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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 Options SM 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.
Need help,
have questions, don't hesitate to call (828) 245-2527 or email us anytime.
B.J. DAVIS AGENCY INC. * 568 WEST MAIN ST * FOREST CITY, N.C. * (828) 245-2527
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