Blue Cross Blue Shield SC Formulary Changes

Exclusions for many certain high-cost brand drugs that are no more effective than medications already available are among the latest updates to BlueCross BlueShield of South Carolina’s drug formulary, with most of the changes taking effect July 1, 2018. We work with an independent panel of BlueCross network physicians and pharmacists, the Pharmacy and Therapeutics Committee, to develop and maintain our …

Blue Cross SC drops Walgreens and Rite Aid on October 1

Effective October 1, 2016, all Blue Option individual and family plans under the Affordable Care Act (ACA) will be covered by the Advanced Choice Pharmacy Network. This is an exclusive pharmacy network impacting current members, as well as members with new plans sold with effective dates October 1 and beyond. Exclusive pharmacy networks are a necessary step toward controlling prescription …

Obamacare Pummels Blue Cross Blue Shield Of NC–What Can We Learn From This?

Forbes posted an article on January 30, 2016 with this title.  Very scary stuff- ” According to this morning’s News and Observer, “The dramatic deterioration in Blue Cross’ ACA business is causing increasing alarm among agents and public health officials.”  In response to its bleak experience with the Obamacare exchange, the company has decided to eliminate sales commissions for agents, …

Blue Cross SC Rate increase on grandfathered plans!

2016 Rate Notifications for Under 65 Grandfathered Plans BlueCross BlueShield of South Carolina is applying a 19 percent rate increase for Under 65, grandfathered plans ONLY (plans and freestanding drug benefits that became effective before March 23, 2010). Under 65, non-grandfathered plans (plans that became effective between March 24, 2010 and December 15, 2013) WILL NOT receive a rate increase.