Plan Options:
Calcasieu Parish medical plans are offered through BCBS-LA. There are three medical plans to choose from. From in- and out-of-network options to comprehensive prescription drug coverage and special health and wellness programs.
Expand plans for details.
Administered by BCBS-LA
Calcasieu Parish High Option
- Co-pay plan – pay flat fees for office visits and prescriptions
- In-network and out-of-network benefits – separate out-of-network deductible/out-of-pocket maximum
- Highest cost plan
2025 Changes:
- Max out of pocket $4,000 to $4,500 individual; $12,000 to $13,500 family
- Doctor Office Visit Co-pays – $30/$45 to $40/$55
- Prescription Drug Deductible – $100 to $250
- Prescription Co-Pays – Each tier going up $5:
- $10 to $15 – Tier 1
- $30 to $35 – Tier 2
- $50 to $55 – Tier 3
- $100 to $105 – Tier 4
-
-
Prescription Drugs (Separate Deductible) –
- $250 Deductible
- $15 Value Drug
- $35 Preferred Brand
- $55 Non-Preferred Brand
- $105 Injectables, Multi-Source Brand, Specialty Drug
Plan Highlights – one page of each Calcasieu Parish BCBS-LA Medical Plans, including covered preventive care services Benefits Booklet – 100+ pages of BCBS plan details including a list of covered services, limitations and exclusions, important terms and plan provisions
Resource Guides – one for each plan explaining what is offered:
-
- How the plan works – deductibles, co-pays, co-insurance, out-of-pocket maximums
- Choosing network providers and what happens if you go out-of-network
- Routine and emergency care options and costs
- Wellness programs and services
- BCBS Member Portal– access to medical claims payments and Explanations of Benefits
- Find a Doctor or Facility – search for network providers
Calcasieu Parish Mid Option Plan
-
-
- Works like Low Option
- HSA and FSA eligible
- Deductible – $2,000 individual / $4,000 family
- OOP Max – $4,000 individual / $8,000 family
- Coinsurance – 70% / 30%
- Doctor Visits and Drugs apply to deductible
-
- Plan Highlights – one page of each Calcasieu Parish BCBS-LA Medical Plans, including covered preventive care services Benefits Booklet – 100+ pages of BCBS plan details including a list of covered services, limitations and exclusions, important terms and plan provisions
- Resource Guides – one for each plan explaining what is offered:
- How the plan works – deductibles, co-pays, co-insurance, out-of-pocket maximums
- Choosing network providers and what happens if you go out-of-network
- Routine and emergency care options and costs
- Wellness programs and services
- BCBS Member Portal– access to medical claims payments and Explanations of Benefits
- Find a Doctor or Facility – search for network providers
Calcasieu Parish Low Option Plan
-
- High deductible plan – must meet deductible before plan begins cost share
- In-network and out-of-network benefits – separate out-of-network deductible/out-of-pocket maximum
- Family coverage includes the employee and any dependent(s).
- Employee is eligible to set up/contribute to a Health Savings Account
- Plan Highlights – one page of each Calcasieu Parish BCBS-LA Medical Plans, including covered preventive care services Benefits Booklet – 100+ pages of BCBS plan details including a list of covered services, limitations and exclusions, important terms and plan provisions
- Resource Guides – one for each plan explaining what is offered:
- How the plan works – deductibles, co-pays, co-insurance, out-of-pocket maximums
- Choosing network providers and what happens if you go out-of-network
- Routine and emergency care options and costs
- Wellness programs and services
- BCBS Member Portal– access to medical claims payments and Explanations of Benefits
- Find a Doctor or Facility – search for network providers
Calcasieu Parish PPACA Plan
- High deductible plan – must meet deductible before plan begins cost share
- In-network and out-of-network benefits – separate out-of-network deductible/out-of-pocket maximum
- Family coverage includes the employee and any dependent(s).
- Employee is eligible to set up/contribute to a Health Savings Account
- Plan Highlights – one page of each Calcasieu Parish BCBS-LA Medical Plans, including covered preventive care services Benefits Booklet – 100+ pages of BCBS plan details including a list of covered services, limitations and exclusions, important terms and plan provisions
- Resource Guides – one for each plan explaining what is offered:
- How the plan works – deductibles, co-pays, co-insurance, out-of-pocket maximums
- Choosing network providers and what happens if you go out-of-network
- Routine and emergency care options and costs
- Wellness programs and services
- BCBS Member Portal– access to medical claims payments and Explanations of Benefits
- Find a Doctor or Facility – search for network providers
Blue Cross Blue Shield of Louisiana
337-562-0595
