Some members may have a plan with a limited network of providers—a network that’s smaller than our traditional HMO and PPO networks. For the plans that we administer, the network is “Blue Select." We use the “Select Blue®” name when offered through Blue Benefit Administrators of Massachusetts. Blue Select and Select Blue have the same network of providers.
We also work with other Blue Plans to offer the Blue High Performance Network SM (Blue HPN SM)—a national limited network of providers that’s based on Blue Select network in Massachusetts.
||Blue Select||Blue Cross Blue Shield of Massachusetts|
||Select Blue||Blue Benefit Administrators of Massachusetts, our third party administrator|
||Blue High Performance Network||Blue Cross Blue Shield of Massachusetts|
Members with an HMO Blue Select plan have a smaller network of doctors and hospitals to choose from than our traditional HMO network.
HMO members with a limited network don’t have coverage for out-of-network services, except in certain circumstances, and will be financially responsible for out-of-network care.
How to identify a member with a limited network using their Member ID card
For in-network care, please refer to another Blue Select limited network provider.
|If your participation status for our limited network is||And the member has an HMO plan with the Blue Select limited network|
Sample ID card for Select Blue members.
For eligibility and benefits, claim, reimbursement, or authorization inquiries, contact BBA:
|Through a clearinghouse, use electronic payer ID 03036||Blue Benefit Administrators of MA
P.O. Box 55917
Boston, MA 02215-3326
|For services||Select Blue Exclusive Provider Organization (EPO) Plans||Select Blue PPO Plans|
|Performed by a participating Select Blue in-network provider||
|Performed by a participating Select Blue out-of-network provider||
|Performed by a non-
For in-network care, please refer to another Blue HPN provider.
|For services||Advantage Blue EPO plans|
|Performed by a participating Blue HPN in-network provider||Reimbursement is paid at PPO contracted rates.|
|Performed by a participating Blue HPN out-of-network provider||Reimbursement for urgent or emergent services only will be paid at PPO contracted rates. Members may not be balance billed.|
|Performed by a non-participating provider||Except for emergency services, there are no benefits for members who choose to receive services outside of the Blue HPN provider network Reimbursement for emergency services will be paid directly to the subscriber, who will be responsible for reimbursing the provider.|