When you understand your patients’ health coverage and local health plan networks, you can help maximize your patients’ benefits and boost your own success. Here are some details you should know about new Blue HPN products and the high performance network in Colorado:  New health plans built around Anthem’s Blue High Performance Network are live, effective January 1, 2021.

 

Blue HPN® provides value to our Members and clients.  Anthem Blue Cross Blue Shield is launching Blue HPN to keep pace with the rapidly evolving nature of healthcare and to answer the call from our national employer groups to improve health outcomes and affordability of care for their organizations and employees. 

 

Blue HPN is a national network designed from our local market expertise, deep data and strong provider relationships, and aligned with local networks across the country. These local networks are then connected to the national chassis to form a national Blue HPN network.  In Colorado, the Blue HPN network includes the same set of providers as the Pathway PPO/EPO Network that was already in place.

 

You may see patients accessing this network through either a small group, large group, or national account plans with an Exclusive Provider Organization (EPO) plan design. Under EPO plans, out of network benefits are limited to emergency or urgent care. Members must select a primary care provider, but PCP referrals are not required for specialty care.

 

Blue HPN health plans sold in Colorado will have a plan prefix of C5X, H8C, or H6D, but keep in mind that other prefixes may be part of HPN plan member IDs. Below is a sample ID card for a member from Colorado enrolled in the national employer Blue HPN plan. Note the new “HPN” indicator in the suitcase icon.

 

 

 

Please see our Blue High Performance Network Quick Reference Guide for additional details. 

 

Anthem hosted a “Working with Anthem” webinar focused on Blue HPN in November. If you missed the webinar you may access a webinar recording.  Select the Registration link below, and the access the “Event Recordings”.  The recordings are password protected and case sensitive.  The password for this webinar is “WwA112020”.  Register for a Working with Anthem Webinar

 

 

934-0121-PN-CO



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January 2021 Anthem Provider News and Important Updates -- Colorado