Provider Benefits List
The following is a list of the provider summary of benefits documents available to you on this site.
Summary of Benefits and Coverage
TIER 1 BENEFIT
TIER 2 BENEFIT
Prescription Drug Benefit
NOTE: For Envision Benefits, please consult with the SMM dated October 30, 2014, where effective January 1, 2015. Pharmacy Benefits will now be administered by BCBS MA for BCBS members
HIPAA Notice of Privacy Practice
This notice describes how medical information about you may be used and disclosed and how you get access to this information.
View the latest privacy notice