Spring 2015 A publication for the policyholders of the Arkansas Blue Cross and Blue Shield family of companies
Find us on
!
Arkansas Blue Cross and Blue Shield has repeatedly been voted by its employees as one of the best places to work in Arkansas, so it only makes sense that we would be on LinkedIn. LinkedIn, the world’s largest professional network, allows people to network online. Are you interested in learning more about Arkansas Blue Cross and Blue Shield? Would you like to connect with our employees? Would you like to find a list of our current jobs? You can learn a lot about us, and our employees, on LinkedIn!
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Find a family doctor
Using weight machines
Shop healthy
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MPI 3344 3/15
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Treating illness at its source At Arkansas Blue Cross and Blue Shield, our mission always will be to provide you with the most affordable health care coverage, and we understand that people want to pay for health care that works. Our current health care system sometimes has a difficult time delivering on that promise.
3
- Treating illness at its source
4
- Welcome to Arkansas Blue Cross and Blue Shield
6
- Find a family doctor
7
- Get immediate access to your health care information through My Blueprint
Add weight machines to your routine to improve strength and reach health goals faster. — page 14
- Easy ways to pay
8
- Tax form information
18
9
- Open enrollment is over, but chances to enroll aren’t
- Get your personal health statements by email
19
10
- Community paramedics: Helping a community live fearlessly
- Personalized medical cost estimates for all members
20
- We love the Central Arkansas Heart Walk in April
12
- The Blue & You Fitness Challenge is underway
- Arkansas Blue Cross endows chair in primary care at UAMS
21
13
- ArkansasBlue health insurance store in Lowell now open
14
- Your Personal Trainer: Weight machines are for everyone – including you!
16
- Become a grocery store guru
18
- Important information about the Anthem Blue Cross and Blue Shield security breach
- Danny Beck named regional executive of Arkansas Blue Cross - Arkansas Blue Cross business scholarship recipients
22
- Blue & You Foundation awards $2.6 million in grants to improve health
23
- Customer service numbers
24
- Find us on LinkedIn
Spring 2015
EDITOR: Jennifer Gordon – bnyou-ed@arkbluecross.com • DESIGNER: Ryan Kravitz • PHOTOGRAPHER: Chip Bayer CONTRIBUTORS: Chip Bayer, Ben McVay and Alex Roberts VICE PRESIDENT of CORPORATE MARKETING: Karen Raley DIRECTOR of CORPORATE MARKETING: Kelly Whitehorn
on the cover BLUE & YOU Spring 2015
David Sator, a community paramedic for Baxter Regional Medical Center, checks on his patient, Charley Angel, during an in-home visit. Find out what makes this program special on page 10.
We want you to know that we are looking at the future of health care by collaborating with providers of care to deliver on three areas: to improve quality, improve patient satisfaction with the experience, and contain the cost of health care. We’ve created new alliances with hospitals that reward cost efficiency. We are working to build new structures in primary care to assure you receive preventive care and evidencebased treatment. We are working with specialists to help them understand the appropriate cost and quality expectations for procedures they perform. With all this, we still recognize that there are aspects of health that fall outside the health care system. What we are finding is that when it comes to illness, your ZIP code is as important as your genetic code, and while it is important to focus on the health of individuals in a community, it is as important to focus on the health of the community itself. We will always need to treat people’s symptoms when they get sick, but what if we started looking at why people get sick? Rishi Manchanda, M.D., M.P.H., a doctor and public health innovator in California, is an “upstreamist.” He is reinvigorating primary care by teaching doctors to think about – and treat – the social and environmental conditions that often underlie illness. In a recent TED Talk, he told a parable about three friends who see many children struggling to stay afloat in a river. The first friend reaches in to pull out the children who are closest to drowning (like our emergency and specialist doctors and hospitals do today). The second friend builds a raft to allow others to hang on (much like our primary care doctors). But the third friend swims upstream to find out why the children are falling in the river in the first place. This person – the upstreamist – is often missing in our health care system.
So how do we change our focus from the symptoms to the conditions that make people sick in the first place? We start in medical schools, nursing schools and health professional education programs by training more upstreamists. Our support of an endowed chair in primary care at the University of Arkansas for Medical Sciences and scholarships for primary care students is part of our commitment to training the medical community in thinking upstream. By asking patients about their lives, doctors and nurses can identify environmental factors triggering illnesses and locate upstreamists to help solve the issues. For Dr. Manchanda, a pivotal moment was when he recognized that a patient he had been treating for debilitating headaches was suffering from a mold allergy caused by water leaks in her apartment. He treated her symptoms, but he also helped her to address the environment that was making her, and her family, ill. Another way we can focus on the cause of illness is by discovering patterns within our communities. You may live where there is heavy air pollution, an abundance of fast food restaurants to choose from, or you may have access to city parks and walkways. These may seem to be small differences, but living in those conditions day after day can have a big influence on your health. Blue Cross and Blue Shield plans throughout the country are using their health care data and working with public health agencies and community-based programs to compile maps that can show the positive and negative aspects of various communities. Rest assured that this data doesn’t identify any members, but pairing it with other information can provide insight into patterns of illness. If we can discover patterns in our data and identify an upstream cause of illness, we can focus resources on ways to address these issues. Looking upstream is a very different way of addressing health issues, but it is one we hope will get more attention in the future. Because ultimately, we want you to be healthy, and live fearlessly.
Spring 2015 BLUE & YOU
Treating illness at its source At Arkansas Blue Cross and Blue Shield, our mission always will be to provide you with the most affordable health care coverage, and we understand that people want to pay for health care that works. Our current health care system sometimes has a difficult time delivering on that promise.
3
- Treating illness at its source
4
- Welcome to Arkansas Blue Cross and Blue Shield
6
- Find a family doctor
7
- Get immediate access to your health care information through My Blueprint
Add weight machines to your routine to improve strength and reach health goals faster. — page 14
- Easy ways to pay
8
- Tax form information
18
9
- Open enrollment is over, but chances to enroll aren’t
- Get your personal health statements by email
19
10
- Community paramedics: Helping a community live fearlessly
- Personalized medical cost estimates for all members
20
- We love the Central Arkansas Heart Walk in April
12
- The Blue & You Fitness Challenge is underway
- Arkansas Blue Cross endows chair in primary care at UAMS
21
13
- ArkansasBlue health insurance store in Lowell now open
14
- Your Personal Trainer: Weight machines are for everyone – including you!
16
- Become a grocery store guru
18
- Important information about the Anthem Blue Cross and Blue Shield security breach
- Danny Beck named regional executive of Arkansas Blue Cross - Arkansas Blue Cross business scholarship recipients
22
- Blue & You Foundation awards $2.6 million in grants to improve health
23
- Customer service numbers
24
- Find us on LinkedIn
Spring 2015
EDITOR: Jennifer Gordon – bnyou-ed@arkbluecross.com • DESIGNER: Ryan Kravitz • PHOTOGRAPHER: Chip Bayer CONTRIBUTORS: Chip Bayer, Ben McVay and Alex Roberts VICE PRESIDENT of CORPORATE MARKETING: Karen Raley DIRECTOR of CORPORATE MARKETING: Kelly Whitehorn
on the cover BLUE & YOU Spring 2015
David Sator, a community paramedic for Baxter Regional Medical Center, checks on his patient, Charley Angel, during an in-home visit. Find out what makes this program special on page 10.
We want you to know that we are looking at the future of health care by collaborating with providers of care to deliver on three areas: to improve quality, improve patient satisfaction with the experience, and contain the cost of health care. We’ve created new alliances with hospitals that reward cost efficiency. We are working to build new structures in primary care to assure you receive preventive care and evidencebased treatment. We are working with specialists to help them understand the appropriate cost and quality expectations for procedures they perform. With all this, we still recognize that there are aspects of health that fall outside the health care system. What we are finding is that when it comes to illness, your ZIP code is as important as your genetic code, and while it is important to focus on the health of individuals in a community, it is as important to focus on the health of the community itself. We will always need to treat people’s symptoms when they get sick, but what if we started looking at why people get sick? Rishi Manchanda, M.D., M.P.H., a doctor and public health innovator in California, is an “upstreamist.” He is reinvigorating primary care by teaching doctors to think about – and treat – the social and environmental conditions that often underlie illness. In a recent TED Talk, he told a parable about three friends who see many children struggling to stay afloat in a river. The first friend reaches in to pull out the children who are closest to drowning (like our emergency and specialist doctors and hospitals do today). The second friend builds a raft to allow others to hang on (much like our primary care doctors). But the third friend swims upstream to find out why the children are falling in the river in the first place. This person – the upstreamist – is often missing in our health care system.
So how do we change our focus from the symptoms to the conditions that make people sick in the first place? We start in medical schools, nursing schools and health professional education programs by training more upstreamists. Our support of an endowed chair in primary care at the University of Arkansas for Medical Sciences and scholarships for primary care students is part of our commitment to training the medical community in thinking upstream. By asking patients about their lives, doctors and nurses can identify environmental factors triggering illnesses and locate upstreamists to help solve the issues. For Dr. Manchanda, a pivotal moment was when he recognized that a patient he had been treating for debilitating headaches was suffering from a mold allergy caused by water leaks in her apartment. He treated her symptoms, but he also helped her to address the environment that was making her, and her family, ill. Another way we can focus on the cause of illness is by discovering patterns within our communities. You may live where there is heavy air pollution, an abundance of fast food restaurants to choose from, or you may have access to city parks and walkways. These may seem to be small differences, but living in those conditions day after day can have a big influence on your health. Blue Cross and Blue Shield plans throughout the country are using their health care data and working with public health agencies and community-based programs to compile maps that can show the positive and negative aspects of various communities. Rest assured that this data doesn’t identify any members, but pairing it with other information can provide insight into patterns of illness. If we can discover patterns in our data and identify an upstream cause of illness, we can focus resources on ways to address these issues. Looking upstream is a very different way of addressing health issues, but it is one we hope will get more attention in the future. Because ultimately, we want you to be healthy, and live fearlessly.
Spring 2015 BLUE & YOU
QUESTIONS? We are here for you!
We know health care and insurance can be confusing. We are here to help! If you have questions or concerns about your health care coverage, there are a number of ways we can help: • Our Customer Service representatives are a phone call away. They can explain your benefits, check into a billing question, help you find a doctor, or get you in contact with a nurse case manager. Just call the number on the back of your member ID card, or find the number for your health plan on page 23.
to
Arkansas Blue Cross and Blue Shield
• Our websites offer a huge amount of information. You can find news about upcoming events sponsored by Arkansas Blue Cross, learn more about your health plan, check out the health and wellness information and even read Blue & You magazine. You also can email a Customer Service representative. We are always a click away.
