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Individual and Family

Montana 2027 Individual & Family Coverage

Open Enrollment's here for Individual and Family Health Insurance in Montana. Compare BCBSMT health plans, provider networks, prescription drug coverage, and benefits. Enroll by Dec. 15 for coverage on Jan. 1.

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Already a BCBSMT Member?

Learn how to renew the BCBSMT plan you trust for 2027.

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Overview

What should I know before I enroll in 2027 coverage?

Find out how BCBSMT plans work, which doctors and hospitals are in network, prescription coverage and other benefits to help narrow down your options. We'll walk you through:

  • Plan types and Bronze, Silver and Gold metallic levels
  • Provider networks and in-network care
  • Plan benefits and member resources
  • Open Enrollment information and next steps

What are BCBSMT's individual and family plan options?

BCBSMT offers a PPO and Point of Service (POS) plan, both with Gold, Silver and Bronze metallic level options. Compare the different costs and benefits of Blue Preferred℠ and Blue Focus℠ plans.

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Blue PreferredSM

A PPO plan available across the state of Montana. Have access to over 12,000 providers statewide and, with a PPO plan, the flexibility to visit them without getting a referral.

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Blue FocusSM

Your lower-cost Point of Service (POS) plan for coverage across Montana's largest metro areas. Find coverage in Carbon, Cascade, Flathead, Gallatin, Lake, Lewis and Clark, Missoula, Musselshell, Stillwater, Sweetgrass and Yellowstone counties.

Find Your Fit with Metallic Level Plans


Health care needs are different for everyone. Maybe you want to save more in 2027 or need a little extra care. We have plans that fit every family.

Why Choose BCBSMT?

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Network and Care

BCBSMT's strength, trustworthiness and broad physician network combined with customer care. With a wide variety of plans available, it’s easy to find the right plan.
 

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Wellness Programs and Support

We offer our members’ different types of wellness programs, ranging from rewards programs, behavioral health, maternal care, prescription discounts and more!

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Benefits of Coverage

All plans cover prescription drugs and mental health services. Plus, your yearly checkup, and many other preventive care screenings are available at no additional cost.

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Enrollment Guidance

With our excellent customer service, we’ll guide you through the process - whether you prefer a human connection or a digital one.

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What can I do with my BCBSMT member account?

Your secure BCBSMT member account is your on-the-go resource to use your coverage, explore your benefits and track your claims and spending. After registering for a plan, you can:

  • Search for in-network care
  • Access your digital member ID card
  • Track your annual deductible and out-of-pocket maximum spending
  • Find out the status of current and past claims
  • Check your benefits and coverage

Want even easier access? Download the BCBSMT App to access these resources anytime, anywhere.

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How can I check if my doctor is in a 2027 plan network?

Use Provider Finder™ to search for doctors, specialists and hospitals in BCBSMT plan networks. Search by ZIP code and care needs, then review the network for any plan you're considering.

Checking your preferred doctors and hospitals before choosing a plan can help you compare your options.

Not sure where to start? Use our Care Options Guide to learn about your care choices and costs.

How can I know my prescription coverage for 2027?

BCBSMT individual and family plans include prescription drug coverage, but covered medications can vary by plan. Review the 2027 drug list and pharmacy benefits when they are available to see how your prescriptions may be covered.

Cost and Savings

What health insurance costs should I compare?

Look beyond the monthly premium when comparing 2027 plans. Review the deductible, copays, coinsurance and out-of-pocket maximum to understand what you may pay when you use your coverage

  • Premium: The amount you pay each month to keep your health coverage active.
  • Deductible: The amount you generally pay for covered care before your plan begins sharing certain costs.
  • Copay: A fixed dollar amount you may pay for covered care.
  • Coinsurance: A percentage of the cost of covered care that you may pay.
  • Out-of-pocket maximum: The most you pay for covered in-network care during the plan year before your plan pays 100% of covered costs, subject to plan terms.

Can I get help paying for my health insurance in 2027?

You may qualify for financial help to lower your monthly payments, such as a premium tax credit, based on eligibility. The amount of financial help you qualify for may change, so review current income and household information when you’re ready to apply.

Find out how to make your plan more affordable.

Resources

Explore Member Resources

FAQs

Frequently Asked Questions About Individual Coverage