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

2021 Rates

Plan A

Level of Coverage

Monthly Cost

Bi-Weekly Cost

Employee Only $152.09 $70.20
Employee Plus Spouse/Domestic Partner* $417.71 $192.79
Employee Plus Child(ren) $367.97 $169.83
Family $497.27 $229.51

Plan B

Level of Coverage

Monthly Cost

Bi-Weekly Cost

Employee Only $268.82 $124.07
Employee Plus Spouse/Domestic Partner* $764.28 $352.74
Employee Plus Child(ren) $560.48 $258.68
Family $947.71 $437.40

Plan C with HSA

Level of Coverage

Monthly Cost

Bi-Weekly Cost

Employee Only $92.04 $42.48
Employee Plus Spouse/Domestic Partner* $287.74 $132.80
Employee Plus Child(ren) $253.48 $116.99
Family $342.55 $158.10

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

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 $92.04 $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

 

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 changes regarding Blue Cross NC Home Delivery and Specialty Pharmacy Services

Faculty and staff covered by Blue Cross North Carolina should have received a letter announcing two important network changes.  Please see below for copies of the letters:

Effective April 1, 2021 your home delivery and specialty pharmacies are switching FROM AllianceRx Walgreens Prime TO Express Scripts Home Delivery (for maintenance medications) and Accredo Specialty Pharmacy (for specialty medications).

On and after 4/1/2021, employees will need to use the pharmacy listed below for mail order or specialty.

Mail order pharmacy services:   Express Scripts Pharmacy (ESI)
833-599-0449
www.express-scripts.com

Specialty pharmacy services:    Accredo
833-599-0513
www.accredo.com/BCNCspecialty

Express Scripts Home Delivery Pharmacy

  • Step 1 – On April 1, 2021, your active prescriptions with refills remaining will be automatically moved from your current pharmacy to the new pharmacy.  If you are out of refills or your prescription is a controlled substance, ask your doctor for a new prescription sent to Express Scripts Home Delivery pharmacy.
  • Step 2 – Register.  You will still need to establish a new account with the new pharmacy (if applicable) as your financial information and allergies will not be transferred.
  • Step 3 – Order your refill when it’s time.  When you log into your account you will be able to get real-time updates as we fill and ship your medication, online or with the mobile app. Free standard shipping is included in your plan
  • IMPORTANT NOTE:  Some prescriptions will not be moved, such as controlled substances or prescriptions that have expired or do not have any refills left. For those prescriptions, you’ll need to ask your doctor to send new prescriptions to Express Scripts Pharmacy or Accredo Specialty Pharmacy on or after April 1, 2021

Accredo Specialty Pharmacy

Prescription Transfer
Beginning on April 1, 2021, remaining refills of your specialty medication prescriptions currently being filled at AllianceRx Walgreens Prime will be transferred to Accredo pharmacy. Once your prescription is ready for order scheduling, Accredo will contact you to schedule your delivery.

Your prescription will not be automatically transferred to Accredo:

  • If your prescription will expire before April 1, 2021
  • If your prescription does not have any remaining refills
  • If your prescription is a controlled substance
  • If you have a new specialty medication prescription
  • If your letter indicates you have a limited distribution drug
  • If your prescription has special government regulations (i.e. REMS or Risk Evaluation and Mitigation Strategy drugs)

If any of these apply, please contact Accredo.

Filling for the First Time

How to fill your prescription with Accredo for the first time.

  • Once your prescription is ready for order scheduling, an Accredo patient care advocate will call you to schedule free delivery on a date that works for you. We’ll ship your medication with any special handling it may need, such as refrigeration.
  • If you receive copay assistance, please have the information ready so we can transfer it for you.
  • Because your shipment is coming from a new pharmacy, you may notice changes in packaging, prescription labels and literature.

Key Benefits of Using Accredo

On April 1, 2021, as your new specialty pharmacy, Accredo offers you many benefits, including:

  • 24/7 access to patient care advocates and specialty-trained pharmacists and nurses with extensive experience in your condition.
  • Refill reminders based on communication preferences – call, text message, email or mobile app.
  • Manage your specialty medications on accredo.com or on the Accredo® mobile app – you can even refill many medications online.
  • Accredo offers free delivery of your medication on a day that works for you.
  • Most supplies, such as needles and syringes, are provided with your specialty medication at no charge.
  • If you have questions prior to April 1, 2021, you can call Accredo. See dedicated phone number listed in the chart above.

What if you have questions?

You can:

  • log in to www.BlueConnectNC.com to chat with a live agent,
  • 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

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 are not eligible to utilize the services of Elon University’s Faculty/Staff Health & Wellness Clinic.

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:

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