The following benefit booklets are only samples. For a copy of your specific Benefit Booklet, please log in to Blue Connect after your policy's effective date or call 877-275-9787.
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- Blue Advantage 0 Dollar AI/AN 2025 (PDF)
- Blue Advantage Bronze Basic 2025 (PDF)
- Blue Advantage Bronze Complete 2025 (PDF)
- Blue Advantage Bronze HSA Eligible 2025 (PDF)
- Blue Advantage Bronze Standard 2025 (PDF)
- Blue Advantage Gold Premier 2025 (PDF)
- Blue Advantage Gold Standard 0 Dollar AI/AN 2025 (PDF)
- Blue Advantage Gold Standard 2025 (PDF)
- Blue Advantage Silver Access 2025 (PDF)
- Blue Advantage Silver Choice 2025 (PDF)
- Blue Advantage Silver Choice CSR 73 2025 (PDF)
- Blue Advantage Silver Choice CSR 87 2025 (PDF)
- Blue Advantage Silver Choice CSR 94 2025 (PDF)
- Blue Advantage Silver Preferred 2025 (PDF)
- Blue Advantage Silver Preferred CSR 73 2025 (PDF)
- Blue Advantage Silver Preferred CSR 87 2025 (PDF)
- Blue Advantage Silver Preferred CSR 94 2025 (PDF)
- Blue Advantage Silver Standard 2025 (PDF)
- Blue Advantage Silver Standard CSR 73 2025 (PDF)
- Blue Advantage Silver Standard CSR 87 2025 (PDF)
- Blue Advantage Silver Standard CSR 94 2025 (PDF)
- Blue Value 0 Dollar AI/AN 2025 (PDF)
- Blue Value Bronze Basic 2025 (PDF)
- Blue Value Bronze Complete 2025 (PDF)
- Blue Value Bronze HSA Eligible 2025 (PDF)
- Blue Value Bronze Standard 2025 (PDF)
- Blue Value Gold Premier 2025 (PDF)
- Blue Value Gold Standard 0 Dollar AI/AN 2025 (PDF)
- Blue Value Gold Standard 2025 (PDF)
- Blue Value Silver Access 2025 (PDF)
- Blue Value Silver Choice 2025 (PDF)
- Blue Value Silver Choice CSR 73 2025 (PDF)
- Blue Value Silver Choice CSR 87 2025 (PDF)
- Blue Value Silver Choice CSR 94 2025 (PDF)
- Blue Value Silver Preferred 2025 (PDF)
- Blue Value Silver Preferred CSR 73 2025 (PDF)
- Blue Value Silver Preferred CSR 87 2025 (PDF)
- Blue Value Silver Preferred CSR 94 2025 (PDF)
- Blue Value Silver Standard 2025 (PDF)
- Blue Value Silver Standard CSR 73 2025 (PDF)
- Blue Value Silver Standard CSR 87 2025 (PDF)
- Blue Value Silver Standard CSR 94 2024 (PDF)
- Blue Local 0 Dollar AI/AN with Atrium Health 2025 (PDF)
- Blue Local Bronze Basic with Atrium Health 2025 (PDF)
- Blue Local Bronze Complete with Atrium Health 2025 (PDF)
- Blue Local Bronze HSA Eligible with Atrium Health 2025 (PDF)
- Blue Local Bronze Standard with Atrium Health 2025 (PDF)
- Blue Local Gold Premier with Atrium Health 2025 (PDF)
- Blue Local Gold Standard 0 Dollar AI/AN with Atrium Health 2025 (PDF)
- Blue Local Gold Standard with Atrium Health 2025 (PDF)
- Blue Local Silver Access with Atrium Health 2025 (PDF)
- Blue Local Silver Choice CSR 73 with Atrium Health 2025 (PDF)
- Blue Local Silver Choice CSR 87 with Atrium Health 2025 (PDF)
- Blue Local Silver Choice CSR 94 with Atrium Health 2025 (PDF)
