Below are links to resources to help you understand your health insurance plan. Be sure to bookmark this page and refer to it often. More information is also available on Self-Service—logon today.
| Member Handbook Kit✝
Your Member Handbook kit makes your health insurance plan easier to understand and use. It explains what’s covered and how to get care. | Learn More
|| Rx Drug Benefits
If your employer offers prescription drug coverage through BCNEPA, your plan may have either the multi-tiered or coinsurance program. These programs help keep your drugs affordable because they use a
formulary. | Learn More
Need more information? Click on the links on the left. You can also email Customer Service through Self-Service or give us a call at 1.800.829.8599 or (TTY) 1.866.280.0486, weekdays, between 8 a.m. and 5 p.m.
*If your plan is self-insured, be sure to read this version of Your Blue Book to see how Blue Cross of Northeastern Pennsylvania works with your plan sponsor for the best coverage and benefits. Check with your employer or plan administrator to see if you have a self-insured plan.
✝Policies and provisions described in the documents referenced here may not apply to all self-insured group plans.
BlueCare Traditional uses the Traditional network. Using in-network providers for all covered medical care and services will always cost less, because your costs for care will always be the lowest in-network. Your health insurance plan offers the richest coverage with basically no deductibles, copays or coinsurance for care when you use in-network providers.
BlueCard providers are in-network. This means you have coverage for care from national and worldwide BlueCard providers— at the same cost for care as if you were home.
Coverage is provided for care out of the network, but at a higher cost out of your own pocket (deductibles, copays and coinsurance may apply). Doctors and hospitals out of the Traditional and BlueCard networks do not agree to accept our discounted “allowable charge” as payment in full. They may bill you for a bigger share of the cost for your care.
Get more information: