BCBS of NC

Discussion in 'Discussion Group' started by Tardevil, Oct 16, 2015.

  1. Tardevil

    Tardevil Well-Known Member

    Received a call today from BCBS informing us that Blue Advantage, our current plan, will no longer be offered in our county. Too late in the day to return the call for an explanation. Anyone else experience this? I had no idea plans are county specific. Any advice or explanation is greatly appreciated.
     
  2. bosoxfan

    bosoxfan Well-Known Member

  3. Tardevil

    Tardevil Well-Known Member

    Thank you for the link. So disappointed by the choices. Hoping Blue Local is decent because we started with Blue Value and no one accepted it. Thanks again!
     
  4. Harvey

    Harvey Well-Known Member

    How long have you had it? Sounds like it, "will no longer be offered to individual health care consumers in the Charlotte and Triangle areas who purchased their plans since January 1, 2014, as a result of the Affordable Care Act." Based on this, if you had it before that date you are not affected. My wife and child have been on the Blue Advantage plan since 2009 and it is considered grandfathered. This press release isn't terribly detailed, but it does sound like there is a date after which they will apply this new change.
     
  5. Tardevil

    Tardevil Well-Known Member

    We are self-employed and have had BCBS for almost 20 years. Purchased through the exchange, began with Blue Value which was a mistake, and then switched to Blue Advantage in Jan of 2015 so we will not qualify to keep, nor can we switch back to Blue Value - no one accepted it.

    Not sure what to do next...any suggestions? Advice is greatly appreciated!
     
  6. esther

    esther Active Member

    My husband and I both have Medicare Advantage BCBS PPO plan. the PPO plan has been removed from Johnston County. We all have to search for new insurance. If I lived 3 streets over in Wake County, I could keep it !!!! does this make sense to anyone?
     
  7. jlc007

    jlc007 Well-Known Member

    Got the same phone message today and I'm not happy! I like my Blue Advantage plan!!!
    Unfortunately, since I got it just last year, I'm not grandfathered in Harvey :-(
    Going to do some research and will post what I find.
     
    Last edited: Oct 21, 2015
  8. Tardevil

    Tardevil Well-Known Member

    Thanks jlc007, I think many of us are affected. Blue Value was a total bust!
     
    jlc007 likes this.
  9. jesse82nc

    jesse82nc Well-Known Member

    I just got the call a little while ago :(
     
  10. Tardevil

    Tardevil Well-Known Member

    It's a huge swath of NC affected - unless doctors make an adjustment, those with Blue Advantage will be SOL. When we originally signed up through the exchange, it was before all the physicians had decided which plans they would accept - none, except our GP, would take Blue Value, but by then it was too late. We switched as soon as we could.
     
  11. HidesinOBX

    HidesinOBX Well-Known Member

    We have not received a call yet, but I know we will be affected. I spoke to a rep at BCBS today and she was unable to offer me any new info regarding rates and coverage. She did say, however, that the Blue Local plan is comparable to the Blue Advantage plan. Does anyone know of a link to check out the options with Blue Local and Blue Value?
     
  12. dgsatman

    dgsatman Well-Known Member

    ObamaCare ( (UN)Affordable Care Act) at its finest. Coming to a home near you.
     
    poppin cork likes this.
  13. bosoxfan

    bosoxfan Well-Known Member

    I don't believe Blue Local is comparable to Blue Advantage, at least once you're out of this area. It seems to be restricted to certain health care networks.
     
  14. HidesinOBX

    HidesinOBX Well-Known Member

    Last year, my employer decided to stop offering insurance, at which they paid only 40% of the premium anyway (10% short of what they should have, but I won't go there!). My portion was 800.00 a month. My husband had been laid off and was paying for the Cobra, at 800.00 a month, and it was ending. Since then, he has retired. I will say that it has been more affordable than before, however, it's been a roller coaster with healthcare.gov and their frequent requests for documentation and repeated calls on issues that we thought were resolved. It's very frustrating and I wish I worked for a company that offered a plan. I can only imagine what the change will be now. I almost asked the BCBS rep how to apply for a job there, because I've gotten so good at understanding the system...hell, can't beat em, join em!
     
  15. HidesinOBX

    HidesinOBX Well-Known Member

    Ah, so that's the hitch. Isnt there a way to look at the plans now..I would rather be pro- active about it.
     
  16. bosoxfan

    bosoxfan Well-Known Member

    None that I've found. Since open enrollment doesn't start until November 1, I think they're keeping everything close to the vest as long as they can. I did look up my doctors, and it looks like just about all of them are going to be on Blue Value next year. I'm also going to be affected by the end of Blue Advantage, but it may work out for the best based on the doctors taking it. I just looked up the doctors on the BCBSNC website, putting in their names, zip code, and selecting Blue Value plan. Mine showed out of network for 2015 and in network for 2016.

    Here's the press release I found regarding Blue Local - http://mediacenter.bcbsnc.com/news/...-the-triangle-with-new-blue-local-health-plan
     
  17. HidesinOBX

    HidesinOBX Well-Known Member

    That is some great info. Thank you for sharing it!
     
  18. trident2

    trident2 Well-Known Member

    Its only going to get better.
     
  19. jesse82nc

    jesse82nc Well-Known Member

  20. Harvey

    Harvey Well-Known Member

    Just wanted to reopen this thread and to let you know despite my grandfathered status all is not well. We've had Blue Advantage since 2009 and have seen fairly modest increases every year ( with one year actually decreasing $30). However, we just got our letter and it has jumped $220 for a child and adult. Granted the adult moved into a new age bracket, which may have a lot to do with it. However, I feel it has a lot more to do with BCBS 'pushing' people into other plans. As time goes on BCBS has seen some serious degradation of it's customer service, administration, etc. I used to think of them as a good company, but now not so much. I reckon I'll be looking over comparative plans starting Nov. 1st as well as combing my doctors' webpages to see if the take particular plans. I heard on NPR something about either BCBS or HealthCare.gov has a new tool that will help you with this part.
     
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