Welcome Kit - Blue Cross Blue Shield of Illinois Welcome to Blue Cross and Blue Shield of Illinois For more than 75 years, Blue Cross and Blue Shield of Illinois (BCBSIL) has provided

Welcome Kit The Boeing Company 2015

www.bcbsil.com/boeing

What’s Inside

Welcome to Blue Cross and Blue Shield of Illinois ............................. 1 BCBSIL FAQs ......................................................................................... 4

Using Your Online Resources ................................................................. 6

Traveling Using BlueCard Worldwide® .................................................. 8

Blue Distinction® Specialty Care Program .............................................. 9

Filing a Claim ....................................................................................... 10

Understanding Your Explanation of Benefits Statement ......................... 12

Fighting Fraud ...................................................................................... 14

Getting Fit ............................................................................................ 17

24/7 Nurseline – Around-the-Clock, Toll-Free Support. ......................... 18

Other Boeing Benefits ...................................................................... 19 Express Scripts®* Prescription Benefit Services ...................................... 20

ValueOptions®* Mental Health and Substance Abuse Treatment ........... 22

VSP®* Vision Care ................................................................................. 24

Contact Information At a Glance ..................................................... 25

* Express Scripts, ValueOptions and VSP are separate and independent companies that do not provide Blue Cross and Blue Shield of Illinois products or services. These vendors are solely responsible for the products and services they offer.

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Welcome to Blue Cross and Blue Shield of IllinoisFor more than 75 years, Blue Cross and Blue Shield of Illinois (BCBSIL) has provided reliable health care benefits and services to its members and communities. BCBSIL provides members with programs and support to help manage their health care benefits, costs and well-being.

This welcome kit is for Boeing Medicare Retiree members enrolled in a plan administered by BCBSIL:

• Traditional and Basic Indemnity plans

• Catastrophic plan

• 90/10 Indemnity plan

• 80/60/80 Indemnity plan

• 80/20 HSM plan

• 80/20 Indemnity plan

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BCBSIL knows that the choices you make each day affect your health now and in the future. We offer access to convenient online tools and resources to help you plan and manage your health care as well as access to a wide variety of educational resources. You can also call a Health Advocate at 888-802-8776 if you have questions. Whether you are trying to improve your health or reach the next level of wellness, BCBSIL is here to help.

Watch for your ID cards

Your ID cards will be arriving by mail

under separate cover. If you need a

temporary or additional ID card or

need to request a replacement card,

go online to www.bcbsil.com/boeing

or call Boeing Member Services at

888-802-8776. Remember to show

your new ID card to each provider

you see so they can update your

records and ensure that your claims

are paid in a timely manner.

We Are Here to Help

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888-802-8776 3

How to use this guidePlease take a few minutes to review this guide, which is intended to help you make the best use of your benefits. It includes information that will help you make the most of your health care coverage through BCBSIL, including how to find a physician, facility or urgent care center, submit a claim and understand your explanation of benefits statements.

For most plans, Boeing contracts with different service representatives for pharmacy, behavioral health and vision care*. An overview of benefits is provided for those enrolled in those services.

For details on your medical coverage, including deductibles, copayments, coinsurance and covered services, call 888-802-8776 or visit our website at www.bcbsil.com/boeing, which is your complete resource for benefits information and wellness tools.

Please note: This booklet is meant to be a summary of administrative services only. Benefits and coverage levels vary by plan option and are explained in more detail in the applicable summary plan description, insurance contracts and other formal plan documents. In the event of a conflict between this booklet and the formal plan documents, the plan documents will govern.

If you have questionsCall Boeing Member Services at 888-802-8776 with questions about your medical benefits through BCBSIL. Hours are 5 a.m. to 5 p.m. Pacific time (8 a.m. to 8 p.m. Eastern time and 7 a.m. to 7 p.m. Central time), Monday through Friday.

You can also register for Blue Access for MembersSM, a secure member portal, at www.bcbsil.com/boeing, where you can search for answers to your questions or send a secure email directly to Member Services.

*Not all plans include vision care.


BCBSIL FAQsAnswers to frequently asked questions about BCBSILThe following are answers to frequently asked questions about BCBSIL. If you need additional assistance, please call Boeing Member Services at 888-802-8776. Health Advocates are available Monday through Friday from 5 a.m. to 5 p.m. Pacific time (8 a.m. to 8 p.m. Eastern Time and 7 a.m. to 7 p.m. Central Time).

