Monday, January 16, 2023

Blue Cross Blue Shield Government Plans

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Blue Cross And Blue Shield Federal Employee Program Expands Financial Incentives For Federal Workers To Live Healthier

Anthem Blue Cross and Blue Shield offers Medicare Advantage plans with Essential Extras

WASHINGTON Today the Blue Cross and Blue Shield Government-wide Service Benefit Plan, also known as the Federal Employee Program , announced 2016 benefits for federal workers and retirees in the Federal Employees Health Benefits Program. The benefits feature a 50 percent increase in the incentives available to members who use FEPs state-of-the-art wellness tools to promote healthier lifestyles as well as a new incentive program for expectant mothers that focuses on prenatal care.

In 2016, FEP will continue to offer workers the ability to choose Blue Cross and Blue Shield plans for a full range of comprehensive benefits including medical, dental and vision.

This year also marks the federal governments introduction of the new Self Plus One enrollment in the FEHB Program, providing an additional choice to Self- Only and Self and Family enrollment types available under both Standard and Basic Option. Enrollees in two-person families can save money by opting for a Self Plus One premium instead of a Family premium while continuing to benefit from the comprehensive plan design and broad network access they have come to expect from FEP.

Promoting Healthier Lifestyles

To earn the $170, FEP members can:

  • Earn a $50 wellness incentive upon completion of the BHA
  • Earn $40 each for achieving up to three personalized health goals

The personalized health goals currently eligible for the incentive are:

  • Increased exercise

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Blue Cross & Blue Shield Of Fla V Dept Of Banking And Finance 613 F Supp 188

US District Court for the Middle District of Florida- 613 F. Supp. 188

613 F. Supp. 188 BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC., Plaintiff,v.DEPARTMENT OF BANKING AND FINANCE, an agency of the State of Florida Gerald A. Lewis, Comptroller of the State of Florida United States of America Office of Personnel Management, an agency of the U.S. Government Donald J. Devine, Director of the Office of Personnel Management, Defendants.

United States District Court, M.D. Florida, Jacksonville Division.

J. Stephen OHara, Jr. and Betsy C. Cox, Mathews, Osborne, McNatt, Gobelman, & Cobb, Jacksonville, Fla., for plaintiff.

Charles L. Stutts, Asst. Gen. Counsel and Mike Underwood, Dept. of Banking and Finance, Tallahassee, Fla., Dorothea Beane, Asst. U.S. Atty., Jacksonville, Fla., Stephen P. Smith, Washington, D.C., for defendants.

OPINION

SUSAN H. BLACK, District Judge.

This case of first impression is before the Court for a declaration of the rights and relations of plaintiff and defendants under the Federal Employees Health Benefits Act, 5 U.S.C. §§ 8901-8913 and the Florida Disposition of Unclaimed Property Act, Fla.Stat. § 717 in regard to provision VIII of Contract Number CS 1039 between OPM and the Blue Cross Association. At issue is the disposition of amounts represented by Federal Employee Program benefit checks issued by plaintiff to federal employee benefit recipients which remain uncashed for two years or more.

FINDINGS OF FACTHistory of the ActNOTES

Does Blue Cross Blue Shield Federal Cover International Travel

Box 260070, Pembroke Pines, FL 33026. If you need medical care outside the United States, you can be assured that your Blue Cross and Blue Shield Service Benefit Plan member ID card is recognized around the world. The Overseas Assistance Center provides you with coverage that protects you when youre overseas.

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Blue Cross And Blue Shield Federal Employee Program Introduces Innovative Benefits While Expanding Access For Members

Washington Today the Blue Cross and Blue Shield Government-wide Service Benefit Plan, also known as the Federal Employee Program® , announced 2018 benefits for federal workers and retirees in the Federal Employees Health Benefits Program. In 2018, FEP will continue to offer comprehensive benefitsincluding medical, dental and visionwhile adding advanced features that help empower members to achieve better health.

