CommercialCoverageMedium impact
Certain Johns Hopkins University (JHU) Members Changed Plans Effective January 1, 2021
CareFirst BlueCross BlueShield·Provider News
Effective date
Jan 1, 2021
We identified it
Jun 20, 2026
Summary
Effective January 1, 2021, Johns Hopkins University members with prefix PJN switched to BlueChoice Advantage with PPO overlay, allowing them in-network benefits with PPO providers and greater flexibility for lab and radiology services. Billing teams must verify eligibility for all JHU members and cannot turn them away without checking benefits first.
Action Required
Immediately: All front desk and billing staff must verify eligibility and benefits for Johns Hopkins University members (prefix PJN) using CareFirst Direct before providing services. Do not turn away JHU members without verification as their plan benefits have changed. Update workflow to check for PPO network benefits for these members.