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Does blue cross blue shield cover ed medication?
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Does blue cross blue shield cover ed medication?
Step Therapy Medication List No more running out of medicine or last-minute dashes to the store. If you are a current Blue Cross and Blue Shield of Florida member, log in to My Health Toolkit ® to see what your specific plan covers. Read Important Safety and Prescribing Info, including Boxed Warning. North Memorial Health Pharmacy - Specialty Center. You can disable Active Shield pop-ups by turning off all alerts in the McAfee SecurityCenter. We cover mental health services for transgender and gender-diverse members, whether or not you have a mental health diagnosis. Prescriptions for these products often can be filled for 90 days at a time. , Certain services will be paid at 100%. On January 1, 2023, we're changing the company we use to administer your pharmacy benefits. The Prescription Drug List is a list of prescription medications that have been reviewed and recommended by Blue KC's Medical and Pharmacy Management Committee. Access the formulary drug search, Prior Authorization and Step Therapy criteria at Prime Therapeutics. The OMNIA Silver Plan is a good choice if you. Our over-the-counter allowance program, called Advantage Dollars, helps you save on eligible over-the-counter drugs, items and certain food products. Drug pricing Pharmacy benefits Services your plan covers. Before purchasing a vacuum erection device, consult your urologist WebMD - Erectile. 2024 Essentials Drug List Formulary Exclusions The Essentials Drug List keeps your pharmacy costs as low as. Understand the cost of Suboxone treatment, and whether or not insurance covers Suboxone. To see all available Qualified Health Plan options, go to the New Jersey Health Insurance Marketplace at Get Covered NJ Products and services are provided by Horizon Blue. Tennessee CoverRx Covered Drug List - Effective 7/1/2024 ANTIBIOTICS. You are about to leave regence. Formulary-driven medication alternatives Note: This tool is only for medications filled at pharmacies, not those dispensed or administered in the provider office. Medication Therapy Management (MTM) is a program we offer eligible Medicare Advantage Prescription Drug plan members. Call us at 1-800-332-5762, TTY 711, Monday through Friday from 8 a to 9 p ET. Earn up to $120 for completing three eligible Daily Habits goals 3. Part B Medication Policy for Blue Shield Medicare PPO Blue Shield Medicare plans follow Medicare guidelines for risk allocation and Medicare national and local coverage guideline. Other restrictions are designed to promote safe use of particular agents, such as opioids. You'll need to know the name of your drug list and choose it from a dropdown menu. Everything from your primary care physician (PCP), specialists, virtual care, in-person care and tools to help you get the most of your health coverage. An individual or family plan on wahealthplanfinder. 2 Some plans may require paper claim submissions to process reimbursements. Blue Cross and Blue Shield of Illinois (BCBSIL) is pleased to present the 2021 Drug List like those used for erectile dysfunction or weight loss. Expert Advice On Improving Your Ho. BCBSAZ covers the medications listed as long as: The medication is medically necessary and appropriate. To save money for you and your plan, Alberta Blue Cross ® individual health plans that provide prescription drug coverage pay according to the Least Cost Alternative (LCA) price where interchangeable products can be used. Coverage alerts (pre-authorization required, quantity limit issue, refill too soon, step therapy, etc. The process of requesting prior authorization for medical benefit drugs differs according to the member's coverage and the type of drug: For Blue Cross commercial members: For most medical benefit drugs, submit prior authorization requests through the NovoLogix ® web tool. You can also reach out to our tested and reviewed online TRT clinics to see if they may accept your insurance. Provider-Administered Drug Policies. Blue Cross Blue Shield owns 3 dozen different insurance companies that are independently owned and operated. We cover weight-loss drug prescriptions to treat obesity for Service Benefit Plan members who meet eligibility criteria and get prior approval. It should be used together with a reduced-calorie diet and increased physical activity. Programs include nutrition, weight management, exercise, cholesterol, diabetes, pre-diabetes, heart health, stress management and more. Indices Commodities Currencies Stocks Windows/OS X/iOS/Android: Cross-platform VPN service Hotspot Shield has long been one of our favorite VPN services, but now it includes malware blocking and the ability for pro use. ANTIVIRALS (CONT'D) BEHAVIORAL