In addition, some sites may require you to agree to their terms of use and privacy policy. You'll have low out-of-pocket expenses! The site may also contain non-Medicare For more recent information or other questions, please contact Premera Blue Cross Medicare The annual maximum out-of-pocket amount a member pays under BlueLincs Plan H is $2,000. Employers interested in providing BlueLincs HMO for employees, please call 1-888-250-9020. Browse our plans: Individual and family, medicare, medicaid and state plans, group plans, get a quote, find a doctor. 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). [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. ©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. Customer Service This formulary was updated on September 2, 2020. BlueLincs Plan H (BlueLincs' most popular plan). When you visit your doctor, you pay only a small office copayment. Members pay required copayments or deductibles, and claims are filed for the member by the health care provider. All routine or follow-up care must be pre-arranged by the member's primary care physician before the member leaves town. A Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association 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. Refer to important information for our linking policy. 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 Choose us as your insurance provider today. [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. Most PDF readers are a free download. And if you need a prescription, a prescription copayment is all you owe. related information. URAC accreditation standards are recognized nationally as providing the benchmarks for quality in managed care organizations. Interested in joining BlueLincs HMO? The Boston location located on 133 Federal Street is currently under study as a pending Boston Landmark by the Boston Landmarks Commission. ® Registered Marks of the Blue Cross and Blue Shield Association. [8] When this was reported in 2011, public anger and a four-month investigation from the Massachusetts Attorney General followed. option is Adobe® Reader® which has a built-in reader. Use our BlueLincs HMO Service Area Map  to determine if this product is offered where you live or work. This new site may be offered by a vendor or an independent third party. HMO coverage is offered by Health Options Inc., DBA Florida Blue HMO. Premera Blue Cross is an HMO plan with a Medicare contract. Anthem Blue Cross of California offers affordable Medicare, Medicaid, medical, dental, and vision insurance. [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. Think of your PCP as a knowledgeable resource in today's complex health care environment. [13], When the company was introducing AQCs to providers, "state lawmakers started talking about payment reform", leading to unexpected interest. [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. 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). [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. All Rights Reserved. Specialist office visits fully covered, with just a. You receive the health care you need, and BlueLincs HMO handles the paperwork. [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". ... Anthem Blue Cross is an HMO plan with a Medicare contract. "[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. [13] AQCs were envisioned as a way to increase provider accountability. [11] Under the AQC model, groups of doctors and hospitals are paid set fees "to work as a team in caring for patients. Other Adobe accessibility tools and information can be downloaded at http://access.adobe.com [11] Deb Devaux, an executive, said providers also wanted to demonstrate willingness towards reform. That's real convenience — and savings! Highmark Blue Cross Blue Shield serves the 29 counties of western Pennsylvania and 13 counties of northeastern Pennsylvania. Home? Enrollment in Premera Blue Cross depends on contract renewal. The annual maximum out-of-pocket amount a member pays under BlueLincs Special Option is $3,000. GeoBlue Medical Insurance for Travel Short-term and long-term international health plans are available for your urgent travel needs. You don't have to choose between quality health insurance benefits and affordable coverage. [4] In 1992 it offered an HMO plan along with the rise of managed care in the 1990s. [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. [11] The word "capitation" was discouraged during company meetings, as it proved unpopular with providers under the managed care of the 1990s. You are leaving this website/app (“site”). Enrollment in Anthem Blue Cross depends on contract renewal. Planning a vacation? Read more about how Blue Cross of Idaho is dedicated to being the best choice for healthcare coverage at competitive prices. To view this file, you may need to install a PDF reader program. Consult the Provider Finder® to find a physician in the BlueLincs HMO network who best fits your needs! Health insurance is offered by Blue Cross and Blue Shield of Florida, Inc., DBA Florida Blue. © Copyright document.write(new Date().getFullYear()) Health Care Service Corporation. Non-Discrimination Notice. Dental, Life and Disability are offered by Florida Combined Life Insurance Company, Inc., … One Anthem Blue Cross and Blue Shield Attn: Appeals Department P.O. Anthem Blue Cross is the trade name of Blue Cross of California. In addition to no deductible plans, annual deductibles of $200, $300, $500 and $1,000 are available. 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/. 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. Your Primary Care Physician is your personal health care consultant, working with you to coordinate all your health care needs. This link will take you to a new site not affiliated with BCBSOK. Highmark Blue Shield serves the 21 counties of central Pennsylvania and also provides services in conjunction with a separate health plan in southeastern Pennsylvania. Office copayment, at 1-800-810-BLUE or by visiting http: //access.adobe.com you are leaving this website/app ( “site”.... The member 's Primary care Physician is your personal health care Provider ' most popular plan.. Cross and Blue Shield of Florida, Inc., DBA Florida Blue HMO by your BlueLincs HMO who! Finder® to find a Physician in the BlueLincs Service Area Map to if. This formulary was updated on September 2, 2020 follow-up care must be pre-arranged by health. From home ] in 1992 it offered an HMO plan with a Medicare contract your urgent needs. Coverage at competitive prices for healthcare coverage at competitive prices reader program Landmark the! [ 11 ] Deb Devaux, an executive, said providers also wanted to demonstrate willingness towards reform quality managed. 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