About BCBSILWhat is BCBSIL?Blue Cross and Blue Shield of Illinois provides health care coverage to more than 7.3 million members. BCBSIL is a Division of Health Care Service Corporation (HCSC), the largest customer-owned health insurer in the United States and the fourth largest health insurer overall. HCSC is headquartered in Chicago, Ill., and has a full service unit in Jacksonville, Ill., that handles member service and claims processing for Boeing members.

Doctors and other providersHow do I find a physician or hospital?Keep in mind that Medicare is primary and your Boeing plan provides secondary coverage to Medicare. Your plan does not include a network requirement, but you may wish to confirm with your provider that he or she accepts Medicare reimbursement.

The BCBSIL website includes a Provider Finder® tool to help you locate physicians and facilities that meet criteria you set. You can

view the most current list of providers online by visiting www.bcbsil.com/boeing. Select Provider Finder under the Doctors & Hospitals tab or at the bottom right-hand side of the home page.

What type of information will Provider Finder give me?Available information includes:

• Physician or facility name, address and telephone number

• Provider specialty

• Accepting new patient status (yes or no)

• National Provider Identifier number

• Map and driving directions to a physician’s office or facility

Through Provider Finder, you can also locate an urgent care center.

On a BCBSIL plan, do I need to select a primary care physician or obtain a referral to see a specialist?BCBSIL plans do not require you to select a primary care physician or obtain a referral to see

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a specialist. However, an ongoing relationship with a primary care physician can help you manage your health and address any concerns you have early on. You can use Provider Finder from your computer or mobile phone Web browser to search for primary care physicians for you and your covered family members in specialties such as internal medicine, family practice and pediatrics.

Will I receive a provider directory?Provider directories are not printed as they are updated frequently. You may view the most current list of providers online by visiting www.bcbsil.com/boeing and selecting Provider Finder under the Doctors & Hospitals tab or at the bottom right-hand side of the home page.

Health care benefitsHow can I get more information about my health care coverage through BCBSIL? Please visit BCBSIL’s website at www.bcbsil.com/boeing for additional information about your health care coverage, or call Member Services at 888-802-8776.

Where can I get a summary of my benefits?You may view your plan benefits online by visiting www.bcbsil.com/boeing and registering and logging in to Blue Access for Members after you receive your BCBSIL ID card. You can also call Member Services at 888-802-8776 or view your plan benefits via Boeing TotalAccess.

ID cards and claimsWhen will I receive ID cards?If you have not already received a new medical ID card from BCBSIL, you will receive it soon. If you don’t already have a separate Express Scripts (formerly Medco®) prescription drug card, you will also receive a card directly from Express Scripts in the mail. Please be sure to show your new ID card to each provider you see so they can update their

billing systems with your new information. ValueOptions will not issue ID cards. You should provide your BCBSIL member ID card when seeking services.

Why do the ID cards have only the subscriber’s name and not all family members’ names?The BCBSIL ID cards display only the subscriber (employee or retiree) name. The cards are to be used for all eligible family members even though their names are not printed on the card. If you need an additional card, you can request one by contacting Member Services at 888-802-8776.

How do I submit a claim?If you use a Medicare provider, the provider will submit claims directly to Medicare and then on to BCBSIL. Be sure to show your new ID card to each provider you see. If you need to file a claim yourself, you must fill out and submit a claim following the instructions on page 10.

Getting more information

How and when can I call BCBSIL Member Services?You can reach Member Services from 5 a.m. to 5 p.m. Pacific time (8 a.m. to 8 p.m. Eastern time and 7 a.m. to 7 p.m. Central time). Health Advocates are available to explain your benefits, answer questions about claims or assist with any other need. Call 888-802-8776 or visit www.bcbsil.com/boeing and log in to Blue Access for Members to use Live Chat. Online you’ll also find helpful plan information at any time.

Can I email questions directly to BCBSIL?Yes. Once you register for Blue Access for Members, the secure member portal at www.bcbsil.com/boeing, you can send a secure email directly to Member Services.


bcbsil.com/boeingUsing Your Online Resources

BCBSIL provides tools and resources to help you manage your benefits and healthOnce you receive your new

BCBSIL ID card, you can register

for Blue Access for Members at

www.bcbsil.com/boeing and use

this secure website to manage

your benefits and health. Go to

www.bcbsil.com/boeing, click

Learn about Blue Access and then

follow the steps to register.