I
f you just recently joined Arkansas Blue Cross and Blue Shield, we want to welcome you. Here are some great services we offer that you might not know about:
My Blueprint
Member discounts
Our online personalized health self-service center, My Blueprint, gives you:
As a member of Arkansas Blue Cross, you have access to Blue365®. Blue365 offers access to a wide range of savings from top health and wellness brands around the country plus some of your favorite local companies. You can save on healthy products, along with discounts on health and fitness clubs, weight-loss programs, healthy travel experiences and so much more.
• Immediate access to claims information, benefits and coverage information • The ability to review your doctor, a personal health record • A way to estimate your treatment costs • A customer service corner • Health and wellness resources
Coverage when you travel Your health plan ID card is accepted by almost every doctor and hospital in Arkansas, and you can take your health care benefits with you across the country and around the world. You can find a doctor or hospital outside of Arkansas by going to our website, or calling Customer Service.
Case management If you need help navigating the health care system, case management can be a powerful tool. Our nurse case managers can help you: • Understand and manage your health condition • Help identify physicians and facilities appropriate for your needs • Better understand the complexities of the health care system • Understand and maximize your benefits
• Sometimes it is nice to talk to someone face to face. We have offices located throughout Arkansas (see page 23). Come in, enjoy a cup of coffee and let us help you. Our offices offer sales, customer service, medical management and more. However you choose to talk to us, please don’t hesitate. We love hearing from you!
Learn more in the “members” section at arkansasbluecross.com There are many other benefits to being Blue. If you have any questions, feel free to visit our website, call one of our friendly customer service representatives or drop by one of our offices. We love to hear from you! These services may not be available to members with Medicare health plans.
4
BLUE & YOU Spring 2015
Spring 2015 BLUE & YOU
5
QUESTIONS? We are here for you!
We know health care and insurance can be confusing. We are here to help! If you have questions or concerns about your health care coverage, there are a number of ways we can help: • Our Customer Service representatives are a phone call away. They can explain your benefits, check into a billing question, help you find a doctor, or get you in contact with a nurse case manager. Just call the number on the back of your member ID card, or find the number for your health plan on page 23.
to
Arkansas Blue Cross and Blue Shield
• Our websites offer a huge amount of information. You can find news about upcoming events sponsored by Arkansas Blue Cross, learn more about your health plan, check out the health and wellness information and even read Blue & You magazine. You also can email a Customer Service representative. We are always a click away.
I
f you just recently joined Arkansas Blue Cross and Blue Shield, we want to welcome you. Here are some great services we offer that you might not know about:
My Blueprint
Member discounts
Our online personalized health self-service center, My Blueprint, gives you:
As a member of Arkansas Blue Cross, you have access to Blue365®. Blue365 offers access to a wide range of savings from top health and wellness brands around the country plus some of your favorite local companies. You can save on healthy products, along with discounts on health and fitness clubs, weight-loss programs, healthy travel experiences and so much more.
• Immediate access to claims information, benefits and coverage information • The ability to review your doctor, a personal health record • A way to estimate your treatment costs • A customer service corner • Health and wellness resources
Coverage when you travel Your health plan ID card is accepted by almost every doctor and hospital in Arkansas, and you can take your health care benefits with you across the country and around the world. You can find a doctor or hospital outside of Arkansas by going to our website, or calling Customer Service.
Case management If you need help navigating the health care system, case management can be a powerful tool. Our nurse case managers can help you: • Understand and manage your health condition • Help identify physicians and facilities appropriate for your needs • Better understand the complexities of the health care system • Understand and maximize your benefits
• Sometimes it is nice to talk to someone face to face. We have offices located throughout Arkansas (see page 23). Come in, enjoy a cup of coffee and let us help you. Our offices offer sales, customer service, medical management and more. However you choose to talk to us, please don’t hesitate. We love hearing from you!
Learn more in the “members” section at arkansasbluecross.com There are many other benefits to being Blue. If you have any questions, feel free to visit our website, call one of our friendly customer service representatives or drop by one of our offices. We love to hear from you! These services may not be available to members with Medicare health plans.
4
BLUE & YOU Spring 2015
Spring 2015 BLUE & YOU
5
FA M I LY
Doctor
At Arkansas Blue Cross and Blue Shield, we want to make sure you get the care you need. In fact, we are so passionate about this goal that we want to encourage you to pick a family doctor and tell us.
Why are family doctors important? • Having a family doctor can improve your health! Studies show that people with a family doctor have lower overall health care costs and are happier with their care.
How to choose a doctor It’s great to ask around to family and friends to find a doctor, but you want to be sure he or she is in our network of doctors. To find your family doctor:
1 2. 3. 4.
Go to the website for your health plan: . arkansasbluecross.com, healthadvantage-hmo.com or blueadvantagearkansas.com.
• Sooner or later, everyone needs medical care. You will receive better and more personalized care when you see a doctor who knows you. • There is a shortage of family doctors in Arkansas. We want to make sure you, as our member, have a family doctor when you need one.
Our secure member website, My Blueprint, is your fastest way to access personalized information regarding your health care coverage.
When you register for My Blueprint you can: • Estimate your treatment costs, including personalized medical out-of-pocket amounts • Review claims history and personal health statements • Access a personal health record • Order a new member ID card or print a temporary card
• Find out what health care services are covered through your Benefit Summary • Review your recent doctor visits • Access a personal health record • And much more
All it takes is your member ID card and a few minutes to create the account information. A version also is available when visiting arkansasbluecross.com on your mobile phone. If you haven’t registered for My Blueprint, do it today. These services may not be available to members with Medicare health plans.
Easy ways to pay If you have an individual or family health plan purchased directly from us or with help from an agent, Arkansas Blue Cross and Blue Shield offers several convenient ways to pay your bill — online or mobile, by phone or through a bank draft.
Go to the “Members” drop-down menu at the top of the page and select “Find a Doctor.” Add your member ID number or the type of health plan you have. Choose to search by doctor’s name, location, specialty or hospital affiliation.
What next? When you access a list of doctors from our networks online, you can see each doctor’s profile, get directions to the clinic and even rate them after your visit. We encourage you to schedule a doctor’s appointment and get to know the doctor you have chosen. Then, let one of our customer service representatives know who you have chosen.
DON’T DELAY 6
[My Blueprint
[
Find a
Get immediate access to your health care information through
BLUE & YOU Spring 2015
Choose a FAMILY DOCTOR today!
ONLINE or MOBILE Go online to arkansasbluecross.com/ paybill to make a payment 24/7. You can pay online using a credit card, debit card or check. You will need your member ID number from your invoice.*
BY PHONE
Call 1-800-354-9904 to pay your bill using a credit card, debit card or check. You will need your member ID number from your invoice.*
BANK DRAFT
Go to our website or call us for a form to set up a monthly automatic bank draft. It’s the easiest way to pay!*
If you have questions, visit our website, arkansasbluecross.com.
* Medicare Advantage and Prescription Drug plan product members must call Customer Service (see page 23) to discuss available payment options. Health Advantage conversion plans are not eligible for online, mobile or pay-by-phone payment options.
Spring 2015 BLUE & YOU
7
FA M I LY
Doctor
At Arkansas Blue Cross and Blue Shield, we want to make sure you get the care you need. In fact, we are so passionate about this goal that we want to encourage you to pick a family doctor and tell us.
Why are family doctors important? • Having a family doctor can improve your health! Studies show that people with a family doctor have lower overall health care costs and are happier with their care.
How to choose a doctor It’s great to ask around to family and friends to find a doctor, but you want to be sure he or she is in our network of doctors. To find your family doctor:
1 2. 3. 4.
Go to the website for your health plan: . arkansasbluecross.com, healthadvantage-hmo.com or blueadvantagearkansas.com.
• Sooner or later, everyone needs medical care. You will receive better and more personalized care when you see a doctor who knows you. • There is a shortage of family doctors in Arkansas. We want to make sure you, as our member, have a family doctor when you need one.
Our secure member website, My Blueprint, is your fastest way to access personalized information regarding your health care coverage.
When you register for My Blueprint you can: • Estimate your treatment costs, including personalized medical out-of-pocket amounts • Review claims history and personal health statements • Access a personal health record • Order a new member ID card or print a temporary card
• Find out what health care services are covered through your Benefit Summary • Review your recent doctor visits • Access a personal health record • And much more
All it takes is your member ID card and a few minutes to create the account information. A version also is available when visiting arkansasbluecross.com on your mobile phone. If you haven’t registered for My Blueprint, do it today. These services may not be available to members with Medicare health plans.
Easy ways to pay If you have an individual or family health plan purchased directly from us or with help from an agent, Arkansas Blue Cross and Blue Shield offers several convenient ways to pay your bill — online or mobile, by phone or through a bank draft.
Go to the “Members” drop-down menu at the top of the page and select “Find a Doctor.” Add your member ID number or the type of health plan you have. Choose to search by doctor’s name, location, specialty or hospital affiliation.
What next? When you access a list of doctors from our networks online, you can see each doctor’s profile, get directions to the clinic and even rate them after your visit. We encourage you to schedule a doctor’s appointment and get to know the doctor you have chosen. Then, let one of our customer service representatives know who you have chosen.
DON’T DELAY 6
[My Blueprint
[
Find a
Get immediate access to your health care information through
BLUE & YOU Spring 2015
Choose a FAMILY DOCTOR today!
ONLINE or MOBILE Go online to arkansasbluecross.com/ paybill to make a payment 24/7. You can pay online using a credit card, debit card or check. You will need your member ID number from your invoice.*
BY PHONE
Call 1-800-354-9904 to pay your bill using a credit card, debit card or check. You will need your member ID number from your invoice.*
BANK DRAFT
Go to our website or call us for a form to set up a monthly automatic bank draft. It’s the easiest way to pay!*
If you have questions, visit our website, arkansasbluecross.com.
* Medicare Advantage and Prescription Drug plan product members must call Customer Service (see page 23) to discuss available payment options. Health Advantage conversion plans are not eligible for online, mobile or pay-by-phone payment options.
Spring 2015 BLUE & YOU
7
tax form information The following is a simple explanation about 1095 tax forms, along with some important information if you received one this year.
