Magnolia Open Access
The Magnolia Open Access offers moderate deductibles and coinsurance in exchange for a higher premium. Coverage is provided within the Louisiana Bluenationwide network, as well as out-of-network. Prescription services are provided by CVS Caremark.”
Contact Information
Medical Coverage
The Magnolia Open Access plan offers moderate deductibles and coinsurance instead of copayments at physician visits. After meeting the deductible, members pay 10% for in-network care and 30% for out-of-network care. It provides coverage within the Louisiana Blue nationwide network and also includes out-of-network coverage.
Medical Coverage | Employee Only | Employee +1 (Spouse or Child) | Employee + Children | Family |
---|---|---|---|---|
Deductible (in-network) | $900 | $1,800 | $2,700 | $2,700 |
Deductible (out-of-network) | $900 | $1,800 | $2,700 | $2,700 |
Out-of-pocket max (in-network) | $3,500 | $6,000 | $8,500 | $8,500 |
Out-of-pocket max (out-of-network) | $4,700 | $8,500 | $12,250 | $12,250 |
Coinsurance (in-network) | 10% | 10% | 10% | 10% |
Coinsurance (out-of-network) | 30%* | 30%* | 30%* | 30%* |
*Once a member's deductible for allowable charges is met, he or she will pay 30% of the allowable charge, plus 100% of the difference between the allowable charge and billed amount for out-of-network care.
Prescription Coverage
OGB uses the CVS Caremark formulary to help members select the most appropriate, lowest-cost options. Members will continue to pay a portion of the cost of their prescriptions in the form of a co-pay or coinsurance. The amount members pay toward their prescription depends on the tier of medication -generic, preferred brand, non-preferred brand, or specialty drug.
Tier | Member Responsibility | Once You Pay $1,500 |
---|---|---|
Generic | 50% up to $30 | $0 co-pay |
Preferred | 50% up to $55 | $20 co-pay |
Non-Preferred | 65% up to $80 | $40 co-pay |
Specialty | 50% up to $80 | $40 co-pay |
Access2day Health
Access2day Health is a clinic membership program and added benefit offered by OGB and the State of Louisiana, providing quality primary and urgent care services for $0 co-pay and out-of-pocket expense, with no appointment necessary!
OGB plan members, including covered spouses and dependents, enrolled in Pelican HRA 1000, Magnolia Local, Magnolia Local Plus, and Magnolia Open Access have access to Access2day Health clinic locations at no cost and are automatically enrolled. For more information, including a list of clinics, please visit the Access2day Health website.
Forms and Resources
- Search for Providers
- 2025 Plan Video
- 2025 Schedule of Benefits
- 2025 Summary of Benefits and Coverage
- 2025 Plan Document
- Access2day Health