- Blue Local Silver Choice with Atrium Health 2025 (PDF)
- Blue Local Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | with Atrium Health (CSR 73%) (PDF)
- Blue Local Silver Preferred | 3 Free PCP | $5 Tier 1 Rx | Integrated | with Atrium Health (CSR 87%) (PDF)
- Blue Local Silver Preferred | $0 Deductible | $0 PCP | $0 Tier 1 Rx | with Atrium Health (CSR 94%) (PDF)
- Blue Local Silver Preferred with Atrium Health 2025 (PDF)
- Blue Local Silver Standard CSR 73 with Atrium Health 2025 (PDF)
- Blue Local Silver Standard CSR 87 with Atrium Health 2025 (PDF)
- Blue Local Silver Standard CSR 94 with Atrium Health 2025 (PDF)
- Blue Local Silver Standard with Atrium Health 2025 (PDF)
- Blue Home 0 Dollar AI/AN with UNC Health Alliance 2025 (PDF)
- Blue Home Bronze Basic with UNC Health Alliance 2025 (PDF)
- Blue Home Bronze Complete with UNC Health Alliance 2025 (PDF)
- Blue Home Bronze HSA Eligible with UNC Health Alliance 2025 (PDF)
- Blue Home Bronze Standard with UNC Health Alliance 2025 (PDF)
- Blue Home Gold Premier with UNC Health Alliance 2025 (PDF)
- Blue Home Gold Standard 0 Dollar AI/AN with UNV Health Alliance 2025 (PDF)
- Blue Home Gold Standard with UNC Health Alliance 2025 (PDF)
- Blue Home Silver Access with UNC Health Alliance 2025 (PDF)
- Blue Home Silver Choice CSR 73 with UNC Health Alliance 2025 (PDF)
- Blue Home Silver Choice CSR 87 with UNC Health Alliance 2025 (PDF)
- Blue Home Silver Choice CSR 94 with UNC Health Alliance 2025 (PDF)
- Blue Home Silver Choice with UNC Health Alliance 2025 (PDF)
- Blue Home Silver Preferred CSR 73 with UNC Health Alliance 2025 (PDF)
- Blue Home Silver Preferred CSR87 with UNC Health Alliance 2025 (PDF)
- Blue Home Silver Preferred CSR 94 with UNC Health Alliance 2025 (PDF)
- Blue Home SIlver Preferred with UNC Health Alliance 2025 (PDF)
- Blue Home Silver Standard CSR 73 with UNC Health Alliance 2025 (PDF)
- Blue Home Silver Standard CSR 87 with UNC Health Alliance 2025 (PDF)
- Blue Home Silver Standard CSR 94 with UNC Health Alliance 2025 (PDF)
- Blue Home Silver Standard with UNC Health Alliance 2025 (PDF)
- Blue Home 0 Dollar AI/AN with Novant Health 2025 (PDF)
- Blue Home Bronze Basic with Novant Health 2025 (PDF)
- Blue Home Bronze HSA Eligible with Novant Health 2025 (PDF)
- Blue Home Bronze Standard with Novant Health 2025 (PDF)
- Blue Home Gold Premier with Novant Health 2025 (PDF)
- Blue Home Gold Standard 0 Dollar AI/AN with Novant Health 2025 (PDF)
- Blue Home Gold Standard with Novant Health 2025 (PDF)
- Blue Home Silver Access with Novant Health 2025 (PDF)
- Blue Home Silver Preferred CSR 73 with Novant Health 2025 (PDF)
- Blue Home Silver Preferred CSR 87 with Novant Health 2025 (PDF)
- Blue Home Silver Preferred CSR 94 with Novant Health 2025 (PDF)
- Blue Home Silver Preferred with Novant Health 2025 (PDF)
- Blue Home Silver Standard CSR 73 with Novant Health 2025 (PDF)
