There are several ways for you to keep updated about product changes, news releases, and other information about Blue Cross Blue Shield of Massachusetts.
To access our most up-to-date information, review the headlines below or click on a section under the What's New category.
Effective July 1, 2025, medical policy change for the Blue Cross Blue Shield of Massachusetts formulary
Effective July 1, 2025, we're updating a medical policy for our formulary (list of covered medications) for medical plans with pharmacy benefits, as well as Medex®´1 plans with a three-tier pharmacy benefit. Learn more.
Effective April 1, 2025, changes to the Standard Control with Advanced Control Specialty Formulary
Effective April 1, 2025, CVS Caremark®', an independent company that administers your pharmacy benefits on behalf of Blue Cross Blue Shield of Massachusetts, is updating their formulary (list of covered medications) for select self-insured plans (500+) with the Standard Control with Advanced Control Specialty Formulary. Learn more.
Changes to Our Specialty Pharmacy Network for Fertility Medications
On December 1, 2024, Encompass Fertility®´ will be leaving our specialty pharmacy network and CVS Specialty™ will be joining. Learn more.
Virgin Pulse® is rebranding to Personify HealthTM
Virgin Pulse, an independent company which powers our ahealthyme Rewards program, is rebranding to Personify Health. This won’t affect the functionality of ahealthyme Rewards, and the program will continue to operate as usual, providing the same high-quality service and support. Learn more.
Announcing Upcoming Webinars
We’re excited to announce upcoming webinars in our account webinar series, which allow your organization’s leadership and human resources teams to learn more about your health plan benefits from our subject matter experts. Learn more.
Fight Diabetes with Our Enhanced Dental and Vision Benefits
November is Diabetes Awareness Month. There’s no better time to consider adding Dental Blue® and Blue 20/20 plans to your employee benefits package. All our plans include enhanced benefits that are designed specifically to help members with diabetes, and are included at no additional cost to you and your employees. Learn more.
We're Activating Key Pharmacy Features in the New MyBlue App
In September, we transformed the MyBlue app to give members an easier way to understand and use their health plan. With the initial relaunch, pharmacy tools were temporarily unavailable. We’re happy to announce that key pharmacy tools and features will be returning to the app. Learn more.
UPDATE - Effective January 1, 2025, Changes to the Blue Cross Blue Shield of Massachusetts Formulary and Medical Policy Updates
Effective January 1, 2025, we’re updating our formulary (list of covered medications) for medical plans with pharmacy benefits, as well as Medex®´1 plans with a three-tier pharmacy benefit. Learn more.
UPDATE - Effective January 1, 2025, Changes to the Standard Control with Advanced Control Specialty Formulary
Effective January 1, 2025, CVS Caremark®´, an independent company that administers your pharmacy benefits on behalf of Blue Cross Blue Shield of Massachusetts, is updating their formulary (list of covered medications) for select self-insured plans (500+) with the Standard Control with Advanced Control Specialty Formulary. Learn more.
Announcing Upcoming Webinars
We’re excited to announce upcoming webinars in our account webinar series, which allow your organization’s leadership and human resources teams to learn more about your health plan benefits from our subject matter experts. Learn more.
Health Plan Updates for 2025
Effective January 1, 2025, and upon renewal, we’re enhancing our health plan offerings to meet not only ongoing requirements, but also the market demand to provide high-quality, more affordable coverage you and your employees expect from Blue Cross. Learn more.
Effective January 1, 2025, Inpatient Benefit Change for Blue Cross Blue Shield of Massachusetts
Effective January 1, 2025, we’re updating the Blue Cross Blue Shield of Massachusetts Inpatient Coverage Benefit. Learn more.
Dental Blue®: Affordable, Market-leading Dental Coverage for Your Employees
Enhance your benefits package with Dental Blue’s affordable, flexible, and comprehensive coverage. Support your employees’ oral health while earning discounts through our Pathway to Savings program (offered only to large-group (51+) employers) when you bundle medical and dental plans. Learn more.
Action is Needed from Self-Insured Accounts
As required by the CAA, self-insured accounts must submit a Gag Clause Prohibition Compliance Attestation (GCPCA) to the Health and Human Services (HHS) portal by December 31, 2024. Fully insured accounts don’t need to take any action: we’ll submit attestations on their behalf. Learn more.
