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ealthWod Spring 2018 Your newsletter from BlueChoicereg HealthPlan
Breathe Easier - p 2
Stop and Smell the Roses - p 3
Power Down to Power Up - p 4
Mental Health Care Providers - p 5
5210 Letrsquos Go Program - p 7
My Health Toolkit App - p 9
2 | HealthWord Spring 2018
Ah spring is in the air For many people spring is a
welcome break from the cold blustery winter The sun is
shining the days are longer and fowers are in bloom But
if you have a respiratory problem like COPD or asthma
common things like pollen grass fowers and tree
allergens can make it diffcult for you to enjoy the warmer
weather Here are some things you can do to keep fare-
ups under control when the pollen count is high
bull Take all medication exactly as directed Even if you
havenrsquot been taking your medicine because yoursquove
been feeling fne now is the time to get back on track
with your prescriptions
bull If you have asthma you should monitor your peak
fow daily Peak fow meters tell you how your asthma
is doing on a daily basis Peak fow readings will start
to fall two to three days before symptoms appear
bull Avoid being outside when the pollen count is high
usually between 5 am and 10 am Keep an eye on
the pollen count and plan to do any outdoor activities
when counts are low
Wondering how to track the pollen count when yoursquore
on the go Therersquos an app for that Check the App
Store or Google Play and search ldquoPollenrdquo to see what
is available
bull Keep grass short and fnd someone else to do the
yard work for you if possible If you do it yourself
wear a mask
bull Pollen can stick to your body and clothes and
transfer to your home Take a shower and wash your
clothes after being outside
bull Avoid hanging your laundry out to dry Pollens
cling to your linens and can cause serious breathing
problems later when yoursquore sleeping on those sheets
bull Opt for air conditioning instead of opening your
windows in your car and home Keeping windows
closed and using an air flter with a HEPA (high-
effciency particulate absorbing) flter goes a long way
toward keeping pollen out of your home
Itrsquos almost impossible to completely avoid triggers
The trick to managing your breathing is to take your
medications exactly as directed and take steps to prevent
or avoid your triggers before they impact your health
As part of your BlueChoice HealthPlan benefts you have
access to allergy relief discounts from Allergy Control
Products and National Allergy Check out
wwwBlueChoiceSCcomdiscounts for more information
You also have access to a personal health coach who
can help you learn to manage your asthma or COPD To
connect with a coach call 855-838-5897 and select
option 2
Breathe Easier Asthma and COPD
Health and Wellness
Go Ahead mdash Stop and Smell the Roses Springtime is here and most of us are enjoying the longer
warmer days and fowers in bloom But for many of us
spring means allergy season bringing sneezing and itchy
watery eyes When those familiar symptoms hit itrsquos time
to look into options that can help ease and treat seasonal
allergies Luckily there are several over-the-counter and
prescription drugs that can make you feel better
Antihistamines have been used to treat allergy symptoms
for many years They can be taken in various forms
including pills liquids and nose sprays Antihistamines
work by blocking a substance released by the immune
system that triggers allergy symptoms like redness
swelling and itching
Decongestants do exactly what their name says They
relieve congestion and are often prescribed along with
antihistamines They shrink swollen nasal tissues and
blood vessels to help bring relief
In some cases steroids are prescribed to treat allergies
They can reduce infammation and prevent annoying
stuffness and sneezing Steroids also known as
corticosteroids are available in several forms including
inhalers Steroids can be very effective but must be taken
regularly to be benefcial Plus it can take a bit of time for
their impact to be felt
Keep in mind that allergy medications can have side
effects such as drowsiness or insomnia depending on
the drug And always follow the instructions for your
medications
Donrsquot let allergies keep you from enjoying the season
Treat your symptoms and feel your best
HealthWord Spring 2018 | 3
Health and Wellness
Power Down to Power Up If your bedtime routine includes using your smartphone
e-reader or tablet yoursquore not alone After all when you
have so many gadgets that offer news articles e-books
games and email access all in one small package it can
be tough to ldquopower downrdquo If you use your smartphone
as an alarm clock chances are you literally sleep with your
phone You may not realize it but this could be affecting
your sleep in a major way
bull Your bedroom should be a relaxing sanctuary suited
to rest Using electronic devices to do things like
respond to emails and work on projects can make it
diffcult to relax and get a good nightrsquos sleep
bull The light from electronics and phone chargers may
prevent your body from producing melatonin a
hormone your body creates to regulate sleep
bull Reading a suspenseful novel or playing a game on
your device can stimulate your mind and make it
diffcult for you to relax and be ready for sleep
Most adults need seven to eight hours of sleep each
night If you have trouble getting to sleep or staying
asleep contact your primary care doctor Your provider
can identify any underlying issues and help you get the
sleep you need
Donrsquot have a primary care doctor Visit
wwwBlueChoiceSCcom to fnd one
Prescription for a Good Nightrsquos Sleep A good nightrsquos sleep is important to your overall health
and well-being but many of us fnd that getting those
needed Zrsquos is a major problem The American Sleep
Association reports that as many as half of all Americans
experience occasional sleep issues while around 10
percent report chronic insomnia Although there are
many simple and effective techniques and remedies
that can help you sleep better sometimes lack of sleep
requires an over-the-counter or prescription drug
BlueChoicereg covers several generic prescription sedatives
from allergic reactions to daytime drowsiness anxiety
depression and nervousness Also these drugs can have
serious interactions with alcohol or with other drugs you
may be taking
To help minimize overuse of these drugs our Quantity
Management program limits monthly supplies This
program is based on recommended limits set by the US
Food and Drug Administration Note that this program
only affects the amount of medication covered by your
health plan You and your doctor make the fnal decision (also called hypnotics) that might help on the amount of medication that is right for you
These drugs work by altering chemicals in While care in their prescribing and use is a the brain to help you get to sleep and necessity if these drugs are taken safely stay asleep longer For that reason they can have a positive impact on your extreme care must be taken when health by providing you with more mdash using these drugs There can and better mdash sleep be serious side effects ranging
4 | HealthWord Spring 2018
Health and Wellness
Health and Wellness
Finding the Right Mental Health Care Provider There are many different types of mental health care providers from which to choose The Companion Beneft Alternatives
(CBA) provider network includes psychiatrists psychologists psychiatric nurses social workers and counselors CBA is a
separate company that manages behavioral health benefts on behalf of BlueChoice HealthPlan
What Type of Mental Health Provider Do You Need
Determining the appropriate type of provider for your
specifc needs is a very important step toward getting the
right treatment You should always check your benefts
to see which providers your plan covers Here is some
information on each type of provider
Psychiatrists (MD)
Psychiatrists are medical doctors They can prescribe
medication They can use talk therapy and hospitalize
patients These doctors treat everything from depression
to substance abuse
Psychologists (PhD or PsyD)
Most psychologists earn a doctorate mdash a
PhD or a PsyD The two main types of
psychologists are clinical and counseling
Psychologists can diagnose mental illness
They can also use talk therapy to treat people
with a wide range of behavioral health
conditions Psychologists
do not usually prescribe
medication
Psychiatric Nurses
(NP or CNS)
Advanced practice registered
nurses (APRNs) are nurse
practitioners (NPs) and clinical
nurse specialists (CNSs) who have at
least a masterrsquos degree in psychiatric
nursing They can diagnose people with
Making the Choice
behavioral health conditions They can also treat them
with talk therapy Many of these nurses can prescribe
medication
Social Workers (LISW-CP)
CBArsquos social workers have a masterrsquos or doctorate in social
work They are licensed to practice independently They
counsel and help people understand the causes of their
behavior and life situations Social workers do not
prescribe medication
Counselors (LPC or LMFT)
Our counselors are licensed professional marriage and
family therapists They help people with a variety of mental
health and substance abuse conditions Counselors use
talk therapy to help people cope with their conditions
They do not prescribe medication
Itrsquos important to choose the right provider mdash
someone you trust who makes you feel cared
for and has the experience to help you
make changes for the better in your life
It may take some time to fnd the right
provider Feeling comfortable with the
provider you choose is crucial to the
success of your treatment When you
fnd the right provider the results can
be truly amazing and life-changing
For help selecting a mental health
provider call CBA at 800-868-1032
HealthWord Spring 2018 | 5
QuickEnroll
QuickBill
FOCUSfwd GreatExpectaions
Hearing Aids
Biometric Screeneing
LMS
TobaccoCessation
BlueChoice HealthPlan Wire
My Health ToolkitRewards
2018 Icons
Bases
Storefront
REV 4102018
Healthier Lifestyles
When Is an Emergency Not an Emergency You or a loved one is in pain How do you know how sick you are Should you rush to the hospital emergency room That
could cost you $250 or more Should you wait to see your primary care doctor The chart below should help you decide
whatrsquos best for your ailment and your pocketbook
Primary Care Doctor Urgent Care Emergency Room Out-of-pocket cost $ Out-of-pocket cost $$ Out-of-pocket cost $$$$ Health Issue
Routine physical vaccinations
Mild asthma
Sprain strain or back pain
Needs immediate attention but is not life-threatening
Cuts or wounds controlled bleeding
Uncontrolled bleeding
Head or eye injuries
Signs of a heart attack such as chest pains
Signs of stroke numbness of face arm andor leg on one side of the body
Life-threatening injury or symptom
You can also use Blue CareOnDemandSM1 to visit with a doctor wherever you are via
smartphone tablet or computer Each Blue CareOnDemand visit costs the same amount as an
offce visit with your primary care doctor See page 8 for details
1Please note that the Blue CareOnDemand service is only available to applicable members Be sure to check with your group administrator or call the Customer Service number located on the back of your member ID card to confrm if this service is available to you
6 | HealthWord Spring 2018
Healthier Lifestyles
Can 5210 Save Your Family Maybe If you want a happier and healthier family
5210 is really just smart lifestyle changes Similar to quitting smoking or wearing your seatbelt itrsquos a modifcation of daily
habits Designed to increase healthy eating and active living in children (and parents) ldquo5210 Letrsquos Gordquo is a nationally
recognized program that incorporates
bull 5 or more servings of fruits and vegetables bull 1 hour or more of physical activity
bull 2 hours or fewer of recreational screen time bull 0 sugary drinks more water and low-fat milk
How does this bring your family closer Many of the alternate activities are family group activities
A diet rich in fruits and vegetables provides
vitamins and minerals important for supporting
growth and development and for optimal immune
function Most fruits and vegetables are low in calories
and fat making them a healthy choice anytime Itrsquos easier
than you might think Add fruits and vegetables to foods
you already make like pasta soups casseroles pizza
rice etc Add fruit to your cereal pancakes or other
breakfast foods Let the kids help you plan the menu
Watching TV is associated with more snacking
and increased obesity Too much TV is linked
to lower reading scores and attention problems Itrsquos
important to limit all screen time including TV computer
smartphones and video games So limit recreational
TV or computer use to two hours or fewer What to do
instead Work a puzzle Turn on some music and dance
Read a book or magazine Play some board games or
charades Or just hang out and catch up with your family
water is the best option for thirst
5
2
Children model behavior so set a good example with
your own habits Remember as a parent yoursquore the
role model Check out wwwBlueChoiceSCcom for
information on the 5210 Letrsquos Go program
1 Move at least one hour every day It doesnrsquot have to
be all at once Make gradual changes to increase
your level of physical activity Itrsquos easy to integrate physical
motion into your daily routine Take a walk after dinner
and encourage family members to join you Go hiking or
dancing Choose toys and games that promote physical
activity Remember to make it fun
0 Eliminate all sugary drinks from your diet They are
especially harmful to children Daily consumption
can lead to obesity Type 2 diabetes and tooth decay
Sodas fruit-ade and most juices are empty calories If
you do serve juice be sure to buy 100 percent juice Still
HealthWord Spring 2018 | 7
Your Health Plan
QuickEnroll
QuickBill
FOCUSfwd GreatExpectaions
Hearing Aids
Biometric Screeneing
LMS
TobaccoCessation
BlueChoice HealthPlan Wire
My Health ToolkitRewards
2018 Icons
Bases
Storefront
REV 4102018
Get Smart mdash Get Blue CareOnDemand With Blue CareOnDemand you can visit with a doctor virtually anytime anywhere mdash from your smartphone tablet or
computer Doctors will diagnose and write prescriptions as appropriate
When should you use Blue CareOnDemand Havenrsquot created your Blue CareOnDemand account yet
bull The doctorrsquos offce is closed Download the app via the App Store or Google Play or
bull You are too sick to drive visit wwwBlueCareOnDemandSCcom today Donrsquot worry
What types of conditions can Blue CareOnDemand the app is FREE When creating your account remember
doctors treat to enter your member ID
bull Colds
bull Flu
bull Fever Please note that the Blue CareOnDemand service is only available to applicable members Be sure to check with your group administrator or call the Customer Service number located on the back of your
bull Rash member ID card to confirm if this service is available to you
bull Pinkeye
bull Ear infection
We Deliver (Pizza is extra) As a BlueChoice member you can have health information delivered
to your phone with the BlueChoice HealthPlan WireSM our text messaging tool
Updates include how to get the most from your coverage health and wellness
reminders hellip and more To get started simply call 844-206-0622 Yoursquoll need to
have your member ID card ready
8 | HealthWord Spring 2018
BLUECHOICE HEALTHPLAN
ZCJ00000000
wwwBlueOptionSCcom
JOHN DOE
ZCJ00000000Member ID
PLAN CODERxBINRxGRP
38004004336CHC
Health Benefits
Blue Option Network
Out of State Only
Your Health Plan
The My Health Toolkit App is Here Make your life easier with the My Health Toolkit App With the app you can
bull View and share your digital ID card
bull Check the status of your claims fast
bull Confrm coverage
bull Find a doctor or hospital in network
bull Update contact information
bull And more
Current My Health Toolkit users can log in to the app with their existing username and
password New My Health Toolkit users can register through the app
Download the FREE My Health Toolkit Mobile App today Just search for
ldquoMy Health Toolkitrdquo in the App Store or Google Play Remember to have your
member ID card available
BLUECHOICE HEALTHPLAN
ZCL00000000
wwwBlueChoiceSCcom
JOHN DOE
ZCL00000000 Member ID
PLAN PLAN CODE RxBIN RxGRP
PPO 38004 004336 CHC
Health Benefits Pediatric Vision Comprehensive Dental
Access Your Digital ID Card Anytime Anywhere As a BlueChoice member you can feel confdent about your health coverage Your BlueChoice ID card opens doors to
more doctors and hospitals You can access your digital ID card anytime anywhere from your computer or mobile device
Advantages of your digital ID card
Your digital ID card is identical to your plastic card It contains your member ID
number and other coverage details unique to you Unlike your plastic card you
donrsquot have to worry about losing it or ordering duplicate copies for your family
You can easily
bull View your card on your smartphone tablet or computer
bull Email your card to your spouse children doctorrsquos offce or pharmacy
bull Print your card at home from your smartphone or computer Use the printed
card just like your plastic card
How to access your digital ID card
On your smartphone or tablet You can now access your digital ID card on the My Health Toolkit App
On your computer Go to wwwBlueChoiceSCcom and log in to your My Health Toolkit account Under the Insurance
Card section on the left select View Your Card
Donrsquot discard your plastic ID card Some doctors may still want a copy of it for their records
Insurance Card Health
Have a dental account
Add your Insurance Card Number to access your account
(View Your Card)
ABC123
HealthWord Spring 2018 | 9
Your Health Plan
Consent for Medical Care at Age 16 Under South Carolina law any minor who has reached 16 years of age can solely
consent to health care decisions except for surgery The consent of a parent
is not necessary This is why a completed Authorization to Disclose Protected
Health Information to a Third Party form is required for a parent to receive health
information about a minor child older than 15 years of age
Go to wwwBlueChoiceSCcomDisclosePHIForm to view a description of this form
and a link to the form itself
While we must protect a minorrsquos protected health information beginning at age
16 he or she cannot legally sign a contract for insurance We must allow parents
to make changes to their dependentsrsquo insurance coverage These coverage
changes do not require authorization from the minor
HIPAA Notice of Privacy Practices This is a reminder that our Notice of Privacy Practices is on our website wwwBlueChoiceSCcom Or you can contact us
and receive one by mail The phone number is on the back of your member ID card
Member Rights and Responsibilities
As a member you have certain rights and responsibilities Therersquos a summary online We update it as needed If you
donrsquot have access to the web and need a copy of your Member Guide Prescription Drug List or Member Rights and
Responsibilities please call the number on the back of your member ID card Our Member Services department is open
Monday ndash Friday 830 am ndash 5 pm
Claims and Beneft Information
Want to know if we paid a claim what your benefts are for a service or what your copayments and other charges were
Find this and more on My Health Toolkit
External Review Procedures
We are committed to quickly resolving your concerns and problems There are state laws such as the Health Carrier
External Review Act and federal laws that allow you to ask for an external review in some cases when we deny payment
for a claim These situations have different rules Please call Member Services to fnd out your options for an external
review
If you qualify for an external review wersquoll tell you in writing Wersquoll also explain what to do For more about appeals see
your Member Guide or visit us online at wwwBlueChoiceSCcom
10 | HealthWord Spring 2018
Your Health Plan
Womenrsquos Health and Cancer Rights
Do you know that your coverage as required by the Womenrsquos Health and Cancer Rights Act of 1998 provides benefts
for mastectomy-related services These services include all stages of reconstruction and surgery This includes prostheses
and complications from a mastectomy including lymphedema Check your certifcate of coverage or contract for more
information on this beneft or call the number on the back of your member ID card Our Member Services department is
open Monday ndash Friday 830 am ndash 5 pm
Member Guide
Your Member Guide is a great place to fnd many important details about your benefts You can fnd your Member Guide
on our website wwwBlueChoiceSCcom The guide will help you understand your benefts and make the most of your
coverage Herersquos some of the information in the guide
bull How to access primary care specialty care behavioral
health services hospital services and much more
bull How to get after-hours care urgent care and
emergency care
bull How to fnd care and coverage when yoursquore outside
the service area
bull How to submit a claim yourself
bull How we coordinate benefts
bull How we administer benefts for appropriate services
including our policy on not providing incentives to
deny coverage of care or services
Prescription Drug Information
bull How we decide what new technology we will include
as a covered beneft
bull How to get information on our quality
improvement program
bull How to voice a complaint or to appeal a decision
bull How our privacy practices work
bull How to get information about network providersrsquo
qualifcations and other provider information
bull How your benefts work
bull Restrictions on benefts you receive outside the system
bull How to get language assistance
Get details about medications price comparisons your prescription history and up-to-date information on our pharmacy
procedures and prescription drug lists Plus if your coverage offers a mail-order pharmacy beneft you can order your
reflls online Just go to the Prescription Drugs section under Benefts in My Health Toolkit
We Leave Medical Decisions to Doctors and Patients
We make decisions about approving services based on whether care is appropriate and agrees with your plan of benefts
We do not reward providers or others for denying coverage or care And we do not offer fnancial incentives to anyone to
encourage decisions that result in underutilization of care
HealthWord Spring 2018 | 11
Post Offce Box 6170 Columbia SC 29260-6170
HealthWord is a publication of BlueChoice HealthPlan BlueChoice HealthPlan is an independent licensee of the Blue Cross and Blue Shield Association
HealthWord is a newsletter for BlueChoice HealthPlan members It provides information only and does not replace the advice of your doctor You always should see your doctor for personal medical advice
Do you have questions about your BlueChoice HealthPlan coverage Try our website at wwwBlueChoiceSCcom Wersquore open 24 hours a day here
To contact us please refer to the number found on the back of your member ID card
SPRING 2018
139256-04-2018
ealthWo d
Non-Discrimination Statement and Foreign Language Access
We do not discriminate on the basis of race color national origin disability age sex gender identity sexual orientation or health status in our health plans when we enroll members or provide benefits
If you or someone youre assisting is disabled and needs interpretation assistance help is available at the contact number posted on our website or listed in the materials included with this notice (TDD 711)
Free language interpretation support is available for those who cannot read or speak English by calling one of the appropriate numbers listed below
If you think we have not provided these services or have discriminated in any way you can file a grievance by emailing contacthcrcompliancecom or by calling our Compliance area at 1-800-832-9686 or the US Department of Health and Human Services Office for Civil Rights at 1-800-368-1019 or 1-800-537-7697 (TDD)
Si usted o alguien a quien usted esta ayudando tiene preguntas acerca de este plan de salud tiene derecho a
obtener ayuda e informaci6n en su idioma sin costo alguno Para hablar con un interprete llame al 1-844-396-0183 (Spanish)
~bullbullmiddot d~e~amM~fla ~~ttbull~tt~~~~~~ bull~bull~~bull~bull~bull~ffl~MM~m ~ o ~ITTil-iftffi~ni~ ilti 1-844-396-01880 (Chinese)
Neu quy vj ho~c la ngliOi ma quy vj dang giup d6 c6 nhUng cau hoi quan tam ve chliOng trinh SUC khoe nay quy
vj se dliQC giup do vampi cac thong tin bang ngon ngU cua quy vj mi~n phf Oe n6i chuy~n vampi mltgtt thong djch vien
xin goi 1-844-389-4838 (Vietnamese)
01 Y ~~OJI tf-o~()j 3-a-~ A~~~~ ~ go1 ~J O Al 121 1-844-396-0187 pound lt21 ~oH -~ Al 2
-1-lo~~l 111-sect _t~filOI ~~Ojpound ~2~c ~ Liq (Korean)
Kung ikaw o ang iyong tinutulungan ay may mga katanungan tungkol sa planong pangkalu sugang ito may
karapatan ka na makakuha ng tu long at impormasyon sa iyong wika nang walang gastos Upang makausap ang
isang tagasalin tumawag sa 1-844-389-4839 (Tagalog)
Ecm1 y Bae 11111 111Ua KOTOpOMY Bbl noMoraeTe 11MelOTCR sonpOCbl no noBOAY Bawero nlaHa MeA11U11HCKOro
06cJ1ygt1lt11BaH11R TO Bbl 11MeeTe npaso Ha 6ecnlaTHOe noly4eH11e nOMOW11 11 l1HqgtOpMau1111 Ha pyCCKOM R3b1Ke llllR
pa3rosopa c nepeBOA411KOM no3soH11Te no TeleqgtoHy l-844-389-4840 (Russian)
wl_hJI_ ~LJI ~ J_JI ~ ~I 4ili oii ~I ib l)-~ ~i o~li ~ -5ll _i 4ll ulS u]
(Arabic) l-844-396-0189 y ~I rYA t i~~ ~I u_J lt)o ~ ~J_~1
13
Rvs13 313201713 13 13 13 13 13 113 13 13 13 13 19199-shy‐3-shy‐201713 13
3[Type13 here]13 [Type13 here]13 [Type13 here]13
Si ou menm oswa yon moun w ap ede gen kesyon konsenan plan sante sa a se dwa w pou resevwa asistans ak enfomasyon nan lang ou pale a san ou pa gen pou peye pou sa Pou pale avek yon entepret rele nan 1-844-3 98-6232 (FrenchHaitian Creole)
Si vous ou quelquun que vous etes en train daider avez des questions apropos de ce plan medical vous avez le droit dobtenir gratuitement de laide et des informations dans votre langue Pour parler a un interprete appelez le 1-844-396-0190 (French)
Jesli Ty lub osoba kt6rej pomagasz macie pytania odnosnie planu ubezpieczenia zdrowotnego masz prawo do uzyskania bezptatnej informacji i pomocy we wtasnym j~zyku Aby porozmawiac z ttumaczem zadzwon pod numer 1-844-396-01 86 (Polish)
Se voce au alguem a quern voce esta ajudando tern perguntas sabre este piano de saude voce tern o direito de obter ajuda e informacao em seu idioma e sem custos Para falar com um interprete ligue para 1-844-3 96-01 82 (Portuguese)
Se tu o qualcuno che stai aiutando avete domande su questo piano sanitario hai ii diritto di ottenere aiuto e informazioni nella tua lingua gratuitamente Per parlare con un interprete puoi chiamare 1-844-396-01 84 (Italian)
~tJt trt~tcJttJsttt~~~n tl-QJJtJ ~0)-otJli~ 1-gtlt =~r~tJ=~ l Lt I) = ~~O) ~ ~fit-ij-~- t-- ~yenl rtt ~J 1jffl ~ A-yen Lt ~J 9 -Q ~ c tJt ~ 9 o yen4~1tiJiJ ~J it lv o im~ ciS~~ti-Q~g- 1-844-396-01 85 tiSi~lt t~l o (Japanese)