- Blue Home Silver Standard CSR 87 with Novant Health 2025 (PDF)
- Blue Home Silver Standard CSR 94 with Novant Health 2025 (PDF)
- Blue Home Silver Standard with Novant Health 2025 (PDF)
- Blue Care Bronze Standard 2025 (PDF)
- Blue Care Gold Standard 2025 (PDF)
- Blue Care Silver Standard 0 Dollar CSR 94 2025 (PDF)
- Blue Care Silver Standard 2025 (PDF)
- Blue Care Silver Standard CSR 73 2025 (PDF)
- Blue Care Silver Standard CSR 87 2025 (PDF)
- Blue Care Silver Standard | Statewide Doctors (AI/AN) (PDF)
- Blue Advantage Catastrophic | 3 PCP $35 | Integrated | Nationwide Doctors (PDF)
- Blue Advantage Bronze | 3 Free PCP | $20 Tier 1 Rx | Integrated | Nationwide Doctors (PDF)
- Blue Advantage $0 | Nationwide Doctors (AI/AN) (PDF)
- Blue Advantage Bronze | HSA Eligible | Integrated | Nationwide Doctors (PDF)
- Blue Advantage $0 | Nationwide Doctors (AI/AN) (PDF)
- Blue Advantage Bronze | Integrated | Nationwide Doctors (300% AI/AN) (PDF)
- Blue Advantage Bronze Standard | Nationwide Doctors (PDF)
- Blue Advantage Bronze Standard $0 | Nationwide Doctors (AI/AN) (PDF)
- Blue Advantage Bronze | $60 PCP | $20 Tier 1 Rx | Nationwide Doctors (PDF)
- Blue Advantage $0 | Nationwide Doctors (AI/AN) (PDF)
- Blue Advantage Silver Access | 3 Free PCP | $15 Tier 1 Rx | Nationwide Doctors (PDF)
- Blue Advantage Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | Nationwide Doctors (PDF)
- Blue Advantage Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | Nationwide Doctors (CSR 73%) (PDF)
- Blue Advantage Silver Preferred | 3 Free PCP | $5 Tier 1 Rx | Integrated | Nationwide Doctors (CSR 87%) (PDF)
- Blue Advantage Silver Preferred | $0 Deductible | $0 PCP | $0 Tier 1 Rx | Nationwide Doctors (CSR 94%) (PDF)
- Blue Advantage $0 | Nationwide Doctors (AI/AN) (PDF)
- Blue Advantage Silver Standard | Nationwide Doctors (PDF)
- Blue Advantage Silver Standard | Nationwide Doctors (CSR 73%) (PDF)
- Blue Advantage Silver Standard | Nationwide Doctors (CSR 87%) (PDF)
- Blue Advantage Silver Standard $0 | Nationwide Doctors (CSR 94%) (PDF)
- Blue Advantage Silver Standard $0 | Nationwide Doctors (AI/AN) (PDF)
- Blue Advantage Silver Secure | $15 PCP | $15 Tier 1 Rx | Nationwide Doctors (PDF)
- Blue Advantage Silver Secure | $10 PCP | $15 Tier 1 Rx | Nationwide Doctors (CSR 73%) (PDF)
- Blue Advantage Silver Secure | $10 PCP | $10 Tier 1 Rx | Nationwide Doctors (CSR 87%) (PDF)
- Blue Advantage Silver Secure | $0 Deductible | $0 PCP & Specialist | $0 Tier 1 Rx | Nationwide Doctors (CSR 94%) (PDF)
- Blue Advantage $0 | Nationwide Doctors (AI/AN) (PDF)
- Blue Advantage Silver Choice | 3 Free PCP | $15 Tier 1 Rx | Nationwide Doctors (PDF)
- Blue Advantage Silver Choice | 3 Free PCP | $15 Tier 1 Rx | Nationwide Doctors (CSR 73%) (PDF)
- Blue Advantage Silver Choice | 3 Free PCP | $10 Tier 1 Rx | Nationwide Doctors (CSR 87%) (PDF)