Update on the Change Healthcare Privacy Incident
After a comprehensive analysis, Change Healthcare (CHC) provided us with the file of Blue Cross members who were impacted by the cybersecurity event that CHC experienced previously. On September 10, 2024, we completed our review and identified that information pertaining to a small number of our members was affected. We’ve notified impacted self-insured accounts. Due to the size of this unprecedented breach, the CHC analysis is still ongoing and CHC may identify more impacted individuals. Learn more.
The CVS Weight Management ProgramTM Aims to Turn Meaningful Weight Loss into a Healthier Bottom Line
Starting January 1, 2025, self-insured accounts with 100+ members can add the CVS Weight Management Program to their plan. A holistic, high-touch approach to weight management, the program is designed to help members taking weight-management medications achieve long-term success. Learn more.
Effective January 1, 2025, Changes to the Blue Cross Blue Shield of Massachusetts Formulary and Medical Policy Updates
Effective January 1, 2025, we're updating our formulary (list of covered medications) for medical plans with pharmacy benefits, as well as Medex®´* plans with a three-tier pharmacy benefit. Learn more.
Effective January 1, 2025, Changes to the Standard Control with Advanced Control Specialty Formulary
Effective January 1, 2025, CVS Caremark®´, an independent company that administers your pharmacy benefits on behalf of Blue Cross Blue Shield of Massachusetts, is updating their formulary (list of covered medications) for select self-insured plans (500+) with the Standard Control with Advanced Control Specialty Formulary. Learn more.
Member Months Coverage Report Available for Self-insured Accounts at No Cost
We’re offering a Member Months Coverage Report to our self-insured accounts for the 2024 tax year at no cost. The member information in the report is required by the Internal Revenue Service (IRS) under the Affordable Care Act (ACA). Accounts are responsible for sending the report file to their tax vendor and filing with the IRS. Learn more.
Offer Your Employees Peace of Mind With Voluntary Life Insurance
Indigo Insurance ServicesTM, the preferred agency of Blue Cross Blue Shield of Massachusetts, offers a variety of voluntary life insurance plans that provide affordability, dependability, and plan customization. These plans enhance your benefit packages with comprehensive coverage, peace of mind, and financial protection for your employees. Learn more.
UPDATE - Effective October 1, 2024, Changes to the Standard Control with Advanced Control Specialty Formulary
Effective October 1, 2024, CVS Caremark®', an independent company that administers your pharmacy benefits on behalf of Blue Cross Blue Shield of Massachusetts, is updating their formulary (list of covered medications) for select self-insured plans (500+) with the Standard Control with Advanced Control Specialty Formulary. Learn more.
Regulatory Update: Medical Loss Ratio Rebates
We’ll be distributing Medical Loss Ratio (MLR) rebates to affected small group and connector employers this year. Learn more.
Update on the Change Healthcare Privacy Incident
Change Healthcare notified Blue Cross Blue Shield of Massachusetts on August 13, 2024, that a very small number of Blue Cross members are affected by the cybersecurity event it experienced. Learn more.
It’s Clear: Kids’ Eye Health Is Key To Their Overall Health
Correcting vision problems early can improve kids’ ability to learn. August is Children’s Eye Health and Safety Month, which is a great time to talk to your account executive about adding our
Introducing the new MyBlue app
The MyBlue app has been transformed to give members what they want: an easier way to understand and use their health plan. It guides them to the information and resources they need most to navigate their plan with confidence. Learn more.
Effective October 1, 2024, Changes to the Standard Control with Advanced Control Specialty Formulary
Effective October 1, 2024, CVS Caremark®', an independent company that administers your pharmacy benefits on behalf of Blue Cross Blue Shield of Massachusetts, is updating their formulary (list of covered medications) for select self-insured plans (500+) with the Standard Control with Advanced Control Specialty Formulary. Learn more.
Effective May 15, 2024, Select Diabetes and Weight-Loss Medications No Longer Available Through the Mail Service Pharmacy
Due to a medication shortage, members will no longer be able to fill select diabetes and weight-loss medications in 90-day supplies through the mail service pharmacy. These medications will continue to be available at in-network retail pharmacies. Learn more.
