Plans accessing BlueHPN network go live January 1, 2022
Anthem Blue Cross and Blue Shield (Anthem) has expanded our high performance network to Calumet, Outagamie and Winnebago counties, allowing employers there to offer their employees Blue High Performance NetworkSM (BlueHPNSM) plans for the 2022 benefit year. BlueHPN® plans offer access to a select set of providers with a record of delivering high quality, efficient care.
In Wisconsin, the BlueHPN network is called Blue Connection, and includes providers in Calumet, Kenosha, Milwaukee, Outagamie, Ozaukee, Racine, Washington, Waukesha and Winnebago counties. Anthem is offering large and small group employers in Wisconsin employee benefit plans with access to the HPN. These plans offer an Exclusive Provider Organization (EPO) benefit design and are supported by the BlueHPN, Blue Connection network.
Beginning January 1, 2022, you may see patients accessing a BlueHPN network this network through either a national, or local employer plan. Under EPO benefit 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.
If you are not sure whether your practice is part of Blue Connection, ask your office manager or business office, or contact your Anthem network representative. Blue Connection participation will be displayed in provider profiles in our provider directory January 1, 2022.
Below is a sample ID card for a member from Wisconsin enrolled in the national employer BlueHPN plan. Note the new “Blue High Performance Network” and “Blue Connection” network names and “BlueHPN” indicator in the suitcase icon.
You may see Wisconsin member ID prefixes H8W and H9W for these plans.
If you are interested in learning more, please see the BlueHPN FAQ, BlueHPN Introduction WI and BlueHPN Quick Reference Guide WI that are available under Forms and Guides on anthem.com. Select Providers, Forms and Guides under Provider Resources.
December 2021 Anthem Provider News - Wisconsin