California Physicians Service DBA Blue Shield of California is an independent member of the Blue Shield Association. If you are unable to locate your policy through the links below, you may find it helpful to view one of the sample policies above, and you can contact a customer service representative at1-888-697-0683. A summary of benefits and coverage explains things like what a health insurance plan covers, what it doesn't cover, and what your share of costs will be. Inscribirse ahora! Blue Cross Preferred HMO Bronze Coverage for: Individual/Family | Plan Type: HMO . PDF Your guide to your 2023 benefits - Blue Cross NC This booklet gives you a summary of what we cover and what you pay. It is only a summary and it is included as part of the Benefit Booklet. Member Services | Blue Cross Blue Shield combined allowance per year for select hearing and vision services. It doesn't list every service that we cover or list every limitation or exclusion. Medicare works with private insurance companies like Blue Cross to provide Medicare Advantage plans. 2023 Blue Cross and Blue Shield Service Benefit Plan Brochure - FEP Blue Focus, 2022 Blue Cross and Blue Shield Service Benefit Plan Brochure - Standard and Basic Options, 2022 Blue Cross and Blue Shield Service Benefit Plan Brochure - FEP Blue Focus, 2021 Blue Cross and Blue Shield Service Benefit Plan Brochure - Standard and Basic Option, 2021 Blue Cross and Blue Shield Service Benefit Plan Brochure - FEP Blue Focus. Benefit Booklets - Blue Cross and Blue Shield of Alabama In certain situations, the maximum allowed amount for out of area claims 2023 Employee Benefits | NC State Health Plan California Physicians Service DBA Blue Shield of California 1999-2023. Check out the changes and updates to our plan in 2023. When youre on the go, access your benefits with fepblue, our free mobile app. The acquisition was designed to unite Primes PBM capabilities with MagellanRxs specialty drug management expertise, executives have said. A Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of theBlue Cross and Blue Shield Association. PDF Your guide to your 2023 beneits - Anthem About BCBSIL. We use cookies on this website to give you the best experience and measure website usage. , SM Marks of the Blue Cross and Blue Shield Association, an association of independent Blue Cross and Blue Shield Plans. Pregnant members can receive a blood pressure monitor at no cost to them. Be the first to know about our latest benefits, incentives and discounts. Enrollment Disponible nicamente en ingls. We use cookies on this website to give you the best experience and measure website usage. Benefits. Call the National Information Center at 1-800-411-BLUE (2583) weekdays from 8 a.m. to 8 p.m. Eastern time. One option is Adobe Reader which has a built-in reader. Call the National Information Center at 1-800-411-BLUE (2583) weekdays from 8 a.m. to 8 p.m. Eastern time. 2023, Blue Cross and Blue Shield of Alabama is an independent licensee of the Blue Cross and Blue Shield Association. Employer Services (800) 325-5166. Access Your Benefits You can use our interactive search to find your local Blue Cross Blue Shield Company's website. Explore Your 2023 Plan Benefits! 2 Questions? Opinions expressed by Forbes Contributors are their own. Summary of Benefits 2022 - Producer Connection - Blue Shield of California Blue Shield of California is an HMO, HMO D-SNP, PPO, and PDP plan with a Medicare contract and a contract with the California State Medicaid Program. California Physicians Service DBA Blue Shield of California 1999-document.write(new Date().getFullYear()). La compaa cumple con las leyes de derechos civiles federales y estatales aplicables, y no discrimina, ni excluye ni trata de manera diferente a las personas por su raza, color, pas de origen, identificacin con determinado grupo tnico, condicin mdica, informacin gentica, ascendencia, religin, sexo, estado civil, gnero, identidad de gnero, orientacin sexual, edad, ni discapacidad fsica ni mental. For more information about Medicare including a complete listing of plans available in your service area, please contact the Medicare program at 1-800-MEDICARE (TTY users should call 1-877-486-2048) or visit www.medicare.gov. 2023 Summary of Benefits Y0079_11011_M CMS Accepted 08162022 U5047, 8/22 . For a summary of benefits and costs, see Is there a quick way to see benefits and costs? The site may also contain non-Medicare related information. PO Box 272540. Download the 2023 Blue Cross and Blue Shield Service Benefit Plan Brochure - Standard Option and Basic Option below. You must receive prior approval for this benefit. Anthem Blue