Blue Cross - Magnolia Open Access

Medical

This plan has access to the BCBS Nationwide network which utilizes most of the major hospitals, pharmacies and many doctors as network providers.  This plan includes out-of-network providers. If an employee uses an in-network provider, the coverage is 90% of the contracted rate after the deductible; if a non-network provider is used, the coverage is 70% after the deductible.  There is a $900 deductible per family member, with a maximum deductible of $2,700 for 3 or more family members. There is no separate deductible for prescription drugs. Effective July 1, 2011 there is an unlimited lifetime medical maximum.   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 

 

 

Prescription Drugs

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