State of Connecticut employer group and Connecticut partnership plan

Effective October 1, 2020 Anthem became the sole medical carrier for the State of Connecticut Employer Group and the Connecticut Partnership Plan. 

 

Members with the State BlueCare plans listed below have out of area privileges and can be seen by New York Empire BlueCross BlueShield (“Empire”) providers who are participating in the Empire HMO and/or Traditional network.  Please see blank suitcase in the sample ID card below which indicates their national out of area privileges.  These members should be considered BlueCard eligible members and claims submission should follow those rules.  The majority of State and Partnership members have a BlueCare plan. 

 

Members with the State Preferred plan (only) will use the PPO network and submit through BlueCard.

 

Network Name	Product Type	State of Connecticut	State Partnership Plan
State Preferred	PPO	XGS
State BlueCare	HMO - Point of Service (PCP referral not required)	XGR	SHP
State BlueCare	HMO - Point of Enrollment (PCP referral not required)	XGT
State BlueCare	HMO - Point of Enrollment (PCP referral required)	XGL
State BlueCare Prime (Narrow Network)	HMO (PCP referral required) NOT A TIERED PLAN	X6G

 




1044-0421-PN-NY