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Regulatory Updates
BLUE CROSS
BLUE SHIELD
UPDATES
A new network – Blue Access

Effective January 1st, 2019 Empire launch a new limited network of providers. Those providers who are currently participating in Pathway network will be participating in the new Blue Access network. Check your mail for the letter from Empire about this network, otherwise contact network management coordinator. Please note the reimbursement for the Blue Access Network will be at the current Small Group rate.

Eligible members will have ID cards with note “Blue Access” at the top of the card. Benefit plans will cover only participating providers’ services. If a non-participating provider’s services required an Advance Patient Notice form will apply. It can be downloaded at empireblue.com

Small Group Health Benefit Plans utilizing the Blue Access network:
Product Network Name Medical Product Type Small Group Health Benefit Plans Description BCA Prefix
Small Group Blue Access EPO Empire Bronze Blue Access EPO
Empire Gold Blue Access EPO
Empire Platinum Blue Access EPO
Empire Silver Blue Access EPO
YXE
Small Group Blue Access Gatekeeper EPO Empire Bronze Blue Access GEPO*
Empire Gold Blue Access GEPO*
Empire Platinum Blue Access GEPO*
Empire Silver Blue Access GEPO*
XNU
Small Group Blue Access HSA-HMO Empire Bronze Blue Access HMO*
Empire Gold Healthy New York Blue Access HMO*
YXC
YXD
*PCP and Referrals required
Insights
December 2018