
Primary Care Physician Not required Required
Specialist Referral Not required Not required
Out-of-Network Benefits Yes Yes
Access to BlueCard® Yes Yes
Residency Required No Must live or work in the network service areas

* Blue Focus POS is available in the following areas:

Billings: Carbon, Musselshell, Stillwater, Sweet Grass and Yellowstone
Bozeman: Gallatin
Kalispell: Flathead
Great Falls: Cascade
Helena: Lewis and Clark
Missoula: Lake and Missoula

diabetes management

Metabolic Health Management

Eligible members have access to a diabetes reversal program. The program improves blood sugar, safely reduces or eliminates medications and reverses type 2 diabetes — all offered as a covered benefit and at no cost.

Pharmacy & Prescription Management

With the Blue Access for Members account, members can search for in-network pharmacies, find covered medicine, get cost and coverage details on prescriptions and manage refills. Learn more.

Share the Drug List when consulting with employers about small group metallic plans.

Wellbeing Management

This complete wellness solution delivers member-centered wellness tools and care management programs, including:

Well onTarget®

This program provides comprehensive tools and rewards members for making healthy choices.

Share our employer flyer

Fitness Program

This program offers a flexible gym network to fit members’ lifestyles and budgets.

Get the member flyer

Blue Points

Members earn and redeem points for participating in wellness activities.

Review our member flyer

Mental Health Hub

Digital one-stop-shop for mental health resources, recommended solutions, and access to behavioral health providers

Share member flyer
 

Ready to Create a Quote?

Get the tips, how-tos, and resources on quoting a small group metallic plan for your employer client.

 

Hinge Health and Wondr are independent companies contracted with Blue Cross and Blue Shield of Montana to provide chronic disease prevention and management solutions for members with coverage through BCBSMT. BCBSMT makes no endorsement, representations or warranties regarding third-party vendors and the products and services offered by them.  

Twin Health is an independent company that has contracted with BCBSMT to provide care and disease management for members with coverage through BCBSMT.