- Blue Advantage Silver Choice | $0 Deductible | 3 Free PCP | $4 Tier 1 Rx | Nationwide Doctors (CSR 94%) (PDF)
- Blue Advantage $0 | Nationwide Doctors (AI/AN) (PDF)
- Blue Advantage Gold | 3 Free PCP | $10 Tier 1 Rx | Nationwide Doctors (PDF)
- Blue Advantage $0 | Nationwide Doctors (AI/AN) (PDF)
- Blue Advantage Gold Standard | Nationwide Doctors (PDF)
- Blue Advantage Gold Standard $0 | Nationwide Doctors (AI/AN) (PDF)
- Blue Value Catastrophic | 3 PCP $35 | Integrated | Statewide Doctors (PDF)
- Blue Value Bronze | 3 Free PCP | $20 Tier 1 Rx | Integrated | Statewide Doctors (PDF)
- Blue Value $0 | Statewide Doctors (AI/AN) (PDF)
- Blue Value Bronze | HSA Eligible | Integrated | Statewide Doctors (PDF)
- Blue Value $0 | Statewide Doctors (AI/AN) (PDF)
- Blue Value Bronze | Integrated | Statewide Doctors (300% AI/AN) (PDF)
- Blue Value Bronze Standard | Statewide Doctors (PDF)
- Blue Value Bronze Standard $0 | Statewide Doctors (AI/AN) (PDF)
- Blue Value Bronze | $60 PCP | $20 Tier 1 Rx | Statewide Doctors (PDF)
- Blue Value $0 | Statewide Doctors (AI/AN) (PDF)
- Blue Value Silver Access | 3 Free PCP | $15 Tier 1 Rx | Statewide Doctors (PDF)
- Blue Value Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | Statewide Doctors (PDF)
- Blue Value Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | Statewide Doctors (CSR 73%) (PDF)
- Blue Value Silver Preferred | 3 Free PCP | $5 Tier 1 Rx | Integrated | Statewide Doctors (CSR 87%) (PDF)
- Blue Value Silver Preferred | $0 Deductible | $0 PCP | $0 Tier 1 Rx | Statewide Doctors (CSR 94%) (PDF)
- Blue Value $0 | Statewide Doctors (AI/AN) (PDF)
- Blue Value Silver Standard | Statewide Doctors (PDF)
- Blue Value Silver Standard | Statewide Doctors (CSR 73%) (PDF)
- Blue Value Silver Standard | Statewide Doctors (CSR 87%) (PDF)
- Blue Value Silver Standard $0 | Statewide Doctors (CSR 94%) (PDF)
- Blue Value Silver Standard $0 | Statewide Doctors (AI/AN) (PDF)
- Blue Value Silver Secure | $15 PCP | $15 Tier 1 Rx | Statewide Doctors (PDF)
- Blue Value Silver Secure | $10 PCP | $15 Tier 1 Rx | Statewide Doctors (CSR 73%) (PDF)
- Blue Value Silver Secure | $10 PCP | $10 Tier 1 Rx | Statewide Doctors (CSR 87%) (PDF)
- Blue Value Silver Secure | $0 Deductible | $0 PCP & Specialist | $0 Tier 1 Rx | Statewide Doctors (CSR 94%) (PDF)
- Blue Value $0 | Statewide Doctors (AI/AN) (PDF)
- Blue Value Silver Choice | 3 Free PCP | $15 Tier 1 Rx | Statewide Doctors (PDF)
- Blue Value Silver Choice | 3 Free PCP | $15 Tier 1 Rx | Statewide Doctors (CSR 73%) (PDF)
- Blue Value Silver Choice | 3 Free PCP | $10 Tier 1 Rx | Statewide Doctors (CSR 87%) (PDF)
- Blue Value Silver Choice | $0 Deductible | 3 Free PCP | $4 Tier 1 Rx | Statewide Doctors (CSR 94%) (PDF)
- Blue Value $0 | Statewide Doctors (AI/AN) (PDF)
- Blue Value Gold | 3 Free PCP | $10 Tier 1 Rx | Statewide Doctors (PDF)
- Blue Value $0 | Statewide Doctors (AI/AN) (PDF)
