Quality Care and Large Network Access
Quality care is at the heart of Blue Cross health plans. The Blue High Performance Network features:
- A select group of doctors, hospitals, and specialists who focus on delivering high-quality care measured against national standards.
- A design aimed to enhance the quality of care while reducing costs.
- A reliable and efficient health care experience for members.
Patients within the Blue High Performance Network benefit from significant cost savings, with an average of 11% savings on total care costs. Additionally, these patients are less likely to experience hospital readmissions compared to national averages, highlighting the effectiveness of this largest network in promoting better health outcomes.
Members can search for healthcare providers, including doctors and hospitals, through Blue Cross Blue Shield’s online resources. This comprehensive directory provides access to a wide range of qualified health plans and providers, simplifying the process of finding necessary care.
Affordable Family Health Insurance Plans
Affordability is a key consideration when choosing a health insurance plan, especially for families. Anthem, part of the Blue Cross Blue Shield network, offers a range of health insurance plans tailored to fit various budgets and healthcare needs. These family health plans include coverage for medical services, pharmacy benefits, and supplemental insurance, ensuring that all aspects of your family’s health are covered.
Blue Cross Blue Shield offers Medicaid plans for low-income families and individuals, providing affordable healthcare coverage. In some areas, plans with premiums as low as $0 or $1 are available, making quality health care more accessible.
Specialty Care and Prescription Drugs Coverage

When it comes to specialty care and prescription drugs, Blue Cross health plans are designed to provide comprehensive coverage. Members have the convenience of filling their prescriptions at over 55,000 retail pharmacies across the country, ensuring that you can access your medications wherever you are.
The Prescription Drug Cost Tool is an invaluable resource that allows members to check drug costs and get personalized information 24/7. This tool helps you manage your prescription budget effectively and ensures that you are always informed about the cost of your medications.
Prescription drugs are categorized into tiers, with lower tiers generally resulting in lower costs for members. Additionally, certain specialty drugs may require prior approval to confirm medical necessity and appropriate prescription practices to qualify for the most suitable and effective treatment.
Virtual Visits and Telehealth Services
In today’s fast-paced world, virtual visits and telehealth services are becoming increasingly important. Blue Cross health plans offer a range of virtual care options, including telehealth and e-visits, allowing you to interact with healthcare providers without the need for in-person appointments. This convenience reduces the need for travel and minimizes exposure to illness.
Telehealth visits and e-visits differ in cost structure:
- Telehealth visits are generally treated like regular in-person consultations in terms of costs.
- E-visits often have a fixed, lower cost.
- Many Blue Cross plans offer unlimited e-visits without member cost share for in-network providers, making it easier and more affordable to access care.
Coverage for virtual care varies by health plan, so checking specific plan details is necessary. Telehealth services also offer access to licensed mental health professionals via phone or online platforms, providing convenient and confidential mental health support.
Mental Health and Wellness Support
Mental health and wellness are vital for overall well-being. Blue Cross offers a range of mental health programs to support emotional, psychological, and social health. The Service Benefit Plan covers professional services from licensed mental health providers, ensuring access to necessary support.
Common mental health conditions covered by Blue Cross include anxiety, depression, and PTSD, among others. Blue Cross emphasizes the importance of a support system and encourages participation in treatment decisions, recognizing that a strong support network is vital for effective mental health care.
Through the Blue365 program, members receive exclusive discounts on health and wellness products, promoting a commitment to an independent healthier community news life style.