Cross is an HMO D-SNP plan with a Medicare contract and a contract deductibles or expenditure amounts you must reach before we pay our share. A PPO plan offers freedom of choice among in-network providers and lower out-of-pocket costs (copay only for most in-network office visits). For 2022medical plans, the Summary of Benefits (SOBs) include coverage information in a simplified format, making it easier for members to read and understand their plan benefits. In order to help make it easier to locate your policy, they are divided into categories, including individual, small group, and large group market policies. In addition to the SOBs, the Summary of Benefits and Coverage (SBC) Forms provide your clients with an easy-to-understand overview of what our plans for groups of 1 to 100 cover. . For a copy of your specific Benefit Booklet, please log in to Blue Connect after your policy's effective date or call 1-877-275-9787. SBC Glossary of Health Coverage and Medical Terms. Summary of Benefits and Coverage | bcbsm.com Olvido su contrasea? The information below provides access to SBCs for Individual and Families Under 65 plans. . PDF County of San Luis Obispo 2023 Plan Highlights - Blue Advantage Use our National Doctor and Hospital Finder tool to see if your current doctor is in our Preferred provider network or to find a specialist, retail clinic or urgent care center near you. To help you manage your benefits from Blue Cross NC. benefit endorsement, is the legal contract between you and Blue Cross and Blue Shield of North Carolina (Blue Cross NC). Coverage you can count on We're committed to making sure you and your family have the right benefits to fit your health care needs. Prime said the company has $60 billion in drug spend under management and was ranked 5th among PBMs in market share last year by Drug Channels with 5% of total equivalent prescription claims managedin the U.S. Understanding Health Care Costs and Quality, Provider Finder -Network Selection Criteria, HMO Provider Network Important Information, Making Your Health Insurance Work For You, Prescription Drug Changes and Pharmacy Information, Machine Readable Files for Transparency in Coverage. Summary of Benefits and Coverage. . PDF Summary of Benefits - Blue Cross and Blue Shield of Illinois But these days PBMs are poised to make a difference as less expensive copycat drugs known as biosimilars are developed as alternatives to the much more expensive brand name. Previously, we covered 10 visits. Blue Cross and Blue Shield of North Carolina does not discriminate on the basis of race, color, national origin, sex, age or disability in its health programs and activities. See a list of covered. Medicare Advantage plans Medicare Plus Blue SM PPO 2022 Michigan, Alabama, Florida and Indiana Summary of Benefits (PDF) Missouri and Tennessee Summary of Benefits (PDF) Michigan, Alabama, Florida and Indiana Summary of Benefits - Protected (PDF) What you need to know about the disease and our commitment to ensuring you have access to the right care at the right time. As Prime seeks to reimagine pharmacy benefit management, he is the right person to build on the strong foundation Ken leaves as he retires.. Seniors Financial Assistance Programs | Information booklet 5 Benefits begin . PDF Seniors Financial Assistance Programs If you waived medical coverage for 2023, you will receive a Health and Wellbeing card. Blue Cross NC members can file a claim, appeal a denial of benefits, and learn more about their coverage depending on their type of plan. SOBs are included in renewals, open enrollment materials and member welcome kits as part of the Evidence of Coverage (EOC). All benefits are subject to the definitions, limitations and exclusions set forth in the Federal brochures. If you have coverage through your employer, then your policy would be in the group market. 60 . Blue Shield of California. 17-XXX-W20 SENIOR MARKETS 2023 Medicare Advantage and Prescription Drug Plans Offered by Blue Cross and Blue Shield Companies . Each Blue Cross Blue Shield company is responsible for the information that it provides. Base PPO Plan (70/30) The Base PPO Plan (70/30) is a Preferred Provider Organization (PPO) plan administered by Blue Cross and Blue Shield of North Carolina (Blue Cross NC). You can also explore the resources below as you begin to plan for Medicare. PDF 508C Welcome! We're glad you're with us. - BCBST Non Discrimination Notice. Quick Links. It doesn't list every service that we cover or listevery limitation or exclusion. We removed the limit on covered non-sibling donors for transplant services. Page last updated: 02/15/2023, Please enter your