Magnolia Local

Health Benefits

Network coverage for this plan is available only in Baton Rouge, New Orleans, and Shreveport.  Members must choose between the Blue Connect and Community Blue networks.  Effective July 1, 2011 there is an unlimited lifetime medical maximum. The co-payment for a primary care physician office visit is $25.00; specialist is $50.00.  There is also a deductible for non-copayment services of $400.00 for employee only coverage, $800.00 employee plus one dependent, and $1,200.00 for 3 or more family members.  You may self-refer to a specialist on the provider listing. Hospital co-payment is $100.00 per day with a maximum of 3 days co-payment. See prescription drug information below. More information, including a list of Blue Cross providers is available on Group Benefits website:   www.groupbenefits.org or https://www.bcbsla.com/ogb 

 

 

Pharmacy Benefits

Administered by Express Scripts, Inc. (ESI) | Member Drug Questions - 1-866-781-7533
Blue Cross and Blue Shield of Louisiana works with Express Scripts, Inc. (ESI) to administer our
prescription drug program. For ESI’s list of generic, preferred brand, non-preferred brand, specialty and
maintenance/preventive drugs, go to www.bcbsla.com/ogb.

ESI has a robust pharmacy network that consists of a large group of conveniently located participating
retail pharmacies as well as an optional mail-service program. You may use any pharmacy you wish, but
there are advantages to selecting a participating network pharmacy:
• Lower costs
• No claims to file
• No waiting for reimbursement