MIIA Town of Newbury

Plan Effective Date: 7/1/2017

Select a plan to see more details:

Plan Options

Medical Plans

About HMO Plans

  • With an HMO plan, you must select a primary care provider (PCP) for yourself and each member of your family.
  • Your PCP coordinates all your care and refers you to specialists when needed.
  • You pay low out-of-pocket costs, as long as your doctors and hospitals are in your HMO plan's network. Out-of-network care is not covered except in limited circumstances.
  • In-network preventive care is covered at no cost.

About PPO Plans

  • With a PPO, you don't have to choose a primary care provider (PCP), but it's highly recommended that you have a relationship with a doctor who can help guide your care.
  • You don't need a referral to see specialists.
  • You have the option of selecting in-network (preferred) or out-of-network (non-preferred) providers. The choice is always yours to make, but you may be responsible for much higher out-of-pocket costs when you seek care out-of-network.
  • In-network preventive care is covered at no cost.

Dental Plans

About Dental Blue Plans

Our Dental Blue plans provide you with the great features and world-class service you have come to expect from Blue Cross.

Your plan will cover a portion of one or more of the following benefit groups:

  • Preventive benefits for diagnostic and preventive care.
  • Basic benefits for restorative care (fillings), oral surgery, periodontics (gum and bone), endodontics (roots and pulp), prosthetic maintenance, and other covered services.
  • Major benefits for prosthodontics (teeth replacement) and restorative (such as crowns).

Please refer to your plan summary for details.

Plan Details

Dental Blue

Network Blue NE Deductible

About HMO Plans

  • With an HMO plan, you must select a primary care provider (PCP) for yourself and each member of your family.
  • Your PCP coordinates all your care and refers you to specialists when needed.
  • You pay low out-of-pocket costs, as long as your doctors and hospitals are in your HMO plan's network. Out-of-network care is not covered except in limited circumstances.
  • In-network preventive care is covered at no cost.
Access

With an HMO plan, you must choose a primary care provider who can help guide your care. Your primary care provider is the first person you call when you need routine or sick care. If you need to see a specialist, your primary care provider will refer you to an appropriate network specialist.

After Hours Care
If you need care and your doctor's office is closed, you have options:

  • Get medical advice from a Blue Cross nurse, 24/7, by calling the Blue Care Line toll-free at 1-888-247-BLUE (2583).
  • Visit a limited services clinic (such as CVS Minute Clinic).
  • Go to an urgent care center (such as CareWell, Doctor's Express, or Health Express) if you have an injury of illness that needs immediate attention, but isn't life threatening.
  • In an emergency, go to the nearest medical facility, or call 911.

Telehealth
Using your smartphone, computer, or tablet, you can access Telehealth services to speak with a doctor or therapist anytime you need care including after business hours and on weekends. Telehealth covers both medical and behavioral health care for conditions that can be treated through video visits. To get started visit the Telehealth website. When registering on the American Well site for the first time, members will be asked for a service key. Your service key is: BCBSMA.

Benefits

Download the Summary of Benefits and Coverage to learn about the plan and get details about your costs.

Download the Summary of Benefits to learn about the plan and get details about your costs.

We offer our members a 90-day supply of certain generic medications for just $9 when the prescription is filled through the Express Scripts Mail Service Pharmacy.

Preferred Blue Basic Coinsurance

About PPO Plans

  • With a PPO, you don't have to choose a primary care provider (PCP), but it's highly recommended that you have a relationship with a doctor who can help guide your care.
  • You don't need a referral to see specialists.
  • You have the option of selecting in-network (preferred) or out-of-network (non-preferred) providers. The choice is always yours to make, but you may be responsible for much higher out-of-pocket costs when you seek care out-of-network.
  • In-network preventive care is covered at no cost.
Access

Your plan includes two levels of coverage: in-network and out-of-network. When you use preferred providers (in-network doctors and hospitals), your coverage is higher (more of the cost is covered) than when you use non-preferred providers (out-of-network doctors and hospitals).

After Hours Care
If you need care and your doctor's office is closed, you have options:

  • Get medical advice from a Blue Cross nurse, 24/7, by calling the Blue Care LineSM toll-free at 1-888-247-BLUE (2583).
  • Visit a limited services clinic (such as CVS Minute Clinic).
  • Go to an urgent care center (such as CareWell, Doctor's Express, or Health Express) if you have an injury of illness that needs immediate attention, but isn't life threatening.
  • In an emergency, go to the nearest medical facility, or call 911.

Telehealth
Using your smartphone, computer, or tablet, you can access Telehealth services to speak with a doctor or therapist anytime you need care including after business hours and on weekends. Telehealth covers both medical and behavioral health care for conditions that can be treated through video visits. To get started visit the Telehealth website. When registering on the American Well site for the first time, members will be asked for a service key. Your service key is: BCBSMA.

Benefits

Download the Summary of Benefits and Coverage to learn about the plan and get details about your costs.

Download the Summary of Benefits to learn about the plan and get details about your costs.

This plan includes prescription drug coverage. Covered medications are separated into three tiers. The amount you pay depends on the medication's tier.

We offer our members a 90-day supply of certain generic medications for just $9 when the prescription is filled through the Express Scripts Mail Service Pharmacy.

Dental Blue

About Dental Blue Plans

Our Dental Blue plans provide you with the great features and world-class service you have come to expect from Blue Cross.

Your plan will cover a portion of one or more of the following benefit groups:

  • Preventive benefits for diagnostic and preventive care.
  • Basic benefits for restorative care (fillings), oral surgery, periodontics (gum and bone), endodontics (roots and pulp), prosthetic maintenance, and other covered services.
  • Major benefits for prosthodontics (teeth replacement) and restorative (such as crowns).

Please refer to your plan summary for details.

Access

Dental Blue offers you access to an extensive network of dentists.

To verify your dentist is in the network, you can use our Find a Doctor & Estimate Costs tool or call us at the number on the front of your Dental Blue ID card.

Benefits

Download the Summary of Benefits to learn about this plan.