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2025 Plan Management - Blue Value

Let’s get the most from your plan

Discover the value of your benefits

Hello! Welcome to your 2025 plan page.

If you want to know all that your health plan offers and how to access it, you’ve come to the right place. We cover the basics as well as the benefits, resources and cost-savers that make your plan a great value. 

Let’s get started!

Start here

     

[MUSIC]

[Cedilett]

Hello! We’re thrilled to welcome you to Blue Cross and Blue Shield of North Carolina.

We’re always working to make sure you’re getting the most out of your plan – and that can begin right now.

[Brian]

Start with Blue Connect, our member portal that allows you to manage your plan and discover extra perks along the way.

Register for the first time or log in to your favorite device.

[Cedilett]

Blue Connect has lots of helpful features. Use it to quickly and easily find a doctor or pharmacy.

[Brian]

The cost estimator tool lets you search for common procedures and compare costs between the providers nearest you.

[Cedilett]

With the Blue Connect mobile app, you can save your ID card to your mobile wallet for easy access.

[Brian]

We’ve made answers easy to find on our website. Learn about health insurance in general plus details on your plan benefits, drug coverage and more.

[MUSIC]

[SCREEN TEXT] Roy Watson, Head of Sales & Distribution

[Roy]

On behalf of all of us at Blue Cross North Carolina, thank you for being a member. We look forward to staying in touch.  

We’re always ready to listen to your needs, help tackle your challenges, provide the support you deserve and put your mind at ease.  

Count on us to help you make the most of your plan and help you stay healthy.  

Welcome. 

[MUSIC]

[SCREEN TEXT] Blue Cross Blue Shield of North Carolina

The fastest, easiest way to access your health plan is through the Blue Connect member portal and the Blue Connect Mobile NC app. So, be sure to create an account as soon as you can. If you already have one, take a moment to log in and make sure your info is current.

With Blue Connect you can:

Access essential plan details and documents:

Member ID Card

Plan Coverage

Claims

Explanation of Benefits (EOB)

Search for in-network doctors, facilities, and pharmacies and get cost estimates with our compare tools:

Find a Doctor or Facility

Find a Drug

Find a Cost

Find a Dentist

Use these time-savers for easy plan management:

Manage Plan

Billing & Payments

Contact Preferences

AutoPay

Text Notifications1

Link a Plan

If you have a Dental Blue® for Individuals and / or Blue 20/20 for Individuals vision plan, you can easily access it through Blue Connect by linking it to your medical plan:

  1. Log in to Blue Connect
  2. Go to Manage Plan
  3. Scroll to Link a Plan
  4. Enter the requested information
  5. Click Submit

 

Download the Blue Connect Mobile NC app to access your plan while on the go.

Network overview

Be sure to select doctors, hospitals and other providers within your plan's network. Your costs will be lower and your care will be better coordinated. Emergency services and urgent care visits are covered as in-network no matter where you go. Need specialty care? Make sure your health is in good hands. Choose a Blue Distinction Center (BDC) recognized for its proven record of excellent care.

Key benefits

Your 2025 plan benefits make it easy and affordable to stay on top of your health.

$0 for 3 doctor visits

Your first three in-network primary care provider (PCP) visits are on us with select plans.

$0 for 3 behavioral health visits

Your first three in-network behavioral health or substance use visits are no additional cost with select plans.

$0 for many prescriptions

Preventive drugs for certain chronic conditions are covered at no additional cost at in-network pharmacies.

$0 for in-network preventive care

Routine screenings, counseling and other services are covered at no additional cost.

No referrals for specialists

Get the specialized care you need directly – no waiting on referrals.

Prenatal & postpartum care

Healthy babies start with healthy parents. That’s why your plan includes prenatal and postpartum care.

Pediatric dental care

Dental evaluations, cleanings, fillings, extractions, surgeries, crowns and certain orthodontic services are covered for dependents up to age 19.

Get personalized care

It’s important to have an in-network doctor you see regularly. Your primary care provider (PCP) handles most of your medical needs, including routine tests and preventive care, which are 100% covered.

To help you achieve the best health possible, your PCP will work together with any other doctors or specialists you see. That’s why the first thing you should do on Blue Connect is select an in-network PCP. Don’t wait until you’re sick. Choose your doctor now, so you’re all set when the need arises.

  1. Log in to Blue Connect
  2. Scroll to the Primary Care Provider section
  3. Click on Choose Primary Care Provider
  4. Search in-network doctors to find your current PCP or to select a new one
  5. Once located, click Select as Your PCP
  6. Click OK to submit your selection

Members with select plans can receive their first three PCP visits at no charge. You can also get your first three behavioral health or substance use doctor visits at no charge.

Earn a $25 gift card when you get a wellness visit!

Here's how it works:2

  • Make an appointment with your in-network PCP for a wellness visit.
  • Have your annual wellness visit.
  • Ask for preventive care screenings and tests that are 100% covered by your plan.

Once your claim is processed, you can go online to get your $25 gift card in the Blue Connect Activity Center. Please allow 4–6 weeks for this wellness visit reward to process.

Why dental health matters

Regular dental exams can reveal issues early, and preventive care is covered 100% by Dental Blue for Individuals. If it’s time for a checkup, you can find an in-network dentist on Blue Connect once you link your Dental Blue for Individuals plan to your medical plan in the Manage Plan section.

