Page 15 - Open Enrollment Guide Sample
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Bi-Weekly Medical Contributions
24-Hour
PPO HSA NurseLine
Team Member $56.35 $45.02 1-800-700-9184.
Team Member + Spouse $170.47 $144.08 Healthcare matters don’t
Team Member + Child(ren)* $141.24 $108.06 always arise during
Family** $247.62 $189.11 doctor’s ofice hours.
* Team member + Child(ren) includes the Team member plus any number of children Sometimes you need
** Family includes the Team member, a Spouse, and any number of children answers to your health
questions right away...
Pre-certification for Services and that can be in the
middle of the night or
Pre-certiication is required for certain services covered by the Medical plan. If you while you’re on vacation.
visit a network provider, the provider will pre-certify for the service on your behalf. The 24-Hour Nurseline
You are responsible for pre-certifying for covered services if you utilize an out-of- is there for you and your
network provider. Please refer to your summary plan description for pre-certiication family 24 hours a day,
guidelines or contact Anthem at 877-768-6679. 7 days a week. You can
call and speak with a
registered nurse who
High Tech Radiology Pre-certification is trained to help you
[Client] utilizes the American Imaging Management (AIM) program. This program make more informed
decisions about your
informs team members of other lower cost alternatives for high tech radiology, health situation. All calls
including MRI, CT, Nuclear Cardiology, PET, and Echocardiography. Physicians will are conidential.
be required to pre-certify for these procedures. Members will receive an outbound call
with information on how to seek a lower cost alternative. If an option is provided, Want to Quit
Smoking?
it is the member’s decision on whether or not to seek treatment from the suggested
provider. When you enroll in
the medical plan, you
and your spouse are
Blue Distinction Centers for Specialty Care—Knee and Hip eligible to enroll in the
Replacement Enhancement Quit 4 Life program
When it comes to your health and healthcare, the choices you make matter. Blue to stop smoking.
Call 1-866-Quit-4-life
Distinction Centers can help you and your doctor have a better informed discussion (866-784-8454) to speak
about inding the right hospital for the speciic procedure you need. The Blue to a telephone tobacco
Distinction Center program evaluates hospitals on their ability to deliver high quality Quit Coach.
and safe specialty care based on criteria that directly impact patient results—e.g., Both the 24-
surgical team expertise and a history of better outcomes for patients. Hospitals Hour Nurseline
receiving a Blue Distinction Center+ designation are measured on how eficiently and Quit 4 Life
they deliver this high-quality patient care. program are
Completely Free
To see a list of the speciic selection criteria used to evaluate hospitals for the to our Team
Blue Distinction Centers for Knee and Hip Replacement recognition, please visit Members!
www.bcbs.com/bluedistinction.
2016 Open Enrollment
Bi-Weekly Medical Contributions
24-Hour
PPO HSA NurseLine
Team Member $56.35 $45.02 1-800-700-9184.
Team Member + Spouse $170.47 $144.08 Healthcare matters don’t
Team Member + Child(ren)* $141.24 $108.06 always arise during
Family** $247.62 $189.11 doctor’s ofice hours.
* Team member + Child(ren) includes the Team member plus any number of children Sometimes you need
** Family includes the Team member, a Spouse, and any number of children answers to your health
questions right away...
Pre-certification for Services and that can be in the
middle of the night or
Pre-certiication is required for certain services covered by the Medical plan. If you while you’re on vacation.
visit a network provider, the provider will pre-certify for the service on your behalf. The 24-Hour Nurseline
You are responsible for pre-certifying for covered services if you utilize an out-of- is there for you and your
network provider. Please refer to your summary plan description for pre-certiication family 24 hours a day,
guidelines or contact Anthem at 877-768-6679. 7 days a week. You can
call and speak with a
registered nurse who
High Tech Radiology Pre-certification is trained to help you
[Client] utilizes the American Imaging Management (AIM) program. This program make more informed
decisions about your
informs team members of other lower cost alternatives for high tech radiology, health situation. All calls
including MRI, CT, Nuclear Cardiology, PET, and Echocardiography. Physicians will are conidential.
be required to pre-certify for these procedures. Members will receive an outbound call
with information on how to seek a lower cost alternative. If an option is provided, Want to Quit
Smoking?
it is the member’s decision on whether or not to seek treatment from the suggested
provider. When you enroll in
the medical plan, you
and your spouse are
Blue Distinction Centers for Specialty Care—Knee and Hip eligible to enroll in the
Replacement Enhancement Quit 4 Life program
When it comes to your health and healthcare, the choices you make matter. Blue to stop smoking.
Call 1-866-Quit-4-life
Distinction Centers can help you and your doctor have a better informed discussion (866-784-8454) to speak
about inding the right hospital for the speciic procedure you need. The Blue to a telephone tobacco
Distinction Center program evaluates hospitals on their ability to deliver high quality Quit Coach.
and safe specialty care based on criteria that directly impact patient results—e.g., Both the 24-
surgical team expertise and a history of better outcomes for patients. Hospitals Hour Nurseline
receiving a Blue Distinction Center+ designation are measured on how eficiently and Quit 4 Life
they deliver this high-quality patient care. program are
Completely Free
To see a list of the speciic selection criteria used to evaluate hospitals for the to our Team
Blue Distinction Centers for Knee and Hip Replacement recognition, please visit Members!
www.bcbs.com/bluedistinction.
2016 Open Enrollment
