Introducing the Blue High Performance Network (HPN) Program
The Blue High Performance Network℠ (Blue HPN℠) is a new national network program being offered by the Blue Cross and Blue Shield Association (BCBSA) that will be effective January 1, 2021. The BCBSA designed the Blue HPN to meet national market demand for high-quality networks and lower total cost.
Beginning January 1, 2021, you may see patients enrolled in Blue Cross and/or Blue Shield Plans that use the Blue HPN. Members enrolled in BCBS Plans that use the Blue HPN will use their in-network benefits when they receive services at Blue HPN participating providers. Out-of-network benefits are not included for plans that use the Blue HPN, except in the case of an emergency.
Members whose ID card displays the HPN-in-a-suitcase logo are enrolled in plans that use the Blue HPN.
Horizon BCBSNJ is NOT creating a separate Blue HPN network.
- The Blue HPN will use the New Jersey-based providers within our existing Horizon Managed Care Network and the Horizon Hospital Network as our Blue HPN network.
- National employers will also have the opportunity to select Blue HPN tiered-network health plans that will use our existing OMNIA℠ Health Plan tier status designation.
If you participate in our network but are located outside New Jersey
- Members enrolled in Blue Cross and/or Blue Shield Plans that use the Blue HPN in New Jersey will have in-network coverage when they get care from providers that participate in the Horizon Managed Care Network and the Horizon Hospital Network and those providers are located in New Jersey.
- Participating Horizon Managed Care Network providers and Horizon Hospital Network facilities that are located outside of New Jersey will NOT be included in the Blue HPN in New Jersey.
The inclusion of Delaware, New York and Pennsylvania providers in Blue HPN is based on participation status with the DE, NY or PA Blue Cross Blue Shield plans.
Your participation status for plans that use the Blue HPN and that use the OMNIA Health Plan tier designation will be the same as the OMNIA Health Plans, except if you are located outside of New Jersey.
On or about October 23, 2020, our online Doctor & Hospital Finder will be updated to indicate network participation status in Horizon BCBSNJ plans that use the Blue HPN.
Thank you for being part of our strong health care network. We are confident in the high-quality care you and your staff provide to Blue Plan members.
Blue High Performance Network℠ (Blue HPN℠) is a service mark of Blue Cross and Blue Shield Association. OMNIA℠ is a service mark of Horizon Blue Cross Blue Shield of New Jersey.