Manage your benefitsOnce you register and log in, Blue Access for Members allows you to:

• Review your coverage.

• Review who is covered under your plan.

• Find and compare providers or facilities.

• Check the status of a claim.

• Sign up to receive email notifications when a claim is finalized.

• View and print your explanation of benefits (EOB) statements and opt out of receiving printed copies.

• Request a replacement or additional ID card and print a temporary one.

Manage your healthBlue Access for Members provides a variety of tools to help you make health care decisions:

• Health and Wellness Information offered by BCBSIL provides helpful articles about general health topics and specific conditions.

• Fitness Program offered by BCBSIL provides access to a nationwide network of participating fitness centers with no long-term contract required.

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Find what you need at Blue Access for MembersSM

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2 3 4

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1My Coverage: Review benefit details for you and the family members who are covered under your plan.

2Claims Center: View and organize details such as payments, dates of service, provider names, claims status and more.

3My Health: Make more informed health care decisions by reading about health and wellness topics and researching specific conditions.

4Doctors & Hospitals: Use Provider Finder to locate a physician, hospital or other health care provider, and get driving directions.

5Forms & Documents: Use the form finder to get medical claim and other forms quickly and easily.

6Message Center: Learn about updates to your benefit plan and receive notification of pending and finalized claims via secure messaging.

7Quick Links: Go directly to some of the most popular pages for information, such as replacement ID cards, manage preferences and more.

8Settings: Set up notifications and alerts to receive updates via text messaging and email, review your member information and change your secure password at anytime.

9Help: Visit Health Care School to learn more about using your health care benefits smartly.

Contact Us: Submit a question or connect to a BCBSIL Health Advocate via Live Chat.

Please note: The information above is representative of the resources available through Blue Access for Members. However, the resources available to you may vary, based on the particular plan you have enrolled in. Contact Boeing Member Services at 888-802-8776 with any questions.

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Traveling Using BlueCard Worldwide®

Peace of mind wherever you go

Before you leave the United States, contact BCBSIL for coverage details. Your coverage outside the United States is provided through BCBSIL. Please remember to take your BCBSIL ID card with you.

If you need assistance outside the country, call 800-810-BLUE (800-810-2583) or call collect to 804-673-1177 for information. Through the BlueCard Worldwide program, you have access to physicians and hospitals in nearly 200 countries and territories around the world. An assistance coordinator, in conjunction with a medical professional, can arrange your physician’s appointment or hospitalization, if necessary. (In an emergency, go directly to the nearest hospital and then call BlueCard Worldwide at one of the phone numbers provided above.)

In most cases, providers that participate in the BlueCard Worldwide program will not require you to pay up front for inpatient care. You are responsible for the out-of-pocket expenses such as deductible, copayment and coinsurance and non-covered services. The physician or hospital should submit your claim.

You also have coverage at non-BlueCard Worldwide hospitals, but you will have to pay the physician or hospital for care at the time of service and then submit an international claim form with original bills to the address on the form. You can get a claim form by going online at www.bcbsil.com/boeing or calling Boeing Member Services at 888-802-8776.

For information about the BlueCard Worldwide Program online:

1. Go to www.bcbsil.com/boeing.

2. Under Boeing Member Resources, click International Travel.

You will find links to tools to find U.S. and international providers, the claim form, FAQs and more.

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bcbsil.com/boeingBlue Distinction® Specialty Care ProgramBlue Distinction facilities offer proven expertise in specialty careBlue Distinction is a designation awarded to hospitals and other medical facilities that have demonstrated expertise in delivering specialty care. Criteria include how many of a particular procedure the facility has performed and the results. Blue Distinction Centers have a proven history of delivering better results.

The goal is to help consumers find consistent specialty care, while encouraging health care professionals to improve the overall quality and delivery of care nationwide.

Blue Distinction Centers for Bariatric Surgery®: A full range of bariatric surgical care services is offered, including inpatient care, post-operative care, follow-up and patient education.

Blue Distinction Centers for Cardiac Care®: A full range of cardiac care services is available, including inpatient cardiac care, cardiac rehabilitation, cardiac catheterization and cardiac surgery.

