- Your name will appear here.
- Used to identify you so your provider knows how to bill your health plan.
- This is where you will find Plan Description and ID Numbers relating to your Pharmacy Coverage.
- What type of network your plan has and which providers you can see who are "in-network."
Where Am I Covered?
If you are a resident of one of the parishes listed below, you are covered with Blue Connect when you visit Blue Connect doctors, clinics and hospitals.
Visit bcbsla.com/blue-connect to find a doctor in your network.
Greater New Orleans/Northshore:
Jefferson, Orleans, Plaquemines, St. Bernard, St. Charles, St. John the Baptist and St. Tammany parishes
Lafayette/Acadiana:
Acadia, Evangeline, Iberia, Lafayette, St. Landry, St. Martin, St. Mary and Vermilion parishes
Shreveport/Bossier:
Bossier and Caddo parishes
Essential Health Benefits
Certain limitations and exclusions apply to Essential Health Benefits
Schedule of Benefits
Prescription Drug Coverage
Stay in Your Network
The Blue Connect All Copay Plan features predictable, easy-to-understand pricing. As shown below, health care services are put in seven simple benefit levels with copayments for in-network services.
Your plan includes both in-network and out-of-network coverage, but you will pay more when you visit an out-of-network doctor or hospital. Be proactive about staying in your network by visiting bcbsla.com/blue-connect to find a doctor or hospital in your network. Blue Connect members have access to Ochsner Health Network (OHN) and other participating providers. While the Blue Connect product is offered only in the Lafayette, New Orleans and Shreveport areas, Blue Connect members may also access Blue Connect network providers located in other parishes.
Description (Level) |
Member pays In-Network Copay |
|---|---|
| Level 1: Preventive and Wellness, and Other Fully Covered Benefit Category | $0 |
| Level 2: Office Services: Labs and Low Tech* Imaging Benefit Category | $20 |
| Level 3: PCP Benefit Category | $35 |
| Level 4: Specialist Benefit Category (Urgent Care, Outpatient Services, and DME) | $75 |
| Level 5: ER and High Tech Imaging Benefit Category | $600 |
| Level 6: Outpatient Hospital Benefit Category | $1,500 |
| Level 7: Inpatient Hospital Benefit Category | $3,000 |
| *Low tech imaging includes machine tests, diagnostic imaging and radiation therapy. In-Network/Out-of-Pocket = $8,000; Out-of-Network/Out-of-Pocket = $16,000. OON benefits subject to deductible/coinsurance. Benefit category will take a separate copay per provider, per date of service. Exceptions may apply. See Benefit Grids for list of detailed services. |
|
Pick a Primary Care Doctor
Quality Blue
We are committed to providing you with affordable access to quality healthcare through our Quality Blue program. If your doctor takes part in this program, you are a part of it, too. You can ask your provider if they are in the Quality Blue program or look them up in our directory at bcbsla.com/findcare. Quality Blue providers have an indicator as shown below:
Get Care in the Right Place
Save time and money by getting the right care in the right place. Don't go to the emergency room for a cold.
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Your Online Account
Virtual Visits: Save Time and Money with Online Doctor Visits!
Ochsner's Virtual OnDemand Urgent Care service "Ochsner Connected Anywhere" lets members with a Blue Connect plan have private, secure video visits with a healthcare provider from the convenience of your workplace or home. All you need is a smartphone, tablet or computer to get started. For urgent care conditions like colds, fever and rashes, you can see a doctor 24/7 with no appointment needed. Several doctors, including Ochsner providers, are available for urgent care visits via the new MyOchsner app!
Simply download the MyOchsner app from the Apple App Store or Google Play Store and select “OnDemand Virtual Visit” upon logging in! Visit Ochsner.org/anywhere
Explanation of Benefits
What Should You Do After Enrollment?
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