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BlueCross BlueShield of Tennessee & The State of Tennessee. August 2014. Partners in health for over 35 years. BlueCross has over 100 designated employees to support the State Plan. BlueCross averages 7,000 calls each month and has received over 48,000 calls through July 2014.
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BlueCross BlueShield of Tennessee&The State of Tennessee August 2014
Partners in health for over 35 years • BlueCross has over 100 designated employees to support the State Plan. • BlueCross averages 7,000 calls each month and has received over 48,000 calls through July 2014. • BlueCross has processed 1.2 million claims so far this year.
BlueCross BlueShield Network ‘S’ Network ‘S’ delivers health insurance coverage to the State Plan members with access to providers and hospitals within the state of Tennessee. 21,000of physicians are in-network 112of hospitals are in-network 143,346 State Plan members
BlueCross BlueShield BlueCard Network The BlueCard Network delivers health insurance coverage for 100 million members across all 50 states, the District of Columbia and Puerto Rico. 990,600of physicians are in-network 100 million 5,600of hospitals are in-network BlueCross BlueShield members
BlueCross BlueShield BlueCard Worldwide The BlueCard WorldWide Network delivers health coverage to over 100 million members around the world in 128 countries. 7,000of physicians are in-network 100 million 1,000of hospitals are in-network BlueCross BlueShield members
Spine Surgery Knee/Hip Replacement Bariatric Surgery Cardiac Care Transplants Complex and Rare Cancers Blue Distinction Specialty Network The Blue Distinction Specialty Network provides members with quality care in over 1,900 designations across 50 states and the District of Columbia for six Specialty Programs.
Blue Distinction Benefits Members & State Plan • Improves Healthcare Quality and Safety • Targets complex and highly variable procedures/diagnoses • Evaluates hospitals using nationally consistent criteria correlated with better patient outcomes • Supports Consumer Decision-Making • Members are becoming more self-directed and will be better informed • Member who engage in Case Management and use the BDC Facilities will reduce their own healthcare cost $ • Meets Needs to Lower the Cost of Care • Lower Healthcare Associated Infection Rates compared to Non-BDC Facilities • Lower Readmission rates compared to Non-BDC Facilities • Offers Transparent Nationwide Network • BlueCard Network is available to all State Plan members • Blue Distinction Specialty Network is an additional Network to all State Plan members For more information about Blue Distinction Centers and Blue Distinction Centers+, visit www.BCBS.com/bluedistinction. * Benefit differentials are not a feature of any Blue Distinction Center Programs themselves and are left to the discretion of each individual Plan.
member BlueAccess Securely Access • State Member Handbook • State Plan Document • State Health Plan FAQ’s • Medical Policies • Provider Directory • Benefits & Coverage • Claim Information • Update COB Information • Order ID cards • Account Balances • Cost & Quality Tools • Member Discounts • Alerts & Reminders http://www.bcbst.com/members/TN_state/ 8
member mobile application myBlueTNSM YOUR BLUE AT YOUR FINGERTIPS BlueCross BlueShield of Tennessee’s new mobile application for iOS and Android You’re constantly on the go, so you need a convenient way to keep up with your BlueCross health plan. With myBlueTN, you can find doctors or pharmacies, look up claims information, access a digital version of your member ID – and much more! TO GET STARTED, log in to the application using the same username and password you use on the BlueAccess online member portal. Or just tap Register Now to quickly register. Have your member ID card handy. Just a few taps and you’ll be on your way to accessing your details.
Blueperks discount program BluePerksis a discount program offered to State Plan members who are eligible for benefits under the BlueCross plan. Cosmetic Services Vitamins • By using the BluePerks discount program members can save up to 50% off a wide range of health-related products and services not covered by the plan. Dental Services Jenny Craig Zoos Health Magazines Gym and Fitness Yoga & Tai Chi Classes Outdoor Outfitters Massage Therapy Spa Services LASIK Vision Surgery Holistic Services Children’s Museums Epic Hearing Maternity Services Healthy Events
FITNESSblue program BETTER FITNESS CAN BE EASY AND AFFORDABLE. SUPPORT FOR A HEALTHIER LIFESTYLE Improve your overall health through fitness is important. We also know first hand that getting fit and staying fit can be a challenge. This is why BlueCross introduced FitnessBlue, a flexible, low-cost fitness program that makes living a healthier life easier than ever. FitnessBlue provides State Plan members access to gym memberships for a low cost (initial enrollment fee of $29 and a monthly membership fee of $29). Members will have access to over 8,000 participating Prime Fitness locations nationwide. • Go to bcbst.com and click on the Health & Wellness tab • Under Getting Fit, look for the Get Started Today button • From there you’ll be able to find fitness center locations, enroll and create a FitnessBlue account Online convenience Affordable • Download your temporary card and start exercising the same day! Flexible Membership Unlimited Access • Or call 1-855-515-1332 Monday through Friday, 8 a.m. – 9 p.m., in any continental U.S. time zone, to find participating facilities and enroll today.
Helpful information If you need assistance or help… • BlueCross Provider Directories • BlueCross Handbooks • Health Fair Attendee • Health Fair Supplies • Member Questions Contact Information… Amy Jordan Corporate Account Coordinator Major Account Management of Tennessee 1 Cameron Hill Circle Chattanooga, TN 37402 Phone: (423) 535-5788 Email: amy_jordan@bcbst.com