Members most popular

Getting care

Learn more about how to use your health plan once you are familiar with tools and services in our getting started section.

Find care

Search for a doctor you've seen or find a new one in your network using the Find Care tool.

Find care & costs

Add power to your search. Sign in to Blueprint Portal to search your network for doctors and estimate costs for procedures.

Coverage policy and pre-certification/pre-authorization

Find out which procedures are covered by your policy or if your procedure requires prior authorization.

InterQual^® Coverage Policy Guidelines

The InterQual^® guidelines are used by our utilization management team to help assess whether a given medical condition and known or represented circumstances of a case support medical service(s) as the most appropriate treatment, or whether the medical condition/circumstances presented could be appropriately addressed with an alternative treatment. Use the self-registration tool at the link to create a login and view the criteria. Individuals without an email address should contact the plan to receive the criteria information via mail.
Please consult your provider for applicable policies and/or criteria.

Understanding your insurance

Find more information on your claims statements, case management opportunities or value-based care programs.

Health and wellness

Health Education Programs can help you lose weight, have a healthy pregnancy or manage conditions such as diabetes, asthma, COPD and more.