phone number with area code. Y0118_23_051B_C 02012023 Site Map These documents also show your estimated costs for two sample medical events: having a baby and managing diabetes. For a convenient summary of our three coverage options, download the 2023 Benefit Summary Book. Today, the united enterprise is ushering in the next generation of pharmacy solutions that promote the health and wellbeing of members and patients while improving affordability, access and quality, Prime said in a statement. For a convenient summary of our three coverage options,download the 2023 Benefit Summary Book. Visit blueshieldca.com, use the Blue Shield mobile app, or call Shield Connect at 1-888-499- We use cookies on this website to give you the best experience and measure website usage. 2023 Texas Policy Documents Actual Policy Documents In some cases, your actual policy document may be available through the links below. The following benefit booklets are only samples. Your Annual Notice of Changes compares your 2022 benefits to your 2023 benefits. California Physicians Service DBA Blue Shield of California is an independent member of the Blue Shield Association. . All rights reserved. Information on Federal Employee Health Plans - Blue Cross and Blue PDF Summary of Benefits and Coverage: What this Plan Covers & What - BCBSM 2023 Blue Cross and Blue Shield Service Benefit Plan Brochure - Standard and Basic Options English Espaol View Interactive Brochure Order Printed Material 2023 Vision & Dental Plan Brochures 2023 BCBS FEP Vision SM Brochure English Espaol View Interactive Brochure Order Printed Material 2023 BCBS FEP Dental SM Brochure English Espaol Medical Benefits | HealthSelect of Texas | Blue Cross and Blue Shield This brochure describes the benefits of the . You will be able to order the monitor via your MyBlue account, by calling the National Information Center or by mailing a. Next year, there will be changes to the plans costs and benefits. Log in to Blue Connect or call the customer service number on the back or your member ID card. Click here to download SBC forms and other resources. Download the 2023 Blue Cross and Blue Shield Service Benefit Plan Brochure - Standard Option and Basic Option below. HMO . A summary of benefits, conditions, limitations, and exclusions is set forth in this benefit booklet for easy reference. Stay in-network for care. This new site may be offered by a vendor or an independent third party. Health plans are offered by Blue Shield of California. New Mexico Public Schools Insurance Authority For UAW Trust Members: Plan Benefit Summaries | BCBSM What's New for 2023 FEP Benefit Plans - Blue Cross and Blue Shield's Federal Employee Program What's New for 2023 Take a look at some of the changes and updates to the Service Benefit Plan in 2023. Health Plans for Individuals and Families, Get a Quote for Individual and Family Plans, Non-Discrimination Policy and Accessibility Services, Blue Advantage Gold 1800 | 3 Free PCP | $10 Tier 1 Rx | Nationwide Doctors, Blue Advantage $0 | Nationwide Doctors (AI/AN), Blue Advantage Gold Standard 2000 | Nationwide Doctors, Blue Advantage Gold Standard $0 | Nationwide Doctors (AI/AN), Blue Advantage Silver Total 3500 | 3 Free PCP | $15 Tier 1 Rx | Nationwide Doctors, Blue Advantage Silver Total 3400 | 3 Free PCP | $15 Tier 1 Rx | Nationwide Doctors (CSR 73%), Blue Advantage Silver Total 675 | 3 Free PCP | $4 Tier 1 Rx | Nationwide Doctors (CSR 87%), Blue Advantage Silver Total | $0 Deductible | $0 PCP | $4 Tier 1 Rx | Nationwide Doctors (CSR 94%), Blue Advantage Silver Simple | 3 Free PCP | Nationwide Doctors, Blue Advantage Silver Simple | 3 Free PCP | Nationwide Doctors (CSR 73%), Blue Advantage Silver Simple | 3 Free PCP | Nationwide Doctors (CSR 87%), Blue Advantage Silver Simple | $0 Deductible | 3 Free PCP | Nationwide Doctors (CSR 94%), Blue Advantage Silver Preferred 3100 | 3 Free PCP | $10 Tier 1 Rx | Integrated | Nationwide Doctors, Blue Advantage Silver Preferred 2500 | 3 Free PCP | $10 Tier 1 Rx | Integrated | Nationwide Doctors (CSR 73%), Blue Advantage Silver Preferred 300 | 3 Free PCP | $5 Tier 1 Rx | Integrated | Nationwide Doctors (CSR 87%), Blue Advantage Silver Preferred | $0 Deductible | $0 PCP | $0 Tier 1 Rx | Integrated | Nationwide Doctors (CSR 94%), Blue Advantage Silver Secure 1900 | $15 PCP | $15 Tier 1 Rx | Nationwide Doctors, Blue Advantage Silver Secure 1500 | $10 PCP | $15 Tier 1 Rx | Nationwide Doctors (CSR 73%), Blue Advantage Silver Secure 75 | $10 PCP | $10 Tier 1 Rx | Nationwide Doctors (CSR 87%), Blue Advantage Silver Secure | $0 Deductible | $0 PCP & Specialist | $0 Tier 1 Rx | Nationwide Doctors (CSR 94%), Blue