Page 7 - 2022 Fives Landis Corp Benefit Guide
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MEDICAL PLAN BENEFITS
Manage your health plan online at TAKE ADVANTAGE OF PREVENTATIVE CARE
bcbsm.com; then download the APP COVERED 100% IN NETWORK
— Annual Health Exam (over age 4) one per calendar year
WHY HAVE AN ACCOUNT? — Well Child Exams: per calendar year
- 8 visits, birth through 12 months
— Check your coverage, deductible and claims information. - 6 visits, 13 months through 35 months
— Find a Doctor or Hospital and compare providers. - 2 visits, 36 months through 47 months
— Compare quality and costs for hundreds of services — Screenings: one per calendar year each for mammogram,
– from MRI’s to surgeries and doctor visits. pap smear, PSA and endoscopic
— Set up text alerts. — Immunizations per ACA and age requirements such as:
flu shots; shingles; tetanus; HPV; required vaccines birth –
— Most features are also available on your mobile device.
age 7. Covered through a network pharmacy or
— BCBSM APP: obtain a virtual ID Card. physicians office.
— Prescriptions such as: contraceptives; generic statins
CHOOSE THE RIGHT PLACE FOR CARE: (age 40-75); some generic aspirin; smoking cessation
>age 18 limited to 180 days
Your health is important. Knowing what your options are to
get the care you need, when you need it, could save you
time and money. Avoid more expensive options such as
urgent care and emergency room. MANAGE YOUR PRESCRIPTIONS:
— 24 Hour Nurse Line to ask general medical questions at Your prescription (Rx) benefits for the BCBSM plans is
1.800.775.2582 (no charge) provided by Express Scripts. Use your separate Rx ID Card
for prescription benefits.
— 24/7 online healthcare through BCBSM. Video chat with
a physician (when your primary physician is not available) — Check out the list of drugs covered at 100% as allowed
for minor illness from your phone /computer. by ACA. Includes many generics for health conditions
Fee: $10 PPO or $49 CDHP such as asthma, diabetes, cholesterol lowering and high
Mobile: download BCBSM Online Visits App blood pressure.
Web: bcbsmonlinevisits.com
Phone: 1.844.606.1608 PRESCRIPTION BENEFITS:
— Your Physician for routine, regular care and virtual visits — Formulary and Price Comparison: log into your
Fee: $25 or $35 copay for PPO; network price for CDHP account at www.express-scripts.com to review the
prescription formulary or compare prices to find
BLUE CROSS HEALTH & WELLNESS: cheaper prescriptions.
Your gateway to resources to help you get healthy, stay — Maintenance Medication: Save money by ordering
healthy or manage an illness. Log in and click on maintenance medications as a 90-day supply, available
Health & Wellness. at most retail pharmacies or convenient home delivery.
Prescriptions must be written for a 90-day supply.
— Check out Blue365 for health/wellness discounts
— Specialty Medications: Provided by Accredo. Log into
— Digital Health Assistant – six online coaching programs express-scripts or call 800.803.2523 for services.
help you make small changes to improve your health
AFTER YOUR EFFECTIVE DATE OF COVERAGE
— WebMD Health Topics – search for a variety of health
topics, procedures and surgeries For more information, locate a provider or pharmacy, create your
account online.
Website: www.bcbsm.com www. express-scripts.com
Refer to the Summary of Benefit Coverage and Benefits at a Have a question call Client Service Center: 4
Glance for additional coverage and limitations. BCBSM: 800-752-1455 Express-Scripts: 844-826-5572
