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Blue Advantage
Individual
coverage plan
With Blue Advantage, members
have access to many of the best doctors, hospitals and specialists in North Carolina. Our provider networks are large and member
copayments and coinsurance are predictable.¹ Members visit in-network providers, show their Blue Cross Blue Shield on North
Carolina (BCBSNC) ID card and pay their copayment. The doctor handles the administrative details and files the claims. There’s
no messy paperwork. It’s that easy.
Blue Advantage members
can also go directly to in-network specialists with a referral and have the freedom to go outside the network for most services.²
The only difference is the out-of-pocket cost.
Blue Advantage for individual
coverage offers two plans, which allows applicants to choose the benefits and deductible that work best for them. Blue Advantage
Plan A features a $15 dollar copayment for doctor visits and just $10 for generic prescription drugs. For those on a budget,
Blue Advantage Plan B offers lower monthly premiums. Members share more in the cost of their health care on Plan B through
higher copayments.³
With
Blue Advantage members are covered across the nation and in more than 200 countries and territories worldwide.4
To find a nearby network provider, members can search the Blue Card® provider directory at bcbsnc.com or call 1-800-810-BLUE (2583).
Applicants
may choose to purchase coverage for their children only. Children will receive full Blue Advantage benefits, including coverage
for well-child and well-baby care and immunizations. Applicants can also select maternity coverage for an extra charge when
the first purchase a policy, renew a policy (if the policy has been in effect for at least six months), or if they have a
family status change like marriage.
As BCBSNC members, Blue Advantage members have access to a variety of resources and programs designed to maximize their
health care experience. Resources include the Member Health Partnerships, programs
that help members manage health conditions like asthma and diabetes, and the Blue Extras free Value-added programs, which
provide members discounts on everything from vitamins to gym memberships.5
To be eligible for
Blue Advantage, an applicant must be a resident of North Carolina,
be under the age of 65 and not qualify for Medicare. Enrollment processing takes approximately 30 days. Applicants may need
health insurance to cover this waiting period, or to cover the time between the termination date of their old plan and the
effective date on their new plan.
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Blue Advantage® 2008 Benefits Table

Need help, have questions, don't hesitate to call (828)
245-2527 or email us anytime.
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