Name of Manual - Blue Cross and Blue Shield of Minnesota

Health Care Options
Networks
Blue Cross (Aware) An extensive open access network which includes nearly every
physician and hospital in Minnesota. This network is used with
major medical plans and open access/preferred provider-type
products.
Select Networks Available for substance abuse, behavioral health and chiropractic
care services. They are standard for small and large insured groups
and offer a savings advantage.
Blue Plus ® Our most exclusive primary network that includes more than 7,500
physicians. Members enrolled in managed care products choose a
primary care clinic from the Blue Plus network to coordinate their
care and make referrals to network specialists.
BlueCard ® A national network managed by the Blue Cross and Blue Shield
Association. Local Blue plans can sell national account business
by leveraging the 50-state Blues provider network.
Blue Distinction
Centers ®
A national centers of excellence program that enables members to
make more informed health care decisions to improve outcomes.
Facilities must meet strict clinical criteria to earn the Blue
Distinction Centers designation for transplants, transplants and
cardiac care.
Note: Designation as Blue Distinction Centers means these
facilities’ overall experience and aggregate data met
objective criteria established in collaboration with expert
clinicians’ and leading professional organizations’
recommendations. Individual outcomes may vary. To find
out which services are covered, please call Blue Cross.
Blue Precision ® A high performance, tiered network. In it, all providers within the
Blue Cross (Aware) network are tiered into one of two levels, and
members make value-based decisions at the point of care. There
are two Blue Precision networks available in Minnesota, one with
greater access to Level 1 providers (Perform) and one with greater
savings (Achieve).
Accord Network Our standard network that includes 97 percent of Minnesota
doctors and hospitals.
Value Network Value is our Minneapolis/St. Paul metro area PPO network that
offers access to the most affordable physicians and hospitals
available to provide a lower cost health plan.
5-34 Blue Cross and Blue Shield of Minnesota Provider Policy and Procedure Manual (12/27/10)