Small Group Coverage
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Blue Options PPODesigned 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. Employers can customize one of the following plans:
Blue Care®
Blue Care HMO– Health Maintenance Organization plan offering direct access to a large network 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.1 With Blue Care, members have access to large networks with a wide range of providers and pay predictable copayments.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 BlueCard® provider directory at bcbsnc.com or call 1-800-810-BLUE (2583). 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 only a copayment 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, a free value-added programs that provide members discounts on everything from vitamins to gym memberships.4
®, ℠ 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 program at any time. All plans may not be eligible for these programs.
Blue Options℠
Blue Options PPO – A preferred provider organization (PPO) with the largest network of doctors and specialists in the state. Members have the freedom to choose inor out-of-network care and are covered across the country and in more than 200 countries and territories worldwide.1
Blue Options 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. With Blue Options, members have access to many of the best doctors, hospitals and specialists in the state. 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.1 Members also have the freedom to go outside the network; the only difference is the out-of- pocket costs. Blue Options features the largest provider networks in North Carolina and predictable member copayments and coinsurance.2 Members are also covered across the nation and in more than 200 countries and territories worldwide.3 To find a nearby network provider, members can search the BlueCard® provider directory at bcbsnc.com or call 1-800-810-BLUE (2583). Blue Options 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. Blue Options plans may also include a pharmacy benefit, in which case, members pay only a copayment for prescription drugs. As BCBSNC members, Blue Options 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 Blue Extras, a free value-added programs that provide members discounts on everything from vitamins to gym memberships.4
®, ℠ 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 program at any time. All plans may not be eligible for these programs.