What is a 1095?
1095 -B and 1095-C
In 2016, everyone who files a 2015 federal income tax return will also need to attach a 1095 tax form. This form is proof that a person has health care coverage. You may receive a 1095 A, B, or C tax form from either the federal government, your health insurance provider or your employer.
If you purchased your health plan directly from Arkansas Blue Cross and Blue Shield without going through healthcare.gov, or if you have health care coverage through an employer, you will not receive a 1095 tax form this year, but will receive a 1095-B or 1095-C tax form from either Arkansas Blue Cross or your employer in 2016 to use in filing your 2015 taxes.
1095-A If you purchased health care coverage through healthcare.gov in 2014 and received an advanced premium tax credit (subsidy) to help lower the cost of your monthly health insurance premium, you should have received a 1095-A tax form from the federal government. This form provides basic information about your health insurance and is needed for filing your 2014 taxes.
Do you have the correct 1095-A tax form?
Open enrollment is over, but chances to enroll aren’t! Opportunities for Arkansans without health care coverage and members with certain individual and family health care plans
8
BLUE & YOU Spring 2015
he open enrollment period for individual and family health care coverage ended in February, but you may still be able to enroll if you are in either of the following situations.
Shared Responsibility Payment If you ended up paying a Shared Responsibility Payment (commonly referred to as a tax penalty) for not having health care coverage when you filed your 2014 tax return, you may be eligible to apply for coverage this year during a special enrollment period, from March 15 through April 30. To qualify, you must meet the following guidelines: • You currently are not enrolled in coverage through healthcare.gov for 2015 • You paid the Affordable Care Act penalty for not having health coverage in 2014 when you filed your 2014 tax return
Exclusions Members with coverage under Arkansas’ private option (the Healthcare Independence Program) did not receive a 1095 in 2015, but may in the future. You also will not receive a 1095 if you have a non-qualified health plan, such as a short-term plan.
• You first became aware of, or understood the implications of, the penalty in connection with preparing your 2014 taxes after the end of open enrollment (February 15, 2015) Arkansas Blue Cross and Blue Shield also will offer this special enrollment period through its online marketplace from March 15 through April 30 for customers who paid a tax penalty but who would rather purchase health care coverage directly from us.
Your tax preparer should be able to answer any questions you have regarding your health care coverage and taxes.
About 20 percent of 1095-A tax forms sent out in February had incorrect information. The benchmark plan premium amount, which is used to determine the premium tax credit you receive, was incorrect. You should have received a corrected 1095-A tax form. You can find out if your form was incorrect by logging in to your account at healthcare.gov. You will see a notice message that will let you know if your form was, or was not, affected. People who find errors on their form can contact the Marketplace Call Center at 1-800-318-2596 to request a corrected form.
T
Qualifying Life Event Certain life events (usually really big life changes) can make you eligible to enroll in a new plan at any time in the year. Examples of these qualifying life events are: • Marriage • Birth/adoption/new guardianship • Recent move to Arkansas • Involuntary loss of other health insurance coverage This information should not be construed as tax or legal advice. Questions about your specific circumstances should be referred to your tax or legal professional.
This information does not apply to Medicare health plans. For information on Medicare health plan special enrollment periods, go to arkansasbluecross.com.
Other qualifying life events like pregnancy or divorce allow you to make changes to your current health plan. Visit arkansasbluecross.com to view our individual and family plans and learn more.
Spring 2015 BLUE & YOU
9
tax form information The following is a simple explanation about 1095 tax forms, along with some important information if you received one this year.
What is a 1095?
1095 -B and 1095-C
In 2016, everyone who files a 2015 federal income tax return will also need to attach a 1095 tax form. This form is proof that a person has health care coverage. You may receive a 1095 A, B, or C tax form from either the federal government, your health insurance provider or your employer.
If you purchased your health plan directly from Arkansas Blue Cross and Blue Shield without going through healthcare.gov, or if you have health care coverage through an employer, you will not receive a 1095 tax form this year, but will receive a 1095-B or 1095-C tax form from either Arkansas Blue Cross or your employer in 2016 to use in filing your 2015 taxes.
1095-A If you purchased health care coverage through healthcare.gov in 2014 and received an advanced premium tax credit (subsidy) to help lower the cost of your monthly health insurance premium, you should have received a 1095-A tax form from the federal government. This form provides basic information about your health insurance and is needed for filing your 2014 taxes.
Do you have the correct 1095-A tax form?
Open enrollment is over, but chances to enroll aren’t! Opportunities for Arkansans without health care coverage and members with certain individual and family health care plans
8
BLUE & YOU Spring 2015
he open enrollment period for individual and family health care coverage ended in February, but you may still be able to enroll if you are in either of the following situations.
Shared Responsibility Payment If you ended up paying a Shared Responsibility Payment (commonly referred to as a tax penalty) for not having health care coverage when you filed your 2014 tax return, you may be eligible to apply for coverage this year during a special enrollment period, from March 15 through April 30. To qualify, you must meet the following guidelines: • You currently are not enrolled in coverage through healthcare.gov for 2015 • You paid the Affordable Care Act penalty for not having health coverage in 2014 when you filed your 2014 tax return
Exclusions Members with coverage under Arkansas’ private option (the Healthcare Independence Program) did not receive a 1095 in 2015, but may in the future. You also will not receive a 1095 if you have a non-qualified health plan, such as a short-term plan.
• You first became aware of, or understood the implications of, the penalty in connection with preparing your 2014 taxes after the end of open enrollment (February 15, 2015) Arkansas Blue Cross and Blue Shield also will offer this special enrollment period through its online marketplace from March 15 through April 30 for customers who paid a tax penalty but who would rather purchase health care coverage directly from us.
Your tax preparer should be able to answer any questions you have regarding your health care coverage and taxes.
About 20 percent of 1095-A tax forms sent out in February had incorrect information. The benchmark plan premium amount, which is used to determine the premium tax credit you receive, was incorrect. You should have received a corrected 1095-A tax form. You can find out if your form was incorrect by logging in to your account at healthcare.gov. You will see a notice message that will let you know if your form was, or was not, affected. People who find errors on their form can contact the Marketplace Call Center at 1-800-318-2596 to request a corrected form.
T
Qualifying Life Event Certain life events (usually really big life changes) can make you eligible to enroll in a new plan at any time in the year. Examples of these qualifying life events are: • Marriage • Birth/adoption/new guardianship • Recent move to Arkansas • Involuntary loss of other health insurance coverage This information should not be construed as tax or legal advice. Questions about your specific circumstances should be referred to your tax or legal professional.
This information does not apply to Medicare health plans. For information on Medicare health plan special enrollment periods, go to arkansasbluecross.com.
Other qualifying life events like pregnancy or divorce allow you to make changes to your current health plan. Visit arkansasbluecross.com to view our individual and family plans and learn more.
Spring 2015 BLUE & YOU
9
‘‘
Community Paramedics: Helping a community live fearlessly
Doctors may not make house calls anymore, but around Mountain Home, Arkansas, they have the next best thing — the Baxter Regional Medical Center (BRMC) Community Paramedic Mobile Healthcare Program. The Community Paramedic Program, which sends paramedics out to recently discharged patients to help them Live Fearlessly at home, recently received their first grant from the Blue & You Foundation for a Healthier Arkansas. The program is the first community paramedic pilot in the state and one of only about 250 nationwide.
10
“We decided to fund this program because it continues to help patients after they leave the hospital,” said Patrick O’Sullivan, executive director of the Blue & You Foundation. “The program takes the care and attention that patients received at the hospital and extends it into their homes, checking on their progress, monitoring their recovery and helping to prevent a return trip to the hospital. It reverses the traditional direction of medical
BLUE & YOU Spring 2015
care, taking preventive care to the patient’s home, rather than waiting for problems to develop and the patient coming back to the hospital.” The Mountain Home area, tucked between Bull Shoals and Norfolk lakes in the heart of the Ozarks, has been an ideal location for many retirees. In fact, the percentage of people 65 and older in Baxter and Marion counties is nearly twice the Arkansas average. BRMC is the fifth highest Medicaredependent hospital in the United States. Dan Snyder, the community paramedic coordinator for BRMC, said that as much as the senior community creates a special culture in the Mountain Home area, it also creates a health care challenge. In 2013 BRMC was penalized by Medicare for its rate of re-admissions. Dan said the hospital staff realized that if they couldn’t find a way to help patients to heal at home and stay home, they were going to be in big financial trouble.
With the Community Paramedic Program, patients who don’t qualify for home health care, and who are recommended by their doctors, can expect a visit 24 to 48 hours after they arrive home. Because the paramedics have access to the patients’ electronic medical records and can add information as needed, the medical team has a clear understanding of the patients’ needs. During the first visit the paramedics can assess the home for fall risks, make sure the patient has plenty of food available, verify that their prescriptions have been filled and that they know how to take them and put them in contact with area resources if needed. “It is the future of health care, in our eyes,” said Dan. Ron Peterson, the chief executive officer of BRMC, said the Community paramedic program has been beneficial to the hospital and the patients. “The word ‘discharge’ has disappeared from our vocabulary because we continue to follow our patients once they leave the hospital. The program is a win-win because we offer better patient care and it saves the hospital money in the long run.” The program is estimated to have saved BRMC a great deal in penalties by avoiding readmissions since the beginning of the program in March 2013. How has it been received by the patients?
This program … we call it our life saver,” said Shirley Angel, whose husband, Charley, has been a patient in the Community Paramedic Program. Never one to slow down, Charley had put off taking care of a hernia until he was just too uncomfortable. It was supposed to be a relatively simple procedure, but instead of one hernia, there were several. He went home a few days later, but by that evening, he and Shirley knew something wasn’t right. Shirley called the Community Paramedic hotline for someone to check on him. The paramedic/ registered nurse who came out recognized that Charley needed immediate medical attention, contacted his doctor and called for an ambulance. By the time Charley reached BRMC, they were ready to quickly remove fluid in his abdomen from the surgery. While Charley’s situation was a re-admission, it was one that could have been worse had the Community Paramedic Program not been available to assess his situation. After being released a second time, Charley was more than willing to allow the community paramedics to visit him weekly and check his health.
The program takes the care and attention that patients received at the hospital and extends it into their homes.
‘‘
Charley Angel and his wife, Shirley, describe the Community Paramedic program as their “life saver” because of the enormous impact it has had on their lives.
