Small Group Plans Reminder

BlueChoice HealthPlan Health Insurance Marketplaces: Small Group Plans Reminder

8/5/2015

Here is a reminder that all small group products (available to businesses with two to 50 employees) continue to access the broad commercial networks (BlueChoice HealthPlan network). This includes those small group products purchased through the Federally Facilitated Marketplace or private marketplace (Exchange). 

Here are some tips to help you understand the differences between these networks and if you are eligible to see these small group members. 

  • The BlueChoice® network is separate from the Blue OptionSM network.

  • The Blue Option network is an exclusive provider organization (EPOs). No benefits are available for procedures and services provided outside of the network. 

  • The name of the BlueChoice small group exchange product is Business Advantage (alpha prefixes ZCL or ZCG on the member's identification card). 

 

So how does knowing this information affect you/ Here's a chart to help. 

If You Are A Provider Who Is In The ...

But Not In The ... 

You Can Still Service Members Who Have ...

Because Benefits Are Payable At ... 

BlueChoice Network

Blue Option Network

Business Advantage members (alpha prefixes ZCL or ZCG)

BlueChoice Network rates

For more information about this reminder, please contact Provider Education at 803-264-4730 or by email at provider.education@bcbssc.com.