Blue Cross Blue Shield of North Carolina

Below are links to several important Blue Cross Blue Shield of North Carolina (BCBSNC) Services.

Health Insurance Rates

2022 Rates

Plan A

Level of Coverage

Monthly Cost

Bi-Weekly Cost

Employee Only $157.41 $72.65
Employee Plus Spouse/Domestic Partner* $432.33 $199.54
Employee Plus Child(ren) $380.85 $175.78
Family $514.67 $237.54

Plan B

Level of Coverage

Monthly Cost

Bi-Weekly Cost

Employee Only $276.88 $127.79
Employee Plus Spouse/Domestic Partner* $787.21 $363.33
Employee Plus Child(ren) $577.29 $266.44
Family $976.14 $450.53

Plan C

Level of Coverage

Monthly Cost

Bi-Weekly Cost

Employee Only $95.26 $43.97
Employee Plus Spouse/Domestic Partner* $287.74 $137.45
Employee Plus Child(ren) $253.48 $121.09
Family $342.55 $163.63

*Single rate for domestic partner is post-tax; remainder of employee/family premium is pre-tax

2023 Rates

Plan A

Level of Coverage

Monthly Cost

Bi-Weekly Cost

Employee Only $162.92 $75.19
Employee Plus Spouse/Domestic Partner* $447.46 $206.52
Employee Plus Child(ren) $394.18 $181.93
Family $532.68 $245.85

Plan B

Level of Coverage

Monthly Cost

Bi-Weekly Cost

Employee Only $285.19 $131.62
Employee Plus Spouse/Domestic Partner* $810.83 $374.23
Employee Plus Child(ren) $594.61 $274.43
Family $995.66 $459.54

Plan C

Level of Coverage

Monthly Cost

Bi-Weekly Cost

Employee Only $98.59 $45.50
Employee Plus Spouse/Domestic Partner* $308.23 $142.26
Employee Plus Child(ren) $271.53 $125.32
Family $366.95 $169.36

*Single rate for domestic partner is post-tax; remainder of employee/family premium is pre-tax

 

Blue Discounts

Blue365 offers exclusive health and wellness deals, keeping you healthy and happy, every day of the year.

Learn more regarding Member Discounts and How Member Discounts from Blue365 works

 Contact Information (Group # 14164309)

  • Website: http://www.bcbsnc.com/members/public
  • BCBSNC Customer Service: 1-877-275-9787
  • To Find Providers in NC: 1-877-258-3334
  • Find Providers Outside NC: 1-800-810-BLUE (2583)
  • Find Providers Outside USA: 1-800-810 BLUE (2583), or call collect 1-804-673-1177
  • Find Claims Forms
  • Medical Claims Address: BCBSNC, P.O. Box 35, Durham, NC 27702
  • Find Providers Outside USA: 1-800-810 BLUE (2583), or call collect 1-804-673-1177

Important Updates Regarding Blue Cross NC Home Delivery Service

Faculty and staff covered by Blue Cross North Carolina who currently use mail order for maintenance medications should have received a letter announcing an additional network change.  Please see below for a copy of the letter:

Effective April 1, 2022, an additional Mail Order pharmacy is now available – Amazon Pharmacy.  In addition to this option, Express Scripts, your current mail order remains an option to use.  For 2022, the following two mail order options are available to choose from.  In 2023, Elon University will move to one or the other.

Mail Order Pharmacy Services: 

Express Scripts Pharmacy (ESI)
833-599-0449
www.express-scripts.com

Amazon Pharmacy
855-963-4546
www.amazon.com/bluecrossNC

 

Amazon Home Delivery Pharmacy –

To make a switch to this new offering, follow these steps:

  1. Set up your Amazon Pharmacy account using your member ID by visiting www.amazon.com/bluecrossNC and clicking “Get Started.”  Once registered, you can manage your prescriptions and place orders.

Let your doctor know that they should send new home delivery prescriptions (excluding Schedule 2 controlled substances) to Amazon Pharmacy.