– Patrick O’Sullivan
executive director of the Blue & You Foundation
By getting more involved in the lives of patients who repeatedly call for an ambulance or end up in the ER, the paramedics have been able to find out why a person’s health is failing and address their needs. And instead of telling patients what to do, a big part of setting recovery goals is asking them what they believe would help them get better. “We’ve had several patients who were so shocked when we asked them what they needed that they started crying,” Gerald Cantrell, RN, the paramedic/emergency medical services manager said. The program is making a difference in the lives of the paramedics as well. “What we are doing is not only benefitting our patients, it is career changing for our staff,” Gerald said. That was readily apparent when the community paramedics
stopped by to check on Ron Tate, who has struggled with the effects of a severe stroke and a heart attack that would have stopped most people. With the help of the Community Paramedic program, Ron’s family gets the support they need to keep Ron at home, and Ron gets to visit with people who have become close friends. “It’s peace of mind that they come every Wednesday,” Ron’s wife, Jeannie, said. Ron’s speech is still limited by the stroke, but as Jeannie talked about his progress in the program, he shared a few choice words — which got the group laughing — and then stood up and took a few steps on his own with a cane. That was met with cheers and a few glimmers of tears in the eyes of the burly paramedics. After all, he isn’t just a patient to them; he is one of their friends.
“The pleasure of these gentlemen coming here and taking care of me,” Charley said, “it brings peace to us.” “Charley has been one of our successes,” said David Sator, a community paramedic who regularly checks on Charley. “He follows directions and he has Shirley to make sure he does what he is supposed to do.”
Ron Tate, left, a victim of both a stroke and heart attack, has made great strides in his recovery in large part because of the attention he receives from Dan Snyder and the Community Paramedic Program.
Spring 2015 BLUE & YOU
11
‘‘
Community Paramedics: Helping a community live fearlessly
Doctors may not make house calls anymore, but around Mountain Home, Arkansas, they have the next best thing — the Baxter Regional Medical Center (BRMC) Community Paramedic Mobile Healthcare Program. The Community Paramedic Program, which sends paramedics out to recently discharged patients to help them Live Fearlessly at home, recently received their first grant from the Blue & You Foundation for a Healthier Arkansas. The program is the first community paramedic pilot in the state and one of only about 250 nationwide.
10
“We decided to fund this program because it continues to help patients after they leave the hospital,” said Patrick O’Sullivan, executive director of the Blue & You Foundation. “The program takes the care and attention that patients received at the hospital and extends it into their homes, checking on their progress, monitoring their recovery and helping to prevent a return trip to the hospital. It reverses the traditional direction of medical
BLUE & YOU Spring 2015
care, taking preventive care to the patient’s home, rather than waiting for problems to develop and the patient coming back to the hospital.” The Mountain Home area, tucked between Bull Shoals and Norfolk lakes in the heart of the Ozarks, has been an ideal location for many retirees. In fact, the percentage of people 65 and older in Baxter and Marion counties is nearly twice the Arkansas average. BRMC is the fifth highest Medicaredependent hospital in the United States. Dan Snyder, the community paramedic coordinator for BRMC, said that as much as the senior community creates a special culture in the Mountain Home area, it also creates a health care challenge. In 2013 BRMC was penalized by Medicare for its rate of re-admissions. Dan said the hospital staff realized that if they couldn’t find a way to help patients to heal at home and stay home, they were going to be in big financial trouble.
With the Community Paramedic Program, patients who don’t qualify for home health care, and who are recommended by their doctors, can expect a visit 24 to 48 hours after they arrive home. Because the paramedics have access to the patients’ electronic medical records and can add information as needed, the medical team has a clear understanding of the patients’ needs. During the first visit the paramedics can assess the home for fall risks, make sure the patient has plenty of food available, verify that their prescriptions have been filled and that they know how to take them and put them in contact with area resources if needed. “It is the future of health care, in our eyes,” said Dan. Ron Peterson, the chief executive officer of BRMC, said the Community paramedic program has been beneficial to the hospital and the patients. “The word ‘discharge’ has disappeared from our vocabulary because we continue to follow our patients once they leave the hospital. The program is a win-win because we offer better patient care and it saves the hospital money in the long run.” The program is estimated to have saved BRMC a great deal in penalties by avoiding readmissions since the beginning of the program in March 2013. How has it been received by the patients?
This program … we call it our life saver,” said Shirley Angel, whose husband, Charley, has been a patient in the Community Paramedic Program. Never one to slow down, Charley had put off taking care of a hernia until he was just too uncomfortable. It was supposed to be a relatively simple procedure, but instead of one hernia, there were several. He went home a few days later, but by that evening, he and Shirley knew something wasn’t right. Shirley called the Community Paramedic hotline for someone to check on him. The paramedic/ registered nurse who came out recognized that Charley needed immediate medical attention, contacted his doctor and called for an ambulance. By the time Charley reached BRMC, they were ready to quickly remove fluid in his abdomen from the surgery. While Charley’s situation was a re-admission, it was one that could have been worse had the Community Paramedic Program not been available to assess his situation. After being released a second time, Charley was more than willing to allow the community paramedics to visit him weekly and check his health.
The program takes the care and attention that patients received at the hospital and extends it into their homes.
‘‘
Charley Angel and his wife, Shirley, describe the Community Paramedic program as their “life saver” because of the enormous impact it has had on their lives.
– Patrick O’Sullivan
executive director of the Blue & You Foundation
By getting more involved in the lives of patients who repeatedly call for an ambulance or end up in the ER, the paramedics have been able to find out why a person’s health is failing and address their needs. And instead of telling patients what to do, a big part of setting recovery goals is asking them what they believe would help them get better. “We’ve had several patients who were so shocked when we asked them what they needed that they started crying,” Gerald Cantrell, RN, the paramedic/emergency medical services manager said. The program is making a difference in the lives of the paramedics as well. “What we are doing is not only benefitting our patients, it is career changing for our staff,” Gerald said. That was readily apparent when the community paramedics
stopped by to check on Ron Tate, who has struggled with the effects of a severe stroke and a heart attack that would have stopped most people. With the help of the Community Paramedic program, Ron’s family gets the support they need to keep Ron at home, and Ron gets to visit with people who have become close friends. “It’s peace of mind that they come every Wednesday,” Ron’s wife, Jeannie, said. Ron’s speech is still limited by the stroke, but as Jeannie talked about his progress in the program, he shared a few choice words — which got the group laughing — and then stood up and took a few steps on his own with a cane. That was met with cheers and a few glimmers of tears in the eyes of the burly paramedics. After all, he isn’t just a patient to them; he is one of their friends.
“The pleasure of these gentlemen coming here and taking care of me,” Charley said, “it brings peace to us.” “Charley has been one of our successes,” said David Sator, a community paramedic who regularly checks on Charley. “He follows directions and he has Shirley to make sure he does what he is supposed to do.”
Ron Tate, left, a victim of both a stroke and heart attack, has made great strides in his recovery in large part because of the attention he receives from Dan Snyder and the Community Paramedic Program.
Spring 2015 BLUE & YOU
11
Mark White, president and chief executive officer of Arkansas Blue Cross and Blue Shield, addresses members of the media and representatives of the University of Arkansas for Medical Sciences immediately after presenting a check for $1 million to the school.
Arkansas Blue Cross endows chair in primary care at UAMS The Arkansas Blue Cross and Blue Shield, George K. Mitchell, M.D., Endowed Chair in Primary Care was announced at the University of Arkansas for Medical Sciences (UAMS) in February. The $1 million endowment honors Mitchell — a UAMS graduate, Arkansas Blue Cross board member and retired president. The chair holder, when appointed, will focus on innovations in primary care to meet the triple aim of health system reform — better care, better patient experience and lower cost — through the incorporation of team-based care, health promotion, health literacy and population health strategies into primary care settings. “We believe this chair is an investment — not only in the good partnership between Arkansas Blue Cross and UAMS to provide quality health care for Arkansans — but also to ensure that the future of excellent primary health care is secure for all of Arkansas,” said Mark White, president and chief executive officer of Arkansas Blue Cross.
12
BLUE & YOU Spring 2015
Mitchell, who graduated with honors from the UAMS College of Medicine in 1956, was president and chief executive officer of Arkansas Blue Cross from 1975 until his 1993 retirement. He was a co-founder and senior partner of the Little Rock Diagnostic Clinic prior to joining Arkansas Blue Cross as medical director in 1968. He serves on the boards of Arkansas Blue Cross and the Blue & You Foundation.
Blue & You Foundation supports programs at UAMS The Blue & You Foundation for a Healthier Arkansas awarded $150,000 grants each to the UAMS Center for Dental Education and to the UAMS Office of Interprofessional Education. The grant to the Center for Dental Education in the UAMS College of Health Professions will expand an externship program that brings fourth-year dental students from the University of Tennessee College of Dentistry to UAMS for two-week clinic rotations.
Arkansas Blue Cross and Blue Shield opens ArkansasBlue health insurance store in Lowell.
The staff of the Lowell ArkansasBlue health insurance store stand ready to help customers with their insurance needs.
At Arkansas Blue Cross and Blue Shield, we want to be as easy to reach as a mouse click or a phone call. But sometimes you need a bit more — a friendly smile, a cup of coffee, a chance to talk face to face. In January, we made that easier for our members and customers in Northwest Arkansas by cutting the ribbon to the new ArkansasBlue health insurance store in Lowell. The new ArkansasBlue, located at 507 W. Monroe, Suite B, in Lowell, Ark., is the fourth insurance store in the state. It is place for the residents of Northwest Arkansas to shop for affordable health, dental and vision insurance and get one-on-one help from ArkansasBlue’s staff of health insurance experts. “Arkansas Blue Cross knows how important Lowell and the surrounding communities are to our great state and we want to make it easy and convenient for residents to find the most affordable health insurance plan
possible,” said Mark White, president and chief executive officer. A fullservice regional sales and service center is still located in Fayetteville. Danny Beck is the regional executive of the Northwest and West Central regions for Arkansas Blue Cross. The original ArkansasBlue store is located in West Little Rock at the Shackleford Crossings Shopping Center. The state’s other ArkansasBlue stores are located in Pine Bluff at 509 Mallard Loop Drive and Hot Springs at 1635 Higdon Ferry Road – Suite J.
The grant to the UAMS Office of Interprofessional Education will fund development of a curriculum for interprofessional education, which occurs when students from two or more professions learn from, about and with one another to improve health outcomes.
