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PAP101 - Blue Cross of Idaho Healthcare Coverage - Added missing access plans

Blue Cross of Idaho·ID·Medical Policy
Effective date
Not stated
We identified it
Jun 19, 2026
Days to comply
—

Summary

Blue Cross of Idaho added missing Access plan types to their healthcare coverage policy, expanding from 3 to 9 Access plan options in the individual and family market. Six of these plans are grandfathered plans with membership terminating September 1, 2027.

Action Required

Action needed
Billing team should update patient eligibility verification procedures to recognize all 9 Access plan types (Access Fit, Access Nurture, Access Pathway, Access Clarity, Access Protector, Access Secure, Access Safeguard, Access Heritage 3500, Access Heritage 6500). Note that 6 grandfathered plans terminate September 1, 2027. Verify PCP referral requirements for Access plan members as these plans require PCP referrals for specialists.

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