Getting to know Blue Connect All Copay (2020)

Ready to explore the benefits of your Blue Connect All Copay select network plan? As with any insurance plan, a few smart choices can help you avoid big, unexpected medical bills.


Blue Connect All Copay plan = Blue Connect HMO/POS network

Blue Connect is anchored by the Ochsner Health Network and their affiliated providers.
This is an icon of a sample Blue Cross and Blue Shield of Louisiana member ID card.

MEMBER NAME

- Your name will appear here.

MEMBER ID NUMBER

- Used to identify you so your provider knows how to bill your health plan.

PHARMACY COVERAGE

- This is where you will find Plan Description and ID Numbers relating to your Pharmacy Coverage.

PLAN TYPE

- What type of network your plan has and which providers you can see who are "in-network."


KNOW YOUR COVERAGE

Where Am I Covered?

If you are a resident of one of the parishes listed below, you are covered with Blue Connect when you visit Blue Connect doctors, clinics and hospitals. 

Visit bcbsla.com/blue-connect to find a doctor in your network.

COVERED PARISHES

Greater New Orleans/Northshore:
Jefferson, Orleans, Plaquemines, St. Bernard, St. Charles, St. John the Baptist and St. Tammany parishes

Lafayette/Acadiana:
Acadia, Evangeline, Iberia, Lafayette, St. Landry, St. Martin, St. Mary and Vermilion parishes

Shreveport/Bossier:
Bossier and Caddo parishes

Essential Health Benefits

Your plan covers a variety of benefits to keep you healthy. They include:
This is an icon for emergency care services.

 

Certain limitations and exclusions apply to Essential Health Benefits

Schedule of Benefits

Your Schedule of Benefits (SOB) includes information about what services are covered, what's not covered and how much it will cost.

IN-NETWORK

providers have agreed to accept a contracted (discounted) rate for your care. You'll save money by visiting a doctor or hospital in your network.

OUT-OF-NETWORK 

providers can charge more, which means you'll pay more when you visit an out-of-network doctor or hospital.

COMPARISON

Shows a breakdown of what you can expect to pay for specific services if you choose to visit a doctor that is in your network versus one that is outside your network.

Prescription Drug Coverage

You can manage your prescription drug coverage by logging in at bcbsla.com/myaccount and choosing "Pharmacy" under "My Account Information." Once you log in, you can:
You can also view covered drug lists, search for drugs and find out how to save on drugs at bcbsla.com/rx.


MANAGE YOUR COST

Stay in Your Network

The Blue Connect All Copay Plan features predictable, easy-to-understand pricing. As shown below, healthcare services are put in seven simple benefit levels with copayments for in-network services.

Your plan includes both in-network and out-of-network coverage, but you will pay more when you visit an out-of-network doctor or hospital. Be proactive about staying in your network by visiting bcbsla.com/blue-connect to find a doctor or hospital in your network. Blue Connect is anchored by high-quality Ochsner Health Network and their affiliated providers.

Description (Level)

Member pays In-Network Copay

Level 1: Preventive and Wellness, and Other Fully Covered Benefit Category $0
Level 2: Office Services: Labs and Low Tech* Imaging Benefit Category $20
Level 3: PCP Benefit Category $35
Level 4: Specialist Benefit Category (Urgent Care, Outpatient Services, and DME) $75
Level 5: ER and High Tech Imaging Benefit Category $600
Level 6: Outpatient Hospital Benefit Category $1,500
Level 7: Inpatient Hospital Benefit Category $3,000
*Low tech imaging includes machine tests, diagnostic imaging and radiation therapy.
In-Network/Out-of-Pocket = $8,000; Out-of-Network/Out-of-Pocket = $16,000. OON benefits subject to deductible/coinsurance.
Benefit category will take a separate copay per provider, per date of service. Exceptions may apply.
See Benefit Grids for list of detailed services.
Understanding the All Copay Plan

Pick a Primary Care Doctor

You must pick a primary care doctor in the Blue Connect network to handle most of your medical needs when you are sick or injured.

Quality Blue Primary Care

We are committed to providing you with affordable access to quality healthcare through our Quality Blue Primary Care program. You get health coaching, your doctor gets more information about your health history, and you may receive notices about screenings or shots you should have.

Look for the Blue "Q" next to your doctor's name in the provider directory to see if they participate in Quality Blue Primary Care.

Quality Blue logo

Get Care in the Right Place

Save time and money by getting the right care in the right place. Don't go to the emergency room for a cold.

Shop and Save on Healthcare Procedures

Compare the costs of common medical procedures and save with our SmartShopper cost transparency tool.


BENEFIT FROM CONVENIENCE

Your Online Account

Activate your Blue Cross online account quickly and easily. Once you're registered, you can manage your account, choose to go paperless, review your benefits, see your claims status, view your digital ID card, and more - 24 hours a day, seven days a week.

BlueCare Telehealth: Get Care from Anywhere!

Medical and behavioral health visits available.

Have a BlueCare online medical visit 24/7 or behavioral health visit by appointment using a computer, smartphone, tablet or any device with internet and a camera. Before every visit, you will see what it will cost based on your plan type and benefits. You will not be charged until the visit is complete. All providers are U.S. trained and board certified.

BlueCare is

24/7

for medical visits
BlueCare is

Faster

than going to urgent care
BlueCare costs

Less

than the ER

Visit www.BlueCareLA.com or download the BlueCare (one word) mobile app on your Apple or Android device.
Download on the Apple StoreGet it on Google Play  

Explanation of Benefits

After each visit to a doctor or hospital, we will send you an Explanation of Benefits (EOB). It is a summary of the charges for the care or services you received. It shows what we cover and what the provider charged or what the service cost. It is not a bill. You may choose to go paperless and get your EOBs online by logging in at bcbsla.com/myaccount and choosing "Account Preferences."

AMOUNT CHARGED

What the doctor, clinic or hospital charged for care.

PLAN(S) DISCOUNTS & PAYMENTS

This is your discount on care costs or what your plan paid for care.

YOUR RESPONSIBILITY

This is what you must pay for care before your health coverage begins to pay for the parts of your care that are not covered by your plan.

AMOUNT YOU MAY OWE

This is the part of your claims you may have to pay out of pocket.

What Should You Do After Enrollment?

Congratulations! You've got health insurance. But now what do you do? Don't worry, we've got answers!