Magnolia Open Access Plan
Administered by Blue Cross Blue Shield of LA and CVS Caremark
The Office of Group Benefits (OGB) offers multiple health plans, including the Magnolia Open Access Plan. The claims administrator is Blue Cross and Blue Shield of Louisiana, while the pharmacy benefit manager is CVS Caremark. The Magnolia Open Access offers moderate deductibles and coinsurance in exchange for a higher premium. It differs from the other Magnolia plans in that members enrolled in the Open Access plan will not pay copayments at physician visits. Instead, once a member's deductible for allowable charges is met, he or she will pay 10% of the allowable amount for in-network care and 30% of the allowable amount for out-of-network care. Out-of-network care may be balance billed. Coverage is provided within the Blue Cross nationwide network, as well as out-of-network.
| Medical Coverage | Employee Only | Employee + Spouse | Employee + Child(ren) | Family |
| Deductible (In-Network) | $900 | $1,800 | $2,700 | $2,700 |
| Deductible (Out-of-Network) | $900 | $1,800 | $2,700 | $2,700 |
| MOOP (In-Network) | $3,500 | $6,000 | $8,500 | $8,500 |
| MOOP (Out-of-Network) | $4,700 | $8,500 | $12,250 | $12,250 |
| Coinsurance (In-Network) | 10% | 10% | 10% | 10% |
| Coinsurance (Out-of-Network) | 30%* | 30%* | 30%* | 30%* |
*Once a member's deductible for allowable charges is met, he or she will pay 30% of the allowable charge, plus 100% of the difference between the allowable charge and billed amount for out-of-network care.
The Magnolia Open Access plan uses the CVS caremark formulary to help members select the most appropriate, lowest-cost options. Members will continue to pay a portion of the cost of their prescriptions in the form of a co-pay or coinsurance. The amount members pay toward their prescription depends on the tier of medication -generic, preferred brand, non-preferred brand, or specialty drug.
| Tier | Member Responsibility | Once You Pay $1,500 |
|---|---|---|
| Generic | 50% up to $30 | $0 co-pay |
| Preferred | 50% up to $55 | $20 co-pay |
| Non-Preferred | 65% up to $80 | $40 co-pay |
| Specialty | 50% up to $80 | $40 co-pay |
As an member participating in one of the Magnolia Open Access health plan, you are automatically enrolled in the Access2Day Health program. When you arrive at an Access2day Health clinic, simply present your Access2day Health membership card and your BCBSLA insurance card. You will placed at the head of the line. Review more information here.
The Live Better Louisiana 2023 program year runs from Oct. 1, 2022 - Sept. 30, 2023. Save money on your health insurance premium through Live Better Louisiana, an OGB program that gives Blue Cross plan members resources to help you better monitor your health, understand your risk factors and make educated choices that keep you healthier.
To participate in the Live Better Louisiana program and get a Catapult check-up, you must be the primary member on an OGB Blue Cross plan at the time of the check-up. In order to receive the credit, you must be enrolled in an OGB Blue Cross plan as the primary member in 2024.
Visit the Catapult scheduler at www.timeconfirm.com/OGB or call (877) 841-3058 to schedule your appointment.
Blue Cross Blue Shield1-800-392-4089 |
OGB1-800-272-8451 |
CVS Caremark1-877-300-1906 |
Access2day Health1-800-797-9503 |
Contact Us
LSUHSC Benefits
433 Bolivar Street, 6th Floor
New Orleans, Louisiana 70112
(504)568-7780
Fax: (504) 568-2212