When shopping the health insurance market, you will discover many terms used to describe health insurance plans. As you read about options with Blue Cross Blue Shield of North Carolina, one of the most important terms to understand is that used to describe the network. The “Network” refers to the group of doctors and medical facilities which accept your plan. Knowing and understanding your network helps predict what to expect when utilizing your health plan throughout the year. As you learn about network options through Blue Cross Blue Shield of North Carolina, you will be able to better determine what plan is best for you and your family. Blue Cross Blue Shield of North Carolina names each plan after the associated network.

Blue Advantage and Blue Select

Blue Advantage and Blue Select are the names used to describe the largest network of doctors and hospitals available under Blue Cross NC plans. The Blue Advantage network is the broadest network, with over 95% of doctors and hospitals in North Carolina. Like Blue Advantage plans, Blue Select plans are also a broad network plan. However, the Blue Select network is broken down into two tiers. Blue Select policy holders will find that a bit more management is required when determining a facilities tier. For example, one may have different copayments for specialist visits depending on if they visit a Tier 1 or Tier 2 provider.

Blue Value

The Blue Value network option is a more limited network than Blue Advantage or Blue Select. However, enrolling in a Blue Value plan can help you save money. Where these plans lack in flexibility to see a broad network of doctors and facilities, you will find that Blue Value options offer lower monthly premiums. If your zip code falls  within the Triangle region of North Carolina, you will find the Blue Value plans are with UNC Health Alliance. Doing your research and checking to see if your doctor is in-network is necessary when enrolling in a Blue Value plan. If you are planning on visiting a specific doctor, specialist, or medical facility, it is a good idea to call the provider to confirm the network.

Blue Local

Blue Local with Atrium Health is the most limited of the four BCBSNC networks. This network with Atrium Health (also known as Carolinas HealthCare System) is available to Charlotte-area residents, including Anson, Cabarrus, Cleveland, Gaston, Lincoln, Mecklenburg, Rowan, Stanley, and Union County. Like the Blue Value network, enrolling in a Blue Local plan will be a less expensive plan option, but have a more restrictive network. If you were to visit a doctor or facility outside of Atrium Health, then you would pay out-of-network rates.

Understanding these four network options will give you a great advantage when navigating available health insurance plans. A little research could potentially translate to savings on monthly premiums and the cost of care. CLICK HERE to generate a custom quote and discover what BCBSNC network options are available to you.

Blue Cross Blue Shield of North Carolina, unlike many of the companies offering coverage through the health insurance Marketplace, provides plans that cover you both in-network as well as out-of-network.  Having out-of-network coverage when it counts can make an enormous difference in your out-of-pocket expenses.  It’s important, however, to find out ahead of time whenever possible whether or not your provider is in network with your plan.  Because you will pay more for out-of-network coverage, knowing which doctors and hospitals accept your plan is one of the best ways you can manage your health care costs. (more…)

You will need a new BCBSNC plan for 2014.
+ BCBSNC automatically map you to a new 2014 plan and send you that rate in September. To maximize savings, it is important for you to explore your options.
+ Starting October 1 in accordance with Obama Care, you will be able to go to Member Services  to link to the Health Insurance Marketplace where you can confirm subsidy eligibility. Compare your rate from our September rate letter to the rate of a new 2014 plan with subsidies or a low cost plan. This side by side comparison will help you decide what is best for you.
+ Remember, changes to the plan you were mapped to must be made by December 15, 2013 for the plan to be effective January 1, 2014.
+ If you make no changes, your mapped plan will start January 1, 2014.

Here’s what you should know about your plan:
+ The rate you pay for health insurance has always changed due to rising medical costs, but your rate may increase even more because of changes under health care reform. Some of the changes include increased benefits and new taxes and fees.
+ You may qualify for new federal subsidies that can help offset your monthly premium.
+ On October 1, log into Member Services and we will link you to the Health Insurance Marketplace so you can confirm subsidy
eligibility and ensure maximized savings.
+ Another way to save on premium costs is to consider one of the many new, low cost plan options such as Blue Value or Blue Select.

For more information on health insurance coverage in North Carolina, please visit our website at www.nchealthplans.com or call our toll free number 888-765-5400 and speak with one of our professional agents. Our agency provides coverage for health insurance in North Carolina through Blue Cross Blue Shield of North Carolina (BCBSNC). It would be our pleasure to help you navigate through the Health Care Reform changes in accordance with the new regulations of Obama care. Call us for details.

Information from a BCBSNC publication on 8/12/13.

BlueCross BlueShield wants to help you save. Consider one of our new low cost plan options. To help lessen the financial impacts of health care reform, BCBSNC has created several new plan options for 2014.

Blue Value is one of these options.  The coverage you need, the savings you want. Blue Value features the lowest costs of all our plans. This plan offers:

+ Quality, cost-effective coverage
+ A limited network of providers and pharmacies
+ Prescription drug requirement

For more information on health insurance coverage in North Carolina, please visit our website at www.nchealthplans.com or call our toll free number 888-765-5400 and speak with one of our professional agents. Our agency provides coverage for health insurance in North Carolina through Blue Cross Blue Shield of North Carolina (BCBSNC). You may qualify for a 15% healthy lifestyle discount if you are in excellent health. Call us for details.

Information from a BCBSNC publication on 8/12/13.