- Blue Value Gold Standard | Statewide Doctors (PDF)
- Blue Value Gold Standard $0 | Statewide Doctors (AI/AN) (PDF)
- Blue Local Catastrophic | 3 PCP $35 | Integrated | with Atrium Health (PDF)
- Blue Local Bronze | 3 Free PCP | $20 Tier 1 Rx | Integrated | with Atrium Health (PDF)
- Blue Local $0 | with Atrium Health (AI/AN) (PDF)
- Blue Local Bronze | HSA Eligible | Integrated | with Atrium Health (PDF)
- Blue Local $0 | with Atrium Health (AI/AN) (PDF)
- Blue Local Bronze | Integrated | with Atrium Health (300% AI/AN) (PDF)
- Blue Local Bronze Standard | with Atrium Health (PDF)
- Blue Local Bronze Standard $0 | with Atrium Health (AI/AN) (PDF)
- Blue Local Bronze | $60 PCP | $20 Tier 1 Rx | with Atrium Health (PDF)
- Blue Local $0 | with Atrium Health (AI/AN) (PDF)
- Blue Local Silver Access | 3 Free PCP | $15 Tier 1 Rx | with Atrium Health (PDF)
- Blue Local Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | with Atrium Health (PDF)
- Blue Local Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | with Atrium Health (CSR 73%) (PDF)
- Blue Local Silver Preferred | 3 Free PCP | $5 Tier 1 Rx | Integrated | with Atrium Health (CSR 87%) (PDF)
- Blue Local Silver Preferred | $0 Deductible | $0 PCP | $0 Tier 1 Rx | with Atrium Health (CSR 94%) (PDF)
- Blue Local $0 | with Atrium Health (AI/AN) (PDF)
- Blue Local Silver Standard | with Atrium Health (PDF)
- Blue Local Silver Standard | with Atrium Health (CSR 73%) (PDF)
- Blue Local Silver Standard | with Atrium Health (CSR 87%) (PDF)
- Blue Local Silver Standard $0 | with Atrium Health (CSR 94%) (PDF)
- Blue Local Silver Standard $0 | with Atrium Health (AI/AN) (PDF)
- Blue Local Silver Secure | $15 PCP | $15 Tier 1 Rx | with Atrium Health (PDF)
- Blue Local Silver Secure | $10 PCP | $15 Tier 1 Rx | with Atrium Health (CSR 73%) (PDF)
- Blue Local Silver Secure | $10 PCP | $10 Tier 1 Rx | with Atrium Health (CSR 87%) (PDF)
- Blue Local Silver Secure | $0 Deductible | $0 PCP & Specialist | $0 Tier 1 Rx | with Atrium Health (CSR 94%) (PDF)
- Blue Local $0 | with Atrium Health (AI/AN) (PDF)
- Blue Local Silver Choice | 3 Free PCP | $15 Tier 1 Rx | with Atrium Health (PDF)
- Blue Local Silver Choice | 3 Free PCP | $15 Tier 1 Rx | with Atrium Health (CSR 73%) (PDF)
- Blue Local Silver Choice | 3 Free PCP | $10 Tier 1 Rx | with Atrium Health (CSR 87%) (PDF)
- Blue Local Silver Choice | $0 Deductible | 3 Free PCP | $4 Tier 1 Rx | with Atrium Health (CSR 94%) (PDF)
- Blue Local $0 | with Atrium Health (AI/AN) (PDF)
- Blue Local Gold | 3 Free PCP | $10 Tier 1 Rx | with Atrium Health (PDF)
- Blue Local $0 | with Atrium Health (AI/AN) (PDF)
- Blue Local Gold Standard | with Atrium Health (PDF)
- Blue Local Gold Standard $0 | with Atrium Health (AI/AN) (PDF)
- Blue Home Catastrophic | 3 PCP $35 | Integrated | with UNC Health Alliance (PDF)
