Medical & Prescription
We offer you a comprehensive benefits program to help you and your family protect your health and financial security. Your benefits are a valuable part of your compensation; we encourage you to learn how your plans work so you can get the most from them. You have one plan option through Blue Cross Blue Shield of Louisiana.
Watch this video to learn more about the Medical Plan
Medical Highlights
HMO Plan
Network
Louisiana HMO/POS
Type of Deductible
Embedded
Calendar Year Deductible (Individual / Family)1,2
$750/ $2,250
Your Coinsurance
You pay 30%
Out-of-Pocket Maximum (Individual / Family)
$9,100 / $18,200
Physician Visit (Primary / Specialist)
$30 / $45 copay
Preventive Care Services3
Covered 100%
Emergency Room Visit
$750 copay
Urgent Care Services
$45 copay
Out-Of-Network
Calendar Year Deductible (Individual / Family)1,2
$1,500 / $4,500
Your Coinsurance
You pay 50%
Out-of-Pocket Maximum (Individual / Family)
$18,200 / $36,400
- Deductible year runs on the calendar year.
- Coinsurance kicks in once the calendar year deductible is met.
- Preventive care services include but are not limited to routine wellness exams, pelvic exams, pap testing, PSA tests, immunizations, and annual diabetic eye exam. Covers preventive care services rendered in a physician's office and outpatient service centers.
An embedded deductible means that each person covered on the plan (employee, spouse, child) has a personal deductible. When each personal deductible is met, coverage begins for that individual only.
Rx Highlights
HMO
Retail Pharmacy (30 day supply)
Generic
You pay $15 copay
Brand Name Formulary
You pay $40 copay
Brand Name Non-Formulary
You pay $70 copay
Specialty Medication
You pay 10% up to a maximum of $150
Mail Order Pharmacy (90 day supply)
Generic
You pay $45 copay
Brand Name Formulary
You pay $120 copay
Brand Name Non-Formulary
You pay $210 copay
WHAT IS A...
Deductible: Amount you have to pay for a covered medical or Rx expense, before the plan starts to pay.
Copay: Fixed fee you may need to pay for healthcare services (i.e., office visits, prescriptions).
Coinsurance: Your share of the allowed amount charged for a service, and is generally billed to you after the health insurance company reconciles the bill with the provider.
Out-of-Pocket Maximum: You will not have to pay more than this amount during your plan year – once you reach it, your insurance plan will pay all additional covered expenses.
Contact the provider of these benefits by calling this phone number or visiting this website: Customer Service:
(800) 495-2583 | Contact Us | Blue Cross and Blue Shield of Louisiana (bcbsla.com)
Medical & Rx Employee Contributions (In-State)
Employee Only
$0.00
Employee + Spouse
$234.38
Employee + Child(ren)
$199.22
Employee + Family
$433.60
Medical & Rx Employee Contributions (Out-of-State)
Youthforce NOLA pays 100% of the medical insurance costs for Employees and 20% for Dependents.
QUESTIONS? CONTACT THE CARE LINE
Care Line is an NFP-sponsored program that is staffed by dedicated professionals to help you understand the benefit options made available to you. Whether you have concerns about a recent claim or bill, finding an in-network doctor or just some guidance on which medical plan is right for you and your family, the Care Line can help educate and advocate. The Care Line is available to all employees and children over 18 who are enrolled on the benefit plan.
Contact the Care Line at (844) 717-8777, or you can submit your questions at callthecareline.com.
The Care Line is open Monday - Friday from 8:00 am - 7:00 pm (EST).
