Blue Dimensions No Office Visit Copay with Pharmacy Integrated Benefit
To locate your specific Summary of Benefits and Coverage, identify your Deductible, Coinsurance, and Out of Pocket amounts for your plan.
BD = Blue Dimensions
NOVC = No Office Visit Copay
Ded = Deductible
Coin = Coinsurance
OOP = Out of Pocket
PIB = Pharmacy Integrated Benefit