Blue Distinction Centers for Complex and Rare Cancers®: Inpatient cancer care programs for adults are offered, including those treating complex and rare subtypes of cancer, delivered by multidisciplinary teams with subspecialty training and distinguished clinical expertise, with a focus on treatment planning and complex, major surgical treatments.

Blue Distinction Centers for Knee and Hip Replacement®: Inpatient knee and hip replacement services, including total knee and total hip replacement surgeries, are available at these centers.

Use the Provider Finder on the BCBSIL website to find a Blue Distinction Center:


2. Under the Doctors & Hospitals tab, select Blue Distinction/Centers of Excellence.

3. Click Blue Distinction Centers for Specialty Care.

4. You may either search for a specific area of specialty care or view a complete list of Blue Distinction Centers by state.

Blue Distinction Centers for Spine Surgery®: Inpatient spine surgery services are offered, including discectomy, fusion and decompression procedures.

Blue Distinction Centers for Transplants®: These centers provide services such as global pricing, financial savings analysis, and global claims administration and support services.


Filing a ClaimFollowing these guidelines will help ensure that your claims are processed quickly

Provider-submitted claimsMost physicians and hospitals will file a claim directly with Medicare. Show your BCBSIL ID card to the physician or hospital when checking in to confirm that they will file claims directly.

Member-submitted claimsIf you need to file a claim yourself, you will need to fill out and submit a form like the one shown on the opposite page. You may call 888-802-8776 for assistance, or download a form online:


2. Under Boeing Member Resources, click Forms.

3. Click Medical Claim Form and print the form and instructions.

Then, fill out the form completely, attach a copy of the original itemized bill, and mail to the address shown on the claim form.

Tips for submitting claims

Help us avoid unnecessary delays by answering all questions completely and accurately, and including original itemized bills that contain the information we need to process claims.

• Your primary health insurance payer is Medicare, so your provider will send all claims to Medicare first; BCBSIL will generally coordinate with other payers to pay any eligible claims for services not covered by that payer (including international).

• Show the instructions accompanying the claim form to the persons providing your care and ask them to provide bills that follow the instructions.

• Itemized bills for medical treatment or surgery should include:

- Physician’s name, address and phone number

- Physician’s tax identification number

- Full name of patient (not just name of person to whom bill is addressed)

- Place where service was received (hospital, office or clinic)

- Diagnosis of illness or injury; if an injury, give the date it happened

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Are there any OTHER medical benefits available to you, your spouse, or your dependents from OTHER Group Insurance, including OTHER Blue Cross and Blue Shield policies,OTHER Employer, Labor or Professional Organizations, School, etc.?

Yes (provide below) NoPOLICY HOLDER NAME: SOCIAL SECURITY NUMBER (optional):

___ ___ ___/ ___ ___/ ___ ___ ___ ___

POLICY HOLDER IS: Member Spouse Child OTHER, please explain relationship:

INSURANCE CARRIER NAME: POLICY NUMBER: EFFECTIVE DATE:

ADDRESS: PHONE NUMBER:(__ __ __)__ __ __-__ __ __ __

ID NUMBER -- Copy this from your Blue Cross and Blue Shield Identification Card.

NOTICE TO ALL PARTIES COMPLETING THIS FORM: It is fraudulent to fill out this form with informationyou know to be false or to omit important facts. Criminal and/or civil penalties can result from such acts.

HEALTH INSURANCE CLAIM FORMSend Completed Claim Form To:Blue Cross and Blue Shield of IllinoisP.O. Box 805107CHICAGO, IL 60680-4112

PLEASE PRINT OR TYPE CLEARLY

:REBMUN NOITACIFITNEDI:REBMUN PUORG

PATIENT INFORMATION -- A separate claim form must be completed for each family member.

PATIENT’S FULL LEGAL NAME (Last, First, Middle Initial) SEX: SOCIAL SECURITY NUMBER (optional): DATE OF BIRTH

Male Month Day Year

Female ___ ___ ___/ ___ ___/ ___ ___ ___ ___

PATIENT IS: Member Spouse Child OTHER, please explain relationship:

PAYEE:

MAKE PAYMENT TO THE PROVIDER (hospital, doctor etc.), OR

MAKE PAYMENT TO MEMBER, the provider has been paid

MEMBER INFORMATION

MEMBER (POLICY HOLDER) NAME: (As shown on your Blue Cross and Blue Shield SOCIAL SECURITY NUMBER (optional): DATE OF BIRTHID Card) Month Day Year

