Blues on Call
A Service of Highmark, Inc.
What is Blues on Call ?
A trial program presented to PPG by Highmark
(BCBS) to offer the enhanced services of
Blues on Call to Active Employees and
Retirees under age 65, along with Covered
Spouses and Dependents, who have their
Health Care Benefits through BCBS.
What is Blues on Call ?
Blues on Call uses all available data from
Claims and Wellness Checkpoints
(HRA’s) to identify people who:
• Are living with Health Conditions
• Are at-risk for Developing Health Conditions
• May benefit from Lifestyle Improvement
Programs
What is Blues on Call ?
Highmark Members are now asked for a
consent to have their Wellness Checkpoint
(HRA) data passed to Highmark…Why??
• Wellness Checkpoint (HRA) Data can
provide information about opportunity for
lifestyle improvement and risk reduction
BEFORE health issues develop or worsen!!!
What Services are
Available to Members?
• Outbound Calls are made to members who may benefit
from the support of a Health Coach (Registered Nurse)
– The members who receive outbound calls are identified via claims
and Wellness Checkpoint (HRA) data analyses that are done on an
ongoing basis
– Health Coaches can offer members individually-tailored support,
education, and access to resources that assist members in managing
serious or chronic health conditions or assist members “at-risk” for
developing conditions to improve their modifiable risk-factors
– Thus far, 423 Outbound Calls have been made to 128 employees
What Services are
Available to Members?
• Health Coaches are also available 24 hours a day to
take Inbound Calls from members.
– Members can get support and education on any health
related topic
– Examples of Health Coach services include assisting
members in framing questions before a doctor visit,
answering questions that may arise after a visit, providing
education around a new diagnosis or treatment, and
offering access to resources including DVD’s, brochures,
and on-line tools
– Thus far, 4 Inbound Calls have been received by BCBS
What Services are
Available to Members?
• On-line Programs are available via the Highmark
Website (www.highmarkbcbs.com)
– Topics covered in the on-line programs include
depression, weight management, nutrition, stress
management, smoking cessation, insomnia, back pain,
diabetes, and chronic conditions
– The Highmark website also allows members to access a
variety of information such as Discount Programs,
Health Encyclopedias, Personal Health Record, and
Provider Directories
What Services are
Available to Members?
• Wellness Coaching is also available to members
who are looking to make lifestyle changes
– Wellness Coaches are Health and Wellness Professionals who offer
members one-on-one support and tailored programs that help members
make behavior changes that help reduce the risk of lifestyle related diseases
and improve overall quality of life
– Members who may benefit from Wellness Coaching are identified via their
responses to the Health Risk Assessment. The Wellness Checkpoint (HRA)
is a vital piece of the Blues on Call program, as it allows us to identify ‘atrisk’ members much earlier than claims generally allow.
– Members who are interested in Wellness Coaching may also call directly to
Blues on Call.
What Wellness Coaching
Programs are Available ?
• ‘Simply Well’ – Nutrition Program that focuses on a balanced approach
to healthy eating
• ‘Aim for Change’ – Weight Management Program that focuses on a
balanced approach to nutrition and physical activity for successful longterm weight management
• ‘Get Moving’ – Physical Activity Program that focuses on the benefits
of exercise to health, fitness, and overall well-being
• ‘Restoring Balance’ – Stress Management Program that focuses on
introducing skills, strategies, and relaxation techniques to increase
resilience to stress and improve ability to cope with everyday stressors
• ‘Tobacco Cessation’ – Tobacco Cessation Program that focuses on
support, behavior modification, techniques to manage withdrawal
symptoms, stress management, and weight management concerns
associated with quitting smoking. **Members who enroll in this
program are eligible to obtain an 8 week supply of Nicotine
Replacement Therapy at the low cost of $25!!
Members should be assured that
all information shared with a
Blues on Call Coach is
CONFIDENTIAL!!!
How can you contact
Blues on Call?
• Members can contact Blues on Call at:
1-888-BLUE-428
(1-888-258-3428)