Most PDF readers are a free download. Members pay required copayments or deductibles, and claims are filed for the member by the health care provider. related information. Think of your PCP as a knowledgeable resource in today's complex health care environment. [13], In March 2018, Blue Cross Blue Shield of Massachusetts announced a six-year marketing deal with Hubway to re-brand the bicycle sharing system and relaunch under the name of "Blue Bikes". The annual maximum out-of-pocket amount a member pays under BlueLincs Special Option is $3,000. Non-Discrimination Notice. [8] When this was reported in 2011, public anger and a four-month investigation from the Massachusetts Attorney General followed. To return to our website, simply close the new window. Customer Service This formulary was updated on September 2, 2020. A Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association [5][6] BCBSMA ultimately credited $4.2 million, representing Killingsworth's severance, off policyholders' premiums (~$3 per policyholder). GeoBlue Medical Insurance for Travel Short-term and long-term international health plans are available for your urgent travel needs. Health insurance is offered by Blue Cross and Blue Shield of Florida, Inc., DBA Florida Blue. [4], BCBSMA has non-profit status as a health insurer[5] and has 2.8 million policyholders, the largest number of any insurer in Massachusetts, with most policyholders insured through employers. [15], "Our History: Blue Cross Blue Shield of Massachusetts", "AG to review exit pay for Blue Cross executive", "After a rich severance deal, insurer issues refunds", "Andrew Dreyfus: The last health care reform optimist", "An insurer adds a new twist to an old idea", "Private-payer innovation in Massachusetts: the 'alternative quality contract, "Massachusetts Tries to Rein In Its Health Costs", "New Blue Cross Blue Shield contract produces "modest, "Hubway Will Become Blue Bikes, And The Fleet Will Grow", https://en.wikipedia.org/w/index.php?title=Blue_Cross_Blue_Shield_of_Massachusetts&oldid=998382523, Financial services companies established in 1988, Insurance companies based in Massachusetts, Medical and health organizations based in Massachusetts, Members of Blue Cross Blue Shield Association, Articles containing potentially dated statements from October 2011, All articles containing potentially dated statements, Creative Commons Attribution-ShareAlike License, This page was last edited on 5 January 2021, at 03:39. Choose us as your insurance provider today. [6], The company has received praise for its innovative alternative quality contract (AQC) payment model. [6] The number of policyholders dropped slightly between the first and second quarters of 2011, due to the economy and layoffs. We provide health insurance in Michigan. HMO coverage is offered by Health Options Inc., DBA Florida Blue HMO. This link will take you to a new site not affiliated with BCBSOK. The Boston location located on 133 Federal Street is currently under study as a pending Boston Landmark by the Boston Landmarks Commission. The annual maximum out-of-pocket amount a member pays under BlueLincs Plan H is $2,000. If you need a specialist's expertise, your PCP can refer you to one of the many specialists in the BlueLincs HMO network. You'll have low out-of-pocket expenses! In addition to no deductible plans, annual deductibles of $200, $300, $500 and $1,000 are available. Blue Cross Blue Shield of Massachusetts (BCBSMA) is a state licensed nonprofit private health insurance company under the Blue Cross Blue Shield Association with headquarters in Boston.The Boston location located on 133 Federal Street is currently under study as a pending Boston Landmark by the Boston Landmarks Commission There's no deductible to meet. [7], The organization's compensation for its departing CEO, Cleve Killingsworth, totaled $8.6 million in 2010. "[13] In the first year of implementation, AQCs resulted in medical cost savings in all participating provider groups, but the incentives that BCBSMA paid to providers are estimated to have made up for the savings. Enrollment in Anthem Blue Cross depends on contract renewal. BlueLincs Plan H, Value Option and Special Option give employers more choices to save on premiums. Browse our plans: Individual and family, medicare, medicaid and state plans, group plans, get a quote, find a doctor. Read more about how Blue Cross of Idaho is dedicated to being the best choice for healthcare coverage at competitive prices. [13], When the company was introducing AQCs to providers, "state lawmakers started talking about payment reform", leading to unexpected interest. Child's school? ® Registered Marks of the Blue Cross and Blue Shield Association. The annual maximum out-of-pocket amount a member pays under BlueLincs Value Option is $2,000. option is Adobe® Reader® which has a built-in reader. Other Adobe accessibility tools and information can be downloaded at http://access.adobe.com Interested in joining BlueLincs HMO? Along with the change in name, the bike sharing system will expand with more bikes and branded stations. In Wisconsin: Blue Cross Blue Shield of Wisconsin (BCBSWI), underwrites or administers PPO and indemnity policies and underwrites the out of network benefits in POS policies offered by Compcare Health Services Insurance Corporation (Compcare) or Wisconsin Collaborative Insurance Company (WCIC). Anthem Blue Cross is the trade name of Blue Cross of California. Premera Blue Cross is an HMO plan with a Medicare contract. BlueLincs HMO has received health plan accreditation from URAC — a non-profit organization issuing more than 2,000 accreditation certificates to more than 500 managed care organizations in all 50 states and Canada. © Copyright document.write(new Date().getFullYear()) Health Care Service Corporation. You don't have to choose between quality health insurance benefits and affordable coverage. URAC accreditation standards are recognized nationally as providing the benchmarks for quality in managed care organizations. Your Primary Care Physician is your personal health care consultant, working with you to coordinate all your health care needs. File is in portable document format (PDF). [12][14] As of October 2011[update], approximately 613,000 people were covered by BCBSMA under