Spring 2015 BLUE & YOU
13
Mark White, president and chief executive officer of Arkansas Blue Cross and Blue Shield, addresses members of the media and representatives of the University of Arkansas for Medical Sciences immediately after presenting a check for $1 million to the school.
Arkansas Blue Cross endows chair in primary care at UAMS The Arkansas Blue Cross and Blue Shield, George K. Mitchell, M.D., Endowed Chair in Primary Care was announced at the University of Arkansas for Medical Sciences (UAMS) in February. The $1 million endowment honors Mitchell — a UAMS graduate, Arkansas Blue Cross board member and retired president. The chair holder, when appointed, will focus on innovations in primary care to meet the triple aim of health system reform — better care, better patient experience and lower cost — through the incorporation of team-based care, health promotion, health literacy and population health strategies into primary care settings. “We believe this chair is an investment — not only in the good partnership between Arkansas Blue Cross and UAMS to provide quality health care for Arkansans — but also to ensure that the future of excellent primary health care is secure for all of Arkansas,” said Mark White, president and chief executive officer of Arkansas Blue Cross.
12
BLUE & YOU Spring 2015
Mitchell, who graduated with honors from the UAMS College of Medicine in 1956, was president and chief executive officer of Arkansas Blue Cross from 1975 until his 1993 retirement. He was a co-founder and senior partner of the Little Rock Diagnostic Clinic prior to joining Arkansas Blue Cross as medical director in 1968. He serves on the boards of Arkansas Blue Cross and the Blue & You Foundation.
Blue & You Foundation supports programs at UAMS The Blue & You Foundation for a Healthier Arkansas awarded $150,000 grants each to the UAMS Center for Dental Education and to the UAMS Office of Interprofessional Education. The grant to the Center for Dental Education in the UAMS College of Health Professions will expand an externship program that brings fourth-year dental students from the University of Tennessee College of Dentistry to UAMS for two-week clinic rotations.
Arkansas Blue Cross and Blue Shield opens ArkansasBlue health insurance store in Lowell.
The staff of the Lowell ArkansasBlue health insurance store stand ready to help customers with their insurance needs.
At Arkansas Blue Cross and Blue Shield, we want to be as easy to reach as a mouse click or a phone call. But sometimes you need a bit more — a friendly smile, a cup of coffee, a chance to talk face to face. In January, we made that easier for our members and customers in Northwest Arkansas by cutting the ribbon to the new ArkansasBlue health insurance store in Lowell. The new ArkansasBlue, located at 507 W. Monroe, Suite B, in Lowell, Ark., is the fourth insurance store in the state. It is place for the residents of Northwest Arkansas to shop for affordable health, dental and vision insurance and get one-on-one help from ArkansasBlue’s staff of health insurance experts. “Arkansas Blue Cross knows how important Lowell and the surrounding communities are to our great state and we want to make it easy and convenient for residents to find the most affordable health insurance plan
possible,” said Mark White, president and chief executive officer. A fullservice regional sales and service center is still located in Fayetteville. Danny Beck is the regional executive of the Northwest and West Central regions for Arkansas Blue Cross. The original ArkansasBlue store is located in West Little Rock at the Shackleford Crossings Shopping Center. The state’s other ArkansasBlue stores are located in Pine Bluff at 509 Mallard Loop Drive and Hot Springs at 1635 Higdon Ferry Road – Suite J.
The grant to the UAMS Office of Interprofessional Education will fund development of a curriculum for interprofessional education, which occurs when students from two or more professions learn from, about and with one another to improve health outcomes.
Spring 2015 BLUE & YOU
13
Your Personal
Trainer Weight machines
are for
everyone
— including you! If you’ve ever been intimidated by the gym, you’re not alone. About 67 percent of people with a gym membership never use them. Many people don’t know where to start, especially if they’re looking to add strength training to their routine. Pulleys here, levers there, pin this, hold that—weight machines can be a nightmare to the uninitiated. But weight machines are a good place to start if you’re new to strength training. Here’s why: weight machines guide your muscles through simple-toperform, introductory movements. This allows you to worry less about your coordination and more about form and breathing. You’ll build up strength while the machines give support and stability and reduce your risk of injury. Strength training offers a lot of health advantages, so it’s in your best interest to add it to your wellness routine. Always check with your doctor before beginning an exercise program.
Who Should use Weight Machines?
How to Know How Much to Lift
Everyone! Weight machines are good for people of all fitness levels. Beginners get the support they need and experienced lifters can target specific muscle groups. People with injuries can work around them, and older people receive awesome benefits. Women who fear getting bulky needn’t worry—weights only lean your muscles and give them more definition.
If you’re just starting a program, you’ll want to lift 50 to 60 percent of the maximum amount of weight you can lift for one repetition. Start by picking a reasonable weight you can lift. If you can lift it more than 10 times, it is too light; less than 10, it is too heavy. Divide that weight in half, or maybe slightly more, in order to find a good starting point. Repeat this process for each machine you use.
Starting a Strength Training Program In addition to your cardio workouts, fitness experts recommend strength training with a variety of machines 2-3 times a week to receive maximum benefits. That means you need a plan! ST
Mark your calendar with the times you want to work out.
ND
Decide whether you will target specific areas or do a full-body workout each session.
RD
All weight training builds lean muscle mass. The question is, do you want to build more muscle mass or increase your muscle endurance? Remember, the more lean muscle mass, the less body fat. For lean muscle, lift heavier weights and do fewer reps (8-10). For endurance, lift lighter weights at higher reps (12-16).
Performing Your Routine
LOWERS:
Before you start your session, make sure: • To warm up with 10-20 minutes of cardio and dynamic stretching. • The machine is adjusted to your height. If seated, your thighs should parallel the floor. • The pin reserves the right amount of weight. Too much weight can cause injury.
3. Weight machines do not train stabilizing muscles and muscle groups to work together. If you have trouble lifting a 50 pound box but you can lift 100 pounds on the weight machine, you might need to switch to free weights. Free weights engage multiple muscle groups to avoid these issues.
As you perform your set: • Keep your back straight.
IMPROVES:
BLUE & YOU Spring 2015
Weight machines have their perks, but they also have limits.
2. The repetitive movement of isolated muscle groups means your muscles, tendons and ligaments have an increased risk of pattern overload injuries.
Visit your gym to become familiar with the equipment available. Most machines have pictures and diagrams to show you how to use them, but staff is also there to help. It’s their job to ensure your safety so don’t be afraid to ask!
Benefits of Strength Training
• Attitude and fights depression • Sleep quality • Strength and reduces risk of injury, back pain and arthritis
Limits of Weight Machines
1. Weight machines are designed for people of average height. You may not be able to use proper form if you are shorter or taller than average.
Write down your routine.*
• Body fat • Risk of osteoporosis by increasing spinal bone density • Risk of heart disease by lowering blood pressure and LDL (bad cholesterol) while raising HDL (good cholesterol) • Risk of diabetes by changing the way the body processes sugar
14
Lifting for Lean Muscle Mass or Endurance
* For a sample strength training guide, go to page 25 or go to Blue & You magazine in the members section of arkansasbluecross.com.
• Maintain muscle tension by completing the movements in a slow and controlled manner. • Breathe out when you’re Exhale pushing or pulling. Breathe through the in when you’re returning the exertion! weight to its original position. • Perform to near fatigue. Your last set should tax you but not be impossible.
Spring 2015 BLUE & YOU
15
Your Personal
Trainer Weight machines
are for
everyone
— including you! If you’ve ever been intimidated by the gym, you’re not alone. About 67 percent of people with a gym membership never use them. Many people don’t know where to start, especially if they’re looking to add strength training to their routine. Pulleys here, levers there, pin this, hold that—weight machines can be a nightmare to the uninitiated. But weight machines are a good place to start if you’re new to strength training. Here’s why: weight machines guide your muscles through simple-toperform, introductory movements. This allows you to worry less about your coordination and more about form and breathing. You’ll build up strength while the machines give support and stability and reduce your risk of injury. Strength training offers a lot of health advantages, so it’s in your best interest to add it to your wellness routine. Always check with your doctor before beginning an exercise program.
Who Should use Weight Machines?
How to Know How Much to Lift
Everyone! Weight machines are good for people of all fitness levels. Beginners get the support they need and experienced lifters can target specific muscle groups. People with injuries can work around them, and older people receive awesome benefits. Women who fear getting bulky needn’t worry—weights only lean your muscles and give them more definition.
If you’re just starting a program, you’ll want to lift 50 to 60 percent of the maximum amount of weight you can lift for one repetition. Start by picking a reasonable weight you can lift. If you can lift it more than 10 times, it is too light; less than 10, it is too heavy. Divide that weight in half, or maybe slightly more, in order to find a good starting point. Repeat this process for each machine you use.
Starting a Strength Training Program In addition to your cardio workouts, fitness experts recommend strength training with a variety of machines 2-3 times a week to receive maximum benefits. That means you need a plan! ST
Mark your calendar with the times you want to work out.
ND
Decide whether you will target specific areas or do a full-body workout each session.
RD
All weight training builds lean muscle mass. The question is, do you want to build more muscle mass or increase your muscle endurance? Remember, the more lean muscle mass, the less body fat. For lean muscle, lift heavier weights and do fewer reps (8-10). For endurance, lift lighter weights at higher reps (12-16).
Performing Your Routine
LOWERS:
Before you start your session, make sure: • To warm up with 10-20 minutes of cardio and dynamic stretching. • The machine is adjusted to your height. If seated, your thighs should parallel the floor. • The pin reserves the right amount of weight. Too much weight can cause injury.
3. Weight machines do not train stabilizing muscles and muscle groups to work together. If you have trouble lifting a 50 pound box but you can lift 100 pounds on the weight machine, you might need to switch to free weights. Free weights engage multiple muscle groups to avoid these issues.
As you perform your set: • Keep your back straight.
IMPROVES:
BLUE & YOU Spring 2015
Weight machines have their perks, but they also have limits.
2. The repetitive movement of isolated muscle groups means your muscles, tendons and ligaments have an increased risk of pattern overload injuries.
Visit your gym to become familiar with the equipment available. Most machines have pictures and diagrams to show you how to use them, but staff is also there to help. It’s their job to ensure your safety so don’t be afraid to ask!
