Our plans offer a range of benefits so you can find the plan that's right for you.1
Notice: Your actual expenses for covered services may exceed the stated coinsurance percentage because actual provider charges may not be used to determine the health benefit plan's and member's payment obligations.
* Limited to four visits per plan year at $25 copayment each. Additional visits are subject to deductible and coinsurance.
** Plan B requires that you meet a separate $200 drug deductible before copayment coverage begins.
*** Value A and Value B require that you meet a separate $200 drug deductible before copayment coverage begins.
**** Value C, Value D, Plan C and Saver 1 require that you meet a separate $500 drug deductible before copayment coverage begins.
Note: If you choose a brand-name drug when a generic equivalent is available, you may pay the difference between the brand-name and generic in addition to any applicable copayment.
- The figures on this page are for illustrative purposes only. The examples provided on this page relate to in-network services only. When using out-of network providers, in addition to deductible and coinsurance amounts, you may be responsible for the difference between the Blue Cross and Blue Shield of North Carolina allowed amount and the provider's actual charge.