Falls Sie oder jemand dem Sie helfen Fragen zu diesem Krankenversicherungsplan haben bzw hat haben Sie das Recht kostenlose Hilfe und lnformationen in lhrer Sprache zu erhalten Um mit einem Dolmetscher zu sprechen rufen Sie bitte die Nummer l-844-396-01 91 an (German)
~ I -4- ltS 4-D Li )--J cgt--- I c5 o J L J ~j I - l+-Ll er c5AS 9 I - ltLS ltS J----9 L ~ J-5 I u ~ I J J yen - I J y u l j - l il I 9 c5AS ltLS L u I l I J cgt--- I jgt 0 L ltLi I
jDLgt LJLc_j l-844-398-6233 L50J~ L LJhJ PJ-L L L) l ~ ~ lt5 1 _)--J bulll+-Ll uJLJl
(Persian-Farsi) LLJ Loi
Nida doodago t aa haida bikaana nilwo igii dii Beeso Ach~~h naa niligi haa ida yi na idil kidgo nihaah66ti nihi kaadoo wolgo kwii haatishU bi na idolkidigi doo bikeazlaag66 Ata halnee la bichC ha desdzih ninizingo koji beesh bee h6lne 1-844-516-6328 (Navajo)
13
Rvs13 313201713 13 13 13 13 13 213 13 13 13 13 19199-shy‐3-shy‐201713 13
3[Type13 here]13 [Type13 here]13 [Type13 here]13
2 | HealthWord Spring 2018
Ah spring is in the air For many people spring is a
welcome break from the cold blustery winter The sun is
shining the days are longer and fowers are in bloom But
if you have a respiratory problem like COPD or asthma
common things like pollen grass fowers and tree
allergens can make it diffcult for you to enjoy the warmer
weather Here are some things you can do to keep fare-
ups under control when the pollen count is high
bull Take all medication exactly as directed Even if you
havenrsquot been taking your medicine because yoursquove
been feeling fne now is the time to get back on track
with your prescriptions
bull If you have asthma you should monitor your peak
fow daily Peak fow meters tell you how your asthma
is doing on a daily basis Peak fow readings will start
to fall two to three days before symptoms appear
bull Avoid being outside when the pollen count is high
usually between 5 am and 10 am Keep an eye on
the pollen count and plan to do any outdoor activities
when counts are low
Wondering how to track the pollen count when yoursquore
on the go Therersquos an app for that Check the App
Store or Google Play and search ldquoPollenrdquo to see what
is available
bull Keep grass short and fnd someone else to do the
yard work for you if possible If you do it yourself
wear a mask
bull Pollen can stick to your body and clothes and
transfer to your home Take a shower and wash your
clothes after being outside
bull Avoid hanging your laundry out to dry Pollens
cling to your linens and can cause serious breathing
problems later when yoursquore sleeping on those sheets
bull Opt for air conditioning instead of opening your
windows in your car and home Keeping windows
closed and using an air flter with a HEPA (high-
effciency particulate absorbing) flter goes a long way
toward keeping pollen out of your home
Itrsquos almost impossible to completely avoid triggers
The trick to managing your breathing is to take your
medications exactly as directed and take steps to prevent
or avoid your triggers before they impact your health
As part of your BlueChoice HealthPlan benefts you have
access to allergy relief discounts from Allergy Control
Products and National Allergy Check out
wwwBlueChoiceSCcomdiscounts for more information
You also have access to a personal health coach who
can help you learn to manage your asthma or COPD To
connect with a coach call 855-838-5897 and select
option 2
Breathe Easier Asthma and COPD
Health and Wellness
Go Ahead mdash Stop and Smell the Roses Springtime is here and most of us are enjoying the longer
warmer days and fowers in bloom But for many of us
spring means allergy season bringing sneezing and itchy
watery eyes When those familiar symptoms hit itrsquos time
to look into options that can help ease and treat seasonal
allergies Luckily there are several over-the-counter and
prescription drugs that can make you feel better
Antihistamines have been used to treat allergy symptoms
for many years They can be taken in various forms
including pills liquids and nose sprays Antihistamines
work by blocking a substance released by the immune
system that triggers allergy symptoms like redness
swelling and itching
Decongestants do exactly what their name says They
relieve congestion and are often prescribed along with
antihistamines They shrink swollen nasal tissues and
blood vessels to help bring relief
In some cases steroids are prescribed to treat allergies
They can reduce infammation and prevent annoying
stuffness and sneezing Steroids also known as
corticosteroids are available in several forms including
inhalers Steroids can be very effective but must be taken
regularly to be benefcial Plus it can take a bit of time for
their impact to be felt
Keep in mind that allergy medications can have side
effects such as drowsiness or insomnia depending on
the drug And always follow the instructions for your
medications
Donrsquot let allergies keep you from enjoying the season
Treat your symptoms and feel your best
HealthWord Spring 2018 | 3
Health and Wellness
Power Down to Power Up If your bedtime routine includes using your smartphone
e-reader or tablet yoursquore not alone After all when you
have so many gadgets that offer news articles e-books
games and email access all in one small package it can
be tough to ldquopower downrdquo If you use your smartphone
as an alarm clock chances are you literally sleep with your
phone You may not realize it but this could be affecting
your sleep in a major way
bull Your bedroom should be a relaxing sanctuary suited
to rest Using electronic devices to do things like
respond to emails and work on projects can make it
diffcult to relax and get a good nightrsquos sleep
bull The light from electronics and phone chargers may
prevent your body from producing melatonin a
hormone your body creates to regulate sleep
bull Reading a suspenseful novel or playing a game on
your device can stimulate your mind and make it
diffcult for you to relax and be ready for sleep
Most adults need seven to eight hours of sleep each
night If you have trouble getting to sleep or staying
asleep contact your primary care doctor Your provider
can identify any underlying issues and help you get the
sleep you need
Donrsquot have a primary care doctor Visit
wwwBlueChoiceSCcom to fnd one
Prescription for a Good Nightrsquos Sleep A good nightrsquos sleep is important to your overall health
and well-being but many of us fnd that getting those
needed Zrsquos is a major problem The American Sleep
Association reports that as many as half of all Americans
experience occasional sleep issues while around 10
percent report chronic insomnia Although there are
many simple and effective techniques and remedies
that can help you sleep better sometimes lack of sleep
requires an over-the-counter or prescription drug
BlueChoicereg covers several generic prescription sedatives
from allergic reactions to daytime drowsiness anxiety
depression and nervousness Also these drugs can have
serious interactions with alcohol or with other drugs you
may be taking
To help minimize overuse of these drugs our Quantity
Management program limits monthly supplies This
program is based on recommended limits set by the US
Food and Drug Administration Note that this program
only affects the amount of medication covered by your
health plan You and your doctor make the fnal decision (also called hypnotics) that might help on the amount of medication that is right for you
These drugs work by altering chemicals in While care in their prescribing and use is a the brain to help you get to sleep and necessity if these drugs are taken safely stay asleep longer For that reason they can have a positive impact on your extreme care must be taken when health by providing you with more mdash using these drugs There can and better mdash sleep be serious side effects ranging
4 | HealthWord Spring 2018
Health and Wellness
Health and Wellness
Finding the Right Mental Health Care Provider There are many different types of mental health care providers from which to choose The Companion Beneft Alternatives
(CBA) provider network includes psychiatrists psychologists psychiatric nurses social workers and counselors CBA is a
separate company that manages behavioral health benefts on behalf of BlueChoice HealthPlan
What Type of Mental Health Provider Do You Need
Determining the appropriate type of provider for your
specifc needs is a very important step toward getting the
right treatment You should always check your benefts
to see which providers your plan covers Here is some
information on each type of provider
Psychiatrists (MD)
Psychiatrists are medical doctors They can prescribe
medication They can use talk therapy and hospitalize
patients These doctors treat everything from depression
to substance abuse
Psychologists (PhD or PsyD)
Most psychologists earn a doctorate mdash a
PhD or a PsyD The two main types of
psychologists are clinical and counseling
Psychologists can diagnose mental illness
They can also use talk therapy to treat people
with a wide range of behavioral health
conditions Psychologists
do not usually prescribe
medication
Psychiatric Nurses
(NP or CNS)
Advanced practice registered
nurses (APRNs) are nurse
practitioners (NPs) and clinical
nurse specialists (CNSs) who have at
least a masterrsquos degree in psychiatric
nursing They can diagnose people with
Making the Choice
behavioral health conditions They can also treat them
with talk therapy Many of these nurses can prescribe
medication
Social Workers (LISW-CP)
CBArsquos social workers have a masterrsquos or doctorate in social
work They are licensed to practice independently They
counsel and help people understand the causes of their
behavior and life situations Social workers do not
prescribe medication
Counselors (LPC or LMFT)
Our counselors are licensed professional marriage and
family therapists They help people with a variety of mental
health and substance abuse conditions Counselors use
talk therapy to help people cope with their conditions
They do not prescribe medication
Itrsquos important to choose the right provider mdash
someone you trust who makes you feel cared
for and has the experience to help you
make changes for the better in your life
It may take some time to fnd the right
provider Feeling comfortable with the
provider you choose is crucial to the
success of your treatment When you
fnd the right provider the results can
be truly amazing and life-changing
For help selecting a mental health
provider call CBA at 800-868-1032
HealthWord Spring 2018 | 5
QuickEnroll
QuickBill
FOCUSfwd GreatExpectaions
Hearing Aids
Biometric Screeneing
LMS
TobaccoCessation
BlueChoice HealthPlan Wire
My Health ToolkitRewards
2018 Icons
Bases
Storefront
REV 4102018
Healthier Lifestyles
When Is an Emergency Not an Emergency You or a loved one is in pain How do you know how sick you are Should you rush to the hospital emergency room That
could cost you $250 or more Should you wait to see your primary care doctor The chart below should help you decide
whatrsquos best for your ailment and your pocketbook
Primary Care Doctor Urgent Care Emergency Room Out-of-pocket cost $ Out-of-pocket cost $$ Out-of-pocket cost $$$$ Health Issue
Routine physical vaccinations
Mild asthma
Sprain strain or back pain
Needs immediate attention but is not life-threatening
Cuts or wounds controlled bleeding
Uncontrolled bleeding
Head or eye injuries
Signs of a heart attack such as chest pains
Signs of stroke numbness of face arm andor leg on one side of the body
Life-threatening injury or symptom
You can also use Blue CareOnDemandSM1 to visit with a doctor wherever you are via
smartphone tablet or computer Each Blue CareOnDemand visit costs the same amount as an
offce visit with your primary care doctor See page 8 for details
1Please note that the Blue CareOnDemand service is only available to applicable members Be sure to check with your group administrator or call the Customer Service number located on the back of your member ID card to confrm if this service is available to you
6 | HealthWord Spring 2018
Healthier Lifestyles
Can 5210 Save Your Family Maybe If you want a happier and healthier family
5210 is really just smart lifestyle changes Similar to quitting smoking or wearing your seatbelt itrsquos a modifcation of daily
habits Designed to increase healthy eating and active living in children (and parents) ldquo5210 Letrsquos Gordquo is a nationally
recognized program that incorporates
bull 5 or more servings of fruits and vegetables bull 1 hour or more of physical activity
bull 2 hours or fewer of recreational screen time bull 0 sugary drinks more water and low-fat milk
How does this bring your family closer Many of the alternate activities are family group activities
A diet rich in fruits and vegetables provides
vitamins and minerals important for supporting
growth and development and for optimal immune
function Most fruits and vegetables are low in calories
and fat making them a healthy choice anytime Itrsquos easier
than you might think Add fruits and vegetables to foods
you already make like pasta soups casseroles pizza
rice etc Add fruit to your cereal pancakes or other
breakfast foods Let the kids help you plan the menu
Watching TV is associated with more snacking
and increased obesity Too much TV is linked
to lower reading scores and attention problems Itrsquos
important to limit all screen time including TV computer
smartphones and video games So limit recreational
TV or computer use to two hours or fewer What to do
instead Work a puzzle Turn on some music and dance
Read a book or magazine Play some board games or
charades Or just hang out and catch up with your family
water is the best option for thirst
5
2
Children model behavior so set a good example with
your own habits Remember as a parent yoursquore the
role model Check out wwwBlueChoiceSCcom for
information on the 5210 Letrsquos Go program
1 Move at least one hour every day It doesnrsquot have to
be all at once Make gradual changes to increase
your level of physical activity Itrsquos easy to integrate physical
motion into your daily routine Take a walk after dinner
and encourage family members to join you Go hiking or
dancing Choose toys and games that promote physical
activity Remember to make it fun
0 Eliminate all sugary drinks from your diet They are
especially harmful to children Daily consumption
can lead to obesity Type 2 diabetes and tooth decay
Sodas fruit-ade and most juices are empty calories If
you do serve juice be sure to buy 100 percent juice Still
HealthWord Spring 2018 | 7
Your Health Plan
QuickEnroll
QuickBill
FOCUSfwd GreatExpectaions
Hearing Aids
Biometric Screeneing
LMS
TobaccoCessation
BlueChoice HealthPlan Wire
My Health ToolkitRewards
2018 Icons
Bases
Storefront
REV 4102018
Get Smart mdash Get Blue CareOnDemand With Blue CareOnDemand you can visit with a doctor virtually anytime anywhere mdash from your smartphone tablet or
computer Doctors will diagnose and write prescriptions as appropriate
When should you use Blue CareOnDemand Havenrsquot created your Blue CareOnDemand account yet
bull The doctorrsquos offce is closed Download the app via the App Store or Google Play or
bull You are too sick to drive visit wwwBlueCareOnDemandSCcom today Donrsquot worry
What types of conditions can Blue CareOnDemand the app is FREE When creating your account remember
doctors treat to enter your member ID
bull Colds
bull Flu
bull Fever Please note that the Blue CareOnDemand service is only available to applicable members Be sure to check with your group administrator or call the Customer Service number located on the back of your
bull Rash member ID card to confirm if this service is available to you
bull Pinkeye
bull Ear infection
We Deliver (Pizza is extra) As a BlueChoice member you can have health information delivered
to your phone with the BlueChoice HealthPlan WireSM our text messaging tool
Updates include how to get the most from your coverage health and wellness
reminders hellip and more To get started simply call 844-206-0622 Yoursquoll need to
have your member ID card ready
8 | HealthWord Spring 2018
BLUECHOICE HEALTHPLAN
ZCJ00000000
wwwBlueOptionSCcom
JOHN DOE
ZCJ00000000Member ID
PLAN CODERxBINRxGRP
38004004336CHC
Health Benefits
Blue Option Network
Out of State Only
Your Health Plan
The My Health Toolkit App is Here Make your life easier with the My Health Toolkit App With the app you can
bull View and share your digital ID card
bull Check the status of your claims fast
bull Confrm coverage
bull Find a doctor or hospital in network
bull Update contact information
bull And more
Current My Health Toolkit users can log in to the app with their existing username and
password New My Health Toolkit users can register through the app
Download the FREE My Health Toolkit Mobile App today Just search for
ldquoMy Health Toolkitrdquo in the App Store or Google Play Remember to have your
member ID card available
BLUECHOICE HEALTHPLAN
ZCL00000000
wwwBlueChoiceSCcom
JOHN DOE
ZCL00000000 Member ID
PLAN PLAN CODE RxBIN RxGRP
PPO 38004 004336 CHC
Health Benefits Pediatric Vision Comprehensive Dental
Access Your Digital ID Card Anytime Anywhere As a BlueChoice member you can feel confdent about your health coverage Your BlueChoice ID card opens doors to
more doctors and hospitals You can access your digital ID card anytime anywhere from your computer or mobile device
Advantages of your digital ID card
Your digital ID card is identical to your plastic card It contains your member ID
number and other coverage details unique to you Unlike your plastic card you
donrsquot have to worry about losing it or ordering duplicate copies for your family
You can easily
bull View your card on your smartphone tablet or computer
bull Email your card to your spouse children doctorrsquos offce or pharmacy
bull Print your card at home from your smartphone or computer Use the printed
card just like your plastic card
How to access your digital ID card
On your smartphone or tablet You can now access your digital ID card on the My Health Toolkit App
On your computer Go to wwwBlueChoiceSCcom and log in to your My Health Toolkit account Under the Insurance
Card section on the left select View Your Card
Donrsquot discard your plastic ID card Some doctors may still want a copy of it for their records
Insurance Card Health
Have a dental account
Add your Insurance Card Number to access your account
(View Your Card)
ABC123
HealthWord Spring 2018 | 9
Your Health Plan
Consent for Medical Care at Age 16 Under South Carolina law any minor who has reached 16 years of age can solely
consent to health care decisions except for surgery The consent of a parent
is not necessary This is why a completed Authorization to Disclose Protected
Health Information to a Third Party form is required for a parent to receive health
information about a minor child older than 15 years of age
Go to wwwBlueChoiceSCcomDisclosePHIForm to view a description of this form
and a link to the form itself
While we must protect a minorrsquos protected health information beginning at age
16 he or she cannot legally sign a contract for insurance We must allow parents
to make changes to their dependentsrsquo insurance coverage These coverage
changes do not require authorization from the minor
HIPAA Notice of Privacy Practices This is a reminder that our Notice of Privacy Practices is on our website wwwBlueChoiceSCcom Or you can contact us
and receive one by mail The phone number is on the back of your member ID card
Member Rights and Responsibilities
As a member you have certain rights and responsibilities Therersquos a summary online We update it as needed If you
donrsquot have access to the web and need a copy of your Member Guide Prescription Drug List or Member Rights and
Responsibilities please call the number on the back of your member ID card Our Member Services department is open
Monday ndash Friday 830 am ndash 5 pm
Claims and Beneft Information
Want to know if we paid a claim what your benefts are for a service or what your copayments and other charges were
Find this and more on My Health Toolkit
External Review Procedures
We are committed to quickly resolving your concerns and problems There are state laws such as the Health Carrier
External Review Act and federal laws that allow you to ask for an external review in some cases when we deny payment
for a claim These situations have different rules Please call Member Services to fnd out your options for an external
review
If you qualify for an external review wersquoll tell you in writing Wersquoll also explain what to do For more about appeals see
your Member Guide or visit us online at wwwBlueChoiceSCcom
10 | HealthWord Spring 2018
Your Health Plan
Womenrsquos Health and Cancer Rights
Do you know that your coverage as required by the Womenrsquos Health and Cancer Rights Act of 1998 provides benefts
for mastectomy-related services These services include all stages of reconstruction and surgery This includes prostheses
and complications from a mastectomy including lymphedema Check your certifcate of coverage or contract for more
information on this beneft or call the number on the back of your member ID card Our Member Services department is
open Monday ndash Friday 830 am ndash 5 pm
Member Guide
Your Member Guide is a great place to fnd many important details about your benefts You can fnd your Member Guide
on our website wwwBlueChoiceSCcom The guide will help you understand your benefts and make the most of your
coverage Herersquos some of the information in the guide
bull How to access primary care specialty care behavioral
health services hospital services and much more
bull How to get after-hours care urgent care and
emergency care
bull How to fnd care and coverage when yoursquore outside
the service area
bull How to submit a claim yourself
bull How we coordinate benefts
bull How we administer benefts for appropriate services
including our policy on not providing incentives to
deny coverage of care or services
Prescription Drug Information
bull How we decide what new technology we will include
as a covered beneft
bull How to get information on our quality
improvement program
bull How to voice a complaint or to appeal a decision
bull How our privacy practices work
bull How to get information about network providersrsquo
qualifcations and other provider information
bull How your benefts work
bull Restrictions on benefts you receive outside the system
bull How to get language assistance
Get details about medications price comparisons your prescription history and up-to-date information on our pharmacy
procedures and prescription drug lists Plus if your coverage offers a mail-order pharmacy beneft you can order your
reflls online Just go to the Prescription Drugs section under Benefts in My Health Toolkit
We Leave Medical Decisions to Doctors and Patients
We make decisions about approving services based on whether care is appropriate and agrees with your plan of benefts
We do not reward providers or others for denying coverage or care And we do not offer fnancial incentives to anyone to
encourage decisions that result in underutilization of care
HealthWord Spring 2018 | 11
Post Offce Box 6170 Columbia SC 29260-6170
HealthWord is a publication of BlueChoice HealthPlan BlueChoice HealthPlan is an independent licensee of the Blue Cross and Blue Shield Association
HealthWord is a newsletter for BlueChoice HealthPlan members It provides information only and does not replace the advice of your doctor You always should see your doctor for personal medical advice
Do you have questions about your BlueChoice HealthPlan coverage Try our website at wwwBlueChoiceSCcom Wersquore open 24 hours a day here
To contact us please refer to the number found on the back of your member ID card
SPRING 2018
139256-04-2018
ealthWo d
Non-Discrimination Statement and Foreign Language Access
We do not discriminate on the basis of race color national origin disability age sex gender identity sexual orientation or health status in our health plans when we enroll members or provide benefits
If you or someone youre assisting is disabled and needs interpretation assistance help is available at the contact number posted on our website or listed in the materials included with this notice (TDD 711)
Free language interpretation support is available for those who cannot read or speak English by calling one of the appropriate numbers listed below
If you think we have not provided these services or have discriminated in any way you can file a grievance by emailing contacthcrcompliancecom or by calling our Compliance area at 1-800-832-9686 or the US Department of Health and Human Services Office for Civil Rights at 1-800-368-1019 or 1-800-537-7697 (TDD)
Si usted o alguien a quien usted esta ayudando tiene preguntas acerca de este plan de salud tiene derecho a
obtener ayuda e informaci6n en su idioma sin costo alguno Para hablar con un interprete llame al 1-844-396-0183 (Spanish)
~bullbullmiddot d~e~amM~fla ~~ttbull~tt~~~~~~ bull~bull~~bull~bull~bull~ffl~MM~m ~ o ~ITTil-iftffi~ni~ ilti 1-844-396-01880 (Chinese)
Neu quy vj ho~c la ngliOi ma quy vj dang giup d6 c6 nhUng cau hoi quan tam ve chliOng trinh SUC khoe nay quy
vj se dliQC giup do vampi cac thong tin bang ngon ngU cua quy vj mi~n phf Oe n6i chuy~n vampi mltgtt thong djch vien
xin goi 1-844-389-4838 (Vietnamese)
01 Y ~~OJI tf-o~()j 3-a-~ A~~~~ ~ go1 ~J O Al 121 1-844-396-0187 pound lt21 ~oH -~ Al 2
-1-lo~~l 111-sect _t~filOI ~~Ojpound ~2~c ~ Liq (Korean)
Kung ikaw o ang iyong tinutulungan ay may mga katanungan tungkol sa planong pangkalu sugang ito may
karapatan ka na makakuha ng tu long at impormasyon sa iyong wika nang walang gastos Upang makausap ang
isang tagasalin tumawag sa 1-844-389-4839 (Tagalog)
Ecm1 y Bae 11111 111Ua KOTOpOMY Bbl noMoraeTe 11MelOTCR sonpOCbl no noBOAY Bawero nlaHa MeA11U11HCKOro
06cJ1ygt1lt11BaH11R TO Bbl 11MeeTe npaso Ha 6ecnlaTHOe noly4eH11e nOMOW11 11 l1HqgtOpMau1111 Ha pyCCKOM R3b1Ke llllR
pa3rosopa c nepeBOA411KOM no3soH11Te no TeleqgtoHy l-844-389-4840 (Russian)
wl_hJI_ ~LJI ~ J_JI ~ ~I 4ili oii ~I ib l)-~ ~i o~li ~ -5ll _i 4ll ulS u]
(Arabic) l-844-396-0189 y ~I rYA t i~~ ~I u_J lt)o ~ ~J_~1
13
Rvs13 313201713 13 13 13 13 13 113 13 13 13 13 19199-shy‐3-shy‐201713 13
3[Type13 here]13 [Type13 here]13 [Type13 here]13
Si ou menm oswa yon moun w ap ede gen kesyon konsenan plan sante sa a se dwa w pou resevwa asistans ak enfomasyon nan lang ou pale a san ou pa gen pou peye pou sa Pou pale avek yon entepret rele nan 1-844-3 98-6232 (FrenchHaitian Creole)
Si vous ou quelquun que vous etes en train daider avez des questions apropos de ce plan medical vous avez le droit dobtenir gratuitement de laide et des informations dans votre langue Pour parler a un interprete appelez le 1-844-396-0190 (French)
Jesli Ty lub osoba kt6rej pomagasz macie pytania odnosnie planu ubezpieczenia zdrowotnego masz prawo do uzyskania bezptatnej informacji i pomocy we wtasnym j~zyku Aby porozmawiac z ttumaczem zadzwon pod numer 1-844-396-01 86 (Polish)
Se voce au alguem a quern voce esta ajudando tern perguntas sabre este piano de saude voce tern o direito de obter ajuda e informacao em seu idioma e sem custos Para falar com um interprete ligue para 1-844-3 96-01 82 (Portuguese)
