An Insurance Plan for the Health Care Industry

Preventive and Wellness

PREVENTIVE BENEFITS

In accordance with the Patient Protection and Affordable Care Act (PPACA) The HPM Health Plan offers an extensive list of preventive benefits to all covered members. These benefits are paid at 100% before the deductible is met when a network provider is used. The preventive services include wellness exams, immunizations, men’s and women’s preventive care, and effective June 1, 2023, colon cancer screenings over the age of 45. In addition, all HPM Health Plan include pediatric preventive dental and vision for dependents up to age 18. A comprehensive list of the preventive benefits may be found in the HPM Health Plan Summary Plan Document (SPD) which is posted on the Blue Access for Members (BAM) portal.  To use Blue Access for Members (BAM) visit bcbsmt.com. A listing of the U.S. Department of Health & Human Services preventive care services is available here.

WELLNESS PROGRAM

The HPM Health Plan provides a comprehensive wellness program for our members. All members and their covered spouses are eligible to participate in the Total Health Management (THM) program. This program includes both a consent form and the THM form which is completed by your provider and submitted to BCBSMT. In return, each member will receive a $300 reduction on the following year’s deductible. More information is available here.

In addition to these benefits, the HPM Health Plan, in conjunction with BCBSMT, provides many services to assist our members.  Click the links here for information regarding Case Management services, 24/7 Nurseline, Well on Target, health club membership programs, and the Blue Points program