On August 1, 2024, AllianceRx Walgreens Specialty Pharmacy will become Walgreens Specialty Pharmacy
AllianceRx Walgreens Specialty Pharmacy is changing their name to Walgreens Specialty Pharmacy. Members don’t need to take any action as the pharmacy will continue to fill covered prescriptions. Learn more.
We Have Completed Submission of the CAA Prescription Drug Data Collection (RxDC) Report (2023 Reference Year)
We have successfully submitted plan sponsors’ 2023 RxDC information to CMS, based on benefits that Blue Cross administers and available data. Learn more.
Acaria Health Is Leaving Our Specialty Pharmacy Network
On July 1, 2024, Acaria Health will be leaving our specialty pharmacy network. Learn more.
UPDATE - Effective July 1, 2024, Changes to the Blue Cross Blue Shield of Massachusetts Formulary and Medical Policy Updates
Effective July 1, 2024, we’re updating our formulary (list of covered medications) for medical plans with pharmacy benefits, as well as Medex®´* plans with a three-tier pharmacy benefit. Learn more.
UPDATE - Effective July 1, 2024, Changes to the Standard Control with Advanced Control Specialty Formulary
Effective July 1, 2024, CVS Caremark®', an independent company that administers your pharmacy benefits on behalf of Blue Cross Blue Shield of Massachusetts, is updating their formulary (list of covered medications) for select self-insured plans (500+) with the Standard Control with Advanced Control Specialty Formulary (SC-ACSF). Learn More.
See Our Latest Press Release on the Change Healthcare Event
We’ve posted a press release on our member site with the latest information from Change Healthcare including their offer of free credit monitoring. Learn more.
Disability Insurance Offers Greater Peace of Mind
May is Disability Insurance Awareness Month and it’s the perfect time to focus on the importance of protecting income for when the unexpected happens. IndigoTM Insurance Services, a preferred agency of Blue Cross Blue Shield of Massachusetts, offers a variety of disability insurance benefits through Indigo preferred partners. Learn more.
Our statement on the Steward Health Care bankruptcy filing
We’re aware of the news that Steward Health Care has filed for bankruptcy. This includes all primary care physicians, specialty care physicians, and acute care hospitals that are part of Steward. The Steward providers remain in the Blue Cross network. Steward has publicly stated that their facilities remain open, and that they'll continue to provide care. Learn more.
There’s more to Blue 20/20 than meets the eye
Did you know an eye exam can help with early detection of serious health conditions? May is Healthy Vision Month, and it’s the perfect time to focus on the link between eye health and overall health — and how Blue 20/20 vision plans can make a difference to members. Learn more.
Our Response to the Change Healthcare Event
Change Healthcare, a key player in health care that processes vast amounts of patient data and financial transactions, is experiencing a network interruption related to a cybersecurity incident. Many providers and health care companies, including Blue Cross, use Change Healthcare for various business functions, such as claims submission and confirmation of health care coverage and benefits. Learn more.
Little Eyes, Big Benefits
Eye care is so important — especially for kids. Effective July 1, 2024, we’re making sure kids get the right care at the right time by offering enhanced vision coverage, at no additional cost, for kids under 19 who are enrolled in select Blue 20/20 plans.
Learn more.
New Coverage for Annual Mental Health Wellness Exam
Starting March 31, 2024, Blue Cross Blue Shield of Massachusetts will cover an annual mental health wellness exam. This exam may be conducted as part of a routine health checkup with a primary care provider (PCP), or as a standalone visit with a PCP or licensed mental health professional. Learn more.
Announcing Upcoming Webinars
We’re excited to announce upcoming webinars in our account webinar series, which allow your organization’s leadership and human resources teams to learn more about your health plan benefits from our subject matter experts. Learn more.
Effective July 1, 2024, Upcoming Changes to the Standard Control with Advanced Control Specialty Formulary
Effective July 1, 2024, CVS Caremark®', an independent company that administers your pharmacy benefits on behalf of Blue Cross Blue Shield of Massachusetts, is updating their formulary (list of covered medications) for select self-insured plans (500+) with the Standard Control with Advanced Control Specialty Formulary. Learn more.
