Blue Care for Kids is a health and wellness benefit plan designed to help kids be healthy and stay healthy. With the peace of mind of comprehensive medical coverage, kids, with their parents and Network Provider, can focus on establishing healthy habits early in life. Best of all, Mississippi's health and wellness team is there to support kids and their parents along the way. That's why it's good to be a Blue Care kid!
Click "Get Coverage Options" to see price and coverage options available for you. When you're ready, you can select a coverage option and start an application.
Blue Care for Kids benefits include:
Healthy You! Wellness Benefit
It's so important for kids to have a relationship with their Primary Care Provider. Healthy You! provides an annual wellness visit with a Mississippi-based Primary Care Network Provider with no out-of-pocket cost for covered services. The benefit includes immunizations and screenings specifically designed for a kid's age and gender with the goal of helping kids be healthy. Click here to view a copy of our Healthy You! Wellness Guide.
Our Healthy You! Network Providers can help you get the most out of this valuable wellness benefit. You can view the Network Providers at our Healthy You! Network Provider search.
Blue Care for Kids offers multiple medical deductible and co-pay options to fit your needs. Please use the "Get Coverage Options" feature to view specific benefit and coverage options. The highest level of benefits will be received when services are provided by a Network Provider. Elective (non-emergency) services provided by a Network Provider outside of Mississippi must be pre-certified to be covered.
All services are subject to the Network Provider and Non-Network Provider Benefits.Network Providers
Our Network Provider partnerships are based on a shared-focus of providing the highest quality of care while managing healthcare costs. Our members receive the highest level of benefits at a Network Provider to include Network Physicians, Network Hospitals, Network Pharmacies and Network Allied Providers. Certain services are not covered when provided by a Non-Network Provider. For a complete listing of Network Providers, use the "Find a Network Provider" search tool.Emergency Services
In a medical emergency, it is important to seek emergency care whether you are in Mississippi or traveling outside the state. Our members have access to emergency services when and where they need them and benefits are provided at the network level. However, non-emergency services performed at an emergency room will be subject to a higher co-pay.
Blue Care for Kids also have access to our Nurse Advice Line to help determine the best plan for care in non-emergency situations. You can call our Nurse Advice Line at 1-800-552-2134, and speak to a registered nurse 24 hours a day, seven days a week.Out-of-State Network Providers
Elective (non-emergency) services provided by an out-of-state Network Provider require prior approval for services to be covered. If a Network Provider refers to a Network Provider located outside of Mississippi, the Provider must pre-certify the services for benefits to be provided. Our Health and Wellness Team will support our Network Providers in determining the medically necessary services and if the services requested can be provided in Mississippi.
Our be RxSmart prescription drug benefits are formulary-based and designed to help you make wise prescription drug choices through the use of generics and other low-cost alternatives to many brand name drugs. A drug must be listed on the formulary and purchased from a Community PLUS Pharmacy to be covered. Certain drugs require prior approval to be covered. We also provide enhanced drug searches and cost-savings tools through our myBlue member portal.Prescription Drug Categories
With the Be RxSmart prescription drug benefit, prescription drugs are grouped into categories to help Blue Care for Kids understand the most cost-effective options. Category One drugs have the lowest cost, and Category Four drugs have the highest cost. When you choose Category One drugs, you only have to pay the applicable co-pay amount because the prescription drug deductible does not apply to Category One drugs.Maintenance Drugs
Maintenance Drugs are prescribed for use on an ongoing basis. For these prescription drugs, members can receive a 90-day supply of maintenance drugs from one of our Community PLUS Maintenance Pharmacies.Community PLUS Network Pharmacies
Community PLUS Network Pharmacies are located throughout the state of Mississippi and across the country to give you the convenience of access to your prescription drugs at home and when you travel.
Blue Health ManagementGood Health Club
Being healthy can be a lot of fun! You feel good and have lots of energy when you eat healthy and stay active. The Good Health Club promotes the 5-2-1-0 plan:
Kids may also qualify for our Blue Health Management program. With Blue Health Management, our Health and Wellness Team works with our Network Providers to make sure our member's care is provided in the most cost-effective setting, to include our Centers of Excellence. Based on your health status, you may also qualify for one of our Health Management Programs which supports kids and their parents in managing asthma or diabetes for example.
The myBlue web portal gives members 24/7 access to everything related to their benefit plans. With myBlue, members can access claims history, prescription drug information, electronic EOBs and more. With myBlue members enjoy:
When you apply for Blue Care for Kids health and wellness coverage, if you choose to also apply for life coverage, you will be asked questions that will be used to determine your eligibility for optional life coverage through Bluebonnet Life. Bluebonnet Life Insurance Company is an independent life insurance company that does not provide Blue Cross & Blue Shield of Mississippi products or services, and is solely responsible for the life insurance coverage referenced above.