Goebelt
Insurance
Services, Inc.
Services, Inc.
Where Integrity Matters
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- Preventive care coverage
- Convenient copayments for most prescription drugs (3)
- Online programs and resources to help manage your care
- Easy-to-use with no claims to file in-network
- Coverage is available to you in more than 200 countries and
territories worldwide (4)
| Compare Blue Advantage® Plans A, B, and C |
1 "Overall Satisfaction with Plan: Adult Members," p. 8, Fig. 2, HEDIS Report: Annual Report and Analysis of 2005 Activity (Source: Consumer Assessment of Health
Plans Survey [CAHPS]).
2 Some services and supplies received by members in an office setting or in connection with an office visit are in fact outpatient hospital-based services provided
by hospital-owned or operated practices. These services and supplies may be subject to your deductible and coinsurance. Please see the BCBSNC provider listing
to identify these providers.
3 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. Specialty brand drugs require member coinsurance.
4 Blue Cross and Blue Shield Association Internal Data: www.bcbs.com/news/press/facts/bluecard.html (2007).
5 Some services and supplies received by members in an office setting or in connection with an office visit are in fact outpatient hospital-based services provided
by hospital-owned or operated practices. These services and supplies may be subject to your deductible and coinsurance.
6 Referrals may be needed for certain mental health and substance abuse services.
7 Blue Advantage Plan B requires a $200 prescription drug deductible.
8 2004 BCBSNC Internal Data.
9 Blue Cross and Blue Shield of North Carolina reserves the right to discontinue or change this program at any time. All plans may not be eligible for these programs
Plans Survey [CAHPS]).
2 Some services and supplies received by members in an office setting or in connection with an office visit are in fact outpatient hospital-based services provided
by hospital-owned or operated practices. These services and supplies may be subject to your deductible and coinsurance. Please see the BCBSNC provider listing
to identify these providers.
3 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. Specialty brand drugs require member coinsurance.
4 Blue Cross and Blue Shield Association Internal Data: www.bcbs.com/news/press/facts/bluecard.html (2007).
5 Some services and supplies received by members in an office setting or in connection with an office visit are in fact outpatient hospital-based services provided
by hospital-owned or operated practices. These services and supplies may be subject to your deductible and coinsurance.
6 Referrals may be needed for certain mental health and substance abuse services.
7 Blue Advantage Plan B requires a $200 prescription drug deductible.
8 2004 BCBSNC Internal Data.
9 Blue Cross and Blue Shield of North Carolina reserves the right to discontinue or change this program at any time. All plans may not be eligible for these programs
Traditional copayment plan
Most popular individual health plan in North Carolina (1)
Most popular individual health plan in North Carolina (1)
A traditional PPO, Blue Advantage offers great coverage, and
the convenience and security of predictable copayments. (2)
the convenience and security of predictable copayments. (2)
Goebelt Insurance Services, Inc. and David Goebelt are an independent authorized agency/producer licensed to sell and promote products
from Blue Cross and Blue Shield of North Carolina (BCBSNC). The content contained in this site is maintained by Goebelt Insurance
Services, Inc. Blue Cross and Blue Shield of North Carolina is an independent licensee of the Blue Cross and Blue Shield Association.
from Blue Cross and Blue Shield of North Carolina (BCBSNC). The content contained in this site is maintained by Goebelt Insurance
Services, Inc. Blue Cross and Blue Shield of North Carolina is an independent licensee of the Blue Cross and Blue Shield Association.
With Blue Advantage, members have access to many of the best doctors, hospitals and specialists in North Carolina.
Our provider networks are large and member copayments and coinsurance are predictable. (5) Members visit in-network
providers, show their Blue Cross and Blue Shield of North Carolina (BCBSNC) ID card and pay their copayment. The doctor
handles the administrative details and files the claims. There’s no messy paperwork. It’s that easy.
Blue Advantage members can also go directly to in-network specialists without a referral and have the freedom to go
outside the network for most services. (6) The only difference is the out-of-pocket cost.
Blue Advantage for individual coverage offers two plans, which allows applicants to choose the benefits and deductible that
work best for them. Blue Advantage Plan A features a $15 copayment for doctor visits and just $10 for generic
prescription drugs. For those on a budget, Blue Advantage Plan B offers lower monthly premiums. Members share more in
the cost of their health care on Plan B through higher copayments. (7)
With Blue Advantage, members are covered across the nation and in more than 200 countries and territories
worldwide. (8) To find a nearby network provider, members can search the BlueCard® provider directory at bcbsnc.com or
call 1-800-810-BLUE (2583).
Applicants may choose to purchase coverage for their children only. Children will receive full Blue Advantage benefits,
including coverage for well-child and well-baby care and immunizations. Applicants can also select maternity coverage for
an extra charge when they first purchase a policy, renew a policy (if the policy has been in effect for at least six months), or if
they have a family status change like marriage.
As BCBSNC members, Blue Advantage members have access to a variety of resources and programs designed to
maximize their health care experience. Resources include the Member Health Partnerships, programs that help members
manage health conditions like asthma and diabetes, and the Blue Extras free value-added programs, which provide
members discounts on everything from vitamins to gym memberships. (9)
To be eligible for Blue Advantage, an applicant must be a resident of North Carolina, be under age 65 and not qualify for
Medicare. Enrollment processing takes approximately 30 days. Applicants may need health insurance to cover this waiting
period, or to cover the time between the termination date of their old plan and the effective date of their new plan.
Our provider networks are large and member copayments and coinsurance are predictable. (5) Members visit in-network
providers, show their Blue Cross and Blue Shield of North Carolina (BCBSNC) ID card and pay their copayment. The doctor
handles the administrative details and files the claims. There’s no messy paperwork. It’s that easy.
Blue Advantage members can also go directly to in-network specialists without a referral and have the freedom to go
outside the network for most services. (6) The only difference is the out-of-pocket cost.
Blue Advantage for individual coverage offers two plans, which allows applicants to choose the benefits and deductible that
work best for them. Blue Advantage Plan A features a $15 copayment for doctor visits and just $10 for generic
prescription drugs. For those on a budget, Blue Advantage Plan B offers lower monthly premiums. Members share more in
the cost of their health care on Plan B through higher copayments. (7)
With Blue Advantage, members are covered across the nation and in more than 200 countries and territories
worldwide. (8) To find a nearby network provider, members can search the BlueCard® provider directory at bcbsnc.com or
call 1-800-810-BLUE (2583).
Applicants may choose to purchase coverage for their children only. Children will receive full Blue Advantage benefits,
including coverage for well-child and well-baby care and immunizations. Applicants can also select maternity coverage for
an extra charge when they first purchase a policy, renew a policy (if the policy has been in effect for at least six months), or if
they have a family status change like marriage.
As BCBSNC members, Blue Advantage members have access to a variety of resources and programs designed to
maximize their health care experience. Resources include the Member Health Partnerships, programs that help members
manage health conditions like asthma and diabetes, and the Blue Extras free value-added programs, which provide
members discounts on everything from vitamins to gym memberships. (9)
To be eligible for Blue Advantage, an applicant must be a resident of North Carolina, be under age 65 and not qualify for
Medicare. Enrollment processing takes approximately 30 days. Applicants may need health insurance to cover this waiting
period, or to cover the time between the termination date of their old plan and the effective date of their new plan.
Authorized Agency
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| Compare Blue Advantage® Plans A, B, and C |
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| David Goebelt Authorized NC Agent 800-918-1158 |