Provider Network Information
Who are Preferred Providers?
Beginning with the 2016-2017 policy year, the Preferred Provider Network will be Blue Cross Blue Shield of Massachusetts. A Preferred Provider is a doctor, hospital or other health care provider that participates in the Blue Cross Blue Shield of Massachusetts Blue Care Elect PPO Network.
The advantage to using a preferred provider is that these providers have agreed to accept a predetermined fee or preferred allowance as payment for their services. Out of network providers have not agreed to any prearranged fee schedule. Consequently, when insured students use preferred providers, out-of-pocket expenses will be less because any applicable co-payment will be based on a preferred allowance.
The insured person should be aware that preferred provider hospitals may be staffed with out of network providers. Receiving services or care from an out of network provider at a preferred provider hospital does not guarantee that all charges will be paid at the preferred provider level of benefits.
How do I find a Preferred Provider?
Students looking for a Massachusetts provider should call 800-821-1388 or visit and select the "Blue Care Elect (PPO/EPO)" Network:
Searching for Worldwide Providers?
In order to find a Blue Cross participating provider outside of Massachusetts, visit:
Access to CVS MinuteClinics
Blue Cross Blue Shield of Massachusetts has partnered with CVS to offer students enrolled in the Student Health Insurance Program access to a range of simple medical treatments at CVS MinuteClinics. Members can get care at these limited services clinics, usually for the same copayment as their primary care provider and without the need for a referral.
MinuteClinics are available 7 days a week at more than 30 eastern Massachusetts CVS locations. In addition to being convenient, MinuteClinics can help reduce costly visits to the emergency room.
To find a participating MinuteClinic in Massachusetts, you should:
- Visit http://www.bluecrossma.com
- Select that you are a Member
- Select "Using My Plan" from the navigation bar at the top of the screen
- Select "Find a Doctor, Dentist, or Hospital" from the drop-down
- Scroll down the page and select "Find Other Medical Service/Supplies"
- Select the Blue Care PPO/EPO Network
- If you know the provider's name, enter it here: Type In CVS or Select Specialty "Clinics, Limited Service"
- Enter Zip Code & chose Radius
- Click on Search now
For the 2015-2016 Plan Year:
To find a Harvard Pilgrim Provider for the 2015-2016 plan year in MA, NH, or ME
To find a Provider outside of MA, NH, and ME please go to UnitedHealthcare Options PPO:
Click here to access the United Behavioral Health Network:
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