Effective : 7 / 1 / 2018

Welcome  MIIA City of Newburyport

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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.

Network Blue Select

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 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.

ER Alternatives
Depending on how severe your medical concern is, the emergency room isn't always your best option. Nearby retail clinics and urgent care centers can treat many conditions in less time and for less money. Learn about Emergency Room Alternatives and download our helpful guide to find the best fit for your needs.

Download the Summary of Benefits and Coverage 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.

Network Blue NE Deductible

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 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.

ER Alternatives
Depending on how severe your medical concern is, the emergency room isn't always your best option. Nearby retail clinics and urgent care centers can treat many conditions in less time and for less money. Learn about Emergency Room Alternatives and download our helpful guide to find the best fit for your needs.

Download the Summary of Benefits and Coverage 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.

Blue Care Elect Preferred

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.

ER Alternatives
Depending on how severe your medical concern is, the emergency room isn't always your best option. Nearby retail clinics and urgent care centers can treat many conditions in less time and for less money. Learn about Emergency Room Alternatives and download our helpful guide to find the best fit for your needs.

Download the Summary of Benefits and Coverage 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.