Se tu o qualcuno che stai aiutando avete domande su questo piano sanitario hai ii diritto di ottenere aiuto e informazioni nella tua lingua gratuitamente Per parlare con un interprete puoi chiamare 1-844-396-01 84 (Italian)
~tJt trt~tcJttJsttt~~~n tl-QJJtJ ~0)-otJli~ 1-gtlt =~r~tJ=~ l Lt I) = ~~O) ~ ~fit-ij-~- t-- ~yenl rtt ~J 1jffl ~ A-yen Lt ~J 9 -Q ~ c tJt ~ 9 o yen4~1tiJiJ ~J it lv o im~ ciS~~ti-Q~g- 1-844-396-01 85 tiSi~lt t~l o (Japanese)
Falls Sie oder jemand dem Sie helfen Fragen zu diesem Krankenversicherungsplan haben bzw hat haben Sie das Recht kostenlose Hilfe und lnformationen in lhrer Sprache zu erhalten Um mit einem Dolmetscher zu sprechen rufen Sie bitte die Nummer l-844-396-01 91 an (German)
~ I -4- ltS 4-D Li )--J cgt--- I c5 o J L J ~j I - l+-Ll er c5AS 9 I - ltLS ltS J----9 L ~ J-5 I u ~ I J J yen - I J y u l j - l il I 9 c5AS ltLS L u I l I J cgt--- I jgt 0 L ltLi I
jDLgt LJLc_j l-844-398-6233 L50J~ L LJhJ PJ-L L L) l ~ ~ lt5 1 _)--J bulll+-Ll uJLJl
(Persian-Farsi) LLJ Loi
Nida doodago t aa haida bikaana nilwo igii dii Beeso Ach~~h naa niligi haa ida yi na idil kidgo nihaah66ti nihi kaadoo wolgo kwii haatishU bi na idolkidigi doo bikeazlaag66 Ata halnee la bichC ha desdzih ninizingo koji beesh bee h6lne 1-844-516-6328 (Navajo)
13
Rvs13 313201713 13 13 13 13 13 213 13 13 13 13 19199-shy‐3-shy‐201713 13
3[Type13 here]13 [Type13 here]13 [Type13 here]13
Go Ahead mdash Stop and Smell the Roses Springtime is here and most of us are enjoying the longer
warmer days and fowers in bloom But for many of us
spring means allergy season bringing sneezing and itchy
watery eyes When those familiar symptoms hit itrsquos time
to look into options that can help ease and treat seasonal
allergies Luckily there are several over-the-counter and
prescription drugs that can make you feel better
Antihistamines have been used to treat allergy symptoms
for many years They can be taken in various forms
including pills liquids and nose sprays Antihistamines
work by blocking a substance released by the immune
system that triggers allergy symptoms like redness
swelling and itching
Decongestants do exactly what their name says They
relieve congestion and are often prescribed along with
antihistamines They shrink swollen nasal tissues and
blood vessels to help bring relief
In some cases steroids are prescribed to treat allergies
They can reduce infammation and prevent annoying
stuffness and sneezing Steroids also known as
corticosteroids are available in several forms including
inhalers Steroids can be very effective but must be taken
regularly to be benefcial Plus it can take a bit of time for
their impact to be felt
Keep in mind that allergy medications can have side
effects such as drowsiness or insomnia depending on
the drug And always follow the instructions for your
medications
Donrsquot let allergies keep you from enjoying the season
Treat your symptoms and feel your best
HealthWord Spring 2018 | 3
Health and Wellness
Power Down to Power Up If your bedtime routine includes using your smartphone
e-reader or tablet yoursquore not alone After all when you
have so many gadgets that offer news articles e-books
games and email access all in one small package it can
be tough to ldquopower downrdquo If you use your smartphone
as an alarm clock chances are you literally sleep with your
phone You may not realize it but this could be affecting
your sleep in a major way
bull Your bedroom should be a relaxing sanctuary suited
to rest Using electronic devices to do things like
respond to emails and work on projects can make it
diffcult to relax and get a good nightrsquos sleep
bull The light from electronics and phone chargers may
prevent your body from producing melatonin a
hormone your body creates to regulate sleep
bull Reading a suspenseful novel or playing a game on
your device can stimulate your mind and make it
diffcult for you to relax and be ready for sleep
Most adults need seven to eight hours of sleep each
night If you have trouble getting to sleep or staying
asleep contact your primary care doctor Your provider
can identify any underlying issues and help you get the
sleep you need
Donrsquot have a primary care doctor Visit
wwwBlueChoiceSCcom to fnd one
Prescription for a Good Nightrsquos Sleep A good nightrsquos sleep is important to your overall health
and well-being but many of us fnd that getting those
needed Zrsquos is a major problem The American Sleep
Association reports that as many as half of all Americans
experience occasional sleep issues while around 10
percent report chronic insomnia Although there are
many simple and effective techniques and remedies
that can help you sleep better sometimes lack of sleep
requires an over-the-counter or prescription drug
BlueChoicereg covers several generic prescription sedatives
from allergic reactions to daytime drowsiness anxiety
depression and nervousness Also these drugs can have
serious interactions with alcohol or with other drugs you
may be taking
To help minimize overuse of these drugs our Quantity
Management program limits monthly supplies This
program is based on recommended limits set by the US
Food and Drug Administration Note that this program
only affects the amount of medication covered by your
health plan You and your doctor make the fnal decision (also called hypnotics) that might help on the amount of medication that is right for you
These drugs work by altering chemicals in While care in their prescribing and use is a the brain to help you get to sleep and necessity if these drugs are taken safely stay asleep longer For that reason they can have a positive impact on your extreme care must be taken when health by providing you with more mdash using these drugs There can and better mdash sleep be serious side effects ranging
4 | HealthWord Spring 2018
Health and Wellness
Health and Wellness
Finding the Right Mental Health Care Provider There are many different types of mental health care providers from which to choose The Companion Beneft Alternatives
(CBA) provider network includes psychiatrists psychologists psychiatric nurses social workers and counselors CBA is a
separate company that manages behavioral health benefts on behalf of BlueChoice HealthPlan
What Type of Mental Health Provider Do You Need
Determining the appropriate type of provider for your
specifc needs is a very important step toward getting the
right treatment You should always check your benefts
to see which providers your plan covers Here is some
information on each type of provider
Psychiatrists (MD)
Psychiatrists are medical doctors They can prescribe
medication They can use talk therapy and hospitalize
patients These doctors treat everything from depression
to substance abuse
Psychologists (PhD or PsyD)
Most psychologists earn a doctorate mdash a
PhD or a PsyD The two main types of
psychologists are clinical and counseling
Psychologists can diagnose mental illness
They can also use talk therapy to treat people
with a wide range of behavioral health
conditions Psychologists
do not usually prescribe
medication
Psychiatric Nurses
(NP or CNS)
Advanced practice registered
nurses (APRNs) are nurse
practitioners (NPs) and clinical
nurse specialists (CNSs) who have at
least a masterrsquos degree in psychiatric
nursing They can diagnose people with
Making the Choice
behavioral health conditions They can also treat them
with talk therapy Many of these nurses can prescribe
medication
Social Workers (LISW-CP)
CBArsquos social workers have a masterrsquos or doctorate in social
work They are licensed to practice independently They
counsel and help people understand the causes of their
behavior and life situations Social workers do not
prescribe medication
Counselors (LPC or LMFT)
Our counselors are licensed professional marriage and
family therapists They help people with a variety of mental
health and substance abuse conditions Counselors use
talk therapy to help people cope with their conditions
They do not prescribe medication
Itrsquos important to choose the right provider mdash
someone you trust who makes you feel cared
for and has the experience to help you
make changes for the better in your life
It may take some time to fnd the right
provider Feeling comfortable with the
provider you choose is crucial to the
success of your treatment When you
fnd the right provider the results can
be truly amazing and life-changing
For help selecting a mental health
provider call CBA at 800-868-1032
HealthWord Spring 2018 | 5
QuickEnroll
QuickBill
FOCUSfwd GreatExpectaions
Hearing Aids
Biometric Screeneing
LMS
TobaccoCessation
BlueChoice HealthPlan Wire
My Health ToolkitRewards
2018 Icons
Bases
Storefront
REV 4102018
Healthier Lifestyles
When Is an Emergency Not an Emergency You or a loved one is in pain How do you know how sick you are Should you rush to the hospital emergency room That
could cost you $250 or more Should you wait to see your primary care doctor The chart below should help you decide
whatrsquos best for your ailment and your pocketbook
Primary Care Doctor Urgent Care Emergency Room Out-of-pocket cost $ Out-of-pocket cost $$ Out-of-pocket cost $$$$ Health Issue
Routine physical vaccinations
Mild asthma
Sprain strain or back pain
Needs immediate attention but is not life-threatening
Cuts or wounds controlled bleeding
Uncontrolled bleeding
Head or eye injuries
Signs of a heart attack such as chest pains
Signs of stroke numbness of face arm andor leg on one side of the body
Life-threatening injury or symptom
You can also use Blue CareOnDemandSM1 to visit with a doctor wherever you are via
smartphone tablet or computer Each Blue CareOnDemand visit costs the same amount as an
offce visit with your primary care doctor See page 8 for details
1Please note that the Blue CareOnDemand service is only available to applicable members Be sure to check with your group administrator or call the Customer Service number located on the back of your member ID card to confrm if this service is available to you
6 | HealthWord Spring 2018
Healthier Lifestyles
Can 5210 Save Your Family Maybe If you want a happier and healthier family
5210 is really just smart lifestyle changes Similar to quitting smoking or wearing your seatbelt itrsquos a modifcation of daily
habits Designed to increase healthy eating and active living in children (and parents) ldquo5210 Letrsquos Gordquo is a nationally
recognized program that incorporates
bull 5 or more servings of fruits and vegetables bull 1 hour or more of physical activity
bull 2 hours or fewer of recreational screen time bull 0 sugary drinks more water and low-fat milk
How does this bring your family closer Many of the alternate activities are family group activities
A diet rich in fruits and vegetables provides
vitamins and minerals important for supporting
growth and development and for optimal immune
function Most fruits and vegetables are low in calories
and fat making them a healthy choice anytime Itrsquos easier
than you might think Add fruits and vegetables to foods
you already make like pasta soups casseroles pizza
rice etc Add fruit to your cereal pancakes or other
breakfast foods Let the kids help you plan the menu
Watching TV is associated with more snacking
and increased obesity Too much TV is linked
to lower reading scores and attention problems Itrsquos
important to limit all screen time including TV computer
smartphones and video games So limit recreational
TV or computer use to two hours or fewer What to do
instead Work a puzzle Turn on some music and dance
Read a book or magazine Play some board games or
charades Or just hang out and catch up with your family
water is the best option for thirst
5
2
Children model behavior so set a good example with
your own habits Remember as a parent yoursquore the
role model Check out wwwBlueChoiceSCcom for
information on the 5210 Letrsquos Go program
1 Move at least one hour every day It doesnrsquot have to
be all at once Make gradual changes to increase
your level of physical activity Itrsquos easy to integrate physical
motion into your daily routine Take a walk after dinner
and encourage family members to join you Go hiking or
dancing Choose toys and games that promote physical
activity Remember to make it fun
0 Eliminate all sugary drinks from your diet They are
especially harmful to children Daily consumption
can lead to obesity Type 2 diabetes and tooth decay
Sodas fruit-ade and most juices are empty calories If
you do serve juice be sure to buy 100 percent juice Still
HealthWord Spring 2018 | 7
Your Health Plan
QuickEnroll
QuickBill
FOCUSfwd GreatExpectaions
Hearing Aids
Biometric Screeneing
LMS
TobaccoCessation
BlueChoice HealthPlan Wire
My Health ToolkitRewards
2018 Icons
Bases
Storefront
REV 4102018
Get Smart mdash Get Blue CareOnDemand With Blue CareOnDemand you can visit with a doctor virtually anytime anywhere mdash from your smartphone tablet or
computer Doctors will diagnose and write prescriptions as appropriate
When should you use Blue CareOnDemand Havenrsquot created your Blue CareOnDemand account yet
bull The doctorrsquos offce is closed Download the app via the App Store or Google Play or
bull You are too sick to drive visit wwwBlueCareOnDemandSCcom today Donrsquot worry
What types of conditions can Blue CareOnDemand the app is FREE When creating your account remember
doctors treat to enter your member ID
bull Colds
bull Flu
bull Fever Please note that the Blue CareOnDemand service is only available to applicable members Be sure to check with your group administrator or call the Customer Service number located on the back of your
bull Rash member ID card to confirm if this service is available to you
bull Pinkeye
bull Ear infection
We Deliver (Pizza is extra) As a BlueChoice member you can have health information delivered
to your phone with the BlueChoice HealthPlan WireSM our text messaging tool
Updates include how to get the most from your coverage health and wellness
reminders hellip and more To get started simply call 844-206-0622 Yoursquoll need to
have your member ID card ready
8 | HealthWord Spring 2018
BLUECHOICE HEALTHPLAN
ZCJ00000000
wwwBlueOptionSCcom
JOHN DOE
ZCJ00000000Member ID
PLAN CODERxBINRxGRP
38004004336CHC
Health Benefits
Blue Option Network
Out of State Only
Your Health Plan
The My Health Toolkit App is Here Make your life easier with the My Health Toolkit App With the app you can
bull View and share your digital ID card
bull Check the status of your claims fast
bull Confrm coverage
bull Find a doctor or hospital in network
bull Update contact information
bull And more
Current My Health Toolkit users can log in to the app with their existing username and
password New My Health Toolkit users can register through the app
Download the FREE My Health Toolkit Mobile App today Just search for
ldquoMy Health Toolkitrdquo in the App Store or Google Play Remember to have your
member ID card available
BLUECHOICE HEALTHPLAN
ZCL00000000
wwwBlueChoiceSCcom
JOHN DOE
ZCL00000000 Member ID
PLAN PLAN CODE RxBIN RxGRP
PPO 38004 004336 CHC
Health Benefits Pediatric Vision Comprehensive Dental
Access Your Digital ID Card Anytime Anywhere As a BlueChoice member you can feel confdent about your health coverage Your BlueChoice ID card opens doors to
more doctors and hospitals You can access your digital ID card anytime anywhere from your computer or mobile device
Advantages of your digital ID card
Your digital ID card is identical to your plastic card It contains your member ID
number and other coverage details unique to you Unlike your plastic card you
donrsquot have to worry about losing it or ordering duplicate copies for your family
You can easily
bull View your card on your smartphone tablet or computer
bull Email your card to your spouse children doctorrsquos offce or pharmacy
bull Print your card at home from your smartphone or computer Use the printed
card just like your plastic card
How to access your digital ID card
On your smartphone or tablet You can now access your digital ID card on the My Health Toolkit App
On your computer Go to wwwBlueChoiceSCcom and log in to your My Health Toolkit account Under the Insurance
Card section on the left select View Your Card
Donrsquot discard your plastic ID card Some doctors may still want a copy of it for their records
Insurance Card Health
Have a dental account
Add your Insurance Card Number to access your account
(View Your Card)
ABC123
HealthWord Spring 2018 | 9
Your Health Plan
Consent for Medical Care at Age 16 Under South Carolina law any minor who has reached 16 years of age can solely
consent to health care decisions except for surgery The consent of a parent
is not necessary This is why a completed Authorization to Disclose Protected
Health Information to a Third Party form is required for a parent to receive health
information about a minor child older than 15 years of age
Go to wwwBlueChoiceSCcomDisclosePHIForm to view a description of this form
and a link to the form itself
While we must protect a minorrsquos protected health information beginning at age
16 he or she cannot legally sign a contract for insurance We must allow parents
to make changes to their dependentsrsquo insurance coverage These coverage
changes do not require authorization from the minor
HIPAA Notice of Privacy Practices This is a reminder that our Notice of Privacy Practices is on our website wwwBlueChoiceSCcom Or you can contact us
and receive one by mail The phone number is on the back of your member ID card
Member Rights and Responsibilities
As a member you have certain rights and responsibilities Therersquos a summary online We update it as needed If you
donrsquot have access to the web and need a copy of your Member Guide Prescription Drug List or Member Rights and
Responsibilities please call the number on the back of your member ID card Our Member Services department is open
Monday ndash Friday 830 am ndash 5 pm
Claims and Beneft Information
Want to know if we paid a claim what your benefts are for a service or what your copayments and other charges were
Find this and more on My Health Toolkit
External Review Procedures
We are committed to quickly resolving your concerns and problems There are state laws such as the Health Carrier
External Review Act and federal laws that allow you to ask for an external review in some cases when we deny payment
for a claim These situations have different rules Please call Member Services to fnd out your options for an external
review
If you qualify for an external review wersquoll tell you in writing Wersquoll also explain what to do For more about appeals see
your Member Guide or visit us online at wwwBlueChoiceSCcom
10 | HealthWord Spring 2018
Your Health Plan
Womenrsquos Health and Cancer Rights
Do you know that your coverage as required by the Womenrsquos Health and Cancer Rights Act of 1998 provides benefts
for mastectomy-related services These services include all stages of reconstruction and surgery This includes prostheses
and complications from a mastectomy including lymphedema Check your certifcate of coverage or contract for more
information on this beneft or call the number on the back of your member ID card Our Member Services department is
open Monday ndash Friday 830 am ndash 5 pm
Member Guide
Your Member Guide is a great place to fnd many important details about your benefts You can fnd your Member Guide
on our website wwwBlueChoiceSCcom The guide will help you understand your benefts and make the most of your
coverage Herersquos some of the information in the guide
bull How to access primary care specialty care behavioral
health services hospital services and much more
bull How to get after-hours care urgent care and
emergency care
bull How to fnd care and coverage when yoursquore outside
the service area
bull How to submit a claim yourself
bull How we coordinate benefts
bull How we administer benefts for appropriate services
including our policy on not providing incentives to
deny coverage of care or services
Prescription Drug Information
bull How we decide what new technology we will include
as a covered beneft
bull How to get information on our quality
improvement program
bull How to voice a complaint or to appeal a decision
bull How our privacy practices work
bull How to get information about network providersrsquo
qualifcations and other provider information
bull How your benefts work
bull Restrictions on benefts you receive outside the system
bull How to get language assistance
Get details about medications price comparisons your prescription history and up-to-date information on our pharmacy
procedures and prescription drug lists Plus if your coverage offers a mail-order pharmacy beneft you can order your
reflls online Just go to the Prescription Drugs section under Benefts in My Health Toolkit
We Leave Medical Decisions to Doctors and Patients
We make decisions about approving services based on whether care is appropriate and agrees with your plan of benefts
We do not reward providers or others for denying coverage or care And we do not offer fnancial incentives to anyone to
encourage decisions that result in underutilization of care
HealthWord Spring 2018 | 11
Post Offce Box 6170 Columbia SC 29260-6170
HealthWord is a publication of BlueChoice HealthPlan BlueChoice HealthPlan is an independent licensee of the Blue Cross and Blue Shield Association
HealthWord is a newsletter for BlueChoice HealthPlan members It provides information only and does not replace the advice of your doctor You always should see your doctor for personal medical advice
Do you have questions about your BlueChoice HealthPlan coverage Try our website at wwwBlueChoiceSCcom Wersquore open 24 hours a day here
To contact us please refer to the number found on the back of your member ID card
SPRING 2018
139256-04-2018
ealthWo d
Non-Discrimination Statement and Foreign Language Access
We do not discriminate on the basis of race color national origin disability age sex gender identity sexual orientation or health status in our health plans when we enroll members or provide benefits
If you or someone youre assisting is disabled and needs interpretation assistance help is available at the contact number posted on our website or listed in the materials included with this notice (TDD 711)
Free language interpretation support is available for those who cannot read or speak English by calling one of the appropriate numbers listed below
If you think we have not provided these services or have discriminated in any way you can file a grievance by emailing contacthcrcompliancecom or by calling our Compliance area at 1-800-832-9686 or the US Department of Health and Human Services Office for Civil Rights at 1-800-368-1019 or 1-800-537-7697 (TDD)
Si usted o alguien a quien usted esta ayudando tiene preguntas acerca de este plan de salud tiene derecho a
obtener ayuda e informaci6n en su idioma sin costo alguno Para hablar con un interprete llame al 1-844-396-0183 (Spanish)
~bullbullmiddot d~e~amM~fla ~~ttbull~tt~~~~~~ bull~bull~~bull~bull~bull~ffl~MM~m ~ o ~ITTil-iftffi~ni~ ilti 1-844-396-01880 (Chinese)
Neu quy vj ho~c la ngliOi ma quy vj dang giup d6 c6 nhUng cau hoi quan tam ve chliOng trinh SUC khoe nay quy
vj se dliQC giup do vampi cac thong tin bang ngon ngU cua quy vj mi~n phf Oe n6i chuy~n vampi mltgtt thong djch vien
xin goi 1-844-389-4838 (Vietnamese)
01 Y ~~OJI tf-o~()j 3-a-~ A~~~~ ~ go1 ~J O Al 121 1-844-396-0187 pound lt21 ~oH -~ Al 2
-1-lo~~l 111-sect _t~filOI ~~Ojpound ~2~c ~ Liq (Korean)
Kung ikaw o ang iyong tinutulungan ay may mga katanungan tungkol sa planong pangkalu sugang ito may
karapatan ka na makakuha ng tu long at impormasyon sa iyong wika nang walang gastos Upang makausap ang
isang tagasalin tumawag sa 1-844-389-4839 (Tagalog)
Ecm1 y Bae 11111 111Ua KOTOpOMY Bbl noMoraeTe 11MelOTCR sonpOCbl no noBOAY Bawero nlaHa MeA11U11HCKOro
06cJ1ygt1lt11BaH11R TO Bbl 11MeeTe npaso Ha 6ecnlaTHOe noly4eH11e nOMOW11 11 l1HqgtOpMau1111 Ha pyCCKOM R3b1Ke llllR
pa3rosopa c nepeBOA411KOM no3soH11Te no TeleqgtoHy l-844-389-4840 (Russian)
wl_hJI_ ~LJI ~ J_JI ~ ~I 4ili oii ~I ib l)-~ ~i o~li ~ -5ll _i 4ll ulS u]
(Arabic) l-844-396-0189 y ~I rYA t i~~ ~I u_J lt)o ~ ~J_~1
13
Rvs13 313201713 13 13 13 13 13 113 13 13 13 13 19199-shy‐3-shy‐201713 13
3[Type13 here]13 [Type13 here]13 [Type13 here]13
Si ou menm oswa yon moun w ap ede gen kesyon konsenan plan sante sa a se dwa w pou resevwa asistans ak enfomasyon nan lang ou pale a san ou pa gen pou peye pou sa Pou pale avek yon entepret rele nan 1-844-3 98-6232 (FrenchHaitian Creole)
Si vous ou quelquun que vous etes en train daider avez des questions apropos de ce plan medical vous avez le droit dobtenir gratuitement de laide et des informations dans votre langue Pour parler a un interprete appelez le 1-844-396-0190 (French)
Jesli Ty lub osoba kt6rej pomagasz macie pytania odnosnie planu ubezpieczenia zdrowotnego masz prawo do uzyskania bezptatnej informacji i pomocy we wtasnym j~zyku Aby porozmawiac z ttumaczem zadzwon pod numer 1-844-396-01 86 (Polish)
Se voce au alguem a quern voce esta ajudando tern perguntas sabre este piano de saude voce tern o direito de obter ajuda e informacao em seu idioma e sem custos Para falar com um interprete ligue para 1-844-3 96-01 82 (Portuguese)
Se tu o qualcuno che stai aiutando avete domande su questo piano sanitario hai ii diritto di ottenere aiuto e informazioni nella tua lingua gratuitamente Per parlare con un interprete puoi chiamare 1-844-396-01 84 (Italian)
~tJt trt~tcJttJsttt~~~n tl-QJJtJ ~0)-otJli~ 1-gtlt =~r~tJ=~ l Lt I) = ~~O) ~ ~fit-ij-~- t-- ~yenl rtt ~J 1jffl ~ A-yen Lt ~J 9 -Q ~ c tJt ~ 9 o yen4~1tiJiJ ~J it lv o im~ ciS~~ti-Q~g- 1-844-396-01 85 tiSi~lt t~l o (Japanese)
Falls Sie oder jemand dem Sie helfen Fragen zu diesem Krankenversicherungsplan haben bzw hat haben Sie das Recht kostenlose Hilfe und lnformationen in lhrer Sprache zu erhalten Um mit einem Dolmetscher zu sprechen rufen Sie bitte die Nummer l-844-396-01 91 an (German)
~ I -4- ltS 4-D Li )--J cgt--- I c5 o J L J ~j I - l+-Ll er c5AS 9 I - ltLS ltS J----9 L ~ J-5 I u ~ I J J yen - I J y u l j - l il I 9 c5AS ltLS L u I l I J cgt--- I jgt 0 L ltLi I
jDLgt LJLc_j l-844-398-6233 L50J~ L LJhJ PJ-L L L) l ~ ~ lt5 1 _)--J bulll+-Ll uJLJl
(Persian-Farsi) LLJ Loi
Nida doodago t aa haida bikaana nilwo igii dii Beeso Ach~~h naa niligi haa ida yi na idil kidgo nihaah66ti nihi kaadoo wolgo kwii haatishU bi na idolkidigi doo bikeazlaag66 Ata halnee la bichC ha desdzih ninizingo koji beesh bee h6lne 1-844-516-6328 (Navajo)
13
Rvs13 313201713 13 13 13 13 13 213 13 13 13 13 19199-shy‐3-shy‐201713 13
3[Type13 here]13 [Type13 here]13 [Type13 here]13
Power Down to Power Up If your bedtime routine includes using your smartphone
e-reader or tablet yoursquore not alone After all when you
have so many gadgets that offer news articles e-books
games and email access all in one small package it can
be tough to ldquopower downrdquo If you use your smartphone
as an alarm clock chances are you literally sleep with your
phone You may not realize it but this could be affecting
your sleep in a major way
bull Your bedroom should be a relaxing sanctuary suited
to rest Using electronic devices to do things like
respond to emails and work on projects can make it
diffcult to relax and get a good nightrsquos sleep
