Fall 2009

Enhancements to BlueChoice
and BlueOptions plans

This past June, Blue Cross and Blue Shield of Florida, Inc. (BCBSF) enhanced the benefits of existing Individual, Under-65 BlueChoice and BlueOptions products. Most recently, our predictable cost, Health Savings Account (HSA) compatible, and Integrated Health and Dental plans have been enhanced with new benefit levels. Enhancements include the following:

• Adult Wellness services no longer have an annual maximum for services provided by an in-network physician.
• Mail order drugs are now available with HSA-compatible plans.
• Drugs purchased at an out-of-network pharmacy are subject to a deductible plus 50% coinsurance. The member will pay the full amount at the time of purchase and then submit a claim to BCBSF for reimbursement.
• Self-administered drugs are excluded from medical coverage when administered in a provider’s office. They will be covered under the prescription drug benefits.

BCBSF has a variety of BlueChoice and BlueOptions plans including: limited benefit, lower-cost, HSA-compatible, predictable cost and plans with tax incentives. Members have access to our provider networks and comprehensive support services to complement their coverage, including personalized care programs and tools important for making informed health care decisions.

Members are easily identified by the product name (e.g., BlueChoice, BlueOptions) which is clearly displayed in the upper right corner of their BCBSF magnetic stripe identification (ID) cards.

To confirm benefits, submit an Eligibility and Benefits transaction through the Availity^®1 Health Information Network. If your office is equipped with a card reader compatible with Availity’s card-processing program, CareRead^®, you can simply swipe the member’s ID card to access real-time benefit information.