___ ___ ___/ ___ ___/ ___ ___ ___ ___

CURRENT ADDRESS: HOME PHONE:(__ __ __)__ __ __-__ __ __ __

IF COVERAGE IS THRU GROUP (EMPLOYER) NAME: WORK PHONE:YOUR EMPLOYER, PROVIDE (__ __ __)__ __ __-__ __ __ __

CLAIM INFORMATION

IS CLAIM FOR AN ACCIDENTAL INJURY? IS THIS A WORKERS COMPENSATION CLAIM? DATE OF ACCIDENT:Yes No Yes No

BRIEFLY DESCRIBE INJURY:

COMPLETE BELOW IF NON-ACCIDENTAL INJURY OR ILLNESS

DATE FIRST TREATED: BRIEFLY DESCRIBE THE CONDITION(S) FOR WHICH THE PATIENT RECEIVED THESE SERVICES:(You can usually copy the diagnosis or description of service from the provider bill.)

RELEASE OF INFORMATION: I certify that the above information is correct and that the bills attached were incurred by the patientlisted above. I understand that Blue Cross and Blue Shield’s use or disclosure of individually identifiable health information, whetherfurnished by me or obtained from other sources such as medical providers, shall be in accordance with the federal privacyregulations under HIPAA (Health Insurance Portability and Accountability Act of 1996).

SignHere_____________________________________________________________________________________________ Date__________________________

Signature of Member

OTHER INSURANCE INFORMATION

3 - Description of service received

- Date of each treatment or surgical procedure

- Charge for each treatment or surgical procedure

• Itemized bills for ambulance service should include:

- Date(s) when service was used

- Base rate and mileage

- Place where patient was picked up and driven to

- If patient was transferred from one location to another, a letter from the attending physician giving the reason for the transfer must be attached to the bill

• Itemized bills for rental of durable medical equipment should include:

- A statement from the attending physician attached to the bill. This must state why the equipment was necessary.

- An estimate of how long the equipment will be used and the purchase price of the equipment; if for long-term use, remember that rental is paid only up to the purchase price of the equipment.

• Please remember to attach original bills to the claim form. We recommend that you make copies of each bill for your personal records. The original bills will not be returned.


Understanding Your Explanation of Benefits Statements

The EOB may include additional information:

• Information about amounts not covered shows which benefit limitations or exclusions apply.

• Information about out-of-pocket expenses shows an amount when a claim applies toward your deductible or counts toward your out-of-pocket expenses.

• Information about appeals explains your rights regarding review of claim denials.

• Fraud Hotline is a toll-free number you can call if you think you are being charged for services you did not receive or if you suspect any fraudulent activity.

View your EOB online anytime

Sign up for Blue Access for Members at www.bcbsil.com/boeing for quick, convenient and confidential access to your claim information and history.

To support our commitment to eco-friendly business practices, you can choose to opt out of receiving EOBs by mail. This saves resources and offers you additional confidentiality. Just go to www.bcbsil.com/boeing, click Settings at the top and select Preferences.

Review completed claims by mail or onlineAn explanation of benefits (EOB) statement is a notification form provided to members when a health care benefits claim is processed by BCBSIL. The EOB displays the expenses submitted by the provider and shows how the claim was processed.

The EOB has four main sections: Claim Information, Summary, Service Information and Coverage Information. A sample EOB is shown below, and descriptions of specific information are provided on the next page. If you have questions about an EOB, call Boeing Member Services at 888-802-8776.

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Sample EOB

Not all EOBs are the same. The format and content of your EOB depends on your benefit plan and the services provided. Deductible and copayment amounts may vary.

Claim Information

1. Account name (member’s company or organization)2. Date claim was finalized3. Member’s name and mailing address 4. Toll-free number to call for

additional information5. BCBSIL messages6. Member’s name7. Employer or group identification number*8. Member number that appears on the

ID card*9. Claim number*10. Person who received the services*

Summary

11. Total amount billed by the provider for the services, benefits approved and paid by BCBSIL, and remainder you may owe

Service Information

12. Provider name (top line) and description of service (below)

13. Beginning and end service dates14. Amount billed by the provider for each

service15. Portion of the billed amount not covered by

the plan (footnote explains reason)16. Amount covered by the plan*17. Total charges included on this claim

Coverage Information

18. Plan reductions subtracted from billed amount such as PPO allowances19. Deductible and copayment or coinsurance amounts20. Payment approved before benefits are coordinated with other insurers, such as Medicare21. Amount the member may be responsible for paying22. Total benefit approved for provider

*Please provide this information when contacting BCBSIL about a claim.

