×
YOU'RE ABOUT TO LEAVE BLUE CROSS BLUE SHIELD OF MASSACHUSETTS
Visiting the website
The is an independent company that administers pharmacy benefits on behalf of Blue Cross Blue Shield of Massachusetts.
By selecting "Continue," you acknowledge that you have read and understood the statement below, and you wish to visit the Pharmacy Benefit Manager website. By selecting "Close Window," you will return to Provider Central.
Your use of the selected site is subject to the Terms of Use and Privacy Policies of the publisher of that site. Blue Cross Blue Shield of Massachusetts’ Terms of Use and its Privacy Policy do not apply at the selected site. Use of any such site, including the information, services, products, materials, and any other resources contained on it, is conducted solely at your own risk.
Some of our HMO, PPO, and EPO members have a plan with a limited network of providers—a network that’s smaller than our traditional HMO and PPO networks.
|
|
We also work with other Blue Plans to offer a national limited network: the Blue High Performance NetworkSM (Blue HPN SM). |
Members with an HMO Blue Select plan have a smaller network of doctors and hospitals to choose from than our traditional HMO network.
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 HMO Blue Select limited network |
---|---|
In-network provider |
|
Out-of-network provider |
|
Non-participating provider |
|
Sample ID card for Select Blue members.
For eligibility and benefits, claim, reimbursement, or authorization inquiries, contact BBA:
Electronic | |
---|---|
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- participating provider |
|
|
Members do not have coverage for out-of-network care. 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. |
Plan | Network | Administered by |
---|---|---|
HMO
|
HMO Blue Select | Blue Cross Blue Shield of Massachusetts |
PPO
|
Select Blue | Blue Benefit Administrators of Massachusetts, our third party administrator |
EPO
|
Blue High Performance Network | Blue Cross Blue Shield of Massachusetts |