Effective July 1, 2024, Upcoming Changes to the Blue Cross Blue Shield of Massachusetts Formulary and Medical Policy Updates
Effective July 1, 2024, we’re updating our formulary (list of covered medications) for medical plans with pharmacy benefits, as well as Medex®´* plans with a three-tier pharmacy benefit. Learn more.
UPDATE - Effective April 1, 2024, Upcoming Changes to the Standard Control with Advanced Control Specialty Formulary
Effective April 1, 2024, CVS Caremark®', an independent company that administers your pharmacy benefits on behalf of Blue Cross Blue Shield of Massachusetts, is updating their formulary (list of covered medications) for select self-insured plans (500+) with the Standard Control with Advanced Control Specialty Formulary. Learn more.
Action Needed: Pharmacy Data Reporting Requirement for the Consolidated Appropriations Act (CAA)
The CAA requires us to annually report enrollment, premiums (or premium equivalents for self-insured accounts), prescription drug spending and medical cost data annually. To collect required information needed to complete the reporting for the 2023 reporting or “reference” year, we’ve sent accounts a survey to complete. We must receive these completed surveys by March 8, 2024. Learn more.
UPDATE: Effective April 1, 2024, Upcoming Medical Policy Change for the Blue Cross Blue Shield of Massachusetts Formulary
Effective April 1, 2024, we're updating a medical policy for our formulary (list of covered medications) for medical plans with pharmacy benefits, as well as Medex®´1 plans with a three-tier pharmacy benefit. Learn more.
Announcing Upcoming Webinars
We’re excited to announce upcoming webinars in our account webinar series, which allow your organization’s leadership and human resources teams to learn more about your health plan benefits from our subject matter experts. Learn more.
A New Way for Members to Access BLUE 20/20 Vision Benefits
Effective November 13, 2023, Blue 20/20 members who also have a Blue Cross Blue Shield of Massachusetts medical plan, dental plan, or both can now use MyBlue to access their vision benefits. Learn More.
Effective April 1, 2024, Upcoming Medical Policy Change for the Blue Cross Blue Shield of Massachusetts Formulary
Effective April 1, 2024, we're updating a medical policy for our formulary (list of covered medications) for medical plans with pharmacy benefits, as well as Medex® ́1 plans with a three- tier pharmacy benefit. Learn More.
Some Previously Announced Medical Policy Changes for the Blue Cross Blue Shield of Massachusetts Formulary Are Being Delayed
Some of the previously announced medical policy changes are being delayed from January 1, 2024 to March 1, 2024. Learn more.
Effective April 1, 2024, Upcoming Changes to the Standard Control with Advanced Control Specialty Formulary
Effective April 1, 2024, CVS Caremarkc, an independent company that administers your pharmacy benefits on behalf of Blue Cross Blue Shield of Massachusetts, is updating their formulary (list of covered medications) for select self-insured plans (500+) with the Standard Control with Advanced Control Specialty Formulary. Learn more.
AllianceRx Walgreens Pharmacy Will Join Our Specialty Pharmacy Network
On January 1, 2024, AllianceRx Walgreens Pharmacy will join our specialty pharmacy network. Learn more.
A REWARDING NEW WAY TO HELP MEMBERS STAY ADHERENT
Starting January 1, 2024, we’re introducing a new program that rewards members for filling certain medications on time, by lowering their out-of-pocket costs. The more adherent they are, the more they can save. Learn more.
A NEW WAY FOR MEMBERS TO ACCESS BLUE 20/20 VISION BENEFITS
Effective November 13, 2023, Blue 20/20 members who also have a Blue Cross Blue Shield of Massachusetts medical plan, dental plan, or both can now use MyBlue to access their vision benefits. Learn more.
YOUR SHOT TO STOP THE FLU AND COVID-19
Now’s the time for your employees to get their updated flu and COVID-19 shots. They’ll help protect your employees and everyone around them from getting seriously ill this season. Learn more.
Lowering Our Members’ Pharmacy Costs
We’re pleased to introduce Cost SaverTM, a new feature that automatically gives our pharmacy members the lowest possible out-of-pocket price on certain medications. Learn more.
UPDATE - Effective January 1, 2024, Upcoming Changes to the Blue Cross Blue Shield of Massachusetts Formulary and Medical Policy Updates
Effective January 1, 2024, we’re updating our formulary (list of covered medications) for medical plans with pharmacy benefits, as well as Medex®´1 plans with a three-tier pharmacy benefit. Learn more.
