Provider

BlueCross BlueShield of North Carolina (BCBSNC)

Deductible

Low Plan: 
Individual: $1,000 in-network, $2,500 out-of-network; Family: $2,500 in-network, $6,250 out-of-network

High Plan:
Individual: $500 in-network, $1,250 out-of-network; Family: $1,250 in-network, $3,125 out-of-network

Out-of-Pocket Maximum

Low Plan: 
Individual: $4,000 in-network, $10,000 out-of-network; Family: $10,000 in-network, $25,000 out-of-network

High Plan:
Individual: $2,500 in-network, $6,250 out-of-network; Family: $6,250 in-network, $15,625 out-of-network

Enrolling or Making Changes

New Hires

1. Complete the enrollment forms in RedCarpet.
2. If adding a spouse and/or dependent child, submit the required dependent verification documentation.
3. You will receive an ID card from BCBSNC.

Throughout the Year

1. Complete the Benefits Enrollment Form. Enter the date of the qualifying event in the form’s “Qualifying Event Change” section and check the applicable box in the “Reason for Completing Form” section. Additional information is available about Life Event Changes.
2. Provide supplemental documentation for the event.
3. If adding a spouse and/or dependent child, submit the required dependent verification documentation to Human Resources within 30 days of the event, or by the Annual Benefits Enrollment deadline through email, fax, or campus mail.
4. If you need a replacement ID card, call BCBSNC at (877) 275-9787.

Provider

OptumRx
(Website includes Diabetic Sense Program Information, Drug Cost Calculator, Covered Drug Lists, Drug Dictionary and Drug Interaction Tool, Pharmacy Locator, and Copayment Information)

BriovaRx
(Specialty Pharmacy)

Mail Order

Cost savings
Convenient ordering
Expedited shipping
Delivery tracking
Flexible payment options
Refill reminders
Mobile app

Find more information on the OptumRx website.

Preferred Network*

Walgreens
Rite Aid
Walmart
Sam’s
Publix
Kroger
Harris Teeter

Enrolling

1. If you have elected Wake Forest medical coverage, you are automatically enrolled in the prescription drug plan at no additional cost.
2. You will receive a separate ID card, and you may request a new copy by calling OptumRx at (888) 869-4600.

Provider

Carolina Behavioral Health Alliance (CBHA)

Contact CBHA at 1 (800) 475-7900 (located on the back of your medical ID card) for a confidential assessment and service.

Inpatient Care

Low Plan:  100% covered in-network, 60% covered out-of-network

High Plan: 100% covered in-network, 70% covered out-of-network

Outpatient Care

Low Plan:  $25 copayment in-network, 60% covered out-of-network

High Plan: $25 copayment in-network, 70% covered out-of-network

Enrolling

1. If you have elected Wake Forest University medical coverage, you are automatically enrolled in the behavioral health plan at no additional cost.
2. You will not receive a separate ID card.
3. You can access Adaptive Behavioral Treatment services by calling CBHA at (800) 475-7900. A clinician will help determine the services needed, the diagnosis, treatment planning, or therapy, and will direct you to an in-network provider.