About HMO Plans
- With an HMO plan, you must choose a primary care provider (PCP) for each member of your plan.
- Referrals are required before you're covered to see a specialist.
- You're covered for eligible services when you visit in-network providers. Out-of-network care is covered only in case of an emergency.
- In-network preventive care is covered at no additional cost.
Plan Details
About PPO Plans
- With a PPO, you aren't required to choose a primary care provider (PCP), but we highly recommend that you have a relationship with a primary doctor who can help guide your care.
- You don't need a referral to see specialists.
- You can visit in-network and out-of-network providers, but you'll pay lower out-of-pocket costs when you stay in-network for care.
- In-network preventive care is covered at no additional cost.
Plan Details
About Dental Blue Plans
Our Dental Blue plans provide you with the great features and world-class service you have come to expect from Blue Cross.
Your plan will cover a portion of one or more of the following benefit groups:
- Preventive benefits for diagnostic and preventive care.
- Basic benefits for restorative care (fillings), oral surgery, periodontics (gum and bone), endodontics (roots and pulp), prosthetic maintenance, and other covered services.
- Major benefits for prosthodontics (teeth replacement) and restorative (such as crowns).
Please refer to your plan summary for details.
Plan Details
With Blue 20/20, you can save on eyeglasses, contacts, and routine eye exams. We have partnered with EyeMed to bring you more choice, more value, and more flexibility.
Once you're enrolled in Blue 20/20 through your employer, you can find an eye doctor by visiting the Blue 20/20 website or calling 1-855-875-6948.
About Medex Plans
- With a supplemental insurance plan, Medex helps cover health care expenses left over after Medicare has covered its portion of costs.
- Medicare supplement plans, such as Medex, help to fill in coverage gaps, such as deductible or coinsurance. They help you pay Medicare’s deductible and co-insurance costs, and cover certain services Medicare doesn’t.
- You can seek care from any Medicare physician or hospital throughout the United States.
Plan Details
About Managed Blue for Seniors Plans
- With a supplemental insurance plan, Managed Blue for Seniors helps cover health care expenses left over after Medicare has covered its portion of costs.
- Medicare supplement plans, such as Managed Blue for Seniors, help to fill in coverage gaps, such as deductible or coinsurance. They help you pay Medicare’s deductible and co-insurance costs, and cover certain services Medicare doesn’t.
- With this plan, you must select a primary care provider (PCP) for yourself.
- Your PCP coordinates all your care and refers you to specialists when needed.
Plan Details
HMO Blue NE
Doctors and Hospitals
With an HMO plan, you must choose a primary care provider (PCP) who can help guide your care, and is the first person you call when you need routine or sick care. The PCP will also refer you to specialists for care when needed.
After Hours Care
If you need care and your doctor’s office is closed, you have options. In an emergency, you should go to the nearest medical facility or call 911. If the condition isn’t life-threatening, you can:
- Call the 24/7 Nurse Line at 1-888-247-BLUE(2583) to get immediate advice from a registered nurse, day or night.
- Use Well Connection for online video doctor visits, 24/7.
- Visit a limited services clinic, such as CVS Minute Clinic®´´, for simple medical concerns.
- Go to an urgent care center, such as CareWell®´', for conditions that require immediate treatment.
Care Management
If you’re worried about facing a complex or chronic health condition, our Team Blue Care Managers are here to provide extra support to all the moving parts of your care, at no additional cost.
Well Connection
Get convenient access to the care you need with Well Connection video visits. Well Connection doctors can review your medical history, and diagnose, treat, and even prescribe medications for medical conditions if necessary.
- Get medical care 24/7– Speak face-to-face with a doctor, in the privacy of your home.
- Therapy that comes to you – Talk to a licensed therapist or psychiatrist, on your terms. It's convenient and confidential.
Telehealth benefits cover remote doctor visits by phone or video with Well Connection providers, as well as local doctors and providers in our network who offer telehealth through another service.
Your Plan Details
Understanding your plan is the best way to get the most value from it. To learn more about this plan and its costs, look at your Summary of Benefits.
Your Plan Details
Understanding your plan is the best way to get the most value from it. To learn more about this plan and its costs, look at your Summary of Benefits and Coverage.
Maintenance Choice Voluntary Program
Your plan includes the Maintenance Choice Voluntary Program. When you switch to a 90-day supply and fill your prescriptions at a CVS Pharmacy®’ retail location, or through the mail service pharmacy, you may save money on your maintenance medications.
Cost-Share Assistance Program
Save money on eligible medications with the cost-share assistance program.
Blue Care Elect
With a PPO plan, you’re covered when you see in-network and out-of-network providers. You pay lower out-of-pocket costs when you visit in-network doctors and hospitals than when you visit out-of-network, or non-preferred, providers.
After Hours Care
If you need care and your doctor’s office is closed, you have options. In an emergency, you should go to the nearest medical facility or call 911. If the condition isn’t life-threatening, you can:
- Call the 24/7 Nurse Line at 1-888-247-BLUE(2583) to get immediate advice from a registered nurse, day or night.
- Use Well Connection for online video doctor visits, 24/7.
- Visit a limited services clinic, such as CVS Minute Clinic®´´, for simple medical concerns.
- Go to an urgent care center, such as CareWell®´', for conditions that require immediate treatment.
Care Management
If you’re worried about facing a complex or chronic health condition, our Team Blue Care Managers are here to provide extra support to all the moving parts of your care, at no additional cost.
Well Connection
Get convenient access to the care you need with Well Connection video visits. Well Connection doctors can review your medical history, and diagnose, treat, and even prescribe medications for medical conditions if necessary.
- Get medical care 24/7– Speak face-to-face with a doctor, in the privacy of your home.
- Therapy that comes to you – Talk to a licensed therapist or psychiatrist, on your terms. It's convenient and confidential.
Telehealth benefits cover remote doctor visits by phone or video with Well Connection providers, as well as local doctors and providers in our network who offer telehealth through another service.
Your Plan Details
Understanding your plan is the best way to get the most value from it. To learn more about this plan and its costs, look at your Summary of Benefits.
Your Plan Details
Understanding your plan is the best way to get the most value from it. To learn more about this plan and its costs, look at your Summary of Benefits and Coverage.
Maintenance Choice Voluntary Program
Your plan includes the Maintenance Choice Voluntary Program. When you switch to a 90-day supply and fill your prescriptions at a CVS Pharmacy®’ retail location, or through the mail service pharmacy, you may save money on your maintenance medications.
Cost-Share Assistance Program
Save money on eligible medications with the cost-share assistance program.
Dental Blue Freedom
Your Plan Details
Understanding your plan is the best way to get the most value from it. To learn more about this plan and its costs, look at your Summary of Benefits.
Blue 2020 Exam Plus $20 Exam $25 Lens $130 Allowance 24-12-24 Access
Medex
MEDEX Benefits
Download the Summary of Benefits to learn about the plan and get details about your costs.
Blue Medicare RX
Benefits
Download the Summary of Benefits to learn about the plan and get details about your costs.