Volume 18 • Issue 2 • February 2016 Newsletter Excerpt

Plan & Alpha Prefix GuideBelow you will find a list of the 2015 BCNEPA plans with the corresponding Highmark Blue Cross Blue Shield plans for 2016. As members renew or enroll their individual or group contracts for health care coverage in 2016, they will be presented with a new Highmark-branded ID card. Verify eligibility via Highmark’s NaviNet. Please Note: Some members will remain in Blue Cross of Northeastern Pennsylvania health plans until their coverage renews to Highmark health plans later this year.Claims filing information and provider service phone numbers are available in the December 2015, January 2016 and February 2016 Provider Bulletins.

Blue Cross of Northeastern Pennsylvania Plan Alpha Prefix Highmark Blue Cross Blue Shield Plan Alpha Prefix2015 2016Large Group Large GroupBlueCare PPO QFG PPOBlue YYMBlueCare Qualified High Deductible PPO QFG PPOBlue Qualified High Deductible YYMBlueCare Traditional QFT ClassicBlue QDCBlueCare EPO (member works or resides out-of-area) QFO EPOBlue YYB

BlueCare Custom PPO (EPO-INN) QFI BlueCare Custom PPO (EPO-INN) JUF

BlueCare Qualified High Deductible Custom PPO QFI BlueCare Qualified High Deductible

Custom PPO JUF

AffordaBlueSM QFZ AffordaBlue JUDBlueCare HMO YZH BlueCare HMO JUHBlueCare HMO Plus YZH BlueCare HMO Plus JUH

BlueCare PPO Customized GroupsEBU, GSQ, LPO, LYB, NNU, NTJ, NTQ, SRI, WOH, WMH

BlueCare PPO Customized GroupsEBU, LPO, LYB, NNU, NTJ, NTQ, SRI, WOH, WMH

BlueCare Senior YZM/ZAS Signature 65 QDSSmall Group Small Group BlueCare PPO (on Exchange) QFR BlueCare PPO (on Exchange) JULBlueCare PPO (off Exchange) QFG BlueCare PPO (off Exchange) HNGBlueCare Qualified High Deductible PPO QFG BlueCare Qualified High Deductible PPO HNGBlueCare Custom PPO (EPO-INN) QFI BlueCare Custom PPO (EPO-INN) JUFBlueCare Custom PPO (on Exchange) QFQ BlueCare Custom PPO (on Exchange) JUJ AffordaBlue (on Exchange) QFE AffordaBlue (on Exchange) JUK AffordaBlue (off Exchange) QFZ AffordaBlue (off Exchange) JUDBlueCare Traditional QFT BlueCare Traditional HNN Individual—Direct Pay On Exchange Individual—Direct Pay On ExchangemyBlue Choice (PPO) (Canceled 12/31/15) QFLmyBlue Choice LP (PPO QHD) QFL myBlue Choice LP JUCmyBlue Cross, a Multi-State Plan (PPO) (Canceled 12/31/15) QFJ

myBlue Care QFA myBlue Care JUTmyBlue Access (Custom PPO) QFN myBlue Access JUQmyBlue Access LP (Custom PPO QHD) QFN myBlue Access LP JUQmyBlue Access Catastrophic QFN myBlue Access Catastrophic JUQ Individual—Direct Pay Off Exchange Individual—Direct Pay Off ExchangemyBlue Choice (PPO) (Canceled 12/31/15) QFFmyBlue Choice LP (PPO QHD) QFF myBlue Choice LP HNLmyBlue Care QFB myBlue Care JUSmyBlue Access (Custom PPO) QFH myBlue Access JUPmyBlue Access LP QFH myBlue Access LP JUPmyBlue Access Catastrophic QFH myBlue Access Catastrophic JUP CHIP YZH CHIP JUM BlueCare Security YZM MedigapBlue QDS