Availity Portal

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Medical Policy, Clinical UM Guidelines, and Pre-Cert Requirements

View requirements for Local Plan and BlueCard Out-of-Area members.

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Benefit Summaries

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Blue Open Access (HMO)

HMO Benefit Summaries (effective 07/01/10)  
To view specific details of each Plan, click on the English or Spanish version, as appropriate. 
100% Plans  

HMO Plan 6004AX 
HMO Plan 6005AX 
HMO Plan 6006AX 
HMO Plan 6007AX 
HMO Plan 6008AX 
HMO Plan 6009AX 
 
90% Plans  

HMO Plan 6200AX 
 
80% Plans  

HMO Plan 6501AX 
HMO Plan 6502AX 
 
70% Plans  

HMO Plan 6801AX 
HMO Plan 6802AX 
HMO Plan 6803AX 
 
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