Key Benefits of using Amazon Pharmacy –

  • Easy online sign up
  • An Amazon shopping experience with free shipping
    24/7/365 access to a pharmacist
  • Clear pricing, helping you save time and money
  • Ability to manage your prescription(s) and order history
  • Access to MedsYourWay built in drug discount card pricing.
    • What to expect with the MedsYourWay discount card?
      • Up to 80% savings on brand and generic medicines when paying cash
      • The lowest price between your prescription drug discount card price and your cost with insurance will be presented to you at checkout
    • The MedsYourWay discount card is not insurance.  However, using it to purchase prescription(s) covered by your plan at Amazon Pharmacy will automatically count toward your out-of-pocket accumulators and deductibles.

What if you have questions?

You can:

  • call the Member Services number on the back of the Blue Cross NC member ID card or
  • call the appropriate toll-free number below.

Mail order pharmacy services:  Express Scripts Pharmacy (ESI): Blue Cross NC New Home Delivery Service
833-599-0449 OR Amazon Pharmacy: 855-963-4546

Specialty pharmacy services:  Accredo: Blue Cross NC New Specialty Drug Service
833-599-0513

Retail Pharmacy

Getting prescription medications at a retail pharmacy is simple.

  • Take your Non-Specialty prescription to a participating pharmacy and present your BCBSNC ID card.
  • The pharmacy will determine the cost under your plan and collect payment at the time of service.
  • Claims are filed electronically. No paperwork is required.

Health Savings Account (HSA)

An HSA is a tax-favored savings account created for the purpose of paying for eligible health care expenses if you enroll in the High Deductible Plan. The HSA is an account set up by you. It allows tax free withdrawals to pay for qualified medical expenses. HealthEquity is the HSA administrator (Account # 18873).

Contact Information:
(866) 382-3510
myhealthequity.com.

IMPORTANT NOTE: Due to High Deductible Health Plan (HDHP) regulations, if you participate in Health Plan C with the HSA, you can utilize the services of Elon University’s Faculty/Staff Health & Wellness Clinic for a co-pay of $40.00. Please keep in mind insurance is not filed, therefore it does not go towards deductibles or out-of-pocket costs.

Diabetic Information

Letter to Employees Regarding Diabetic Test Strips
Durable Medical Equipment (DME) Network FAQS

BCBSNC Member Services

The BCBSNC Member Services website offers participating faculty and staff a way to manage medical benefits in an organized and efficient way. It is intended to help empower, educate and excite members to take charge of their health and use all the BCBSNC tools to achieve their goals. Signing up for BCBSNC Member Services will give members access to:

  • View plan benefits to see how the plan will cover a particular service
  • Review explanation of benefits to understand what the plan paid and what is the member’s responsibility
  • Understand out-of-pocket expenditures and see how much has been applied toward the annual deductible and co-insurance in that plan year
  • Request a new ID card
  • Find in-network doctors
  • Take advantage of mobile offerings.

Registering:

  1. Go to www.bcbsnc.com
  2. Under the Members section, select “Register Now.”
  3. Enter the BCBSNC member ID number (found on the BCBSNC member ID card).
  4. Answer the questions on the screen, and set up a username and password.

Important Annual Health Notices 2022:

Children’s Health Insurance Program (CHIP)
HIPAA Notice of Privacy Practices
Annual COBRA Notice
Medicare Part D Credible Coverage Notice
Summary Annual Report (SAR) 505
Special Enrollment Notice
Women’s Health and Cancer Rights Act

Important Annual Health Notices 2023:

Children’s Health Insurance Program (CHIP)
HIPAA Notice of Privacy Practices
Annual COBRA Notice
Medicare Part D Credible Coverage Notice
Summary Annual Report (SAR) 505
Special Enrollment Notice
Women’s Health and Cancer Rights Act

 

Public Display Requirements and Machine Readable Files for Blue Cross NC Customers:  “This link leads to the machine readable files that are made available in response to the federal Transparency in Coverage Rule and includes negotiated service rates and out-of-network allowed amounts between health plans and healthcare providers. The machine-readable files are formatted to allow researchers, regulators, and application developers to more easily access and analyze data.”