This means your group health plan will not provide coverage for contraceptive services. Instead, Blue Cross and Blue Shield of Nebraska (BCBSNE) is providing separate coverage for contraceptive services at no cost to you, as long as you are enrolled in your employer-sponsored group health plan and your employer continues to qualify for this exception.
ID Cards
You will need to carry two BCBSNE member ID cards – your current card, as well as the contraceptive-only card. The contraceptive-only ID card is for contraceptive services coverage only. The card features the words “Contraceptive Only,” and the member ID number is different from your other BCBSNE health plan ID number.
It is very important that the correct ID card is presented to your health care providers, because charges for contraceptive services will be denied under your health plan ID number (and vice versa). In some cases, you may need to give the provider both ID cards. Here are a couple of examples:
Annual female exam
Charges for the exam and lab work should be submitted under the health plan ID number. However, if the visit includes anything related to contraceptive services, such as administration of a Depo-Provera shot, those charges need to be submitted under the BCBSNE contraceptive services ID number. In this case, the provider needs to be given both ID cards to file claims correctly.
Filling a prescription
If you go to the pharmacy to have two prescriptions filled, the pharmacy should submit the claim for the non-contraceptive medication using the health plan ID. The claim for contraceptives, such as birth control pills, should be filed using the contraceptives-only ID. The pharmacist needs to see both ID cards to file claims correctly.
Use the below resources to manage your contraceptive-only coverage.
Medical and Prescription Coverage
Use these if both your medical and pharmacy coverage are through Blue Cross and Blue Shield of Nebraska and Prime Therapeutics.
Schedule of Benefits Summary (with pharmacy)
Contraceptive Only Coverage Booklet (with pharmacy)
Medical Only Coverage
Use these if your pharmacy coverage is not through Blue Cross and Blue Shield of Nebraska.
Schedule of Benefits Summary (without pharmacy)
Contraceptive Only Plan Booklet (without pharmacy)
If you have any questions about this information, please call our Member Services department at the phone number on the back of your BCBSNE member ID card.