HEALTH (CONT'D) CHOLESTEROL. Additionally, it covers foreign trave. To find out which formulary you are on, log on to My Account, click the Coverage tab and select Coverage Details. To save money for you and your plan, Alberta Blue Cross ® individual health plans that provide prescription drug coverage pay according to the Least Cost Alternative (LCA) price where interchangeable products can be used. Helping you understand your prescription costs The formulary is a list of our covered prescription drugs, including generic, brand name and specialty drugs. Learn about your care options. In order to be reimbursed, you must have a doctor's note indicating you have organic erectile dysfunction as a primary diagnosis. com or the Blue Cross Blue Shield of Michigan mobile app. Blue Cross and Blue Shield July 2024 Basic Drug List - Updated 7/1/24 I Introduction Blue Cross and Blue Shield is pleased to present the 2024 Drug List. A vacuum erectile device (VED) is used to help men wit. These plans are offered in all South Carolina counties. Original Medicare + FEP. You'll need to know the name of your drug list and choose it from a dropdown menu. Mindpath does not offer Blue Cross or Blue Shield products or services. If you have a Medicare Plus Blue SM PPO plan, you can get your diabetes monitoring supplies through any supplier. Horizon BCBSNJ Prescription Drug & Pharmacy Lists - Horizon Blue Cross Blue Shield of New Jersey (BCBSNJ) Weight-loss drug coverage. Immunizations for you and your family. Your plan comes with a medication guide. Part B Medication Policy for Blue Shield Medicare PPO Blue Shield Medicare plans follow Medicare guidelines for risk allocation and Medicare national and local coverage guideline. You can review the Premium Formulary Excluded Drug List to see medications that are not covered. 262-BLUE (. If you cannot find a policy for a specific medication, please select the link titled 'Clinical Review Prior Authorization' from the list below. You can find it in your health plan materials or by calling the number on your member ID card. Your Horizon BCBSNJ plan may include prescription coverage through the Horizon Pharmacy program. This is a list of preferred drugs which includes brand drugs and a partial listing of generic drugs. Blue Cross and Blue Shield of Minnesota offers Doctor On Demand ®, a convenient and affordable care option to help you get well. Blue Cross Blue Shield of Michigan Custom Select Drug List The Blue Cross Blue Shield of Michigan Custom Select Drug List is a useful reference and educational tool for prescribers, pharmacists and members. Members are encouraged to show this list to their physicians and pharmacists. This is a list of preferred drugs which includes brand drugs and a partial listing of generic drugs. Once you enter your drug (s), you can save, print or email a PDF for reference*. Compare overseas prescription drug costs for our three plan options. If you are an existing Blue Shield member who does not currently have outpatient prescription drug benefits in your plan, you will not be able to see or access the Pharmacy link. Blue Cross and Blue Shield of Minnesota offers Doctor On Demand ®, a convenient and affordable care option to help you get well. Understanding Your Covered Drug List Blue Cross and Blue Shield of Louisiana and our subsidiary, HMO Louisiana, Inc. Drug prior approval is a process to obtain advanced approval of coverage for a prescription drug. We cover the following artificial insemination (AI) procedures once you receive prior approval:. If the drug is listed in the Drug Search, these requirements may still apply. Empire Blue Cross and Blue Shield: City of New York EPO no Rx. Part B Medication Policy for Blue Shield Medicare PPO Blue Shield Medicare plans follow Medicare guidelines for risk allocation and Medicare national and local coverage guideline. Unlisted and Miscellaneous health service codes should only be used if a specific code has not been established by the American Medical. If you have health insurance, you may be able to get Ozempic covered if it's being used as a treatment for Type 2 diabetes. A prescription drug plan (Medicare Part D) with Anthem can help you save money on your medications. Blue Cross Blue Shield of Michigan Custom Select Drug List The Blue Cross Blue Shield of Michigan Custom Select Drug List is a useful reference and educational tool for prescribers, pharmacists and members. Some benefits are covered across all plans. Blue Cross Blue Shield Global Core gives Blue Cross and Blue Shield of Vermont members access to their health care benefits wherever they go - across the country and around the world. Vitality Medical cannot process insurance claims and does not require a copy of the diagnosis for purchase. Learn more about the concept of domed cities. best line 6 helix metal patches Not all drugs on the