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- *This is an estimate only. It is based on the information you provided in the questionnaire. Your final rate may vary based on actual group size, number of prior carriers, worker's compensation coverage, length of probationary period, bankruptcy, ratio of renewal premium to proposed premium, percentage of out-of-state employees, and percentage of employees that reject coverage.
- Some services and supplies received by members in an office setting or in connection with an office visit are in fact outpatient hospital-based services provided by hospital-owned or operated practices. These services and supplies may be subject to deductible and coinsurance. Please see the BCBSNC provider list to identify these providers.
- Certain preventive care services are limited to in-network benefits.
- New preventive care benefits are a result of Health Care Reform requirements for non-grandfathered plans. See benefit booklet for any restrictions or cost-sharing for out-of-network benefits.
- Consult a qualified tax advisor about possible tax advantages.
- BCBSNC contracts with Alere Health Improvement Company, an independent third party vendor, for the provision of certain aspects of Healthy Outcomes programs.
- Blue365® offers access to savings on items that Members may purchase directly from independent vendors, which are different from items that are covered under the policies with BCBSNC. Any disputes regarding these products and services may be subject to BCBSNC's grievance process. Blue Cross and Blue Shield Association (BCBSA) may receive payments from Blue365 vendors. BCBSA does not recommend, endorse, warrant or guarantee any specific Blue365 vendor or item.
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For costs and further details of the coverage, including exclusions, and reductions or limitations and terms under which the policy may be continued in force, please write to BCBSNC at P.O. Box 2291 Durham, NC 27702