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UNSystem
BlueCross BlueShield Nebraska
BlueCross BlueShield Nebraska

Medical and Dental

You only need one ID card for all your benefits - medical, dental and pharmacy. Below are medical and dental plan documents outlining benefits and covered services.

  • 2025
  • 2024
Medical Coverage:

Schedule of Benefits Summary

  • $200 High-Regular
  • $200 High-Enhanced
  • $300 Basic-Regular
  • $300 Basic-Enhanced
  • $1,350 Low-Regular
  • $1,350 Low-Enhanced
  • $3,300 HSA Eligible

Summary Plan Descriptions - coming soon

Dental Coverage:
  • Schedule of Benefits Summary

If you have any questions about your coverage, please call Member Services at 866-926-1498 (can also be found on the back of your member ID card).

Easily access your medical and dental benefits through your online member account – visit myNebraskaBlue.com to login.

Pharmacy Coverage:

For pharmacy benefits, please visit MyEmpiRxHealth.com or call 833-419-3436 (phone number will be active on Oct. 26, 2023).

EmpiRx Health, LLC, is an independent company that provides pharmacy benefit management solutions to benefit plan sponsors and their members. © 2023 EmpiRx Health, LLC. All Rights Reserved.

Medical Coverage:

Schedule of Benefits Summary

  • $200 High-Regular
  • $200 High-Enhanced
  • $300 Basic-Regular
  • $300 Basic-Enhanced
  • $1,350 Low-Regular
  • $1,350 Low-Enhanced
  • $3,200 HSA Eligible

Summary Plan Descriptions

  • $200 High-Regular
  • $200 High-Enhanced
  • $300 Basic-Regular
  • $300 Basic-Enhanced
  • $1,350 Low-Regular
  • $1,350 Low-Enhanced
  • $3,200 HSA Eligible
Dental Coverage:
  • Schedule of Benefits Summary
  • Summary Plan Descriptions

If you have any questions about your coverage, please call Member Services at 866-926-1498 (can also be found on the back of your member ID card).

Easily access your medical and dental benefits through your online member account – visit myNebraskaBlue.com to login.

Pharmacy Coverage:

For pharmacy benefits, please visit MyEmpiRxHealth.com or call 833-419-3436 (phone number will be active on Oct. 26, 2023).

EmpiRx Health, LLC, is an independent company that provides pharmacy benefit management solutions to benefit plan sponsors and their members. © 2023 EmpiRx Health, LLC. All Rights Reserved.

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© 2025  Blue Cross and Blue Shield of Nebraska.
Blue Cross and Blue Shield of Nebraska is an independent licensee of the Blue Cross Blue Shield Association. The Blue Cross Blue Shield Association licenses Blue Cross and Blue Shield of Nebraska to offer certain products and services under the Blue Cross® and Blue Shield® brand names within the state of Nebraska.

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