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

The prescription benefits for these plans are administered by Med Impact.  The member pays 50%; maximum $50 per 30-day fill; and after $1500 per person per plan year, the co-pay is $0 for generic $15 for brand.  NOTE:  The pharmacy benefits are mandatory generics.  Plan member who chooses brand name drug for which approved generic version is available pays cost difference between brand name drug and generic drug, plus 50% co-pay amount for brand name drug; cost difference does not apply to $1500 out-of-pocket maximum.  You can contact MedImpact at 800-910-1831.

 

For more information please call 1-800-392-4089 or you can visit www.bcbsla.com/ogb