Blue Advantage Bronze Basic | 3 Free PCP | $20 Tier 1 Rx | Integrated | Nationwide Doctors |
PPO |
11512NC0060004 |
No |
Blue Advantage Bronze Complete | $60 PCP | $20 Tier 1 Rx | Nationwide Doctors |
PPO |
11512NC0060031 |
No |
Blue Advantage Bronze Standard | Nationwide Doctors |
PPO |
11512NC0060052 |
No |
Blue Advantage Gold Premier | 3 Free PCP | $10 Tier 1 Rx | Nationwide Doctors |
PPO |
11512NC0060018 |
No |
Blue Advantage Gold Standard | Nationwide Doctors |
PPO |
11512NC0060050 |
No |
Blue Advantage Silver Choice | 3 Free PCP | $15 Tier 1 Rx | Nationwide Doctors |
PPO |
11512NC0060028 |
No |
Blue Advantage Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | Nationwide Doctors |
PPO |
11512NC0060002 |
No |
Blue Advantage Silver Standard | Nationwide Doctors |
PPO |
11512NC0060051 |
No |
Blue Care Bronze Standard | Statewide Doctors |
HMO |
11512NC0430003 |
No |
Blue Care Gold Standard | Statewide Doctors |
HMO |
11512NC0430001 |
No |
Blue Care Silver Standard | Statewide Doctors |
HMO |
11512NC0430002 |
No |
Blue Home Bronze Basic | 3 Free PCP | $20 Tier 1 Rx | Integrated | with Novant Health |
EPO |
11512NC0400021 |
No |
Blue Home Bronze Basic | 3 Free PCP | $20 Tier 1 Rx | Integrated | with Novant Health |
EPO |
11512NC0400022 |
No |
Blue Home Bronze Standard | with Novant Health |
EPO |
11512NC0400023 |
No |
Blue Home Bronze Standard | with Novant Health |
EPO |
11512NC0400024 |
No |
Blue Home Gold Premier | 3 Free PCP | $10 Tier 1 Rx | with Novant Health |
EPO |
11512NC0400001 |
No |
Blue Home Gold Premier | 3 Free PCP | $10 Tier 1 Rx | with Novant Health |
EPO |
11512NC0400002 |
No |
Blue Home Gold Standard | with Novant Health |
EPO |
11512NC0400003 |
No |
Blue Home Gold Standard | with Novant Health |
EPO |
11512NC0400004 |
No |
Blue Home Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | with Novant Health |
EPO |
11512NC0400009 |
No |
Blue Home Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | with Novant Health |
EPO |
11512NC0400010 |
No |
Blue Home Silver Standard | with Novant Health |
EPO |
11512NC0400017 |
No |
Blue Home Silver Standard | with Novant Health |
EPO |
11512NC0400018 |
No |
Blue Value Bronze Basic | 3 Free PCP | $20 Tier 1 Rx | Integrated | Limited Statewide Doctors |
POS |
11512NC0100070 |
No |
Blue Value Bronze Basic | 3 Free PCP | $20 Tier 1 Rx | Integrated | Limited Statewide Doctors |
POS |
11512NC0100071 |
No |
Blue Value Bronze Complete | $60 PCP | $20 Tier 1 Rx | Limited Statewide Doctors |
POS |
11512NC0100012 |
No |
Blue Value Bronze Complete | $60 PCP | $20 Tier 1 Rx | Limited Statewide Doctors |
POS |
11512NC0100054 |
No |
Blue Value Bronze Standard | Limited Statewide Doctors |
POS |
11512NC0100074 |
No |
Blue Value Bronze Standard | Limited Statewide Doctors |
POS |
11512NC0100077 |
No |
Blue Value Gold Premier | 3 Free PCP | $10 Tier 1 Rx | Limited Statewide Doctors |
POS |
11512NC0100009 |
No |
Blue Value Gold Premier | 3 Free PCP | $10 Tier 1 Rx | Limited Statewide Doctors |
POS |
11512NC0100034 |
No |
Blue Value Gold Standard | Limited Statewide Doctors |
POS |
11512NC0100072 |
No |
Blue Value Gold Standard | Limited Statewide Doctors |
POS |
11512NC0100075 |
No |
Blue Value Silver Choice | 3 Free PCP | $15 Tier 1 Rx | Limited Statewide Doctors |
POS |
11512NC0100011 |
No |
Blue Value Silver Choice | 3 Free PCP | $15 Tier 1 Rx | Limited Statewide Doctors |
POS |
11512NC0100044 |
No |
Blue Value Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | Limited Statewide Doctors |
POS |
11512NC0100064 |
No |
Blue Value Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | Limited Statewide Doctors |
POS |
11512NC0100065 |
No |
Blue Value Silver Standard | Limited Statewide Doctors |
POS |
11512NC0100073 |
No |
Blue Value Silver Standard | Limited Statewide Doctors |
POS |
11512NC0100076 |
No |