Health and Wellness. Coverage Information. Quality Care. Health Plan Management. Health Services

Transcription

1 Health Plan Management Quality Care Health and Wellness Health Services Coverage Information 01MK3869 1/09 Blue Cross and Blue Shield of Louisiana incorporated as Louisiana Health Service & Indemnity Company

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3 Your Health At Blue Cross and Blue Shield of Louisiana, we re committed to your health. That s a responsibility we ve shared with our customers for more than 75 years and we re proud to share it with you always. We re committed to providing health guidance, online tools, wellness programs and access to quality, affordable healthcare. Our Commitment Our commitment starts with delivering value, from our competitively priced healthcare plans and robust networks of doctors and hospitals to our more than 40 value-added wellness services and programs designed to keep you in good health. My Health. My Programs. Coming Soon Personalize a list of programs and services that match your needs.

4 To Health Plan Management Blue Cross provides easy-to-use online health management tools that allow you to access your account, pay your bill and keep track of your health. AccessBlue Register for our free online plan management tool to access: Claims Review Member Self-Service Bill Pay Health Records Services by Phone Pay your bill, check claims status and more by calling BLUE (2583) Blue Health Record Manage your care with your own free claims-based health record. It provides a quick overview of your care for the past three years Personal Health Record Keep track of your lab tests, doctor visits and prescription medicines plus add personal health contact information. This secure online record is also a valuable tool in emergencies, letting you reach your health information from anywhere MySmart$aver SM Easily manage your tax-free health savings account (HSA) online (for customers with high-deductible health plans)

5 To Providing Quality Care Blue Cross members have access to our comprehensive provider networks and a thorough list of drugs covered under most policies. Our networks and web tools provide resources and information to help you identify the doctor or hospital that s right for your healthcare needs. Online Provider Directories Network Search: Search our extensive doctor and hospital networks BlueCard : Search the BlueCard directory for a national network of doctors you can access when you re traveling Drug Formularies View medication options online Healthcare Advisor SM * Check out detailed, personalized information on common health conditions, estimated treatment costs, questions to ask your doctor and more Blue Distinction Centers Get the best care from hospitals recognized by the Blue Cross and Blue Shield Association as national Blue Distinction Centers Louisiana Hospital Inform** Use this resource from the Louisiana Hospital Association to review hospital quality and pricing information

6 To Your Health and Wellness Blue Cross wellness programs are fun, interactive ways for you to get healthier and stay that way. Customers can get motivated to eat right, move more and take steps to better health. Louisiana 2 Step Learn to eat right and move more using health trackers, motivational tools and tips from Louisiana2Step.com. The 2 Step includes: Activity Log Food Log Walking Log Health Stats Tracker Weight Loss Tracker 2 Step 4 Kids Teach kids that eating right and moving more can be fun, with games and interactive tools from 2Step4Kids.com. The 2 Step 4 Kids classroom program is a free resource for teachers and youth leaders

7 Workplace Wellness Create a healthier workplace by motivating employees with a free, fun program Louisiana 2 Step Teams: Set goals, track progress and set up a 2 Step Walking Program Steps to Better Health for Groups: This toolkit helps employers to educate employees about physical activity, good nutrition and ways to reduce healthcare expenses Smart Bodies Fights childhood obesity through classroom programs coordinated by the LSU AgCenter Health Communications Receive a wealth of wellness information, reminders and health news including: Educational materials on common health conditions Printed and electronic newsletters Wellness reminders for preventive care Preventive Medicine Guidelines Identify recommended preventive services based on your age, gender and risk level

8 To Providing Health Services Our team of healthcare experts works behind the scenes to help you manage your health effectively, affordably and proactively. Their health guidance takes the form of wellness assessments, information, programs and other initiatives. Pharmacy Services Blue Cross pharmacists and our contracted pharmacy benefit manager look for ways to keep you safe and healthy at a lower cost through: Drug Formulary creation and updates Prescribed Drug Interaction Review which includes contacting customers when necessary Generic drug education programs Mail-order prescription options Medical Management Our in-house medical team of doctors, pharmacists and nurses offers wellness and preventive services to all customers and Disease Management programs for those who experience chronic illness. Services may include: Providing newsletters, wellness reminders and outreach calls to improve health outcomes Medical Policy Development to ensure proven and effective treatments Claims Review to ensure members receive medically necessary services Disease Management through education and coaching for specific chronic conditions such as diabetes and heart disease

9 To Coverage Information Blue Cross offers web tools that help you choose the best coverage plan for your health needs, lifestyle and budget. And we re committed to providing wellness benefits, tools and health guidance to help you manage your healthcare. Coverage Advisor SM * Compare our coverage plans based on your benefit needs and budget Medical Policies View the services we cover and those considered investigational by a committee of Louisiana physicians Wellness Benefits Get wellness and preventive care benefits and first-dollar coverage on many routine examinations, cancer screenings and immunizations (with most Blue Cross plans see your benefits book for details) Discounts on Dental, Vision and Hearing Services Get instant discounts from our special network of dental, vision and hearing providers without having to file claims (may not be available on all plans)

10 Blue Cross is committed to your health and to providing you with health guidance tools to support a healthier lifestyle... today, tomorrow and always. For more information on our wellness programs, online health tools, coverage options and benefits, visit w w w.b C B S L A.com Visit to access these online services AccessBlue services: you must be a registered member to view these tools (not available to all members). Sign up online at *Healthcare Advisor SM and Coverage Advisor SM are owned by WebMD Health Services, an independent company that provides health information services to customers of Blue Cross and Blue Shield of Louisiana. **Louisiana Hospital Inform is owned by the Louisiana Hospital Association, an independent nonprofit organization. MySmart$aver SM is owned by The Bancorp Bank, an independent company that provides health savings account services to customers of Blue Cross and Blue Shield of Louisiana. Only members on non-group policies can pay a premium bill online or by phone. Service available to primary cardholders only. Smart Bodies is a signature program of the BCBSLA Foundation, an independent licensee of the Blue Cross and Blue Shield Association. This is an informational brochure only and not a contract.