Individual: $1,000 in-network, $2,500 out-of-network; Family: $2,500 in-network, $6,250 out-of-network
Individual: $500 in-network, $1,250 out-of-network; Family: $1,250 in-network, $3,125 out-of-network
Individual: $4,000 in-network, $10,000 out-of-network; Family: $10,000 in-network, $25,000 out-of-network
Individual: $2,500 in-network, $6,250 out-of-network; Family: $6,250 in-network, $15,625 out-of-network
If you have elected medical coverage through Wake Forest, you are automatically enrolled in the prescription drug plan. The Low and High Plans offer the following in-network copayments for prescription drugs:
*An additional $5 copay will be required at non-preferred pharmacies.
If you have elected medical coverage through Wake Forest, you are automatically enrolled in the behavioral health plan. Licensed clinical case managers will connect you or your covered family members with in-network providers, specializing in mental health and substance abuse issues. The behavioral health plan has been expanded to include coverage for Adaptive Behavioral Treatment (ABT), up to $40,000 per member per year.
Contact CBHA at 1 (800) 475-7900 (located on the back of your medical ID card) for a confidential assessment and service.
Low Plan: 100% covered in-network, 60% covered out-of-network
High Plan: 100% covered in-network, 70% covered out-of-network
Low Plan: $25 copayment in-network, 60% covered out-of-network
High Plan: $25 copayment in-network, 70% covered out-of-network
The above information is intended as a benefit summary only. It does not include all of the benefit provisions, limitations, and qualifications. If this information conflicts in any way with the contract, the contract will prevail. Any services rendered under the CBHA benefit do not apply towards the BCBS annual deductible or co-insurance.
Wake Forest University Human Resources
2598 Reynolda Rd, Winston-Salem, NC 27106 | P.O. Box 7424
AskHR@wfu.edu | P (336) 758-4700 | F (336) 758-6127
Se habla español.