Blue Cross Blue Shield

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Active Plan Summaries of Benefits and Coverage (SBC’s) as required by the ACA
BCBS SBC Fact Sheet

Effective July 1, 2022
Blue Care Elect Preferred PPO
Blue Care Elect Preferred PPO (Saver) HSA Qualified Plan
Network Blue HMO   
HMO New England (Access) HSA Qualified Plan

2022 BCBS Preventive RX List – works with the HSA Qualified Plan – the deductible is not applicable to these prescriptions – you pay only the co-pay charges.  Also, if your medication appears on both the Preventative list and the $9 Generic List (under Other Information below), you may purchase your medication through the $9 Generic List.
BCBS e-Kit (all plans) – this link will bring you to a page with several links to information such as the SBC’s, Rx formulary, physician look-up and other benefits specific to your HMO, PPO and HSA Qualified Health (Saver) plan.  It may take a minute to open this link.

BCBS Retiree Plan Benefit Summaries
CVS Fast Start Program – prescription mail-order for BCBS senior plans made easy! 

Effective January 1, 2023
Medex 2
Managed Blue for Seniors
Medicare HMO Blue
Blue Medicare Rx Summary
Blue Medicare Rx Formulary changes for 1-1-23

Prescription formulary

Other Information
Definitions – Copays, Coinsurance, Deductible & Out-of-Pocket Maximums
BCBS $9 Generic Drug List – for use with all active employee BCBS plans – Sorry, members on Medicare plans  are not eligible
BCBS Preventive Care Fact Sheet
BCBS Prescription Mail Service Brochure and Form
BCBS Adult and Children’s Screening Guidelines
Non-Hospital Imaging Centers

BCBS Fitness Reimbursement Form
BCBS Weight Loss Reimbursement Form
BCBS Retaining Coverage-Disabled Dependent
Avoid Costly Trips to the Emergency Room
Reasons to make your last Smoke your Last!

Health Plan Comparison Charts & Rates

Compare health plans and decide which is right for you.