PerformanceCARE Plan Overview
The PerformanceCARE plan is a high-performance network (HPN). This means PerformanceCARE Plan covers only in-network care through the CareFirst’s limited Blue High Performance Network (Blue HPN). While this network offers fewer provider options than the traditional BlueCross BlueShield network, high-performance network doctors and hospitals are committed to meeting a high quality of care at a lower cost. We’re expanding PerformanceCARE! This means you are eligible for this plan if you in certain zip codes within these areas:
CURRENT LOCATIONS
- Atlanta, GA
- Sandy Springs, GA
- Roswell, GA
- Greater St. Louis Metro and other Missouri ZIP codes
- Greater Indianapolis Metro and other Indiana ZIP codes
- Washington, D.C.
- Maryland
- Virginia
- Louisville-Jefferson County and other Kentucky regions
- Cincinnati, OH
- Greater Cleveland, OH
- Columbus, OH
- Seattle, WA
- Tacoma, WA
- Bellevue, WA
This plan is similar to ExclusiveCARE but with a smaller provider network. You pay copays for some services, like in-network doctor’s visits. But for other services, like hospital stays, you pay a copay plus a percentage of the remaining cost (coinsurance). After you’ve reached your medical deductible, you and Nestlé share the cost for care until you’ve met your medical out-of-pocket maximum. Then, Nestlé pays 100% of your cost for medical care for the rest of the calendar year.
There is a separate deductible for prescription drugs; however, this is waived for eligible generic prescriptions. Once you meet this deductible, you and Nestlé will share the cost for your prescriptions until you’ve met your prescription out-of-pocket maximum. Then, Nestlé pays 100% of your cost for prescriptions for the rest of the calendar year.
