Get the most out of your health plan

Transcription

1 Get the most out of your health plan anthem.com/ca reinvented Clear. Intuitive. Easy. Get simple answers to your everyday questions. Become more aware of your health care options. Find resources to help you and your family live healthier lives CAMEN Rev. 3/10 F Anthem Blue Cross is the trade name of Blue Cross of California. Anthem Blue Cross and Anthem Blue Cross Life and Health Insurance Company are independent licensees of the Blue Cross Association. ANTHEM is a registered trademark of Anthem Insurance Companies, Inc. The Blue Cross name and symbol are registered marks of the Blue Cross Association.

2 Simple answers. Expert advice. Your personal, secure health account summary Customized to what s most important to you. Convenient, quick and paperless available 24/7. At-a-glance view of your health information. Quick search to find a doctor, view your coverage and check claims. Instant access to health resources and newsletter subscriptions. Claims and benefits made easy Easy access to view your claims history or check the status of a claim. Get a side-by-side view of your claims and benefits. Understand how much you pay and what your health insurance plan covers. View what you ve paid to date for each family member. * Find answers to your benefit questions. Get the best care possible Become more knowledgeable on specific conditions and explore your treatment options. Discover if you have health risks and learn how to lower them. Get inspiration and support to improve your health. Compare the cost and quality of doctors and hospitals. Register today at anthem.com/ca *Requires permission from family members age 18 and older.

3 24/7 NurseLine Always here for you Health concerns can happen when you least expect them. You might be on vacation or even on a business trip. Or your child may have a fever in the middle of the night. But there s somewhere you can turn for help any time of the day or night. Call the 24/7 NurseLine to talk with a registered nurse about your health concern. Whether it s a question about allergies, fever, types of preventive care or any other topic, nurses are always there to provide support and peace of mind. And, if you want, a nurse will call you later to see how you re doing. Our nurses can help you choose the right place for care if your doctor isn t available and you aren t sure what to do. Do you need to head straight to the emergency room? Is urgent care best? Or do you need to see your doctor? Making the right call can save you time and money and give you access to the best possible care. Do you speak Spanish or another language other than English? We have Spanish-speaking nurses and translators on call. TTY/TDD services are available, too. If you d prefer not to talk about your health concern over the phone, the AudioHealth Library might be for you. These helpful prerecorded messages cover more than 300 health topics in English and Spanish. Just call the 24/7 NurseLine number and choose the AudioHealth Library option. Health questions? 24/7 NurseLine is always here for you. Call toll free at % of members like you would recommend 24/7 NurseLine to others. Anthem Blue Cross is the trade name of Blue Cross of California. Anthem Blue Cross and Anthem Blue Cross Life and Health Insurance Company are independent licensees of the Blue Cross Association. ANTHEM and 360 Health are registered trademarks of Anthem Insurance Companies, Inc. The Blue Cross name and symbol are registered service marks of the Blue Cross Association. MCASH1301CK Rev. 8/11 F

4 ComplexCare: Support when you need it the most Coping with a health problem that needs extra care can be stressful. If you have many complex health issues, it can be confusing and scary. Fortunately, our nurses in the ComplexCare program are experts in helping you deal with your condition or conditions. They can work closely with you and your doctors to create a customized plan. Our goal is to help you improve your health and your quality of life. If you qualify for the ComplexCare program, one of our nurses may call you. As a ComplexCare member you will get: Personal attention to help you set and achieve healthy lifestyle goals. Answers to questions about your treatments. New ideas to help you care for yourself and stick with your doctor s advice. Referrals to other 360 Health programs that may help you. Help coordinating care between your doctors and other providers. Our nurses are backed by a team of specialists in pharmacy, nutrition and other areas. ComplexCare nurses will have the latest data on your treatment options. It s comforting to know that ComplexCare is here when you need it most and at no additional cost. What ComplexCare members say: 87% would recommend the program.* Over two-thirds learned more about their health and improved their diet.* *Source: 2010 Membership Satisfaction Studies 360 Health is a registered trademark of Anthem Insurance Companies, Inc. Anthem Blue Cross is the trade name of Blue Cross of California. Anthem Blue Cross and Anthem Blue Cross Life and Health Insurance Company are independent licensees of the Blue Cross Association. ANTHEM is a registered trademark of Anthem Insurance Companies, Inc. The Blue Cross names and symbols are registered marks of the Blue Cross Association. MCASH3152C Rev. 11/11 F

