Plans accessing new Blue HPN® network go live Jan. 1, 2021
Blue HPN® plans offer access to a select set of providers with a record of delivering high quality, efficient care. Blue HPN will go live January 1, 2021 in more than 50 cities across the country.
In Wisconsin, the Blue HPN network is called Blue Connection, and covers the Milwaukee metro area. 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 Blue HPN Blue Connection network.
Beginning January 1, you may see patients accessing a Blue HPN 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, 2021.
Below is a sample ID card for a member from Wisconsin enrolled in the national employer Blue HPN plan. Note the new “Blue High Performance Network” and “Blue Connection” network names and “HPN” indicator in the suitcase icon.
You may see Wisconsin member ID prefixes H8W and H9W for these plans.
December 2020 Anthem Provider News - Wisconsin