Benefits of Strength Training
• Attitude and fights depression • Sleep quality • Strength and reduces risk of injury, back pain and arthritis
Limits of Weight Machines
1. Weight machines are designed for people of average height. You may not be able to use proper form if you are shorter or taller than average.
Write down your routine.*
• Body fat • Risk of osteoporosis by increasing spinal bone density • Risk of heart disease by lowering blood pressure and LDL (bad cholesterol) while raising HDL (good cholesterol) • Risk of diabetes by changing the way the body processes sugar
14
Lifting for Lean Muscle Mass or Endurance
* For a sample strength training guide, go to Blue & You magazine in the members section of arkansasbluecross.com or CLICK HERE: http://issuu.com/action/page?page=25
• Maintain muscle tension by completing the movements in a slow and controlled manner. • Breathe out when you’re Exhale pushing or pulling. Breathe through the in when you’re returning the exertion! weight to its original position. • Perform to near fatigue. Your last set should tax you but not be impossible.
Spring 2015 BLUE & YOU
15
produce – Buy in season for the best value – The more colors, the better – Add a new fruit or vegetable each week
Grocery
store
DID YOU KNOW?
tours
Organic fruits and veggies are grown without conventional pesticides, synthetic fertilizers or other bioengineering. However, no research shows any nutritional difference between organic and conventional fruits and vegetables.
become a
meat, poultry, fish & seafood – Be careful of packaged deli meats and canned seafood — they usually contain high amounts sodium – Avoid cuts of meat that have lots of marbling, which is high in saturated fat
A healthy trip to the grocery store can be difficult! There are so many products to choose from — dozens of breads, organic versus nonorganic produce and sugary
cereals that masquerade in healthy-looking boxes. How do you tackle the grocery store with confidence and keep your cart filled with a healthy bounty? Check
out the following tips from Arkansas Blue Cross and Blue Shield’s registered dietitian and wellness specialist, Kristen Rowe.
what every grocery guru should remember
COOK FOOD WALK THE PERIMETER EVERYTHING IN MODERATION 16
BLUE & YOU Spring 2015
Ready-made meals are more likely to be high in fat, salt and sugar. Prepare your meals at home, from scratch, to help trim your waistline. The middle of the grocery store features less healthy, more processed food. The healthier food is on the outskirts, so stick to the perimeter. Don’t load up 32 bunches of bananas because the latest trend is bananas. Eat and drink everything in moderation.
– Frozen seafood has the same nutritional value as fresh
grains – Choose bread with at least 2-4 grams of fiber per serving – Buy whole grain or 100 percent whole wheat bread
cereal – Find a cereal with at least 4-5 grams of fiber per serving – Choose a cereal with no more than 5-8 grams of sugar per serving
dairy – Select 1 percent or skim – Choose non-fat or low-fat yogurt – Eat real cheese, stick to the serving size
eggs – Eat no more than 3-4 whole eggs a week
DID YOU KNOW? The average supermarket sells more than 47,000 products.
beverages – Avoid all high-sugar beverages like soda and fruit drinks – Drink diet beverages sparingly (even though it says diet!)
canned goods – Watch the salt content in canned vegetables – Look for fruit packed in water or its own juices
DID YOU KNOW? Ingredients are always listed in descending order on the package, so the first ingredient is the largest component of the food.
frozen foods – Frozen fruits and vegetables have all the nutrients of fresh fruits and vegetables
DID YOU KNOW?
There are many labels in the meat and poultry section. Some mean more than others:
Certified organic = Must meet specific requirements, including no antibiotics, hormones, pesticides or biotechnology. Free-range = Chickens must be given access to the outdoors, but the amount of time and space is not regulated. There is no “free range” definition for beef or pork products. Grass-fed = Animals are given regular access to the pasture, so they eat grass instead of grain. When the animal eats outside the pasture, then it’s hay. However, grass-fed animals can still be given antibiotics and hormones. Natural = The meat contains no artificial ingredients or added color and was minimally processed. This designation does not address how the animal was raised.
Spring 2015 BLUE & YOU
17
produce – Buy in season for the best value – The more colors, the better – Add a new fruit or vegetable each week
Grocery
store
DID YOU KNOW?
tours
Organic fruits and veggies are grown without conventional pesticides, synthetic fertilizers or other bioengineering. However, no research shows any nutritional difference between organic and conventional fruits and vegetables.
become a
meat, poultry, fish & seafood – Be careful of packaged deli meats and canned seafood — they usually contain high amounts sodium – Avoid cuts of meat that have lots of marbling, which is high in saturated fat
A healthy trip to the grocery store can be difficult! There are so many products to choose from — dozens of breads, organic versus nonorganic produce and sugary
cereals that masquerade in healthy-looking boxes. How do you tackle the grocery store with confidence and keep your cart filled with a healthy bounty? Check
out the following tips from Arkansas Blue Cross and Blue Shield’s registered dietitian and wellness specialist, Kristen Rowe.
what every grocery guru should remember
COOK FOOD WALK THE PERIMETER EVERYTHING IN MODERATION 16
BLUE & YOU Spring 2015
Ready-made meals are more likely to be high in fat, salt and sugar. Prepare your meals at home, from scratch, to help trim your waistline. The middle of the grocery store features less healthy, more processed food. The healthier food is on the outskirts, so stick to the perimeter. Don’t load up 32 bunches of bananas because the latest trend is bananas. Eat and drink everything in moderation.
– Frozen seafood has the same nutritional value as fresh
grains – Choose bread with at least 2-4 grams of fiber per serving – Buy whole grain or 100 percent whole wheat bread
cereal – Find a cereal with at least 4-5 grams of fiber per serving – Choose a cereal with no more than 5-8 grams of sugar per serving
dairy – Select 1 percent or skim – Choose non-fat or low-fat yogurt – Eat real cheese, stick to the serving size
eggs – Eat no more than 3-4 whole eggs a week
DID YOU KNOW? The average supermarket sells more than 47,000 products.
beverages – Avoid all high-sugar beverages like soda and fruit drinks – Drink diet beverages sparingly (even though it says diet!)
canned goods – Watch the salt content in canned vegetables – Look for fruit packed in water or its own juices
DID YOU KNOW? Ingredients are always listed in descending order on the package, so the first ingredient is the largest component of the food.
frozen foods – Frozen fruits and vegetables have all the nutrients of fresh fruits and vegetables
DID YOU KNOW?
There are many labels in the meat and poultry section. Some mean more than others:
Certified organic = Must meet specific requirements, including no antibiotics, hormones, pesticides or biotechnology. Free-range = Chickens must be given access to the outdoors, but the amount of time and space is not regulated. There is no “free range” definition for beef or pork products. Grass-fed = Animals are given regular access to the pasture, so they eat grass instead of grain. When the animal eats outside the pasture, then it’s hay. However, grass-fed animals can still be given antibiotics and hormones. Natural = The meat contains no artificial ingredients or added color and was minimally processed. This designation does not address how the animal was raised.
Spring 2015 BLUE & YOU
17
Important information about the
Personalized Medical Cost Estimates For All Members
Anthem
Blue Cross and Blue Shi e ld security breach
Nationwide, and here in Arkansas, the Blues have been meeting those needs through initiatives such as the Blue Distinction Centers of Excellence (designation for facilities that meet standards for quality care); provider
Data breaches are a serious and constantly evolving threat confronting all sectors of our economy and society. We understand and share the anxiety and frustration our members have about their personal information being at risk. We continue to work to protect your members’ information.
It’s easy to use. Simply log in to your secure member account, then:
If you notice services on your Personal Health Statement that you or your family members have not received, please call the number on your member ID card immediately.
Get notice of your Personal Health Statements by email
A PHS is issued twice a month if you have medical claims, and quarterly if you only have pharmacy claims.
These days it is hard to find time to slow down and look through your mail, so Arkansas Blue Cross and Blue Shield offers a more efficient way to get notice of your Personal Health Statement — by email. Your Personal Health Statement (PHS) is designed to help you better understand your recent medical and prescription claims, including: • Total amounts charged • Your discounts just for being a member • What your health plan paid on your claims • What you owe, or may have paid, to your medical provider
18
Transparency in health care cost and quality is quickly becoming the new normal. At Arkansas Blue Cross and Blue Shield, we know you want transparency when it comes to your doctors, your health and your money.
Arkansas Blue Cross and Blue Shield, and our affiliated companies, take seriously the data breach that occurred in January at our sister Blue Plan, Anthem Blue Cross and Blue Shield. Our mission is protecting the people and communities we serve – your health, your financial security, and in the 21st century, your privacy. We have made good on that promise for years, and we will continue to do so.
All members of Blue Plans affected by this data breach received a letter and have been offered free credit monitoring and free identity repair services. Arkansas Blue Cross will stay on top of the situation and keep our members informed.
BLUE & YOU Spring 2015
}
You can register to receive notification of your PHS by email through My Blueprint, our member selfservice center on our websites. When you receive an email notification, you can log in to My Blueprint to view your PHS. When you share your email with us it also allows us to communicate with you by email if we have other important information for you. As a courtesy to you, our customer service representatives may ask you for an email address, or to update your email address. Sharing your email address with us is always voluntary. If you like to save trees, and want to get your PHS efficiently, signing up to get notice of your PHS by email is the way to go!
These services may not be available to members with Medicare health plans.
Including YOU! reviews (members can review recent health care provider office visits after a claim is filed); and through a link in our secure member website/account (My Blueprint), where you can estimate your treatment costs. This link gives you access to the cost (including your out-of-pocket costs based on your health plan) of 1,632 different treatments. These services may not be available to members with Medicare health plans.
1. Select yourself or a covered dependent 2. Select a location 3. Select a category for treatment (i.e. back or eyes or diabetes, etc.) 4. Select a specific treatment
Select the “Get Results” button and you will receive: • Facility options • Cost estimate by facility • Average cost by facility • Estimated out-of-pocket cost (matched to your benefits) • Distance from your ZIP code to the facility The tool also provides definitions and lets you know where the closest Blue Distinction Center is located for the treatment selected. This tool is available to all Arkansas Blue Cross, Health Advantage and BlueAdvantage members through My Blueprint, our secure member website.
From January through September 2014, 111,899 members viewed a treatment category and 47,952 members viewed the results. The tool is an important part of our focus on improving cost and quality transparency. These services may not be available to members with Medicare health plans.
