Medical Plans
BlueCross BlueShield of Alabama
For Middleport Union
We partner with Blue Cross Blue Shield of Alabama to offer you and your eligible dependents healthcare insurance. When you receive care in-network you benefit from our negotiated discounts and greater plan coverage for your services.
Nidec offers a Preferred Provider Organization (PPO).
In the PPO, your benefits are higher when you visit a provider in the plan’s network. Additionally, you will pay a copay for primary care visits to your doctor, as well as for telemedicine, specialist treatment, and urgent care. Preventive care is covered 100%, as long as you are treated by an in-network provider.
The following chart provides an overview of the benefits of the plan.
Medical Contact Information
BlueCross BlueShield of Alabama
- Find network providers, facilities and pharmacies: bcbsal.org
- Call: 800.783.2197
CVS
- Visit: caremark
- Call: 800.552.8159
- CVS Caremark Participating National Network Retail Pharmacy list
- CVS Pharmacy Locator
- CVS Check Prescription Drug Cost (PPO)
- Preventive Drug List
- Advanced Control Specialty Formulary
- CVS Formulary
Additional Information
BlueCross BlueShield of Alabama PPO | ||
---|---|---|
In-Network | Out-Of-Network | |
Calendar Year Deductible | ||
Individual | $250 | $500 |
Family | $500 | $1,000 |
Out-of-Pocket Maximum (includes deductible) | ||
Individual | $1,100 | $2,200 |
Family | $2,200 | $4,400 |
Hospital Services | ||
Inpatient | Deductible then 10% coinsurance | Deductible then 30% coinsurance |
Outpatient | Deductible then 10% coinsurance | Deductible then 30% coinsurance |
Office Visits | ||
Preventive Care | 100% covered | Deductible then 30% coinsurance |
Primary Care Physician | $10 copay | Deductible then 30% coinsurance |
Specialist |
$10 copay |
Deductible then 30% coinsurance |
Urgent Care |
$10 copay |
|
Emergency Room | Deductible then 10% coinsurance | |
Prescription Drugs | ||
Retail (30-day supply) | ||
Tier 1 |
20% coinsurance* |
20% coinsurance* |
Tier 2 |
20% coinsurance* |
20% coinsurance* |
Tier 3 |
20% coinsurance* |
20% coinsurance* |
Mail Order (90-day supply) | ||
Tier 1 |
20% coinsurance* |
Not applicable |
Tier 2 |
20% coinsurance* |
Not applicable |
Tier 3 |
20% coinsurance* |
Not applicable |
* Not subject to calendar year deductible.
This is a summary of coverage. Full coverage details are available in your Summary Plan Description (SPD) or official plan documents. In the event there are differences between this summary and your official plan documents, your plan documents prevail.