5 360 Health Programs: For your health, for your life ConditionCare If you have a long term health problem, ConditionCare can help make your overall health better. We ve helped thousands of people who have asthma, chronic obstructive pulmonary disease (COPD), diabetes, heart failure, coronary artery disease (CAD) and more. When you join the program, we ll give you the tools and resources you need to take charge of your health problem. You ll get: 24/7 phone access to a nurse coach who can answer your questions and give you up-to-date information about your condition. A health review and follow-up calls if you need them. Tips on prevention and lifestyle choices to help you improve your quality of life. Future Moms Having a baby is an exciting time! The Future Moms program can help you have a healthy pregnancy and a healthy baby. Join the Future Moms program and you ll get: 24/7 phone access to a nurse coach who can talk with you about your pregnancy and answer your questions. Your Pregnancy Week by Week, a book to show you what changes you can expect for you and your baby over the next nine months. Useful tools to help you, your doctor and your Future Moms nurse coach track your pregnancy and spot possible risks. 24/7 NurseLine Our registered nurses can talk with you about your health concerns any time of the day or night. They re always here for you. Need health care right away? They can help you choose where you need to go if your doctor isn t on hand. Going to the right place can save you time and money. And it can give you access to the best possible care. Call us toll free to get started. These programs are part of your health plan. They don t cost you anything to use. ConditionCare Future Moms /7 NurseLine Call the number on your ID card Anthem Blue Cross is the trade name of Blue Cross of California. Anthem Blue Cross and Anthem Blue Cross Life and Health Insurance Company are independent licensees of the Blue Cross Association. ANTHEM is a registered trademark of Anthem Insurance Companies, Inc. The Blue Cross name and symbol are registered marks of the Blue Cross Association. MCASH1316CFI Rev. 2/12 F

6 Future Moms: Your start to a healthy pregnancy Having a healthy baby is every mom s goal. You want to make the right choices and take care of yourself so you can reach that goal. But it s not always easy to do it alone. That s why there s Future Moms. It s a program that can help you make good choices. And that can help you have a safe delivery and a healthy child. Sign up as early as you can to get the most from the program. Just call us toll free at as soon as you know you re pregnant. One of our registered nurses will help you get started. You ll get: A toll-free number you can use to talk to a nurse coach any time, any day, about your pregnancy. Your Pregnancy Week by Week, a book to show you what changes you can expect for you and your baby over the next nine months. A screening to see if you might be at risk for depression or early delivery Other useful tools to help you, your doctor and your Future Moms nurse keep track of your pregnancy and spot possible risks. Free phone calls with other specialists, if needed. A booklet with tips to help keep you and your new baby safe and well. It s easy to sign up. Sign up for Future Moms by calling us toll free at There s no cost to you. Anthem Blue Cross is the trade name of Blue Cross of California. Anthem Blue Cross and Anthem Blue Cross Life and Health Insurance Company are independent licensees of the Blue Cross Association. ANTHEM is a registered trademark of Anthem Insurance Companies, Inc. The Blue Cross name and symbol are registered marks of the Blue Cross Association. MCASH1311C Rev. 11/11 F