Spring 2015 BLUE & YOU
19
Important information about the
Personalized Medical Cost Estimates For All Members
Anthem
Blue Cross and Blue Shi e ld security breach
Nationwide, and here in Arkansas, the Blues have been meeting those needs through initiatives such as the Blue Distinction Centers of Excellence (designation for facilities that meet standards for quality care); provider
Data breaches are a serious and constantly evolving threat confronting all sectors of our economy and society. We understand and share the anxiety and frustration our members have about their personal information being at risk. We continue to work to protect your members’ information.
It’s easy to use. Simply log in to your secure member account, then:
If you notice services on your Personal Health Statement that you or your family members have not received, please call the number on your member ID card immediately.
Get notice of your Personal Health Statements by email
A PHS is issued twice a month if you have medical claims, and quarterly if you only have pharmacy claims.
These days it is hard to find time to slow down and look through your mail, so Arkansas Blue Cross and Blue Shield offers a more efficient way to get notice of your Personal Health Statement — by email. Your Personal Health Statement (PHS) is designed to help you better understand your recent medical and prescription claims, including: • Total amounts charged • Your discounts just for being a member • What your health plan paid on your claims • What you owe, or may have paid, to your medical provider
18
Transparency in health care cost and quality is quickly becoming the new normal. At Arkansas Blue Cross and Blue Shield, we know you want transparency when it comes to your doctors, your health and your money.
Arkansas Blue Cross and Blue Shield, and our affiliated companies, take seriously the data breach that occurred in January at our sister Blue Plan, Anthem Blue Cross and Blue Shield. Our mission is protecting the people and communities we serve – your health, your financial security, and in the 21st century, your privacy. We have made good on that promise for years, and we will continue to do so.
All members of Blue Plans affected by this data breach received a letter and have been offered free credit monitoring and free identity repair services. Arkansas Blue Cross will stay on top of the situation and keep our members informed.
BLUE & YOU Spring 2015
}
You can register to receive notification of your PHS by email through My Blueprint, our member selfservice center on our websites. When you receive an email notification, you can log in to My Blueprint to view your PHS. When you share your email with us it also allows us to communicate with you by email if we have other important information for you. As a courtesy to you, our customer service representatives may ask you for an email address, or to update your email address. Sharing your email address with us is always voluntary. If you like to save trees, and want to get your PHS efficiently, signing up to get notice of your PHS by email is the way to go!
These services may not be available to members with Medicare health plans.
Including YOU! reviews (members can review recent health care provider office visits after a claim is filed); and through a link in our secure member website/account (My Blueprint), where you can estimate your treatment costs. This link gives you access to the cost (including your out-of-pocket costs based on your health plan) of 1,632 different treatments. These services may not be available to members with Medicare health plans.
1. Select yourself or a covered dependent 2. Select a location 3. Select a category for treatment (i.e. back or eyes or diabetes, etc.) 4. Select a specific treatment
Select the “Get Results” button and you will receive: • Facility options • Cost estimate by facility • Average cost by facility • Estimated out-of-pocket cost (matched to your benefits) • Distance from your ZIP code to the facility The tool also provides definitions and lets you know where the closest Blue Distinction Center is located for the treatment selected. This tool is available to all Arkansas Blue Cross, Health Advantage and BlueAdvantage members through My Blueprint, our secure member website.
From January through September 2014, 111,899 members viewed a treatment category and 47,952 members viewed the results. The tool is an important part of our focus on improving cost and quality transparency. These services may not be available to members with Medicare health plans.
Spring 2015 BLUE & YOU
19
NEWS We
Danny Beck named regional executive of Arkansas Blue Cross and Blue Shield – Northwest and West Central Regions
the Central Arkansas Heart Walk in April!
Share the love and join Arkansas Blue Cross and Blue Shield for the Central Arkansas Heart Walk at 9 a.m., Saturday, April 25, in Burns Park in North Little Rock. The walk begins at the soccer fields.
Danny Beck has been named regional executive of the northwest and west central regions for Arkansas Blue Cross and Blue Shield, including offices in Fayetteville, Fort Smith and the new ArkansasBlue store in Lowell. Beck joined Arkansas Blue Cross in 1994 and most recently was an account manager in Northwest Arkansas. He earned his bachelor’s degree in finance from the University of Arkansas at Fayetteville and his master’s in business administration from the University of Arkansas at Little Rock. He is a certified financial manager and earned a professional designation from the Academy for Healthcare Management.
Come visit the Arkansas Blue Cross team and get hugs and high-fives from Blue Ann Ewe, our health ambassador. The American Heart Association is a nonprofit that is near and dear to our hearts!
Danny Beck
Other Arkansas Blue Cross offices and ArkansasBlue stores are available throughout the state. Come see our regional executives in the following locations:
Bryan Dorathy
Hot Springs and Texarkana
John Glassford
Little Rock and Pine Bluff
Bill Brown
Jonesboro
The Blue & You Fitness Challenge is underway! Ready, set, go… If you registered for the Blue & You Fitness Challenge, then you’d better get moving! The Challenge officially started in March.
The Blue & You Fitness Challenge is an exercise contest, held March through May of each year, that encourages people to exercise 30 minutes each day, most days of the week. Participants log their exercise online to earn virtual medals. Arkansas Blue Cross and Blue Shield, the Arkansas Department of Health and the Arkansas Department of Human Services host the Challenge.
20 18
So, if you are in the Challenge, don’t give up and don’t forget to log your exercise! If you missed it this year, go to the health and wellness section under “Members” at arkansasbluecross.com to learn more.
BLUE & YOU Spring 2015
Arkansas Blue Cross business scholarship recipients In 2003, Arkansas Blue Cross and Blue Shield established an endowed scholarship fund for undergraduate students in the University of Arkansas Sam M. Walton College of Business. Each year, several outstanding business students are rewarded this scholarship for their academic achievements and dedication.
The following students are the 2014-2015 recipients of the scholarship: • Kendall Ashworth of Fayetteville will graduate in May 2016 with a degree in accounting/information systems. • Edgar Camarillo of Berryville will graduate in May 2017 with a degree in finance. • Elizabeth Simmons of Huntsville will graduate in May 2017 with a degree in accounting. • Amy Zhu of Hope will graduate in May 2017 with a degree in international business/Chinese.
Spring 2015 BLUE & YOU
21
NEWS We
Danny Beck named regional executive of Arkansas Blue Cross and Blue Shield – Northwest and West Central Regions
the Central Arkansas Heart Walk in April!
Share the love and join Arkansas Blue Cross and Blue Shield for the Central Arkansas Heart Walk at 9 a.m., Saturday, April 25, in Burns Park in North Little Rock. The walk begins at the soccer fields.
Danny Beck has been named regional executive of the northwest and west central regions for Arkansas Blue Cross and Blue Shield, including offices in Fayetteville, Fort Smith and the new ArkansasBlue store in Lowell. Beck joined Arkansas Blue Cross in 1994 and most recently was an account manager in Northwest Arkansas. He earned his bachelor’s degree in finance from the University of Arkansas at Fayetteville and his master’s in business administration from the University of Arkansas at Little Rock. He is a certified financial manager and earned a professional designation from the Academy for Healthcare Management.
Come visit the Arkansas Blue Cross team and get hugs and high-fives from Blue Ann Ewe, our health ambassador. The American Heart Association is a nonprofit that is near and dear to our hearts!
Danny Beck
Other Arkansas Blue Cross offices and ArkansasBlue stores are available throughout the state. Come see our regional executives in the following locations:
Bryan Dorathy
Hot Springs and Texarkana
John Glassford
Little Rock and Pine Bluff
Bill Brown
Jonesboro
The Blue & You Fitness Challenge is underway! Ready, set, go… If you registered for the Blue & You Fitness Challenge, then you’d better get moving! The Challenge officially started in March.
The Blue & You Fitness Challenge is an exercise contest, held March through May of each year, that encourages people to exercise 30 minutes each day, most days of the week. Participants log their exercise online to earn virtual medals. Arkansas Blue Cross and Blue Shield, the Arkansas Department of Health and the Arkansas Department of Human Services host the Challenge.
20 18
So, if you are in the Challenge, don’t give up and don’t forget to log your exercise! If you missed it this year, go to the health and wellness section under “Members” at arkansasbluecross.com to learn more.
BLUE & YOU Spring 2015
Arkansas Blue Cross business scholarship recipients In 2003, Arkansas Blue Cross and Blue Shield established an endowed scholarship fund for undergraduate students in the University of Arkansas Sam M. Walton College of Business. Each year, several outstanding business students are rewarded this scholarship for their academic achievements and dedication.
The following students are the 2014-2015 recipients of the scholarship: • Kendall Ashworth of Fayetteville will graduate in May 2016 with a degree in accounting/information systems. • Edgar Camarillo of Berryville will graduate in May 2017 with a degree in finance. • Elizabeth Simmons of Huntsville will graduate in May 2017 with a degree in accounting. • Amy Zhu of Hope will graduate in May 2017 with a degree in international business/Chinese.
Spring 2015 BLUE & YOU
21
Blue & You Foun d ation awards $2.6 million in grants to improve health From walking trails, to food pantries to training first responders, the Blue & You Foundation for a Healthier Arkansas touches the lives of all Arkansans. Recently the Foundation awarded a total of $2,674,119 in major grants to 35 health improvement programs in Arkansas.
The Blue & You Foundation awards grants to nonprofit or governmental organizations and programs that positively affect the health of Arkansans. The foundation offers major grants and mini-grants of $1,000 each. In its 13 years of operation, the Blue & You Foundation has awarded nearly $22 million to 584 health improvement programs in Arkansas.
The major grants awarded for 2015:
Statewide
Northwest (cont.)
Arkansas Children’s Hospital Foundation – Little Rock GoNoodle Plus activity breaks for public schools
Jasper Elementary School – Jasper Elementary/community playground
Arkansas Trauma Education and Research Foundation, Inc. – Little Rock Research on trauma costs and response
Northwest Arkansas Children’s Shelter – Bentonville Behavioral management training
University of Arkansas for Medical Sciences (UAMS) – Little Rock Dental student program UAMS – Little Rock Interprofessional education Baptist Health Foundation – Little Rock Training for breastfeeding consulting
Central City of Fairfield Bay Exercise trail
22
Northwest Arkansas Free Health Center – Fayetteville Dental care Prairie Grove Schools – Prairie Grove Physical education curriculum City of Marshall Exercise trail Washington Regional Medical Foundation – Fayetteville Palliative care program Yellville Summit School District – Yellville School vegetable garden
Faulkner County Council on Aging, Inc. – Conway Senior health and exercise
Northeast
Project HOPE Food Bank – Hot Springs Emergency food boxes
Augusta First United Methodist Church – Augusta Community food pantry
Northwest
City of Gosnell Exercise trail
Baxter Regional Medical Center – Mountain Home Community Paramedics Pilot Program
City of Jonesboro Exercise trail
City of Cave Spring Exercise trail
Food Bank of Northeast Arkansas, Inc. – Jonesboro Backpack with snacks for school children
City of Greenland Exercise trail
Ozarka College – Melbourne Cardio wellness, fitness challenge and safety program
BLUE & YOU Spring 2015
Northeast (cont.)
