Effective: 7/1/2021

Welcome  MIIA Town of Southbridge

Select a plan to see more details:

GET THE MOST OUT OF YOUR PLAN


VIEW EKIT Getting eKit...

VISIT MYBLUE Your plan has more benefits than you probably realize. Tap into all of them, all in one place.

FIND A DOCTOR Search for a doctor, health care professional, or medical facility near you. You’re one click away from finding the care you need.

MEDICATION LOOK UP Search for any medication, see what your plan covers, and find covered alternatives to non-covered medications.

CONTACT US Questions about your plan? We’re here to help. Find out how to get in touch with us.

SAVE WITH BLUE365® Get exclusive discounts and deals on sportswear, nutrition, travel, fitness equipment, and more.

GET THE MYBLUE APP Get your plan in your hand. It’s never been easier, faster, or more convenient to stay on top of your coverage.

UNDERSTANDING YOUR PLAN AND BENEFITS Access additional tools to help you understand how your insurance works.

About HMO Plans

  • With an HMO plan, you must choose a primary care provider (PCP) for each member of your plan.
  • Referrals are required before you're covered to see a specialist.
  • You're covered for eligible services when you visit in-network providers. Out-of-network care is covered only in case of an emergency.
  • In-network preventive care is covered at no additional cost.

About PPO Plans

  • With a PPO, you aren't required to choose a primary care provider (PCP), but we highly recommend that you have a relationship with a primary doctor who can help guide your care.
  • You don't need a referral to see specialists.
  • You can visit in-network and out-of-network providers, but you'll pay lower out-of-pocket costs when you stay in-network for care.
  • In-network preventive care is covered at no additional cost.

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.

With Blue 20/20, you can save on eyeglasses, contacts, and routine eye exams. We have partnered with EyeMed to bring you more choice, more value, and more flexibility.

Once you're enrolled in Blue 20/20 through your employer, you can find an eye doctor by visiting the Blue 20/20 website or calling 1-855-875-6948.

HMO Select Network Deductible $300

Doctors and Hospitals
With an HMO plan, you must choose a primary care provider (PCP) who can help guide your care, and is the first person you call when you need routine or sick care. The PCP will also refer you to specialists for care when needed.

After Hours Care
If you need care and your doctor’s office is closed, you have options. In an emergency, you should go to the nearest medical facility or call 911. If the condition isn’t life-threatening, you can:

  • Call the 24/7 Nurse Line at 1-888-247-BLUE(2583) to get immediate advice from a registered nurse, day or night.
  • Use Well Connection for online video doctor visits, 24/7.
  • Visit a limited services clinic, such as CVS Minute Clinic®´´, for simple medical concerns.
  • Go to an urgent care center, such as CareWell®´', for conditions that require immediate treatment.

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.

Well Connection
Get convenient access to the care you need with Well Connection video visits. Well Connection doctors can review your medical history, and diagnose, treat, and even prescribe medications for medical conditions if necessary.

  • Get medical care 24/7– Speak face-to-face with a doctor, in the privacy of your home.
  • Therapy that comes to you – Talk to a licensed therapist or psychiatrist, on your terms. It's convenient and confidential.

Telehealth benefits cover remote doctor visits by phone or video with Well Connection providers, as well as local doctors and providers in our network who offer telehealth through another service.

Your Plan Details
Understanding your plan is the best way to get the most value from it. To learn more about this plan and its costs, look at your Summary of Benefits and Coverage.

Learn more about your pharmacy plan through Express Scripts.

Download the Express Scripts mobile app to order and keep track of prescriptions.

$9 Generic Medications
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.

Select Network Fact Sheet 2021

Select Network Fact Page

HMO New England Deductible $300 with HCCS

Doctors and Hospitals
With an HMO plan, you must choose a primary care provider (PCP) who can help guide your care, and is the first person you call when you need routine or sick care. The PCP will also refer you to specialists for care when needed.

After Hours Care
If you need care and your doctor’s office is closed, you have options. In an emergency, you should go to the nearest medical facility or call 911. If the condition isn’t life-threatening, you can:

  • Call the 24/7 Nurse Line at 1-888-247-BLUE(2583) to get immediate advice from a registered nurse, day or night.
  • Use Well Connection for online video doctor visits, 24/7.
  • Visit a limited services clinic, such as CVS Minute Clinic®´´, for simple medical concerns.
  • Go to an urgent care center, such as CareWell®´', for conditions that require immediate treatment.

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.

Well Connection
Get convenient access to the care you need with Well Connection video visits. Well Connection doctors can review your medical history, and diagnose, treat, and even prescribe medications for medical conditions if necessary.

  • Get medical care 24/7– Speak face-to-face with a doctor, in the privacy of your home.
  • Therapy that comes to you – Talk to a licensed therapist or psychiatrist, on your terms. It's convenient and confidential.

Telehealth benefits cover remote doctor visits by phone or video with Well Connection providers, as well as local doctors and providers in our network who offer telehealth through another service.

Your Plan Details
Understanding your plan is the best way to get the most value from it. To learn more about this plan and its costs, look at your Summary of Benefits and Coverage.

Learn more about your pharmacy plan through Express Scripts.

Download the Express Scripts mobile app to order and keep track of prescriptions.

$9 Generic Medications
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.

PPO Blue Care Elect Deductible $300 with HCCS

With a PPO plan, you’re covered when you see in-network and out-of-network providers. You pay lower out-of-pocket costs when you visit in-network doctors and hospitals than when you visit out-of-network, or non-preferred, providers.

After Hours Care
If you need care and your doctor’s office is closed, you have options. In an emergency, you should go to the nearest medical facility or call 911. If the condition isn’t life-threatening, you can:

  • Call the 24/7 Nurse Line at 1-888-247-BLUE(2583) to get immediate advice from a registered nurse, day or night.
  • Use Well Connection for online video doctor visits, 24/7.
  • Visit a limited services clinic, such as CVS Minute Clinic®´´, for simple medical concerns.
  • Go to an urgent care center, such as CareWell®´', for conditions that require immediate treatment.

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.

Well Connection
Get convenient access to the care you need with Well Connection video visits. Well Connection doctors can review your medical history, and diagnose, treat, and even prescribe medications for medical conditions if necessary.

  • Get medical care 24/7– Speak face-to-face with a doctor, in the privacy of your home.
  • Therapy that comes to you – Talk to a licensed therapist or psychiatrist, on your terms. It's convenient and confidential.

Telehealth benefits cover remote doctor visits by phone or video with Well Connection providers, as well as local doctors and providers in our network who offer telehealth through another service.

Your Plan Details
Understanding your plan is the best way to get the most value from it. To learn more about this plan and its costs, look at your Summary of Benefits and Coverage.

Download the Express Scripts mobile app to order and keep track of prescriptions.

Learn more about your pharmacy plan through Express Scripts.

$9 Generic Medications
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 Freedom

With Dental Blue, you can find dentists anywhere. Your plan gives you nationwide network access to some of the top dentists and specialists, plus an easy tool to locate them.

To verify that your dentist is in your network, you can use our Find a Doctor & Estimate Costs tool. Learn how to search for in-network dentists here.

Your Plan Details
Understanding your plan is the best way to get the most value from it. To learn more about this plan and its costs, look at your Summary of Benefits.

Dental Blue Service Map

Dental Blue Service Map

Blue 20/20 Vision Plan