Deductible Credit From Prior Carrier Date Action Comments - - PowerPoint PPT Presentation

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Deductible Credit From Prior Carrier Date Action Comments - - PowerPoint PPT Presentation

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


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Deductible Credit From Prior Carrier

Date Action Comments June 15 Highmark requests a report from your current healthcare carrier of deductible amounts you have already met to date – you do not need to do anything to initiate this process A second report will be requested later to capture deductible amounts not yet available to include on this report June 30 Highmark applies “credits” Deductible amounts from your current carrier will be applied to your Highmark deductible as a “credit” July 1 Highmark benefits begin You only need to satisfy any remaining balance of your deductible Until all credits are applied, you could experience out-of-pocket expenses for Highmark claims August 15 Highmark requests the 2nd report from your current carrier This report captures amounts not included on the first report (for services prior to 7/1/17) After all credits are applied, Highmark will reprocess claims to reimburse you for any out-of- pocket expenses that should have counted toward your deductible

HOW IT WORKS

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Preventive Care

Your benefits are covered 100% in-network:

Preventive Care Visits

(adult & pediatric)

Pediatric Immunizations Routine Gynecological Exams

(including Pap test)

Mammograms Preventive Screenings

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Virtual Medicine (Telemedicine)

Great for non-emergency conditions – such as sinus infections, upper respiratory infections, bronchitis, pink eye, sore throat, cough, etc.

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Virtual Medicine (Telemedicine)

  • What is it?
  • A “virtual” doctor’s visit from the convenience
  • f 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

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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

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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.

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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.

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A key part to your health coverage.

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What’s a prescription drug formulary?

A list of covered prescription drugs and medications

Highmark’s formulary includes thousands of medications in every major therapeutic category. You can look up formulary medications

  • nline at your Highmark member website,

highmarkblueshield.com.

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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

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14 For Internal Use Only. Confidential and Proprietary

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.

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Online … or on the phone!

Reach Member Service at highmarkblueshield.com

  • r by calling 1-800-345-3806
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Health Wire Mobile Messaging

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Health Wire Mobile Messaging

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18 For Internal Use Only. Confidential and Proprietary

Thank You!