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.
Greater New Orleans/Northshore:
Jefferson, Orleans, Plaquemines, St. Bernard, St. Charles, St. John the Baptist and St. Tammany parishes
Acadia, Evangeline, Iberia, Lafayette, St. Landry, St. Martin, St. Mary and Vermilion parishes
Bossier and Caddo parishes
Essential Health Benefits
Certain limitations and exclusions apply to Essential Health Benefits
Schedule of Benefits
Prescription Drug Coverage
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.
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.
Pick a Primary Care Doctor
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.
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.
Your Online Account
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.
Explanation of Benefits
What Should You Do After Enrollment?