Commissioners debate BEN (HMO-style) network, ER access and specialist coverage

Jun 24, 2026

The court weighed a Blue Essentials Network (BEN) option that would limit out-of-network benefits and require referrals for specialists; commissioners and the TAC consultant discussed which local hospitals and specialists are in-network and how ER usage drives claims.

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Commissioners discussed an alternate base plan labeled BEN (Blue Essentials Network), described in the meeting as an HMO-style option that emphasizes in-network primary-care and referral-based specialist access and generally offers no out-of-network benefits.

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