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    • Welcome to Blue Cross Blue Shield of Massachusetts!
    • Employer Portal
    • Plans and Products
      • Medical Plans
        • Plan Types
          • HMO
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          • BlueFit
          • POS
          • Medicare Options
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          • Pharmacy Benefit Features
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        • Dental Total Health
        • Accumulated Maximum Rollover Benefit
        • Dental Blue Voluntary Community Rated
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What's New

Employer Newsletter - IAI

Important Administrative Information (IAI) is a quarterly mailing that delivers the latest news about Blue Cross Blue Shield of Massachusetts products and services to employers and consultants. 

Current Editions:

December 2022

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.

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.

State Legislation’s Impact on Reproductive Health Coverage

With Chapter 127 of the Acts of 2022 signed into Massachusetts state law on July 29, 2022, there are new requirements for how abortion and abortion-related care will be covered by insurance carriers, including Blue Cross Blue Shield of Massachusetts. 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.

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.

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.

What’s New for 2023

Choosing the right health plan is essential to attracting and retaining top talent. 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, 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.

Helping Members with Diabetes Get Recommended Screenings

In September 2022, we launched a new program with CVS Caremark®´, an independent health solutions company, that helps members with diabetes get recommended screenings and care. 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 self-insured plans 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.

We've Updated Our Specialty Pharmacy Network for Fertility Medications

Effective July 19, 2022, Encompass Fertility™, an independent company, has joined our specialty pharmacy network for fertility medications. 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.

Making It Easier for Members to Submit Claims

By June 30, 2022, we will roll out online claims submission capabilities for all of our members. 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.

Let's Beat Flu. Again!

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 the elderly, who are the most at risk. Learn more.

Improving Care and Quality of Life for Select Members with Chronic Kidney Disease

We’re launching two new programs in early 2022 to improve the care and quality of life for select members diagnosed with chronic kidney disease. Learn more.

ASC Accounts 500+ Can Now Offer Members Access to Virtual Second Opinions

We’re collaborating with 2nd.MD, an independent company that provides members with a virtual second opinion. ASC accounts 500+ can now add 2nd.MD for a fee. Learn more.

Expanding Outreach to Collect Member Race, Ethnicity, and Preferred Language Information

As part of our ongoing effort to address inequities in health care, we have expanded our race, ethnicity and language data collection outreach to include a mailed survey. Learn more.

Making Primary and Mental Health Care More Accessible

As part of our ongoing commitment to creating an unparalleled consumer experience, we're collaborating with innovative providers that offer expanded models of care and simpler, more consumer-focused care delivery. Learn more.

We're Decreasing the Bill Lead-Time for Fully Insured Accounts

Effective January 2022, you’ll have 10 more days to make enrollment changes and for your payment to reflect on your next invoice, since we’ll be generating invoices 15 days prior to their due date, instead of the current 25 days. Learn more.

Update on Coverage Change for Infused, Injectable Medications Under the Medical Benefit, Effective January 1, 2022

We previously notified you that we planned to change the covered sites of service where members can have their infused or injectable medications administered. We’ve decided to make Site of Care a voluntary program rather than a requirement. Learn more.

Transparency in Coverage Rule (TCR) and Consolidated Appropriations Act (CAA)

We continue to actively plan our support of and compliance with the required capabilities for applicable provisions in both the Transparency in Coverage Rule and the Consolidated Appropriations Act. Learn more.

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ATENCIÓN: Si habla español, tiene a su disposición servicios gratuitos de asistencia con el idioma. Llame al número de Servicio al Cliente que figura en su tarjeta de identificación llamada 1-800-200-4255 (TTY: 711 ).

ATENÇÃO: Se fala português, são-lhe disponibilizados gratuitamente serviços de assistência de idiomas. Telefone para os Serviços aos Membros, através do número no seu cartão ID chamar  1-800-200-4255 (TTY: 711 ).

ATTENTION : si vous parlez français, des services d’assistance linguistique sont disponibles gratuitement. Appelez le Service adhérents au numéro indiqué sur votre carte d’assuré appel 1-800-200-4255  (TTY : 711 ).

注意:如果您讲中文,我们可向您免费提供语言协助服务。请拨打您 ID  卡上的号码联系会员服务部 通话 1-800-200-4255(TTY  号码:711 )。

ATANSYON: Si ou pale kreyòl ayisyen, sèvis asistans nan lang disponib pou ou gratis. Rele nimewo Sèvis Manm nan ki sou kat Idantitifkasyon w lan (Sèvis pou Malantandan Rele 1-800-200-4255 TTY: 711 ).

LƯU .: Nếu quý vị n.i Tiếng Việt, c.c dịch vụ hỗ trợ ng.n ngữ được cung cấp cho quý vị miễn ph.. Gọi cho Dịch vụ Hội vi.n theo số tr.n thẻ ID của quý vị Cuộc gọi 1-800-200-4255 (TTY: 711 ).

