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WyoBlue Advantage: A New Option for Your Medicare Patients
Act
immediately
Effective date
Oct 1, 2025
Identified
Jun 19, 2026
Summary
BCBSWY introduces WyoBlue Advantage Medicare plan, requires Modifier 59 for COVID-19 vaccine billing with bundled services starting October 1, launches Gold Carding program January 1, 2026 to streamline prior auth for high-approval providers, and reduces radiology reimbursement 5% starting February 1, 2026.
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What to do
immediately · 3 steps
01Update billing system to require Modifier 59 when billing CPT 90480 (COVID-19 vaccine administration) with other services on same date that are subject to NCCI bundling edits.
02By January 1, 2026: Eligible providers with ≥5 prior auth requests and ≥90% approval rates should prepare for Gold Carding program notifications.
03By February 1, 2026: Budget for 5% reimbursement reduction on most radiology services.
Codes mentioned
90480
Original notice
WyoBlue Advantage: A New Option for Your Medicare Patients
bcbswy.com · Always check the source before changing claims.