UPDATE - Effective January 1, 2024, Upcoming Changes to the Standard Control with Advanced Control Specialty Formulary
Effective January 1, 2024, CVS Caremark®', an independent company that administers your pharmacy benefits on behalf of Blue Cross Blue Shield of Massachusetts, is updating their formulary (list of covered medications) for select self-insured plans (500+) with the Standard Control with Advanced Control Specialty Formulary. Learn more.
Announcing Upcoming Webinars
We’re excited to announce upcoming webinars in our account webinar series, which allow your organization’s leadership and human resources teams to learn more about your health plan benefits from our subject matter experts. Learn more.
Health Plan Updates for 2024
Effective January 1, 2024, and upon renewal, we’re enhancing our health plan offering to meet not only ongoing requirements, but also the market demand to provide high-quality, more affordable coverage you and your employees expect from Blue Cross. Learn More.
Important Information About Medicaid and Children’s Health Insurance Program Eligibility
States are restarting eligibility reviews for Medicaid and Children’s Health Insurance Program (CHIP). We encourage you to extend the period for special enrollment to help ensure that your employees and their families avoid gaps in care. Learn More.
Effective January 1, 2024, Upcoming Changes to the Blue Cross Blue Shield of Massachusetts Formulary and Medical Policy Updates
Effective January 1, 2024, we're updating our formulary (list of covered medications) for medical plans with pharmacy benefits, as well as Medex®´* plans with a three-tier pharmacy benefit. Learn More.
Effective January 1, 2024, Upcoming Changes to the Standard Control with Advanced Control Specialty Formulary
Effective January 1, 2024, CVS Caremark®', an independent company that administers your pharmacy benefits on behalf of Blue Cross Blue Shield of Massachusetts, is updating their formulary (list of covered medications) for select self-insured plans (500+) with the Standard Control with Advanced Control Specialty Formulary. Learn more.
Member Months Coverage Report available for self-insured accounts at no cost
We’re offering a Member Months Coverage Report to our self-insured accounts for the 2023 tax year at no cost. The member information in the report is required by the IRS under the Affordable Care Act (ACA). Accounts are responsible for sending the report file to their tax vendor and filing with the IRS. Read the full article.
UPDATE - Effective October 1, 2023, Upcoming Changes to the Standard Control with Advanced Control Specialty Formulary
Effective October 1, 2023, CVS Caremark®', an independent company that administers your pharmacy benefits on behalf of Blue Cross Blue Shield of Massachusetts, is updating their formulary (list of covered medications) for select self-insured plans (500+) with the Standard Control with Advanced Control Specialty Formulary. Learn more.
Keeping Children's Eye Health in Sight
August is Children’s Eye Health and Safety Month, and it’s the perfect time to raise awareness of the importance of vision care for kids as they go back to school. Our Blue 20/20 vision plan benefits can help your employees and their kids keep their eyes healthy. Learn more.
Self-Insured Accounts Must Submit a Gag Clause Prohibition Compliance Attestation
In compliance with the Consolidated Appropriations Act (CAA), we've removed all gag clauses from our provider contracts. As required by the CAA, self-insured accounts must submit a Gag Clause Prohibition Compliance Attestation to the Health and Human Services portal by December 31, 2023. Fully-insured accounts don't need to take any action: we'll submit attestations on their behalf. Learn more.
Effective October 1, 2023, Even More access to Oral Health Care
We’re offering two important Dental Blue® benefit enhancements: an expansion to Enhanced Dental Benefits for members with intellectual and/or developmental disabilities and mental health conditions, and 100% coverage for kids under the age of 13. These benefits will be effective on 10/1/2023 for new accounts, and existing accounts upon renewal. Learn More.
Medical Loss Ratio Rebates
We’ll be distributing Medical Loss Ratio (MLR) rebates to affected small group and connector employers this year. Learn more.
Effective October 1, 2023, Upcoming Changes to the Standard Control with Advanced Control Specialty Formulary
Effective October 1, 2023, CVS Caremark®', an independent company that administers your pharmacy benefits on behalf of Blue Cross Blue Shield of Massachusetts, is updating their formulary (list of covered medications) for select self-insured plans (500+) with the Standard Control with Advanced Control Specialty Formulary. Learn More.
