151+ Employees
Large Group Plans
With various coverage options for companies with 151 employees or more, you can be confident that your business will get the coverage it needs. Blue Cross and Blue Shield of Nebraska’s (BCBSNE) PremierBlue plans offer a combination of networks and benefits to better meet the needs of employers, while enhancing their ability to select cost-effective, quality health insurance for their employees.
Enabling employers to experience the financial and timesaving advantages such as:
- Choice of network options
- Enhanced coverage options
- Flexibility in benefit selection
- Increased employee engagement
Network Options
NEtwork BLUE
NEtwork BLUE is our statewide network made up of 98% of Nebraska's doctors and non-governmental acute care hospitals.*
NEtwork BLUE provides access to:
- Hospitals and clinics across Nebraska
- Primary and specialty care providers
- Heart, cancer and trauma centers
- Children’s care
- Behavioral health network
* Source: BCBSNE statistics. June 27, 2023
Premier Select BlueChoice
Our Premier Select BlueChoice network features Nebraska Methodist Hospital System, Nebraska Medicine and Bryan Health. This regional network is available to groups headquartered in Omaha, Lincoln and the surrounding communities in ZIP codes starting with 680, 681, 683, 684 and 685. All other Nebraska providers are out of network.
Some of the key hospitals and health care providers include:
- Methodist Hospital System
- Nebraska Medicine
- Bryan Health
- Boys Town National Research Hospital
- Children's Nebraska
Blueprint Health
Our Blueprint Health network features CHI Health and other providers and facilities in Nebraska and contiguous counties in Iowa. This regional network is available to groups headquartered in Omaha, Lincoln and the surrounding communities in ZIP codes starting with 680, 681, 683, 684 and 685, as well as Adams, Buffalo, Hall, Kearney and Phelps counties. All other Nebraska providers are out of network.
Some of the key hospitals and health care providers include:
- CHI Health
- Creighton University System
- Nebraska Spine Hospital LLC
- Boys Town National Research Hospital
- Children's Nebraska
Out-of-State Networks
Many BCBSNE members have access to a national network called the BlueCard® Program*. If Blue members live or travel outside of Nebraska, they may take their health care benefits with them. The BlueCard Program gives members access to doctors and hospitals almost everywhere within the United States, including both urban and rural areas.
*Check your plan documents to determine if your network includes BlueCard.
Outside of the United States, members have access to doctors and hospitals around the world through the Blue Cross Blue Shield Global® Core Program.
Cost Share Options
Cost shares are variable for deductibles, coinsurance percentages, copayments and out-of-pocket limits. The in-network annual out-of-pocket limits cannot exceed the amount published in Affordable Care Act (ACA) regulations. In addition, for qualified high-deductible health plans to be eligible for a health savings account, the minimum deductible and annual out-of-pocket limit cannot exceed the amounts as found in Internal Revenue Code - Sec. 223.
Optional Benefit Enhancements
Fully insured and self-funded options:
- Cost share amounts are variable for the employer to choose
- Deductible, then coinsurance
- Copayment
- Plan pays 100%
- Covers one eye exam, including refraction, once per calendar year
Self-funded options:
- Cost share amounts are variable for the employer to choose for preventive services not required by the ACA and when provided by an out-of-network provider
- Paid same as substance abuse
- Covers classes for the treatment of nicotine dependence or addictions and alternative therapies, such as acupuncture
- Paid the same as any other illness, up to a maximum amount while covered (maximum amount is employer’s choice)
- Covers medical services and prescription drugs for pregnancy assistance treatments
- Paid same as any other illness, up to a maximum amount while covered (maximum amount is employer’s choice)
- Covers medically necessary surgical treatment of obesity and post-surgical follow up care
Member Benefits
Online Tools
Access our online member resource center to find in-network doctors, track medical bills and health care spending.
Cost Estimators
Get estimated costs for hospital stays, MRIs, office visits, surgeries, vaccines, X-rays and more.
Discount Programs
Get exclusive discounts and savings that make it easier and more affordable to make healthy choices with Blue365.Prescription Drug Tiers (Formulary)
Prescription drugs are divided into the following four tiers. The cost for each 30-day supply of a covered prescription drug depends on the tier in which the medication is listed.
Members can get a 90-day supply at one time (except for specialty drugs) by paying three copay amounts at an Extended Supply Network (ESN) or through home delivery with Amazon Pharmacy.
For specialty drugs to be considered in-network, those drugs must be purchased through a designated specialty pharmacy. In-network specialty pharmacies include Accredo, an Express Scripts® specialty pharmacy (for fully insured and self-funded groups), as well as The Nebraska Medical Center Specialty Pharmacy (for fully insured groups).
Out-of-Network pharmacy benefits will apply if the member uses an out-of-network pharmacy.
The in-network pharmacy benefits accumulate to the medical plan’s in-network deductible and/or out-of-pocket limit, and out-of-network pharmacy benefits accumulate to the medical plan’s out-of-network deductible and/or out-of-pocket limit.
Our formularies/preferred prescription drug lists can be found on our drug list.
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