Magnolia Local & Local Plus Plan (HMO)

Administered by Blue Cross Blue Shield

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Upcoming Clinics for 2018 premium discount can be found here.

 

Magnolia Local

The Magnolia Local plan is a limited provider in-network only plan for members who live in specific coverage areas. Out-of-network coverage is provided in emergencies only and may be subject to balance billing.

  • Community BlueCommunity Blue is a select, local network designed for members who live in the parishes of East Baton Rouge, West Baton Rouge, Ascension, Caddo and Bossier.
  • BlueConnectBlueConnectis a select, local network designed for members who live in the parishes of Jefferson, Orleans and St. Tammany.

*You must stay in your network when receiving care. Your residence determines which Magnolia Local network you are in.

Magnolia Local Medical Coverage

Active Employees and non-Medicare retirees - retirement date on or after 3-1-2015 

  Employee Only Employee + 1 (Spouse or Child) Employee + Children Family
Employer Contribution to HRA/HSA $0 $0 $0 $0
Deductible (in-network) $400 $800 $1,200 $1,200
Deductible (out-of-network) No coverage No coverage No coverage No coverage
Out-of-pocket max (in-network) $2,500 $5,000 $7,500 $7,500
Out-of-pocket max (out-of-network) No coverage No coverage No coverage No coverage
Co-Payment (in-network) $25 / $50 $25 / $50 $25 / $50 $25 / $50
Co-Payment (out-of-network) No coverage No coverage No coverage No coverage

 

Magnolia Local Prescription Coverage

Active Employees and non-Medicare retirees - retirement date on or after 3-1-2015

Tier Member Responsibility Once You Pay $1,500
Generic 50% up to $30 $0 co-pay
Preferred 50% up to $55 $20 co-pay
Non-Preferred 65% up to $80 $40 co-pay
Specialty 50% up to $80 $40 co-pay

 

Magnolia Local Plus

The Magnolia Local Plus option offers the benefit of nationwide in-network providers. The Local Plus plan provides the predictability of co-payments rather than using employer funding to offset out-of-pocket costs.

This plan provides care in the Blue Cross and Blue Shield nationwide network. Out-of-network coverage is provided in emergencies only and may be subject to balance billing.

Magnolia Local Plus Medical Coverage

Active Employees and non-Medicare retirees - retirement date on or after 3-1-2015

 

  Employee Only Employee + 1 (Spouse or Child) Employee + Children Family
Employer Contribution to HRA/HSA $0 $0 $0 $0
Deductible (in-network) $400 $800 $1,200 $1,200
Deductible (out-of-network) No coverage No coverage No coverage No coverage
Out-of-pocket max (in-network) $2,500 $5,000 $7,500 $7,500
Out-of-pocket max (out-of-network) No coverage No coverage No coverage No coverage
Co-Payment (in-network) $25 / $50 $25 / $50 $25 / $50 $25 / $50
Co-Payment (out-of-network) No coverage No coverage No coverage No coverage

 

 

Magnolia Local Plus Prescription Coverage

Active Employees and non-Medicare retirees - retirement date on or after 3-1-2015

Tier Member Responsibility Once You Pay $1,500
Generic 50% up to $30 $0 co-pay
Preferred 50% up to $55 $20 co-pay
Non-Preferred 65% up to $80 $40 co-pay
Specialty 50% up to $80 $40 co-pay

 

At times you may have to pay out of pocket for medical services or for prescriptions, particularly if you have received services from a non-network provider. In the event that you do pay out of pocket for services, you can be reimbursed for these services. You will need to complete and submit a claim form and a copy of the invoice to the appropriate carrier. You may submit a claim form (see side bar) along with a copy of the invoice to your health insurance carrier. BCBS will then reimburse you according to the plan's guidelines.