Advantage Silver Access 2300 | 3 Free PCP | $15 Tier 1 Rx | Nationwide Doctors, Blue Advantage Silver Choice 4000 | 3 Free PCP | $15 Tier 1 Rx | Nationwide Doctors, Blue Advantage Silver Choice 3700 | 3 Free PCP | $15 Tier 1 Rx | Nationwide Doctors (CSR 73%), Blue Advantage Silver Choice 700 | 3 Free PCP | $10 Tier 1 Rx | Nationwide Doctors (CSR 87%), Blue Advantage Silver Choice | $0 Deductible | 3 Free PCP | $4 Tier 1 Rx | Nationwide Doctors (CSR 94%), Blue Advantage Silver Standard 5800 | Nationwide Doctors, Blue Advantage Silver Standard $0 | Nationwide Doctors (AI/AN), Blue Advantage Silver Standard 5700 | Nationwide Doctors (CSR 73%), Blue Advantage Silver Standard 800 | Nationwide Doctors (CSR 87%), Blue Advantage Silver Standard $0 | Nationwide Doctors (CSR 94%), Blue Advantage Bronze 5500 | $60 PCP | $20 Tier 1 Rx | Nationwide Doctors, Blue Advantage Bronze 7000 | 3 Free PCP | $20 Tier 1 Rx | Integrated | Nationwide Doctors, Blue Advantage Bronze Standard 7500 | Nationwide Doctors, Blue Advantage Bronze Standard $0 | Nationwide Doctors (AI/AN), Blue Advantage Bronze 7500 | HSA Eligible | Integrated | Nationwide Doctors, Blue Advantage Bronze 7500 | Integrated | Nationwide Doctors, Blue Advantage Bronze 9100 | Integrated | Nationwide Doctors, Blue Advantage Catastrophic 9100 | 3 PCP $35 | Integrated | Nationwide Doctors, Blue Value Gold 1800 | 3 Free PCP | $10 Tier 1 Rx | Statewide Doctors, Blue Value $0 | Statewide Doctors (AI/AN), Blue Value Gold Standard 2000 | Statewide Doctors, Blue Value Gold Standard $0 | Statewide Doctors (AI/AN), Blue Value Silver Total 3500 | 3 Free PCP | $15 Tier 1 Rx | Statewide Doctors, Blue Value Silver Total 3400 | 3 Free PCP | $15 Tier 1 Rx | Statewide Doctors (CSR 73%), Blue Value Silver Total 675 | 3 Free PCP | $4 Tier 1 Rx | Statewide Doctors (CSR 87%), Blue Value Silver Total | $0 Deductible | $0 PCP | $4 Tier 1 Rx | Statewide Doctors (CSR 94%), Blue Value Silver Simple | 3 Free PCP | Statewide Doctors, Blue Value Silver Simple | 3 Free PCP | Statewide Doctors (CSR 73%), Blue Value Silver Simple | 3 Free PCP | Statewide Doctors (CSR 87%), Blue Value Silver Simple | $0 Deductible | 3 Free PCP | Statewide Doctors (CSR 94%), Blue Value Silver Preferred 3100 | 3 Free PCP | $10 Tier 1 Rx | Integrated | Statewide Doctors, Blue Value Silver Preferred 2500 | 3 Free PCP | $10 Tier 1 Rx | Integrated | Statewide Doctors (CSR 73%), Blue Value Silver Preferred 300 | 3 Free PCP | $5 Tier 1 Rx | Integrated | Statewide Doctors (CSR 87%), Blue Value Silver Preferred | $0 Deductible | $0 PCP | $0 Tier 1 Rx | Integrated | Statewide Doctors (CSR 94%), Blue Value Silver Secure 1900 | $15 PCP | $15 Tier 1 Rx | Statewide Doctors, Blue Value Silver Secure 1500 | $10 PCP | $15 Tier 1 Rx | Statewide Doctors (CSR 73%), Blue Value Silver Secure 75 | $10 PCP | $10 Tier 1 Rx | Statewide Doctors (CSR 87%), Blue Value Silver Secure | $0 Deductible | $0 PCP & Specialist | $0 Tier 1 Rx | Statewide Doctors (CSR 94%), Blue Value Silver Access 2300 | 3 Free PCP | $15 Tier 1 Rx | Statewide Doctors, Blue Value Silver Choice 4000 | 3 Free PCP | $15 Tier 1 Rx | Statewide Doctors, Blue Value Silver Choice 3700 | 3 Free PCP | $15 Tier 1 Rx | Statewide Doctors (CSR 73%), Blue Value Silver Choice 700 | 3 Free PCP | $10 Tier 1 Rx | Statewide Doctors (CSR 87%), Blue Value Silver Choice | $0 Deductible | 3 Free PCP | $4 Tier 1 Rx | Statewide Doctors (CSR 94%), Blue Value Silver Standard 5800 | Statewide Doctors, Blue Value Silver Standard $0 | Statewide Doctors (AI/AN), Blue Value Silver Standard 5700 | Statewide Doctors (CSR 73%), Blue Value Silver Standard 800 | Statewide Doctors (CSR 87%), Blue Value Silver Standard $0 | Statewide Doctors (CSR 94%), Blue Value Bronze 5500 | $60 PCP | $20 Tier 1 Rx | Statewide Doctors, Blue Value Bronze 7000 | 3 Free PCP | $20 Tier 1 Rx | Integrated | Statewide Doctors, Blue Value Bronze Standard 7500 | Statewide Doctors, Blue Value Bronze Standard $0 | Statewide Doctors (AI/AN), Blue Value Bronze 7500 | HSA Eligible | Integrated | Statewide Doctors, Blue Value Bronze 7500 |Integrated | Statewide Doctors, Blue Value Bronze 9100 | Integrated | Statewide Doctors, Blue Value Catastrophic 9100 | 3 PCP $35 | Integrated | Statewide Doctors, Blue Local Gold 1800 | 3 Free PCP | $10 Tier 1 Rx | with Atrium Health, Blue Local $0 | with Atrium Health (AI/AN), Blue Local Gold Standard 2000 | with Atrium Health, Blue Local Gold Standard $0 | with Atrium Health (AI/AN), Blue Local Silver Total 3500 | 3 Free PCP | $15 Tier 1 Rx | with Atrium Health, Blue Local Silver Total 3400 | 3 Free PCP | $15 Tier 1 Rx | with Atrium Health (CSR 73%), Blue Local Silver Total 675 | 3 Free