bull The light from electronics and phone chargers may
prevent your body from producing melatonin a
hormone your body creates to regulate sleep
bull Reading a suspenseful novel or playing a game on
your device can stimulate your mind and make it
diffcult for you to relax and be ready for sleep
Most adults need seven to eight hours of sleep each
night If you have trouble getting to sleep or staying
asleep contact your primary care doctor Your provider
can identify any underlying issues and help you get the
sleep you need
Donrsquot have a primary care doctor Visit
wwwBlueChoiceSCcom to fnd one
Prescription for a Good Nightrsquos Sleep A good nightrsquos sleep is important to your overall health
and well-being but many of us fnd that getting those
needed Zrsquos is a major problem The American Sleep
Association reports that as many as half of all Americans
experience occasional sleep issues while around 10
percent report chronic insomnia Although there are
many simple and effective techniques and remedies
that can help you sleep better sometimes lack of sleep
requires an over-the-counter or prescription drug
BlueChoicereg covers several generic prescription sedatives
from allergic reactions to daytime drowsiness anxiety
depression and nervousness Also these drugs can have
serious interactions with alcohol or with other drugs you
may be taking
To help minimize overuse of these drugs our Quantity
Management program limits monthly supplies This
program is based on recommended limits set by the US
Food and Drug Administration Note that this program
only affects the amount of medication covered by your
health plan You and your doctor make the fnal decision (also called hypnotics) that might help on the amount of medication that is right for you
These drugs work by altering chemicals in While care in their prescribing and use is a the brain to help you get to sleep and necessity if these drugs are taken safely stay asleep longer For that reason they can have a positive impact on your extreme care must be taken when health by providing you with more mdash using these drugs There can and better mdash sleep be serious side effects ranging
4 | HealthWord Spring 2018
Health and Wellness
Health and Wellness
Finding the Right Mental Health Care Provider There are many different types of mental health care providers from which to choose The Companion Beneft Alternatives
(CBA) provider network includes psychiatrists psychologists psychiatric nurses social workers and counselors CBA is a
separate company that manages behavioral health benefts on behalf of BlueChoice HealthPlan
What Type of Mental Health Provider Do You Need
Determining the appropriate type of provider for your
specifc needs is a very important step toward getting the
right treatment You should always check your benefts
to see which providers your plan covers Here is some
information on each type of provider
Psychiatrists (MD)
Psychiatrists are medical doctors They can prescribe
medication They can use talk therapy and hospitalize
patients These doctors treat everything from depression
to substance abuse
Psychologists (PhD or PsyD)
Most psychologists earn a doctorate mdash a
PhD or a PsyD The two main types of
psychologists are clinical and counseling
Psychologists can diagnose mental illness
They can also use talk therapy to treat people
with a wide range of behavioral health
conditions Psychologists
do not usually prescribe
medication
Psychiatric Nurses
(NP or CNS)
Advanced practice registered
nurses (APRNs) are nurse
practitioners (NPs) and clinical
nurse specialists (CNSs) who have at
least a masterrsquos degree in psychiatric
nursing They can diagnose people with
Making the Choice
behavioral health conditions They can also treat them
with talk therapy Many of these nurses can prescribe
medication
Social Workers (LISW-CP)
CBArsquos social workers have a masterrsquos or doctorate in social
work They are licensed to practice independently They
counsel and help people understand the causes of their
behavior and life situations Social workers do not
prescribe medication
Counselors (LPC or LMFT)
Our counselors are licensed professional marriage and
family therapists They help people with a variety of mental
health and substance abuse conditions Counselors use
talk therapy to help people cope with their conditions
They do not prescribe medication
Itrsquos important to choose the right provider mdash
someone you trust who makes you feel cared
for and has the experience to help you
make changes for the better in your life
It may take some time to fnd the right
provider Feeling comfortable with the
provider you choose is crucial to the
success of your treatment When you
fnd the right provider the results can
be truly amazing and life-changing
For help selecting a mental health
provider call CBA at 800-868-1032
HealthWord Spring 2018 | 5
QuickEnroll
QuickBill
FOCUSfwd GreatExpectaions
Hearing Aids
Biometric Screeneing
LMS
TobaccoCessation
BlueChoice HealthPlan Wire
My Health ToolkitRewards
2018 Icons
Bases
Storefront
REV 4102018
Healthier Lifestyles
When Is an Emergency Not an Emergency You or a loved one is in pain How do you know how sick you are Should you rush to the hospital emergency room That
could cost you $250 or more Should you wait to see your primary care doctor The chart below should help you decide
whatrsquos best for your ailment and your pocketbook
Primary Care Doctor Urgent Care Emergency Room Out-of-pocket cost $ Out-of-pocket cost $$ Out-of-pocket cost $$$$ Health Issue
Routine physical vaccinations
Mild asthma
Sprain strain or back pain
Needs immediate attention but is not life-threatening
Cuts or wounds controlled bleeding
Uncontrolled bleeding
Head or eye injuries
Signs of a heart attack such as chest pains
Signs of stroke numbness of face arm andor leg on one side of the body
Life-threatening injury or symptom
You can also use Blue CareOnDemandSM1 to visit with a doctor wherever you are via
smartphone tablet or computer Each Blue CareOnDemand visit costs the same amount as an
offce visit with your primary care doctor See page 8 for details
1Please note that the Blue CareOnDemand service is only available to applicable members Be sure to check with your group administrator or call the Customer Service number located on the back of your member ID card to confrm if this service is available to you
6 | HealthWord Spring 2018
Healthier Lifestyles
Can 5210 Save Your Family Maybe If you want a happier and healthier family
5210 is really just smart lifestyle changes Similar to quitting smoking or wearing your seatbelt itrsquos a modifcation of daily
habits Designed to increase healthy eating and active living in children (and parents) ldquo5210 Letrsquos Gordquo is a nationally
recognized program that incorporates
bull 5 or more servings of fruits and vegetables bull 1 hour or more of physical activity
bull 2 hours or fewer of recreational screen time bull 0 sugary drinks more water and low-fat milk
How does this bring your family closer Many of the alternate activities are family group activities
A diet rich in fruits and vegetables provides
vitamins and minerals important for supporting
growth and development and for optimal immune
function Most fruits and vegetables are low in calories
and fat making them a healthy choice anytime Itrsquos easier
than you might think Add fruits and vegetables to foods
you already make like pasta soups casseroles pizza
rice etc Add fruit to your cereal pancakes or other
breakfast foods Let the kids help you plan the menu
Watching TV is associated with more snacking
and increased obesity Too much TV is linked
to lower reading scores and attention problems Itrsquos
important to limit all screen time including TV computer
smartphones and video games So limit recreational
TV or computer use to two hours or fewer What to do
instead Work a puzzle Turn on some music and dance
Read a book or magazine Play some board games or
charades Or just hang out and catch up with your family
water is the best option for thirst
5
2
Children model behavior so set a good example with
your own habits Remember as a parent yoursquore the
role model Check out wwwBlueChoiceSCcom for
information on the 5210 Letrsquos Go program
1 Move at least one hour every day It doesnrsquot have to
be all at once Make gradual changes to increase
your level of physical activity Itrsquos easy to integrate physical
motion into your daily routine Take a walk after dinner
and encourage family members to join you Go hiking or
dancing Choose toys and games that promote physical
activity Remember to make it fun
0 Eliminate all sugary drinks from your diet They are
especially harmful to children Daily consumption
can lead to obesity Type 2 diabetes and tooth decay
Sodas fruit-ade and most juices are empty calories If
you do serve juice be sure to buy 100 percent juice Still
HealthWord Spring 2018 | 7
Your Health Plan
QuickEnroll
QuickBill
FOCUSfwd GreatExpectaions
Hearing Aids
Biometric Screeneing
LMS
TobaccoCessation
BlueChoice HealthPlan Wire
My Health ToolkitRewards
2018 Icons
Bases
Storefront
REV 4102018
Get Smart mdash Get Blue CareOnDemand With Blue CareOnDemand you can visit with a doctor virtually anytime anywhere mdash from your smartphone tablet or
computer Doctors will diagnose and write prescriptions as appropriate
When should you use Blue CareOnDemand Havenrsquot created your Blue CareOnDemand account yet
bull The doctorrsquos offce is closed Download the app via the App Store or Google Play or
bull You are too sick to drive visit wwwBlueCareOnDemandSCcom today Donrsquot worry
What types of conditions can Blue CareOnDemand the app is FREE When creating your account remember
doctors treat to enter your member ID
bull Colds
bull Flu
bull Fever Please note that the Blue CareOnDemand service is only available to applicable members Be sure to check with your group administrator or call the Customer Service number located on the back of your
bull Rash member ID card to confirm if this service is available to you
bull Pinkeye
bull Ear infection
We Deliver (Pizza is extra) As a BlueChoice member you can have health information delivered
to your phone with the BlueChoice HealthPlan WireSM our text messaging tool
Updates include how to get the most from your coverage health and wellness
reminders hellip and more To get started simply call 844-206-0622 Yoursquoll need to
have your member ID card ready
8 | HealthWord Spring 2018
BLUECHOICE HEALTHPLAN
ZCJ00000000
wwwBlueOptionSCcom
JOHN DOE
ZCJ00000000Member ID
PLAN CODERxBINRxGRP
38004004336CHC
Health Benefits
Blue Option Network
Out of State Only
Your Health Plan
The My Health Toolkit App is Here Make your life easier with the My Health Toolkit App With the app you can
bull View and share your digital ID card
bull Check the status of your claims fast
bull Confrm coverage
bull Find a doctor or hospital in network
bull Update contact information
bull And more
Current My Health Toolkit users can log in to the app with their existing username and
password New My Health Toolkit users can register through the app
Download the FREE My Health Toolkit Mobile App today Just search for
ldquoMy Health Toolkitrdquo in the App Store or Google Play Remember to have your
member ID card available
BLUECHOICE HEALTHPLAN
ZCL00000000
wwwBlueChoiceSCcom
JOHN DOE
ZCL00000000 Member ID
PLAN PLAN CODE RxBIN RxGRP
PPO 38004 004336 CHC
Health Benefits Pediatric Vision Comprehensive Dental
Access Your Digital ID Card Anytime Anywhere As a BlueChoice member you can feel confdent about your health coverage Your BlueChoice ID card opens doors to
more doctors and hospitals You can access your digital ID card anytime anywhere from your computer or mobile device
Advantages of your digital ID card
Your digital ID card is identical to your plastic card It contains your member ID
number and other coverage details unique to you Unlike your plastic card you
donrsquot have to worry about losing it or ordering duplicate copies for your family
You can easily
bull View your card on your smartphone tablet or computer
bull Email your card to your spouse children doctorrsquos offce or pharmacy
bull Print your card at home from your smartphone or computer Use the printed
card just like your plastic card
How to access your digital ID card
On your smartphone or tablet You can now access your digital ID card on the My Health Toolkit App
On your computer Go to wwwBlueChoiceSCcom and log in to your My Health Toolkit account Under the Insurance
Card section on the left select View Your Card
Donrsquot discard your plastic ID card Some doctors may still want a copy of it for their records
Insurance Card Health
Have a dental account
Add your Insurance Card Number to access your account
(View Your Card)
ABC123
HealthWord Spring 2018 | 9
Your Health Plan
Consent for Medical Care at Age 16 Under South Carolina law any minor who has reached 16 years of age can solely
consent to health care decisions except for surgery The consent of a parent
is not necessary This is why a completed Authorization to Disclose Protected
Health Information to a Third Party form is required for a parent to receive health
information about a minor child older than 15 years of age
Go to wwwBlueChoiceSCcomDisclosePHIForm to view a description of this form
and a link to the form itself
While we must protect a minorrsquos protected health information beginning at age
16 he or she cannot legally sign a contract for insurance We must allow parents
to make changes to their dependentsrsquo insurance coverage These coverage
changes do not require authorization from the minor
HIPAA Notice of Privacy Practices This is a reminder that our Notice of Privacy Practices is on our website wwwBlueChoiceSCcom Or you can contact us
and receive one by mail The phone number is on the back of your member ID card
Member Rights and Responsibilities
As a member you have certain rights and responsibilities Therersquos a summary online We update it as needed If you
donrsquot have access to the web and need a copy of your Member Guide Prescription Drug List or Member Rights and
Responsibilities please call the number on the back of your member ID card Our Member Services department is open
Monday ndash Friday 830 am ndash 5 pm
Claims and Beneft Information
Want to know if we paid a claim what your benefts are for a service or what your copayments and other charges were
Find this and more on My Health Toolkit
External Review Procedures
We are committed to quickly resolving your concerns and problems There are state laws such as the Health Carrier
External Review Act and federal laws that allow you to ask for an external review in some cases when we deny payment
for a claim These situations have different rules Please call Member Services to fnd out your options for an external
review
If you qualify for an external review wersquoll tell you in writing Wersquoll also explain what to do For more about appeals see
your Member Guide or visit us online at wwwBlueChoiceSCcom
10 | HealthWord Spring 2018
Your Health Plan
Womenrsquos Health and Cancer Rights
Do you know that your coverage as required by the Womenrsquos Health and Cancer Rights Act of 1998 provides benefts
for mastectomy-related services These services include all stages of reconstruction and surgery This includes prostheses
and complications from a mastectomy including lymphedema Check your certifcate of coverage or contract for more
information on this beneft or call the number on the back of your member ID card Our Member Services department is
open Monday ndash Friday 830 am ndash 5 pm
Member Guide
Your Member Guide is a great place to fnd many important details about your benefts You can fnd your Member Guide
on our website wwwBlueChoiceSCcom The guide will help you understand your benefts and make the most of your
coverage Herersquos some of the information in the guide
bull How to access primary care specialty care behavioral
health services hospital services and much more
bull How to get after-hours care urgent care and
emergency care
bull How to fnd care and coverage when yoursquore outside
the service area
bull How to submit a claim yourself
bull How we coordinate benefts
bull How we administer benefts for appropriate services
including our policy on not providing incentives to
deny coverage of care or services
Prescription Drug Information
bull How we decide what new technology we will include
as a covered beneft
bull How to get information on our quality
improvement program
bull How to voice a complaint or to appeal a decision
bull How our privacy practices work
bull How to get information about network providersrsquo
qualifcations and other provider information
bull How your benefts work
bull Restrictions on benefts you receive outside the system
bull How to get language assistance
Get details about medications price comparisons your prescription history and up-to-date information on our pharmacy
procedures and prescription drug lists Plus if your coverage offers a mail-order pharmacy beneft you can order your
reflls online Just go to the Prescription Drugs section under Benefts in My Health Toolkit
We Leave Medical Decisions to Doctors and Patients
We make decisions about approving services based on whether care is appropriate and agrees with your plan of benefts
We do not reward providers or others for denying coverage or care And we do not offer fnancial incentives to anyone to
encourage decisions that result in underutilization of care
HealthWord Spring 2018 | 11
Post Offce Box 6170 Columbia SC 29260-6170
HealthWord is a publication of BlueChoice HealthPlan BlueChoice HealthPlan is an independent licensee of the Blue Cross and Blue Shield Association
HealthWord is a newsletter for BlueChoice HealthPlan members It provides information only and does not replace the advice of your doctor You always should see your doctor for personal medical advice
Do you have questions about your BlueChoice HealthPlan coverage Try our website at wwwBlueChoiceSCcom Wersquore open 24 hours a day here
To contact us please refer to the number found on the back of your member ID card
SPRING 2018
139256-04-2018
ealthWo d
Non-Discrimination Statement and Foreign Language Access
We do not discriminate on the basis of race color national origin disability age sex gender identity sexual orientation or health status in our health plans when we enroll members or provide benefits
If you or someone youre assisting is disabled and needs interpretation assistance help is available at the contact number posted on our website or listed in the materials included with this notice (TDD 711)
Free language interpretation support is available for those who cannot read or speak English by calling one of the appropriate numbers listed below
If you think we have not provided these services or have discriminated in any way you can file a grievance by emailing contacthcrcompliancecom or by calling our Compliance area at 1-800-832-9686 or the US Department of Health and Human Services Office for Civil Rights at 1-800-368-1019 or 1-800-537-7697 (TDD)
Si usted o alguien a quien usted esta ayudando tiene preguntas acerca de este plan de salud tiene derecho a
obtener ayuda e informaci6n en su idioma sin costo alguno Para hablar con un interprete llame al 1-844-396-0183 (Spanish)
~bullbullmiddot d~e~amM~fla ~~ttbull~tt~~~~~~ bull~bull~~bull~bull~bull~ffl~MM~m ~ o ~ITTil-iftffi~ni~ ilti 1-844-396-01880 (Chinese)
Neu quy vj ho~c la ngliOi ma quy vj dang giup d6 c6 nhUng cau hoi quan tam ve chliOng trinh SUC khoe nay quy
vj se dliQC giup do vampi cac thong tin bang ngon ngU cua quy vj mi~n phf Oe n6i chuy~n vampi mltgtt thong djch vien
xin goi 1-844-389-4838 (Vietnamese)
01 Y ~~OJI tf-o~()j 3-a-~ A~~~~ ~ go1 ~J O Al 121 1-844-396-0187 pound lt21 ~oH -~ Al 2
-1-lo~~l 111-sect _t~filOI ~~Ojpound ~2~c ~ Liq (Korean)
Kung ikaw o ang iyong tinutulungan ay may mga katanungan tungkol sa planong pangkalu sugang ito may
karapatan ka na makakuha ng tu long at impormasyon sa iyong wika nang walang gastos Upang makausap ang
isang tagasalin tumawag sa 1-844-389-4839 (Tagalog)
Ecm1 y Bae 11111 111Ua KOTOpOMY Bbl noMoraeTe 11MelOTCR sonpOCbl no noBOAY Bawero nlaHa MeA11U11HCKOro
06cJ1ygt1lt11BaH11R TO Bbl 11MeeTe npaso Ha 6ecnlaTHOe noly4eH11e nOMOW11 11 l1HqgtOpMau1111 Ha pyCCKOM R3b1Ke llllR
pa3rosopa c nepeBOA411KOM no3soH11Te no TeleqgtoHy l-844-389-4840 (Russian)
wl_hJI_ ~LJI ~ J_JI ~ ~I 4ili oii ~I ib l)-~ ~i o~li ~ -5ll _i 4ll ulS u]
(Arabic) l-844-396-0189 y ~I rYA t i~~ ~I u_J lt)o ~ ~J_~1
13
Rvs13 313201713 13 13 13 13 13 113 13 13 13 13 19199-shy‐3-shy‐201713 13
3[Type13 here]13 [Type13 here]13 [Type13 here]13
Si ou menm oswa yon moun w ap ede gen kesyon konsenan plan sante sa a se dwa w pou resevwa asistans ak enfomasyon nan lang ou pale a san ou pa gen pou peye pou sa Pou pale avek yon entepret rele nan 1-844-3 98-6232 (FrenchHaitian Creole)
Si vous ou quelquun que vous etes en train daider avez des questions apropos de ce plan medical vous avez le droit dobtenir gratuitement de laide et des informations dans votre langue Pour parler a un interprete appelez le 1-844-396-0190 (French)
Jesli Ty lub osoba kt6rej pomagasz macie pytania odnosnie planu ubezpieczenia zdrowotnego masz prawo do uzyskania bezptatnej informacji i pomocy we wtasnym j~zyku Aby porozmawiac z ttumaczem zadzwon pod numer 1-844-396-01 86 (Polish)
Se voce au alguem a quern voce esta ajudando tern perguntas sabre este piano de saude voce tern o direito de obter ajuda e informacao em seu idioma e sem custos Para falar com um interprete ligue para 1-844-3 96-01 82 (Portuguese)
Se tu o qualcuno che stai aiutando avete domande su questo piano sanitario hai ii diritto di ottenere aiuto e informazioni nella tua lingua gratuitamente Per parlare con un interprete puoi chiamare 1-844-396-01 84 (Italian)
~tJt trt~tcJttJsttt~~~n tl-QJJtJ ~0)-otJli~ 1-gtlt =~r~tJ=~ l Lt I) = ~~O) ~ ~fit-ij-~- t-- ~yenl rtt ~J 1jffl ~ A-yen Lt ~J 9 -Q ~ c tJt ~ 9 o yen4~1tiJiJ ~J it lv o im~ ciS~~ti-Q~g- 1-844-396-01 85 tiSi~lt t~l o (Japanese)
Falls Sie oder jemand dem Sie helfen Fragen zu diesem Krankenversicherungsplan haben bzw hat haben Sie das Recht kostenlose Hilfe und lnformationen in lhrer Sprache zu erhalten Um mit einem Dolmetscher zu sprechen rufen Sie bitte die Nummer l-844-396-01 91 an (German)
~ I -4- ltS 4-D Li )--J cgt--- I c5 o J L J ~j I - l+-Ll er c5AS 9 I - ltLS ltS J----9 L ~ J-5 I u ~ I J J yen - I J y u l j - l il I 9 c5AS ltLS L u I l I J cgt--- I jgt 0 L ltLi I
jDLgt LJLc_j l-844-398-6233 L50J~ L LJhJ PJ-L L L) l ~ ~ lt5 1 _)--J bulll+-Ll uJLJl
(Persian-Farsi) LLJ Loi
Nida doodago t aa haida bikaana nilwo igii dii Beeso Ach~~h naa niligi haa ida yi na idil kidgo nihaah66ti nihi kaadoo wolgo kwii haatishU bi na idolkidigi doo bikeazlaag66 Ata halnee la bichC ha desdzih ninizingo koji beesh bee h6lne 1-844-516-6328 (Navajo)
13
Rvs13 313201713 13 13 13 13 13 213 13 13 13 13 19199-shy‐3-shy‐201713 13
3[Type13 here]13 [Type13 here]13 [Type13 here]13
Health and Wellness
Finding the Right Mental Health Care Provider There are many different types of mental health care providers from which to choose The Companion Beneft Alternatives
(CBA) provider network includes psychiatrists psychologists psychiatric nurses social workers and counselors CBA is a
separate company that manages behavioral health benefts on behalf of BlueChoice HealthPlan
What Type of Mental Health Provider Do You Need
Determining the appropriate type of provider for your
specifc needs is a very important step toward getting the
right treatment You should always check your benefts
to see which providers your plan covers Here is some
information on each type of provider
Psychiatrists (MD)
Psychiatrists are medical doctors They can prescribe
medication They can use talk therapy and hospitalize
patients These doctors treat everything from depression
to substance abuse
Psychologists (PhD or PsyD)
Most psychologists earn a doctorate mdash a
PhD or a PsyD The two main types of
psychologists are clinical and counseling
Psychologists can diagnose mental illness
They can also use talk therapy to treat people
with a wide range of behavioral health
conditions Psychologists
do not usually prescribe
medication
Psychiatric Nurses
(NP or CNS)
Advanced practice registered
nurses (APRNs) are nurse
practitioners (NPs) and clinical
nurse specialists (CNSs) who have at
least a masterrsquos degree in psychiatric
nursing They can diagnose people with
Making the Choice
behavioral health conditions They can also treat them
with talk therapy Many of these nurses can prescribe
medication
Social Workers (LISW-CP)
CBArsquos social workers have a masterrsquos or doctorate in social
work They are licensed to practice independently They
counsel and help people understand the causes of their
behavior and life situations Social workers do not
prescribe medication
Counselors (LPC or LMFT)
Our counselors are licensed professional marriage and
family therapists They help people with a variety of mental
health and substance abuse conditions Counselors use
talk therapy to help people cope with their conditions
They do not prescribe medication
Itrsquos important to choose the right provider mdash
someone you trust who makes you feel cared
for and has the experience to help you
make changes for the better in your life
It may take some time to fnd the right
provider Feeling comfortable with the
provider you choose is crucial to the
success of your treatment When you
fnd the right provider the results can
be truly amazing and life-changing
For help selecting a mental health
provider call CBA at 800-868-1032
HealthWord Spring 2018 | 5
QuickEnroll
QuickBill
FOCUSfwd GreatExpectaions
Hearing Aids
Biometric Screeneing
LMS
TobaccoCessation
BlueChoice HealthPlan Wire
My Health ToolkitRewards
2018 Icons
Bases
Storefront
REV 4102018
Healthier Lifestyles
When Is an Emergency Not an Emergency You or a loved one is in pain How do you know how sick you are Should you rush to the hospital emergency room That
could cost you $250 or more Should you wait to see your primary care doctor The chart below should help you decide
whatrsquos best for your ailment and your pocketbook
Primary Care Doctor Urgent Care Emergency Room Out-of-pocket cost $ Out-of-pocket cost $$ Out-of-pocket cost $$$$ Health Issue
Routine physical vaccinations
Mild asthma
Sprain strain or back pain
Needs immediate attention but is not life-threatening
Cuts or wounds controlled bleeding
Uncontrolled bleeding
Head or eye injuries
Signs of a heart attack such as chest pains
Signs of stroke numbness of face arm andor leg on one side of the body
Life-threatening injury or symptom
You can also use Blue CareOnDemandSM1 to visit with a doctor wherever you are via
smartphone tablet or computer Each Blue CareOnDemand visit costs the same amount as an
offce visit with your primary care doctor See page 8 for details
1Please note that the Blue CareOnDemand service is only available to applicable members Be sure to check with your group administrator or call the Customer Service number located on the back of your member ID card to confrm if this service is available to you
6 | HealthWord Spring 2018
