understanding your health plan · through care management, health coaches, licensed health care...

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UNDERSTANDING YOUR HEALTH PLAN 2020 Health Plan Minnesota Advantage Health Plan Open Enrollment Blue Cross ® and Blue Shield ® of Minnesota and Blue Plus ® are nonprofit independent licensees of the Blue Cross and Blue Shield Association. Confidential and proprietary.

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Page 1: UNDERSTANDING YOUR HEALTH PLAN · Through Care Management, Health Coaches, licensed health care professionals specially trained to help members make the best health care decision

UNDERSTANDING YOUR HEALTH PLAN2020 Health Plan Minnesota Advantage Health PlanOpen Enrollment

Blue Cross® and Blue Shield® of Minnesota and Blue Plus® are nonprofit independent licensees of the Blue Cross and Blue Shield Association.

Confidential and proprietary.

Page 2: UNDERSTANDING YOUR HEALTH PLAN · Through Care Management, Health Coaches, licensed health care professionals specially trained to help members make the best health care decision

Confidential and proprietary. 2

Inserted video on Blue Cross app – 30 seconds

Page 3: UNDERSTANDING YOUR HEALTH PLAN · Through Care Management, Health Coaches, licensed health care professionals specially trained to help members make the best health care decision

Confidential and proprietary.

BLUE CROSS AND BLUE SHIELD OF MINNESOTA ADVANTAGE PLAN:• A trusted health plan —

1 out of 3 Americans are enrolled in Blue Cross

• MN Advantage, national and worldwide provider network

• Helpful tools to manage your health and health care

• Health services and support designed for you

• A dedicated team of customer service representatives to help you

Page 4: UNDERSTANDING YOUR HEALTH PLAN · Through Care Management, Health Coaches, licensed health care professionals specially trained to help members make the best health care decision

Confidential and proprietary.

Clinics by Cost LevelMN Advantage Health Plan 2020

PROVIDER NETWORK

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Page 5: UNDERSTANDING YOUR HEALTH PLAN · Through Care Management, Health Coaches, licensed health care professionals specially trained to help members make the best health care decision

Confidential and proprietary.

• MN Advantage network • Primary care providers• Direct Access providers — no referrals• All hospitals in MN

• Travelling outside of Minnesota, use the large National BlueCard® network providers • Simplifies coverage needs for students

and travelers• 95 percent of all providers• 96 percent of all hospitals

• Travelling outside of the U.S., we have you covered with the Blue Cross Blue Shield Global Core network in 170 countries

PROVIDER NETWORK

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Page 6: UNDERSTANDING YOUR HEALTH PLAN · Through Care Management, Health Coaches, licensed health care professionals specially trained to help members make the best health care decision

Confidential and proprietary.

Register on the Member Portal • Track claims, deductibles and out-of-pockets• Access online health and wellbeing tools

or resources• Locate discounts• View Explanation of Health Care Benefits • View, print, email or order ID cards

Find doctors, clinics, hospitals, urgent care: • Click on Find a Doctor, click on See full list of networks, search for primary

care doctors and clinics by cost level, also: • Locate direct access providers no referral required, click on Self Referral and

Specialty ProvidersBluecrossmn.com/segip

ONLINE MEMBER PORTALFIND A DOCTOR WEB TOOL

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We feature a large network of health care providers. Each provider is an independent contractor and not our agent.

Page 7: UNDERSTANDING YOUR HEALTH PLAN · Through Care Management, Health Coaches, licensed health care professionals specially trained to help members make the best health care decision

Confidential and proprietary.

• A new member ID card will be issued reflecting designated clinic, cost level and copays

• Provide your new ID card to your health care providers

• URL on the back of your card to login to your existing account or create a new member account

• Blue Cross Customer Service number on back of your card if you need assistance

• “Find a provider” phone number on back of card • EAP phone number on back of card

YOUR ID CARD

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Watch for your new member ID card in the mail. Begin using your new ID card January 1, 2020

Page 8: UNDERSTANDING YOUR HEALTH PLAN · Through Care Management, Health Coaches, licensed health care professionals specially trained to help members make the best health care decision

Confidential and proprietary.

• Receive care from a board-certified physician from your smartphone, tablet or computer 24/7, 365 days a year

• Video visit with a doctor is a quick, easy, no-hassle way to get answers to your medical questions, diagnose a condition, and get a prescription as needed

• Next-day appointments are available for mental health services. Visits are held between 7 a.m. and 10 p.m. local time

• Doctorondemand.com/bluecrossmn

DOCTOR ON DEMAND VIRTUAL CARE

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Doctor On Demand is an independent company providing telehealth services and is not available in every state. As of February 16, 2016. American Well, MDLIVE and Teladoc. Doctor on Demand quantitative research (N=2400)

87%recommended tofamily and friends

<3minutes is thetypical average wait time

to see an urgent carephysician

5-starreviews than all othertelemedicine services

combined

More

Page 9: UNDERSTANDING YOUR HEALTH PLAN · Through Care Management, Health Coaches, licensed health care professionals specially trained to help members make the best health care decision

Confidential and proprietary.