PCP | $4 Tier 1 Rx | with Atrium Health (CSR 87%), Blue Local Silver Total | $0 Deductible | $0 PCP | $4 Tier 1 Rx | with Atrium Health (CSR 94%), Blue Local Silver Simple | 3 Free PCP | with Atrium Health, Blue Local Silver Simple | 3 Free PCP | with Atrium Health (CSR 73%), Blue Local Silver Simple | 3 Free PCP | with Atrium Health (CSR 87%), Blue Local Silver Simple | $0 Deductible | 3 Free PCP | with Atrium Health (CSR 94%), Blue Local Silver Preferred 3100 | 3 Free PCP | $10 Tier 1 Rx | Integrated | with Atrium Health, Blue Local Silver Preferred 2500 | 3 Free PCP | $10 Tier 1 Rx | Integrated | with Atrium Health (CSR 73%), Blue Local Silver Preferred 300 | 3 Free PCP | $5 Tier 1 Rx | Integrated | with Atrium Health (CSR 87%), Blue Local Silver Preferred | $0 Deductible | $0 PCP | $0 Tier 1 Rx | Integrated | with Atrium Health (CSR 94%), Blue Local Silver Secure 1900 | $15 PCP | $15 Tier 1 Rx | with Atrium Health, Blue Local Silver Secure 1500 | $10 PCP | $15 Tier 1 Rx | with Atrium Health (CSR 73%), Blue Local Silver Secure 75 | $10 PCP | $10 Tier 1 Rx | with Atrium Health (CSR 87%), Blue Local Silver Secure | $0 Deductible | $0 PCP & Specialist | $0 Tier 1 Rx | with Atrium Health (CSR 94%), Blue Local Silver Access 2300 | 3 Free PCP | $15 Tier 1 Rx | with Atrium Health, Blue Local Silver Choice 4000 | 3 Free PCP | $15 Tier 1 Rx | with Atrium Health, Blue Local Silver Choice 3700 | 3 Free PCP | $15 Tier 1 Rx | with Atrium Health (CSR 73%), Blue Local Silver Choice 700 | 3 Free PCP | $10 Tier 1 Rx | with Atrium Health (CSR 87%), Blue Local Silver Choice | $0 Deductible | 3 Free PCP | $4 Tier 1 Rx | with Atrium Health (CSR 94%), Blue Local Bronze 5500 | $60 PCP | $20 Tier 1 Rx | with Atrium Health, Blue Local Silver Standard 5800 | with Atrium Health, Blue Local Silver Standard $0 | with Atrium Health (AI/AN), Blue Local Silver Standard 5700 | with Atrium Health (CSR 73%), Blue Local Silver Standard 800 | with Atrium Health (CSR 87%), Blue Local Silver Standard $0 | with Atrium Health (CSR 94%), Blue Local Bronze 7000 | 3 Free PCP | $20 Tier 1 Rx | Integrated | with Atrium Health, Blue Local Bronze Standard 7500 | with Atrium Health, Blue Local Bronze Standard $0 | with Atrium Health (AI/AN), Blue Local Bronze 7500 | HSA Eligible | Integrated | with Atrium Health, Blue Local Bronze 7500 | Integrated | with Atrium Health, Blue Local Bronze 9100 | Integrated | with Atrium Health, Blue Local Catastrophic 9100 | 3 PCP $35 | Integrated | with Atrium Health, Blue Home Gold 1800 | 3 Free PCP | $10 Tier 1 Rx | with UNC Health Alliance, Blue Home $0 | with UNC Health Alliance (AI/AN), Blue Home Gold Standard 2000 | with UNC Health Alliance, Blue Home Gold Standard $0 | with UNC Health Alliance (AI/AN), Blue Home Silver Total 3500 | 3 Free PCP | $15 Tier 1 Rx | with UNC Health Alliance, Blue Home Silver Total 3400 | 3 Free PCP | $15 Tier 1 Rx | with UNC Health Alliance (CSR 73%), Blue Home Silver Total 675 | 3 Free PCP | $4 Tier 1 Rx | with UNC Health Alliance (CSR 87%), Blue Home Silver Total | $0 Deductible | $0 PCP | $4 Tier 1 Rx | with UNC Health Alliance (CSR 94%), Blue Home Silver Simple | 3 Free PCP | with UNC Health Alliance, Blue Home Silver Simple | 3 Free PCP | with UNC Health Alliance (CSR 73%), Blue Home Silver Simple | 3 Free PCP | with UNC Health Alliance (CSR 87%), Blue Home Silver Simple | $0 Deductible | 3 Free PCP | with UNC Health Alliance (CSR 94%), Blue Home Silver Preferred 3100 | 3 Free PCP | $10 Tier 1 Rx | Integrated | with UNC Health Alliance, Blue Home Silver Preferred 2500 | 3 Free PCP | $10 Tier 1 Rx | Integrated | with UNC Health Alliance (CSR 73%), Blue Home Silver Preferred 300 | 3 Free PCP | $5 Tier 1 Rx | Integrated | with UNC Health Alliance (CSR 87%), Blue Home Silver Preferred | $0 Deductible | $0 PCP | $0 Tier 1 Rx | Integrated | with UNC Health Alliance (CSR 94%), Blue Home Silver Secure 1900 | $15 PCP | $15 Tier 1 Rx | with UNC Health Alliance, Blue Home Silver Secure 1500 | $10 PCP | $15 Tier 1 Rx | with UNC Health Alliance (CSR 73%), Blue Home Silver Secure 75 | $10 PCP | $10 Tier 1 Rx | with UNC Health Alliance (CSR 87%), Blue Home Silver Secure | $0 Deductible | $0 PCP & Specialist | $0 Tier 1 Rx | with UNC Health Alliance (CSR 94%), Blue Home Silver Access 2300 | 3 Free PCP | $15 Tier 1 Rx | with UNC Health Alliance, Blue Home Silver Choice 4000 | 3 Free PCP | $15 Tier 1 Rx | with UNC Health Alliance, Blue Home Silver Choice 3700 | 3 Free PCP | $15 Tier 1 Rx | with UNC Health Alliance (CSR 73%), Blue Home Silver Choice 700 | 3 Free PCP | $10 Tier 1 Rx | with UNC Health Alliance (CSR 87%), Blue Home Silver Choice | $0 Deductible | 3 Free PCP | $4 Tier 1 Rx | with UNC Health Alliance (CSR 94%), Blue Home Silver Standard 5800 | with UNC Health Alliance, Blue Home Silver Standard $0 | with UNC Health Alliance (AI/AN), Blue Home Silver Standard 5700 | with UNC Health Alliance (CSR 73%), Blue Home Silver Standard 800 | with UNC Health Alliance (CSR 87%), Blue Home Silver Standard $0 | with UNC Health Alliance (CSR 94%), Blue Home Bronze 5500 | $60 PCP | $20 Tier 1 Rx | with UNC Health Alliance, Blue Home Bronze 7000 | 3 Free PCP | $20 Tier 1 Rx | Integrated | with UNC Health Alliance, Blue Home Bronze Standard 7500 | with UNC Health Alliance, Blue Home Bronze Standard $0 | with UNC Health Alliance (AI/AN), Blue Home Bronze 7500 | HSA Eligible | Integrated | with UNC Health Alliance, Blue Home Bronze 7500 | Integrated | with UNC Health Alliance, Blue Home Bronze 9100 | Integrated | with UNC Health Alliance, Blue Home Catastrophic 9100 | 3 PCP $35 | Integrated | with UNC Health Alliance, Blue Local Gold 1800 | 3 Free PCP | $10 Tier 1 Rx | with Wake Forest Baptist Health, Blue Local $0 | with Wake Forest Baptist Health (AI/AN), Blue Local Gold Standard 2000 | with Wake Forest Baptist Health, Blue Local Gold Standard $0 | with Wake Forest Baptist Health (AI/AN), Blue Local Silver Total 3500 | 3 Free PCP | $15 Tier 1 Rx | with Wake Forest Baptist Health, Blue Local Silver Total 3400 | 3 Free PCP | $15 Tier 1 Rx | with Wake Forest Baptist Health (CSR 73%), Blue Local Silver Total 675 | 3 Free PCP | $4 Tier 1 Rx | with Wake Forest Baptist Health (CSR 87%), Blue Local Silver Total | $0 Deductible | $0 PCP | $4 Tier 1 Rx | with Wake Forest Baptist Health (CSR 94%), Blue Local Silver Simple | 3 Free PCP | with Wake Forest Baptist Health, Blue Local Silver Simple | 3 Free PCP | with Wake Forest Baptist Health (CSR 73%), Blue Local Silver Simple | 3 Free PCP | with Wake Forest Baptist Health (CSR 87%), Blue Local Silver Simple | $0 Deductible | 3 Free PCP | with Wake Forest Baptist Health (CSR 94%), Blue Local Silver Preferred 3100 | 3 Free PCP | $10 Tier 1 Rx | Integrated | with Wake Forest Baptist Health, Blue Local Silver Preferred 2500 | 3 Free PCP | $10 Tier 1 Rx | Integrated | with Wake Forest Baptist Health (CSR 73%), Blue Local Silver Preferred 300 | 3 Free PCP | $5 Tier 1 Rx | Integrated | with Wake Forest Baptist Health (CSR 87%), Blue Local Silver Preferred | $0 Deductible | $0 PCP | $0 Tier 1 Rx | Integrated | with Wake Forest Baptist Health (CSR 94%), Blue Local Silver Secure 1900 | $15 PCP | $15 Tier 1 Rx | with Wake Forest Baptist Health, Blue Local Silver Secure 1500 | $10 PCP | $15 Tier 1 Rx | with Wake Forest Baptist Health (CSR 73%), Blue Local Silver Secure 75 | $10 PCP | $10 Tier 1 Rx | with Wake Forest Baptist Health (CSR 87%), Blue Local Silver Secure | $0 Deductible | $0 PCP & Specialist | $0 Tier 1 Rx | with Wake Forest Baptist Health (CSR 94%), Blue Local Silver Access 2300 | 3 Free PCP | $15 Tier 1 Rx | with Wake Forest Baptist Health, Blue Local Silver Choice 4000 | 3 Free PCP | $15 Tier 1 Rx | with Wake Forest Baptist Health, Blue Local Silver Choice 3700 | 3 Free PCP | $15 Tier 1 Rx | with Wake Forest Baptist Health (CSR 73%), Blue Local Silver Choice 700 | 3 Free PCP | $10 Tier 1 Rx | with Wake Forest Baptist Health (CSR 87%), Blue Local Silver Choice | $0 Deductible | 3 Free PCP | $4 Tier 1 Rx | with Wake Forest Baptist Health (CSR 94%), Blue Local Silver Standard 5800 | with Wake Forest Baptist Health, Blue Local Silver Standard $0 | with Wake Forest Baptist Health (AI/AN), Blue Local Silver Standard 5700 | with Wake Forest Baptist Health (CSR 73%), Blue Local Silver Standard 800 | with Wake Forest Baptist Health (CSR 87%), Blue Local Silver Standard $0 | with Wake Forest Baptist Health (CSR 94%), Blue Local Bronze 5500 | $60 PCP | $20 Tier 1 Rx | with Wake Forest Baptist Health, Blue Local Bronze 7000 | 3 Free PCP | $20 Tier 1 Rx | Integrated | with Wake Forest Baptist Health, Blue Local Bronze Standard 7500 | with Wake Forest Baptist Health, Blue Local Bronze Standard $0 | with Wake Forest Baptist Health (AI/AN), Blue Local Bronze 7500 | HSA Eligible | Integrated | with Wake Forest Baptist Health, Blue Local Bronze 7500 | Integrated | with Wake Forest Baptist Health, Blue Local Bronze 9100 | Integrated | with Wake Forest Baptist Health, Blue Local Catastrophic 9100 | 3 PCP $35 | Integrated | with Wake Forest Baptist Health, Blue Home Gold 1800 | 3 Free PCP | $10 Tier 1 Rx | with Novant Health, Blue Home $0 | with Novant Health (AI/AN), Blue Home Gold Standard 2000 | with Novant Health, Blue Home Gold Standard $0 | with Novant Health (AI/AN), Blue Home Silver Total 3500 | 3 Free PCP | $15 Tier 1 Rx | with Novant Health, Blue Home