Blue Advantage®
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 coinsruance are predictable.¹ 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.
Blue Advantage members can also go directly to in-network specialists without 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 deductibles that work best for them. Blue Advantage Plan A features a $15 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 higer copayments.³
With Blue Advantage, mambers 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 BlueCard® provider directory at bcbsnc.com or call
1-800-810-BLUE (2583).
Applicants may choose to purchace coverage for thier 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 they first purchace 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 thier health care experience. Resources include Member Health Partnerships, programs that help members manage health conditions like asthma and diabetes, and the Blue Extras free value-added progrmas, which provide members dicounts on everything from vitamins to gym memberships.5
To be eligible for Blue Advantage, an applicant must be a resident of North Caroline, be under age 65 and not qualify for Medicare. Enrollment processing takes approximately 30 days. Applicants may need health insurance to cover this waiting period, or th cover the time between the termination date of their old plan and the effective date of their new plan.
® mark, SM marks of the Blue Cross and Blue Shield Association. SM1 mark of Blue Cross and Blue Shield of North Carolina. 1 some services and supplies recived by members in an office setting or in connection withan 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. 2 Referals may be needed for certain mental health and substance abuse services. 3 Blue Advantage Plan B requires a $200 prescriptioin drug deductible. 4 2004 BCBSNC Internal Data. 5 Blue Cross and Blue Shield of North Carolina reserves the right to discontinue or charge this program at any time. All plans may not be eligible for these programs.
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