UPDATE - Effective July 1, 2023, Upcoming Changes to the Standard Control with Advanced Control Specialty Formulary
Effective July 1, 2023, CVS Caremark®', an independent company that administers your pharmacy benefits on behalf of Blue Cross Blue Shield of Massachusetts, is updating their formulary (list of covered medications) for select self-insured plans (500+) with the Standard Control with Advanced Control Specialty Formulary. Learn More.
UPDATE - Effective July 1, 2023, Upcoming Changes to the Blue Cross Blue Shield of Massachusetts Formulary and Medical Policy Updates
Effective July 1, 2023, we’re updating our formulary (list of covered medications) for medical plans with pharmacy benefits, as well as Medex®´1 plans with a three-tier pharmacy benefit. Learn more.
Quality Care Dosing Limits Have Increased for Select Medications
To give doctors greater flexibility when prescribing certain controlled substances, we’ve doubled the quality care dosing limit for select medications. The change applies to plans that have pharmacy coverage through Blue Cross Blue Shield of Massachusetts and use the Blue Cross formulary. Learn more.
Announcing the Upgraded ahealthyme®' Platform with Enhanced Features
Learn about the launch of the upgraded ahealthyme®' wellness platform with enhanced features that make it easier for your employees improve their physical, mental, and social health. Learn more.
New Neonatal Intensive Care Unit (NICU) Program Begins September 1, 2023
Starting September 1, 2023, we’ll be working with ProgenyHealth®´, an independent health care company dedicated to maternity and infant health, to provide Neonatal Intensive Care Unit (NICU) utilization management and care management services for eligible commercial members. Learn more.
A Closer Look: Vision Loss and Mental Health
Did you know that one in four adults with vision loss experiences anxiety and depression?1 May is Healthy Vision Month, so it’s the perfect time to talk about the often overlooked connection between vision loss and mental health — and how our Blue 20/20 vision plans can make a difference. Learn more.
1. MyVision.org., "The Link Between Mental Health and Your Vision," April 9, 2022.
Introducing Blue 20/20 PLUS
Starting July 1, 2023, with the new Blue 20/20 PLUS enhanced coverage, members can get greater savings on their vision care. They will get enhanced benefits of a $0 eye exam copay and additional frame allowance. Learn More.
Preventive Care Mammograms for Adult Commercial Members at Any Age
All HMO and PPO plan members are covered for at least one preventive-care mammogram screening per year, without age restriction, when ordered by a provider. This benefit is $0 for members of commercial HMO/POS, EPO/PPO, and indemnity plans. Learn More.
Effective July 1, 2023, Upcoming Changes to the Standard Control with Advanced Control Specialty Formulary
Effective July 1, 2023, CVS Caremark®', an independent company that administers your pharmacy benefits on behalf of Blue Cross Blue Shield of Massachusetts, is updating their formulary (list of covered medications) for select self-insured plans (500+) with the Standard Control with Advanced Control Specialty Formulary. Learn more.
Effective July 1, 2023, Upcoming Changes to the Blue Cross Blue Shield of Massachusetts Formulary and Medical Policy Updates
Effective July 1, 2023, we’re updating our formulary (list of covered medications) for medical plans with pharmacy benefits, as well as Medex®´* plans with a three-tier pharmacy benefit. Learn more.
UPDATE - Effective April 1, 2023, Upcoming Changes to the Standard Control with Advanced Control Specialty Formulary
Effective April 1, 2023, CVS Caremark®', an independent company that administers your pharmacy benefits on behalf of Blue Cross Blue Shield of Massachusetts, is updating their formulary (list of covered medications) for select self-insured plans (500+) with the Standard Control with Advanced Control Specialty Formulary. Learn more.
Two Changes to Take Effect July 1, 2023, to Blue Distinction® Specialty Care
Under the first change, we’re revising our Blue Distinction Specialty Care rider to clarify that existing continuity of care allowances also apply to members with this rider. Under the second change, we’ll discontinue the Limited Benefit rider option for Blue Distinction Centers®. Learn More.