No matter where federal employees live, work or travel, they can be secure in knowing that Blue Cross and Blue Shield will meet their needs, said William A. Breskin, senior vice president of government programs for BCBSA. FEP has long been committed to providing members with comprehensive benefits and the broad choice of doctors and hospitals that the Blue Cross and Blue Shield System affords, at an affordable price. We are excited to add our fepblue app and telehealth benefits because we want to be there for our members, wherever they are.

Highlights of Whats New for 2018fepblue Application FEP members can now manage their healthcare from anywhere by downloading the free fepblue app on Google Play or the App Store®. or the App Store. Through the mobile app, members can access their member ID card, stay up to date on deductibles or out-of-pocket maximums and track important doctor visit information.

2018 Approved Rates:

Locate A Network Provider

Blue Cross Blue Shield Fehb Brochure

As you make decisions about your healthcare, the Blue National Doctor and Hospital Finder is one source for important information about doctors, hospitals and other healthcare providers. Always seek the advice of a physician or other qualified healthcare provider for answers to any questions regarding the selection of a doctor, specialist or healthcare facility. Verify the doctor, hospital or other healthcare provider participates in your network before making an appointment..

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Do Federal Workers Have Health Insurance

The Federal Employees Health Benefits Program. The FEHB Program can help you and your family meet your health care needs. Federal employees, retirees and their survivors enjoy the widest selection of health plans in the country. You can get brochures from the health plans or your human resource office.

Highlights Of Whats New For 2021

New Telemedicine Benefits

The COVID-19 pandemic has caused many members to turn to remote, virtual care services to manage their health as they attempt to socially distance and limit their exposure to the coronavirus. FEP was at the forefront expanding its benefits in 2020 during the pandemic to cover members having virtual visits with their primary and specialty doctors. Recognizing that virtual visits are becoming a permanent part of health care, in 2021 FEP will cover virtual consultations, and medical evaluation and management services with primary care providers and specialists as a regular benefit even after the pandemic is over. Members will pay the regular office visit copayments/coinsurance under Standard Option, Basic Option and FEP Blue Focus.

FEP Healthcare Cost Advisor

Available in 2021, FEP members will have access to the FEP Healthcare Cost Advisor application, which provides users with a complete view of their healthcare spending to make better financial planning and healthcare decisions. The tool can also help identify the FEP health plan option that offers the best value for each members specific needs.

Newly Redesigned Website

Dental and Vision Plan Updates

New Dental and Vision Digital Platforms

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/7 Information For Providers Physicians And Hospital Information Online

Where can you refer employees to find a new doctor when they move? Or perhaps when they are traveling or on vacation and they have misplaced their medication. Where do they go to find a Preferred pharmacy to refill their prescription? Maybe they want to check out the specialist their primary care physician has referred them to for treatment of their diabetes. The online Provider Directory on our web site can help them answer these questions and more.

Why Use Preferred Providers?

Knowing the providers in our national Preferred network is important to your employees for one big reason money. Employees can save money when they use Preferred physicians, hospitals, pharmacies and other professional health care providers because their out-of-pocket expense is less. It is also convenient to use Preferred providers since they will file any necessary claims to us. Employees dont have to pay for covered charges upfront, except for any deductibles, coinsurance, or copayment amounts in some instances.

Locating Preferred Providers

If employees have been seeing the same physician for years, they may not have needed to use or realized the value of information in our online Provider Directory. Accessing and using the Provider Directory is easy. And it is available 24 hours a day, seven days a week, so it is convenient for them to use when they need information.

Steps to simply access the information online:

Physician Information

Hospital Information

Blue Cross Blue Shield Association

Anthem BCBS outlines the differences in Medicare coverage plans during 2021 for enrollment period
Blue Cross Blue Shield Association

Headquarters of one of the member Blues, HCSC, in Chicago.
Founded
BC and BS Foundation on Health Care, BCBSA Services Inc
.com

Blue Cross Blue Shield Association is a federation, or supraorganization, of 35 separate United States health insurance companies that provide health insurance in the United States to more than 106 million people. It was formed in 1982 from the merger of its two namesake organizations: Blue Cross was founded in 1929 and became the Blue Cross Association in 1960, while Blue Shield emerged in 1939 and the Blue Shield Association was created in 1948.

