Annual Enrollment
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Your
Health
and Wellness
A Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association. © 2012 Health Care Service Corporation. All rights reserved.
Blue Care® Advisors – Condition Support
If you have a chronic
condition, we offer help.
Blue Care Advisors – clinical professionals – can help you
manage chronic health conditions, understand and follow
physician’s orders, review medications, side effects, compliance,
refills and current services, establish goals and schedule follow-ups
as appropriate: Asthma, COPD, diabetes, heart disease, low
back pain, metabolic syndrome
Call the number on the back of your ID card
to participate. OR a Blue Care Advisor may
call you. You
will want to call back!
Completely
confidential
and voluntary
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Lifestyle Management
Weight Management &
Tobacco Cessation:
Support for a Healthier You
Personalized Coaching
• Counseling and coaching with
licensed Wellness Coaches
• 24/7 Nurseline
• Referrals when appropriate
Self-Paced Approach
• Online programs
• Secure email outreach keeps
members on track
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Preventive Coverage
Stay Healthy by Getting Regular Check-ups
What’s covered?
– Recommended routine gender and age-specific
preventive care and screenings – such as physical
and ob-gyn exams, mammograms and other cancer
screenings, well-child care and immunizations – both
facility and professional services
– Coverage provided in-network at 100%
with no copay, no
deductible. Out-of-network benefits may vary.
IMPORTANT to remember: Lab tests related to an illness or condition – such as
diabetes or asthma – are not considered preventive and are covered under
applicable deductible and coinsurance levels. Because these tests feel “routine”
to the member, this can cause confusion
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January 2013
Women’s Preventive Services
On August 1, 2011, HHS announced the adoption of HRSA-supported women’s preventive
services guidelines developed by the Institute of Medicine. Non-grandfathered plans have
until plan/policy years beginning on or after August 1, 2012 to implement the new coverage
requirements.
The new guidelines expanded on the coverage of women’s preventive services
required of non-grandfathered health plans without cost sharing, including:
o ·well-woman visits
o ·screening for gestational diabetes
o ·human papillomavirus (HPV) DNA testing for women 30 years and older
o ·sexually-transmitted infection counseling
o ·human immunodeficiency virus (HIV) screening and counseling
o ·FDA-approved contraception methods and counseling
o ·breastfeeding support, supplies, and counseling
o ·interpersonal and domestic violence screening and counseling
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What’s Preventive, What’s Not?
Mammogram example
PREVENTIVE
– Jane has a regular preventive mammogram performed in July (in-network)
(Preventive coverage = 100%, no copay)
DIAGNOSTIC
– Jane’s mammogram results showed signs of suspicious growths
– Jane is asked to go in for a second mammogram
– This second mammogram is diagnostic or medical – not preventive, and
subject to deductible and coinsurance
Jane pays the cost of the discounted PPO cost of the mammogram
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24/7Nurseline
Advice anytime.
Advice isn’t just needed
from 9 to 5.
Round-the-clock health and the
wellness advice from licensed
professionals
More than 1,200 AudioHealth
Library topics
800-299-0274
Available in
English and
Spanish
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Blue Access Mobile
SM
More than
4,300
mobile page
views per day
Blue Access for Members
SM
•
•
•
•
Digital ID Card
Benefits / eligibility
Claims Status
User Profile
Public Site
•
•
•
•
Health Care 101
Shop for Insurance
Find a Doctor / Hospital
Log in or register for Blue
Access for Members
• Contact Us
• Health and Wellness
Articles – Diabetes, Maternity
Extras SM,
Care, Nutrition, Blue
Obesity, Fitness, My Care
Profile, Metabolic Syndrome
More than
Four
text messages
sent per minute
Text Messaging
Static – One-Way Alerts
• Rx Reminders, Diabetes, CAD, Diet Tips,
Claim Status, Exercise & Fitness Tips
Dynamic – Two-Way
• ID Card Management, Coverage
Management
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Smartphone Apps
Provider Finder®
App
• Locate providers
• Link to map and
directions
• Add to contacts
• Locate urgent care
facility
using GPS location
Duty Calls enables new
dads to stay more engaged
with their partner throughout
pregnancy and help make the
healthiest decisions.
Easy and awesome!
And no ads!
by onepercentmilk
For iPhone® and Android® phones.
More than
1,000
Provider Finder app
downloads / month
With Tot Tracker new (and
veteran) parents can stay on top
of their child's milestones,
upcoming vaccinations and growth
measurements – ages 0 - 3 years.
* For iPhone® only. Can be viewed on iPad® and iPhone® Touch
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Expectant mothers and babies
get off to a healthy start with prenatal and
postnatal education and support
Enroll in the Special Beginnings®΄ program to receive
guidance from pregnancy to six weeks after delivery
• Pregnancy risk assessment
• Frequent, personal contact based on risk
• Educational materials
• Coordinated care with your physician
• Screening for depression
web
text
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Special Beginnings Web
Enables new moms to stay healthy with a suite of educational
resources tailored to each week of pregnancy.
