DirectBlue Basic

DirectBlue Basic is an open access program that offers two levels of benefits. If you receive services from a provider who is in the DirectBlue network, you will receive the higher level of benefits for covered services. If you receive services from a provider who is not in the DirectBlue network, you will receive the lower level of benefits for covered services. There is no requirement to select a Primary Care Physician; however, we request that you choose a Primary Care Physician to assure you get consistent, quality care. Below are specific benefit levels.

DirectBlue also includes these important features for maximum member convenience:

• Prescription drugs are covered when received at any pharmacy in the Premier Gold III Pharmacy Network or through the convenient mail order service.
• The Blues on Call^SM health decision support line is available to members 24 hours a day, seven days a week. Members can call this toll-free phone number to speak with a registered nurse for answers to health care questions and help making informed health care decisions.

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Wish to have a printable version of this benefit grid? A simple click will open a pdf version...DirectBlue Basic

The benefit summary outlines the principal features of the program. It should not be considered the contract of benefits and provisions. Please refer to your member handbook for a complete description of benefits or contact us for a further explanation.

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To locate a participating provider, please click on the link below.

• DirectBlue Basic

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To determine premium rates, Highmark Blue Cross Blue Shield uses a demographic rating method based on the following factors: business location, the number of eligible employees enrolling, the average age of all covered employees, and industry classification. Please contact the Council's Employee Benefits Group to determine your specific rates.

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Highmark Blue Cross Blue Shield® is an independent licensee of the Blue Cross and Blue Shield Association serving businesses and residents in western Pennsylvania.

Highmark® is a registered service mark of Highmark Inc.

Blue Cross and Blue Shield® and the cross and shield symbols are registered service marks of the Blue Cross and Blue Shield Association, an Association of Independent Blue Cross and Blue Shield Plans.

Blues on Call^SM is a service mark of the Blue Cross and Blue Shield Association.

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This information is not intended for use without professional advice. While we have attempted to make this site as accurate as possible, it is only a summary. For more information, see our disclaimer.

Last updated on:  Tuesday, December 06, 2005  Page: 

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