7 How to prepare for your online health assessment Taking MyHealth Assessment is easy and fun. Our online health analysis tool is designed to provide you with free, confidential support resources about your health and wellness, instantly. Before you begin, here is what you may need in order to accurately complete MyHealth Assessment: Your height and weight If possible, your blood pressure levels, blood sugar level, and cholesterol (HDL/LDL) and triglyceride values Try to remember if your doctor has ever diagnosed you with any conditions such as allergies, diabetes, depression, asthma, etc. The month and year of your last physical and what was performed during that exam, such as: Mammogram PSA exam Dental exam Vision exam Colonoscopy Glaucoma screening Flu vaccine Additionally, you will be asked questions about your diet and lifestyle, such as typical eating habits and exercise routine See your MyHealth Assessment Checklist on the reverse side to help capture all your current healthy information. MCASH6579C Rev. 2/12

8 MyHealth Assessment Checklist We've made it easier for you to gather the information needed for your MyHealth Assessment. Contact your doctor and use this handy checklist to capture all of your current levels and measurements. Test Results Height Weight Systolic blood pressure levels (top number) Diastolic blood pressure (bottom number) Blood Sugar level Cholesterol level Triglyceride level LDL cholesterol HDL cholesterol Glucose level Know the month and year when your last physical was and what was performed during that physical, this includes items such as: Mammogram PSA exam Dental exam Vision exam Colonoscopy Glaucoma screening Flu vaccine Yes / No (circle one) Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No To take the Health Assessment, log in to anthem.com/ca. Click the Health & Wellness tab. Click Take my HA now in the Health Assessment box. Once you are done, MyHealth Assessment will compile the data you entered, and provide you with a health assessment score. It will also give you helpful tips on how to improve your score and better your health. We ll show you your Risk Profile based on your entries. The risk profile will give you information as to why you may be at risk. We will also provide you with a Take Action option. This is designed to guide you with helpful wellness options to improve your score, reduce your risk, and enjoy a healthier life. Share the results with your doctor and ask him/her for guidance as well, we ll provide you with a Doctor s Summary that you can print and take with you to your next appointment. Thank you for taking the first step to a healthier lifestyle! Anthem Blue Cross is the trade name of Blue Cross of California. Anthem Blue Cross and Anthem Blue Cross Life and Health Insurance Company are independent licensees of the Blue Cross Association. ANTHEM is a registered trademark of Anthem Insurance Companies, Inc. The Blue Cross names and symbols are registered marks of the Blue Cross Association.

9 MyHealth Advantage Helping you stay healthy and save money We go through medical histories, pharmacy claims and doctor visits, and then connect the dots to find ways to help you avoid health problems, stay healthy or save money. If we find something you could do to improve your health, you ll get a MyHealth Note in the mail. MyHealth Notes have information on: Tips to save money. We ll tell you when you can save money on your prescription drugs and other health care services. For example, if you switch from a brand-name drug to a generic one, you often pay less. Prescription drugs. If we find that you have prescriptions for two drugs that you shouldn t take at the same time, we ll let your doctor know. And, if it s time for you to get a refill, we ll remind you. Checkups, tests and exams. If it s time for you to have an exam or test, we ll remind you to make an appointment. Recent claims and prescriptions. This easy-to-read summary of your recent medical and pharmacy claims is great information to share with your doctors. Coming soon to a mailbox near you! You don t need to lift a finger to save money while enjoying a healthier life. Just watch your mail for a MyHealth Note. January 2012 Anthem Blue Cross is the trade name of Blue Cross of California. Anthem Blue Cross and Anthem Blue Cross Life and Health Insurance Company are independent licensees of the Blue Cross Association. ANTHEM is a registered trademark of Anthem Insurance Companies, Inc. The Blue Cross name and symbol are registered marks of the Blue Cross Association. MCASH1312C Rev. 12/11 F

