products

Home

Administrative

Billing & Reimbursement

Products

The Products section is designated for information pertaining to new product offerings, tiered network products, and benefit language changes and clarifications.

Communications

Prod
2022 Updates
- •
  New Jersey launches Value Plus network Posted: 11/1/2022
- •
  New Jersey to expand network access with Value Plus Posted: 9/7/2022
- •
  Benefit language clarifications for commercial members Posted: 2/28/2022
Prod
2021 Updates
- •
  New Credence BCBS plan - Effective January 1, 2022 Posted: 12/20/2021
- •
  What's new for 2022 Medicare Advantage plans Posted: 10/18/2021
- •
  Introducing Blue Medicare Advantage Posted: 1/19/2021
- •
  What’s new for 2021 Medicare Advantage plans Posted: 1/7/2021
Prod
2020 Updates
- •
  BCBS launches national high-performance networkPosted: 12/22/2020
- •
  Benefit language changes and clarifications for commercial membersPosted: 12/15/2020
- •
  New! 2021 Medicare Advantage plans will not include tiering of medical benefitsPosted: 12/8/2020
- •
  What’s new for 2021 Medicare Advantage plansPosted: 10/5/2020
- •
  New acupuncture benefit for Medicare Advantage members with chronic low back painPosted: 8/18/2020
- •
  What’s new for 2020 Medicare Advantage plans?Posted: 1/13/2020
- •
  New medical and pharmacy product portfolios now available Posted: 1/13/2020
Prod
2019 Updates
- •
  Vital Care Program expanded for 2020Posted: 12/19/2019
- •
  Benefit tier re-evaluation for Keystone HMO Proactive Posted: 12/10/2019
- •
  Benefit language changes and clarifications for commercial membersPosted: 12/10/2019
- •
  New medical and pharmacy product portfolios available for 2020Posted: 11/27/2019
- •
  New! $0 Personal Choice 65^SM Prime Rx PPO plan and Medigap plansPosted: 11/13/2019
- •
  New medical and pharmacy product portfolios available for 2020Posted: 10/4/2019
- •
  Medicare Advantage plans: What’s new for 2020Posted: 10/1/2019
- •
  $0 cost-share program for certain prescription medications through DecemberPosted: 9/23/2019
- •
  Reminder of changes to our Medicare Advantage plans for 2019Posted: 1/15/2019
Prod
2018 Updates
- •
  New coverage option for FEP membersPosted: 12/20/2018
- •
  Identifying Preferred PCPs and the required copayments Posted: 12/20/2018
- •
  New products and improvements to existing plans for our Medicare members Posted: 11/19/2018
- •
  Member benefit changes and clarifications for commercial membersPosted: 11/16/2018
- •
  Recent changes to CMS requirements and additions to Medicare Advantage AddendumsPosted: 11/12/2018
- •
  Important information regarding our new Preferred PCP benefit for 2019Posted: 10/24/2018
- •
  Medicare Advantage plans: What’s new for 2019Posted: 10/1/2018
- •
  Introducing a new PCP-tiered benefit for 2019Posted: 9/24/2018
- •
  Introducing the Flexible NetworkPosted: 4/18/2018
- •
  NaviNet^® Eligibility and Benefits Inquiry enhancementPosted: 2/28/2018
- •
  Reminder of changes to our Medicare Advantage plans for 2018Posted: 1/4/2018
Prod
2017 Updates
- •
  Learn more about Keystone 65 Basic HMO – New for 2018!Posted: 12/21/2017
- •
  The Vital Care Program continues in 2018Posted: 12/20/2017
- •
  Member benefit changes and clarifications for commercial membersPosted: 11/6/2017
- •
  New medical and pharmacy product portfolios available for 2018Posted: 10/20/2017
- •
  Benefit tier re-evaluation for Keystone HMO ProactivePosted: 10/10/2017
- •
  Medicare Advantage plans: What’s new for 2018Posted: 10/3/2017
- •
  Verifying cost-sharing for Vital Care Program membersPosted: 7/31/2017
Prod
2016 Updates
- •
  New value-based insurance design programPosted: 12/1/2016
- •
  Member benefit changes and clarifications forcommercial membersPosted: 10/31/2016
- •
  Keystone 65 Focus: Participating hospitals for 2017Posted: 10/31/2016
- •
  Medicare Advantage plans: What’s new for 2017Posted: 10/3/2016
- •
  Benefit tier re-evaluation for Keystone HMO ProactivePosted: 10/3/2016
Prod
