New Blue HPN® plans go live on January 1, 2021
As employers across the country host open enrollment periods for their employees, many will offer a new option this fall: plans built around a Blue High Performance Network.
Blue High Performance Network® plans offer access to providers with a record of delivering high-quality, efficient care. These networks will go live January 1, 2021 in more than 50 cities across the country, including Las Vegas.
The Blue High Performance Network 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 High Performance Network. In Nevada, the Pathway HMO network is our Blue High Performance Network. Providers participating in the Pathway HMO will be in-network for any members with High Performance Network plans.
If you are not sure whether your practice is part of the Pathway HMO network and therefore the Blue High Performance Network, ask your office manager or business office, or contact your Anthem network representative. Blue High Performance Network participation will be displayed in provider profiles in our provider directory January 1, 2021.
Beginning January 1, you may see patients accessing this network through either a national employer plan, Blue High Performance Network, or large group employer plans with access to the Pathway HMO network. Under these 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.
Large group BlueHPN health plans sold in Nevada will have a plan prefix of H8N, but keep in mind that other prefixes may be part of HPN plan member IDs. The Member ID card sample below has the “HPN” indicator in the suitcase icon are the most reliable indicators that a member is enrolled in an HPN plan.
Note: The High Performance Network acronym HPN is not used in conjunction or affiliated with any other local organizations known by the same acronym.
December 2020 Anthem Provider News and Important Updates -- Nevada