the AQC model (roughly two-thirds of BCBSMA members in health maintenance organizations), but the model had not been applied to policyholders in preferred provider organizations. Legal and Privacy Blue Cross Blue Shield of Massachusetts is an Independent Licensee of the Blue Cross and Blue Shield Association. Highmark Blue Shield serves the 21 counties of central Pennsylvania and also provides services in conjunction with a separate health plan in southeastern Pennsylvania. For more recent information or other questions, please contact Premera Blue Cross Medicare One Highmark Blue Cross Blue Shield serves the 29 counties of western Pennsylvania and 13 counties of northeastern Pennsylvania. There are never any claims to file for routine care, when your care is coordinated by your BlueLincs HMO Primary Care Physician. You receive the health care you need, and BlueLincs HMO handles the paperwork. And if you need a prescription, a prescription copayment is all you owe. [11] In 2011, the large provider group Partners HealthCare joined the AQC, accepting lower than expected payment levels, possibly preempting regulatory moves to control costs. It will open in a new window. That's real convenience — and savings! Anthem Blue Cross and Blue Shield Attn: Appeals Department P.O. They are based on the capitation approach that was tried in the 1990s, but with a bonus for patient quality outcomes to serve as a disincentive against providers neglecting patients. The site may also contain non-Medicare [9][10] In 2007, then-CEO Cleve Killingsworth set a six-month deadline for the company to come up with a new payment plan to offer health care providers. All routine or follow-up care must be pre-arranged by the member's primary care physician before the member leaves town. BlueLincs Plan H (BlueLincs' most popular plan). Specialist office visits fully covered, with just a. Anthem Blue Cross of California offers affordable Medicare, Medicaid, medical, dental, and vision insurance. [11] Deb Devaux, an executive, said providers also wanted to demonstrate willingness towards reform. BlueLincs members can use the BlueCard® program to find care outside the BlueLincs service area. This new site may be offered by a vendor or an independent third party. In addition, some sites may require you to agree to their terms of use and privacy policy. Dental, Life and Disability are offered by Florida Combined Life Insurance Company, Inc., … BCBSMA formed in 1988 after the merger of Blue Cross and Blue Shield of Massachusetts. Home Refer to important information for our linking policy. With the BlueCard program, HMO members can use the Provider Finder®, 24-hours-a-day, at 1-800-810-BLUE or by visiting http://www.bcbs.com/. [11] Killingsworth thought existing pay for performance initiatives were insufficient to prevent billions of dollars in wasteful health care spending that either harmed or did not help patients. BlueLincs HMO provides a wide choice of physicians and substantial benefits, including low out-of-pocket costs and reliable coverage. Home? Blue Cross Blue Shield of Massachusetts (BCBSMA) is a state licensed nonprofit private health insurance company under the Blue Cross Blue Shield Association with headquarters in Boston. You pay only a small physician's office copayment for most services, such as: As a BlueLincs HMO Member, you choose a physician for yourself and each member of your family from hundreds of Primary Care Physicians (PCP). Consult the Provider Finder® to find a physician in the BlueLincs HMO network who best fits your needs! Make sure your health benefits go with you when you're away from home. You decide what's best for you — a doctor near your job? Enrollment in Premera Blue Cross depends on contract renewal. ... Anthem Blue Cross is an HMO plan with a Medicare contract. You are leaving this website/app (“site”). [11] AQCs were established in January 2009[12] and they serve as a model for global payments—in contrast to the fee-for-service model, which encourages excessive treatments—in the state. [4] In 1992 it offered an HMO plan along with the rise of managed care in the 1990s. Blue Cross Blue Shield of Oklahoma provides reliable Employer Offered insurance, also known as Group Health Plans. The lowest premiums of any BlueLincs HMO plan. Blue Distinction Centers Benefit Differential Product, Blue Distinction Total Care Benefit Differential, Annual vision and hearing screening (to age 19), Surgical procedures in your physician's office, Primary care physician office visits are fully covered, with just a. Employers interested in providing BlueLincs HMO for employees, please call 1-888-250-9020. All Rights Reserved. When you visit your doctor, you pay only a small office copayment. To view this file, you may need to install a PDF reader program. With BlueLincs HMO, you have a wide choice of physicians and an impressive list of benefits — with low out-of-pocket costs, solid protection and invaluable peace of mind. [13] AQCs were envisioned as a way to increase provider accountability. Features for all BlueLincs Value Option plans include: Features for all BlueLincs Special Option plans include: For more information about BlueLincs HMO, current BlueLincs or Blue Cross and Blue Shield members please call 1-800-580-6202. Planning a vacation? With BlueLincs HMO, budgeting for your health care needs is easy. Use our BlueLincs HMO Service Area Map  to determine if this product is offered where you live or work. ©1996-Blue Cross Blue Shield of Michigan and Blue Care Network are nonprofit corporations and independent licensees of the Blue Cross and Blue Shield Association. [11] Under the AQC model, groups of doctors and hospitals are paid set fees "to work as a team in caring for patients. It's up to you. [11] The word "capitation" was discouraged during company meetings, as it proved unpopular with providers under the managed care of the 1990s. For you — a doctor near your job your health care environment on 133 Street... Shield Association tools and information can be downloaded at http: //www.bcbs.com/ Value. Quality contract ( AQC ) payment model 're away from home first and second of! To return to our website, simply close the new window your PCP as a knowledgeable resource in 's! 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