Medical for Blue Cross 50%, 60%, 70%, & 80%
You Have Four Different Blue Cross Blue Shield Medical Options to Choose From:
- 50% option with copays
- 60% option with a Health Savings Account (HSA)
- 70% option with copays
- 80% option with copays
All four Blue Cross Blue Shield cover the same services and prescription medications, but the amount you pay when you receive services and the amount you pay in contributions depends on the option you choose.
Some areas of the country also have an HMO option available. This information will display for you during enrollment if you are eligible. See the “Other Medical Carriers” page for more details.
Important Medical Benefit Definitions
Annual Deductible
The amount you pay for covered health care expenses before the plan begins to pay
Copay
A flat dollar amount that you pay for certain doctor’s office visits and prescriptions
Coinsurance
The amount you pay for covered health care after you meet your deductible
Out of Pocket
A cap, or limit, on the amount of money you pay for covered health care services in a Plan Year
Well360 Clarity Team
Your Well360 Clarity Advocate is just a phone call away, ready to:
- Help you resolve claim problems and billing issues
- Find providers and schedule services
- Pre-certify you for services to make sure you are covered
- Listen to your concerns and offer guidance on living a healthier life
The Well360 Clarity team helps you understand and get the greatest value from your medical and prescription drug benefits. The Well360 Clarity Advocate can help you connect or shop with Healthcare Bluebook to save money or put you in touch with included Health if you want an Expert Medical Opinion or need Treatment Decision Support.
The BeneficityTM App
Or visit beneficity.com for more information.
Prescription Drugs
Your prescription drug coverage is administered by Express Scripts.
Express Scripts
This list provides examples of commonly prescribed preventative medications that do not apply to the deductible for the 60% plan.
Pharmacy Benefits
National Preferred Formulary
The following is a list of the most commonly used prescribed drugs.
Healthcare Bluebook
HealthCare Bluebook is a tool to compare quality ratings for facilities and search for fair prices for common medical services and procedures out of healthcare and can save you hundreds of thousands of dollars in and out of pocket costs.
You will earn cash rewards every time you (for a covered family member) shops for select procedures and uses a Fair Price™ (green) facility for your care.
HealthCare Bluebook will also save money because your deductible and/or coinsurance will be calculated off the lower cost provider price. You’ll save hundreds of thousands of dollars on medical procedures by choosing Fair Price™ facilities for your care.
Included Health
Access an expert opinion from medical experts who specialize in your condition and help you make informed decisions about your medical care and treatment provided by AutoNation at no cost to you.
WINFertility
WINFertility offers family-building benefit solutions. From fertility management, including medical treatment, pharmacy and genetics to surrogacy and adoption, their mission is to help build families by providing access to the best doctors, technology and support.
See the Family Planning page for more details.
Sword-Virtual Physical Therapy
Using a tablet and wearable sensors, you can connect virtually with physical therapists to get real-time feedback and guidance. And it’s available at zero cost to you and your dependents through Blue Cross 50%, 60%, 70%, and 80% plan.
