We offer several different types of HMO Plans:
We offer the following types of HMO Plans:
- Blue Select Plans
Members select a primary care provider (PCP) in the HMO Blue Select Network (a limited, Massachusetts-based network).
- HMO Blue Plans
Members select a PCP in the HMO network. The PCP coordinates the member's care and refers the member to a network specialist, if necessary.
- HMO Blue New England Plans
Members of our HMO Blue New England health plans must choose a PCP from any of the provider networks in the six New England states (Connecticut, Maine, Massachusetts, New Hampshire, Rhode Island, and Vermont).
- HMO Deductible Plans
Members must select a PCP in the HMO network. They also pay a deductible before they receive benefits under these plans.
- Access Blue
These plans give members the option to go directly to a specialist or any doctor in the network without a referral. Authorizations maybe required for some services. Members must choose a PCP from any of the provider networks in the six New England states (Connecticut, New Hampshire, Maine, Rhode Island, and Vermont).
Our Blue Choice (POS) plans offer managed care networks while giving members the freedom to seek care from either an in-network provider, or from an out-of-network provider with higher out-of-pocket costs. Through Blue Choice plans, members have:
- A primary care provider (PCP) to coordinate all PCP/Plan Approved Benefits care
- The flexibility to self-refer to any Blue Cross participating provider (at a higher cost). Please note that Blue Choice 2 plans allow members to self-refer to any licensed, covered provider.
Please note these plans may require the member to pay a cost share (deductible, copayment, or coinsurance) for covered services.
We recommend providers check member eligibility and benefits before rendering services.