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Fighting Fraud

Fraud increases costs and decreases benefitsFraud may cost the health care industry (both

public and private payers) more than

$200 billion each year. As a BCBSIL member,

you can help fight fraud by understanding

it and following the tips provided below.

Identifying fraud

Commonly identified schemes involving providers include:

• Misrepresenting services – This includes intentionally billing procedures under different names or codes to obtain coverage for services that aren’t included in a member’s plan.

• Upcoding – Deliberately charging for more complex or more expensive services than those actually provided is one example.

• Non-rendered and/or “free” services – Some providers intentionally bill for tests or services never provided. This can also mean that the provider offered “free” services in order to bill the insurance company for services not performed or needed.

• Kickbacks, bribes or rebates – An example is referring patients to a provider or facility in which the referring provider has a financial interest without disclosing it.

Commonly identified schemes involving members include:

• Identity swapping – Allowing an uninsured individual to use a member’s insurance card.

• Identity theft – Using false identification to gain employment and the health insurance benefits that come with it.

• Non-eligible members – Adding someone to a policy who is not eligible or failing to remove someone when that person becomes ineligible.

• Prescription medicine abuse and diversion – Obtaining controlled substances through deception or dishonesty for personal use or sale.

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Tips for fighting fraud

The BCBSIL Special Investigations Department (SID) includes individuals with medical, insurance and law enforcement backgrounds as well as data analysts experienced in detecting fraudulent billing schemes. The SID aggressively investigates reports of fraud and refers cases for criminal prosecution. They also offer members these tips:

• Know your benefits and scope of coverage.

• Review all explanation of benefits (EOB) statements – Make sure the exams, procedures and tests billed were ones you actually had with the provider who treated you.

• Understand your responsibility to pay deductibles and copayments – Know what balances you can and cannot be billed for once your claim has been processed.

• Guard your health insurance card and personal insurance information – Notify BCBSIL immediately if your card or insurance information is lost or stolen.

• Sign and date only one claim form per office visit.

• Never lend your member ID card to another person.

• Don’t give out insurance or personal information if services are offered as “free” – Be sure you understand what is “free” and for what service you or your employer will be charged.

• Ask your providers exactly what tests or procedures they want you to have and why – Ask why the tests or procedures are necessary before you have them.

• Be sure any referrals you receive from your network provider are to other network doctors or facilities – If you’re not sure, please ask.

• Monitor your prescriptions at www.express-scripts.com – Make sure the medications billed to your insurance are listed accurately.

Reducing health care fraud is a collaborative effort between BCBSIL, its providers and its members. Additional information and a fraud awareness training program are available through the Special Investigations Department’s website at www.bcbsil.com/sid.


Reporting fraud

BCBSIL encourages you to report any suspected incidence of fraud by calling the Health Care Fraud Hotline, completing a form online, or sending a note in the mail. Suspicions of fraud can be reported to the SID anonymously.

There are three ways to report fraud to BCBSIL:

• Call the toll-free Fraud Hotline at 800-543-0867 24 hours a day, seven days a week – You can remain anonymous or provide information if you want to be contacted by a member of the Special Investigations Department.

• Go to the online Special Investigations Department reporting page at www.bcbsil.com/sid/reporting – You can access a fraud reporting form that can be completed and sent to the SID electronically.

• Write the Special Investigations Department at:

Blue Cross and Blue Shield of Illinois Special Investigations Department 300 E. Randolph St. Chicago, IL 60601

Fighting Fraud continued

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Getting Fit

Use your Fitness Program discount to make getting fit affordable

BCBSIL Fitness ProgramRegular exercise is an essential part of healthier living. BCBSIL makes it easier for you to add fitness to your busy schedule.

Available exclusively to BCBSIL members and their covered dependents (age 18 and older), the Fitness Program provides:

• Flexible membership, no long-term contract required

• One-time enrollment fee of $25 per member and a low $25 per member per month fee (one-time enrollment fee and monthly membership fee both subject to applicable taxes)

• Easy online enrollment and automatic monthly payment withdrawal

• Online records of your fitness center visits

• Unlimited access to a nationwide network of participating fitness centers

Joining the Fitness Program is easy:

• Call 888-762-BLUE (888-762-2583) toll-free Monday through Friday, 8 a.m. to 9 p.m. in any continental U.S. time zone.

