BlueAdvantage® Plan & Rates (see below plan descriptions) 

All of Blue Cross and Blue Shield of North Carolina's® plans offer predictable co-payments for doctor visits, emergency room services and prescriptions drugs.1 You decide how much you want to share in the cost of your health care and which monthly premium level is right for you. You have access to Blue Cross and Blue Shield of North Carolina's® large network of doctors and hospitals and the ability to go outside that network for most services.

Page 1 Page 2 Page 2

Blue Advantage
Rate Tables for 2008 North Carolina Counties

   Get Your Blue Advantage Rates Here!!!

Step 1: Find the appropriate rate table for the county of residence.

Step 2: Use the appropriate table to determine the plan, the deductible and its corresponding rates for the applicant, and his/her spouse and dependents if applying for coverage.

  • For dependent children, add the appropriate age band rate for every child listed on the application.
  • For a child applying without parent(s), use the Child Only rate. Child(ren) applying without aparent(s) must each apply on a separate application.

    • Step 3: Add the Optional Maternity Benefit if applicable (use the deductible that corresponds to the deductible selected in Step Two above).

    Step 4: Sum the rates.

    Note: Actual rates may change based on medical underwriting review. Rates are effective from 1/1/08 through 12/31/08.

    FOOTNOTES:
    1: Prescription drug benefits are divided into four drug-formulary tiers with varying copayment/coinsurance amounts based on the tier placement of a drug. Specific drug information can be found on the Prescription Drug Search tool at bcbsnc.com. Diabetic supplies are covered at 75% under the prescription drug benefit. In addition, benefits are provided for over-the-counter drugs when listed as covered in the formulary and a provider's prescription for that drug is presented at the pharmacy.
     

    *2005 BCBSNC Internal data
    An Independent licensee of the Blue Cross and Blue Shield Association

    Triad Insurance Partners, Inc. is an independent authorized agency licensed to carry and promote products from Blue Cross and Blue Shield of North Carolina (BCBSNC). The content contained in this site is maintained by Triad Insurance Partners, Inc. Blue Cross and Blue Shield of North Carolina is an independent licensee of the Blue Cross and Blue Shield Association.

    ® Registered mark of the Blue Cross and Blue Shield Association
    SM Service mark of the Blue Cross and Blue Shield Association

    Triad Insurance Partners, Inc.
    Authorized BCBSNC Agent
    1-888-421-4746