Healthier Lifestyles
Can 5210 Save Your Family Maybe If you want a happier and healthier family
5210 is really just smart lifestyle changes Similar to quitting smoking or wearing your seatbelt itrsquos a modifcation of daily
habits Designed to increase healthy eating and active living in children (and parents) ldquo5210 Letrsquos Gordquo is a nationally
recognized program that incorporates
bull 5 or more servings of fruits and vegetables bull 1 hour or more of physical activity
bull 2 hours or fewer of recreational screen time bull 0 sugary drinks more water and low-fat milk
How does this bring your family closer Many of the alternate activities are family group activities
A diet rich in fruits and vegetables provides
vitamins and minerals important for supporting
growth and development and for optimal immune
function Most fruits and vegetables are low in calories
and fat making them a healthy choice anytime Itrsquos easier
than you might think Add fruits and vegetables to foods
you already make like pasta soups casseroles pizza
rice etc Add fruit to your cereal pancakes or other
breakfast foods Let the kids help you plan the menu
Watching TV is associated with more snacking
and increased obesity Too much TV is linked
to lower reading scores and attention problems Itrsquos
important to limit all screen time including TV computer
smartphones and video games So limit recreational
TV or computer use to two hours or fewer What to do
instead Work a puzzle Turn on some music and dance
Read a book or magazine Play some board games or
charades Or just hang out and catch up with your family
water is the best option for thirst
5
2
Children model behavior so set a good example with
your own habits Remember as a parent yoursquore the
role model Check out wwwBlueChoiceSCcom for
information on the 5210 Letrsquos Go program
1 Move at least one hour every day It doesnrsquot have to
be all at once Make gradual changes to increase
your level of physical activity Itrsquos easy to integrate physical
motion into your daily routine Take a walk after dinner
and encourage family members to join you Go hiking or
dancing Choose toys and games that promote physical
activity Remember to make it fun
0 Eliminate all sugary drinks from your diet They are
especially harmful to children Daily consumption
can lead to obesity Type 2 diabetes and tooth decay
Sodas fruit-ade and most juices are empty calories If
you do serve juice be sure to buy 100 percent juice Still
HealthWord Spring 2018 | 7
Your Health Plan
QuickEnroll
QuickBill
FOCUSfwd GreatExpectaions
Hearing Aids
Biometric Screeneing
LMS
TobaccoCessation
BlueChoice HealthPlan Wire
My Health ToolkitRewards
2018 Icons
Bases
Storefront
REV 4102018
Get Smart mdash Get Blue CareOnDemand With Blue CareOnDemand you can visit with a doctor virtually anytime anywhere mdash from your smartphone tablet or
computer Doctors will diagnose and write prescriptions as appropriate
When should you use Blue CareOnDemand Havenrsquot created your Blue CareOnDemand account yet
bull The doctorrsquos offce is closed Download the app via the App Store or Google Play or
bull You are too sick to drive visit wwwBlueCareOnDemandSCcom today Donrsquot worry
What types of conditions can Blue CareOnDemand the app is FREE When creating your account remember
doctors treat to enter your member ID
bull Colds
bull Flu
bull Fever Please note that the Blue CareOnDemand service is only available to applicable members Be sure to check with your group administrator or call the Customer Service number located on the back of your
bull Rash member ID card to confirm if this service is available to you
bull Pinkeye
bull Ear infection
We Deliver (Pizza is extra) As a BlueChoice member you can have health information delivered
to your phone with the BlueChoice HealthPlan WireSM our text messaging tool
Updates include how to get the most from your coverage health and wellness
reminders hellip and more To get started simply call 844-206-0622 Yoursquoll need to
have your member ID card ready
8 | HealthWord Spring 2018
BLUECHOICE HEALTHPLAN
ZCJ00000000
wwwBlueOptionSCcom
JOHN DOE
ZCJ00000000Member ID
PLAN CODERxBINRxGRP
38004004336CHC
Health Benefits
Blue Option Network
Out of State Only
Your Health Plan
The My Health Toolkit App is Here Make your life easier with the My Health Toolkit App With the app you can
bull View and share your digital ID card
bull Check the status of your claims fast
bull Confrm coverage
bull Find a doctor or hospital in network
bull Update contact information
bull And more
Current My Health Toolkit users can log in to the app with their existing username and
password New My Health Toolkit users can register through the app
Download the FREE My Health Toolkit Mobile App today Just search for
ldquoMy Health Toolkitrdquo in the App Store or Google Play Remember to have your
member ID card available
BLUECHOICE HEALTHPLAN
ZCL00000000
wwwBlueChoiceSCcom
JOHN DOE
ZCL00000000 Member ID
PLAN PLAN CODE RxBIN RxGRP
PPO 38004 004336 CHC
Health Benefits Pediatric Vision Comprehensive Dental
Access Your Digital ID Card Anytime Anywhere As a BlueChoice member you can feel confdent about your health coverage Your BlueChoice ID card opens doors to
more doctors and hospitals You can access your digital ID card anytime anywhere from your computer or mobile device
Advantages of your digital ID card
Your digital ID card is identical to your plastic card It contains your member ID
number and other coverage details unique to you Unlike your plastic card you
donrsquot have to worry about losing it or ordering duplicate copies for your family
You can easily
bull View your card on your smartphone tablet or computer
bull Email your card to your spouse children doctorrsquos offce or pharmacy
bull Print your card at home from your smartphone or computer Use the printed
card just like your plastic card
How to access your digital ID card
On your smartphone or tablet You can now access your digital ID card on the My Health Toolkit App
On your computer Go to wwwBlueChoiceSCcom and log in to your My Health Toolkit account Under the Insurance
Card section on the left select View Your Card
Donrsquot discard your plastic ID card Some doctors may still want a copy of it for their records
Insurance Card Health
Have a dental account
Add your Insurance Card Number to access your account
(View Your Card)
ABC123
HealthWord Spring 2018 | 9
Your Health Plan
Consent for Medical Care at Age 16 Under South Carolina law any minor who has reached 16 years of age can solely
consent to health care decisions except for surgery The consent of a parent
is not necessary This is why a completed Authorization to Disclose Protected
Health Information to a Third Party form is required for a parent to receive health
information about a minor child older than 15 years of age
Go to wwwBlueChoiceSCcomDisclosePHIForm to view a description of this form
and a link to the form itself
While we must protect a minorrsquos protected health information beginning at age
16 he or she cannot legally sign a contract for insurance We must allow parents
to make changes to their dependentsrsquo insurance coverage These coverage
changes do not require authorization from the minor
HIPAA Notice of Privacy Practices This is a reminder that our Notice of Privacy Practices is on our website wwwBlueChoiceSCcom Or you can contact us
and receive one by mail The phone number is on the back of your member ID card
Member Rights and Responsibilities
As a member you have certain rights and responsibilities Therersquos a summary online We update it as needed If you
donrsquot have access to the web and need a copy of your Member Guide Prescription Drug List or Member Rights and
Responsibilities please call the number on the back of your member ID card Our Member Services department is open
Monday ndash Friday 830 am ndash 5 pm
Claims and Beneft Information
Want to know if we paid a claim what your benefts are for a service or what your copayments and other charges were
Find this and more on My Health Toolkit
External Review Procedures
We are committed to quickly resolving your concerns and problems There are state laws such as the Health Carrier
External Review Act and federal laws that allow you to ask for an external review in some cases when we deny payment
for a claim These situations have different rules Please call Member Services to fnd out your options for an external
review
If you qualify for an external review wersquoll tell you in writing Wersquoll also explain what to do For more about appeals see
your Member Guide or visit us online at wwwBlueChoiceSCcom
10 | HealthWord Spring 2018
Your Health Plan
Womenrsquos Health and Cancer Rights
Do you know that your coverage as required by the Womenrsquos Health and Cancer Rights Act of 1998 provides benefts
for mastectomy-related services These services include all stages of reconstruction and surgery This includes prostheses
and complications from a mastectomy including lymphedema Check your certifcate of coverage or contract for more
information on this beneft or call the number on the back of your member ID card Our Member Services department is
open Monday ndash Friday 830 am ndash 5 pm
Member Guide
Your Member Guide is a great place to fnd many important details about your benefts You can fnd your Member Guide
on our website wwwBlueChoiceSCcom The guide will help you understand your benefts and make the most of your
coverage Herersquos some of the information in the guide
bull How to access primary care specialty care behavioral
health services hospital services and much more
bull How to get after-hours care urgent care and
emergency care
bull How to fnd care and coverage when yoursquore outside
the service area
bull How to submit a claim yourself
bull How we coordinate benefts
bull How we administer benefts for appropriate services
including our policy on not providing incentives to
deny coverage of care or services
Prescription Drug Information
bull How we decide what new technology we will include
as a covered beneft
bull How to get information on our quality
improvement program
bull How to voice a complaint or to appeal a decision
bull How our privacy practices work
bull How to get information about network providersrsquo
qualifcations and other provider information
bull How your benefts work
bull Restrictions on benefts you receive outside the system
bull How to get language assistance
Get details about medications price comparisons your prescription history and up-to-date information on our pharmacy
procedures and prescription drug lists Plus if your coverage offers a mail-order pharmacy beneft you can order your
reflls online Just go to the Prescription Drugs section under Benefts in My Health Toolkit
We Leave Medical Decisions to Doctors and Patients
We make decisions about approving services based on whether care is appropriate and agrees with your plan of benefts
We do not reward providers or others for denying coverage or care And we do not offer fnancial incentives to anyone to
encourage decisions that result in underutilization of care
HealthWord Spring 2018 | 11
Post Offce Box 6170 Columbia SC 29260-6170
HealthWord is a publication of BlueChoice HealthPlan BlueChoice HealthPlan is an independent licensee of the Blue Cross and Blue Shield Association
HealthWord is a newsletter for BlueChoice HealthPlan members It provides information only and does not replace the advice of your doctor You always should see your doctor for personal medical advice
Do you have questions about your BlueChoice HealthPlan coverage Try our website at wwwBlueChoiceSCcom Wersquore open 24 hours a day here
To contact us please refer to the number found on the back of your member ID card
SPRING 2018
139256-04-2018
ealthWo d
Non-Discrimination Statement and Foreign Language Access
We do not discriminate on the basis of race color national origin disability age sex gender identity sexual orientation or health status in our health plans when we enroll members or provide benefits
If you or someone youre assisting is disabled and needs interpretation assistance help is available at the contact number posted on our website or listed in the materials included with this notice (TDD 711)
Free language interpretation support is available for those who cannot read or speak English by calling one of the appropriate numbers listed below
If you think we have not provided these services or have discriminated in any way you can file a grievance by emailing contacthcrcompliancecom or by calling our Compliance area at 1-800-832-9686 or the US Department of Health and Human Services Office for Civil Rights at 1-800-368-1019 or 1-800-537-7697 (TDD)
Si usted o alguien a quien usted esta ayudando tiene preguntas acerca de este plan de salud tiene derecho a
obtener ayuda e informaci6n en su idioma sin costo alguno Para hablar con un interprete llame al 1-844-396-0183 (Spanish)
~bullbullmiddot d~e~amM~fla ~~ttbull~tt~~~~~~ bull~bull~~bull~bull~bull~ffl~MM~m ~ o ~ITTil-iftffi~ni~ ilti 1-844-396-01880 (Chinese)
Neu quy vj ho~c la ngliOi ma quy vj dang giup d6 c6 nhUng cau hoi quan tam ve chliOng trinh SUC khoe nay quy
vj se dliQC giup do vampi cac thong tin bang ngon ngU cua quy vj mi~n phf Oe n6i chuy~n vampi mltgtt thong djch vien
xin goi 1-844-389-4838 (Vietnamese)
01 Y ~~OJI tf-o~()j 3-a-~ A~~~~ ~ go1 ~J O Al 121 1-844-396-0187 pound lt21 ~oH -~ Al 2
-1-lo~~l 111-sect _t~filOI ~~Ojpound ~2~c ~ Liq (Korean)
Kung ikaw o ang iyong tinutulungan ay may mga katanungan tungkol sa planong pangkalu sugang ito may
karapatan ka na makakuha ng tu long at impormasyon sa iyong wika nang walang gastos Upang makausap ang
isang tagasalin tumawag sa 1-844-389-4839 (Tagalog)
Ecm1 y Bae 11111 111Ua KOTOpOMY Bbl noMoraeTe 11MelOTCR sonpOCbl no noBOAY Bawero nlaHa MeA11U11HCKOro
06cJ1ygt1lt11BaH11R TO Bbl 11MeeTe npaso Ha 6ecnlaTHOe noly4eH11e nOMOW11 11 l1HqgtOpMau1111 Ha pyCCKOM R3b1Ke llllR
pa3rosopa c nepeBOA411KOM no3soH11Te no TeleqgtoHy l-844-389-4840 (Russian)
wl_hJI_ ~LJI ~ J_JI ~ ~I 4ili oii ~I ib l)-~ ~i o~li ~ -5ll _i 4ll ulS u]
(Arabic) l-844-396-0189 y ~I rYA t i~~ ~I u_J lt)o ~ ~J_~1
13
Rvs13 313201713 13 13 13 13 13 113 13 13 13 13 19199-shy‐3-shy‐201713 13
3[Type13 here]13 [Type13 here]13 [Type13 here]13
Si ou menm oswa yon moun w ap ede gen kesyon konsenan plan sante sa a se dwa w pou resevwa asistans ak enfomasyon nan lang ou pale a san ou pa gen pou peye pou sa Pou pale avek yon entepret rele nan 1-844-3 98-6232 (FrenchHaitian Creole)
Si vous ou quelquun que vous etes en train daider avez des questions apropos de ce plan medical vous avez le droit dobtenir gratuitement de laide et des informations dans votre langue Pour parler a un interprete appelez le 1-844-396-0190 (French)
Jesli Ty lub osoba kt6rej pomagasz macie pytania odnosnie planu ubezpieczenia zdrowotnego masz prawo do uzyskania bezptatnej informacji i pomocy we wtasnym j~zyku Aby porozmawiac z ttumaczem zadzwon pod numer 1-844-396-01 86 (Polish)
Se voce au alguem a quern voce esta ajudando tern perguntas sabre este piano de saude voce tern o direito de obter ajuda e informacao em seu idioma e sem custos Para falar com um interprete ligue para 1-844-3 96-01 82 (Portuguese)
Se tu o qualcuno che stai aiutando avete domande su questo piano sanitario hai ii diritto di ottenere aiuto e informazioni nella tua lingua gratuitamente Per parlare con un interprete puoi chiamare 1-844-396-01 84 (Italian)
~tJt trt~tcJttJsttt~~~n tl-QJJtJ ~0)-otJli~ 1-gtlt =~r~tJ=~ l Lt I) = ~~O) ~ ~fit-ij-~- t-- ~yenl rtt ~J 1jffl ~ A-yen Lt ~J 9 -Q ~ c tJt ~ 9 o yen4~1tiJiJ ~J it lv o im~ ciS~~ti-Q~g- 1-844-396-01 85 tiSi~lt t~l o (Japanese)
Falls Sie oder jemand dem Sie helfen Fragen zu diesem Krankenversicherungsplan haben bzw hat haben Sie das Recht kostenlose Hilfe und lnformationen in lhrer Sprache zu erhalten Um mit einem Dolmetscher zu sprechen rufen Sie bitte die Nummer l-844-396-01 91 an (German)
~ I -4- ltS 4-D Li )--J cgt--- I c5 o J L J ~j I - l+-Ll er c5AS 9 I - ltLS ltS J----9 L ~ J-5 I u ~ I J J yen - I J y u l j - l il I 9 c5AS ltLS L u I l I J cgt--- I jgt 0 L ltLi I
jDLgt LJLc_j l-844-398-6233 L50J~ L LJhJ PJ-L L L) l ~ ~ lt5 1 _)--J bulll+-Ll uJLJl
(Persian-Farsi) LLJ Loi
Nida doodago t aa haida bikaana nilwo igii dii Beeso Ach~~h naa niligi haa ida yi na idil kidgo nihaah66ti nihi kaadoo wolgo kwii haatishU bi na idolkidigi doo bikeazlaag66 Ata halnee la bichC ha desdzih ninizingo koji beesh bee h6lne 1-844-516-6328 (Navajo)
13
Rvs13 313201713 13 13 13 13 13 213 13 13 13 13 19199-shy‐3-shy‐201713 13
3[Type13 here]13 [Type13 here]13 [Type13 here]13
QuickEnroll
QuickBill
FOCUSfwd GreatExpectaions
Hearing Aids
Biometric Screeneing
LMS
TobaccoCessation
BlueChoice HealthPlan Wire
My Health ToolkitRewards
2018 Icons
Bases
Storefront
REV 4102018
Healthier Lifestyles
When Is an Emergency Not an Emergency You or a loved one is in pain How do you know how sick you are Should you rush to the hospital emergency room That
could cost you $250 or more Should you wait to see your primary care doctor The chart below should help you decide
whatrsquos best for your ailment and your pocketbook
Primary Care Doctor Urgent Care Emergency Room Out-of-pocket cost $ Out-of-pocket cost $$ Out-of-pocket cost $$$$ Health Issue
Routine physical vaccinations
Mild asthma
Sprain strain or back pain
Needs immediate attention but is not life-threatening
Cuts or wounds controlled bleeding
Uncontrolled bleeding
Head or eye injuries
Signs of a heart attack such as chest pains
Signs of stroke numbness of face arm andor leg on one side of the body
Life-threatening injury or symptom
You can also use Blue CareOnDemandSM1 to visit with a doctor wherever you are via
smartphone tablet or computer Each Blue CareOnDemand visit costs the same amount as an
offce visit with your primary care doctor See page 8 for details
1Please note that the Blue CareOnDemand service is only available to applicable members Be sure to check with your group administrator or call the Customer Service number located on the back of your member ID card to confrm if this service is available to you
6 | HealthWord Spring 2018
Healthier Lifestyles
Can 5210 Save Your Family Maybe If you want a happier and healthier family
5210 is really just smart lifestyle changes Similar to quitting smoking or wearing your seatbelt itrsquos a modifcation of daily
habits Designed to increase healthy eating and active living in children (and parents) ldquo5210 Letrsquos Gordquo is a nationally
recognized program that incorporates
bull 5 or more servings of fruits and vegetables bull 1 hour or more of physical activity
bull 2 hours or fewer of recreational screen time bull 0 sugary drinks more water and low-fat milk
How does this bring your family closer Many of the alternate activities are family group activities
A diet rich in fruits and vegetables provides
vitamins and minerals important for supporting
growth and development and for optimal immune
function Most fruits and vegetables are low in calories
and fat making them a healthy choice anytime Itrsquos easier
than you might think Add fruits and vegetables to foods
you already make like pasta soups casseroles pizza
rice etc Add fruit to your cereal pancakes or other
breakfast foods Let the kids help you plan the menu
Watching TV is associated with more snacking
and increased obesity Too much TV is linked
to lower reading scores and attention problems Itrsquos
important to limit all screen time including TV computer
smartphones and video games So limit recreational
TV or computer use to two hours or fewer What to do
instead Work a puzzle Turn on some music and dance
Read a book or magazine Play some board games or
charades Or just hang out and catch up with your family
water is the best option for thirst
5
2
Children model behavior so set a good example with
your own habits Remember as a parent yoursquore the
role model Check out wwwBlueChoiceSCcom for
information on the 5210 Letrsquos Go program
1 Move at least one hour every day It doesnrsquot have to
be all at once Make gradual changes to increase
your level of physical activity Itrsquos easy to integrate physical
motion into your daily routine Take a walk after dinner
and encourage family members to join you Go hiking or
dancing Choose toys and games that promote physical
activity Remember to make it fun
0 Eliminate all sugary drinks from your diet They are
especially harmful to children Daily consumption
can lead to obesity Type 2 diabetes and tooth decay
Sodas fruit-ade and most juices are empty calories If
you do serve juice be sure to buy 100 percent juice Still
HealthWord Spring 2018 | 7
Your Health Plan
QuickEnroll
QuickBill
FOCUSfwd GreatExpectaions
Hearing Aids
Biometric Screeneing
LMS
TobaccoCessation
BlueChoice HealthPlan Wire
My Health ToolkitRewards
2018 Icons
Bases
Storefront
REV 4102018
Get Smart mdash Get Blue CareOnDemand With Blue CareOnDemand you can visit with a doctor virtually anytime anywhere mdash from your smartphone tablet or
computer Doctors will diagnose and write prescriptions as appropriate
When should you use Blue CareOnDemand Havenrsquot created your Blue CareOnDemand account yet
bull The doctorrsquos offce is closed Download the app via the App Store or Google Play or
bull You are too sick to drive visit wwwBlueCareOnDemandSCcom today Donrsquot worry
What types of conditions can Blue CareOnDemand the app is FREE When creating your account remember
doctors treat to enter your member ID
bull Colds
bull Flu
bull Fever Please note that the Blue CareOnDemand service is only available to applicable members Be sure to check with your group administrator or call the Customer Service number located on the back of your
bull Rash member ID card to confirm if this service is available to you
bull Pinkeye
bull Ear infection
We Deliver (Pizza is extra) As a BlueChoice member you can have health information delivered
to your phone with the BlueChoice HealthPlan WireSM our text messaging tool
Updates include how to get the most from your coverage health and wellness
reminders hellip and more To get started simply call 844-206-0622 Yoursquoll need to
have your member ID card ready
8 | HealthWord Spring 2018
BLUECHOICE HEALTHPLAN
ZCJ00000000
wwwBlueOptionSCcom
JOHN DOE
ZCJ00000000Member ID
PLAN CODERxBINRxGRP
38004004336CHC
Health Benefits
Blue Option Network
Out of State Only
Your Health Plan
The My Health Toolkit App is Here Make your life easier with the My Health Toolkit App With the app you can
bull View and share your digital ID card
bull Check the status of your claims fast
bull Confrm coverage
bull Find a doctor or hospital in network
bull Update contact information
bull And more
Current My Health Toolkit users can log in to the app with their existing username and
password New My Health Toolkit users can register through the app
Download the FREE My Health Toolkit Mobile App today Just search for
ldquoMy Health Toolkitrdquo in the App Store or Google Play Remember to have your
member ID card available
BLUECHOICE HEALTHPLAN
ZCL00000000
wwwBlueChoiceSCcom
JOHN DOE
ZCL00000000 Member ID
PLAN PLAN CODE RxBIN RxGRP
PPO 38004 004336 CHC
Health Benefits Pediatric Vision Comprehensive Dental
Access Your Digital ID Card Anytime Anywhere As a BlueChoice member you can feel confdent about your health coverage Your BlueChoice ID card opens doors to
more doctors and hospitals You can access your digital ID card anytime anywhere from your computer or mobile device
Advantages of your digital ID card
Your digital ID card is identical to your plastic card It contains your member ID
number and other coverage details unique to you Unlike your plastic card you
donrsquot have to worry about losing it or ordering duplicate copies for your family
You can easily
bull View your card on your smartphone tablet or computer
bull Email your card to your spouse children doctorrsquos offce or pharmacy
bull Print your card at home from your smartphone or computer Use the printed
card just like your plastic card
How to access your digital ID card
On your smartphone or tablet You can now access your digital ID card on the My Health Toolkit App
On your computer Go to wwwBlueChoiceSCcom and log in to your My Health Toolkit account Under the Insurance
Card section on the left select View Your Card
Donrsquot discard your plastic ID card Some doctors may still want a copy of it for their records
Insurance Card Health
Have a dental account
Add your Insurance Card Number to access your account
(View Your Card)
ABC123
HealthWord Spring 2018 | 9
Your Health Plan
Consent for Medical Care at Age 16 Under South Carolina law any minor who has reached 16 years of age can solely
consent to health care decisions except for surgery The consent of a parent
is not necessary This is why a completed Authorization to Disclose Protected
Health Information to a Third Party form is required for a parent to receive health
information about a minor child older than 15 years of age
Go to wwwBlueChoiceSCcomDisclosePHIForm to view a description of this form
and a link to the form itself
While we must protect a minorrsquos protected health information beginning at age
16 he or she cannot legally sign a contract for insurance We must allow parents
to make changes to their dependentsrsquo insurance coverage These coverage
changes do not require authorization from the minor
HIPAA Notice of Privacy Practices This is a reminder that our Notice of Privacy Practices is on our website wwwBlueChoiceSCcom Or you can contact us
and receive one by mail The phone number is on the back of your member ID card
Member Rights and Responsibilities
As a member you have certain rights and responsibilities Therersquos a summary online We update it as needed If you
donrsquot have access to the web and need a copy of your Member Guide Prescription Drug List or Member Rights and
Responsibilities please call the number on the back of your member ID card Our Member Services department is open
Monday ndash Friday 830 am ndash 5 pm
Claims and Beneft Information
Want to know if we paid a claim what your benefts are for a service or what your copayments and other charges were
Find this and more on My Health Toolkit
External Review Procedures
We are committed to quickly resolving your concerns and problems There are state laws such as the Health Carrier
External Review Act and federal laws that allow you to ask for an external review in some cases when we deny payment
for a claim These situations have different rules Please call Member Services to fnd out your options for an external
review
If you qualify for an external review wersquoll tell you in writing Wersquoll also explain what to do For more about appeals see
your Member Guide or visit us online at wwwBlueChoiceSCcom
10 | HealthWord Spring 2018
Your Health Plan
Womenrsquos Health and Cancer Rights
Do you know that your coverage as required by the Womenrsquos Health and Cancer Rights Act of 1998 provides benefts
for mastectomy-related services These services include all stages of reconstruction and surgery This includes prostheses
and complications from a mastectomy including lymphedema Check your certifcate of coverage or contract for more
