HOW IT WORKS Deductible Credit From Prior Carrier Date Action Comments Highmark requests a report A second report will be requested from your current healthcare later to capture deductible carrier of deductible amounts amounts not yet available to June 15 you have already met to date – include on this report you do not need to do anything to initiate this process Deductible amounts from your current carrier will be applied to June 30 Highmark applies “credits” your Highmark deductible as a “credit” You only need to satisfy any remaining balance of your deductible July 1 Highmark benefits begin Until all credits are applied, you could experience out-of-pocket expenses for Highmark claims This report captures amounts not included on the first report (for services prior to 7/1/17) Highmark requests the 2 nd After all credits are applied, August 15 report from your current Highmark will reprocess claims to carrier reimburse you for any out-of- pocket expenses that should have counted toward your deductible
Preventive Care Your benefits are covered 100% in-network: Preventive Pediatric Routine Mammograms Preventive Care Visits Immunizations Gynecological Screenings (adult & pediatric) Exams (including Pap test)
Virtual Medicine (Telemedicine) Great for non-emergency conditions – such as sinus infections, upper respiratory infections, bronchitis, pink eye, sore throat, cough, etc.
Virtual Medicine (Telemedicine) • What is it? - A “virtual” doctor’s visit from the convenience of your computer, smartphone, or tablet • Why use virtual medicine – Convenience – the doctor is available 24/7 – Easy – it’s so easy to connect to doctor – Care– doctors are able to treat and diagnose More than 90% of urgent care visits When should you consider virtual medicine? - When you are on vacation - When you don’t want to go the urgent care center
Find out more now – so you’re ready when you need care • Go to the website and register or download the free app: – doctorondemand.com – amwell.com
Make the right health care decisions It’s easy with these online health tools at www.highmarkblueshield.com : • Find a Doctor: The information you need to find the right doctor in your network. • Care Cost Estimator: Eliminate sticker shock over the costs of medical care. • Claims Tab: View your claims and stay on top of your health care spending.
Eliminate sticker shock Know ahead of time what you’ll owe for services with our Care Cost Estimator. – Cost estimates are based on your specific coverage – Compare cost estimates side-by-side – Estimates include all charges for a specific procedure, including hospital and doctor fees, anesthesia, medical supplies, etc.
A key part to your health coverage.
What’s a prescription drug formulary? A list of covered prescription drugs and medications Highmark’s formulary includes You can look up formulary medications thousands of medications in every online at your Highmark member website, major therapeutic category. highmarkblueshield.com.
Two ways to get your prescription drugs Retail (31-day supply) Generic Copay Formulary Brand Copay Non-Formulary Brand Copay Mail order (90-day supply) 2x Generic Copay • 2x Formulary Brand Copay • 2x Non-Formulary Brand Copay *QHDHP: rx copays apply after deductible is met
ID Cards Will Be Arriving By The End Of June. Members will receive an ID card in the mail, with a sticker reminding them to call to activate the card. For Internal Use Only. Confidential and Proprietary 14
Online … or on the phone! Reach Member Service at highmarkblueshield.com or by calling 1-800-345-3806
Health Wire Mobile Messaging
Health Wire Mobile Messaging
Thank You! For Internal Use Only. Confidential and Proprietary 18
Recommend
More recommend