- Blue Home Bronze | 3 Free PCP | $20 Tier 1 Rx | Integrated | with UNC Health Alliance (PDF)
- Blue Home $0 | with UNC Health Alliance (AI/AN) (PDF)
- Blue Home Bronze | HSA Eligible | Integrated | with UNC Health Alliance (PDF)
- Blue Home $0 | with UNC Health Alliance (AI/AN) (PDF)
- Blue Home Bronze | Integrated | with UNC Health Alliance (300% AI/AN) (PDF)
- Blue Home Bronze Standard | with UNC Health Alliance (PDF)
- Blue Home Bronze Standard $0 | with UNC Health Alliance (AI/AN) (PDF)
- Blue Home Bronze | $60 PCP | $20 Tier 1 Rx | with UNC Health Alliance (PDF)
- Blue Home $0 | with UNC Health Alliance (AI/AN) (PDF)
- Blue Home Silver Access | 3 Free PCP | $15 Tier 1 Rx | with UNC Health Alliance (PDF)
- Blue Home Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | with UNC Health Alliance (PDF)
- Blue Home Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | with UNC Health Alliance (CSR 73%) (PDF)
- Blue Home Silver Preferred | 3 Free PCP | $5 Tier 1 Rx | Integrated | with UNC Health Alliance (CSR 87%) (PDF)
- Blue Home Silver Preferred | $0 Deductible | $0 PCP | $0 Tier 1 Rx | with UNC Health Alliance (CSR 94%) (PDF)
- Blue Home $0 | with UNC Health Alliance (AI/AN) (PDF)
- Blue Home Silver Standard | with UNC Health Alliance (PDF)
- Blue Home Silver Standard | with UNC Health Alliance (CSR 73%) (PDF)
- Blue Home Silver Standard | with UNC Health Alliance (CSR 87%) (PDF)
- Blue Home Silver Standard $0 | with UNC Health Alliance (CSR 94%) (PDF)
- Blue Home Silver Standard $0 | with UNC Health Alliance (AI/AN) (PDF)
- Blue Home Silver Secure | $15 PCP | $15 Tier 1 Rx | with UNC Health Alliance (PDF)
- Blue Home Silver Secure | $10 PCP | $15 Tier 1 Rx | with UNC Health Alliance (CSR 73%). (PDF)
- Blue Home Silver Secure | $10 PCP | $10 Tier 1 Rx | with UNC Health Alliance (CSR 87%) (PDF)
- Blue Home Silver Secure | $0 Deductible | $0 PCP & Specialist | $0 Tier 1 Rx | with UNC Health Alliance (CSR 94%) (PDF)
- Blue Home $0 | with UNC Health Alliance (AI/AN) (PDF)
- Blue Home Silver Choice | 3 Free PCP | $15 Tier 1 Rx | with UNC Health Alliance (PDF)
- Blue Home Silver Choice | 3 Free PCP | $15 Tier 1 Rx | with UNC Health Alliance (CSR 73%) (PDF)
- Blue Home Silver Choice | 3 Free PCP | $10 Tier 1 Rx | with UNC Health Alliance (CSR 87%) (PDF)
- Blue Home Silver Choice | $0 Deductible | 3 Free PCP | $4 Tier 1 Rx | with UNC Health Alliance (CSR 94%) (PDF)
- Blue Home $0 | with UNC Health Alliance (AI/AN) (PDF)
- Blue Home Gold | 3 Free PCP | $10 Tier 1 Rx | with UNC Health Alliance (PDF)
- Blue Home $0 | with UNC Health Alliance (AI/AN) (PDF)
- Blue Home Gold Standard | with UNC Health Alliance (PDF)
- Blue Home Gold Standard $0 | with UNC Health Alliance (AI/AN) (PDF)
- Blue Home Catastrophic | 3 PCP $35 | Integrated | with Novant Health (PDF)
- Blue Home Bronze | 3 Free PCP | $20 Tier 1 Rx | Integrated | with Novant Health (PDF)
