Blue Cross and Blue Shield of North Carolina

Comprehensive vision coverage with no copay for exams and discounts on eyewear.

Offers extensive provider access and integrated prescription drug benefits nationwide.

Offers enhanced care quality and lower costs through a focused provider network.

Offers affordable and flexible health insurance exclusively for North Carolina businesses.

Dental Blue Select offers comprehensive resources to help employers manage dental benefits effectively.

Access healthcare services remotely with Blue Cross NC’s comprehensive telehealth benefits.

Enhances patient care through expert nursing support for care coordination and prior authorization.

Access Comprehensive Health Management Tools and Resources.

Group health plans for employers that provide broad provider networks, flexible funding options, integrated pharmacy benefits, and network-based options to lower total cost of care.

Products: Blue Options PPO, Blue High Performance Network (BlueHPN) EPO, Carolina HealthWorks

Health plans and member-facing services for individuals and families offering benefits management, member portal access, telehealth, and access to in-network and global providers.

Products: Blue 20/20 Vision Plans, Blue Connect, Telehealth Benefits

Standalone and embedded vision and dental benefit offerings that deliver in-network routine exam coverage, frame and lens allowances, contact lens reimbursements, preventive dental care, and provider network resources for plan selection.

Products: Blue 20/20 Vision Plans, Dental Blue Select

Programs and services that coordinate care, assist with prior authorizations and medication management, and provide virtual primary and behavioral health access to improve care continuity and reduce delays.

Products: Nurse Support Program, Telehealth Benefits, Blue Connect

Blue 20/20 Vision Plans

Blue 20/20 Vision plans for individuals and families, offered through EyeMed Vision Care. The plan lineup includes two options, Exam Plan and Exam Plus Plan. Benefits include 0 copay for in-network routine vision exams, frame and lens benefits, contact lens reimbursements, LASIK discounts, and access to a broad eye-care provider network with global coverage.

• Enjoy Free Eye Exams
  The plan offers a routine vision exam at no cost to members when conducted by in-network providers.
• Get Worldwide Eye Care Access
  Members benefit from a network that spans globally, allowing access to care wherever they travel.
• Access Quality Eye Care
  Members can choose from a wide array of reputable eye-care providers through the EyeMed network.
• Save On LASIK Procedures
  Members receive significant discounts when opting for LASIK procedures, enhancing their vision correction options.
• Receive Lens Coverage
  Members can get reimbursement for contact lenses and have access to affordable lens options in-network.
• Receive $150 For Frames
  The Exam Plus Plan allows members to choose eyeglass frames with a $150 allowance, while the Exam Plan does not include a frame allowance.

Blue Options PPO

Blue Options PPO is an employer health plan featuring the largest provider and hospital network, integrated prescription drug coverage, and worldwide reach. Available across all NC counties, with options suitable for different funding and network preferences.

• Access To Extensive Providers
  Members can choose from a wide range of doctors and hospitals for their care.
• Available In All NC Counties
  Ensures convenient access to health care services near members.
• Global Coverage Options
  Ensures access to medical services while traveling or living abroad.
• Includes Prescription Drug Coverage
  Members benefit from a comprehensive formulary reducing out-of-pocket costs for medications.
• Offers Flexible Funding Structures
  Allows employers to choose plans that fit their financial strategy.

Blue High Performance Network (BlueHPN) EPO

Blue High Performance Network is designed to deliver enhanced quality and lower costs by partnering with high-performing providers. Offered as an EPO option, it covers a curated network and aims to improve outcomes in more than 65 major metro areas.

• Improved Health Outcomes
  Focuses on quality care from selected high-performing providers to maximize patient outcomes.
• Achieve Significant Cost Reductions
  Designed for financial efficiency, reducing healthcare expenses for employers and employees.
• Access Exclusive Network Providers
  Members benefit from a limited network designed to reduce costs and improve service efficiency.
• Wide Metro Area Availability
  Covers major urban centers, ensuring access for diverse populations.

Carolina HealthWorks

A flexible, affordable Blue Cross NC health plan exclusive to members of the North Carolina Chamber and participating local chambers.

• Provides Exclusive Access
  Members of the NC Chamber can access a health plan with advantages generally reserved for larger businesses, including competitive rates and flexible options.
• Covers Over 2 Million Providers
  Employees are ensured access to broad healthcare options, supporting a wide variety of health needs.
• Ensures Predictable Costs
  Employers benefit from stable monthly fees which can lead to savings compared to traditional insurance models.
• Supports Local Businesses
  Tailored health benefits that recognize the unique needs of small businesses in North Carolina, promoting employee well-being.
• Promotes Employee Wellness
  Access to programs like Blue Rewards and Blue365 discounts enhances employee health and engagement.

Dental Blue Select

Dental Blue Select is a dental plan resource kit providing access to forms, contact information, and employee rosters, along with benefit summaries and plan comparisons to help employers select plans.

• Enhance Administrative Efficiency
  Accessing necessary resources streamlines administrative tasks for employers and benefits coordinators.
• Simplify Plan Selection
  Easily analyze and compare different dental plans, ensuring informed decision-making for employers.
• Promote Oral Health
  Encourages regular dental visits and preventive care to maintain overall health.
• Access Quality Dental Care
  Members can visit any licensed dentist within the extensive network, ensuring quality care options.

Telehealth Benefits

Telehealth benefits are available on all Blue Cross NC plans, enabling remote visits through our provider network. Mindpath Health provides independent behavioral health telehealth services where offered.

• Access Remote Healthcare Conveniently
  Members can utilize telehealth services across all plans for easy and convenient healthcare access, enhancing flexibility in managing their health.
• Receive Mental Health Support Remotely
  Members can access mental health care services through licensed professionals in a virtual setting, ensuring comprehensive support for their mental well-being.

Nurse Support Program

Care management program that helps assess, coordinate, and assist with prior authorizations to ensure members get appropriate care, improve coordination, and reduce delays.

• Enhance Care Coordination
  Our dedicated nurses work with you to ensure seamless communication among healthcare providers, improving the overall management of your health needs.
• Facilitate Timely Authorizations
  Get dedicated help from our nurses to navigate the prior authorization process, minimizing delays and ensuring you receive necessary care swiftly.
• Manage Medications Effectively
  Our nurses help you with medication guidelines, refills, and adherence, empowering you to manage your health effectively.

Blue Connect

Blue Cross NC’s member portal that provides access to plan information, benefits, tools, and resources; enables finding care and managing benefits.

• Locate Care Easily
  Utilize the care finder to quickly identify in-network providers and facilities, ensuring you receive affordable and accessible health services.
• Manage Your Benefits Online
  Access your health plan details, review benefits, and utilize tools for efficient management of your health care services all in one convenient online platform.
• Connect with Healthcare Providers Remotely
  Engage with health professionals through telehealth services, allowing for convenient consultations from home when you need care.
• Pay Premiums Conveniently
  Make payments easily online or via mobile, ensuring you never miss a premium and maintain continuous coverage.
• Find Wellness Resources
  Gain insights and strategies for maintaining health, including preventive care tips and lifestyle management resources.