MMC Benefits Handbook
NOTE: Out-of-network services are not covered under the Anthem BCBS Narrow Network (National Blue High Performance Network (Blue HPN)) except for urgent and emergency care. There are some providers in New Jersey and Philadelphia that are listed as Tier 2 on Anthem BCBS's provider search (National Blue High Performance Network (Blue HPN)) that can be used and are covered at the out-of-network benefit level. Providers not labeled as Tier 2 cannot be used for out of network coverage.
The plan covers the treatment to:
- Evaluation and treatment by physical means or modalities
- Includes rehabilitative and habilitative services
Prior authorization for physical therapy is recommended. Contact the Claims Administrator for specific details.