New Blue HPN® plans go live January 1, 2021
New health plans built around Anthem’s Blue High Performance Network (HPN) take effect January 1, 2021
Blue HPN® plans offer access to a select set of providers with a record of delivering high-quality, efficient care. Blue HPN networks will go live January 1, 2021, in more than 50 cities across the country. In Virginia, Blue HPN networks will be in place in the Richmond and Washington, D.C-Arlington-Alexandria metro areas. Anthem is offering Virginia national employers Blue HPN plans, and offering large and small group employers in Virginia plans with access to the HPN, referred to as the Blue Connection network.
The Virginia Blue Connection network is a closed narrow network by design, and network participation is offered by invitation only. If you are a participating professional provider, please note that only those provider offices that are physically located within the designated metro areas (as determined by zip code) will be considered in network. Facility and Ancillary providers (such as Physical Therapy, Occupational Therapy, Speech Therapy, Ambulance, Audiology, etc.) have different participation requirements.
A special note for our professional providers located in the northern Virginia Anthem/CareFirst service area: Participation in the Anthem Blue Connection network is based on the physical office location’s nine- digit zip code.
If you are not sure whether your practice is part of the Blue HPN/Blue Connection network, ask your office manager or business office, or contact your Anthem network representative. Blue HPN 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 HPN, or large or small group employer EPO plans and HSA plans with EPO network. Under EPO plans, out-of-network benefits are limited to emergency or urgent care. Members may be required to select a primary care provider (PCP), but PCP referrals are not required for specialty care.
Large group Blue HPN health plans sold in Virginia will have a plan prefix of H8V and small group plans prefixes will include H9V and H5V. Keep in mind that other prefixes may be part of HPN plan member IDs. The new “Blue High Performance Network” logo and “HPN” indicator in the suitcase icon are the most reliable indicators that a member is enrolled in a HPN plan.
The above SAMPLE Virginia ID card is for illustration purposes only.
December 2020 Anthem Provider News - Virginia