Member Services

Health and Wellness ResourcesGetting the most out of your plan

Say goodbye to filing cabinets and misplaced stacks of paper. With mybcbsnc.com, you’ll have fast, convenient access to your coverage details, including the health and wellness tools that you use most. The interactive, personalized dashboard is your gateway to resources like:

AccountInformation:Request a replacement ID card, or update your account and contact information in just minutes.

BenefitsandClaims:View the balance of your deductible. Access information on your benefits and how they work. Easily manage your claims – sort by member or date of service, then download and print.

DoctorsandFacilities:Find a doctor, and compare the cost of procedures at various health providers.

Prescriptions:Compare drug prices and get prescription and generic drug information.

WellnessResources:Get online access to seminars, preventive care adherence tips and healthy living conversations that help you stay on top of your health.

Log in to Member Services online or via your mobile device at mybcbsnc.com today to learn more, and to take advantage of these exciting special features.

More convenient than ever

Member Services

ContentsMember Services ................................. 2

Blue365®.................................................. 3

Health Line BlueSM ................................. 4

Healthy Outcomes and Personal Health Support ..................... 5

Blue Distinction Centers® ................... 6

BlueCard® .................................................7

Quick Reference .................................... 8

Programs and services to help you live a healthier life

Deals for you: healthy savings on healthy products

Convenient phone support for your health questions

An easy-to-use Web portal to help manage your plan

At Blue Cross and Blue Shield of North Carolina (BCBSNC), we don’t just stop at great health care plans – we also offer a wealth of valuable, practical services to supplement your coverage. Keep reading to find out how you can make the most of these great member programs and resources.

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More convenient than ever

Member Services

Staying healthy means more than just seeing the doctor once or twice a year – and BCBSNC is committed to helping its members find great savings wherever they can. Blue365 gives members access to exclusive discounts on healthy products and services at no additional cost1:

+ Gym Memberships

+ Laser eye surgery

+ Vision Services

+ Healthy Eating

+ Family Activities

You’ll also receive special weekly deals from nationally and locally recognized companies – delivered right to your e-mail inbox. From sports gear to medical bracelets to personal care, you’ll always find healthy, practical savings with Blue365.

Joining is easy – simply visit bcbsnc.com/blue365 to register.

Exclusive discounts for healthier living

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UrgentCare

Health LineBlue

Avg. Member Wait Time3

15-45 minutes

13.5 Seconds $0

4 hours, 7 minutes

$53.77

$390.62

Avg. Member Cost4

Emergency Room

A misstep while jogging. An odd rash with no other symptoms. The intersection of the car door and your thumb. It hurts, but is it serious?

We know: it’s tough to tell. So whether you need tips on symptom relief at home, guidance on finding immediate medical care in urgent situations, or information about your overall health, Health Line Blue is there for you.2

When you have a question, all you have to do is dial our toll-free number to speak to a member of the Health Line Blue team. Our trained nurses are available 24/7 to weigh in on minor conditions like:

+ Stomach aches

+ Headaches

+ Sore throat

+ Cuts and scrapes

+ Rashes

+ Possible strains or sprains

+ Insect bites

+ Minor allergic reactions

Whether the best course of action is urgent care, watching and waiting, or a trip to the E.R., we’ll help you decide what to do next.

Remember: if you’re facing an issue that threatens your life or health, never hesitate to go straight to the emergency room!

Need care? Don’t guess.

How Health Line Blue makes the difference

Day or night, you can call Health Line Blue at 877-477-2424.

To learn more, visit us at bcbsnc.com/urgent.

BCBSNC works hard to identify and proactively help individuals with complex medical or disease-related conditions such as:

+ Asthma

+ Coronary artery disease

+ COPD

+ Heart failure

+ Diabetes

If you’re faced with one of these conditions, one of our registered nurses may reach out to offer one-on-one support. Our goal is to provide you with the tools and information you need to boost your quality of life, and to help you navigate the health care system when you’re in need of extra support.5

We also offer ongoing educational support through our Healthy Outcomes Condition Care program. With Condition Care, you’ll have access to a number of educational tools and resources to manage your condition. It’s personal. It’s private. And it’s available at no additional cost.

To learn more about health programs available from BCBSNC, visit mybcbsnc.com.

Personal Health Support When you need it most

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Not all hospitals are the same. Even the most prestigious facilities may specialize in one treatment over another – which means you might need a hand finding the right hospital for you.

The Blue Distinction® designation gives patients and their doctors an objective look at medical facilities providing a high level of specialty care.6 Designation is a rigorous process, with criteria established with input from expert physicians and medical organizations. A Blue Distinction Center has proven results in quality care, treatment expertise and overall patient outcomes:

+ Staff are experts in their specialties, with hundreds of hours of experience.

+ Patients receive the highest level of support at all stages of treatment.

+ Patients who receive surgery or other procedures have fewer complications.

Blue Distinction Centers for Specialty Care® receive designations for those procedures in which they specialize. A Center for Bariatric Surgery, for example, has a proven track record in performing gastric bypass surgery or placing lap bands. Blue Distinction Centers may be certified in one or more of these areas:

+ Bariatric surgery

+ Cardiac care

+ Complex and rare cancers

+ Knee and hip replacements

+ Spinal surgery

+ Transplants

To find a Blue Distinction Center near you, log on to mybcbsnc.com,

visit Doctors and Facilities, then select Blue Distinction Centers.

