Most Pacific Blue Cross benefit plans include pay-direct drug coverage. If you are covered by one of these plans, bring your Blue Cross ID card with you when filling your prescription. The pharmacy will deduct the entire eligible amount of your claim from your bill—you only have to pay what isn’t covered by your plan. This portion is your responsibility and not eligible for online claims.
If you do not have a pay-direct drug plan or you pay for a prescription without using your pay-direct card, you can submit your claim in your Member Profile.
To find out if you have pay-direct coverage:
Click on the ‘Benefits’ tab in your Member Profile
Choose ‘Drugs’ from the list of plan benefits
If more than one person is covered by your plan, choose a name from the drop down menu
In the results page, on the right you will see a check box for pay-direct. If this box is checked, then you have pay-direct coverage