Medical Benefits
2025
Summary of Benefits and Coverage
2020-2024
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These summaries of your benefit plan include coverage information and your deductible, copayment and coinsurance amounts.
Pharmacy Benefits
View your prior authorizations, price a drug, find a pharmacy or print your prescription history.
Our forms are updated regularly. Please use the most current form to avoid delays in processing. Read each form carefully for special instructions and/or submission information.
Search our provider directory to find a doctor in your network. And if you choose a Quality Blue Primary Care Doctor, you get lower or free copays and cost sharing for that visit, depending on your plan benefits.
Save money on your health insurance premium through Live Better Louisiana, an OGB program that gives Louisiana Blue plan members resources to help you better monitor your health, understand your risk factors and make educated choices that keep you healthier.
To participate in the Live Better Louisiana program and get a Catapult check-up, you must be the primary member on an OGB Louisiana Blue plan at the time of the check-up. In order to receive the credit, you must be enrolled in an OGB Louisiana Blue plan as the primary member the year following the LBL plan year.
Visit the Catapult scheduler at www.timeconfirm.com/OGB or call (877) 841-3058 to schedule your appointment. If you cannot make a clinic, you can see your PCP instead. Download the Catapult Health Primary Care Provider form under Customer Forms at bcbsla.com/OGB. There is also a form if you are pregnant or have another medical exception.
Check-up Guides
What is Care Management?
Real healthcare providers -- doctors, nurses, social workers, dietitians and pharmacists – make up our Care Management department. We're here to help you make the best possible decisions about your healthcare.
Our goal is to offer programs and services that guide you to better health and access to high quality care.
We help coordinate your healthcare.
You get support from a registered nurse. You may pay less for medications you take to treat diabetes, coronary artery disease, heart failure, asthma and COPD.
Watch the video to learn about the benefits of working with a personal health coach.
Call one of our Health Services Specialists
Monday — Friday, 8 a.m. - 5 p.m.
Our nurses have experience with:
To see if you are eligible and get started, call one of our health coaches.
Monday — Friday, 8 a.m. - 5 p.m.
Diabetes Prevention Program: OGB members and other adults 18 years of age and older on their plans who are diagnosed with prediabetes or at high risk for type 2 diabetes may be eligible for Omada, a 16-week diabetes prevention program from Louisiana Blue and Omada Health. The Omada program is designed to help individuals, including those with prediabetes, lose weight and make healthier choices. Combining a professional health coach with an understanding and supportive small group, a flexible online format and a growing pool of healthy resources, Omada is a profound, lifestyle-changing experience.
Primary Care Referral: Studies show that building a long-term relationship with a single doctor can improve your health. Your primary care physician (PCP) is your healthcare team quarterback, coordinating your care and helping ensure you don't get unnecessary tests or treatments. OGB members who don't already have a PCP will get help choosing one from the appropriate Louisiana Blue network.
Diabetes Care: OGB members diagnosed with diabetes may be eligible for a glucometer and test strips from CVS Caremark at no out-of-pocket cost to help manage their diabetes. You don’t have to enroll in any additional programs, but you must be participating in the Care Management Diabetes program to qualify for test strips. Follow these instructions to claim your no out-of-pocket glucometer and test strips.
Email:
ogbhelp@bcbsla.com
Phone:
(800) 392-4089
Fax:
(225) 298-7772
Mail:
P.O. Box 98027
Baton Rouge, LA 70898
If you and your provider disagrees with a clinical decision, you have the right to appeal.
Mail:
P.O. Box 98027
Baton Rouge, LA 70898
With our secure online customer inquiry form, you can submit your questions to Customer Service securely and conveniently.
Louisiana Blue Customer Service Hours
Louisiana Blue Cross Office Hours
8 a.m.-5 p.m., Monday-Friday.
Louisiana Blue Cross Customer Service Call Hours
8 a.m.-8 p.m., Monday-Friday
We serve every community in the state through our Baton Rouge headquarters and regional offices in Alexandria, Baton Rouge, Houma, Lafayette, Lake Charles, Monroe, New Orleans and Shreveport.
2024 Company Holidays
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Monday, Jan.1
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Monday, Jan. 15
Good Friday
Friday, March 29
Memorial Day
Monday, May 27
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Thursday, July 4
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Monday, Sept.2
Thanksgiving
Thursday, Nov. 28
Friday, Nov. 29
Christmas Eve and Christmas
Tuesday, Dec. 24
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