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New Advanced Illness Support Program
March 12, 2019

As part of our commitment to supporting members with advanced illness, we have launched a pilot program to study the benefits of a home-based advanced illness care program. Similar programs studied have shown that home-based care for patients with advanced illness:

  • Increases quality of life and satisfaction with care for patients and their families
  • Reduces unwanted care, such as hospital admissions and readmissions and emergency department visits

We urge you to consider enrolling Blue Cross of Massachusetts members who have an advanced disease, disorder, or condition. Members of these plans are excluded from the program: members of out-of-state plans, Medicare Advantage, indemnity, Federal Employee Program, Harvard and MIT student plans, and HMO Blue Essential. Enrolled members will benefit from:

  • In-home visits from an interdisciplinary care team including physicians, nurses, social workers, and spiritual care providers
  • 24/7 access to home urgent care visits
  • Telephone access for symptom advice and concerns
  • Caregiver support and respite
  • Case management
  • Advanced care planning

We’ve partnered with agencies serving most areas of the state to provide these services to our members. In this pilot stage, there is no coverage in Franklin and Berkshire counties, Cape Cod and the Islands, or the towns of Athol, Chesterfield, Goshen, Plainfield, Royalston, and Williamsburg. The participating agencies will continue to coordinate with you and keep you informed about changes in your patient’s status.

Please review our Advanced Illness Support: Information for Referring Providers for more information about member eligibility and referrals.


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