[11] Deb Devaux, an executive, said providers also wanted to demonstrate willingness towards reform. One Employers interested in providing BlueLincs HMO for employees, please call 1-888-250-9020. [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. It will open in a new window. [4] In 1992 it offered an HMO plan along with the rise of managed care in the 1990s. ® Registered Marks of the Blue Cross and Blue Shield Association. [6], The company has received praise for its innovative alternative quality contract (AQC) payment model. Home ©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. Dental, Life and Disability are offered by Florida Combined Life Insurance Company, Inc., … 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. When you visit your doctor, you pay only a small office copayment. related information. ... Anthem Blue Cross is an HMO plan with a Medicare contract. Interested in joining BlueLincs HMO? You are leaving this website/app (“site”). Blue Cross Blue Shield of Oklahoma provides reliable Employer Offered insurance, also known as Group Health Plans. [13], When the company was introducing AQCs to providers, "state lawmakers started talking about payment reform", leading to unexpected interest. This new site may be offered by a vendor or an independent third party. Health insurance is offered by Blue Cross and Blue Shield of Florida, Inc., DBA Florida Blue. GeoBlue Medical Insurance for Travel Short-term and long-term international health plans are available for your urgent travel needs. Anthem Blue Cross of California offers affordable Medicare, Medicaid, medical, dental, and vision insurance. BlueLincs Plan H, Value Option and Special Option give employers more choices to save on premiums. If you need a specialist's expertise, your PCP can refer you to one of the many specialists in the BlueLincs HMO network. Browse our plans: Individual and family, medicare, medicaid and state plans, group plans, get a quote, find a doctor. Think of your PCP as a knowledgeable resource in today's complex health care environment. Your Primary Care Physician is your personal health care consultant, working with you to coordinate all your health care needs. Refer to important information for our linking policy. Planning a vacation? "[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. [11] Under the AQC model, groups of doctors and hospitals are paid set fees "to work as a team in caring for patients. BCBSMA formed in 1988 after the merger of Blue Cross and Blue Shield of Massachusetts. The site may also contain non-Medicare Members pay required copayments or deductibles, and claims are filed for the member by the health care provider. Blue Cross Blue Shield of Massachusetts is an Independent Licensee of the Blue Cross and Blue Shield Association. For more recent information or other questions, please contact Premera Blue Cross Medicare [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. The Boston location located on 133 Federal Street is currently under study as a pending Boston Landmark by the Boston Landmarks Commission. There are never any claims to file for routine care, when your care is coordinated by your BlueLincs HMO Primary Care Physician. We provide health insurance in Michigan. 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. Highmark Blue Shield serves the 21 counties of central Pennsylvania and also provides services in conjunction with a separate health plan in southeastern Pennsylvania. URAC accreditation standards are recognized nationally as providing the benchmarks for quality in managed care organizations. Specialist office visits fully covered, with just a. Most PDF readers are a free download. BlueLincs members can use the BlueCard® program to find care outside the BlueLincs service area. Enrollment in Premera Blue Cross depends on contract renewal. To view this file, you may need to install a PDF reader program. It's up to you. You receive the health care you need, and BlueLincs HMO handles the paperwork. 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. With BlueLincs HMO, budgeting for your health care needs is easy. The lowest premiums of any BlueLincs HMO plan. 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 annual maximum out-of-pocket amount a member pays under BlueLincs Special Option is $3,000. Premera Blue Cross is an HMO plan with a Medicare contract. 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. [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. [5][6] BCBSMA ultimately credited $4.2 million, representing Killingsworth's severance, off policyholders' premiums (~$3 per policyholder). HMO coverage is offered by Health Options Inc., DBA Florida Blue HMO. Anthem Blue Cross and Blue Shield Attn: Appeals Department P.O. You'll have low out-of-pocket expenses! Customer Service This formulary was updated on September 2, 2020. 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/. In addition, some sites may require you to agree to their terms of use and privacy policy. To return to our website, simply close the new window. 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 Other Adobe accessibility tools and information can be downloaded at http://access.adobe.com BlueLincs HMO provides a wide choice of physicians and substantial benefits, including low out-of-pocket costs and reliable coverage. Non-Discrimination Notice. Home? Make sure your health benefits go with you when you're away from home. [7], The organization's compensation for its departing CEO, Cleve Killingsworth, totaled $8.6 million in 2010. Enrollment in Anthem Blue Cross depends on contract renewal. File is in portable document format (PDF). This link will take you to a new site not affiliated with BCBSOK. 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. BlueLincs Plan H (BlueLincs' most popular plan). [11] The word "capitation" was discouraged during company meetings, as it proved unpopular with providers under the managed care of the 1990s. [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. 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. Read more about how Blue Cross of Idaho is dedicated to being the best choice for healthcare coverage at competitive prices. [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. [13] AQCs were envisioned as a way to increase provider accountability. All routine or follow-up care must be pre-arranged by the member's primary care physician before the member leaves town. [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". [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. [8] When this was reported in 2011, public anger and a four-month investigation from the Massachusetts Attorney General followed. Consult the Provider Finder® to find a physician in the BlueLincs HMO network who best fits your needs! And if you need a prescription, a prescription copayment is all you owe. [6] The number of policyholders dropped slightly between the first and second quarters of 2011, due to the economy and layoffs. © Copyright document.write(new Date().getFullYear()) Health Care Service Corporation. You don't have to choose between quality health insurance benefits and affordable coverage. There's no deductible to meet. 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). Choose us as your insurance provider today. Child's school? All Rights Reserved. Along with the change in name, the bike sharing system will expand with more bikes and branded stations. 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). 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. [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. Highmark Blue Cross Blue Shield serves the 29 counties of western Pennsylvania and 13 counties of northeastern Pennsylvania. That's real convenience — and savings! Legal and Privacy You decide what's best for you — a doctor near your job? The annual maximum out-of-pocket amount a member pays under BlueLincs Plan H is $2,000. A Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association Use our BlueLincs HMO Service Area Map  to determine if this product is offered where you live or work. A pending Boston Landmark by the health care environment AQC ) payment model you when you visit doctor. Can be downloaded at http: //www.bcbs.com/ care, when your care is by. Required copayments or deductibles, and claims are filed for the member leaves town including out-of-pocket! 7 ], the bike sharing system will expand with more bikes and branded stations and second quarters 2011. [ 13 ] AQCs were envisioned as a way to increase Provider accountability choice. 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