Our goal for 2025 is to enhance our Medicare Advantage (MA) HMO products through richer benefits, broader network access, and more affordable care for our members. To support this focus on our HMO plans, we will not be offering an MA PPO plan for 2025.
Members with BlueJourney PPO plans have received a letter informing them of their options and next steps for 2025.
BlueJourney PPO network to continue supporting out-of-area PPO plans
All BlueJourney network providers will remain in-network for the MA PPO group plans issued by other Blue Plans. This includes being in-network for the National MA Care Coordination Program for these members.
Note: Look for the MA PPO “suitcase” logo displayed at the bottom of a BCBS member ID card to see if the member is covered under the MA PPO network sharing program.
Blue Advantage network supports our HMO plans
Our Blue Advantage network serves all of our MA HMO plans across Maricopa, Pinal, and Pima counties. The member ID prefix for these plans is M2K.
We will continue to partner with Optum Health Network Arizona (OHNAZ) and Arizona Priority Care (AZPC) to provide utilization management and claim/payment services for some members in Maricopa and Pinal counties. OHNAZ will also provide services for some members in Pima County. Be sure to check the back of the ID card for claim filing information and the prior authorization phone number.
ID card samples with the backs illustrating the three different plan administrators:
Two new code edits start November 1. See our code edit list for details.
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An obsolete drug code has been reactivated. As of September 1, 2024, code 90660 has become active and valid. This code is for the influenza virus vaccine, trivalent, live (LAIV3), for intranasal use. See our updated obsolete drug code list.
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AZ Blue and most other Blue Plans take care of routine updates on Sundays and can’t respond to online searches during that time. You can get better responses on other days of the week.
Take advantage of these free CEUs
1.
For maternity care providers: We’ve extended the opportunity for you to take this free course, offered in partnership with the March of Dimes. This one is a game changer! Create an account, log in, and register now to earn 1.5 CME or CNE credits.
2.
For all providers who want to support patients with lifestyle changes: Your patients will benefit from your participation in the “Essentials” course offered by the American College of Lifestyle Medicine (ACLM). When you register, use promo code ESS-BCBSAZ to receive 5.5 CME/CE credits free of charge.
3.
For behavioral health providers: Get some excellent free continuing education courses and resources offered by the American Diabetes Association® and learn more about how to help your patients dealing with diabetes.
4.
For all Arizona providers: Join the next Arizona Community Grand Rounds webinar (November 6 at noon). We’ll hear from experts on diabetes initiatives in Arizona and how providers can get involved. We’ll also talk about the effectiveness of prevention programs and how you can connect patients to them. Register now!
Optum Health Network Arizona (OHNAZ) is a separate, wholly owned subsidiary of Optum and is contracted with AZ Blue to provide utilization management and claim/payment processing services for providers and attributed members.
Arizona Priority Care (AZPC) is a separate, independent company contracted with AZ Blue to provide utilization management and claim/payment processing services for providers and attributed members. Arizona Priority Care is a service mark of Arizona Health Advantage, Inc.
American Diabetes Association is a trademark of American Diabetes Association, Inc.
Blue Cross, Blue Shield, and the Cross and Shield Symbols are registered service marks, and BlueJourney is a service mark, of the Blue Cross Blue Shield Association, an association of independent Blue Cross and Blue Shield Plans.
