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Blue Care
Health maintenance
organization (HMO) plan
With Blue
Care, members have access to many of the best doctors, hospitals and specialists in North Carolina. Members visit in-network
providers, show their Blue Cross and Blue Shield of 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. Members can
even go directly to in-network specialists without a referral.
With Blue Care, members have access to large networks with a wide
range of providers and pay predictable co-payments.² Even when members are outside of North Carolina, they are covered for urgent and emergency care in more than
200 countries and territories worldwide.³ To find a nearby network provider, members can search the Blue
Card® provider directory at bcbsnc.com or call 1-800-810-BLUE (2582).
Blue Care members are covered for preventive care including annual
physical exams, annual Ob/Gyn visits, standard immunizations, annual eye exams, as well as mammograms and prostate
screenings. ³ Blue Care plans may also include a pharmacy benefit, in which case, members pay on a co-payment
for prescription drugs.
As BCBSNC members, Blue Care members have access to a variety
of resources and programs designed to improve their health and wellness. Resources include the Member Health Partnerships;
programs that help members manage health conditions like asthma and diabetes, and Blue Extras, free value-added
programs that provide member’s discounts on everything from vitamins to gym memberships.
®mark,
SM marks of the Blue Cross and Blue Shield Association. SM1 mark of Blue Cross and Blue Shield of North Carolina. 1 Referrals
may be needed for certain mental health and substance abuse services. 2 Some services and supplies received by members in
an office setting or in connection with an office visit are in fact outpatient hospital-based services provided by hospital-owned
or operated practices. These services and supplies may be subject to your deductible and coinsurance. 3 2003 Blue Cross and
Blue Shield Association Internal Date. 4 Blue Cross and Blue Shield of North Carolina reserves the right to discontinue or change this program at
any time. All plans may not be eligible for these programs.
Need help, have questions, don't hesitate to call (828) 245-2527 or
email us anytime.
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Group Coverage
Designed
for companies with up to 50 employees
With
Group Coverage, employers can choose from more than 1,000 benefit combinations and make choices based on their particular
needs and budget. Employees can customize one of the following plans:
- Blue Care® HMO – An HMO plan offering direct access to a large network of providers and specialists.
Covers worldwide urgent and emergency room service. ¹ Includes in-network benefits only.
- Blue OptionsSM PPO – A preferred provider organization
(PPO) with the largest network of doctors and specialists in the state. Members
have the freedom to choose in – or out-of-network care and are covered across the country and in more than 200 countries
and territories worldwide. ¹
- HSA – Pairs a high-deductible Blue Options plan with a health savings account (HSA) and offers lower
premiums than traditional plans. Both employers and employees can make tax-free contributions to the HSA. Members use HSA
funds to pay out-of-pocket health care expenses and enjoy negotiated provider rates, even before meeting their deductible.
The
Blue Options and Blue Care provider networks include many of the best doctors, hospitals and specialists in North Carolina. The networks are large
and the co-payments or coinsurance are predictable. ² In-network doctors handle all the administrative details and file claims
automatically. There’s no messy paperwork.
Group
Coverage plans offer members a variety of preventive care services, including annual physical exams, Ob/Gyn visits, mammograms
and prostrate screenings, standard immunizations and annual eye exams.
As Blue
Cross and Blue Shield members, employees covered by Group Coverage also have access to a variety of resources and programs
designed to maximize their health care experience. Resources include the Member Health Partnerships SM1 , programs that help members manage health conditions like asthma and diabetes,
and Blue ExtrasSM , free value-added programs that provide members discounts on everything from vitamins to gym
memberships.³
®mark, SM marks of the Blue Cross and Blue
Shield Association. SM1 mark of Blue Cross and Blue Shield of North Carolina. 1 Blue Cross and Blue Shield Association Internal
Data, 2003. 2 Some services and supplies received by members in an office setting or in connection with an office visit are
in fact outpatient hospital-based services provided by hospital-owned or operated practices. These services and supplies may
be subject to your deductible and coinsurance. 3 Blue Cross and Blue Shield of North Carolina reserves the right to discontinue or change these programs
at any time. All plans may not be eligible for these programs.
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