Preferred provider organization (PPO) Plan
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With Blue Options, members have access to many of the best doctors, hospitals and specialists in the state. Members visit in-network providers, show their Blue Cross and Blue Shield of North Carolina (BCBSNC) ID card and pay their copayment. The doctor handles the administrative details and files the claims. There’s no messy paperwork. It’s that easy. Members can even go directly to in-network specialists without a referral.1 Members also have the freedom to go outside the network; the only difference is the out-of-pocket costs.
Blue Options features the largest provider networks in North Carolina and predictable member copayments and coinsurance.2 Members are also covered across the nation and in more than 200 countries and territories worldwide.3 To find a nearby network provider, members can search the BlueCard® provider directory at bcbsnc.com or call 1-800-810-BLUE (2583).
Blue Options members are covered for preventive care including annual physical exams, annual Ob/Gyn visits, standard immunizations, annual eye exams, as well as mammograms and prostate screenings. Blue Options plans may also include a pharmacy benefit, in which case, members pay only a copayment for prescription drugs.
As BCBSNC members, Blue Options members have access to a variety of resources and programs designed to maximize their health care experience. Resources include the Member Health Partnerships, programs that help members manage health conditions like asthma and diabetes, and Blue ExtrasSM, free value-added programs that provide members discounts on everything from vitamins to gym memberships.4
® mark, SM marks of the Blue Cross and Blue Shield Association. SM1 mark of Blue Cross and Blue Shield of North Carolina.1 Referrals may be needed for certain mental health and substance abuse services.2 Some services and supplies received by members in an office setting or in connection with an office visit are in fact outpatient hospital-based services provided by hospital-owned or operated practices. These services and supplies may be subject to your deductible and coinsurance. 3 2004 Blue Cross and Blue Shield Association Internal Date. 4 Blue Cross and Blue Shield of North Carolina reserves the right to discontinue or change these program at any time. All plans may not be eligible for these programs.
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