Stop-Loss Reporting Fee Increase
We’re increasing the monthly rate for our stop-loss reporting, effective June 1, 2023, for accounts that buy this reinsurance coverage from a third party. The fee is assessed annually based on the monthly rate, which will increase to $550 per month. As an example, an account with 12 months of reporting would be charged a fee of $6,600 upon renewal. Reporting fees don’t apply to stop-loss reinsurance purchased directly from Blue Cross Blue Shield of Massachusetts. Learn More.
Change in Prior Authorization Requirements for Certain Musculoskeletal Services
We're updating our prior authorization requirements for certain musculoskeletal (MSK) services for all HMO and PPO plan members* to go into effect on April 1, 2023. Learn More.
Mental Health Treatment: Prior Authorization Changes
We’ve removed prior authorization requirements for Intensive Community-Based Treatment (ICBAT), Community-Based Acute Treatment (CBAT), and inpatient psychiatric treatment. Learn More.
Post-Jan. 1 Communication Toolkit: Pharmacy Benefit Manager Transition
On January 1, 2023, CVS Caremark, an independent company, will begin administering pharmacy benefits on behalf of Blue Cross Blue Shield of Massachusetts. We’ve developed a post-January 1 Pharmacy Benefit Manager (PBM) Communication Toolkit for you to share with your employees. Learn More.
Effective April 1, 2023, Upcoming Changes to the Standard Control with Advanced Control Specialty Formulary
Effective April 1, 2023, CVS Caremark®', an independent company that administers your pharmacy benefits on behalf of Blue Cross Blue Shield of Massachusetts, is updating their formulary (list of covered medications) for select self-insured plans (500+) with the Standard Control with Advanced Control Specialty Formulary. Learn more.
Change in Prior Authorization Requirements for Certain Musculoskeletal Services in 2023
We're updating our prior authorization requirements for certain musculoskeletal (MSK) services for all HMO and PPO plan members* to go into effect the second quarter of 2023. Learn more.
Helping Blue 20/20 Members Set Their Sights on Eye Exams
Routine eye exams can help members detect health conditions, including diabetes. In November, we launched a vision awareness campaign to educate members about the benefits of routine eye exams and to highlight Blue 20/20’s vision coverage. Learn more.
STOPPING THE FLU STARTS WITH YOU
If your employees haven’t gotten their flu shot yet, now’s the time. It will help protect them and everyone around them from getting sick, especially young children and older adults, who are the most at risk. Learn more.
UPDATE - Effective January 1, 2023, the Standard Control with Advanced Control Specialty Formulary Will Be Offered
Effective January 1, 2023, the Standard Control with Advanced Control Specialty Formulary (SC-ACSF) will be a new formulary (list of covered medications) available to select self-insured plans (500+) with pharmacy benefits. The SC-ACSF will be replacing the National Preferred Formulary (NPF). The NPF will no longer be offered through Blue Cross Blue Shield of Massachusetts. Learn more.
Effective January 1, 2023, Upcoming Changes to the Blue Cross Blue Shield of Massachusetts Formulary
Effective January 1, 2023, we’re updating our formulary (list of covered medications) for medical plans with pharmacy benefits, as well as Medex®´* plans with a three-tier pharmacy benefit. Learn more.
What's New for 2023
Effective January 1, 2023, and upon renewal, we’re enhancing our health plan offering to not only meet ongoing requirements but also the market demand to provide high-quality, more affordable coverage you expect from Blue Cross. Learn more.
Effective January 1, 2023, the Standard Control with Advanced Control Specialty Formulary Will Be Offered
Effective January 1, 2023, the Standard Control with Advanced Control Specialty Formulary (SC-ACSF) will be a new formulary (list of covered medications) available to select self-insured plans (500+) with pharmacy benefits. The SC-ACSF will be replacing the National Preferred Formulary (NPF). The NPF will no longer be offered through Blue Cross Blue Shield of Massachusetts. Learn more.
The Healthy Actions Platform Has Been Enhanced
The wellness platform has a new look and feel, but the savings will be the same. Learn more.
New Communication Toolkit: Pharmacy Benefit Manager Transition
Starting January 1, 2023, CVS Caremark, an independent company, will administer pharmacy benefits on behalf of Blue Cross Blue Shield of Massachusetts. We’ve developed a Pharmacy Benefit Manager (PBM) Communication Toolkit for you to proactively inform your employees about this change. Learn more.