Getting to know Community Blue (2025)

Ready to explore the benefits of a Community Blue select network plan? As with any insurance plan, a few smart choices can help you avoid big, unexpected medical bills.

Community Blue plan = Community Blue HMO/POS network

ID card
1

MEMBER NAME

- Your name will appear here.

2

MEMBER ID NUMBER

- Used to identify you so your provider knows how to bill your health plan.

3

PHARMACY COVERAGE

- This is where you will find Plan Description and ID Numbers relating to your Pharmacy Coverage.

4

PLAN TYPE

- What type of network your plan has and which providers you can see who are "in-network."


KNOW YOUR COVERAGE

Where Am I Covered?

If you are a resident of one of the parishes listed below, you are covered when you visit Community Blue doctors, clinics and hospitals. 

Visit lablue.com/community-blue to find a doctor in your network.

COVERED PARISHES

Baton Rouge:
Ascension, East Baton Rouge, Livingston and West Baton Rouge

Essential Health Benefits

Your plan covers a variety of benefits to keep you healthy. They include:
Ambulatory (outpatient) services Emergency care services Hospital benefits Maternity and newborn care Pharmacy and prescription drugs Contraceptive coverage Coverage for clinical trials Rehabilitative and habilitative services Laboratory services Preventive and wellness services and chronic disease management Vision and dental benefits for your children Mental health and substance use disorder services

 

Certain limitations and exclusions apply to Essential Health Benefits

Schedule of Benefits

Your Schedule of Benefits (SOB) includes information about what services are covered, what's not covered and how much it will cost.
Example of Schedule of Benefits document
1

IN-NETWORK

providers have agreed to accept a contracted (discounted) rate for your care. You'll save money by visiting a doctor or hospital in your network.
2

OUT-OF-NETWORK 

providers can charge more, which means you'll pay more when you visit an out-of-network doctor or hospital.
3

COMPARISON

Shows a breakdown of what you can expect to pay for specific services if you choose to visit a doctor that is in your network versus one that is outside your network.

Prescription Drug Coverage

You can manage your prescription drug coverage by logging in at my.lablue.com and choosing Pharmacy on the dark blue bar near the top of the page. Once you log in, you can:

See your drug claims

See your drug claims

Price a drug

Price a drug

See more about drug benefits

See more about drug benefits

Book icon

Learn about your medicine

Find a pharmacy

Find a pharmacy

File a drug claim

File a drug claim

You can also view covered drug lists, search for drugs and find out how to save on drugs by logging on at my.lablue.com and clicking the Pharmacy link.


MANAGE YOUR COST

Stay in Your Network

Control costs by staying in your network. Your plan includes both in-network and out-of-network coverage, but you will pay more when you visit an out-of-network doctor or hospital.

Be proactive about staying in your network by visiting lablue.com/community-blue to find a doctor or hospital in your network. Community Blue members have access to Baton Rouge General, The Baton Rouge Clinic and other participating providers. While the Community Blue product is offered only in the Baton Rouge area, Community Blue members may also access Community Blue network providers located in other parishes.

Community Blue plan = Community Blue HMO/POS network

Pick a Primary Care Provider

You must pick a primary care provider in the Community Blue network to handle most of your medical needs when you are sick or injured. In the Baton Rouge (Ascension, East Baton Rouge, Livingston and West Baton Rouge parishes) area, pick a Community Blue provider.
General Practice, Family Practice, Internal Medicine, Geriatrics (for adults), Pediatrics (for children)
Pick a primary care provider by logging into your account or by calling Louisiana Blue Customer Service at the number on the back of your ID card.

Quality Blue

We are committed to providing you with affordable access to quality healthcare through our Quality Blue program. If your doctor takes part in this program, you are a part of it, too. You can ask your provider if they are in the Quality Blue program or look them up in our directory at lablue.com/findcare. Quality Blue providers have an indicator as shown below:

Quality Blue Provider

Learn More About Quality Blue

Get Care in the Right Place

Save time and money by getting the right care in the right place. Don't go to the emergency room for a cold.

Primary Care

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Telehealth

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Urgent Care

satchel with three dollar signs

$$$

Emergency Room

ambulance icon with three dollar signs

$$$$

Choose the Right Care

Find Care and Estimate Costs on the Go!

Get healthcare at your fingertips 24/7 by downloading MyLABlue, powered by MyChart, from the App Store or Google Play. Already using MyChart? You can add MyLABlue to your MyChart app and access your health insurance information in one place!

Example of Health Care Cost Comparison
Learn more about our cost estimator tools


BENEFIT FROM CONVENIENCE

Welcome to MyLABlue!

MyLABlue screenshotAccess your health information anytime, anywhere with MyLABlue. Powered by MyChart, members can track their insurance activity, connect securely with customer service, search in-network doctors, estimate costs, check the status of prior authorizations, download a digital ID card and more.

Log in at my.lablue.com, in the MyLABlue app or through MyChart.

 

Learn how to Set up Your Account Activate Your Account Download on the App Store

Get Quality Telehealth Care Anywhere with Local Providers

The Louisiana Blue provider network includes robust virtual care options, including online behavioral health services, online doctor visits and 24/7 virtual urgent care services. Members of all health plans have access to in-network providers who offer these services through telehealth. With telehealth, you can get care from anywhere using a device that has internet and a camera (phone, laptop, tablet).

Louisiana Blue commercial members can use the MyLABlue digital platform (app or online portal) to find in-network providers who offer telehealth services. When searching our Find Care provider directory, telehealth providers have an "Offers Virtual Care" indicator.

Visit lablue.com/telehealth to learn more.

Explanation of Benefits

After each visit to a doctor or hospital, we will send you an Explanation of Benefits (EOB). It is a summary of the charges for the care or services you received. It shows what we cover and what the provider charged or what the service cost. It is not a bill. You may choose to go paperless and get your EOBs online by logging in at my.lablue.com and choosing Paperless Preferences.
Image of example Explanation of Benefits
1

AMOUNT CHARGED

What the doctor, clinic or hospital charged for care.
2

PLAN(S) DISCOUNTS & PAYMENTS

This is your discount on care costs or what your plan paid for care.
3

YOUR RESPONSIBILITY

This is what you must pay for care before your health coverage begins to pay for the parts of your care that are not covered by your plan.
4

AMOUNT YOU MAY OWE

This is the part of your claims you may have to pay out of pocket.
Go to EOB

What Should You Do After Enrollment?

Congratulations! You've got health insurance. But now what do you do? Don't worry, we've got answers!

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