© 2012 BlueCross BlueShield of Tennessee. BlueCross BlueShield of Tennessee, Inc., an Independent...

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© 2012 BlueCross BlueShield of Tennessee. BlueCross BlueShield of Tennessee, Inc., an Independent Licensee of the BlueCross BlueShield Association. BlueCross BlueShield of Tennessee & The State of Tennessee Partners in Health over 35 years August 2013

Transcript of © 2012 BlueCross BlueShield of Tennessee. BlueCross BlueShield of Tennessee, Inc., an Independent...

Page 1: © 2012 BlueCross BlueShield of Tennessee. BlueCross BlueShield of Tennessee, Inc., an Independent Licensee of the BlueCross BlueShield Association. BlueCross.

© 2012 BlueCross BlueShield of Tennessee. BlueCross BlueShield of Tennessee, Inc., an Independent Licensee of the BlueCross BlueShield Association.

BlueCross BlueShield of Tennessee

& The State of Tennessee

Partners in Health over 35 years

August 2013

Page 2: © 2012 BlueCross BlueShield of Tennessee. BlueCross BlueShield of Tennessee, Inc., an Independent Licensee of the BlueCross BlueShield Association. BlueCross.

BlueCross BlueShield of Tennessee and the State of Tennessee have been partners in health for over 35 years since 1978.

BlueCross serves over 134,000 members enrolled in the State Plan.

Partnerships

Partners in Health

Page 3: © 2012 BlueCross BlueShield of Tennessee. BlueCross BlueShield of Tennessee, Inc., an Independent Licensee of the BlueCross BlueShield Association. BlueCross.

BlueCross has over 100 designated employees to support the State Plan.

BlueCross averages 8,000 calls each month and has received over 55,000 calls through July.

BlueCross has processed 1 million claims so far this year.

Servicing the State of TN Employees

Impact at Every Touchpoint

Page 4: © 2012 BlueCross BlueShield of Tennessee. BlueCross BlueShield of Tennessee, Inc., an Independent Licensee of the BlueCross BlueShield Association. BlueCross.

Tennessee is Our Home

Our home office is located in Chattanooga with regional offices in Jackson, Johnson City, Knoxville, Memphis and Nashville.

BlueCross has over 4,300 employees.

We provide Healthcare coverage to over 2.3 million members and over $17 billion in benefits each year.

Locations in Tennessee

Page 5: © 2012 BlueCross BlueShield of Tennessee. BlueCross BlueShield of Tennessee, Inc., an Independent Licensee of the BlueCross BlueShield Association. BlueCross.

Network ‘S’ provides the State Plan with access to over 20,000 providers within the State of Tennessee.

The BlueCard Network provides the State Plan with access to 5,593 hospitals and over 990,000 providers across the United States.

The BlueCard WorldWide Network provides the State Plan with access to over 9,000 hospitals and over 21,000 providers outside of the United States.

Network Access

Medical Coverage Near and Far

Page 6: © 2012 BlueCross BlueShield of Tennessee. BlueCross BlueShield of Tennessee, Inc., an Independent Licensee of the BlueCross BlueShield Association. BlueCross.

Q: Where can State Plan members find the BlueCross website and BlueAccess?

A: There is a dedicated BlueCross member webpage found at: http://www.bcbst.com/members/TN_state/. Members may login to BlueAccess by going to the right side of the webpage just under the Partners for Health banner.

Questions & Answers

How do I start……

Page 7: © 2012 BlueCross BlueShield of Tennessee. BlueCross BlueShield of Tennessee, Inc., an Independent Licensee of the BlueCross BlueShield Association. BlueCross.

Q: What type of information is available on the BlueCross webpage and BlueAccess?

A: You can find the State Member Handbook, State Plan Document, State Health Plan FAQ’s, and BlueCross Medical Policies on the webpage. A member can review their claims, update Coordination of Benefits (COB), order an ID card, and find information on discounts available through the BluePerks Program by signing into their own account on BlueAccess.

Questions & Answers

What is available…….

Page 8: © 2012 BlueCross BlueShield of Tennessee. BlueCross BlueShield of Tennessee, Inc., an Independent Licensee of the BlueCross BlueShield Association. BlueCross.

Q: Do members have access through their smart phones to the information available on BlueAccess?

A: Yes, members can access information about their claims, find a doctor or an urgent care center, and see other plan details with myBlueTN, our new mobile app.

Questions & Answers

Where can I access……

Page 9: © 2012 BlueCross BlueShield of Tennessee. BlueCross BlueShield of Tennessee, Inc., an Independent Licensee of the BlueCross BlueShield Association. BlueCross.

Q: How can I determine if a doctor is the BlueCross Network, where can this information be found?

A: Go to the dedicated State Plan webpage and on the right side there is a tool called ‘Find a Doctor’. Enter the first three letters from your ID number shown on your BlueCross ID card. Another option is to call BlueCross Member Services at: 1-800-588-6213; between the hours of 7:00 am - 4:15 pm (cst) Monday – Friday.

Questions & Answers

Where can I find……

Page 10: © 2012 BlueCross BlueShield of Tennessee. BlueCross BlueShield of Tennessee, Inc., an Independent Licensee of the BlueCross BlueShield Association. BlueCross.

Q: If a member is out of state and has an emergency, how do they find an in-network provider?

A: If the member believes it is a life-threatening emergency, they should go to the nearest hospital. If it is not life-threatening, the member may find a provider by calling the number on the back of their BlueCross ID card: 1-800-810-BLUE; or they may access the information by using the “Find a Doctor” tool available on the webpage.

Questions & Answers

What should I do……

Page 11: © 2012 BlueCross BlueShield of Tennessee. BlueCross BlueShield of Tennessee, Inc., an Independent Licensee of the BlueCross BlueShield Association. BlueCross.

Q: When will the State Plan members receive their annual enrollment materials in the mail?

A: Members will receive a packet in December that will contain a welcome letter, a member handbook, a postcard to mail in for a printed provider directory, Your Guide to Blue Benefits, Blue Perks Details, and a BlueAccess Flier.

Questions & Answers

When will I receive…...

Page 12: © 2012 BlueCross BlueShield of Tennessee. BlueCross BlueShield of Tennessee, Inc., an Independent Licensee of the BlueCross BlueShield Association. BlueCross.

Q: If I need to order BlueCross Handbooks or provider directories, who do I contact?

A: Contact Amy Jordan, she can help you order these supplies and answer your employees’ questions. Her contact information is [email protected] or call 1-423-535-5788.

Q: If I am holding a Health Fair at one of our locations is there anyone from BlueCross that can attend to assist in answering member questions?

A: Yes, please contact Amy Jordan for assistance and scheduling.

Questions & Answers

Who can help……

Page 13: © 2012 BlueCross BlueShield of Tennessee. BlueCross BlueShield of Tennessee, Inc., an Independent Licensee of the BlueCross BlueShield Association. BlueCross.

Thank You