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Spotlight

Behavioral Health Management

Our Behaviorial Health Management Department focuses on improving the quality of life for people suffering from mental health or substance abuse issues (MHSA) and is a key aspect of a person’s overall health and wellbeing.   Learn More >>>

Mental Health Parity

The Mental Health Parity Act is effective October 3, 2009. Click here to learn more about the Act and how it affects you.   Learn More >>>

Blue Value

Blue Value is our most cost-effective managed care plan with ten levels of coverage to choose from. Primary Care Physician (PCP) office visits to contracting providers are covered after a $20-$30 copayment while non-PCP office visits to contracting providers are covered after a $40-$50 copayment. It is important to note that with Blue Value, the office visit copayment does not cover lab, x-rays or other diagnostic services. As with other services received in-network, members are responsible for 30 or 40 percent coinsurance after they have met their deductible.

For out-of-network services, members are responsible for 50 or 60% coinsurance after meeting a separate, out-of-network deductible.

As with our other managed care plans, your employees will need to select a PCP from our statewide network of contracting providers. PCPs can be general practitioners, family practitioners, internists, pediatricians, and obstetricians and gynecologists. They oversee the health care of your employees and their enrolled family members while providing preventive care, immunizations and other health care services.

We encourage our managed care members to coordinate their health care through their PCP, but they do not need a referral to seek care from other contracting providers.

Summary of Benefits  (97KB)