, 3028 0 obj <>stream Well Connection doctors can review your medical history, and diagnose, treat, and even prescribe medications for medical conditions if necessary. console.log('ad description 1 => ' + 'Questions about your plan? HMO Blue New England $3000 Deductible with HCCS with Dental Blue Pediatric Essential Benefits. Were here to help. SUMMARY OF BENEFITS Hampshire College %PDF-1.6 % Its never been easier, faster, or more convenient to stay on top of your coverage. Schedule of Benefits . Find out how to get in touch with us. View 2022Small Group, Large Group and Connector planbenefitsinformation for HMO & PPO plans regardingSummary of Benefits and Coverage, Explanation of Coverage, Benefit Summary. Tap into all of them, all in one place. Services are provided through our extensive network of doctors and health care professionals in Western and Central Massachusetts, as well as parts of Connecticut and Vermont. console.log('ad description 1 => ' + 'Access additional tools to help you understand how your insurance works. HMO Blue New England $5000 Deductible with Dental Blue Pediatric Essential Benefits. Were here to help. Blue Cross and Blue Shield of Massachusetts, Inc., This chart describes the cost Your Primary Care Provider (PCP) When you enroll in this health plan, you must choose a primary care . COVERAGE AND BENEFITS CLAIMS AND BALANCES DIGITAL ID CARD Sign in Download the app, or create an account at bluecrossma.org. Search for a doctor, health care professional, or medical facility near you. Network Blue New England $500 Deductible Calendar-Year Deductible: $500/$1,000 Smith College. You don't need a referral to see specialists. Youre one click away from finding the care you need. Blue Cross and Blue Shield of Massachusetts HMO Blue, Inc. Health Maintenance Organization Subscriber Certificate HMO (1-1-2018) Page 1 hneoptdedIISoB-0119sng Schedule of Benefits HMO Blue New England Options Deductible II This is the Schedule of Benefits that is a part of your Subscriber Certificate. From managed care plans to high deductible health plans and everything in between, Health New England offers a range of health care plans to meet your unique needs. console.log('ad description 1 => ' + 'Get exclusive discounts and deals on sportswear, nutrition, travel, fitness equipment, and more. Yes, HMO blue New England. 0 Services are provided through our extensive network of doctors and health care professionals in Western and Central Massachusetts, as well as parts of Connecticut and Vermont. '); Schedule of Benefits (continued) HMO Blue New England $1,000 Deductible with Copayment This chart shows your cost share for covered services. Blue Cross Blue Shield of Massachusetts is an Independent Licensee of the Blue Cross and Blue Shield Association Page 1 of 8 . Questions about your plan? Learn more about your pharmacy plan through Express Scripts. VIEW EKIT HMO Blue New England Deductible Summary of Benets Effective on anniversary dates on or after January 1, 2008 This health plan meets Minimum Creditable Coverage Standards for Massachusetts residents that will be effective January 1, 2009, as part of the Massachusetts Health Care Reform Law. Tap into all of them, all in one place. After you meet your deductible, your plan will pay a percentage of the costs, and youll be responsible for the remaining portion. and Blue Cross and Blue Shield of Massachusetts HMO Blue, Inc. 101 Huntington Avenue, Suite 1300, Boston, MA 02199-7611 | document.write(new Date().getFullYear()); console.log('ad description 1 => ' + 'Your plan has more benefits than you probably realize. Summary of Benefits and Coverage: What this Plan Covers & What You Pay for Covered Services Coverage Period: on or after 01/01/2022 HMO Blue New England $1000 Deductible with Copayment Coverage for: Individual and Family | Plan Type: HMO 7/1/2022, - The fitness and weight loss reimbursement has increased to $300 each, - The cost share for the first 3 certain outpatient behavioral health visits per member will be waived on some plans. If the condition isnt life-threatening, you can: ER Alternatives Depending on how severe your medical concern is, the emergency room isn't always your best option. Plan-Year Deductible: $500/$1,000 UNLOCK THE POWER OF YOUR PLAN MyBlue gives you an instant snapshot of your plan: COVERAGE AND BENEFITS CLAIMS AND BALANCES DIGITAL ID CARD Sign in Download the app, or create an account at bluecrossma.org. HMO Blue New England $1,500 Deductible WITH COPAYMENT Plan-Year Deductible: $1,500/$3,000 Effective on anniversary dates on or after January 1, 2023 for Individuals and Small Groups. Search for a doctor, health care professional, or medical facility near you. We have partnered with EyeMed to bring you more choice, more value, and more flexibility. ea`3wxaVT/;J&2n] Syv/8m\AqQw,942u-qYI;Wet400 &nd@ZuA20-rY&=l8^2=:JA Z([F.C6cdXLt4~iAg#f[D1`csAAQ. Does not apply to preventive care, prenatal care, Our Health Maintenance Organization (HMO) plans give you access to doctors and hospitals in our network. respective owners. Care Management If youre worried about facing a complex or chronic health condition, our Team Blue Care Managers are here to provide extra support to all the moving parts of your care, at no additional cost. Youre one click away from finding the care you need. HMO Blue New England $1,500 Deductible Plan-Year Deductible: $1,500/$3,000 UNLOCK THE POWER OF YOUR PLAN MyBlue gives you an instant snapshot of your plan: COVERAGE AND BENEFITS CLAIMS AND BALANCES DIGITAL ID CARD Sign in Download the app, or create an account at bluecrossma.com. We also offer Preferred Provider Organization (PPO) plans. This chart describes . (Note: Your monthly premium payments dont count toward your deductible.). Deductible Your deductible is the amount you pay out-of-pocket before your insurance pays any of the costs for most services. Questions about your plan? You will not need prior authorization or referral to see an HMO Blue New England network provider who specializes in OB/GYN services. This chart shows the dollar amount of your deductible and the covered services for which you must first pay the deductible. 