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About Our Care & Networks

Your health insurance needs are as unique as your business. That’s why employer groups depend on Blue Cross and Blue Shield of Montana for our expertise, quality, and options across a range of price levels.

Every day, we earn our reputation for generating sustainable cost savings, and offering networks of providers dedicated to quality and healthy outcomes.

We Innovate with Purpose

We’re constantly evolving our products to reach even higher standards for care, quality, affordability, and accessibility. We drive innovation from a deep integration of advanced analytics, expert insights, and leading-edge technology to advance better health outcomes for your employees. From digital tools and mobile applications to incentive programs and groundbreaking coverage options, we are transforming the health care industry as we enable better health, smarter care, and more meaningful connections between our members and providers.

The Blue Distinction Program

Blue Distinction® is a designation given by Blue Cross and Blue Shield (BCBS) companies to health care facilities that have demonstrated expertise in delivering efficient, high-quality care with proven results, lower readmission rates and fewer complications across 11 areas of care.

Learn More About Blue Distinction

Blue High-Performance Network® (BlueHPN®)

Designed to deliver greater value for companies and employees, the Blue High-Performance Network (BlueHPN) gives employees portable access to care across 65+ major markets—more markets nationwide than competitors.

  • Employers that choose BlueHPN average more than 10% in additional savings1 as compared to our already industry-leading PPO.
  • Providers in BlueHPN are measured on a consistent set of quality metrics across four key domains2.
  • Discover why businesses looking to tailor a cost-conscious benefits package with access to high-quality health care services choose BlueHPN.
Learn More About BlueHPN
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Total Care

Total Care is a national designation program that recognizes providers for their efforts in coordinating total patient care and focusing on wellness and prevention. Blue Cross and Blue Shield (BCBS) Plans partner with these providers to improve health outcomes for members and curb the rising cost of healthcare.

Most Total Care programs are primary care models. Providers belong to Accountable Care Organizations (ACOs) and Patient-Centered Medical Homes (PCMHs). The ACOs and PCMHs must perform against both quality and cost outcome targets to receive incentives and rewards.

Employers have the flexibility to provide 2 or 3 configurable tiers or custom benefit designs, effectively steering members to designated providers.

Explore PPO Plans

Our BCBSMT PPO network gives employers flexible benefit design options at a price they can afford while giving their employees a wide range of benefits and the freedom to visit any doctor they choose.

Blue Preferred PPO℠

Best Fit: 2-50 Employees

Blue Choice PPO℠

Best Fit: 51-150 Employees

Health First PPO℠

Best Fit: 51-150 and 151+ Employees

Blue Dimensions PPO℠

Best Fit: 51-150 and 151+ Employees

Explore HMO Plans

The HMO network provides basic care and prescription medication coverage while coordinating with care specialists for any necessary referrals. Employees have a choice of Primary Care Providers (PCPs) from a large network of contracting HMO physicians and medical groups.

Blue Select HMO℠

Best Fit: 51-150

Comprehensive Major Medical

Best Fit: 51-150 and 151+ Employees

Explore POS Plans

Point of Service plans use a certain network of select doctors and hospitals, called your POS provider network. BCBSMT POS plans have lower premiums while still providing your employees with options for choosing health care providers and additional choices that give them more flexibility when they need care.

Blue Options POS℠

Best Fit: 151+ Employees

Blue Options helps you control your care and expenses with lower out-of-pocket costs for in-network doctors and hospitals, and the choice to use providers in the larger PPO network at a higher cost. The Blue Options POS plan delivers an expected 6% savings over our leading Blue Preferred PPO.

Big Sky Select POS℠

Best Fit: 51-150 and 151+ Employees

1 Savings are based on Consortium Health Plans analysis, 2019. Savings are on average and assume 100% enrollment. Results will vary based on employer locations and implementation.
2 Measures align with those being utilized by credible industry organizations, including American Hospital Association, Catalyst for Payment Reform and America’s Health Insurance Plans.