• You can also visit www.bcbsil.com/boeing and log in to your Blue Access for Members account. Click Fitness Program in the Quick Links box on the right to search for participating locations and complete your enrollment.

The Fitness Program is provided by Healthways, Inc., an independent contractor which administers the Prime Network of fitness centers. The Prime Network is made up of independently owned and managed fitness centers.


Health concerns don’t always follow a 9-to-5 schedule. Fortunately, registered nurses are on call to answer your health questions, wherever you may be, 24 hours a day, seven days a week.

The 24/7 Nurseline’s registered nurses can understand your health concerns and give general health tips. Get trusted guidance on possible emergency care, urgent care, family care and more.

When should you call?

The toll-free Nurseline can help you or a covered family member get answers to health problem questions, such as:

• Asthma, back pain or chronic health issues

• Dizziness or severe headaches

• Cuts or burns

• Sprains and broken bones

• A grandchild’s high fever or nonstop crying

Plus, when you call, you can access an audio library of more than 1,000 health topics – from allergies to women’s health – with more than 600 topics available in Spanish.

To access the 24/7 Nurseline, call 800-765-7298.

24/7 Nurseline – Around-the-Clock, Toll-Free Support

Note: For medical emergencies, call 911 or your local emergency services first. This program is not a substitute for a doctor’s care. Talk to your doctor about any health questions or concerns.

The 24/7 Nurseline can help you figure out if you should call your doctor, go to the ER or treat the problem yourself.

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Other Boeing BenefitsIn addition to the medical coverage provided through BCBSIL, you may also receive coverage for specialized services through vendors with whom Boeing has contracted, as described in this section. Specific offerings may depend on employment status, union agreements and other factors.

The benefits described in this section are not administered by Blue Cross and Blue Shield of Illinois. The vendors mentioned are independent companies that do not provide Blue Cross and Blue Shield of Illinois products or services. These vendors are solely responsible for the products and services described.

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Express Scripts, Inc. Prescription Benefit Services

Except for those enrolled in a Catastrophic medical plan, your prescription drug benefit is administered by Express Scripts (formerly Medco). Express Scripts provides personalized care designed to help improve and maintain your and your family’s health while helping you save on the medications you take every day.

Convenient mail-order service and moreExpress Scripts offers you convenience, safety and savings through the Express Scripts mail-order pharmacy. With the Express Scripts mail-order pharmacy, you can get up to a 90-day supply of medications you take to treat an ongoing condition (e.g., high blood pressure or high cholesterol) delivered to you for just one copayment. Take advantage of the Express Scripts mail-order pharmacy and get:

• Phone access to pharmacists who can focus. on your prescriptions 24 hours a day, seven days a week.

• Easy refills online, over the phone or by mail.

• Peace of mind in knowing that your prescriptions are undergoing safety and advanced quality checks to help prevent harmful drug interactions.

For short-term prescriptions, such as antibiotics, continue using a participating retail pharmacy.

You can also save with generic drugs. FDA-approved generics must meet the same FDA quality standards as brand-name drugs, yet they can cost much less. The My Rx Choices® prescription savings program lets you go online to www.express-scripts.com to view potential savings opportunities. Print them out and share them with your physician.

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Express Scripts Specialist PharmacistsIf you or your family members take medications to treat certain long-term conditions, you can take advantage of the personalized care and expertise of Express Scripts Specialist Pharmacists. They’re available by phone 24 hours a day, seven days a week to work with you and your physician to help make sure that your medications work safely together and work well for you. These pharmacists have specialized training in the medications used to treat specific ongoing conditions such as high cholesterol, high blood pressure, depression, diabetes, asthma, osteoporosis and cancer. To contact an Express Scripts Specialist Pharmacist, call 877-505-3224.

Contact Express ScriptsTo start taking advantage of everything your Express Scripts prescription drug benefit offers, call Medicare Member Services toll-free at 877-505-3224. Or visit www.express-scripts.com. (Please note: UAW 1069 Medicare members should call 800-841-2797.)