Southeast
Piggott Community Hospital – Piggott Telemedicine equipment
City of Lake Village Exercise trail
Piggott Parks and Recreation – Piggott Exercise trail
City of Portland Exercise trail
White River Health System, Inc. – Batesville Birthing simulator and instructor training
Greater Delta Alliance for Health, Inc. – DeWitt Birthing simulator Vera Lloyd Presbyterian Family Services – Monticello Fitness and nutrition supplies for foster children
Southwest Healthy Connections, Inc. – Mena Emergency dental care and dental education Our Lady of Good Hope Catholic Church – Hope Food pantry Southern Arkansas University – Magnolia Medical simulation and training equipment
Woodlawn School District – Rison Exercise trail The application deadline for major grants for 2016 is July 15. The Blue & You Foundation also offers $1,000 mini-grants to support health improvement projects in Arkansas. Applications for mini-grants are accepted through the end of March. For more information about both grant application processes, visit the foundation website at blueandyoufoundationarkansas.org. The foundation is an independent licensee of the Blue Cross and Blue Shield Association and serves the state of Arkansas. The foundation is a 501(c)(3) organization.
Texarkana Arkansas Police Department Health and safety
CUSTOMER SERVICE NUMBERS May we help?
For customer service, please call:
TOLL FREE Number
Medi-Pak® members ® Medi-Pak Advantage members Medi-Pak® Rx members Arkansas Blue Cross members • Pharmacy questions • Specialty Rx pharmacy questions Arkansas Blue Cross Metallic members (Gold, Silver, Bronze, Catastrophic) • Pharmacy questions Health Advantage members • Pharmacy questions BlueAdvantage members • Pharmacy questions Federal Employee members
1-800-338-2312 1-877-233-7022 1-866-390-3369 1-800-238-8379 1-800-863-5561 1-866-295-2779 1-800-800-4298 1-800-969-3983 1-800-843-1329 1-800-863-5567 1-888-872-2531 1-888-293-3748 1-800-482-6655
Looking for health or dental insurance? We can help! For individuals, families For employer groups*
1-800-392-2583 1-800-421-1112
*Arkansas Blue Cross, Health Advantage and BlueAdvantage Administrators of Arkansas
PAY YOUR
BILL
Prefer to speak with someone close to home? Call or visit one of our offices near you: • ArkansasBlue
— Little Rock 2612 S. Shackleford Rd., Suite J • Fayetteville 516 East Millsap Rd., Suite 103 • Fort Smith 3501 Old Greenwood Rd., Suite 5 • ArkansasBlue — Hot Springs 1635 Higdon Ferry Rd. – Suite J • Jonesboro 707 East Matthews Ave. • Little Rock 601 S. Gaines Street • ArkansasBlue — Lowell 507 W. Monroe Ave. – Suite B • ArkansasBlue — Pine Bluff 509 Mallard Loop Drive • Texarkana 1710 Arkansas Boulevard
1-501-378-2222 1-800-817-7726 1-866-254-9117 1-800-588-5733 1-800-299-4124 1-800-421-1112 1-888-872-2539 1-800-236-0369 1-800-470-9621
Visit our websites for more information:
arkansasbluecross.com • healthadvantage-hmo.com blueadvantagearkansas.com blueandyoufoundationarkansas.org
To pay by phone*, please call 1-800-354-9904 * Medicare Advantage and Prescription Drug plan product members must call Customer Service to discuss available payment options. Health Advantage conversion plans are not eligible for online, mobile or pay-by-phone payment option.
Spring 2015 BLUE & YOU
23
Blue & You Foun d ation awards $2.6 million in grants to improve health From walking trails, to food pantries to training first responders, the Blue & You Foundation for a Healthier Arkansas touches the lives of all Arkansans. Recently the Foundation awarded a total of $2,674,119 in major grants to 35 health improvement programs in Arkansas.
The Blue & You Foundation awards grants to nonprofit or governmental organizations and programs that positively affect the health of Arkansans. The foundation offers major grants and mini-grants of $1,000 each. In its 13 years of operation, the Blue & You Foundation has awarded nearly $22 million to 584 health improvement programs in Arkansas.
The major grants awarded for 2015:
Statewide
Northwest (cont.)
Arkansas Children’s Hospital Foundation – Little Rock GoNoodle Plus activity breaks for public schools
Jasper Elementary School – Jasper Elementary/community playground
Arkansas Trauma Education and Research Foundation, Inc. – Little Rock Research on trauma costs and response
Northwest Arkansas Children’s Shelter – Bentonville Behavioral management training
University of Arkansas for Medical Sciences (UAMS) – Little Rock Dental student program UAMS – Little Rock Interprofessional education Baptist Health Foundation – Little Rock Training for breastfeeding consulting
Central City of Fairfield Bay Exercise trail
22
Northwest Arkansas Free Health Center – Fayetteville Dental care Prairie Grove Schools – Prairie Grove Physical education curriculum City of Marshall Exercise trail Washington Regional Medical Foundation – Fayetteville Palliative care program Yellville Summit School District – Yellville School vegetable garden
Faulkner County Council on Aging, Inc. – Conway Senior health and exercise
Northeast
Project HOPE Food Bank – Hot Springs Emergency food boxes
Augusta First United Methodist Church – Augusta Community food pantry
Northwest
City of Gosnell Exercise trail
Baxter Regional Medical Center – Mountain Home Community Paramedics Pilot Program
City of Jonesboro Exercise trail
City of Cave Spring Exercise trail
Food Bank of Northeast Arkansas, Inc. – Jonesboro Backpack with snacks for school children
City of Greenland Exercise trail
Ozarka College – Melbourne Cardio wellness, fitness challenge and safety program
BLUE & YOU Spring 2015
Northeast (cont.)
Southeast
Piggott Community Hospital – Piggott Telemedicine equipment
City of Lake Village Exercise trail
Piggott Parks and Recreation – Piggott Exercise trail
City of Portland Exercise trail
White River Health System, Inc. – Batesville Birthing simulator and instructor training
Greater Delta Alliance for Health, Inc. – DeWitt Birthing simulator Vera Lloyd Presbyterian Family Services – Monticello Fitness and nutrition supplies for foster children
Southwest Healthy Connections, Inc. – Mena Emergency dental care and dental education Our Lady of Good Hope Catholic Church – Hope Food pantry Southern Arkansas University – Magnolia Medical simulation and training equipment
Woodlawn School District – Rison Exercise trail The application deadline for major grants for 2016 is July 15. The Blue & You Foundation also offers $1,000 mini-grants to support health improvement projects in Arkansas. Applications for mini-grants are accepted through the end of March. For more information about both grant application processes, visit the foundation website at blueandyoufoundationarkansas.org. The foundation is an independent licensee of the Blue Cross and Blue Shield Association and serves the state of Arkansas. The foundation is a 501(c)(3) organization.
Texarkana Arkansas Police Department Health and safety
CUSTOMER SERVICE NUMBERS May we help?
For customer service, please call:
TOLL FREE Number
Medi-Pak® members ® Medi-Pak Advantage members Medi-Pak® Rx members Arkansas Blue Cross members • Pharmacy questions • Specialty Rx pharmacy questions Arkansas Blue Cross Metallic members (Gold, Silver, Bronze, Catastrophic) • Pharmacy questions Health Advantage members • Pharmacy questions BlueAdvantage members • Pharmacy questions Federal Employee members
1-800-338-2312 1-877-233-7022 1-866-390-3369 1-800-238-8379 1-800-863-5561 1-866-295-2779 1-800-800-4298 1-800-969-3983 1-800-843-1329 1-800-863-5567 1-888-872-2531 1-888-293-3748 1-800-482-6655
Looking for health or dental insurance? We can help! For individuals, families For employer groups*
1-800-392-2583 1-800-421-1112
*Arkansas Blue Cross, Health Advantage and BlueAdvantage Administrators of Arkansas
PAY YOUR
BILL
Prefer to speak with someone close to home? Call or visit one of our offices near you: • ArkansasBlue
— Little Rock 2612 S. Shackleford Rd., Suite J • Fayetteville 516 East Millsap Rd., Suite 103 • Fort Smith 3501 Old Greenwood Rd., Suite 5 • ArkansasBlue — Hot Springs 1635 Higdon Ferry Rd. – Suite J • Jonesboro 707 East Matthews Ave. • Little Rock 601 S. Gaines Street • ArkansasBlue — Lowell 507 W. Monroe Ave. – Suite B • ArkansasBlue — Pine Bluff 509 Mallard Loop Drive • Texarkana 1710 Arkansas Boulevard
1-501-378-2222 1-800-817-7726 1-866-254-9117 1-800-588-5733 1-800-299-4124 1-800-421-1112 1-888-872-2539 1-800-236-0369 1-800-470-9621
Visit our websites for more information:
arkansasbluecross.com • healthadvantage-hmo.com blueadvantagearkansas.com blueandyoufoundationarkansas.org
To pay by phone*, please call 1-800-354-9904 * Medicare Advantage and Prescription Drug plan product members must call Customer Service to discuss available payment options. Health Advantage conversion plans are not eligible for online, mobile or pay-by-phone payment option.
Spring 2015 BLUE & YOU
23
Spring 2015 A publication for the policyholders of the Arkansas Blue Cross and Blue Shield family of companies
Find us on
!
Arkansas Blue Cross and Blue Shield has repeatedly been voted by its employees as one of the best places to work in Arkansas, so it only makes sense that we would be on LinkedIn. LinkedIn, the world’s largest professional network, allows people to network online. Are you interested in learning more about Arkansas Blue Cross and Blue Shield? Would you like to connect with our employees? Would you like to find a list of our current jobs? You can learn a lot about us, and our employees, on LinkedIn!
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Find a family doctor
Using weight machines
Shop healthy
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