Be your healthiest

We offer a wide variety of products, programs and resources to support you.

Dental health is an important part of your overall health and impacts more than just your teeth. In fact, 100+ diseases can show symptoms in the mouth.3 Add dental coverage to your plan at any time.

Regular eye exams not only address vision health. They can also reveal many underlying health concerns such as heart disease, diabetes, and cancer before other symptoms arise.4You can add vision coverage at any time.

Ready to leave tobacco behind? Get no-cost help with:

QuitlineNC offers counseling and nicotine replacement therapy. Call 844-862-7848 (844-8NCQUIT) to get started.

As a Blue Cross NC member, you have access to benefits to help you plan for a family, address fertility issues, and care for your reproductive health.

If you’re pregnant and need assistance, our Nurse Support team is available at:

800-218-5295
Monday–Thursday, 8 AM–7 PM ET
Friday, 8 AM–5 PM ET

If you are living with or have been recently diagnosed with a chronic condition (such as diabetes or heart disease), it might feel challenging to manage. Your doctor can provide a lot of helpful information, but sometimes it can be hard to remember what to do once you leave the doctor’s office or between visits. This is where the Nurse Support Program can help.

The Nurse Support Program team includes:

  • Nurses
  • Dietitians
  • Diabetes educators
  • Pharmacists
  • Social workers

Get started:

Call the Nurse Support Program at 888-229-8510, or download the Wellframe®55 app to work with the team right from your smartphone or other smart device:

  • Download the Wellframe app
  • Open the app to sign up
  • Your access code should autofill
    (if not, use this code: ncdmablewell)

If you have diabetes, be sure to take advantage of the many resources, tools and support available to you as a Blue Cross NC member.

These include:

  • Tips for living well with diabetes
  • Ideas for creating a healthy lifestyle
  • Diabetes program locators
  • Blue Cross NC wellness programs
  • Diabetes-related articles

To help members stay on top of their treatment and reduce costs, we will waive the deductible for certain diabetic supplies and apply only the coinsurance. To see if you are eligible, complete this questionnaire.

Your mental health is an important part of your overall health. We’re here for you when you need us with:

  • Telehealth therapy options
  • Care navigators to help you find providers
  • Same-day care for eligible members

Your plan also provides 24/7 access to care through Teladoc® Health. Connect with a doctor, therapist, or medical expert by phone or video. Create an account today⁠⁠, so it’s ready to use when you need it.

Save with member discounts

As a Blue Cross NC member, you have access to exclusive deals and discounts. Save on everything from gym memberships to medications.

Blue365

Blue365 is your member-only discount program.6When you sign up, you’ll have access to exclusive savings on products and services to help you live a well-balanced life. New deals are available each week as well as regular everyday discounts.

Weekly deals

  • Apparel & footwear, fitness, healthy eating, hearing & vision, home & family, personal care, travel

Everyday discounts

  • 40% off hotels
  • Up to 35% off rental cars
  • 30% off select Skechers®
  • 16% off Fitbit® devices
  • 5% off travel insurance
Meds Your Way

The MedsYourWay program automatically finds the lowest medicine prices available to you.7

Let MedsYourWay find the best price for you

  • Available at most major pharmacies
  • Just show your Blue Cross NC member ID card
  • Over-the-counter drugs may also qualify for a discount

Use the Find a Drug tool on Blue Connect to see which of your medications are available for a discount.

Amazon Pharmacy

Home delivery – and savings up to 80%8

Blue Cross NC offers access to Amazon Pharmacy, which lets you easily order and quickly get non-specialty medicines delivered at home. Plus, MedsYourWay can save you up to 80% on generic and up to 37% on brand-name medicines. It’s seamlessly built right into the Amazon Pharmacy experience. No extra steps are needed to use it.

With Amazon Pharmacy you get:

  • An Amazon shopping experience with free shipping
  • Easy, online sign up
  • Option for 90+ day fills
  • Pharmacists on call 24/7
  • Ability to manage your medicine and order history
The Produce Box

Fresh produce at your doorstep

Enjoy fresh, local produce all year long. Starting at just $28, you can get a weekly home delivery of fruits, vegetables, artisan products, and baked goods. Sign up as a Blue365 member and enroll for free (a $30 value) and get a $10 discount on your first order!

More than 400 grocery items to choose from each week including:

  • Fruits & veggies
  • Meat & chicken
  • Eggs & milk
  • Baked goods & jams
  • Prepared meals & more!
Important terms

Your coinsurance is your share of medical costs and some prescriptions after you’ve met your deductible for your benefit period.

Your copayment is the amount you pay for medical services and prescriptions when you check out. Not all plans have copays.

Your deductible is the set amount you pay toward medical services and prescriptions before Blue Cross NC starts paying toward those services during your benefit period.

An EOB shows how medical claims were processed by your plan. It includes the price of the service, how much your health plan paid, member savings, and any amount you may owe. See How to Read Your EOB for details.

A hospital, doctor, other medical practitioner, or provider of medical services and supplies that has been designated by Blue Cross NC as an in-network provider for your health plan.

The maximum you will pay for covered services in a benefit period. Once met, Blue Cross NC will pay 100% of your remaining covered services. Deductibles, copayments, and coinsurance for covered medical and drug benefits apply to this limit. Premiums and non-covered services, as well as out-of-network charges beyond the allowed amount, do not apply.