list may be covered by your plan. You'll need to begin using this new card on Jan. Prescriptions for these products often can be filled for 90 days at a time. Blue Cross and Blue Shield of Alabama offers health insurance, including medical, dental and prescription drug coverage to individuals, families and employers. Coverage. For more information on covered services, please refer to your Evidence of Coverage (EOC) or Certificate of Insurance (COI) booklet or call the customer service number that appears on your Blue Shield ID card. As of July 2023, nine states —California, Connecticut, Delaware,. BCBS Coverage Travels with You 100%. The OMNIA Silver Plan is our lowest premium non-HSA Silver plan and offers a mid-level monthly premium and out-of-pocket costs when compared to other OMNIA Health Plans. com or the Blue Cross Blue Shield of Michigan mobile app. Covered weight-loss prescription drugs. BlueCross BlueShield of Tennessee is a Qualified Health Plan issuer in the Health Insurance Marketplace. The brand name drug in parentheses is listed for reference and may not be covered under your benefit. Specialty Pharmacy Medication List For plans that use the:. Advertisement There's a very fun. The medication has been approved by the Food and Drug Administration (FDA) for the. If you don't have an online member account, you can register for one. Blue Cross Blue Shield may cover Zepbound for obesity treatment, but again, it all depends on the plan. Massachusetts Standard Form for Hepatitis C Medication Prior Authorization Requests. If you have health insurance, you may be able to get Ozempic covered if it's being used as a treatment for Type 2 diabetes. For example, the hepatic duct drains bile from the liver. Blue Cross of Idaho dates back to 1945 and covers roughly one-quarter of all Idaho residents throughout the entire state. dole marina california An individual or family plan on wahealthplanfinder. Cancer screenings like colonoscopies and mammograms. Wegovy is the first weight loss medication approved by the Food and Drug Administration since 2014. The full picture on commercial insurance is still emerging in the patchwork U system of coverage. 50,000 in-network pharmacies. Up to $200 copay in a hospital 1 $35 for up to 20 visits a year 1 $35 copay per evaluation; up to 2 per year Earn $50 for completing the Blue Health Assessment 3. another proven, cost-effective medication before coverage may be available for the drug included in the pr ogram. (managed by CVS Caremark) Commercial HMO. LCAs mean you pay less out-of-pocket, while helping to. It includes medical coverage and may include prescription drug coverage. Learn all about the #1 health insurance choice for federal employees, retirees and their families. Limits may include: quantity of cover ed medication per prescription or quantity of covered medication in a given time period. is a subsidiary of Blue Cross and Blue Shield of Louisiana. Fax (Medicare Advantage members): Medicare Formulary Exception Form. Check out all the Pharmacy benefits including a wide range of prescriptions and over-the-counter medicines. blooket hack coins copy and paste Pharmacy and drug tools Get the most current information on drugs covered in your BCBSND health insurance plan. We regularly update this list with medications approved by the U Food and Drug Administration and reviewed by our The Substance Use Resource Center is a publicly-available, national resource designed to support people seeking substance use treatment and recovery services. Retail: Covers up to a 30-day supply; 50% coinsurance of Blue Shield contracted rate for drugs to treat erectile dysfunction. These prescription drug lists have different levels of coverage. Before purchasing a vacuum erection device, consult your urologist WebMD - Erectile. Here are some common services members have questions about: Generally, members may submit requests: By fax (visit the website above for fax form and numbers) By mail to Blue Cross and Blue Shield of North Carolina, Healthcare Management and Operations, Pharmacy Exception, P Box 2291, Durham, NC 27702. Learn about the coverage options for Wegovy, the new FDA-approved weight loss medication, under Blue Cross Blue Shield insurance. To get the best results, specific to your coverage, log in to your BlueAccess ® account and click on Rx Drugs. Our comparison of Home Warranty of American vs. This drug search tool is for individual and family plan members under 65. Find out if your medication is covered and what it will cost based on your benefit plan. 25 Technology Place Hingham, MA 02043 Tel: 1-800-366-7778 Fax: 1-800-583-6289. This helps to lower blood sugar levels and improve glycemic control. How much you pay out-of-pocket for prescription drugs is determined by whether your medication is on the list. Cancer screenings like colonoscopies and mammograms.