Silver Total 3400 | 3 Free PCP | $15 Tier 1 Rx | with Novant Health (CSR 73%), Blue Home Silver Total 675 | 3 Free PCP | $4 Tier 1 Rx | with Novant Health (CSR 87%), Blue Home Silver Total | $0 Deductible | $0 PCP | $4 Tier 1 Rx | with Novant Health (CSR 94%), Blue Home Silver Simple | 3 Free PCP | with Novant Health, Blue Home Silver Simple | 3 Free PCP | with Novant Health (CSR 73%), Blue Home Silver Simple | 3 Free PCP | with Novant Health (CSR 87%), Blue Home Silver Simple | $0 Deductible | 3 Free PCP | with Novant Health (CSR 94%), Blue Home Silver Preferred 3100 | 3 Free PCP | $10 Tier 1 Rx | Integrated | with Novant Health, Blue Home Silver Preferred 2500 | 3 Free PCP | $10 Tier 1 Rx | Integrated | with Novant Health (CSR 73%), Blue Home Silver Preferred 300 | 3 Free PCP | $5 Tier 1 Rx | Integrated | with Novant Health (CSR 87%), Blue Home Silver Preferred | $0 Deductible | $0 PCP | $0 Tier 1 Rx | Integrated | with Novant Health (CSR 94%), Blue Home Silver Secure 1900 | $15 PCP | $15 Tier 1 Rx | with Novant Health, Blue Home Silver Secure 1500 | $10 PCP | $15 Tier 1 Rx | with Novant Health (CSR 73%), Blue Home Silver Secure 75 | $10 PCP | $10 Tier 1 Rx | with Novant Health (CSR 87%), Blue Home Silver Secure | $0 Deductible | $0 PCP & Specialist | $0 Tier 1 Rx | with Novant Health (CSR 94%), Blue Home Silver Access 2300 | 3 Free PCP | $15 Tier 1 Rx | with Novant Health, Blue Home Silver Choice 4000 | 3 Free PCP | $15 Tier 1 Rx | with Novant Health, Blue Home Silver Choice 3700 | 3 Free PCP | $15 Tier 1 Rx | with Novant Health (CSR 73%), Blue Home Silver Choice 700 | 3 Free PCP | $10 Tier 1 Rx | with Novant Health (CSR 87%), Blue Home Silver Choice | $0 Deductible | 3 Free PCP | $4 Tier 1 Rx | with Novant Health (CSR 94%), Blue Home Silver Standard 5800 | with Novant Health, Blue Home Silver Standard $0 | with Novant Health (AI/AN), Blue Home Silver Standard 5700 | with Novant Health (CSR 73%), Blue Home Silver Standard 800 | with Novant Health (CSR 87%), Blue Home Silver Standard $0 | with Novant Health (CSR 94%), Blue Home Bronze 5500 | $60 PCP | $20 Tier 1 Rx | with Novant Health, Blue Home Bronze 7000 | 3 Free PCP | $20 Tier 1 Rx | Integrated | with Novant Health, Blue Home Bronze Standard 7500 | with Novant Health, Blue Home Bronze Standard $0 | with Novant Health (AI/AN), Blue Home Bronze 7500 | HSA Eligible | Integrated | with Novant Health, Blue Home Bronze 7500 | Integrated | with Novant Health, Blue Home Bronze 9100 | Integrated | with Novant Health, Blue Home Catastrophic 9100 | 3 PCP $35 | Integrated | with Novant Health, Blue Advantage Silver 3700 + 3 Free PCP-1, Blue Advantage Silver 2500 + 3 Free PCP-I, Blue Advantage Silver 200 + 3 Free PCP-II, Blue Advantage Silver 3800 + 3 Free PCP-1, Blue Local Gold 2500 + 3 Free PCP with Atrium Health, Blue Local Silver 3800 + 3 Free PCP with Atrium Health, Blue Local Silver 3700 + 3 Free PCP-1 with Atrium Health, Blue Local Silver 675 + 3 Free PCP-2 with Atrium Health, Blue Local Silver H $0 Deductible-3 with Atrium Health, Blue Local Silver $0 Deductible with Atrium Health, Blue Local Silver $0 Deductible-1 with Atrium Health, Blue Local Silver $0 Deductible-2 with Atrium Health, Blue Local Silver $0 Deductible-3 with Atrium Health, Blue Local Silver 5300 + 3 Free PCP with Atrium Health, Blue Local Silver 2500 + 3 Free PCP-I with Atrium Health, Blue Local Silver 200 + 3 Free PCP-II with Atrium Health, Blue Local Silver $0 Deductible-III with Atrium Health, Blue Local Silver 2800 + $15 PCP with Atrium Health, Blue Local Silver 850 + $10 PCP-1 with Atrium Health, Blue Local Silver 50 + $5 PCP-2 with Atrium Health, Blue Local Silver $0 PCP-3 with Atrium Health, Blue Local Silver 2000 + 3 Free PCP with Atrium Health, Blue Local Silver 6000 + 3 Free PCP with Atrium Health, Blue Local Silver 3800 + 3 Free PCP-1 with Atrium Health, Blue Local Silver 700 + 3 Free PCP-2 with Atrium Health, Blue Local Silver L $0 Deductible-3 with Atrium Health, Blue Local Bronze 7000 Copay with Atrium Health, Blue Local Bronze 7000 + 3 Free PCP with Atrium Health, Blue Local Bronze 7000 HSA Eligible with Atrium Health, Blue Local Bronze 7000 with Atrium Health, Blue Local Bronze 8700 with Atrium Health, Blue Local Catastrophic with Atrium Health, Blue Home Gold 2500 + 3 Free PCP with UNC Health Alliance, Blue Home Silver 3800 + 3 Free PCP with UNC Health Alliance, Blue Home Silver 3700 + 3 Free PCP-1 with UNC Health Alliance, Blue Home Silver 675 + 3 Free PCP-2 with UNC Health Alliance, Blue Home Silver H $0 Deductible-3 with UNC Health Alliance, Blue Home Silver $0 Deductible with UNC Health Alliance, Blue Home Silver $0 Deductible-1 with UNC Health Alliance, Blue