information on this beneft or call the number on the back of your member ID card Our Member Services department is
open Monday ndash Friday 830 am ndash 5 pm
Member Guide
Your Member Guide is a great place to fnd many important details about your benefts You can fnd your Member Guide
on our website wwwBlueChoiceSCcom The guide will help you understand your benefts and make the most of your
coverage Herersquos some of the information in the guide
bull How to access primary care specialty care behavioral
health services hospital services and much more
bull How to get after-hours care urgent care and
emergency care
bull How to fnd care and coverage when yoursquore outside
the service area
bull How to submit a claim yourself
bull How we coordinate benefts
bull How we administer benefts for appropriate services
including our policy on not providing incentives to
deny coverage of care or services
Prescription Drug Information
bull How we decide what new technology we will include
as a covered beneft
bull How to get information on our quality
improvement program
bull How to voice a complaint or to appeal a decision
bull How our privacy practices work
bull How to get information about network providersrsquo
qualifcations and other provider information
bull How your benefts work
bull Restrictions on benefts you receive outside the system
bull How to get language assistance
Get details about medications price comparisons your prescription history and up-to-date information on our pharmacy
procedures and prescription drug lists Plus if your coverage offers a mail-order pharmacy beneft you can order your
reflls online Just go to the Prescription Drugs section under Benefts in My Health Toolkit
We Leave Medical Decisions to Doctors and Patients
We make decisions about approving services based on whether care is appropriate and agrees with your plan of benefts
We do not reward providers or others for denying coverage or care And we do not offer fnancial incentives to anyone to
encourage decisions that result in underutilization of care
HealthWord Spring 2018 | 11
Post Offce Box 6170 Columbia SC 29260-6170
HealthWord is a publication of BlueChoice HealthPlan BlueChoice HealthPlan is an independent licensee of the Blue Cross and Blue Shield Association
HealthWord is a newsletter for BlueChoice HealthPlan members It provides information only and does not replace the advice of your doctor You always should see your doctor for personal medical advice
Do you have questions about your BlueChoice HealthPlan coverage Try our website at wwwBlueChoiceSCcom Wersquore open 24 hours a day here
To contact us please refer to the number found on the back of your member ID card
SPRING 2018
139256-04-2018
ealthWo d
Non-Discrimination Statement and Foreign Language Access
We do not discriminate on the basis of race color national origin disability age sex gender identity sexual orientation or health status in our health plans when we enroll members or provide benefits
If you or someone youre assisting is disabled and needs interpretation assistance help is available at the contact number posted on our website or listed in the materials included with this notice (TDD 711)
Free language interpretation support is available for those who cannot read or speak English by calling one of the appropriate numbers listed below
If you think we have not provided these services or have discriminated in any way you can file a grievance by emailing contacthcrcompliancecom or by calling our Compliance area at 1-800-832-9686 or the US Department of Health and Human Services Office for Civil Rights at 1-800-368-1019 or 1-800-537-7697 (TDD)
Si usted o alguien a quien usted esta ayudando tiene preguntas acerca de este plan de salud tiene derecho a
obtener ayuda e informaci6n en su idioma sin costo alguno Para hablar con un interprete llame al 1-844-396-0183 (Spanish)
~bullbullmiddot d~e~amM~fla ~~ttbull~tt~~~~~~ bull~bull~~bull~bull~bull~ffl~MM~m ~ o ~ITTil-iftffi~ni~ ilti 1-844-396-01880 (Chinese)
Neu quy vj ho~c la ngliOi ma quy vj dang giup d6 c6 nhUng cau hoi quan tam ve chliOng trinh SUC khoe nay quy
vj se dliQC giup do vampi cac thong tin bang ngon ngU cua quy vj mi~n phf Oe n6i chuy~n vampi mltgtt thong djch vien
xin goi 1-844-389-4838 (Vietnamese)
01 Y ~~OJI tf-o~()j 3-a-~ A~~~~ ~ go1 ~J O Al 121 1-844-396-0187 pound lt21 ~oH -~ Al 2
-1-lo~~l 111-sect _t~filOI ~~Ojpound ~2~c ~ Liq (Korean)
Kung ikaw o ang iyong tinutulungan ay may mga katanungan tungkol sa planong pangkalu sugang ito may
karapatan ka na makakuha ng tu long at impormasyon sa iyong wika nang walang gastos Upang makausap ang
isang tagasalin tumawag sa 1-844-389-4839 (Tagalog)
Ecm1 y Bae 11111 111Ua KOTOpOMY Bbl noMoraeTe 11MelOTCR sonpOCbl no noBOAY Bawero nlaHa MeA11U11HCKOro
06cJ1ygt1lt11BaH11R TO Bbl 11MeeTe npaso Ha 6ecnlaTHOe noly4eH11e nOMOW11 11 l1HqgtOpMau1111 Ha pyCCKOM R3b1Ke llllR
pa3rosopa c nepeBOA411KOM no3soH11Te no TeleqgtoHy l-844-389-4840 (Russian)
wl_hJI_ ~LJI ~ J_JI ~ ~I 4ili oii ~I ib l)-~ ~i o~li ~ -5ll _i 4ll ulS u]
(Arabic) l-844-396-0189 y ~I rYA t i~~ ~I u_J lt)o ~ ~J_~1
13
Rvs13 313201713 13 13 13 13 13 113 13 13 13 13 19199-shy‐3-shy‐201713 13
3[Type13 here]13 [Type13 here]13 [Type13 here]13
Si ou menm oswa yon moun w ap ede gen kesyon konsenan plan sante sa a se dwa w pou resevwa asistans ak enfomasyon nan lang ou pale a san ou pa gen pou peye pou sa Pou pale avek yon entepret rele nan 1-844-3 98-6232 (FrenchHaitian Creole)
Si vous ou quelquun que vous etes en train daider avez des questions apropos de ce plan medical vous avez le droit dobtenir gratuitement de laide et des informations dans votre langue Pour parler a un interprete appelez le 1-844-396-0190 (French)
Jesli Ty lub osoba kt6rej pomagasz macie pytania odnosnie planu ubezpieczenia zdrowotnego masz prawo do uzyskania bezptatnej informacji i pomocy we wtasnym j~zyku Aby porozmawiac z ttumaczem zadzwon pod numer 1-844-396-01 86 (Polish)
Se voce au alguem a quern voce esta ajudando tern perguntas sabre este piano de saude voce tern o direito de obter ajuda e informacao em seu idioma e sem custos Para falar com um interprete ligue para 1-844-3 96-01 82 (Portuguese)
Se tu o qualcuno che stai aiutando avete domande su questo piano sanitario hai ii diritto di ottenere aiuto e informazioni nella tua lingua gratuitamente Per parlare con un interprete puoi chiamare 1-844-396-01 84 (Italian)
~tJt trt~tcJttJsttt~~~n tl-QJJtJ ~0)-otJli~ 1-gtlt =~r~tJ=~ l Lt I) = ~~O) ~ ~fit-ij-~- t-- ~yenl rtt ~J 1jffl ~ A-yen Lt ~J 9 -Q ~ c tJt ~ 9 o yen4~1tiJiJ ~J it lv o im~ ciS~~ti-Q~g- 1-844-396-01 85 tiSi~lt t~l o (Japanese)
Falls Sie oder jemand dem Sie helfen Fragen zu diesem Krankenversicherungsplan haben bzw hat haben Sie das Recht kostenlose Hilfe und lnformationen in lhrer Sprache zu erhalten Um mit einem Dolmetscher zu sprechen rufen Sie bitte die Nummer l-844-396-01 91 an (German)
~ I -4- ltS 4-D Li )--J cgt--- I c5 o J L J ~j I - l+-Ll er c5AS 9 I - ltLS ltS J----9 L ~ J-5 I u ~ I J J yen - I J y u l j - l il I 9 c5AS ltLS L u I l I J cgt--- I jgt 0 L ltLi I
jDLgt LJLc_j l-844-398-6233 L50J~ L LJhJ PJ-L L L) l ~ ~ lt5 1 _)--J bulll+-Ll uJLJl
(Persian-Farsi) LLJ Loi
Nida doodago t aa haida bikaana nilwo igii dii Beeso Ach~~h naa niligi haa ida yi na idil kidgo nihaah66ti nihi kaadoo wolgo kwii haatishU bi na idolkidigi doo bikeazlaag66 Ata halnee la bichC ha desdzih ninizingo koji beesh bee h6lne 1-844-516-6328 (Navajo)
13
Rvs13 313201713 13 13 13 13 13 213 13 13 13 13 19199-shy‐3-shy‐201713 13
3[Type13 here]13 [Type13 here]13 [Type13 here]13
Healthier Lifestyles
Can 5210 Save Your Family Maybe If you want a happier and healthier family
5210 is really just smart lifestyle changes Similar to quitting smoking or wearing your seatbelt itrsquos a modifcation of daily
habits Designed to increase healthy eating and active living in children (and parents) ldquo5210 Letrsquos Gordquo is a nationally
recognized program that incorporates
bull 5 or more servings of fruits and vegetables bull 1 hour or more of physical activity
bull 2 hours or fewer of recreational screen time bull 0 sugary drinks more water and low-fat milk
How does this bring your family closer Many of the alternate activities are family group activities
A diet rich in fruits and vegetables provides
vitamins and minerals important for supporting
growth and development and for optimal immune
function Most fruits and vegetables are low in calories
and fat making them a healthy choice anytime Itrsquos easier
than you might think Add fruits and vegetables to foods
you already make like pasta soups casseroles pizza
rice etc Add fruit to your cereal pancakes or other
breakfast foods Let the kids help you plan the menu
Watching TV is associated with more snacking
and increased obesity Too much TV is linked
to lower reading scores and attention problems Itrsquos
important to limit all screen time including TV computer
smartphones and video games So limit recreational
TV or computer use to two hours or fewer What to do
instead Work a puzzle Turn on some music and dance
Read a book or magazine Play some board games or
charades Or just hang out and catch up with your family
water is the best option for thirst
5
2
Children model behavior so set a good example with
your own habits Remember as a parent yoursquore the
role model Check out wwwBlueChoiceSCcom for
information on the 5210 Letrsquos Go program
1 Move at least one hour every day It doesnrsquot have to
be all at once Make gradual changes to increase
your level of physical activity Itrsquos easy to integrate physical
motion into your daily routine Take a walk after dinner
and encourage family members to join you Go hiking or
dancing Choose toys and games that promote physical
activity Remember to make it fun
0 Eliminate all sugary drinks from your diet They are
especially harmful to children Daily consumption
can lead to obesity Type 2 diabetes and tooth decay
Sodas fruit-ade and most juices are empty calories If
you do serve juice be sure to buy 100 percent juice Still
HealthWord Spring 2018 | 7
Your Health Plan
QuickEnroll
QuickBill
FOCUSfwd GreatExpectaions
Hearing Aids
Biometric Screeneing
LMS
TobaccoCessation
BlueChoice HealthPlan Wire
My Health ToolkitRewards
2018 Icons
Bases
Storefront
REV 4102018
Get Smart mdash Get Blue CareOnDemand With Blue CareOnDemand you can visit with a doctor virtually anytime anywhere mdash from your smartphone tablet or
computer Doctors will diagnose and write prescriptions as appropriate
When should you use Blue CareOnDemand Havenrsquot created your Blue CareOnDemand account yet
bull The doctorrsquos offce is closed Download the app via the App Store or Google Play or
bull You are too sick to drive visit wwwBlueCareOnDemandSCcom today Donrsquot worry
What types of conditions can Blue CareOnDemand the app is FREE When creating your account remember
doctors treat to enter your member ID
bull Colds
bull Flu
bull Fever Please note that the Blue CareOnDemand service is only available to applicable members Be sure to check with your group administrator or call the Customer Service number located on the back of your
bull Rash member ID card to confirm if this service is available to you
bull Pinkeye
bull Ear infection
We Deliver (Pizza is extra) As a BlueChoice member you can have health information delivered
to your phone with the BlueChoice HealthPlan WireSM our text messaging tool
Updates include how to get the most from your coverage health and wellness
reminders hellip and more To get started simply call 844-206-0622 Yoursquoll need to
have your member ID card ready
8 | HealthWord Spring 2018
BLUECHOICE HEALTHPLAN
ZCJ00000000
wwwBlueOptionSCcom
JOHN DOE
ZCJ00000000Member ID
PLAN CODERxBINRxGRP
38004004336CHC
Health Benefits
Blue Option Network
Out of State Only
Your Health Plan
The My Health Toolkit App is Here Make your life easier with the My Health Toolkit App With the app you can
bull View and share your digital ID card
bull Check the status of your claims fast
bull Confrm coverage
bull Find a doctor or hospital in network
bull Update contact information
bull And more
Current My Health Toolkit users can log in to the app with their existing username and
password New My Health Toolkit users can register through the app
Download the FREE My Health Toolkit Mobile App today Just search for
ldquoMy Health Toolkitrdquo in the App Store or Google Play Remember to have your
member ID card available
BLUECHOICE HEALTHPLAN
ZCL00000000
wwwBlueChoiceSCcom
JOHN DOE
ZCL00000000 Member ID
PLAN PLAN CODE RxBIN RxGRP
PPO 38004 004336 CHC
Health Benefits Pediatric Vision Comprehensive Dental
Access Your Digital ID Card Anytime Anywhere As a BlueChoice member you can feel confdent about your health coverage Your BlueChoice ID card opens doors to
more doctors and hospitals You can access your digital ID card anytime anywhere from your computer or mobile device
Advantages of your digital ID card
Your digital ID card is identical to your plastic card It contains your member ID
number and other coverage details unique to you Unlike your plastic card you
donrsquot have to worry about losing it or ordering duplicate copies for your family
You can easily
bull View your card on your smartphone tablet or computer
bull Email your card to your spouse children doctorrsquos offce or pharmacy
bull Print your card at home from your smartphone or computer Use the printed
card just like your plastic card
How to access your digital ID card
On your smartphone or tablet You can now access your digital ID card on the My Health Toolkit App
On your computer Go to wwwBlueChoiceSCcom and log in to your My Health Toolkit account Under the Insurance
Card section on the left select View Your Card
Donrsquot discard your plastic ID card Some doctors may still want a copy of it for their records
Insurance Card Health
Have a dental account
Add your Insurance Card Number to access your account
(View Your Card)
ABC123
HealthWord Spring 2018 | 9
Your Health Plan
Consent for Medical Care at Age 16 Under South Carolina law any minor who has reached 16 years of age can solely
consent to health care decisions except for surgery The consent of a parent
is not necessary This is why a completed Authorization to Disclose Protected
Health Information to a Third Party form is required for a parent to receive health
information about a minor child older than 15 years of age
Go to wwwBlueChoiceSCcomDisclosePHIForm to view a description of this form
and a link to the form itself
While we must protect a minorrsquos protected health information beginning at age
16 he or she cannot legally sign a contract for insurance We must allow parents
to make changes to their dependentsrsquo insurance coverage These coverage
changes do not require authorization from the minor
HIPAA Notice of Privacy Practices This is a reminder that our Notice of Privacy Practices is on our website wwwBlueChoiceSCcom Or you can contact us
and receive one by mail The phone number is on the back of your member ID card
Member Rights and Responsibilities
As a member you have certain rights and responsibilities Therersquos a summary online We update it as needed If you
donrsquot have access to the web and need a copy of your Member Guide Prescription Drug List or Member Rights and
Responsibilities please call the number on the back of your member ID card Our Member Services department is open
Monday ndash Friday 830 am ndash 5 pm
Claims and Beneft Information
Want to know if we paid a claim what your benefts are for a service or what your copayments and other charges were
Find this and more on My Health Toolkit
External Review Procedures
We are committed to quickly resolving your concerns and problems There are state laws such as the Health Carrier
External Review Act and federal laws that allow you to ask for an external review in some cases when we deny payment
for a claim These situations have different rules Please call Member Services to fnd out your options for an external
review
If you qualify for an external review wersquoll tell you in writing Wersquoll also explain what to do For more about appeals see
your Member Guide or visit us online at wwwBlueChoiceSCcom
10 | HealthWord Spring 2018
Your Health Plan
Womenrsquos Health and Cancer Rights
Do you know that your coverage as required by the Womenrsquos Health and Cancer Rights Act of 1998 provides benefts
for mastectomy-related services These services include all stages of reconstruction and surgery This includes prostheses
and complications from a mastectomy including lymphedema Check your certifcate of coverage or contract for more
information on this beneft or call the number on the back of your member ID card Our Member Services department is
open Monday ndash Friday 830 am ndash 5 pm
Member Guide
Your Member Guide is a great place to fnd many important details about your benefts You can fnd your Member Guide
on our website wwwBlueChoiceSCcom The guide will help you understand your benefts and make the most of your
coverage Herersquos some of the information in the guide
bull How to access primary care specialty care behavioral
health services hospital services and much more
bull How to get after-hours care urgent care and
emergency care
bull How to fnd care and coverage when yoursquore outside
the service area
bull How to submit a claim yourself
bull How we coordinate benefts
bull How we administer benefts for appropriate services
including our policy on not providing incentives to
deny coverage of care or services
Prescription Drug Information
bull How we decide what new technology we will include
as a covered beneft
bull How to get information on our quality
improvement program
bull How to voice a complaint or to appeal a decision
bull How our privacy practices work
bull How to get information about network providersrsquo
qualifcations and other provider information
bull How your benefts work
bull Restrictions on benefts you receive outside the system
bull How to get language assistance
Get details about medications price comparisons your prescription history and up-to-date information on our pharmacy
procedures and prescription drug lists Plus if your coverage offers a mail-order pharmacy beneft you can order your
reflls online Just go to the Prescription Drugs section under Benefts in My Health Toolkit
We Leave Medical Decisions to Doctors and Patients
We make decisions about approving services based on whether care is appropriate and agrees with your plan of benefts
We do not reward providers or others for denying coverage or care And we do not offer fnancial incentives to anyone to
encourage decisions that result in underutilization of care
HealthWord Spring 2018 | 11
Post Offce Box 6170 Columbia SC 29260-6170
HealthWord is a publication of BlueChoice HealthPlan BlueChoice HealthPlan is an independent licensee of the Blue Cross and Blue Shield Association
HealthWord is a newsletter for BlueChoice HealthPlan members It provides information only and does not replace the advice of your doctor You always should see your doctor for personal medical advice
Do you have questions about your BlueChoice HealthPlan coverage Try our website at wwwBlueChoiceSCcom Wersquore open 24 hours a day here
To contact us please refer to the number found on the back of your member ID card
SPRING 2018
139256-04-2018
ealthWo d
Non-Discrimination Statement and Foreign Language Access
We do not discriminate on the basis of race color national origin disability age sex gender identity sexual orientation or health status in our health plans when we enroll members or provide benefits
If you or someone youre assisting is disabled and needs interpretation assistance help is available at the contact number posted on our website or listed in the materials included with this notice (TDD 711)
Free language interpretation support is available for those who cannot read or speak English by calling one of the appropriate numbers listed below
If you think we have not provided these services or have discriminated in any way you can file a grievance by emailing contacthcrcompliancecom or by calling our Compliance area at 1-800-832-9686 or the US Department of Health and Human Services Office for Civil Rights at 1-800-368-1019 or 1-800-537-7697 (TDD)
Si usted o alguien a quien usted esta ayudando tiene preguntas acerca de este plan de salud tiene derecho a
obtener ayuda e informaci6n en su idioma sin costo alguno Para hablar con un interprete llame al 1-844-396-0183 (Spanish)
~bullbullmiddot d~e~amM~fla ~~ttbull~tt~~~~~~ bull~bull~~bull~bull~bull~ffl~MM~m ~ o ~ITTil-iftffi~ni~ ilti 1-844-396-01880 (Chinese)
Neu quy vj ho~c la ngliOi ma quy vj dang giup d6 c6 nhUng cau hoi quan tam ve chliOng trinh SUC khoe nay quy
vj se dliQC giup do vampi cac thong tin bang ngon ngU cua quy vj mi~n phf Oe n6i chuy~n vampi mltgtt thong djch vien
xin goi 1-844-389-4838 (Vietnamese)
01 Y ~~OJI tf-o~()j 3-a-~ A~~~~ ~ go1 ~J O Al 121 1-844-396-0187 pound lt21 ~oH -~ Al 2
-1-lo~~l 111-sect _t~filOI ~~Ojpound ~2~c ~ Liq (Korean)
Kung ikaw o ang iyong tinutulungan ay may mga katanungan tungkol sa planong pangkalu sugang ito may
karapatan ka na makakuha ng tu long at impormasyon sa iyong wika nang walang gastos Upang makausap ang
isang tagasalin tumawag sa 1-844-389-4839 (Tagalog)
Ecm1 y Bae 11111 111Ua KOTOpOMY Bbl noMoraeTe 11MelOTCR sonpOCbl no noBOAY Bawero nlaHa MeA11U11HCKOro
06cJ1ygt1lt11BaH11R TO Bbl 11MeeTe npaso Ha 6ecnlaTHOe noly4eH11e nOMOW11 11 l1HqgtOpMau1111 Ha pyCCKOM R3b1Ke llllR
pa3rosopa c nepeBOA411KOM no3soH11Te no TeleqgtoHy l-844-389-4840 (Russian)
wl_hJI_ ~LJI ~ J_JI ~ ~I 4ili oii ~I ib l)-~ ~i o~li ~ -5ll _i 4ll ulS u]
(Arabic) l-844-396-0189 y ~I rYA t i~~ ~I u_J lt)o ~ ~J_~1
13
Rvs13 313201713 13 13 13 13 13 113 13 13 13 13 19199-shy‐3-shy‐201713 13
3[Type13 here]13 [Type13 here]13 [Type13 here]13
Si ou menm oswa yon moun w ap ede gen kesyon konsenan plan sante sa a se dwa w pou resevwa asistans ak enfomasyon nan lang ou pale a san ou pa gen pou peye pou sa Pou pale avek yon entepret rele nan 1-844-3 98-6232 (FrenchHaitian Creole)
Si vous ou quelquun que vous etes en train daider avez des questions apropos de ce plan medical vous avez le droit dobtenir gratuitement de laide et des informations dans votre langue Pour parler a un interprete appelez le 1-844-396-0190 (French)
Jesli Ty lub osoba kt6rej pomagasz macie pytania odnosnie planu ubezpieczenia zdrowotnego masz prawo do uzyskania bezptatnej informacji i pomocy we wtasnym j~zyku Aby porozmawiac z ttumaczem zadzwon pod numer 1-844-396-01 86 (Polish)
Se voce au alguem a quern voce esta ajudando tern perguntas sabre este piano de saude voce tern o direito de obter ajuda e informacao em seu idioma e sem custos Para falar com um interprete ligue para 1-844-3 96-01 82 (Portuguese)
Se tu o qualcuno che stai aiutando avete domande su questo piano sanitario hai ii diritto di ottenere aiuto e informazioni nella tua lingua gratuitamente Per parlare con un interprete puoi chiamare 1-844-396-01 84 (Italian)
~tJt trt~tcJttJsttt~~~n tl-QJJtJ ~0)-otJli~ 1-gtlt =~r~tJ=~ l Lt I) = ~~O) ~ ~fit-ij-~- t-- ~yenl rtt ~J 1jffl ~ A-yen Lt ~J 9 -Q ~ c tJt ~ 9 o yen4~1tiJiJ ~J it lv o im~ ciS~~ti-Q~g- 1-844-396-01 85 tiSi~lt t~l o (Japanese)
Falls Sie oder jemand dem Sie helfen Fragen zu diesem Krankenversicherungsplan haben bzw hat haben Sie das Recht kostenlose Hilfe und lnformationen in lhrer Sprache zu erhalten Um mit einem Dolmetscher zu sprechen rufen Sie bitte die Nummer l-844-396-01 91 an (German)
~ I -4- ltS 4-D Li )--J cgt--- I c5 o J L J ~j I - l+-Ll er c5AS 9 I - ltLS ltS J----9 L ~ J-5 I u ~ I J J yen - I J y u l j - l il I 9 c5AS ltLS L u I l I J cgt--- I jgt 0 L ltLi I
jDLgt LJLc_j l-844-398-6233 L50J~ L LJhJ PJ-L L L) l ~ ~ lt5 1 _)--J bulll+-Ll uJLJl
(Persian-Farsi) LLJ Loi
Nida doodago t aa haida bikaana nilwo igii dii Beeso Ach~~h naa niligi haa ida yi na idil kidgo nihaah66ti nihi kaadoo wolgo kwii haatishU bi na idolkidigi doo bikeazlaag66 Ata halnee la bichC ha desdzih ninizingo koji beesh bee h6lne 1-844-516-6328 (Navajo)
13
Rvs13 313201713 13 13 13 13 13 213 13 13 13 13 19199-shy‐3-shy‐201713 13
3[Type13 here]13 [Type13 here]13 [Type13 here]13
Your Health Plan
QuickEnroll
QuickBill
FOCUSfwd GreatExpectaions
Hearing Aids
Biometric Screeneing
LMS
TobaccoCessation
BlueChoice HealthPlan Wire
My Health ToolkitRewards
2018 Icons
Bases
Storefront
REV 4102018
Get Smart mdash Get Blue CareOnDemand With Blue CareOnDemand you can visit with a doctor virtually anytime anywhere mdash from your smartphone tablet or
computer Doctors will diagnose and write prescriptions as appropriate
When should you use Blue CareOnDemand Havenrsquot created your Blue CareOnDemand account yet
bull The doctorrsquos offce is closed Download the app via the App Store or Google Play or
bull You are too sick to drive visit wwwBlueCareOnDemandSCcom today Donrsquot worry
What types of conditions can Blue CareOnDemand the app is FREE When creating your account remember
doctors treat to enter your member ID
bull Colds
bull Flu
bull Fever Please note that the Blue CareOnDemand service is only available to applicable members Be sure to check with your group administrator or call the Customer Service number located on the back of your
bull Rash member ID card to confirm if this service is available to you
bull Pinkeye
bull Ear infection
We Deliver (Pizza is extra) As a BlueChoice member you can have health information delivered
to your phone with the BlueChoice HealthPlan WireSM our text messaging tool
Updates include how to get the most from your coverage health and wellness
reminders hellip and more To get started simply call 844-206-0622 Yoursquoll need to
have your member ID card ready
8 | HealthWord Spring 2018
BLUECHOICE HEALTHPLAN
ZCJ00000000
wwwBlueOptionSCcom
JOHN DOE
ZCJ00000000Member ID
PLAN CODERxBINRxGRP
38004004336CHC
Health Benefits
Blue Option Network
Out of State Only
Your Health Plan
The My Health Toolkit App is Here Make your life easier with the My Health Toolkit App With the app you can
bull View and share your digital ID card
bull Check the status of your claims fast
bull Confrm coverage
bull Find a doctor or hospital in network
bull Update contact information
bull And more
Current My Health Toolkit users can log in to the app with their existing username and
password New My Health Toolkit users can register through the app
Download the FREE My Health Toolkit Mobile App today Just search for
ldquoMy Health Toolkitrdquo in the App Store or Google Play Remember to have your
member ID card available
BLUECHOICE HEALTHPLAN
ZCL00000000
wwwBlueChoiceSCcom
JOHN DOE
ZCL00000000 Member ID
PLAN PLAN CODE RxBIN RxGRP
PPO 38004 004336 CHC
Health Benefits Pediatric Vision Comprehensive Dental
Access Your Digital ID Card Anytime Anywhere As a BlueChoice member you can feel confdent about your health coverage Your BlueChoice ID card opens doors to
more doctors and hospitals You can access your digital ID card anytime anywhere from your computer or mobile device
Advantages of your digital ID card
Your digital ID card is identical to your plastic card It contains your member ID
number and other coverage details unique to you Unlike your plastic card you