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Affordable Care Act (ACA) Covered Medication List Aspirin (low dose) ADULT ASPIRIN REGIMEN ASPIR 81 ASPIRIN E 81 ASPIR-LOW BAYER CHEWABLE CHILDREN'S ASPIRIN ECOTRIN ENTERIC COATED ASPIRIN 81 LOW DOSE ASPIRIN ST. The pharmacy you choose to get your medication from. This list includes generic and brand drugs and medical supplies. If you're using Blue Cross Mobile, just hit the Coverage button in the bottom of the navigational dashboard and you'll be able to browse or search benefits by keyword, prescription drug name or DIN, or even dental procedure code. Updated June 28, 2024. Refer to this list for drug coverage information for Blue Cross members whose plan uses the Custom Select Drug List. It is the oldest part of the No. Members are encouraged to show this list to their physicians and pharmacists. are independent licensees of the Blue Cross and Blue Shield Association. Allergy Care. Check with your doctor about which medication is best for you. Other restrictions are designed to promote safe use of particular agents, such as opioids. Blue Shield of California 601 12th Street, Oakland, CA 94607. A drug list is a list of drugs available to Blue Cross and Blue Shield of New Mexico members. An HMO plan through an employer or another group: E4-HMO - M4-HMO. Coverage for weight-loss medications like Wegovy varies widely depending on the kind of insurance. Blue Cross Blue Shield (BCBS) insurance may cover Spravato (Esketamine) depending on your specific health plan and diagnosis status. Wegovy is the first weight loss medication approved by the Food and Drug Administration since 2014. are independent licensees of the Blue Cross and Blue Shield Association. Allergy Care. Original Medicare + FEP. Medicare Advantage members can call CVS Customer Care at 1-877-817-0493 (TTY: 711). The Traditional Open drug list is for members who receive a health insurance plan from an employer, if they have certain grandfathered plans, or in some cases if coverage is through a Small Group employer. disney plus vizio tv Exceptions are noted where applicable in the medication list on the following pages. Most drugs are covered without requiring prior approval. Find out if your medication is covered and what it will cost based on your benefit plan. However, if your Network Provider determines you need medication to treat a health condition, be sure to ask for a generic or other low-cost alternative. This helps to lower blood sugar levels and improve glycemic control. The PDL is a list showing the drugs that can be covered by the plan. Pharmacy Benefits Our pharmacy benefits give you and your doctor many choices. With this plan you can see any doctor, hospital or other provider that accepts Medicare. BLUE CROSS®, BLUE SHIELD® and the Cross and Shield Symbols are registered marks of the Blue Cross and Blue Shield Association, an association of independent Blue Cross and Blue Shield Plans. com and enter another website that is not affiliated with or licensed by the Blue Cross Blue Shield Association. They may be used to treat a chronic condition or may be products taken routinely, such as birth control pills. We offer this information on prescription drugs to ensure that our members receive quality, cost-effective medications. Helping you understand your prescription costs The formulary is a list of our covered prescription drugs, including generic, brand name and specialty drugs. hells angels hempstead Hemophilia Drug Prior Authorization. Depending on where you live in the state, you may be eligible to enroll in one of these types of plans offered by Blue Cross Blue Shield of Georgia. Our Formulary (drug list*) includes all covered prescription drugs, defines your plan's drug tiers (how drugs are divided into different cost levels) and identifies how drugs are classified (maintenance, specialty, preventive, etc. As the doctor or provider, you must send all your details, and your signature on the Medical Necessity PA Request Fax Form (PDF), to Blue Cross NC. The Prescription Drug List is a list of prescription medications that have been reviewed and recommended by Blue KC's Medical and Pharmacy Management Committee. Routine health checkups. Check with your doctor about which medication is best for you. It belongs to a class of drugs called GLP-1 receptor agonists, which work by stimulating the release of insulin and reducing the production of glucose in the liver. Try our Symptom Checker Got any other symptoms? Try our Symptom. Intra-articular saline injection is as effective as corticosteroids, platelet-rich plasma and hyaluronic acid for hip osteoarthritis pain: a systematic review and network meta-analysis of randomised controlled trials Mar 2021; 55(5): 256-261. $0 copay for preferred generic drugs. Rx Choices is a unique tiered benefit listing that offers coverage for many medications. like those used for erectile dysfunction or weight loss. Bill Medicare Part B directly for select immunizations and diabetes testing supplies. Provider-Administered Drug Policies. be required to pay a copayment, co-insurance, or deductible for preventive prescription medications. over laundry shelf This is a list of preferred drugs which includes brand drugs and a partial listing of generic drugs. Prescription drug coverage can help you manage those costs. They offer: Coverage for generic and brand-name drugs. Massachusetts Standard Form for Hepatitis C Medication Prior Authorization Requests. We offer this information on prescription drugs to ensure that our members receive quality, cost-effective medications. Gazendam A, Ekhtiari S, Bozzo A, et al. Learning how drug tiers work with Blue Cross Blue Shield of Michigan can help you understand what you'll pay for your prescriptions. Blue Cross Blue Shield of Massachusetts is an Independent Licensee of the Blue Cross and Blue Shield Association. Without insurance, Sutab can be expensive, usually costing around $150 to $190 as mentioned before. An individual or family plan on wahealthplanfinder. 2 Blue Cross Blue Shield of Michigan Clinical Drug List The Blue Cross Blue Shield of Michigan Clinical Drug List is a useful reference and educational tool for prescribers, pharmacists and members. Note: For specialty drugs, use one of our preferred vendors. cost-effective medication before coverage may be available for the drug included in the program. The term "hepatic" refers to the liver. If Drug A does not work for you, Medicare Plus Blue Group PPO and Prescription Blue Group PDP will then cover Drug B. Maintenance Medication List.
