Additional Benefits (80/20 Plan)

Additional wellness incentives are available in the 80/20 Plan that lower your out-of-pocket costs for various health care services you receive throughout the year.

The Blue Options Designated Providers program is available to members on the 80/20 Plan. Blue Options Designated specialists and facilities refer to hospitals and providers who meet certain levels of criteria which include delivering quality health outcomes, cost effectiveness and accessibility by members. The criteria is set forth by Blue Cross and Blue Shield of North Carolina (Blue Cross NC).

The specialties in which you may find a Blue Options Designated Provider include the following:

  • General Surgery
  • OB-GYN
  • Orthopedics
  • Cardiology
  • Neurology
  • Endocrinology
  • Gastroenterology

Additional Wellness Activities

80/20
Visit the Primary Care Provider (PCP) listed on your ID card or another provider in the same practice $10 copay
Visit a Blue Options Designated Specialist* $45 copay
Get inpatient care in a Blue Options Designated Hospital* $0; copay not applied
* You can identify Blue Options Designated providers within the "Find a Doctor" tool by looking for this designation by their name: "Designated for Cost and Quality." For help in finding a Blue Options Designated Provider, call 888-234-2416.