donrsquot have to worry about losing it or ordering duplicate copies for your family
You can easily
bull View your card on your smartphone tablet or computer
bull Email your card to your spouse children doctorrsquos offce or pharmacy
bull Print your card at home from your smartphone or computer Use the printed
card just like your plastic card
How to access your digital ID card
On your smartphone or tablet You can now access your digital ID card on the My Health Toolkit App
On your computer Go to wwwBlueChoiceSCcom and log in to your My Health Toolkit account Under the Insurance
Card section on the left select View Your Card
Donrsquot discard your plastic ID card Some doctors may still want a copy of it for their records
Insurance Card Health
Have a dental account
Add your Insurance Card Number to access your account
(View Your Card)
ABC123
HealthWord Spring 2018 | 9
Your Health Plan
Consent for Medical Care at Age 16 Under South Carolina law any minor who has reached 16 years of age can solely
consent to health care decisions except for surgery The consent of a parent
is not necessary This is why a completed Authorization to Disclose Protected
Health Information to a Third Party form is required for a parent to receive health
information about a minor child older than 15 years of age
Go to wwwBlueChoiceSCcomDisclosePHIForm to view a description of this form
and a link to the form itself
While we must protect a minorrsquos protected health information beginning at age
16 he or she cannot legally sign a contract for insurance We must allow parents
to make changes to their dependentsrsquo insurance coverage These coverage
changes do not require authorization from the minor
HIPAA Notice of Privacy Practices This is a reminder that our Notice of Privacy Practices is on our website wwwBlueChoiceSCcom Or you can contact us
and receive one by mail The phone number is on the back of your member ID card
Member Rights and Responsibilities
As a member you have certain rights and responsibilities Therersquos a summary online We update it as needed If you
donrsquot have access to the web and need a copy of your Member Guide Prescription Drug List or Member Rights and
Responsibilities please call the number on the back of your member ID card Our Member Services department is open
Monday ndash Friday 830 am ndash 5 pm
Claims and Beneft Information
Want to know if we paid a claim what your benefts are for a service or what your copayments and other charges were
Find this and more on My Health Toolkit
External Review Procedures
We are committed to quickly resolving your concerns and problems There are state laws such as the Health Carrier
External Review Act and federal laws that allow you to ask for an external review in some cases when we deny payment
for a claim These situations have different rules Please call Member Services to fnd out your options for an external
review
If you qualify for an external review wersquoll tell you in writing Wersquoll also explain what to do For more about appeals see
your Member Guide or visit us online at wwwBlueChoiceSCcom
10 | HealthWord Spring 2018
Your Health Plan
Womenrsquos Health and Cancer Rights
Do you know that your coverage as required by the Womenrsquos Health and Cancer Rights Act of 1998 provides benefts
for mastectomy-related services These services include all stages of reconstruction and surgery This includes prostheses
and complications from a mastectomy including lymphedema Check your certifcate of coverage or contract for more
information on this beneft or call the number on the back of your member ID card Our Member Services department is
open Monday ndash Friday 830 am ndash 5 pm
Member Guide
Your Member Guide is a great place to fnd many important details about your benefts You can fnd your Member Guide
on our website wwwBlueChoiceSCcom The guide will help you understand your benefts and make the most of your
coverage Herersquos some of the information in the guide
bull How to access primary care specialty care behavioral
health services hospital services and much more
bull How to get after-hours care urgent care and
emergency care
bull How to fnd care and coverage when yoursquore outside
the service area
bull How to submit a claim yourself
bull How we coordinate benefts
bull How we administer benefts for appropriate services
including our policy on not providing incentives to
deny coverage of care or services
Prescription Drug Information
bull How we decide what new technology we will include
as a covered beneft
bull How to get information on our quality
improvement program
bull How to voice a complaint or to appeal a decision
bull How our privacy practices work
bull How to get information about network providersrsquo
qualifcations and other provider information
bull How your benefts work
bull Restrictions on benefts you receive outside the system
bull How to get language assistance
Get details about medications price comparisons your prescription history and up-to-date information on our pharmacy
procedures and prescription drug lists Plus if your coverage offers a mail-order pharmacy beneft you can order your
reflls online Just go to the Prescription Drugs section under Benefts in My Health Toolkit
We Leave Medical Decisions to Doctors and Patients
We make decisions about approving services based on whether care is appropriate and agrees with your plan of benefts
We do not reward providers or others for denying coverage or care And we do not offer fnancial incentives to anyone to
encourage decisions that result in underutilization of care
HealthWord Spring 2018 | 11
Post Offce Box 6170 Columbia SC 29260-6170
HealthWord is a publication of BlueChoice HealthPlan BlueChoice HealthPlan is an independent licensee of the Blue Cross and Blue Shield Association
HealthWord is a newsletter for BlueChoice HealthPlan members It provides information only and does not replace the advice of your doctor You always should see your doctor for personal medical advice
Do you have questions about your BlueChoice HealthPlan coverage Try our website at wwwBlueChoiceSCcom Wersquore open 24 hours a day here
To contact us please refer to the number found on the back of your member ID card
SPRING 2018
139256-04-2018
ealthWo d
Non-Discrimination Statement and Foreign Language Access
We do not discriminate on the basis of race color national origin disability age sex gender identity sexual orientation or health status in our health plans when we enroll members or provide benefits
If you or someone youre assisting is disabled and needs interpretation assistance help is available at the contact number posted on our website or listed in the materials included with this notice (TDD 711)
Free language interpretation support is available for those who cannot read or speak English by calling one of the appropriate numbers listed below
If you think we have not provided these services or have discriminated in any way you can file a grievance by emailing contacthcrcompliancecom or by calling our Compliance area at 1-800-832-9686 or the US Department of Health and Human Services Office for Civil Rights at 1-800-368-1019 or 1-800-537-7697 (TDD)
Si usted o alguien a quien usted esta ayudando tiene preguntas acerca de este plan de salud tiene derecho a
obtener ayuda e informaci6n en su idioma sin costo alguno Para hablar con un interprete llame al 1-844-396-0183 (Spanish)
~bullbullmiddot d~e~amM~fla ~~ttbull~tt~~~~~~ bull~bull~~bull~bull~bull~ffl~MM~m ~ o ~ITTil-iftffi~ni~ ilti 1-844-396-01880 (Chinese)
Neu quy vj ho~c la ngliOi ma quy vj dang giup d6 c6 nhUng cau hoi quan tam ve chliOng trinh SUC khoe nay quy
vj se dliQC giup do vampi cac thong tin bang ngon ngU cua quy vj mi~n phf Oe n6i chuy~n vampi mltgtt thong djch vien
xin goi 1-844-389-4838 (Vietnamese)
01 Y ~~OJI tf-o~()j 3-a-~ A~~~~ ~ go1 ~J O Al 121 1-844-396-0187 pound lt21 ~oH -~ Al 2
-1-lo~~l 111-sect _t~filOI ~~Ojpound ~2~c ~ Liq (Korean)
Kung ikaw o ang iyong tinutulungan ay may mga katanungan tungkol sa planong pangkalu sugang ito may
karapatan ka na makakuha ng tu long at impormasyon sa iyong wika nang walang gastos Upang makausap ang
isang tagasalin tumawag sa 1-844-389-4839 (Tagalog)
Ecm1 y Bae 11111 111Ua KOTOpOMY Bbl noMoraeTe 11MelOTCR sonpOCbl no noBOAY Bawero nlaHa MeA11U11HCKOro
06cJ1ygt1lt11BaH11R TO Bbl 11MeeTe npaso Ha 6ecnlaTHOe noly4eH11e nOMOW11 11 l1HqgtOpMau1111 Ha pyCCKOM R3b1Ke llllR
pa3rosopa c nepeBOA411KOM no3soH11Te no TeleqgtoHy l-844-389-4840 (Russian)
wl_hJI_ ~LJI ~ J_JI ~ ~I 4ili oii ~I ib l)-~ ~i o~li ~ -5ll _i 4ll ulS u]
(Arabic) l-844-396-0189 y ~I rYA t i~~ ~I u_J lt)o ~ ~J_~1
13
Rvs13 313201713 13 13 13 13 13 113 13 13 13 13 19199-shy‐3-shy‐201713 13
3[Type13 here]13 [Type13 here]13 [Type13 here]13
Si ou menm oswa yon moun w ap ede gen kesyon konsenan plan sante sa a se dwa w pou resevwa asistans ak enfomasyon nan lang ou pale a san ou pa gen pou peye pou sa Pou pale avek yon entepret rele nan 1-844-3 98-6232 (FrenchHaitian Creole)
Si vous ou quelquun que vous etes en train daider avez des questions apropos de ce plan medical vous avez le droit dobtenir gratuitement de laide et des informations dans votre langue Pour parler a un interprete appelez le 1-844-396-0190 (French)
Jesli Ty lub osoba kt6rej pomagasz macie pytania odnosnie planu ubezpieczenia zdrowotnego masz prawo do uzyskania bezptatnej informacji i pomocy we wtasnym j~zyku Aby porozmawiac z ttumaczem zadzwon pod numer 1-844-396-01 86 (Polish)
Se voce au alguem a quern voce esta ajudando tern perguntas sabre este piano de saude voce tern o direito de obter ajuda e informacao em seu idioma e sem custos Para falar com um interprete ligue para 1-844-3 96-01 82 (Portuguese)
Se tu o qualcuno che stai aiutando avete domande su questo piano sanitario hai ii diritto di ottenere aiuto e informazioni nella tua lingua gratuitamente Per parlare con un interprete puoi chiamare 1-844-396-01 84 (Italian)
~tJt trt~tcJttJsttt~~~n tl-QJJtJ ~0)-otJli~ 1-gtlt =~r~tJ=~ l Lt I) = ~~O) ~ ~fit-ij-~- t-- ~yenl rtt ~J 1jffl ~ A-yen Lt ~J 9 -Q ~ c tJt ~ 9 o yen4~1tiJiJ ~J it lv o im~ ciS~~ti-Q~g- 1-844-396-01 85 tiSi~lt t~l o (Japanese)
Falls Sie oder jemand dem Sie helfen Fragen zu diesem Krankenversicherungsplan haben bzw hat haben Sie das Recht kostenlose Hilfe und lnformationen in lhrer Sprache zu erhalten Um mit einem Dolmetscher zu sprechen rufen Sie bitte die Nummer l-844-396-01 91 an (German)
~ I -4- ltS 4-D Li )--J cgt--- I c5 o J L J ~j I - l+-Ll er c5AS 9 I - ltLS ltS J----9 L ~ J-5 I u ~ I J J yen - I J y u l j - l il I 9 c5AS ltLS L u I l I J cgt--- I jgt 0 L ltLi I
jDLgt LJLc_j l-844-398-6233 L50J~ L LJhJ PJ-L L L) l ~ ~ lt5 1 _)--J bulll+-Ll uJLJl
(Persian-Farsi) LLJ Loi
Nida doodago t aa haida bikaana nilwo igii dii Beeso Ach~~h naa niligi haa ida yi na idil kidgo nihaah66ti nihi kaadoo wolgo kwii haatishU bi na idolkidigi doo bikeazlaag66 Ata halnee la bichC ha desdzih ninizingo koji beesh bee h6lne 1-844-516-6328 (Navajo)
13
Rvs13 313201713 13 13 13 13 13 213 13 13 13 13 19199-shy‐3-shy‐201713 13
3[Type13 here]13 [Type13 here]13 [Type13 here]13
BLUECHOICE HEALTHPLAN
ZCJ00000000
wwwBlueOptionSCcom
JOHN DOE
ZCJ00000000Member ID
PLAN CODERxBINRxGRP
38004004336CHC
Health Benefits
Blue Option Network
Out of State Only
Your Health Plan
The My Health Toolkit App is Here Make your life easier with the My Health Toolkit App With the app you can
bull View and share your digital ID card
bull Check the status of your claims fast
bull Confrm coverage
bull Find a doctor or hospital in network
bull Update contact information
bull And more
Current My Health Toolkit users can log in to the app with their existing username and
password New My Health Toolkit users can register through the app
Download the FREE My Health Toolkit Mobile App today Just search for
ldquoMy Health Toolkitrdquo in the App Store or Google Play Remember to have your
member ID card available
BLUECHOICE HEALTHPLAN
ZCL00000000
wwwBlueChoiceSCcom
JOHN DOE
ZCL00000000 Member ID
PLAN PLAN CODE RxBIN RxGRP
PPO 38004 004336 CHC
Health Benefits Pediatric Vision Comprehensive Dental
Access Your Digital ID Card Anytime Anywhere As a BlueChoice member you can feel confdent about your health coverage Your BlueChoice ID card opens doors to
more doctors and hospitals You can access your digital ID card anytime anywhere from your computer or mobile device
Advantages of your digital ID card
Your digital ID card is identical to your plastic card It contains your member ID
number and other coverage details unique to you Unlike your plastic card you
donrsquot have to worry about losing it or ordering duplicate copies for your family
You can easily
bull View your card on your smartphone tablet or computer
bull Email your card to your spouse children doctorrsquos offce or pharmacy
bull Print your card at home from your smartphone or computer Use the printed
card just like your plastic card
How to access your digital ID card
On your smartphone or tablet You can now access your digital ID card on the My Health Toolkit App
On your computer Go to wwwBlueChoiceSCcom and log in to your My Health Toolkit account Under the Insurance
Card section on the left select View Your Card
Donrsquot discard your plastic ID card Some doctors may still want a copy of it for their records
Insurance Card Health
Have a dental account
Add your Insurance Card Number to access your account
(View Your Card)
ABC123
HealthWord Spring 2018 | 9
Your Health Plan
Consent for Medical Care at Age 16 Under South Carolina law any minor who has reached 16 years of age can solely
consent to health care decisions except for surgery The consent of a parent
is not necessary This is why a completed Authorization to Disclose Protected
Health Information to a Third Party form is required for a parent to receive health
information about a minor child older than 15 years of age
Go to wwwBlueChoiceSCcomDisclosePHIForm to view a description of this form
and a link to the form itself
While we must protect a minorrsquos protected health information beginning at age
16 he or she cannot legally sign a contract for insurance We must allow parents
to make changes to their dependentsrsquo insurance coverage These coverage
changes do not require authorization from the minor
HIPAA Notice of Privacy Practices This is a reminder that our Notice of Privacy Practices is on our website wwwBlueChoiceSCcom Or you can contact us
and receive one by mail The phone number is on the back of your member ID card
Member Rights and Responsibilities
As a member you have certain rights and responsibilities Therersquos a summary online We update it as needed If you
donrsquot have access to the web and need a copy of your Member Guide Prescription Drug List or Member Rights and
Responsibilities please call the number on the back of your member ID card Our Member Services department is open
Monday ndash Friday 830 am ndash 5 pm
Claims and Beneft Information
Want to know if we paid a claim what your benefts are for a service or what your copayments and other charges were
Find this and more on My Health Toolkit
External Review Procedures
We are committed to quickly resolving your concerns and problems There are state laws such as the Health Carrier
External Review Act and federal laws that allow you to ask for an external review in some cases when we deny payment
for a claim These situations have different rules Please call Member Services to fnd out your options for an external
review
If you qualify for an external review wersquoll tell you in writing Wersquoll also explain what to do For more about appeals see
your Member Guide or visit us online at wwwBlueChoiceSCcom
10 | HealthWord Spring 2018
Your Health Plan
Womenrsquos Health and Cancer Rights
Do you know that your coverage as required by the Womenrsquos Health and Cancer Rights Act of 1998 provides benefts
for mastectomy-related services These services include all stages of reconstruction and surgery This includes prostheses
and complications from a mastectomy including lymphedema Check your certifcate of coverage or contract for more
information on this beneft or call the number on the back of your member ID card Our Member Services department is
open Monday ndash Friday 830 am ndash 5 pm
Member Guide
Your Member Guide is a great place to fnd many important details about your benefts You can fnd your Member Guide
on our website wwwBlueChoiceSCcom The guide will help you understand your benefts and make the most of your
coverage Herersquos some of the information in the guide
bull How to access primary care specialty care behavioral
health services hospital services and much more
bull How to get after-hours care urgent care and
emergency care
bull How to fnd care and coverage when yoursquore outside
the service area
bull How to submit a claim yourself
bull How we coordinate benefts
bull How we administer benefts for appropriate services
including our policy on not providing incentives to
deny coverage of care or services
Prescription Drug Information
bull How we decide what new technology we will include
as a covered beneft
bull How to get information on our quality
improvement program
bull How to voice a complaint or to appeal a decision
bull How our privacy practices work
bull How to get information about network providersrsquo
qualifcations and other provider information
bull How your benefts work
bull Restrictions on benefts you receive outside the system
bull How to get language assistance
Get details about medications price comparisons your prescription history and up-to-date information on our pharmacy
procedures and prescription drug lists Plus if your coverage offers a mail-order pharmacy beneft you can order your
reflls online Just go to the Prescription Drugs section under Benefts in My Health Toolkit
We Leave Medical Decisions to Doctors and Patients
We make decisions about approving services based on whether care is appropriate and agrees with your plan of benefts
We do not reward providers or others for denying coverage or care And we do not offer fnancial incentives to anyone to
encourage decisions that result in underutilization of care
HealthWord Spring 2018 | 11
Post Offce Box 6170 Columbia SC 29260-6170
HealthWord is a publication of BlueChoice HealthPlan BlueChoice HealthPlan is an independent licensee of the Blue Cross and Blue Shield Association
HealthWord is a newsletter for BlueChoice HealthPlan members It provides information only and does not replace the advice of your doctor You always should see your doctor for personal medical advice
Do you have questions about your BlueChoice HealthPlan coverage Try our website at wwwBlueChoiceSCcom Wersquore open 24 hours a day here
To contact us please refer to the number found on the back of your member ID card
SPRING 2018
139256-04-2018
ealthWo d
Non-Discrimination Statement and Foreign Language Access
We do not discriminate on the basis of race color national origin disability age sex gender identity sexual orientation or health status in our health plans when we enroll members or provide benefits
If you or someone youre assisting is disabled and needs interpretation assistance help is available at the contact number posted on our website or listed in the materials included with this notice (TDD 711)
Free language interpretation support is available for those who cannot read or speak English by calling one of the appropriate numbers listed below
If you think we have not provided these services or have discriminated in any way you can file a grievance by emailing contacthcrcompliancecom or by calling our Compliance area at 1-800-832-9686 or the US Department of Health and Human Services Office for Civil Rights at 1-800-368-1019 or 1-800-537-7697 (TDD)
Si usted o alguien a quien usted esta ayudando tiene preguntas acerca de este plan de salud tiene derecho a
obtener ayuda e informaci6n en su idioma sin costo alguno Para hablar con un interprete llame al 1-844-396-0183 (Spanish)
~bullbullmiddot d~e~amM~fla ~~ttbull~tt~~~~~~ bull~bull~~bull~bull~bull~ffl~MM~m ~ o ~ITTil-iftffi~ni~ ilti 1-844-396-01880 (Chinese)
Neu quy vj ho~c la ngliOi ma quy vj dang giup d6 c6 nhUng cau hoi quan tam ve chliOng trinh SUC khoe nay quy
vj se dliQC giup do vampi cac thong tin bang ngon ngU cua quy vj mi~n phf Oe n6i chuy~n vampi mltgtt thong djch vien
xin goi 1-844-389-4838 (Vietnamese)
01 Y ~~OJI tf-o~()j 3-a-~ A~~~~ ~ go1 ~J O Al 121 1-844-396-0187 pound lt21 ~oH -~ Al 2
-1-lo~~l 111-sect _t~filOI ~~Ojpound ~2~c ~ Liq (Korean)
Kung ikaw o ang iyong tinutulungan ay may mga katanungan tungkol sa planong pangkalu sugang ito may
karapatan ka na makakuha ng tu long at impormasyon sa iyong wika nang walang gastos Upang makausap ang
isang tagasalin tumawag sa 1-844-389-4839 (Tagalog)
Ecm1 y Bae 11111 111Ua KOTOpOMY Bbl noMoraeTe 11MelOTCR sonpOCbl no noBOAY Bawero nlaHa MeA11U11HCKOro
06cJ1ygt1lt11BaH11R TO Bbl 11MeeTe npaso Ha 6ecnlaTHOe noly4eH11e nOMOW11 11 l1HqgtOpMau1111 Ha pyCCKOM R3b1Ke llllR
pa3rosopa c nepeBOA411KOM no3soH11Te no TeleqgtoHy l-844-389-4840 (Russian)
wl_hJI_ ~LJI ~ J_JI ~ ~I 4ili oii ~I ib l)-~ ~i o~li ~ -5ll _i 4ll ulS u]
(Arabic) l-844-396-0189 y ~I rYA t i~~ ~I u_J lt)o ~ ~J_~1
13
Rvs13 313201713 13 13 13 13 13 113 13 13 13 13 19199-shy‐3-shy‐201713 13
3[Type13 here]13 [Type13 here]13 [Type13 here]13
Si ou menm oswa yon moun w ap ede gen kesyon konsenan plan sante sa a se dwa w pou resevwa asistans ak enfomasyon nan lang ou pale a san ou pa gen pou peye pou sa Pou pale avek yon entepret rele nan 1-844-3 98-6232 (FrenchHaitian Creole)
Si vous ou quelquun que vous etes en train daider avez des questions apropos de ce plan medical vous avez le droit dobtenir gratuitement de laide et des informations dans votre langue Pour parler a un interprete appelez le 1-844-396-0190 (French)
Jesli Ty lub osoba kt6rej pomagasz macie pytania odnosnie planu ubezpieczenia zdrowotnego masz prawo do uzyskania bezptatnej informacji i pomocy we wtasnym j~zyku Aby porozmawiac z ttumaczem zadzwon pod numer 1-844-396-01 86 (Polish)
Se voce au alguem a quern voce esta ajudando tern perguntas sabre este piano de saude voce tern o direito de obter ajuda e informacao em seu idioma e sem custos Para falar com um interprete ligue para 1-844-3 96-01 82 (Portuguese)
Se tu o qualcuno che stai aiutando avete domande su questo piano sanitario hai ii diritto di ottenere aiuto e informazioni nella tua lingua gratuitamente Per parlare con un interprete puoi chiamare 1-844-396-01 84 (Italian)
~tJt trt~tcJttJsttt~~~n tl-QJJtJ ~0)-otJli~ 1-gtlt =~r~tJ=~ l Lt I) = ~~O) ~ ~fit-ij-~- t-- ~yenl rtt ~J 1jffl ~ A-yen Lt ~J 9 -Q ~ c tJt ~ 9 o yen4~1tiJiJ ~J it lv o im~ ciS~~ti-Q~g- 1-844-396-01 85 tiSi~lt t~l o (Japanese)
Falls Sie oder jemand dem Sie helfen Fragen zu diesem Krankenversicherungsplan haben bzw hat haben Sie das Recht kostenlose Hilfe und lnformationen in lhrer Sprache zu erhalten Um mit einem Dolmetscher zu sprechen rufen Sie bitte die Nummer l-844-396-01 91 an (German)
~ I -4- ltS 4-D Li )--J cgt--- I c5 o J L J ~j I - l+-Ll er c5AS 9 I - ltLS ltS J----9 L ~ J-5 I u ~ I J J yen - I J y u l j - l il I 9 c5AS ltLS L u I l I J cgt--- I jgt 0 L ltLi I
jDLgt LJLc_j l-844-398-6233 L50J~ L LJhJ PJ-L L L) l ~ ~ lt5 1 _)--J bulll+-Ll uJLJl
(Persian-Farsi) LLJ Loi
Nida doodago t aa haida bikaana nilwo igii dii Beeso Ach~~h naa niligi haa ida yi na idil kidgo nihaah66ti nihi kaadoo wolgo kwii haatishU bi na idolkidigi doo bikeazlaag66 Ata halnee la bichC ha desdzih ninizingo koji beesh bee h6lne 1-844-516-6328 (Navajo)
13
Rvs13 313201713 13 13 13 13 13 213 13 13 13 13 19199-shy‐3-shy‐201713 13
3[Type13 here]13 [Type13 here]13 [Type13 here]13
Your Health Plan
Consent for Medical Care at Age 16 Under South Carolina law any minor who has reached 16 years of age can solely
consent to health care decisions except for surgery The consent of a parent
is not necessary This is why a completed Authorization to Disclose Protected
Health Information to a Third Party form is required for a parent to receive health
information about a minor child older than 15 years of age
Go to wwwBlueChoiceSCcomDisclosePHIForm to view a description of this form
and a link to the form itself
While we must protect a minorrsquos protected health information beginning at age
16 he or she cannot legally sign a contract for insurance We must allow parents
to make changes to their dependentsrsquo insurance coverage These coverage
changes do not require authorization from the minor
HIPAA Notice of Privacy Practices This is a reminder that our Notice of Privacy Practices is on our website wwwBlueChoiceSCcom Or you can contact us
and receive one by mail The phone number is on the back of your member ID card
Member Rights and Responsibilities
As a member you have certain rights and responsibilities Therersquos a summary online We update it as needed If you
donrsquot have access to the web and need a copy of your Member Guide Prescription Drug List or Member Rights and
Responsibilities please call the number on the back of your member ID card Our Member Services department is open
Monday ndash Friday 830 am ndash 5 pm
Claims and Beneft Information
Want to know if we paid a claim what your benefts are for a service or what your copayments and other charges were
Find this and more on My Health Toolkit
External Review Procedures
We are committed to quickly resolving your concerns and problems There are state laws such as the Health Carrier
External Review Act and federal laws that allow you to ask for an external review in some cases when we deny payment
for a claim These situations have different rules Please call Member Services to fnd out your options for an external
review
If you qualify for an external review wersquoll tell you in writing Wersquoll also explain what to do For more about appeals see
your Member Guide or visit us online at wwwBlueChoiceSCcom
10 | HealthWord Spring 2018
Your Health Plan
Womenrsquos Health and Cancer Rights
Do you know that your coverage as required by the Womenrsquos Health and Cancer Rights Act of 1998 provides benefts
for mastectomy-related services These services include all stages of reconstruction and surgery This includes prostheses
and complications from a mastectomy including lymphedema Check your certifcate of coverage or contract for more
information on this beneft or call the number on the back of your member ID card Our Member Services department is
open Monday ndash Friday 830 am ndash 5 pm
Member Guide
Your Member Guide is a great place to fnd many important details about your benefts You can fnd your Member Guide
on our website wwwBlueChoiceSCcom The guide will help you understand your benefts and make the most of your
coverage Herersquos some of the information in the guide
bull How to access primary care specialty care behavioral
health services hospital services and much more
bull How to get after-hours care urgent care and
emergency care
bull How to fnd care and coverage when yoursquore outside
the service area
bull How to submit a claim yourself
bull How we coordinate benefts
bull How we administer benefts for appropriate services
including our policy on not providing incentives to
deny coverage of care or services
Prescription Drug Information
