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Administrative Manual

Back to Administrative Manual index »

 
Identifying Members

Standard member cards

Member cards are plastic and have one of the following backgrounds:

  • A snowboarder image
  • Four cityscapes (Boise, Portland, Salt Lake City or Seattle)
  • Two graphic designs (diamonds or circles)

Members can also select whether they would like separate cards for each family member or have all family members listed on a single card.

Click on the image to view detailed information.

Standard Member Card

Note: The background will vary based upon the member's selection.

The front of the card includes:
Item A Logo
Item B

Member name
Member number

Item C

Enrolled members

Item D Network Name
Item E

Product Name and network/benefit descriptor.

Cards for products with categories of benefit levels (Preferred, Participating and Non-participating) include the network name, the product name and the network/benefit descriptors for all three benefit levels. Cards for products with in- and out-of-network benefits include the network name, the product name and the two (in and out) network/benefit descriptors.

Some custom cards will display only the Category 1 (PBO, PVC or PAR) and Category 3 (NP) benefit levels. Access the Provider Center to obtain additional benefit and network information.

Network Abbreviation
Preferred FocalPoint PFP
Preferred ValueCare PVC
Preferred BlueOption PBO
Participating PAR
Non-Participating NP

Note: Older versions of the member card include the product and network names, however do not include a network/benefit descriptor.

Item F Group number
Item G Pharmacy Benefit
Item H

Deductible amounts
Office copayment amount, if applicable
Number of up-front office visits, if applicable

Item I

Coverage indicators for medical, dental, prescription and vision

The back of the card includes:
  • Claims submission address
  • Member website and phone number
  • Provider website and phone number

View our Guide to Member Cards (PDF).

Learn about our group and Individual products.

 

Revised January 2012