10 MyHealth Assessment: Take the first step toward a healthier you Have 15 minutes? That s how long it takes to complete the MyHealth Assessment, a secure online analysis that helps pinpoint your personal health risks and make informed decisions based on your specific health situation and needs. By taking this first step toward a healthier you, you can potentially add years to your life and reduce overall expenses for medical care. The MyHealth Assessment report: Much more than a number After you ve completed your MyHealth Assessment, you ll receive a report that includes the following sections: Your Health Assessment score. Your score will fall somewhere between 0 and 100. In general, a lower score means more risks. A higher score means fewer risks. Improve your Health Assessment score. Don t like where you fell on the graph? The good news is you re not stuck there. While there are some things you can t change, there are things you can change. Your report includes an Improve Your Score section that lets you see how certain lifestyle changes can help to improve your score and your health. Risk Reports. A low risk for depression. A moderate risk for high blood pressure. A high risk for diabetes. The Risk Reports show you your potential health risks. But that s not all. It also tells you why you re at risk. From stress, to diet, to weight, you ll see the factors that may contribute to health problems down the road. This report also includes specific actions you can take to improve your overall health. Maybe it s improving your diet. Maybe it s wearing more sunscreen. Or, perhaps it s time to schedule a long overdue checkup with your doctor. Doctor s Summary. Your MyHealth Assessment report is most effective when shared with your doctor. That s why it includes a MyHealth Assessment report you can print out. Hopefully, it will help you make the most of your next doctor s appointment. And that s not all You ll also get linked up to the anthem.com/ca programs and resources that can help to reduce your health risks. So, what are you waiting for? Help manage, reduce or eliminate your health risks by taking the MyHealth Risk Assessment today! To take the Health Assessment, log in to anthem.com/ca. Click the Health & Wellness tab. Click Take my HA now in the Health Assessment box. Anthem Blue Cross is the trade name of Blue Cross of California. Anthem Blue Cross and Anthem Blue Cross Life and Health Insurance Company are independent licensees of the Blue Cross Association. ANTHEM is a registered trademark of Anthem Insurance Companies, Inc. The Blue Cross names and symbols are registered marks of the Blue Cross Association CAMENABC Rev. 2/12

11 The best organizational tool since colored file folders. Chart a healthy course with MyHealth Record at anthem.com/ca Are you due for a tetanus shot? A routine cancer screening? An annual checkup? Your health information is always at your fingertips with MyHealth Record. Store all of your health records easily and securely in one convenient spot at anthem.com/ca. Keep track of medical appointments, preventive care, claims, medications and more. Organized. Secure. Accessible. Even if your medical records are well-organized at home, keeping them private yet always available are still concerns. MyHealth Record keeps your health information organized, secure and easily accessible, which is especially important in emergencies. Your records will be available to help guide your care wherever you are with life-saving potential. You can use MyHealth Record to: Consolidate your health history in one secure location. Track doctor visits, vaccinations and other wellness services a great help if you see multiple doctors. Print out and share your health summary with your physicians. It could identify an important detail or quickly update a new doctor on your medical history. Stay on top of the latest patient education, health management programs, health news and tools with your customized health profile so you can make better-informed health care decisions. Help avoid potentially dangerous drug interactions, medicines you re allergic to, or duplicative tests and procedures. Where does the information come from? Enroll in MyHealth Record and you can add your own information, including: Dates of immunizations, cancer screenings, cholesterol tests Dates of surgeries and the names of hospitals where they were performed A list of allergies Prescription and over-the-counter drugs you are taking In-office lab tests (such as Strep) Serious or chronic medical conditions MCASH0761C Rev. 8/10 F

12 MyHealth Record at anthem.com/ca We can even update your record weekly with any new claims information on file.* Create your own emergency health card Use your MyHealth Record information to create your own Emergency Information Card. This wallet-sized card summarizes your key health information, such as your blood type, allergies and medical conditions. Always carry it with you to help ensure you get the right care in the event of an emergency. Or use it anytime a health care professional needs a quick overview of your medical history. Your record is private As always, your personal health information will be safeguarded with our strict privacy and security standards. You can view these standards at MyHealth@Anthem at anthem.com/ca. There is no obligation to participate, and you can deactivate the service at any time. *The types of data supplied will vary depending on your health plan and may not be complete (for instance, claims that may not have been received or posted). Begin your MyHealth Record today 1. Just log in to anthem.com/ca. 2. Click on Health & Wellness. Anthem Blue Cross is the trade name of Blue Cross of California. Anthem Blue Cross and Anthem Blue Cross Life and Health Insurance Company are independent licensees of the Blue Cross Association. ANTHEM and 360 Health are registered trademarks of Anthem Insurance Companies, Inc. The Blue Cross name and symbol are registered marks of the Blue Cross Association. MyHealth is part of 360 Health. From preventive care to managing complex conditions, 360 Health is there when you need it. anthem.com/ca