bull How we decide what new technology we will include
as a covered beneft
bull How to get information on our quality
improvement program
bull How to voice a complaint or to appeal a decision
bull How our privacy practices work
bull How to get information about network providersrsquo
qualifcations and other provider information
bull How your benefts work
bull Restrictions on benefts you receive outside the system
bull How to get language assistance
Get details about medications price comparisons your prescription history and up-to-date information on our pharmacy
procedures and prescription drug lists Plus if your coverage offers a mail-order pharmacy beneft you can order your
reflls online Just go to the Prescription Drugs section under Benefts in My Health Toolkit
We Leave Medical Decisions to Doctors and Patients
We make decisions about approving services based on whether care is appropriate and agrees with your plan of benefts
We do not reward providers or others for denying coverage or care And we do not offer fnancial incentives to anyone to
encourage decisions that result in underutilization of care
HealthWord Spring 2018 | 11
Post Offce Box 6170 Columbia SC 29260-6170
HealthWord is a publication of BlueChoice HealthPlan BlueChoice HealthPlan is an independent licensee of the Blue Cross and Blue Shield Association
HealthWord is a newsletter for BlueChoice HealthPlan members It provides information only and does not replace the advice of your doctor You always should see your doctor for personal medical advice
Do you have questions about your BlueChoice HealthPlan coverage Try our website at wwwBlueChoiceSCcom Wersquore open 24 hours a day here
To contact us please refer to the number found on the back of your member ID card
SPRING 2018
139256-04-2018
ealthWo d
Non-Discrimination Statement and Foreign Language Access
We do not discriminate on the basis of race color national origin disability age sex gender identity sexual orientation or health status in our health plans when we enroll members or provide benefits
If you or someone youre assisting is disabled and needs interpretation assistance help is available at the contact number posted on our website or listed in the materials included with this notice (TDD 711)
Free language interpretation support is available for those who cannot read or speak English by calling one of the appropriate numbers listed below
If you think we have not provided these services or have discriminated in any way you can file a grievance by emailing contacthcrcompliancecom or by calling our Compliance area at 1-800-832-9686 or the US Department of Health and Human Services Office for Civil Rights at 1-800-368-1019 or 1-800-537-7697 (TDD)
Si usted o alguien a quien usted esta ayudando tiene preguntas acerca de este plan de salud tiene derecho a
obtener ayuda e informaci6n en su idioma sin costo alguno Para hablar con un interprete llame al 1-844-396-0183 (Spanish)
~bullbullmiddot d~e~amM~fla ~~ttbull~tt~~~~~~ bull~bull~~bull~bull~bull~ffl~MM~m ~ o ~ITTil-iftffi~ni~ ilti 1-844-396-01880 (Chinese)
Neu quy vj ho~c la ngliOi ma quy vj dang giup d6 c6 nhUng cau hoi quan tam ve chliOng trinh SUC khoe nay quy
vj se dliQC giup do vampi cac thong tin bang ngon ngU cua quy vj mi~n phf Oe n6i chuy~n vampi mltgtt thong djch vien
xin goi 1-844-389-4838 (Vietnamese)
01 Y ~~OJI tf-o~()j 3-a-~ A~~~~ ~ go1 ~J O Al 121 1-844-396-0187 pound lt21 ~oH -~ Al 2
-1-lo~~l 111-sect _t~filOI ~~Ojpound ~2~c ~ Liq (Korean)
Kung ikaw o ang iyong tinutulungan ay may mga katanungan tungkol sa planong pangkalu sugang ito may
karapatan ka na makakuha ng tu long at impormasyon sa iyong wika nang walang gastos Upang makausap ang
isang tagasalin tumawag sa 1-844-389-4839 (Tagalog)
Ecm1 y Bae 11111 111Ua KOTOpOMY Bbl noMoraeTe 11MelOTCR sonpOCbl no noBOAY Bawero nlaHa MeA11U11HCKOro
06cJ1ygt1lt11BaH11R TO Bbl 11MeeTe npaso Ha 6ecnlaTHOe noly4eH11e nOMOW11 11 l1HqgtOpMau1111 Ha pyCCKOM R3b1Ke llllR
pa3rosopa c nepeBOA411KOM no3soH11Te no TeleqgtoHy l-844-389-4840 (Russian)
wl_hJI_ ~LJI ~ J_JI ~ ~I 4ili oii ~I ib l)-~ ~i o~li ~ -5ll _i 4ll ulS u]
(Arabic) l-844-396-0189 y ~I rYA t i~~ ~I u_J lt)o ~ ~J_~1
13
Rvs13 313201713 13 13 13 13 13 113 13 13 13 13 19199-shy‐3-shy‐201713 13
3[Type13 here]13 [Type13 here]13 [Type13 here]13
Si ou menm oswa yon moun w ap ede gen kesyon konsenan plan sante sa a se dwa w pou resevwa asistans ak enfomasyon nan lang ou pale a san ou pa gen pou peye pou sa Pou pale avek yon entepret rele nan 1-844-3 98-6232 (FrenchHaitian Creole)
Si vous ou quelquun que vous etes en train daider avez des questions apropos de ce plan medical vous avez le droit dobtenir gratuitement de laide et des informations dans votre langue Pour parler a un interprete appelez le 1-844-396-0190 (French)
Jesli Ty lub osoba kt6rej pomagasz macie pytania odnosnie planu ubezpieczenia zdrowotnego masz prawo do uzyskania bezptatnej informacji i pomocy we wtasnym j~zyku Aby porozmawiac z ttumaczem zadzwon pod numer 1-844-396-01 86 (Polish)
Se voce au alguem a quern voce esta ajudando tern perguntas sabre este piano de saude voce tern o direito de obter ajuda e informacao em seu idioma e sem custos Para falar com um interprete ligue para 1-844-3 96-01 82 (Portuguese)
Se tu o qualcuno che stai aiutando avete domande su questo piano sanitario hai ii diritto di ottenere aiuto e informazioni nella tua lingua gratuitamente Per parlare con un interprete puoi chiamare 1-844-396-01 84 (Italian)
~tJt trt~tcJttJsttt~~~n tl-QJJtJ ~0)-otJli~ 1-gtlt =~r~tJ=~ l Lt I) = ~~O) ~ ~fit-ij-~- t-- ~yenl rtt ~J 1jffl ~ A-yen Lt ~J 9 -Q ~ c tJt ~ 9 o yen4~1tiJiJ ~J it lv o im~ ciS~~ti-Q~g- 1-844-396-01 85 tiSi~lt t~l o (Japanese)
Falls Sie oder jemand dem Sie helfen Fragen zu diesem Krankenversicherungsplan haben bzw hat haben Sie das Recht kostenlose Hilfe und lnformationen in lhrer Sprache zu erhalten Um mit einem Dolmetscher zu sprechen rufen Sie bitte die Nummer l-844-396-01 91 an (German)
~ I -4- ltS 4-D Li )--J cgt--- I c5 o J L J ~j I - l+-Ll er c5AS 9 I - ltLS ltS J----9 L ~ J-5 I u ~ I J J yen - I J y u l j - l il I 9 c5AS ltLS L u I l I J cgt--- I jgt 0 L ltLi I
jDLgt LJLc_j l-844-398-6233 L50J~ L LJhJ PJ-L L L) l ~ ~ lt5 1 _)--J bulll+-Ll uJLJl
(Persian-Farsi) LLJ Loi
Nida doodago t aa haida bikaana nilwo igii dii Beeso Ach~~h naa niligi haa ida yi na idil kidgo nihaah66ti nihi kaadoo wolgo kwii haatishU bi na idolkidigi doo bikeazlaag66 Ata halnee la bichC ha desdzih ninizingo koji beesh bee h6lne 1-844-516-6328 (Navajo)
13
Rvs13 313201713 13 13 13 13 13 213 13 13 13 13 19199-shy‐3-shy‐201713 13
3[Type13 here]13 [Type13 here]13 [Type13 here]13
Your Health Plan
Womenrsquos Health and Cancer Rights
Do you know that your coverage as required by the Womenrsquos Health and Cancer Rights Act of 1998 provides benefts
for mastectomy-related services These services include all stages of reconstruction and surgery This includes prostheses
and complications from a mastectomy including lymphedema Check your certifcate of coverage or contract for more
information on this beneft or call the number on the back of your member ID card Our Member Services department is
open Monday ndash Friday 830 am ndash 5 pm
Member Guide
Your Member Guide is a great place to fnd many important details about your benefts You can fnd your Member Guide
on our website wwwBlueChoiceSCcom The guide will help you understand your benefts and make the most of your
coverage Herersquos some of the information in the guide
bull How to access primary care specialty care behavioral
health services hospital services and much more
bull How to get after-hours care urgent care and
emergency care
bull How to fnd care and coverage when yoursquore outside
the service area
bull How to submit a claim yourself
bull How we coordinate benefts
bull How we administer benefts for appropriate services
including our policy on not providing incentives to
deny coverage of care or services
Prescription Drug Information
bull How we decide what new technology we will include
as a covered beneft
bull How to get information on our quality
improvement program
bull How to voice a complaint or to appeal a decision
bull How our privacy practices work
bull How to get information about network providersrsquo
qualifcations and other provider information
bull How your benefts work
bull Restrictions on benefts you receive outside the system
bull How to get language assistance
Get details about medications price comparisons your prescription history and up-to-date information on our pharmacy
procedures and prescription drug lists Plus if your coverage offers a mail-order pharmacy beneft you can order your
reflls online Just go to the Prescription Drugs section under Benefts in My Health Toolkit
We Leave Medical Decisions to Doctors and Patients
We make decisions about approving services based on whether care is appropriate and agrees with your plan of benefts
We do not reward providers or others for denying coverage or care And we do not offer fnancial incentives to anyone to
encourage decisions that result in underutilization of care
HealthWord Spring 2018 | 11
Post Offce Box 6170 Columbia SC 29260-6170
HealthWord is a publication of BlueChoice HealthPlan BlueChoice HealthPlan is an independent licensee of the Blue Cross and Blue Shield Association
HealthWord is a newsletter for BlueChoice HealthPlan members It provides information only and does not replace the advice of your doctor You always should see your doctor for personal medical advice
Do you have questions about your BlueChoice HealthPlan coverage Try our website at wwwBlueChoiceSCcom Wersquore open 24 hours a day here
To contact us please refer to the number found on the back of your member ID card
SPRING 2018
139256-04-2018
ealthWo d
Non-Discrimination Statement and Foreign Language Access
We do not discriminate on the basis of race color national origin disability age sex gender identity sexual orientation or health status in our health plans when we enroll members or provide benefits
If you or someone youre assisting is disabled and needs interpretation assistance help is available at the contact number posted on our website or listed in the materials included with this notice (TDD 711)
Free language interpretation support is available for those who cannot read or speak English by calling one of the appropriate numbers listed below
If you think we have not provided these services or have discriminated in any way you can file a grievance by emailing contacthcrcompliancecom or by calling our Compliance area at 1-800-832-9686 or the US Department of Health and Human Services Office for Civil Rights at 1-800-368-1019 or 1-800-537-7697 (TDD)
Si usted o alguien a quien usted esta ayudando tiene preguntas acerca de este plan de salud tiene derecho a
obtener ayuda e informaci6n en su idioma sin costo alguno Para hablar con un interprete llame al 1-844-396-0183 (Spanish)
~bullbullmiddot d~e~amM~fla ~~ttbull~tt~~~~~~ bull~bull~~bull~bull~bull~ffl~MM~m ~ o ~ITTil-iftffi~ni~ ilti 1-844-396-01880 (Chinese)
Neu quy vj ho~c la ngliOi ma quy vj dang giup d6 c6 nhUng cau hoi quan tam ve chliOng trinh SUC khoe nay quy
vj se dliQC giup do vampi cac thong tin bang ngon ngU cua quy vj mi~n phf Oe n6i chuy~n vampi mltgtt thong djch vien
xin goi 1-844-389-4838 (Vietnamese)
01 Y ~~OJI tf-o~()j 3-a-~ A~~~~ ~ go1 ~J O Al 121 1-844-396-0187 pound lt21 ~oH -~ Al 2
-1-lo~~l 111-sect _t~filOI ~~Ojpound ~2~c ~ Liq (Korean)
Kung ikaw o ang iyong tinutulungan ay may mga katanungan tungkol sa planong pangkalu sugang ito may
karapatan ka na makakuha ng tu long at impormasyon sa iyong wika nang walang gastos Upang makausap ang
isang tagasalin tumawag sa 1-844-389-4839 (Tagalog)
Ecm1 y Bae 11111 111Ua KOTOpOMY Bbl noMoraeTe 11MelOTCR sonpOCbl no noBOAY Bawero nlaHa MeA11U11HCKOro
06cJ1ygt1lt11BaH11R TO Bbl 11MeeTe npaso Ha 6ecnlaTHOe noly4eH11e nOMOW11 11 l1HqgtOpMau1111 Ha pyCCKOM R3b1Ke llllR
pa3rosopa c nepeBOA411KOM no3soH11Te no TeleqgtoHy l-844-389-4840 (Russian)
wl_hJI_ ~LJI ~ J_JI ~ ~I 4ili oii ~I ib l)-~ ~i o~li ~ -5ll _i 4ll ulS u]
(Arabic) l-844-396-0189 y ~I rYA t i~~ ~I u_J lt)o ~ ~J_~1
13
Rvs13 313201713 13 13 13 13 13 113 13 13 13 13 19199-shy‐3-shy‐201713 13
3[Type13 here]13 [Type13 here]13 [Type13 here]13
Si ou menm oswa yon moun w ap ede gen kesyon konsenan plan sante sa a se dwa w pou resevwa asistans ak enfomasyon nan lang ou pale a san ou pa gen pou peye pou sa Pou pale avek yon entepret rele nan 1-844-3 98-6232 (FrenchHaitian Creole)
Si vous ou quelquun que vous etes en train daider avez des questions apropos de ce plan medical vous avez le droit dobtenir gratuitement de laide et des informations dans votre langue Pour parler a un interprete appelez le 1-844-396-0190 (French)
Jesli Ty lub osoba kt6rej pomagasz macie pytania odnosnie planu ubezpieczenia zdrowotnego masz prawo do uzyskania bezptatnej informacji i pomocy we wtasnym j~zyku Aby porozmawiac z ttumaczem zadzwon pod numer 1-844-396-01 86 (Polish)
Se voce au alguem a quern voce esta ajudando tern perguntas sabre este piano de saude voce tern o direito de obter ajuda e informacao em seu idioma e sem custos Para falar com um interprete ligue para 1-844-3 96-01 82 (Portuguese)
Se tu o qualcuno che stai aiutando avete domande su questo piano sanitario hai ii diritto di ottenere aiuto e informazioni nella tua lingua gratuitamente Per parlare con un interprete puoi chiamare 1-844-396-01 84 (Italian)
~tJt trt~tcJttJsttt~~~n tl-QJJtJ ~0)-otJli~ 1-gtlt =~r~tJ=~ l Lt I) = ~~O) ~ ~fit-ij-~- t-- ~yenl rtt ~J 1jffl ~ A-yen Lt ~J 9 -Q ~ c tJt ~ 9 o yen4~1tiJiJ ~J it lv o im~ ciS~~ti-Q~g- 1-844-396-01 85 tiSi~lt t~l o (Japanese)
Falls Sie oder jemand dem Sie helfen Fragen zu diesem Krankenversicherungsplan haben bzw hat haben Sie das Recht kostenlose Hilfe und lnformationen in lhrer Sprache zu erhalten Um mit einem Dolmetscher zu sprechen rufen Sie bitte die Nummer l-844-396-01 91 an (German)
~ I -4- ltS 4-D Li )--J cgt--- I c5 o J L J ~j I - l+-Ll er c5AS 9 I - ltLS ltS J----9 L ~ J-5 I u ~ I J J yen - I J y u l j - l il I 9 c5AS ltLS L u I l I J cgt--- I jgt 0 L ltLi I
jDLgt LJLc_j l-844-398-6233 L50J~ L LJhJ PJ-L L L) l ~ ~ lt5 1 _)--J bulll+-Ll uJLJl
(Persian-Farsi) LLJ Loi
Nida doodago t aa haida bikaana nilwo igii dii Beeso Ach~~h naa niligi haa ida yi na idil kidgo nihaah66ti nihi kaadoo wolgo kwii haatishU bi na idolkidigi doo bikeazlaag66 Ata halnee la bichC ha desdzih ninizingo koji beesh bee h6lne 1-844-516-6328 (Navajo)
13
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3[Type13 here]13 [Type13 here]13 [Type13 here]13
Post Offce Box 6170 Columbia SC 29260-6170
HealthWord is a publication of BlueChoice HealthPlan BlueChoice HealthPlan is an independent licensee of the Blue Cross and Blue Shield Association
HealthWord is a newsletter for BlueChoice HealthPlan members It provides information only and does not replace the advice of your doctor You always should see your doctor for personal medical advice
Do you have questions about your BlueChoice HealthPlan coverage Try our website at wwwBlueChoiceSCcom Wersquore open 24 hours a day here
To contact us please refer to the number found on the back of your member ID card
SPRING 2018
139256-04-2018
ealthWo d
Non-Discrimination Statement and Foreign Language Access
We do not discriminate on the basis of race color national origin disability age sex gender identity sexual orientation or health status in our health plans when we enroll members or provide benefits
If you or someone youre assisting is disabled and needs interpretation assistance help is available at the contact number posted on our website or listed in the materials included with this notice (TDD 711)
Free language interpretation support is available for those who cannot read or speak English by calling one of the appropriate numbers listed below
If you think we have not provided these services or have discriminated in any way you can file a grievance by emailing contacthcrcompliancecom or by calling our Compliance area at 1-800-832-9686 or the US Department of Health and Human Services Office for Civil Rights at 1-800-368-1019 or 1-800-537-7697 (TDD)
Si usted o alguien a quien usted esta ayudando tiene preguntas acerca de este plan de salud tiene derecho a
obtener ayuda e informaci6n en su idioma sin costo alguno Para hablar con un interprete llame al 1-844-396-0183 (Spanish)
~bullbullmiddot d~e~amM~fla ~~ttbull~tt~~~~~~ bull~bull~~bull~bull~bull~ffl~MM~m ~ o ~ITTil-iftffi~ni~ ilti 1-844-396-01880 (Chinese)
Neu quy vj ho~c la ngliOi ma quy vj dang giup d6 c6 nhUng cau hoi quan tam ve chliOng trinh SUC khoe nay quy
vj se dliQC giup do vampi cac thong tin bang ngon ngU cua quy vj mi~n phf Oe n6i chuy~n vampi mltgtt thong djch vien
xin goi 1-844-389-4838 (Vietnamese)
01 Y ~~OJI tf-o~()j 3-a-~ A~~~~ ~ go1 ~J O Al 121 1-844-396-0187 pound lt21 ~oH -~ Al 2
-1-lo~~l 111-sect _t~filOI ~~Ojpound ~2~c ~ Liq (Korean)
Kung ikaw o ang iyong tinutulungan ay may mga katanungan tungkol sa planong pangkalu sugang ito may
karapatan ka na makakuha ng tu long at impormasyon sa iyong wika nang walang gastos Upang makausap ang
isang tagasalin tumawag sa 1-844-389-4839 (Tagalog)
Ecm1 y Bae 11111 111Ua KOTOpOMY Bbl noMoraeTe 11MelOTCR sonpOCbl no noBOAY Bawero nlaHa MeA11U11HCKOro
06cJ1ygt1lt11BaH11R TO Bbl 11MeeTe npaso Ha 6ecnlaTHOe noly4eH11e nOMOW11 11 l1HqgtOpMau1111 Ha pyCCKOM R3b1Ke llllR
pa3rosopa c nepeBOA411KOM no3soH11Te no TeleqgtoHy l-844-389-4840 (Russian)
wl_hJI_ ~LJI ~ J_JI ~ ~I 4ili oii ~I ib l)-~ ~i o~li ~ -5ll _i 4ll ulS u]
(Arabic) l-844-396-0189 y ~I rYA t i~~ ~I u_J lt)o ~ ~J_~1
13
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3[Type13 here]13 [Type13 here]13 [Type13 here]13
Si ou menm oswa yon moun w ap ede gen kesyon konsenan plan sante sa a se dwa w pou resevwa asistans ak enfomasyon nan lang ou pale a san ou pa gen pou peye pou sa Pou pale avek yon entepret rele nan 1-844-3 98-6232 (FrenchHaitian Creole)
Si vous ou quelquun que vous etes en train daider avez des questions apropos de ce plan medical vous avez le droit dobtenir gratuitement de laide et des informations dans votre langue Pour parler a un interprete appelez le 1-844-396-0190 (French)
Jesli Ty lub osoba kt6rej pomagasz macie pytania odnosnie planu ubezpieczenia zdrowotnego masz prawo do uzyskania bezptatnej informacji i pomocy we wtasnym j~zyku Aby porozmawiac z ttumaczem zadzwon pod numer 1-844-396-01 86 (Polish)
Se voce au alguem a quern voce esta ajudando tern perguntas sabre este piano de saude voce tern o direito de obter ajuda e informacao em seu idioma e sem custos Para falar com um interprete ligue para 1-844-3 96-01 82 (Portuguese)
Se tu o qualcuno che stai aiutando avete domande su questo piano sanitario hai ii diritto di ottenere aiuto e informazioni nella tua lingua gratuitamente Per parlare con un interprete puoi chiamare 1-844-396-01 84 (Italian)
~tJt trt~tcJttJsttt~~~n tl-QJJtJ ~0)-otJli~ 1-gtlt =~r~tJ=~ l Lt I) = ~~O) ~ ~fit-ij-~- t-- ~yenl rtt ~J 1jffl ~ A-yen Lt ~J 9 -Q ~ c tJt ~ 9 o yen4~1tiJiJ ~J it lv o im~ ciS~~ti-Q~g- 1-844-396-01 85 tiSi~lt t~l o (Japanese)
Falls Sie oder jemand dem Sie helfen Fragen zu diesem Krankenversicherungsplan haben bzw hat haben Sie das Recht kostenlose Hilfe und lnformationen in lhrer Sprache zu erhalten Um mit einem Dolmetscher zu sprechen rufen Sie bitte die Nummer l-844-396-01 91 an (German)
~ I -4- ltS 4-D Li )--J cgt--- I c5 o J L J ~j I - l+-Ll er c5AS 9 I - ltLS ltS J----9 L ~ J-5 I u ~ I J J yen - I J y u l j - l il I 9 c5AS ltLS L u I l I J cgt--- I jgt 0 L ltLi I
jDLgt LJLc_j l-844-398-6233 L50J~ L LJhJ PJ-L L L) l ~ ~ lt5 1 _)--J bulll+-Ll uJLJl
(Persian-Farsi) LLJ Loi
Nida doodago t aa haida bikaana nilwo igii dii Beeso Ach~~h naa niligi haa ida yi na idil kidgo nihaah66ti nihi kaadoo wolgo kwii haatishU bi na idolkidigi doo bikeazlaag66 Ata halnee la bichC ha desdzih ninizingo koji beesh bee h6lne 1-844-516-6328 (Navajo)
13
Rvs13 313201713 13 13 13 13 13 213 13 13 13 13 19199-shy‐3-shy‐201713 13
3[Type13 here]13 [Type13 here]13 [Type13 here]13
Non-Discrimination Statement and Foreign Language Access
We do not discriminate on the basis of race color national origin disability age sex gender identity sexual orientation or health status in our health plans when we enroll members or provide benefits
If you or someone youre assisting is disabled and needs interpretation assistance help is available at the contact number posted on our website or listed in the materials included with this notice (TDD 711)
Free language interpretation support is available for those who cannot read or speak English by calling one of the appropriate numbers listed below
If you think we have not provided these services or have discriminated in any way you can file a grievance by emailing contacthcrcompliancecom or by calling our Compliance area at 1-800-832-9686 or the US Department of Health and Human Services Office for Civil Rights at 1-800-368-1019 or 1-800-537-7697 (TDD)
Si usted o alguien a quien usted esta ayudando tiene preguntas acerca de este plan de salud tiene derecho a
obtener ayuda e informaci6n en su idioma sin costo alguno Para hablar con un interprete llame al 1-844-396-0183 (Spanish)
~bullbullmiddot d~e~amM~fla ~~ttbull~tt~~~~~~ bull~bull~~bull~bull~bull~ffl~MM~m ~ o ~ITTil-iftffi~ni~ ilti 1-844-396-01880 (Chinese)
Neu quy vj ho~c la ngliOi ma quy vj dang giup d6 c6 nhUng cau hoi quan tam ve chliOng trinh SUC khoe nay quy
vj se dliQC giup do vampi cac thong tin bang ngon ngU cua quy vj mi~n phf Oe n6i chuy~n vampi mltgtt thong djch vien
xin goi 1-844-389-4838 (Vietnamese)
01 Y ~~OJI tf-o~()j 3-a-~ A~~~~ ~ go1 ~J O Al 121 1-844-396-0187 pound lt21 ~oH -~ Al 2
-1-lo~~l 111-sect _t~filOI ~~Ojpound ~2~c ~ Liq (Korean)
Kung ikaw o ang iyong tinutulungan ay may mga katanungan tungkol sa planong pangkalu sugang ito may
karapatan ka na makakuha ng tu long at impormasyon sa iyong wika nang walang gastos Upang makausap ang
isang tagasalin tumawag sa 1-844-389-4839 (Tagalog)
Ecm1 y Bae 11111 111Ua KOTOpOMY Bbl noMoraeTe 11MelOTCR sonpOCbl no noBOAY Bawero nlaHa MeA11U11HCKOro
06cJ1ygt1lt11BaH11R TO Bbl 11MeeTe npaso Ha 6ecnlaTHOe noly4eH11e nOMOW11 11 l1HqgtOpMau1111 Ha pyCCKOM R3b1Ke llllR
pa3rosopa c nepeBOA411KOM no3soH11Te no TeleqgtoHy l-844-389-4840 (Russian)
wl_hJI_ ~LJI ~ J_JI ~ ~I 4ili oii ~I ib l)-~ ~i o~li ~ -5ll _i 4ll ulS u]
(Arabic) l-844-396-0189 y ~I rYA t i~~ ~I u_J lt)o ~ ~J_~1
13
Rvs13 313201713 13 13 13 13 13 113 13 13 13 13 19199-shy‐3-shy‐201713 13
3[Type13 here]13 [Type13 here]13 [Type13 here]13
Si ou menm oswa yon moun w ap ede gen kesyon konsenan plan sante sa a se dwa w pou resevwa asistans ak enfomasyon nan lang ou pale a san ou pa gen pou peye pou sa Pou pale avek yon entepret rele nan 1-844-3 98-6232 (FrenchHaitian Creole)
Si vous ou quelquun que vous etes en train daider avez des questions apropos de ce plan medical vous avez le droit dobtenir gratuitement de laide et des informations dans votre langue Pour parler a un interprete appelez le 1-844-396-0190 (French)
Jesli Ty lub osoba kt6rej pomagasz macie pytania odnosnie planu ubezpieczenia zdrowotnego masz prawo do uzyskania bezptatnej informacji i pomocy we wtasnym j~zyku Aby porozmawiac z ttumaczem zadzwon pod numer 1-844-396-01 86 (Polish)
Se voce au alguem a quern voce esta ajudando tern perguntas sabre este piano de saude voce tern o direito de obter ajuda e informacao em seu idioma e sem custos Para falar com um interprete ligue para 1-844-3 96-01 82 (Portuguese)
Se tu o qualcuno che stai aiutando avete domande su questo piano sanitario hai ii diritto di ottenere aiuto e informazioni nella tua lingua gratuitamente Per parlare con un interprete puoi chiamare 1-844-396-01 84 (Italian)
~tJt trt~tcJttJsttt~~~n tl-QJJtJ ~0)-otJli~ 1-gtlt =~r~tJ=~ l Lt I) = ~~O) ~ ~fit-ij-~- t-- ~yenl rtt ~J 1jffl ~ A-yen Lt ~J 9 -Q ~ c tJt ~ 9 o yen4~1tiJiJ ~J it lv o im~ ciS~~ti-Q~g- 1-844-396-01 85 tiSi~lt t~l o (Japanese)
Falls Sie oder jemand dem Sie helfen Fragen zu diesem Krankenversicherungsplan haben bzw hat haben Sie das Recht kostenlose Hilfe und lnformationen in lhrer Sprache zu erhalten Um mit einem Dolmetscher zu sprechen rufen Sie bitte die Nummer l-844-396-01 91 an (German)
~ I -4- ltS 4-D Li )--J cgt--- I c5 o J L J ~j I - l+-Ll er c5AS 9 I - ltLS ltS J----9 L ~ J-5 I u ~ I J J yen - I J y u l j - l il I 9 c5AS ltLS L u I l I J cgt--- I jgt 0 L ltLi I
jDLgt LJLc_j l-844-398-6233 L50J~ L LJhJ PJ-L L L) l ~ ~ lt5 1 _)--J bulll+-Ll uJLJl
(Persian-Farsi) LLJ Loi
Nida doodago t aa haida bikaana nilwo igii dii Beeso Ach~~h naa niligi haa ida yi na idil kidgo nihaah66ti nihi kaadoo wolgo kwii haatishU bi na idolkidigi doo bikeazlaag66 Ata halnee la bichC ha desdzih ninizingo koji beesh bee h6lne 1-844-516-6328 (Navajo)
13
Rvs13 313201713 13 13 13 13 13 213 13 13 13 13 19199-shy‐3-shy‐201713 13
3[Type13 here]13 [Type13 here]13 [Type13 here]13
Si ou menm oswa yon moun w ap ede gen kesyon konsenan plan sante sa a se dwa w pou resevwa asistans ak enfomasyon nan lang ou pale a san ou pa gen pou peye pou sa Pou pale avek yon entepret rele nan 1-844-3 98-6232 (FrenchHaitian Creole)
Si vous ou quelquun que vous etes en train daider avez des questions apropos de ce plan medical vous avez le droit dobtenir gratuitement de laide et des informations dans votre langue Pour parler a un interprete appelez le 1-844-396-0190 (French)
Jesli Ty lub osoba kt6rej pomagasz macie pytania odnosnie planu ubezpieczenia zdrowotnego masz prawo do uzyskania bezptatnej informacji i pomocy we wtasnym j~zyku Aby porozmawiac z ttumaczem zadzwon pod numer 1-844-396-01 86 (Polish)
Se voce au alguem a quern voce esta ajudando tern perguntas sabre este piano de saude voce tern o direito de obter ajuda e informacao em seu idioma e sem custos Para falar com um interprete ligue para 1-844-3 96-01 82 (Portuguese)
Se tu o qualcuno che stai aiutando avete domande su questo piano sanitario hai ii diritto di ottenere aiuto e informazioni nella tua lingua gratuitamente Per parlare con un interprete puoi chiamare 1-844-396-01 84 (Italian)
~tJt trt~tcJttJsttt~~~n tl-QJJtJ ~0)-otJli~ 1-gtlt =~r~tJ=~ l Lt I) = ~~O) ~ ~fit-ij-~- t-- ~yenl rtt ~J 1jffl ~ A-yen Lt ~J 9 -Q ~ c tJt ~ 9 o yen4~1tiJiJ ~J it lv o im~ ciS~~ti-Q~g- 1-844-396-01 85 tiSi~lt t~l o (Japanese)
Falls Sie oder jemand dem Sie helfen Fragen zu diesem Krankenversicherungsplan haben bzw hat haben Sie das Recht kostenlose Hilfe und lnformationen in lhrer Sprache zu erhalten Um mit einem Dolmetscher zu sprechen rufen Sie bitte die Nummer l-844-396-01 91 an (German)
~ I -4- ltS 4-D Li )--J cgt--- I c5 o J L J ~j I - l+-Ll er c5AS 9 I - ltLS ltS J----9 L ~ J-5 I u ~ I J J yen - I J y u l j - l il I 9 c5AS ltLS L u I l I J cgt--- I jgt 0 L ltLi I
jDLgt LJLc_j l-844-398-6233 L50J~ L LJhJ PJ-L L L) l ~ ~ lt5 1 _)--J bulll+-Ll uJLJl
(Persian-Farsi) LLJ Loi
Nida doodago t aa haida bikaana nilwo igii dii Beeso Ach~~h naa niligi haa ida yi na idil kidgo nihaah66ti nihi kaadoo wolgo kwii haatishU bi na idolkidigi doo bikeazlaag66 Ata halnee la bichC ha desdzih ninizingo koji beesh bee h6lne 1-844-516-6328 (Navajo)
13
Rvs13 313201713 13 13 13 13 13 213 13 13 13 13 19199-shy‐3-shy‐201713 13
3[Type13 here]13 [Type13 here]13 [Type13 here]13