- Blue Home $0 | with Novant Health (AI/AN) (PDF)
- Blue Home Bronze | Integrated | with Novant Health (300% AI/AN) (PDF)
- Blue Home Bronze Standard | with Novant Health (PDF)
- Blue Home Bronze Standard $0 | with Novant Health (AI/AN) (PDF)
- Blue Home Bronze | $60 PCP | $20 Tier 1 Rx | with Novant Health (PDF)
- Blue Home $0 | with Novant Health (AI/AN) (PDF)
- Blue Home Silver Access | 3 Free PCP | $15 Tier 1 Rx | with Novant Health (PDF)
- Blue Home Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | with Novant Health (PDF)
- Blue Home Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | with Novant Health (CSR 73%) (PDF)
- Blue Home Silver Preferred | 3 Free PCP | $5 Tier 1 Rx | Integrated | with Novant Health (CSR 87%) (PDF)
- Blue Home Silver Preferred | $0 Deductible | $0 PCP | $0 Tier 1 Rx | with Novant Health (CSR 94%) (PDF)
- Blue Home $0 | with Novant Health (AI/AN) (PDF)
- Blue Home Silver Standard | with Novant Health (PDF)
- Blue Home Silver Standard | with Novant Health (CSR 73%) (PDF)
- Blue Home Silver Standard | with Novant Health (CSR 87%) (PDF)
- Blue Home Silver Standard $0 | with Novant Health (CSR 94%) (PDF)
- Blue Home Silver Standard $0 | with Novant Health (AI/AN) (PDF)
- Blue Home Silver Secure | $15 PCP | $15 Tier 1 Rx | with Novant Health (PDF)
- Blue Home Silver Secure | $10 PCP | $15 Tier 1 Rx | with Novant Health (CSR 73%) (PDF)
- Blue Home Silver Secure | $10 PCP | $10 Tier 1 Rx | with Novant Health (CSR 87%) (PDF)
- Blue Home Silver Secure | $0 Deductible | $0 PCP & Specialist | $0 Tier 1 Rx | with Novant Health (CSR 94%) (PDF)
- Blue Home $0 | with Novant Health (AI/AN) (PDF)
- Blue Home Silver Choice | 3 Free PCP | $15 Tier 1 Rx | with Novant Health (PDF)
- Blue Home Silver Choice | 3 Free PCP | $15 Tier 1 Rx | with Novant Health (CSR 73%) (PDF)
- Blue Home Silver Choice | 3 Free PCP | $10 Tier 1 Rx | with Novant Health (CSR 87%) (PDF)
- Blue Home Silver Choice $0 Deductible | 3 Free PCP | $4 Tier 1 Rx | with Novant Health (CSR 94%) (PDF)
- Blue Home $0 | with Novant Health (AI/AN) (PDF)
- Blue Home Gold | 3 Free PCP | $10 Tier 1 Rx | with Novant Health (PDF)
- Blue Home $0 | with Novant Health (AI/AN) (PDF)
- Blue Home Gold Standard | with Novant Health (PDF)
- Blue Home Gold Standard $0 | with Novant Health (AI/AN) (PDF)
Blue Options Specialist Step Benefit Booklet (PDF)
BlueHPN Specialist Step Benefit Booklet (PDF)
Blue Options HSA Benefit Booklet (PDF)
BlueHPN HSA Benefit Booklet (PDF)
Blue Options All Copay Benefit Booklet (PDF)
BlueHPN All Copay Benefit Booklet (PDF)
Blue Cross and Blue Shield of North Carolina does not discriminate on the basis of race, color, national origin, sex, age or disability in its health programs and activities. Learn more about our non-discrimination policy and no-cost services available to you.
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