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Texas A&M System Open Enrollment (BCBSTX)

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Mike Cooper

on 23 June 2017

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Transcript of Texas A&M System Open Enrollment (BCBSTX)

Texas A&M University System
ANNUAL ENROLLMENT 2017
Blue Cross and Blue Shield of Texas
The piece of the
that

always

fits

health care puzzle
ANNUAL ENROLLMENT 2017
Benefits at a Glance
* Out-of-network benefits are also available. When using out-of-network providers, you pay 50 percent after the out-of-network deductible.
** Retirees for whom Medicare is considered primary are not eligible for office visit copays. Instead, office visits will be subject to deductible and coinsurance.
Please refer to your Benefits Booklet for more detailed information.
PREVENTIVE COVERAGE
WELLNESS EXAM INCENTIVE
Preventive Coverage
Get an annual wellness exam to be sure you get the lowest premium!
Recommended routine gender- and age-specific preventive care, such as annual physical, OB/GYN exams, mammograms and other cancer screenings, well-child care and immunizations – both facility and professional services. Immunizations covered too!
Preventive coverage provided in-network at 100% with no copay, no deductible.
Lab tests related to an illness or condition are not considered preventive and may be reimbursed differently.
WHAT'S COVERED?
Inform
your doctor’s
office that you are
scheduling your
"annual wellness
checkup."
Wellness Exam Incentive
You can verify your completion status for the wellness exam incentive by logging into or registering for your MyEvive account at tamus.myevive.com.
Wellness exams may take several weeks to be billed by your physician, processed by BCBSTX and reflected in your premium cost.
Applies to active employees AND covered spouses enrolled in the A&M Care Plan.
A premium differential of $30 per month will be added to the premium for each individual (you and your spouse) who does not complete the wellness exam incentive.
Retirees will automatically receive the lower premium.
Blue Cross and Blue Shield will record the incentive completion through the claims
payment process.
MY EVIVE
FITNESS DEVICE INTEGRATION
Sync. Move. Achieve.
Fitness Device Integration with Well onTarget
Earn points and redeem using the online catalogue
Reward Yourself! Fitness device activity adds to Blue Points
MEMBER TOOLS AND PROGRAMS
Cost Estimator Tool
Shopping for Healthcare Couldn't be Easier!
GPS Mapping
Expected Cost to You
Search Results
Hover Over Cost Details
for Pricing
Programs to Keep You Healthy
Find the Resources to Help You Manage Your Condition Best
Care Coordination
and Early Intervention
Ensuring you and family
members receive the
proper and timely
guidance you deserve
during inpatient
care
Blue Care
Connection
Education and coaching
with condition management
for those at risk
for chronic
health issues
Tobacco
Cessation
Telephonic coaching
from a Lifestyle Management Specialist will build a customized plan to encourage
cessation of
tobacco
Weight
Management
Guidance and support,
motivational coaching, and a lifestyle action plan for those members who are trying to
lose weight
Special
Beginnings
A free, easy, and confidential maternity program for pregnancy support and education, as well as identifying
pregnancy risks
IDENTITY PROTECTION SERVICES
RETIREE INFORMATION
NATURALLY SLIM
Naturally Slim
What is Naturally Slim?
A
weight loss
and metabolic syndrome reduction
program
On average
over
10 pounds
lost in
10 weeks
and a
50%
metabolic syndrome reversal rate
CUSTOMER SERVICE
BENEFITS VALUE ADVISOR
KNOW WHERE TO GO
BCBSTX Customer Service Team
Service that Takes You Out of the Middle
Medical benefit coverage questions
Help with finding network providers
Help from a Benefits Value Advisor
Help with navigating online tools
Health education
Transfer to other health programs
ID card requests
Claim questions or status
866-295-1212
8 am to 8 pm / CST
Monday-Friday
The Benefits Value Advisor (BVA)