Catastrophic Plan Members enrolled in the Catastrophic plan should contact BCBSIL directly at 888-802-8776 to learn how to submit pharmacy claims or how your pharmacy benefit works.

Medco now part of the Express Scripts family

Medco and Express Scripts have come together as one company. The new Express Scripts is committed to providing the high-quality service that you expect.

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ValueOptions® Mental Health and Substance Abuse Treatment

Offering confidential counseling, education and referral

You and your covered family members are eligible for mental health and substance abuse treatment benefits through the Boeing Helpline administered by ValueOptions. ValueOptions specializes in managing treatment for mental health and substance abuse conditions.

Contacting ValueOptions

Call ValueOptions at 800-892-1411 24 hours a day, seven days a week to speak with a licensed mental health clinician for assessment. The clinician can help you sort things out and will collaborate with you on a workable plan of action.

This confidential resource can help you with:

• Feelings of depression, stress, anxiety or other issues that are interfering with your well being.

• Assessment and treatment for substance abuse problems.

• Referrals for therapy and treatment for all levels of care.

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On the Web, log in to www.valueoptions.com and select Members to register for Member Connect, an online tool you can use to check benefits and status of authorizations and claims payment, find a provider, locate forms such as the claims form or link to the Achieve Solutions website. Achieve Solutions offers self-assessments and interactive quizzes, as well as a library of educational materials on topics such as stress, depression, anxiety, substance abuse treatment and recovery, a healthy lifestyle and managing a life event, such as a divorce or the death of a loved one.

Filing a claim

Most physicians and hospitals will file a claim directly with Medicare. Show your BCBSIL ID card to the physician or hospital when checking in to confirm that they will file claims directly.Member-submitted claims for mental health and substance abuse services can be mailed to:

ValueOptions P.O. Box 1290 Latham, NY 12110

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VSP® Vision Care

VSP provides personalized vision care for you and your covered dependents. When you visit a doctor in VSP’s broad network, you receive discounts on services, such as exams and hardware, including glasses and contacts. You can still see other providers, but your costs will be lower when you visit a VSP provider. Please note that not all plans include vision coverage.

VSP providers

To find a VSP provider, log in to www.vsp.com or call 800-877-7195 and we’ll help you find a provider who is right for you. VSP does not send ID cards. When you make your appointment, tell them you have Boeing VSP services. Check your coverage on www.vsp.com before you go so you have a clear idea of what’s covered. Your VSP provider will submit claims for you. Benefits include:

• WellVision Exam® – VSP providers do more than a quick eye check. They take their time and look for eye problems and signs of other health conditions.

• Choice in eyewear – You can choose from a wide selection of eyewear.

• Additional savings – Get discounts on laser vision correction, contacts and more.

Non-VSP providers

If you choose to see a non-VSP provider, you may need to file your own claim for reimbursement.

• Sign on to www.vsp.com, select Claims & Reimbursement then Member Reimbursement Form, and follow the instructions.

• If you don’t have Internet access, you can send the following to VSP:

- Itemized receipt listing services received - Name, address and phone number of

the non-VSP provider - Patient’s name, date of birth, address,

phone number and relationship to covered member

• Be sure to reference Boeing as your employer in your correspondence.

Submit your claims to VSP within 12 months from the date of service. Keep copies of the claims and send the originals to:

VSP P.O. Box 997105 Sacramento, CA 95899-7105

Please note: Vision benefits vary by plan and populations. Some retirees do not have vision

coverage. For more information regarding available vision benefits, please contact Boeing

Member Services at 888-802-8776.

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Contact Information At a Glance

For information on benefits for non-Medicare eligible members, please contact BCBSIL at 888-802-8776 and www.bcbsil.com/boeing.

Blue Cross and Blue Shield of IllinoisBoeing Member Services: 888-802-8776

Fraud Hotline: 800-543-0867

BlueCard Worldwide: 800-810-BLUE (800-810-2583)/804-673-1177 collect

Fitness Program: 888-762-BLUE (888-762-2583)

24/7 Nurseline: 800-765-7298

Other Boeing BenefitsExpress Scripts Prescription Benefit Services: 877-505-3224; UAW 1069 Members should call 800-841-2797

ValueOptions Mental Health and Substance Abuse Treatment: 800-892-1411

VSP Vision Care: 800-877-7195

Boeing TotalAccess: 866-473-2016

A Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association 225596.0115

www.bcbsil.com/boeing