Blue Options HSA sm
With Blue Options HSA, policy holders can choose your their doctor from Blue Cross Blue Shield
NC's largest provider network in the state. Preventive care services cover policy holders at
100%, including routine physicals and screening tests, and well-baby and well-child care.4 Generic Rx
coverage is unlimited and brand name drugs include a $2,000 combined in and out-of-network maximum
benefit (per person, per benefit period).
The health savings account (HSA) is automatically incorporated with the health plan, if you choose
Mellon Trust as the administrator. Mellon includes a handy debit card at no charge, and HSA
withdrawals and contributions are tax-free.2, 3
To qualify for Blue Options HSA, you must be a resident of NC, be under age 65, be medically eligible,
and you cannot be eligible for Medicare. Both Individual and family plans are available. You can also
choose to add maternity coverage for an extra charge when you initially purchase a policy, renew
the policy (if the policy has been in effect for at least 6 months), or if there is a family status change,
such as marriage.5
|Blue Advantage®, Blue Advantage
Saver sm, and Blue Options HSA sm
|Compare Blue Advantage®
Plans A, B, and C
Our high-deductible health plan paired with a
tax-advantaged savings account used for qualified
Blue Options HSA offers lower premiums and savings as much as 34%
of Blue Advantage, giving you the tools to take control of your health
care costs.1 Blue Options HSA pairs a high-deductible health plan
(HDHP) with a health savings account (HSA), which allows you to pay
for qualified medical expenses tax-free.2, 3 Out-of-pocket maximums
protect you from expensive medical costs. And, your HSA is portable.
Any unused balance rolls over to the next year.
1 Blue Cross and Blue Shield of North Carolina Internal Data, 2009: Based on Blue Advantage $2,500 deductible with 80% coinsurance and
Blue Options HSA $2,000 deductible with 80% coinsurance. Pricing is for a single male, age 40-44, residing in Wake County.
2 BCBSNC does not administer your HSA and is not affiliated with your HSA custodian or administrator. Your HSA custodian is Mellon Trust of
New England, N.A.
3 Withdrawals are tax free only if used for qualified medical expenses. See www.irs.gov for specific regulations.
4 Includes in-network annual routine physical exam, well-baby and well-child care and certain immunizations and screenings. Other covered
services may be subject to deductible and coinsurance. Members who receive covered services out-of-network may be required to pay the
difference between the provider's actual charge and the BCBSNC allowed amount, in addition to the coinsurance amount.
5 Maternity coverage is offered through Blue Options at an additional rate.
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