Coverage Policy Documents Under the Affordable Care Act (ACA), health insurers and group health plans are required to provide a Summary of Benefits and Coverage (SBC), along with a glossary of …

Award-winning medical insurance that offers a nationwide network of quality providers. Use the MyBlue app to find doctors in your network, and view up-to-date claims, medication history, and your health …

Use this tool to determine if an outpatient service, item, or provider-administered medication requires authorization or to check the status of an authorization or referral already requested for a specific …

Overview of Covered Services For all members (female, male and other gender identities), assisted reproductive services are considered to be medically necessary when policy criteria are met for the …

Medical Policy Overview & Search Medical policies are scientific documents that define the technologies, procedures, and treatments that are considered medically necessary, not medically …

Download the MyBlue app to find a doctor in your network, view up-to-date claims, check medication history, see your deductible status and account balances, view your health insurance ID card, and …

Note: If you have a health plan through your employer or if you bought one from the Massachusetts Health Connector, please contact them about where to send your payment. *If you bought an …

Appeals and Grievances As a Blue Cross Blue Shield of Massachusetts member, you have a right to a formal review if you disagree with any decision we have made. Effective January 1, 2016, all …

3 days ago · 5 SIMPLE STEPS TO Get More Out of YOUR HEALTH Plan Our 5-step checklist helps you find the benefits and resources you need to take care of yourself and your family. Discover great …

Prior Authorization Overview For some services listed in our medical policies, we require prior authorization. When prior authorization is required, you can contact us to make this request. …