Education. Guidance. Support.
ONE CALL SOLUTION
Help you understand your benefits
Appointment scheduling
Help you access online tools
Cost comparison: CT scans, surgeries
Find in-network providers
Cost comparison: X-rays, MRIs
Cost comparison: maternity services
BVA
Confused About Where to Go?
Smart Health Care Choices Save You Money
24/7
Nurseline
Doctor's
Office
Retail Health
Clinic
Urgent Care
Provider
Freestanding
ER
Hospital
ER
Don't Forget!
What to Remember
Get your wellness exam
Register for MyEvive
Download the MyEvive App on your smart phone!
Naturally Slim program launches 10 week program offered throughout the year. Check your email for the next program!
Put the Benefit Value Advisor to work for you. Appointment scheduling, provider searches - any questions about medical benefits or claims. Dial 866-295-1212
Identity Protection Services
Offered through Experian at no cost to employees, retirees and their dependents enrolled in the A&M Care Plans.
You must be an active employee or retired from the A&M System and enrolled in the A&M Care or 65 Plus Plans.
Enroll online via Blue Access for Members (BAM) through your MyEvive account at tamus.myevive.com.
Visit the A&M System Benefits Administration website at www.tamus.edu/business/benefits-administration/employeeretiree-benefits/id-protection/ for more details.
Retiree Information
RETIREES UNDER AGE 65
Should continue to use network providers and office visit claims will continue to process using copayments.
RETIREES OVER AGE 65
Choose from:
Age 65 and enrolled in Medicare Parts A&B or disabled under 65 and enrolled in Medicare Parts A&B.
Working for the A&M System, if at all, less than 50% time or for less than 4.5 months during the plan year.
If covering dependents, dependents must be age 65 or older (or disabled) and enrolled in Medicare Parts A&B.
A&M Care Plan
65 Plus – you must be:
Silver Sneakers
Silver Sneakers
NO COST to Retirees and Covered Spouses Age 65 or Older!
A comprehensive program designed exclusively for older adults that improves overall well-being, strength and social aspects
Retirees age 65 and their covered spouses age 65 will be automatically enrolled
Retirees will receive information in the mail directly from SilverSneakers about how the program works, participating locations, an ID card, and a phone number and web site available for questions
WWW.SILVERSNEAKERS.COM
*
Includes Many Recognizable Fitness Centers
Silver Sneakers
Remember
Enroll in BOTH Medicare parts A and B
When you receive your Medicare Card, notify BCBSTX and your Human Resource Office of your Medicare number which includes an alpha character
If you use a Provider that accepts Medicare or is a BCBSTX provider, you cannot be balance billed
MyEvive
Your New Benefit One-Stop Shop!
https://myevive.com/tamus-login
Short Video
tamus.myevive.com
Click here to register
It's that easy!
How to Register on MyEvive
MyEvive Home Page
MyEvive
If you are enrolled in the A&M Care Plan as an active employee or spouse you can earn a $30 monthly premium reduction for completing a wellness exam. Check your current status at any time through the
Check My Incentive Status
tile.
TRACK YOUR A&M SYSTEM WELLNESS INCENTIVE STATUS IN REAL-TIME
COMPLETE YOUR HEALTH ASSESSMENT TO EARN A DEDUCTIBLE REDUCTION
Well onTarget
offers personalized tools and resources to help you make informed healthcare decisions. You can interact with a nurse, trainer, dietician, or life coach; check your symptoms; and much more.
Blue Points
can help motivate you to maintain a healthy lifestyle. Earn points for engaging in daily physical activity, downloading healthy recipes, and completing other healthy tasks. You can even redeem points in the online shopping mall.
CONNECT SEAMLESSLY WITH BLUE ACCESS FOR MEMBERS (BAM)
On BAM you can locate an in-network doctor or hospital, estimate the cost of your health services, view copies of your explanation of benefits for claims that have been processed and print a temporary ID card.
MyEvive App
How to Download
Full transcript