MAGNOLIA LOCAL

The Magnolia Local plan is a traditional plan that offers $25 primary care co-pays and $50 specialty care co-pays for members who live in specific coverage areas. Community Blue and Blue Connect networks in Shreveport, New Orleans and Baton Rouge are available for OGB members.

This plan is ideal for members who live in the parishes within the available networks and don’t plan to utilize out-of-network care. However, out-of-network care is provided in emergencies.

Community Blue
Community Blue is a select, local network designed for members who live in the Baton Rouge (East & West Baton Rouge and Ascension Parishes) and Shreveport communities (Caddo and Bossier Parishes). This means healthcare providers work as a team led by a primary care doctor.

BlueConnect
BlueConnect is a select, local network designed for members who live in the New Orleans community (Orleans and Jefferson Parishes). BlueConnect is a great health plan for people who want local access, a new approach to health and a lower priced insurance plan.

MEDICAL COVERAGE

 

Single

Employee
+ Spouse

Employee
+ Children

Family

Deductible – Active Retiree (on or after 3/1/2015)

$400

$800

$1,200

$1,200

Deductible Retiree (with or without Medicare before 3/1/2015)

$0

$0

$0

$0

Co-pay(In-Network)

$25/$50

$25/$50

$25/$50

$25/$50

Out-of-Pocket Maximum – Active Employee/Non-Medicare Retiree On or After 3/1/15

$2,500

$5,000

$7,500

$7,500

Out-of-Pocket Maximum – Retiree (with or without Medicare Before 3/1/15)

$1,000

$2,000

$3,000

$3,000

 

PHARMACY BENEFITS – MEDIMPACT

OGB uses the MedImpact formulary to help members select the most appropriate, lowest-cost options. The formulary is reviewed regularly to reassess drug tiers based on the current prescription drug market. Members will continue to pay a portion of the cost of their prescriptions in the form of a co-pay or coinsurance. The amount members pay toward their prescription depends on whether or not they receive a generic, preferred brand, non-preferred brand name drug, or specialty drug.

Tier

Member Co-Pay*

Generic

50% up to $30

Preferred

50% up to $55

Non-Preferred

65% up to $80

Specialty

50% up to $80

Once you pay $1,500:

Generic

$0

Preferred

$20

Non-Preferred

$40

Specialty

$40

 

MAGNOLIA LOCAL RESOURCES

OGB Customer Service

1-800-272-8451

8:00 AM – 4:30 PM CT Monday-Friday

Blue Cross and Blue Shield of LA

www.bcbsla.com/ogb

1-800-392-4089

8:00 AM – 5:00 PM CT Monday-Friday

MedImpact

mp.medimpact.com/ogb

1-800-788-2949

6:00 AM – 11:00 PM CT

24 Hours, Seven Days a Week

Provider Directory

Community Blue

BlueConnect

2017 Schedule of Benefits

2017 Benefit Plan

Benefit Comparison

Premium Rates