852 0 obj <> endobj hbbd```b``n d dhH]Hj0" KLHN.=0[L@T)L: An Association of Independent Blue Cross and Blue Shield Plans HMO Blue New England $500 Deductible Summary of Bene ts Plan-Year Deductible: $500/$1,000 Effective on anniversary dates on or after January 1, 2009 This health plan meets Minimum Creditable Coverage Standards for Massachusetts residents that will be effective January 1, 2009, as If you family. Our plan comparisons are only brief summaries and not intended to describe all of the benefits or limitations of each plan. A provider's benefits tier may change. $=bwl@$W oo&Ft8# Yi These plans allow members to use our network of doctors, or to receive covered services outside of the network. hb```l1B Once you're enrolled in Blue 20/20 through your employer, you can find an eye doctor by visiting the Blue 20/20 website or calling 1-855-875-6948. endstream endobj startxref Our Health Maintenance Organization (HMO) plans give you access to doctors and hospitals in our network. Printed at Blue Cross and Blue Shield of Massachusetts, Inc. 000433400 (4/20) CAD HMO Blue New England $1,000 Deductible WITH COINSURANCE Plan-Year Deductible: $1,000/$2,000 Benefits effective July 1, 2021 UNLOCK THE POWER OF YOUR PLAN MyBlue gives you an instant snapshot of your plan: COVERAGE AND BENEFITS CLAIMS AND BALANCES DIGITAL ID CARD Sign in Download the app, or create an account at bluecrossma.com. Get your plan in your hand. #ekitProgress {display:none;} '); Your deductible is $100 per member (or $200 per family). If any terms in these documents differ from the terms in the EOC, the EOC governs. With a PPO plan, youre covered when you see in-network and out-of-network providers. UNDERSTANDING YOUR PLAN AND BENEFITS 910 0 obj <>stream HMO Blue New England Saver $3,000 Plan-Year Deductible: $3,000/$6,000 Effective on anniversary dates on or after January 1, 2022 for Individuals and Small Groups Your CARE Your Primary Care Provider (PCP) When you enroll in this health plan, you must choose a primary care provider. The following services are not subject to the deductible: office visits, preventive health services, emergency room visits, home health care, hospice services, medical formulas, all mental health services, and prescription drugs. You pay lower out-of-pocket costs when you visit in-network doctors and hospitals than when you visit out-of-network, or non-preferred, providers. Tap into all of them, all in one place. Its never been easier, faster, or more convenient to stay on top of your coverage. Effective January 1, 2023, a new pharmacy benefit manager will administer your pharmacy coverage on behalf of Blue Cross Blue Shield of Massachusetts. SAVE WITH BLUE365 Search for any medication, see what your plan covers, and find covered alternatives to non-covered medications. This plan uses a provider network. '); hb```B ce`azZqhC->qiumvN6YFsyZMRB$2Np18e@GbKN/uRgWS^8+9Suv h Nlk@J"bX00\aReq2FlRl7eH'{7q5 e`UK vd* Lower premium costs The comprehensive coverage and easy to understand benefits of HMO Blue and/or PPO Blue plans Access to office visits, prescriptions, emergency room visits, and mental health care for a copayment, similar to other HMO Blue and/or PPO Blue Compare Medical Plans Have PPO Blue Options? T ^hd sH``hyPz/lK@b!ZuA3tn ;)PJ20,1rZ $250. HMO Blue New England $4500 Deductible with Dental Blue Pediatric Essential Benefits. See www.anthem.com or call (800) 933-8415 for a list of network providers. Your Care Your Primary Care Provider. FIND A DOCTOR To learn more about this plan and its costs, look at your Summary of Benefits. We also offer Preferred Provider Organization (PPO) plans. 2962 0 obj <> endobj Referrals are required before you're covered to see a specialist. You can visit in-network and out-of-network providers, but you'll pay lower out-of-pocket costs when you stay in-network for care. To learn more about this plan and its costs, look at your Summary of Benefits and Coverage. Doctors and Hospitals With an HMO plan, you must choose a primary care provider (PCP) who can help guide your care, and is the first person you call when you need routine or sick care. %%EOF endstream endobj startxref %PDF-1.6 % Yourdeductible is $1,000for each member (or $2,000per family).The following services are not subject to the deductible: ofcevisits, preventive health services, emergency room visits, homehealth care, hospice services, medical formulas, all mental healthservices, and prescription drugs. Qt.YH20(qE[8{} 0 heK You will pay less if you use a provider in the plan's network. Health New England offers a variety of plan options for your health care needs. HMO Blue New England Deductible $1,000 HMO Blue New England Deductible $300 with HCCS HMO Blue Select Deductible $300 Blue Care Elect Deductible $300 with HCCS Ancillary Plans Blue 20/20 Print Email Medical Plans . Were here to help. Search for any medication, see what your plan covers, and find covered alternatives to non-covered medications. HMO Blue New England $2,000 Deductible WITH COPAYMENT Plan-Year Deductible: $2,000/$4,000 Effective on anniversary dates on or after January 1, 2021 for Individuals and Small Groups UNLOCK THE POWER OF YOUR PLAN MyBlue gives you an instant snapshot of your plan: COVERAGE AND BENEFITS CLAIMS AND BALANCES DIGITAL ID CARD Sign in Schedule of Benefits. endstream endobj startxref