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Helping Families Travel With Peace Of Mind

Blue Cross in Canada takes pride in providing peace of mind to its customers. We are also proud to be able to offer this assurance to the courageous children and their families from the Childrens Wish Foundation of Canada. As supporters of the foundation, Blue Cross provides travel insurance coverage to children and their families when a travel wish is granted.

If you are interested in learning more about the Childrens Wish Foundation, visit the website.

Blue Cross And Blue Shield Federal Employee Program Announces New Telemedicine Benefits And Cost Transparency Tool For Members In 2021

WASHINGTON, Oct. 15, 2020 /PRNewswire/ Today, the Blue Cross® and Blue Shield® Federal Employee Program® announced 2021 benefits, including newly expanded telemedicine benefits, along with a new tool to help provide greater cost transparency for members. Additionally, FEP will keep the rates the same in 2021 for its newest product, FEP Blue Focus®, as well as for Blue Cross Blue Shield FEP Vision. Rates for Blue Cross Blue Shield FEP Dental products will remain at 2020 levels.

FEPs medical, dental and vision plans are available to eligible participants in the Federal Employees Health Benefits Program and the Federal Employees Dental and Vision Insurance Program . FEP provides quality and affordable healthcare to approximately 66 percent of federal employees, retirees and their families across the nation. FEP members enjoy access to a robust provider network with 95 percent of professional providers and over 96 percent of hospitals in the United States alone.

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Order Granting Defendants Motion For Summary Judgment

VINSON, District Judge.

This is an action to recover benefits under a contract of insurance. Pursuant to Rule 56, Federal Rules of Civil Procedure, the defendant has filed a motion for summary judgment on the ground that this case is barred by the limitations period prescribed in the insurance contract.

Upon consideration of the motion, the evidence of record, and the applicable law, I conclude that there are no genuine issues of material fact and that the defendant is entitled to judgment as a matter of law.

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Benefits & Rates: Service Benefit Plan

Manitoba Blue Cross Prior Authorization Forms

Open Season for federal health insurance runs Monday, November 9 through midnight Eastern time Monday, December 14, 2020. Now is a great time to learn about some of the updates and changes were making to the Blue Cross and Blue Shield Service Benefit Plan.Heres whats new for 2021:Telemedicine

  • We will cover online or phone telemedicine visits you receive from your primary care providers or specialists who are outside of our contracted Teladoc® network. You pay your standard primary care and specialist copays for most non-Teladoc telemedicine visits.

Preventive care

  • We will provide preventive care benefits for bowel preparation medications associated with colon cancer screenings .
  • We will provide preventive care benefits for certain HIV medications for members at risk for HIV.
  • All chest X-rays will now be covered under your regular medical benefits. Previously, we covered one per calendar year for adults as part of your preventive benefits.

Routine Annual Physical Incentive Program

  • We are extending the deadline for FEP Blue Focus members to request their routine annual physical incentive. Youll now have until December 31, 2022 for the 2021 program.

Hypertension Management Program

  • The Hypertension Management Program will be limited to the contract holder and spouse on your contract, 18 and older. If you are a Standard or Basic Option member, you must complete the Blue Health Assessment to receive the free blood pressure monitor.

Formulary

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How To Benefit From Virtual Health Care

Eligibility requirements

Virtual health care is available free of charge to eligible Ontario Blue Cross® clients* with:

  • Disability insurance .

*If your policy number starts with 19XXX, click here to see the list of eligible products. For all other policies, click here.

To access TELUS Health Virtual Care service, you must have one of the following products:
Blue Choice®, Blue Choice Balance, Basic Blue Choice, Basic Plus +
Blue Vision®
Express Plan Health Package

1. Eligibility:

  • The primary insured for individual contracts.
  • The primary insured, their spouse and their dependent children for family-type contracts.
  • All persons insured under a Mortgage Plan contract as well as their spouse and dependent children.

