As employers across the country hold open enrollment periods for their employees, some employees may be offered a new option for next year: plans built around a Blue High Performance Network (HPN).  If your patients ask about this plan, we want you to know the facts.


Blue HPN® plans offer access to a smaller network of providers, who have a record of delivering high-quality, cost efficient care. Blue HPN networks will go live January 1, 2021 in more than 50 cities across the country.


In Kentucky, the Blue HPN network covers 116 counties. The hospital and medical professional network is smaller than the Blue Access network, so it is important that you check network participation through the Anthem online provider directory.


If you are not sure whether your practice is part of the Pathway EPO/PPO network, ask your office manager or contact your Anthem network relations consultant. Blue HPN participation will be displayed in provider profiles on our Anthem online provider directory as of January 1, 2021.


Beginning January 1, 2021, you may see patients accessing this network through either a national employer plan, or Kentucky large and small group employer plans. The plan design is an EPO, so out-of-network benefits are limited to emergency or urgent care. Members must select a primary care provider (PCP), but PCP referrals are not required for specialty care.


Large group Blue HPN health plans sold in Kentucky will have a plan prefix of H8Y and small group HPN plans sold in Kentucky will have a prefix of H9Y.  Keep in mind that other prefixes may be part of HPN plan member IDs. Below is a sample ID card for a Kentucky member enrolled in a large group Blue HPN plan. Please note the new “Blue High Performance Network” logo and “HPN” indicator in the suitcase icon.

The sample ID card below is for a Kentucky member enrolled in a national employer Blue HPN plan, with an H7K prefix. This ID card will also include the “Blue High Performance Network” logo and “HPN” indicator in the suitcase icon.  These are the most reliable ID card indicators that a member is enrolled in an HPN plan.


Featured In:
December 2020 Anthem Provider News - Kentucky