Getting to know HMO Louisiana (2024)

Your plan covers a variety of benefits to keep you healthy. They include:

Your Schedule of Benefits (SOB) includes information about what services are covered, what's not covered and how much it will cost.

You can manage your prescription drug coverage by logging in at lablue.com/myaccount and choosing "Pharmacy" on the dark blue bar near the top of the page. Once you log in, you can:

Control costs by staying in your network. No out-of-network benefits apply to your HMO plan, except for emergency care.

Be proactive about staying in your network by visiting bcbsla.com/findcare to find a doctor or hospital in your network.

You must pick a primary care physician in the HMO network to handle most of your medical needs when you are sick or injured.

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 lablue.com/findcare. Quality Blue providers have an indicator as shown below:

Save time and money by getting the right care in the right place. Don't go to the emergency room for a cold.

Activate your Louisiana Blue online account quickly and easily. Once you're registered, you can manage your account, choose to go paperless, review your benefits, see your claims status, view your digital ID card, and more - 24 hours a day, seven days a week.

Medical and behavioral health visits available.

Have a BlueCare online medical visit 24/7 or behavioral health visit by appointment using a computer, smartphone, tablet or any device with internet and a camera. The cost of your BlueCare visit will depend on your plan type and benefits. Providers are U.S. trained and board certified. BlueCare providers are available in all 50 states. BlueCare meets state and federal healthcare services laws, is HIPAA-compliant and is as valid as an in-person visit.

After each visit to a doctor or hospital, we will send you an Explanation of Benefits (EOB). It is a summary of the charges for the care or services you received. It shows what we cover and what the provider charged or what the service cost. It is not a bill. You may choose to go paperless and get your EOBs online by logging in at lablue.com/myaccount and choosing "Account Preferences."