2015 Updates
- •
  Keystone 65 Focus coverage starts in 2016Posted: 12/30/2015
- •
  Capitation arrangements for Keystone 65 FocusPosted: 12/1/2015
- •
  Clarification: New routine chiropractic and podiatry benefits for Medicare Advantage plans in 2016Posted: 12/1/2015
- •
  Member benefit changes and clarifications for commercial members Posted: 10/30/2015
- •
  Keystone 65 Focus now available for 2016Posted: 10/30/2015
- •
  Benefit tier re-evaluation for Keystone HMO Proactive Posted: 10/1/2015
- •
  Upcoming Medicare Advantage HMO and PPO benefit changes Posted: 10/1/2015
- •
  Keystone 65 Focus Rx HMO, our new Medicare Advantage benefit product Posted: 10/1/2015
- •
  Introducing Keystone 65 Focus Rx HMO, our new defined-network Medicare Advantage planPosted: 9/1/2015
Prod
2014 Updates
- •
  Member benefit changes and clarifications for commercial membersPosted: 10/31/2014
- •
  Upcoming Medicare Advantage HMO and PPO benefits changes Posted: 10/1/2014
- •
  Reminder: Benefit tier re-evaluation for Keystone HMO Proactive Posted: 8/28/2014
- •
  Benefit tier re-evaluation for Keystone HMO ProactivePosted: 7/31/2014
- •
  Cost-sharing for Keystone HMO Proactive membersPosted: 1/9/2014
- •
  Medicare Advantage HMO and PPO benefit changes now in effectPosted: 1/9/2014
- •
  Reminder: Keystone HMO Proactive coverage starting in 2014Posted: 1/3/2014
Prod
2013 Updates
- •
  Keystone HMO Proactive coverage starting in 2014Posted: 12/2/2013
- •
  New provider resource for Keystone HMO ProactivePosted: 11/1/2013
- •
  Member benefits changes and clarifications for commercial membersPosted: 11/1/2013
- •
  New provider resource for Keystone HMO ProactivePosted: 10/18/2013
- •
  Upcoming Medicare Advantage HMO and PPO benefits changesPosted: 10/2/2013
- •
  SOR changes for members migrated to the new platformPosted: 10/2/2013
- •
  New IBC products available through the Health Insurance MarketplacePosted: 8/1/2013
- •
  Reminder: New IBC products available through health insurance marketplacesPosted: 7/1/2013
- •
  New IBC products available through health insurance marketplacesPosted: 5/31/2013
Prod
2012 Updates
- •
  Reminder: Upcoming changes for Keystone 65 Select HMOPosted: 11/1/2012
- •
  Benefits changes and clarifications for commercial membersPosted: 11/1/2012
- •
  Upcoming Medicare Advantage HMO and PPO benefits changesPosted: 11/1/2012
- •
  Upcoming changes for Keystone 65 Select HMOPosted: 9/28/2012
- •
  New arrangement for self-funded national account customersPosted: 9/28/2012
- •
  Summer 2012 edition of Inside IPP now availablePosted: 7/31/2012
- •
  Enhanced outreach program for Medicare Advantage HMO and PPO membersPosted: 6/29/2012
- •
  Spring 2012 edition of Inside IPP now availablePosted: 5/1/2012
- •
  Information and resources for your Medicare-eligible patientsPosted: 5/1/2012
- •
  New hospitals join Keystone 65 Select HMO networkPosted: 1/31/2012
Prod
2011 Updates
- •
  Winter 2011 edition of Inside IPP now availablePosted: 12/29/2011
- •
  Reminder: Medicare Advantage HMO and PPO benefits changesPosted: 12/29/2011
- •
  Change to mass adjustments for outpatient fee schedule changes for IBC member claimsPosted: 12/1/2011
- •
  Upcoming Medicare Advantage HMO and PPO benefits changesPosted: 11/1/2011
- •
  Reminder: Introducing Keystone 65 Select HMOPosted: 11/1/2011
- •
  Benefits changes and clarifications for commercial membersPosted: 11/1/2011
- •
  Introducing Keystone 65 Select HMOPosted: 10/3/2011
- •
  New options available for Blue Solutions^® product portfolioPosted: 9/1/2011
- •
  Summer 2011 edition of Inside IPP now available Posted: 7/28/2011

Quick Links

Behavioral Health

Behavioral Health FAQ

Bulletins

Provider Data Maintenance

EFT Resources

Forms

Frequently Asked Questions

Manuals

Medical and Claim Payment Policy Portal

Opioid Awareness

Platform Transition

Provider eBusiness Inquiry form

Provider Home

Services that require precertification

Utilization Management

Value-based programs