62%Real Age

Reduction

WHAT IS SHARECARE?Real data. Real engagement. Real change.Sharecare is a highly innovative, real-time health and wellbeing engagement solution exclusive to Blue Cross and Blue Shield of Minnesota members.Tested and proven health advancement program to actively engage members throughout their health improvement journey.

TOOLS AND RESOURCES

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43MReal Age

Test Takers

Page 10: UNDERSTANDING YOUR HEALTH PLAN · Through Care Management, Health Coaches, licensed health care professionals specially trained to help members make the best health care decision

Confidential and proprietary.

INTELLIGENT MESSAGINGPersonalized recommendationsThe RealAge® app can guide you through actionable steps toward a younger you.

Learning your Real Age® is easy!• Answer a few simple questions online or

on our mobile app• Get personalized health tips based on

your assessment• Receive daily trackers to measure your progress• Gain access to coaching and other exclusive

Blue Cross member programs at no additional cost

TOOLS AND RESOURCES

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Page 11: UNDERSTANDING YOUR HEALTH PLAN · Through Care Management, Health Coaches, licensed health care professionals specially trained to help members make the best health care decision

Confidential and proprietary.

Blue Cross appSimple. Easy. Intuitive.• ID cards on the go

• Quick, easy access• One location for all cards• Shareable with your doctor• Always up-to-date

• Claims• In the palm of your hand• Claim status tracking• Deductible and out-of-pocket progress

• Find a Doctor — and other care

ONLINE TOOLS AND RESOURCES

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Page 12: UNDERSTANDING YOUR HEALTH PLAN · Through Care Management, Health Coaches, licensed health care professionals specially trained to help members make the best health care decision

Confidential and proprietary.

Blue365® offers healthy choices at great prices• Weekly deals from leading national brands

on a wide network of• Gyms• Fitness gear• Healthy eating options• Personal care

Check out these top brands with discounts for you:

WELLNESS DISCOUNT MARKETPLACE

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Page 13: UNDERSTANDING YOUR HEALTH PLAN · Through Care Management, Health Coaches, licensed health care professionals specially trained to help members make the best health care decision

Confidential and proprietary.

Quitting Tobacco Support provides professional support from a wellness coach for the entire family.Includes:• Up to five calls from a wellness coach• A comprehensive workbook• 30-day and 90-day follow-up calls• Unlimited use of a toll-free support line• Ongoing support as needed

QUITTING TOBACCO SUPPORT

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Page 14: UNDERSTANDING YOUR HEALTH PLAN · Through Care Management, Health Coaches, licensed health care professionals specially trained to help members make the best health care decision

Confidential and proprietary.

Maternity Management is available to all expectant mothers. • All expectant mothers are matched with

a Health Coach (registered nurse) who will support them throughout their pregnancy

• Contact the health plan to be connected to a health coach at any time

• High risk members receive telephonic outreach by the maternity Health Coach

• Access to online tools and resources to support a healthy pregnancy

SUPPORT FOR PREGNANT WOMEN

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Page 15: UNDERSTANDING YOUR HEALTH PLAN · Through Care Management, Health Coaches, licensed health care professionals specially trained to help members make the best health care decision

Confidential and proprietary.

• Answer questions on:• Benefit coverage • Claims • Assist when searching for a provider

or changing your primary care clinic• Provide information about available

services and tools

• May connect you to a registered nurse or licensed behavioral health clinician to answer specific medical questions

COORDINATED, PERSONALIZED SUPPORT CUSTOMER SERVICE REPRESENTATIVES AND NURSE GUIDES

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Page 16: UNDERSTANDING YOUR HEALTH PLAN · Through Care Management, Health Coaches, licensed health care professionals specially trained to help members make the best health care decision

Confidential and proprietary.

Through Care Management, Health Coaches, licensed health care professionals specially trained to help members make the best health care decision for their individual situation.

• Work with your medical team to coordinate care among multiple specialists

• Help you understand your health issue and medications

• Guide you through the health care system, including your insurance benefits

• Support healthy lifestyle changes• Provide resources and lead you to wellness

programs to help manage your condition

HEALTH COACHING

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Page 17: UNDERSTANDING YOUR HEALTH PLAN · Through Care Management, Health Coaches, licensed health care professionals specially trained to help members make the best health care decision

Confidential and proprietary.

Customer service: 1-800-262-0819• Monday through Friday: 7 a.m. to 8 p.m. CT • TTY toll free: 711• We will provide interpreter services,

if needed

Find a Doctor web toolSearch for clinics or providers• Members: Sign into bluecrossmn.com/segip

also listed on the back of your member ID card• Not a member: Visit bluecrossmn.com/segip,

use Find a Doctor web tool. Choose Full list of networks when searching

WE’RE HERE TO HELP

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Page 18: UNDERSTANDING YOUR HEALTH PLAN · Through Care Management, Health Coaches, licensed health care professionals specially trained to help members make the best health care decision

Confidential and proprietary. Blue Cross® and Blue Shield® of Minnesota and Blue Plus® are nonprofit independent licensees of the Blue Cross and Blue Shield Association.Confidential and proprietary.

THANK YOU.

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