MIIA Town of Amherst

Plan Effective Date: 7/1/2018

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.

Network Blue NE Deductible with HCCS

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 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.

Well Connection—Care at Your Convenience
See licensed doctors and providers using live video visits on your favorite device. Get medical care 24/7, or schedule behavioral health appointments when they’re convenient for you. Well Connection doctors can review your medical history and diagnose, treat, and even prescribe medication for medical conditions if necessary. Download the app or visit wellconnection.com.

Telehealth benefits cover live video visits with Well Connection doctors and providers, as well as local doctors and providers in the Blue Cross Blue Shield of Massachusetts network who offer live video visits through another service.

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.

Blue Care Elect Deductible with HCCS

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.