Home Silver $0 Deductible-2 with UNC Health Alliance, Blue Home Silver $0 Deductible-3 with UNC Health Alliance, Blue Home Silver 5300 + 3 Free PCP with UNC Health Alliance, Blue Home Silver 2500 + 3 Free PCP-I with UNC Health Alliance, Blue Home Silver 200 + 3 Free PCP-II with UNC Health Alliance, Blue Home Silver $0 Deductible-III with UNC Health Alliance, Blue Home Silver 2800 + $15 PCP with UNC Health Alliance, Blue Home Silver 850 + $10 PCP-1 with UNC Health Alliance, Blue Home Silver 50 + $5 PCP-2 with UNC Health Alliance, Blue Home Silver $0 PCP-3 with UNC Health Alliance, Blue Home Silver 2000 + 3 Free PCP with UNC Health Alliance, Blue Home Silver 6000 + 3 Free PCP with UNC Health Alliance, Blue Home Silver 3800 + 3 Free PCP-1 with UNC Health Alliance, Blue Home Silver 700 + 3 Free PCP-2 with UNC Health Alliance, Blue Home Silver L $0 Deductible-3 with UNC Health Alliance, Blue Home Bronze 7000 Copay with UNC Health Alliance, Blue Home Bronze 7000 + 3 Free PCP with UNC Health Alliance, Blue Home Bronze 7000 HSA Eligible with UNC Health Alliance, Blue Home Bronze 7000 with UNC Health Alliance, Blue Home Bronze 8700 with UNC Health Alliance, Blue Home Catastrophic with UNC Health Alliance, Blue Local Gold 2500 + 3 Free PCP with Wake Forest Baptist Health, Blue Local $0 with Wake Forest Baptist Health, Blue Local Silver 3800 + 3 Free PCP with Wake Forest Baptist Health, Blue Local Silver 3700 + 3 Free PCP-1 with Wake Forest Baptist Health, Blue Local Silver 675 + 3 Free PCP-2 with Wake Forest Baptist Health, Blue Local Silver H $0 Deductible-3 with Wake Forest Baptist Health, Blue Local Silver $0 Deductible with Wake Forest Baptist Health, Blue Local Silver $0 Deductible-1 with Wake Forest Baptist Health, Blue Local Silver $0 Deductible-2 with Wake Forest Baptist Health, Blue Local Silver $0 Deductible-3 with Wake Forest Baptist Health, Blue Local Silver 5300 + 3 Free PCP with Wake Forest Baptist Health, Blue Local Silver 2500 + 3 Free PCP-I with Wake Forest Baptist Health, Blue Local Silver 200 + 3 Free PCP-II with Wake Forest Baptist Health, Blue Local Silver $0 Deductible-III with Wake Forest Baptist Health, Blue Local Silver 2800 + $15 PCP with Wake Forest Baptist Health, Blue Local Silver 850 + $10 PCP-1 with Wake Forest Baptist Health, Blue Local Silver 50 + $5 PCP-2 with Wake Forest Baptist Health, Blue Local Silver $0 PCP-3 with Wake Forest Baptist Health, Blue Local Silver 2000 + 3 Free PCP with Wake Forest Baptist Health, Blue Local Silver 6000 + 3 Free PCP with Wake Forest Baptist Health, Blue Local Silver 3800 + 3 Free PCP-1 with Wake Forest Baptist Health, Blue Local Silver 700 + 3 Free PCP-2 with Wake Forest Baptist Health, Blue Local Silver L $0 Deductible-3 with Wake Forest Baptist Health, Blue Local Bronze 7000 Copay with Wake Forest Baptist Health, Blue Local Bronze 7000 + 3 Free PCP with Wake Forest Baptist Health, Blue Local Bronze 7000 HSA Eligible with Wake Forest Baptist Health, Blue Local Bronze 7000 with Wake Forest Baptist Health, Blue Local Bronze 8700 with Wake Forest Baptist Health, Blue Local Catastrophic with Wake Forest Baptist Health, Blue Home Gold 2500 + 3 Free PCP with Novant Health, Blue Home Silver 3800 + 3 Free PCP with Novant Health, Blue Home Silver 3700 + 3 Free PCP-1 with Novant Health, Blue Home Silver 675 + 3 Free PCP-2 with Novant Health, Blue Home Silver H $0 Deductible-3 with Novant Health, Blue Home Silver $0 Deductible with Novant Health, Blue Home Silver $0 Deductible-1 with Novant Health, Blue Home Silver $0 Deductible-2 with Novant Health, Blue Home Silver $0 Deductible-3 with Novant Health, Blue Home Silver 5300 + 3 Free PCP with Novant Health, Blue Home Silver 2500 + 3 Free PCP-I with Novant Health, Blue Home Silver 200 + 3 Free PCP-II with Novant Health, Blue Home Silver $0 Deductible-III with Novant Health, Blue Home Silver 2800 + $15 PCP with Novant Health, Blue Home Silver 850 + $10 PCP-1 with Novant Health, Blue Home Silver 50 + $5 PCP-2 with Novant Health, Blue Home Silver $0 PCP-3 with Novant Health, Blue Home Silver 2000 + 3 Free PCP with Novant Health, Blue Home Silver 6000 + 3 Free PCP with Novant Health, Blue Home Silver 3800 + 3 Free PCP-1 with Novant Health, Blue Home Silver 700 + 3 Free PCP-2 with Novant Health, Blue Home Silver L $0 Deductible-3 with Novant Health, Blue Home Bronze 7000 Copay with Novant Health, Blue Home Bronze 7000 + 3 Free PCP with Novant Health, Blue Home Bronze 7000 HSA Eligible with Novant Health, Blue Home Catastrophic with Novant Health, Blue Local with Wake Forest Baptist Health Coinsurance, Blue Local with Wake Forest Baptist Health Copay.

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