Group Health Insurance – BCBSNC HealthCare

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Employees are eligible for coverage on the first day of the month following the 30th day of employment. Coverage for child(ren) is also available. No spouses are eligible for coverage. Register online to view your medical plan information with BCBSNC HealthCare :  http://www.BCBSNC.com  

Health Insurance Premiums – Employee Pays:

 With Completed HRAWithout Completed HRA
Employee$0$40
Employee Plus Child(ren)$227$267

Employee contributions are made on a pre-tax basis.

Group Health Insurance Plans: July 01 – June 30 Plan Year

Health BenefitsYour Cost: In-NetworkYour Cost: Out-Of-Network
Office Visit$30 copaymentDeductible, then 40%
Specialist Office Visit$50 copaymentDeductible, then 40%
Urgent Care$40 copayment$40 copayment
Emergency Room (waived if admitted)$200 copayment$200 copayment
Preventative Care Program100%Not covered
Diagnostic Tests (X-rays, blood work)Deductible, then 20%Deductible, then 40%
Inpatient/Outpatient FacilityDeductible, then 20%Deductible, then 40%
Mental Health & Substance Abuse:
- InpatientDeductible, then 20%Deductible, then 40%
- Outpatient$50 copaymentDeductible, then 40%
Deductible (Individual/Family)$750/$2,250$1,500/$4,500
Out of Pocket Maximum$2,000/$6,000$4,000/$12,000
RX Co-Pay - Retail$10-45-60 / 25%$10-45-60 / 25%
RX Mail Order (90-day supply)$25-112.50-150N/A

BCBS Dental:

Diagnostic and preventative paid at 100% – two visits per plan year. $50 deductible per individual. Maximum deductible $150 per year per family. Maximum coverage $1,000, per individual, per plan year. All payments are based on usual and customary charges (UCR). For basic services, plan pays 80% UCR after dental deductible. For major services, plan pays 50% after dental deductible. When proposed charges for a course of treatment are expected to be over $250, obtain a Pre-Treatment Estimate of Benefits before services are performed.

DAVID R. SANDIFER BUILDING

Contact

30 GOVERNMENT CENTER DRIVE
DAVID R. SANDIFER BUILDING
THIRD FLOOR

(910) 253-2000
humanresources@brunswickcountync.gov
open mon-fri:
8:30 a.m. – 5:00 p.m.

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