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: or 



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

ESI has a robust pharmacy network that consists of a large group of conveniently located
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