• A calendar informing moms of what
to expect during each week of
pregnancy
• A library of articles to help moms
stay healthy and informed
throughout their pregnancy
• Information on vaccines and tests
that moms will encounter during
pregnancy
• Educational videos from a cross
disciplinary panel of experts
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You don’t eat the same food every day.
Why work out at the same
fitness club every single time?
–$25 to sign up, $25 per month,
– Mix and match fitness centers
– No contract and no obligation
– Unlimited access to a nationwide
network of more than 8,500 participating
fitness centers
– Just log into Blue Access for Members
and click Fitness Program in Quick Links
to reach the enrollment page
Available to members and their covered dependents (age 18 and older)
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Member Discount Program
New expanded discount program for members (January 2013)
To help keep you healthy,
get exclusive health and wellness deals
from national / local retailers for Blue Cross
and Blue Shield of Illinois members
Save money on gym memberships,
vision exams and services, hearing
aids and diet-related services
For program updates log on to
Blue Access for MembersSM
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Blue Access
SM
for Members
secure member site
@ bcbsil.com/members
A new member subscribes to
Blue Access for Members every
minute
A Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association. © 2012 Health Care Service Corporation. All rights reserved.
Blue Access for MembersSM
Save time with self-service support tools and health
and wellness resources on a convenient and secure
site
• Check claims, view and print Explanation of Benefits (EOBs)
• Sign up for electronic EOBs, and turn off paper
• View benefits and covered dependents
• Check coverage details and Rx benefit information
• Manage mobile and texting preferences
• Request new ID cards or print temporary ID cards
• Access health and wellness information and guides
… and more
Log and perform protected transactions 24 hours a day,
7 days a week*
*Claim Statements/EOBs are not available from 3 – 6 a.m.
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Blue Access for MembersSM
Access Provider
Finder to locate
doctors & hospitals
My Coverage
includes benefit
highlights,
deductibles and outof-pocket and copay
summaries for
Medical, Rx, Dental
My Claim Activity
displays recent
claims, or go to the
Claims Center for
all your claim details
My Health tab links
you to health and
wellness content,
articles, videos, and
My Care Profile
Use Quick Links
for easy access to
Health Assessment,
Fitness Program,
Member Discounts,
or to get an ID card
Form Finder easier
to view and find
specific forms for
members
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The MY HEALTH Tab
Check out the MY
HEALTH tab for access
to hundreds of articles,
health information links
to videos and more
helpful resources
Find out more about the
24/7 Nurseline, and our
Lifestyle Management
program, or review your
Care Profile
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Interactive Video Tutorials
Easy to use, technology-powered
video coaching modules that enable
the most informed treatment decisions
Some of the 180 videos:
•
•
•
•
•
•
Coronary Artery Disease
Bariatric Surgery
Chronic Low Back Pain
Depression
Diabetes
•
Blood Sugar
•
Insulin Injections
•
Type 2 Diabetes
Metabolic Syndrome
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Interactive Video Tutorials
Self Service Approach
•
Members can access
some of the videos
directly through the
My Health tab,
OR
Care Management
Approach
•
BCBS nurses can
“prescribe” videos if you
are participating in a care
management program
•
You will receive an email
with a link to the video
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Wellness
NEW Member Site in 2013
More than
63%
of participants
in our Fitness
Program are women
A Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association. © 2012 Health Care Service Corporation. All rights reserved.
New Member Wellness Portal in 2013
Portal Highlights
o
o
o
o
o
Health Assessment
Member dashboard
Self-directed courses
Trackers and tools
Health & wellness content
o
o
o
o
o
Food and exercise diary
Social networking
Text messaging
Member rewards program
Fitness program
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New Member Wellness Portal
o Once you log in for the first
to the new wellness portal,
you will be automatically
directed to take the Health
Assessment for the first time
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New Health Assessment
Health Assessment
o Consists of nine mini-assessments
on important aspects of your health
o Once you log in, you will be
automatically directed to take the
Health Assessment for the first time
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New Health Assessment
Personal Wellness
Reports
o Save and resume the Health
Assessment at any time
o Snapshot Report shows
where your health status
ranks based on your
responses as you progress
o Fully personalized
comprehensive Personal
Wellness Report
upon completing the
Health Assessment
o Provider report to discuss
with your heath care
professional
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New Member Rewards with Life Points
Reward yourself !
o Win points for multiple wellness
and fitness activities, completion
of online courses, and more
o Redeem in the Shopping Mall for
electronic, sporting goods, games
and more
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