Pharmacy Information Overview Anthem provides up-to-date drug and pharmacy information, helping you to make the most of your pharmacy benefits. Oct 1, 2023 · Standard Drug Formulary for the following Department of Managed Health Care (DMHC) plans: IFP: $0 Cost Share, Bronze 60 HDHP PPO, Bronze 60 PPO, Bronze 7500 Trio HMO, Gold 80, Minimum Coverage PPO, Platinum 90, Silver 1750 PPO, Silver 2600 HDHP PPO, Silver 70 Off Exchange, Silver 70, Silver 73, Silver 87, Silver 94. If approved, you'd pay the highest. The amount you pay will depend on if the drug is included in the formulary and its. In today's healthcare landscape, insurance coverage plays a vital role in determining the accessibility and affordability of medical treatments. $3 copay for generic drugs. Provider-Administered Drug Policies. braids in front curls in back natural hair Members – Benefits are subject to your specific plan. Age is consistent with the FDA labeled indication (Patient is 12 years of age or older), and. Member pays cost-share. My insurance is blue cross/ blue shield. chika fujiwara rule 34 Florida Blue is a trade name of Blue Cross and Blue Shield of Florida, Inc. Medicare has different parts (referred to as Parts A, B, C and D) designed to address your healthcare needs. Express Scripts ® Pharmacy, the mail service pharmacy for members with BCBSTX prescription drug coverage, provides safe, fast and cost-effective pharmacy services that can save you time and money. Call 833-567-4268 By Joy Manning Joy is a writer, editor,. women locs Contact Customer Care at 1-800-499-1275 (TTY 711) or by fax at 1-800-956-2397. Keep in mind that you'll pay full price for prescription drugs if your Medicare plan has a pharmacy deductible you haven't met. Summary of Benefits and Coverage: What This Plan Covers and What You Pay for Covered Services Coverage Period: 01/01/2023 — 12/31/2023 Arkansas Blue Cross and Blue Shield: Silver Plan AH1 - AHCIP PPO-32 Coverage for: Individual/Family | Plan Type: PPO Excluded Services & Other Covered Services: Mounjaro (tirzepatide) is a prescription medication that's FDA approved to treat Type 2 diabetes. If you do not have a BlueAccess. Rx Choices. Summary of Benefits and Coverage: What this Plan Covers & What You Pay For Covered Services Coverage Period: 01/01/2021 - 12/31/2021 Blue Cross and Blue Shield Service Benefit Plan: Standard Option Coverage for: Self Only, Self Plus One or Self and Family | Plan Type: PPO 1 of 8 Check our drug lists for what's covered Drug list / Rx plan.
