
The BCBS Flex Plan is designed to provide flexibility in your healthcare spending. It's a great option for those who want to have more control over their medical expenses.
With the BCBS Flex Plan, you can choose from a range of medical and dental plans to suit your needs. You can also add a vision plan or other benefits like life insurance or disability insurance.
One of the key benefits of the BCBS Flex Plan is that it allows you to set aside a portion of your paycheck before taxes to pay for healthcare expenses. This can help you save money on taxes and have more money available for medical expenses.
You can choose from a range of plan options, including a PPO plan that offers more flexibility in choosing healthcare providers, or an HMO plan that may be more cost-effective.
Plan Details
The BCBS Flex Plan offers a range of plan details that can help you make an informed decision.
You can choose from a variety of deductible options, including $500, $1,000, $2,000, and $3,000, depending on your individual needs.
The BCBS Flex Plan allows you to select a copayment or coinsurance option, with copayments ranging from $20 to $50 for primary care visits.
Coinsurance rates are also available, with a 20% coinsurance rate for most services.
You can also choose from a range of out-of-pocket maximums, including $2,000, $3,000, and $5,000, to fit your budget.
The BCBS Flex Plan offers a range of prescription medication options, including a generic medication copayment of $15 and a brand name medication copayment of $30.
You can also choose to add a Health Savings Account (HSA) to your plan, which allows you to set aside pre-tax dollars for medical expenses.
Flex Plan Features
The BCBS Flex Plan offers a range of features that make it an attractive option for individuals and families.
One of the key features of the BCBS Flex Plan is the ability to earn a 20% premium discount for participating in a health assessment.
You can also earn a 10% premium discount for being tobacco-free, which is a great incentive to kick the habit.
The BCBS Flex Plan offers a wide range of medical and pharmacy benefits, including coverage for preventive care services such as annual physicals and vaccinations.
Fitness Allowance
The fitness allowance is a great perk of the Flex Plan. You'll receive a $90 allowance every three months, which will be loaded onto your FlexCard at enrollment.
This allowance can be used towards memberships at over 450 health clubs in Alabama. You can use it to join a gym, take fitness classes, or even try out a new workout routine.
The allowance is available at the beginning of each quarter of the plan year: January, April, July, and October. Make sure to check your FlexCard for the funds at the start of each quarter.
Keep in mind that any unused quarterly allowance amount won't carry over to the next quarter. So, be sure to use it or lose it!
Flexcard Disclaimer:
The FlexCard is issued by Stride Bank, N.A., Member FDIC, pursuant to license by Mastercard International. This means that the card is backed by a reputable financial institution.
Your quarterly allowance is available at the beginning of each quarter of the year, which includes January, April, July, and October. You'll receive a FlexCard in the mail at enrollment.
The unused quarterly allowance amount will not carry over to the next quarter, so be sure to use it before it's gone. This way, you can make the most of your allowance.
For any questions or to report a lost or stolen card, call 1-800-962-1964 (TTY 711). This number is available 24/7 for your convenience.
Account Management
You can manage your BCBS Flex Plan account to fit your needs. You can estimate the amount you'll spend on out-of-pocket health care expenses and/or daycare expenses during the year.
To set up your account, you'll decide how much to set aside each pay period. This amount will be deducted from your paycheck on a pre-tax basis.
You can file claims as often as you want, whether it's weekly, monthly, or whenever you receive services. Any dollars left over in your account at the end of the year are forfeited, so be sure to contribute only what you know you'll spend.
Here's a quick rundown of the claim process:
- Submit a claim for your expenses.
- Get reimbursed from your account.
You'll have a 3-month run-off period to submit expenses incurred in the previous year. This gives you some extra time to get your claims in order.
Pharmacy and Network
We're introducing a new pharmacy benefits management system to keep costs stable for our group customers and members. This change aims to provide more predictable pricing and better manage pharmacy costs.
The pharmacy benefits management system will help us negotiate lower prices with pharmacies and reduce administrative costs. By doing so, we can pass the savings on to you, our valued customers.
With this change, you can expect more stable pharmacy costs and improved access to affordable medications.
Any Provider Accepting Medicare Can See Members
Any provider accepting Medicare can see members, but it's essential to understand the network and pharmacy options available.
Medicare has a vast network of participating providers, with over 1 million healthcare professionals and 96% of hospitals across the US accepting Medicare patients.
To find in-network providers, Medicare beneficiaries can use the Medicare Plan Finder tool or check with their insurance provider directly.
In-network providers have agreed to accept Medicare's payment rates, which can help reduce out-of-pocket costs for beneficiaries.
Pharmacy Benefit Manager Changes
We're moving to a pharmacy benefits management system to keep costs more stable for our group customers and members. This change is designed to help control pharmacy costs and provide better value for those who use our services.
Our new system will help reduce the impact of rising pharmacy costs on our customers and members. This is a big deal, especially for those who rely on regular prescriptions.
The new system will help keep costs more stable, which means our customers and members can budget more easily. This is a win-win for everyone involved.
With the new system, we'll be able to better manage pharmacy costs and provide more predictable pricing. This is a key benefit for our customers and members who rely on our services.
Frequently Asked Questions
What is the Blue Cross Blue Shield Flex Plan?
The Blue Cross Blue Shield Flex Plan is a comprehensive health insurance plan that offers prescription drug coverage and a traveler benefit. It's easily identifiable by the Flex plan name on the member ID card.
What does the Flex card cover?
Your Flex card covers over-the-counter items such as medications, dental supplies, mobility aids, and first-aid supplies. Coverage details and payment arrangements vary based on your plan.
Sources
- https://www.bcbsilcommunications.com/newsletters/br/2022/march/any_provider_accepting.html
- https://www.bcbs.com/explore-affordable-health-plans/medicare/medicare-advantage
- https://www.bcbsal.org/web/flexcard
- https://www.horizonblue.com/members/tools-services/horizon-myway/horizon-myway-fsa
- https://www.bcbsm.com/employers/network-choices/cdh/fsa/
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