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• HSA contributions & withdrawals are tax-free2   • Preventive care services covered at 100%5   • Secure access to health plan information on-line
• Lower premiums – save as much as 50% off
Blue Advantage3 		• Mellon HSA includes a convenient debit card
at no charge1 		• Out-of-pocket maximum protects you from
high-dollar medical costs
• HSA is automatically included with your
health plan if you select Mellon as your fund
administrator3 		• Choose your own doctor from the largest
provider network in the state4 		•

Annual contribution limit is $3,000 for
individual plans and $5,950 for family plans.
If you are 55 or older, you can add an additional $1000 to your account.

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Additional Features At No Additional Cost!
BlueOptions Highlights BlueExtras Health Management Programs Choose Your Own Doctor
Blue Advantage
DentalBlue
Blue Medicare Supplement

Traditional insurance with
co-pays. Still BCBSNC®'s most
popular health plan.*

  

High Deductible, Tax
Advantaged Insurance. Is a
health savings account
(HSA) right for you?

 

Affordable coverage
with the best dental plan
in North Carolina.

  

For beneficiaries enrolled
in Medicare Part B.
*BCBSNC® internal data, 2006

Triangle Planning Services, Inc. is an independent authorized producer/agency licensed to sell and promote products from Blue Cross
and Blue Shield of North Carolina® (BCBSNC®). The content contained in this site is maintained by Triangle Planning Services, Inc.
Blue Cross and Blue Shield of North Carolina® is an independent licensee of the Blue Cross and Blue Shield Association.®, SM Marks
of the Blue Cross and Blue Shield Association. SM1 Mark of Blue Cross and Blue Shield of North Carolina.

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FOOTNOTES:
1:

The health savings account is provided to you directly by Mellon Trust of New England, N.A. and is unaffiliated with BCBSNC®. The HSA is not part of the health benefit plan administered by BCBSNC®. BCBSNC® is not responsible or liable for administration of your fund. Detailed information regarding your HSA will be provided by Mellon

2:
A full list of qualified medical expenses can be found at irs.gov
3:
BCBSNC® internal data, 2007: Compares rates for BlueAdvantage® Plan A $2500 deductible / 80% coinsurance and BlueOptionsHSASM $5,000 deductible / 100% coinsurance for a 40 year old male in Wake County.
4:
Brand Strength Measure Survey, Synovate, Inc. 2006
5:
Includes in-network annual routine physical exam, well-baby and well-child care and certain immunizations and screenings. Other covered services may be subject to deductible and coinsurance. Members who receive covered services out-of-network may be required to pay the difference between the provider's actual charge and teh BCBSNC® allowed amount, in addition to the coinsurance amount.
7: BlueExtrasSM discounts on certain goods and services may not be provided directly by BCBSNC®, but may instead be arranged by BCBSNC® for member convenience. Any discounts are outside your health plan benefits. BCBSNC® is not liable for problems resulting from goods and services it does not provide directly, such as goods and services not being provided or being provided negligently. BCBSNC® provides the Decision Support Tools for member convenience. These are meant to be reference tools only and are not intended to provide legal, medical or tax advice. BCBSNC® provides the Member Health Partnerships program for your convenience and is not liable in any way for the services received. BCBSNC® reserves the right to discontinue or change these programs at any time.