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 parishes of Ascension, East Baton Rouge, Livingston and West Baton Rouge. 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 parishes of Acadia, Bossier, Caddo, Evangeline, Iberia, Jefferson, Lafayette, Orleans, Plaquemines, St. Bernard, St. Charles, St. John the Baptist, St. Landry, St. Martin, St. Tammany and Vermilion. 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 – CVS Caremark

OGB uses the CVS Caremark 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

*Member responsibility is for a prescription drug benefit of up to a 31-day supply.

 

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

CVS Caremark

www.caremark.com

1-877-300-1906

24 Hours, Seven Days a Week

SilverScript

1-877-996-0104

24 Hours a day

Seven Days a Week

Advanced Control Specialty Formulary

Performance Drug List- Standard Control for Clients with Advanced Control Specialty Formulary

Provider Directory

Community Blue

BlueConnect

2023 Schedule of Benefits

2024 Benefit Plan

Magnolia Local Pharmacy Benefits

SilverScript Benefits for Medicare Retirees

Benefit Comparison

Premium Rates

OGB Health Plan PA Guide