13 Register with anthem.com/ca to get online access to your benefits. From any computer with Internet access, type anthem.com/ca in the Web browser address field and click Register Now. * This can be found on the top right-hand side of your screen under the Member Log In area. Step 1: Personal information Enter your personal information, including member identification number, first and last name, date of birth (mm/dd/yyyy) and address. For security reasons, you will also be asked to put in the security code that is shown. Click Save & Continue. Step 2: Username and password Create your username and password. You will then select a security question from the drop-down menu and give the answer. You will be prompted to answer your security question if you forget your password. Please keep this information in a secure place. Once you are done creating your username, password and security question, check mark the box to agree to the terms and conditions of Anthem and click Save & Continue. Step 3: Notification preferences You will be able to decide how you would like to get future legal notifications, special offers and other health plan notifications. < > Choose to get your information through either or from the U.S. Postal service. Click on Save & Continue. Step 4: Confirm registration Here you will make sure all your personal information, username and password and your notification choices are right. Click Confirm. Having problems signing up? Call the ebusiness Help Desk at for help. Now you can log in to begin taking advantage of online access to your benefits. Helpful hints are given throughout your registration to help you finish each step. Look for them on the right-hand side of your computer screen. *If you are 18 years of age or older, you must register your own account. Anthem Blue Cross is the trade name of Blue Cross of California. Anthem Blue Cross and Anthem Blue Cross Life and Health Insurance Company are independent licensees of the Blue Cross Association. ANTHEM is a registered trademark of Anthem Insurance Companies, Inc. The Blue Cross names and symbols are registered marks of the Blue Cross Association CAMEN Rev. 10/11 F

14 Live life to the fullest without paying full price Save money with discounts at anthem.com/ca Saving money is good. Saving money on things that are good for you that s even better. With SpecialOffers@Anthem SM, you can access discounts on products and services that help promote better health and well-being. It s just one of the perks of being a member. Check out how much you can save: Family & Home American Baby Magazine Get a subscription to the magazine at no cost to you that takes you through pregnancy and beyond. Safe Beginnings Baby proof your home while saving 15% on everything from safety gates to outlet covers. Call SeniorLink Save 15% on advice for seniors and get 90 days service at no additional cost on the HelpLink Emergency Response System to help care for an aging family member. Call VPI Pet Insurance Get 5% off pet insurance. There will come a time when your pet needs medical help. With a VPI Pet Insurance policy, you may have peace of mind knowing that you have help paying the medical costs for your pet s accidents, illnesses and routine medical care. Call 877-PETS-VPI. VoiceCare - Save more than 25% on the professional emergency response system. SelfHelpWorks Join a SelfHelpWorks online program to help you lose weight, stop smoking, manage stress or cut back on alcohol or quit drinking completely and get a 30-day guest pass at no additional cost and a 40% discount. Call Fitness & Health Jenny Craig Join Jenny Craig and get a 30-day trial at no additional cost, 50% off the six-month program and 20% off the Jenny Rewards program. Call 877-Jenny70. Weight Watchers Get $10 off a three-month subscription to Weight Watchers Online. Lindora Save 20% on weight loss programs. Call 800-LINDORA. LivingLean Save 40%. LivingLean is not a diet. It is a program that has you point out your main problem foods and your main munchies, then it teaches you how to get rid of your emotional cravings for them. LivingLean is a five-week program. GlobalFit TM get up to 60% off fitness club memberships. With GlobalFit, you can get in shape and save. Join your choice of over 10,000 fitness centers across the country - including Curves, Bally s, Gold s, Anytime Fitness and many more - all at some of the lowest available rates! Save big on home fitness with videos and equipment. NutriSystem s 28-Day Favorites Package is also offered through GlobalFit, and you ll save $30 off the retail of their order. GlobalFit TM offers special pricing on exercise videos and an extra 5% off of the already low prices at Smooth Fitness TM. ChooseHealthy TM Take the alternative path with discounts on health and wellness products, fitness club memberships and more. Puritan s Pride - Save 20% and get free shipping on the vast selection of vitamins, minerals, herbs, supplements and much more. MCASH1231C Rev. 11/11 F Check out more SpecialOffers on the other side.