Amoxicillin *QUANTITY LIMITS: Citalopram tablets; Atorvastatin; Amoxicillin / Clavulanate; Oseltamivir: 20 capsules per 180 days Clozapine (except 200 mg tablets) Yes. Affordable Care Act (ACA) Medication List. Credence Blue does not prescribe medication nor do we attempt to alter what your doctor has prescribed. The protection of your privacy will be governed by the privacy. Existing Members: Request to receive a printed Drug Formulary by mail. Where you can get information about enrolling in the FEHB Program. Indices Commodities Currencies Stocks The Cybersecurity & Infrastructure Security Agency (CISA) has issued a Shields Up cyber security alert for anyone in the US in the wake of the Russia-Ukraine conflict. Before starting HRT, make sure to check your plan details, consult your healthcare provider. * plan member, you may use the BlueCard Program for access to covered benefits except dental and vision care and prescription drugs. Contact Customer Care at 1-800-499-1275 (TTY 711) or by fax at 1-800-956-2397. As part of this program, BCBSMA may require the use of BCBSMA for. Some plans may list it as a preferred drug, while others list it as nonpreferred. are independent licensees of the Blue Cross and Blue Shield Association. Allergy Care. If you bought a Blue Cross and Blue Shield of Illinois health plan, changes to your 2024 pharmacy benefit program may start on January 1, 2024 Check if any of these changes may impact you. fundations lesson plan template * Coverage of prescription drugs and supplies listed on the. The following guidelines are meant to help members understand the requirements related to their drug coverage. Up to $200 copay in a hospital 1 $35 for up to 20 visits a year 1 $35 copay per evaluation; up to 2 per year Earn $50 for completing the Blue Health Assessment 3. Your OMNIA Health Plan does not include out-of-network coverage, unless it is a true medical emergency. Depending on your plan, you may also pay more when you're in the coverage gap, or. These benefits include coverage of self-administered medications, as well as some vaccines and specialty medications. Whether you have questions about health insurance or want to learn more about our plans, our Member Care team is here for you. The Prescription Drug List is a list of prescription medications that have been reviewed and recommended by Blue KC's Medical and Pharmacy Management Committee. These benefits, identified by the ACA as preventive care, are available for members of non-grandfathered individual health insurance plans. Your Blue Cross NC health plan can help. Our comprehensive comparison of Liberty Home Guard vs. Blue Cross Blue Shield will cover mental health care, as long as your treatment is in-network. Your plan comes with a medication guide. While BCBS rehab coverage levels can vary based on which state you are in, most plans are broken into 3 levels: 3. Learn when to schedule screening tests, such as mammograms and pap tests, to help prevent or detect possible health concerns. American Home Shield is designed to help you find the best home warranty coverage for you. Plus, you have access to up-to-date coverage information in your drug list, including - details about brands and generics, dosage/strength options, and information about prior authorization of your drug. Submit a Prescription Drug Coverage Request via secure eForm. Drug Coverage. Most major insurance plans cover Wegovy, including Blue Cross Blue Shield, Aetna, Cigna, and United Health Care, but coverage may vary with each plan Every state decides what prescription drugs to cover through Medicaid, so coverage for Wegovy depends on where you live. Blue Cross and Blue Shield October 2020 Multi-Tier Basic Drug List I Introduction Blue Cross and Blue Shield is pleased to present the 2020 Drug List. Also, some drugs may only be covered for members within. jackie wilson pretty little angel eyes mp3 Quartz is a guide to the new global economy for people in business who are excited by change. The protection of your privacy will be governed by the privacy. This website is operated by Horizon Blue Cross Blue Shield of New Jersey and is not New Jersey's Health Insurance Marketplace. Summary of Benefits and Coverage: What this Plan Covers & What You Pay for Covered Services Coverage Period: 07/01/2022- 06/30/2023. That means you do not need to pay a copay, coinsurance, or meet your deductible for preventive drugs. Your prescription drug plan includes Blue Cross' support and expertise to help ensure that your medicine is safe, effective, convenient and a good value. How much you pay out-of-pocket for prescription drugs is determined by whether your medication is on the list. One way to manage your account and stay up-to-date with your. For the most current information on what your specific plan covers, log in to My Health Toolkit ®. Generic drugs $5/$10/$15 copay (retail) $10 copay (mail order) Not covered Up to 31/60/90-day supply retail Para más información acerca de la inscripción, comuníquese con Servicio a Clientes de Horizon Blue Cross Blue Shield of New Jersey. Companies saying no so far include Highmark, which provides Blue Cross and Blue Shield coverage in New York, Pennsylvania, Delaware and West Virginia; Blue Cross and Blue Shield of North Carolina, which has about 1. Also, some drugs may only be covered for members within.