ВНИМАНИЕ: если Вы говорите по-русски, Вы можете воспользоваться бесплатными услугами переводчика. Позвоните в отдел обслуживания клиентов по номеру, указанному в Вашей идентификационной карте вызов  1-800-200-4255 (телетайп: 711 ).

ការជូនដំណឹង៖ ប្រសិនប. ើអ្នកនិយាយភាសា ខ្មែរ សេ  វាជំនួយភាសាឥតគិតថ្លៃ គឺអាចរកបានសម្  រាប ់អ្នក។ សូមទូរស័ព្ទទ ៅផ ្នែ កសេ  វាសមា  ជិកតាមល េខន  ៅល.  ើប ័ណ្ណ សម្  គាល ់ខ្លួ ខ្លួ នរប ស់អ្នក ហៅ  1-800-200-4255 (TTY: 711) ។

ATTENZIONE: se parlate italiano, sono disponibili per voi servizi gratuiti di assistenza linguistica. Chiamate il Servizio per i membri al numero riportato sulla vostra scheda identificativa chiamata  1-800-200-4255 (TTY: 711 ).

참고 : 한국어를 사용하는 경우 언어 지원 서비스를 무료로 사용할 수 있습니다. 신분증에있는 전화 번호 1-800-200-4255 (TTY : 711)로 회원 서비스에 연락하십시오.

ΠΡΟΣΟΧΗ: Εάν μιλάτε Ελληνικά, διατίθενται για σας υπηρεσίες γλωσσικής βοήθειας, δωρεάν. Καλέστε την Υπηρεσία Εξυπηρέτησης Μελών στον αριθμό της κάρτας μέλους σας (ID Card) κλήση 1-800-200-4255 (TTY: 711 ).

UWAGA: Osoby posługujące się językiem polskim mogą bezpłatnie skorzystać z pomocy językowej. Należy zadzwonić do Działu obsługi ubezpieczonych pod numer podany na identyfikatorze zadzwoń 1-800-200-4255 (TTY: 711 ).

ध्यान दें: य दि  आप ह िन् दी बोलते ह ैं, तो भा षा  सहाय  ता  सेवा एँ, आप के लि ए नि :शुल्क  उपलब्ध ह ैं। सदस्य  सेवा ओं को आपके आई.डी. कार  ्ड पर दि ए गए नंबर पर कॉल करें  कॉल 1-800-200-4255 ( टी .टी .वा ई.: 711).

ધ્યાન આપો:  જો તમે ગુજરા તી બોલતા  હો, તો તમને ભા ષા કીય  સહાય  તા  સેવા ઓ વિ ના  મૂલ્યે  ઉપલબ્ધ છે. તમા રા  આઈડી કાર  ્ડ પર આપેલા  નંબર પર Member Service  ને કૉલ કરો કૉલ કરો 1-800-200-4255 (TTY: 711).

PAUNAWA: Kung nagsasalita ka ng wikang Tagalog, mayroon kang magagamit na mga libreng serbisyo para sa tulong sa wika. Tawagan ang Mga Serbisyo sa Miyembro sa numerong nasa iyong ID Card tumawag 1-800-200-4255 (TTY: 711 ).

お知らせ:日本語をお話しになる方は無料の言語アシスタンスサービスをご利用いただけます。ID カードに記載の電話番号を使用してメンバーサービスまでお電話ください 呼び出す 1-800-200-4255(TTY: 711 )。

ACHTUNG: Wenn Sie Deutsche sprechen, steht Ihnen kostenlos fremdsprachliche Unterstützung zur Verfügung. Rufen Sie den Mitgliederdienst unter der Nummer auf Ihrer ID-Karte an Anrufen 1-800-200-4255 (TTY: 711 ).

ATTENTION: If you speak a language other than English, language assistance services are available to you free of charge. Call 1-800-200-4255 (TTY: 711).

ຂໍ້ຄວນໃສ່ໃຈ: ຖ້າເຈົ້າເວົ້າພາສາລາວໄດ້, ມີການບໍລິການຊ່ວຍເຫຼືອດ້ານພາສາໃຫ້ທ່ານໂດຍບໍ່ເສຍຄ່າ. ໂທ ຫາ ຝ່າຍບໍລິການສະ ມາ ຊິກທີ່ໝາຍເລກໂທລະສັບຢູ່ໃນບັດຂອງທ່ານ ໂທ 1-800-200-4255 (TTY: 711).

BAA !KOHWIINDZIN DOO&G&: Din4 k’ehj7 y1n7[t’i’go saad bee y1t’i’ 47 t’11j77k’e bee n7k1’a’doowo[go 47 n1’ahoot’i’. D77 bee an7tah7g7 ninaaltsoos bine’d44’ n0omba bik1’7g7ij8’ b44sh bee hod77lnih call 1-800-200-4255 (TTY: 711).