15 SM on anthem.com/ca Vision, Hearing & Dental Eyewear Discount Save 30% on eyeglasses, 20% on most nonprescription sunglasses and discounted prices on accessories. Premier LASIK Save 15% on LASIK with all their in-network providers and prices as low as $695 per eye with select providers. Call a Premier LASIK representative at to learn more. TruVision TM Members receive 10% off vision correction procedures. Their network of highly trained optometrists, ophthalmologists and surgeons are committed to providing you with high-quality care. Also, get 20% off your first order of your favorite brands of contact lenses. Free shipping on orders of $99 or more. HearPO Get a low price guarantee on the seven top companies that work with HearPO. Call 888-HEARING. Beltone TM - Hearing screening and in-home service at no additional cost, and up to 50% off all Beltone hearing aids. drugstore.com TM - Save 5% on dental and vision products, along with free shipping on orders of $49 or more. Medicine & Treatment SelfHelpWorks Join a SelfHelpWorks online program to help you lose weight, stop smoking, manage stress or cut back on alcohol or quit drinking completely and get a 30-day guest pass at no additional cost and a 40% discount. Call ChooseHealthy Take the alternative path with discounts on visits to massage therapists, acupuncturists and more. Murad - Save $25 plus a free gift with any purchase of $100 or more on skin care. Allergy Control Products - Save 25% on Allergy Control encasings for your bed. Plus, save 20% on a variety of doctor recommended products for a healthier home. National Allergy Supply Save 15% on mattress encasings, air filtration products, compressors and other products that can help relieve your allergy, asthma and sinus symptoms. Call drugstore.com Save 5% on health, beauty, wellness and personal care products, along with free shipping on orders of $49 or more. To find the discounts that are available to you, log in to anthem.com/ca today. Not registered? Sign up now for access to personalized service and resources. It s fast, easy and secure. Si necesita ayuda en español para entender este documento, puede solicitarla sin costo adicional, llamando al número de servicio al cliente que aparece al dorso de su tarjeta de identificación o en el folleto de inscripción. SpecialOffers@Anthem is a service mark of Anthem Insurance Companies, Inc. Vendors and offers are subject to change without notice. Anthem does not endorse and is not responsible for the products, services or information provided by the SpecialOffers@Anthem vendors. Arrangements and discounts were negotiated between each vendor and Anthem for the benefit of our members. All other marks are the property of their respective owners. All of the offers in the SpecialOffers@Anthem program are continually being evaluated and expanded so the offerings may change. Any additions or changes will be communicated on our website, anthem.com. These arrangements have been made to add value for our members. Value-added products and services are not covered by your health plan benefit. Available discount percentages may change or be discontinued from time to time without notice. Discount is applicable to the items referenced. Weight Watchers International, Inc., an independent company and owner of the WEIGHT WATCHERS trademark. All rights reserved. Anthem Blue Cross is the trade name of Blue Cross of California. Anthem Blue Cross and Anthem Blue Cross Life and Health Insurance Company are independent licensees of the Blue Cross Association. ANTHEM is a registered trademark of Anthem Insurance Companies, Inc. The Blue Cross names and symbols are registered marks of the Blue Cross Association. anthem.com/ca