Blue Advantage gives you access to our largest statewide network. This is a good option if you want a broad choice of in-network doctors, specialists and hospitals.
- Full statewide network with the most choice
- Want a broad choice of in-network doctors, specialists and hospitals
- More pharmacy options
- Two ways to pay for medical expenses: a plan with predictable copayments or deductible and coinsurance
Blue Advantage is ideal for those who want choices: choices in which provider to see and choices for how much to pay for doctor visits and prescription drugs.
Blue Advantage offers a variety benefit choices to give you options for how much you pay for medical expenses: copayments, and deductible and coinsurance plans.
Copayment plans are what most people think of as traditional plans. They offer a fixed copayment for things like primary care office visits and prescriptions. While you’ll know what you’re going to pay with copayment plans, they come at a higher premium. These plans are ideal for someone who wants predictable costs and doesn’t mind paying more in premiums.
Deductible and coinsurance plans have lower premiums than copayment plans. If you don’t expect a lot of medical expenses and want to save money on premiums, these may be the plans for you. For these plans, you pay the full cost of your medical expenses until you meet your medical deductible. Then you pay a coinsurance percentage, sharing the cost with Blue Cross and Blue Shield of North Carolina (BCBSNC) until you reach your out-of-pocket limit. After that, BCBSNC pays all covered costs.
Two of our Blue Advantage deductible and coinsurance plans have a $0 deductible. That means you start paying toward coinsurance rather than meeting a deductible. From Day 1 BCBSNC shares your expenses until you reach your out-of-pocket limit.
For more options for your budget and your needs, some plans offer a combination of copayments, and deductible and coinsurance.
Health Savings Account (HSA)
Certain plans are also eligible for an HSA.
- The money you contribute to your HSA is tax-deductible.1
- When you need to pay for eligible medical services, you can pay for them with your HSA funds.
- Your HSA rolls over from year to year. That means you keep what you put into it. It’s your HSA - it’s your money.
Blue Advantage plans are available in all metallic levels: bronze, silver, and gold. The levels differ by how much of your medical costs a plan will pay on average. They are based on approximate values for standard medical expenses.23
- Bronze plans pay 60%
- Silver plans pay 70%
- Gold plans pay 80%
All plans have a maximum out-of-pocket (OOP) limit of $7,350 or less.
HSA contribution amounts are limited to the amount established by the IRS for each year for single or family coverage. ↩
The Center for Consumer Information and Insurance Oversight. Centers for Medicare and Medicaid Services. “Actuarial Value and Cost-Sharing Reductions Bulletin.” http://cciio.cms.gov/resources/files/Files2/02242012/Av-csr-bulletin.pdf. Accessed April 29, 2013. ↩
These are approximate values with a +/- 2% variation. ↩