Not all contracts provide access to the virtual health care service. Please refer to the list of eligible products available on on.bluecross.ca/virtual-health-care.

2. Activation and duration of membership:

Each eligible person has access to the virtual health care service on the effective date of the benefit on the contract providing eligibility, as long as the benefit giving them access to the service is in force. Access to the service ends on the date on which the benefit providing eligibility ends, or for family-type contracts, on the date on which the person no longer has the status of spouse or dependent child.

3. Waiver:

4. Applicable laws:

This program is governed by the laws of the province of Ontario and the applicable Canadian federal laws.

7. Service:

Federal Employees Under Blue Cross Blue Shield Need To Know This

Federal employees under both Medicare and FEHB could see much higher insurance costs if they pick the wrong plan.

A lot of federal employees use Blue Cross Blue Shield for their health insurance but very few understand what happens to their plan in retirement.

And I have seen many feds pay way too much for health insurance because of this.

Note: If you have health insurance through a different company you will definitely want to research how these same changes will affect your plan as well.

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Wellframe Mobile Health Checklist And Messaging*

Blue Cross NC is pleased to offer a free mobile application for your smartphone and tablet that connects you to a confidential and supportive health care team when its most convenient for you.

Want to know more?

Call the Federal Employee Customer Service line at 1-800-222-4739 and a representative will be happy to assist you.

*Wellframe is only available for certain health conditions.

Motivation, Advice and Support

When you need a little extra help managing your health, your Wellframe care team is ready:

  • Connect to a licensed nurse, pharmacist or social worker
  • Get personalized daily care plans
  • Set up notifications to help you remember appointments and medications
  • Learn about your health through clinically approved articles and videos

Health Checklist

Wellframe will send a short list of tasks, based on your particular condition, to your mobile device each day:

  • See a summary of your progress and keep track of it over time
  • Receive encouragement and support through secure in-app messaging

Your personal checklist is designed to help you stay on track with your condition care plan.

$50 Added To Wellness Card

CONNECT with Anthem Blue Cross Blue Shield: Medicare Advantage Plans

Eligible members over 18 with an FEP MyBlue® account will receive $50 on their MyBlue Wellness Card when they provide official documentation of their COVID-19 vaccination record. Members can use this to buy qualified medical expenses.

According to BCBS, FEP is the first Federal Employees Health Benefit program to offer a vaccination incentive like this.

FedSmith has been advised that eligible members who have already been vaccinated for COVID-19 can also take advantage of this program and receive the $50 on their MyBlue Wellness Card. These individuals will also have to submit evidence of their COVID-19 vaccination record.

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Are You And All Applicants Residents Of Bc Or The Yukon Actively Enrolled Under The Government Health Plan

Our Individual Insurance Plans are provided ONLY to residents of BC or the Yukon who are actively enrolled in the Government Health Care plan.

  • Are you a resident of another province?Please contact Blue Cross Canada at www.bluecross.ca to find your provinces blue cross.

  • Are you a visitor to Canada and arrived within the last 30 days?You may find more information about our Visitors to Canada Travel Plan.

Please feel free to contact us if you have any further questions at or e-mail us.

Vision Care

Pacific Blue Cross covers the cost of prescription lenses, frames, contact lenses and laser eye surgery up to a predetermined maximum.

Registered Therapists

Benefits are paid for visits to: naturopaths, massage therapists, physiotherapists,chiropractors, speech pathologists, chiropodists/podiatrists, psychologists, audiologists,acupuncturists, and nutritionists. This is an increasing benefit coverage up toa predetermined maximum.

Benefits cover costs for semi-private or private hospital rooms .

Hospital Daily Cash Benefit

If you are confined to a hospital, we will pay you $20 a day, for up to 90 days,from the 4th day of hospitalization, up to age 65.

Local Ambulance Private

Benefits cover the cost of ambulance fees in emergencies, including air ambulanceand Treat No Transport.

Includes payment for Treat-No-Transport, charges for treatment when an ambulanceis called to the scene of an accident or place of illness and transportation tohospital is not required.

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