Click each section below to learn more about some of the benefits you can get with a Blue Advantage plan.
Pharmacy Benefits Overview
Every Blue Advantage (HMO) and Blue Advantage (PPO) plan includes generous Part D prescription drug coverage to help with the costs of your medications.
The amount you pay depends on which drug tier your drug is in under your plan. Find a Plan and click Learn More to see what you can expect to pay for drugs in each tier in the Initial Coverage Stage.
Download the Blue Advantage Formulary to search our list of covered drugs, see the tier and if there are any requirements for coverage.
Members on HMO-POS and PPO plans can check multiple medications and estimate annual drug costs by using our Find & Price Prescription Drugs tool. The tool is not available for those on the Dual Plus (HMO-POS D-SNP) plan because of differences in cost share for those plans.
Blue Advantage members have options on where and how to get their medicines:
Experience the safety and convenience of home delivery with Express Scripts PharmacySM. Your prescriptions are mailed directly do your door and you pay nothing for standard shipping. Plus, you may save money!
Find a local pharmacy in our broad retail network, including those that offer preferred cost-sharing. You may pay less when you choose a preferred retail pharmacy to fill your prescription!
It is important to remember that enrolling in a Blue Advantage Medicare Advantage plan does not affect Medicare coverage for any drugs that may be covered under Medicare Part A or Part B. If you meet Medicare coverage requirements, your drugs will still be covered under Medicare Part A or Part B even though you are enrolled in a Blue Advantage plan.
Express Scripts is an independent company that serves as the pharmacy benefit manager for Blue Cross and Blue Shield of Louisiana.
Flex Card Overview
Blue Advantage members will get a personal prepaid Flex Card to help cover certain healthcare expenses such as:
Prescription hearing aids
Eyewear
Over-the-counter items
Healthy foods and utilities (for Dual Plus members)
Benefit amount varies by plan selected. See plan details page for specific benefit information.
Over-the-Counter (OTC) Benefit Program
Get money added to your Flex Card to spend on:
Over-the-counter items at major retailers or online
Dual Plus members will also be able to use their allowance on healthy foods and utilities
Benefit amount varies by plan selected. See plan details page for specific benefit information.
Dental
Your Blue Advantage plan comes with both preventive and comprehensive dental services covered, in-network, at no cost to you.
Preventive dental includes services such as exams, routine cleanings, bitewing X-rays and fluoride treatment
Comprehensive dental includes basic and major dental services
Basic dental consists of services such as fillings and extractions
Major dental consists of services such as periodontal scaling, crowns, dentures, root canals and bridges
Benefit amount varies by plan selected. See plan details page for specific benefit information.
To find a Blue Advantage dental provider, call 1-866-508-7145 (TTY 711) or click on the button below.
Your Blue Advantage plan comes with routine vision benefits with the freedom to choose from hundreds of participating providers and retailers. Your vision benefit covers one annual eye examination and includes an allowance on your Flex Card to pay for eyewear such as eyeglasses and contact lenses.
Benefit amount varies by plan selected. See plan details page for specific benefit information.
Your Blue Advantage plan comes with online medical and behavioral health visits through BlueCare, which lets you have visits from your computer, smartphone, tablet or any device with internet and a camera.
Blue Care medical visits have a $0 copay when you sign in as a Blue Advantage member and can be used 24/7 for minor, non-emergency illnesses such as fever, flu symptoms, cold or cough, and sinus infections.
With BlueCare for behavioral health, you can schedule a visit with a psychology or psychiatry provider for a $40 copay to discuss depression, grief, stress, life transitions and more.
You can also use BlueCare to get a prescription or to check in with a doctor if you need a follow-up visit.
Fitness
FitOn Health gives members access to the best digital fitness & wellness content, fitness studios, and gyms. This benefit is provided for Blue Advantage members at no additional cost. You will be able to continue your current fitness routine while having access to a variety of new activities.
At the beginning of each month, credits are added to your FitOn Health account. You can use your credits at any fitness experience in our network.
Included with your FitOn Health account is unlimited access to a digital platform including fitness & wellness classes, personalized programs, meal plans with recipes, challenges and expert-led health courses.
FitOn Health is an independent company that administers fitness benefits for Blue Cross and Blue Shield of Louisiana.
Healthy Rewards Program
With our Healthy Rewards Program, members can earn rewards on their Flex Cards for completing eligible health actions, including their annual wellness visit and flu shot.
Click below to search for Hospitals or Medical Providers in the Vantage Network.
