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 Local Bronze Basic | 3 Free PCP | $20 Tier 1 Rx | Integrated | with Atrium Health |
EPO |
11512NC0410011 |
No |
Blue Local Bronze Basic | 3 Free PCP | $20 Tier 1 Rx | Integrated | with Atrium Health |
EPO |
11512NC0410046 |
No |
Blue Local Bronze Basic | 3 Free PCP | $20 Tier 1 Rx | Integrated | with Atrium Health |
EPO |
11512NC0410047 |
No |
Blue Local Bronze Basic | 3 Free PCP | $20 Tier 1 Rx | Integrated | with Atrium Health |
EPO |
11512NC0410048 |
No |
Blue Local Bronze Basic | 3 Free PCP | $20 Tier 1 Rx | Integrated | with Atrium Health |
EPO |
11512NC0410055 |
No |
Blue Local Bronze Complete | $60 PCP | $20 Tier 1 Rx | with Atrium Health |
EPO |
11512NC0410009 |
No |
Blue Local Bronze Complete | $60 PCP | $20 Tier 1 Rx | with Atrium Health |
EPO |
11512NC0410044 |
No |
Blue Local Bronze Complete | $60 PCP | $20 Tier 1 Rx | with Atrium Health |
EPO |
11512NC0410045 |
No |
Blue Local Bronze Standard | with Atrium Health |
EPO |
11512NC0410012 |
No |
Blue Local Bronze Standard | with Atrium Health |
EPO |
11512NC0410049 |
No |
Blue Local Bronze Standard | with Atrium Health |
EPO |
11512NC0410050 |
No |
Blue Local Bronze Standard | with Atrium Health |
EPO |
11512NC0410051 |
No |
Blue Local Bronze Standard | with Atrium Health |
EPO |
11512NC0410056 |
No |
Blue Local Gold Premier | 3 Free PCP | $10 Tier 1 Rx | with Atrium Health |
EPO |
11512NC0410001 |
No |
Blue Local Gold Premier | 3 Free PCP | $10 Tier 1 Rx | with Atrium Health |
EPO |
11512NC0410016 |
No |
Blue Local Gold Premier | 3 Free PCP | $10 Tier 1 Rx | with Atrium Health |
EPO |
11512NC0410017 |
No |
Blue Local Gold Premier | 3 Free PCP | $10 Tier 1 Rx | with Atrium Health |
EPO |
11512NC0410018 |
No |
Blue Local Gold Premier | 3 Free PCP | $10 Tier 1 Rx | with Atrium Health |
EPO |
11512NC0410022 |
No |
Blue Local Gold Standard | with Atrium Health |
EPO |
11512NC0410002 |
No |
Blue Local Gold Standard | with Atrium Health |
EPO |
11512NC0410019 |
No |
Blue Local Gold Standard | with Atrium Health |
EPO |
11512NC0410020 |
No |
Blue Local Gold Standard | with Atrium Health |
EPO |
11512NC0410021 |
No |
Blue Local Gold Standard | with Atrium Health |
EPO |
11512NC0410023 |
No |
Blue Local Silver Choice | 3 Free PCP | $15 Tier 1 Rx | with Atrium Health |
EPO |
11512NC0410008 |
No |
Blue Local Silver Choice | 3 Free PCP | $15 Tier 1 Rx | with Atrium Health |
EPO |
11512NC0410038 |
No |
Blue Local Silver Choice | 3 Free PCP | $15 Tier 1 Rx | with Atrium Health |
EPO |
11512NC0410039 |
No |
Blue Local Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | with Atrium Health |
EPO |
11512NC0410005 |
No |
Blue Local Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | with Atrium Health |
EPO |
11512NC0410024 |
No |
Blue Local Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | with Atrium Health |
EPO |
11512NC0410028 |
No |
Blue Local Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | with Atrium Health |
EPO |
11512NC0410029 |
No |
Blue Local Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | with Atrium Health |
EPO |
11512NC0410030 |
No |
Blue Local Silver Standard | with Atrium Health |
EPO |
11512NC0410010 |
No |
Blue Local Silver Standard | with Atrium Health |
EPO |
11512NC0410027 |
No |
Blue Local Silver Standard | with Atrium Health |
EPO |
11512NC0410040 |
No |
Blue Local Silver Standard | with Atrium Health |
EPO |
11512NC0410041 |
No |
Blue Local Silver Standard | with Atrium Health |
EPO |
11512NC0410042 |
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 |