Designated as a

for Cardiac Care The best health care – now even better

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When traveling, the one thing you don’t want to have to worry about is getting sick. But sometimes it happens. And if it does, you don’t want to be stranded without your health coverage.

With BlueCard, your BCBSNC coverage travels with you. We’ve partnered with health care providers around the U.S. – and in over 200 countries and territories – to ensure that wherever you go, there we are.7

Our Blue National Doctor and Hospital Finder is a convenient, easy way to track down medical care, complete with maps and directions. You can access the service online or download the app to your iPhone, iPod Touch or iPad, or to your Android-enabled mobile device.8,9 And with BlueCard Worldwide®, you’ll avoid extra paperwork or upfront fees – in other words, you can expect the same care abroad that you’d receive right here at home.

To learn more, visit bcbsnc.com, and click on “Find a Doctor,” or call BlueCard Access at 800-810-BLUE (2583).

Home is where the card is

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mybcbsnc.com

Visit

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The information provided in this material has been consolidated for your convenience from various health resources. The information should not be viewed as medical advice from Blue Cross and Blue Shield of North Carolina (BCBSNC). If you have any questions concerning your medical condition or any drugs, treatment plans or new symptoms, consult your health care provider.

®, SM Marks of the Blue Cross and Blue Shield Association. Blue Cross and Blue Shield of North Carolina is an independent licensee of the Blue Cross and Blue Shield Association. U8799, 8/12

Resource Getting the most out of your plan

Member Services Log in to Member Services online or via your mobile device at mybcbsnc.com today to learn more, and to take advantage of these exciting special features.

Health Line Blue Day or night, you can call Health Line Blue at 877-477-2424. To learn more, visit us at bcbsnc.com/urgent.

Blue365 Joining is easy-simply visit bcbsnc.com/blue365 to register.

Personal Health Support To learn more about health programs available from BCBSNC, visit mybcbsnc.com.

Blue Distinction Centers To find a Blue Distinction Center near you, log on to bcbsnc.com, visit Doctors and Facilities, then select Blue Distinction Centers.

BlueCard Visit the Blue National Doctor and Hospital Finder at bcbsnc.com and click on “Find a Doctor”, or call BlueCard Access at 800-810-BLUE (2583).

Member Services Quick ReferenceAt Blue Cross and Blue Shield of North Carolina, we’re proud of our commitment to our members’ health and wellness. We’ve worked hard to create a practical, varied suite of offerings that has something for everybody – but we know it can be a lot to take in. We encourage you to take advantage of the quick reference below, and to contact us at any time if you have additional questions.

HOWCAN WE

HELP?

1. Blue365® offers access to savings on items that Members may purchase directly from independent vendors, which are different from items that are covered under the policies with BCBSNC. Any disputes regarding these products and services may be subject to BCBSNC’s grievance process. Blue Cross and Blue Shield Association (BCBSA) may receive payments from Blue365 vendors. BCBSA does not recommend, endorse, warrant or guarantee any specific Blue365 vendor or item.

2. Blue Cross and Blue Shield of North Carolina (BCBSNC) provides the Health Line Blue program for your convenience and is not liable in any way for the goods or services received. BCBSNC reserves the right to discontinue or change the program at any time. Decisions regarding your care should be made with the advice of your doctor. Depending on your plan, selected programs may not be available to you at this time. Check with your benefits administrator or BCBSNC Customer Service to determine your eligibility.

3. Emergency Department Pulse Report 2010 Patient Perspectives on American Health Care. Press GaneyAssociates. www.pressganey.com/Documents_secure/Pulse%20Reports/2010_ED_Pulse_Report.pdf?viewfile (Accessed April 2011)

4. Average cost to BCBSNC members across group commercial plans. Based on BCBSNC internal data, April 2011.

5. Blue Cross and Blue Shield of North Carolina (BCBSNC) provides these programs (online programs, condition care) for your convenience and is not liable in any way for the goods or services received. BCBSNC has contracted with third-party vendors independent of BCBSNC to bring you some of these programs. Benefits available are subject to a member’s current health plan benefits and some benefits may be different for members of

BCBSNC’s high-deductible health plans. These programs provide tools to aid in health improvement, and results are not guaranteed. Decisions regarding your care should be made with the advice of your doctor. Some groups may not participate in these programs; contact your benefits administrator or BCBSNC Customer Service to determine your eligibility. BCBSNC reserves the right to discontinue or change these programs at any time without prior notification.

6. Designation as Blue Distinction Centers® means these facilities’ overall experience and aggregate data met objective criteria established in collaboration with expert clinicians’ and leading professional organizations’ recommendations. Individual outcomes may vary. To find out which services are covered under your policy at any facilities, please call your local Blue Cross and/or Blue Shield Plan; and please call your provider before making an appointment to verify the most current information on their Network participation status. Neither the Blue Cross and Blue Shield Association nor any of its Licensees are responsible for any damages, losses or non-covered charges that may result from using these materials or receiving care from a provider listed in these materials.

7. Blue Cross Blue Shield Association Web site, 2011. http://www.bcbs.com/coverage/bluecard/

8. iPhone, iPod Touch and iPad are registered trademarks of Apple Inc. Android is a trademark of Google Inc. Use of this trademark is subject to Google Permissions.

9. There is no charge to download the app from the app store but rates from your wireless provider may apply.