The BlueCard Program T H E W O R L D W E V E G O T Y O U C O V E R E D.

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1 The BlueCard Program ACROSS THE COUNTRY AND AROUND T H E W O R L D W E V E G O T Y O U C O V E R E D As a Blue KC member, you have more freedom to choose the doctors and hospitals that best suit you and your family. Your membership gives you a world of choices. Within the United States, you re covered whether you need care in urban or rural areas. Outside of the United States, you have access to doctors and hospitals in more than 200 countries and territories around the world through the BlueCard Worldwide Program. With the BlueCard Program, you can locate doctors and hospitals quickly and easily. With your Blue KC member ID card handy, follow these steps: Visit the Blue National Doctor & Hospital Finder at to locate doctors and hospitals, along with maps and directions to find them. If you re a PPO member, always use a BlueCard PPO doctor or hospital to make sure you receive the highest level of benefits. HMO members only have out-of-network benefits in the case of an emergency or when prior-authorized by Blue KC. Designed to Save You Money In most cases, when you travel or live outside of the Blue KC service area, you can take advantage of savings Blue KC has negotiated with its doctors and hospitals. For covered services, you should not have to pay any amount above negotiated rates, and any applicable out-of-pocket expenses. Blue Cross and Blue Shield Association launched a Blue National Doctor and Hospital Finder app for iphone, ipad and ipod Touch, allowing you to quickly search for healthcare providers nationwide. There is no charge to download the app from the App Store, but rates from your wireless provider may apply. Call BlueCard Access at BLUE (2583) for the names and addresses of doctors and hospitals in the area where you or a covered dependent need care. Continued on back Blue Cross, Blue Shield, the Blue Cross and Blue Shield symbols, BlueCard and BlueCard Worldwide are registered service marks of the Blue Cross and Blue Shield Association, an association of independent Blue Cross and Blue Shield Plans. EFI-BCP 1/12

2 The BlueCard Program, continued Take Charge of Your Health, Wherever You Are Within the United States 1. Always carry your current Blue KC ID card. 2. To find nearby doctors and hospitals, call BlueCard Access at BLUE (2583) or visit the Blue National Doctor & Hospital Finder at 3. Call Blue KC for pre-certification or prior authorization, if necessary. The phone number is located on your Blue KC member ID card. Note: This phone number is different from the BlueCard Access number mentioned above. 4. When you arrive at the participating doctor s office or hospital, show the provider your ID card. The provider will identify your benefits through one of these symbols: Traditional/ Indemnity Benefits PPO Benefits After you receive care, you should: Not have to complete any claim forms. Not have to pay upfront for medical services, except for the usual out-of-pocket expenses (non-covered services, deductible, co-payment and coinsurance) Receive an explanation of benefits from Blue KC In an emergency, go directly to the nearest hospital. Around the world 1. Verify your international benefits with Blue KC before leaving the United States, as coverage may be different outside the country. 2. Always carry your current Blue KC member ID card. 3. If you need to locate a doctor or hospital, or need medical assistance services, call the BlueCard Worldwide Service Center at BLUE (2583) or call collect at , 24 hours a day, seven days a week. An assistance coordinator, in conjunction with a medical professional, will arrange a physician appointment or hospitalization, if necessary. 4. Please see below for steps that should be taken for inpatient and professional services. Inpatient Claim: Call the BlueCard Worldwide Service Center at or collect at when you need inpatient care. In most cases, you should not need to pay upfront for inpatient care at participating BlueCard Worldwide hospitals except for the out-of-pocket expenses (non-covered services, deductible, co-payment and coinsurance) you normally pay. The hospital should submit the claim on your behalf. In addition to contacting the BlueCard Worldwide Service Center, call Blue KC for pre-certification or pre-authorization. Refer to the phone number on your Blue KC member ID card. Note: this number is different from the phone number listed above. Professional claim: You pay upfront for care received from a doctor and/or non-participating hospital. Complete a BlueCard Worldwide International claim form and send it with the bill(s) to the BlueCard Worldwide Service Center (the address is on the form). The claim form is available from Blue KC, the BlueCard Worldwide Service Center or online at Blue Cross and Blue Shield of Kansas City is an Independent Licensee of the Blue Cross and Blue Shield Association

3 HEALTHY CHOICES For life. Every day. Blue365 Participants Your Resource for Living Healthier Exclusive Member Discounts and Services Living well means having healthy options every day. Blue365 helps you find the health and wellness information, support and services you need 365 days a year - while at the same time enjoying special member savings. Blue KC members can take advantage of complimentary Blue365 discounts and services from one of the many participating companies. Explore all the healthy choices, discounts, and more from Blue365. Find out more by visiting As a Blue KC member, you automatically have access to the content, tools and discounted offers available through these participating Blue365 companies: Fitness Anytime Fitness Get a free 7-day pass or 50% off the standard enrollment fee. Healthways Get access to 8,000 nationwide fitness centers for a $25 initiation fee and $25 per month with a 3-month minimum commitment. Also discounts of up to 30% on access to more than 40,000 health and well-being specialists. Polar Take up to 25% off the manufacturer s suggested retail price on a variety of heart rate monitors and get free shipping on all orders. Reebok Get a 20% off plus free shipping on Reebok.com orders and 15% off on entire purchase at Reebok Outlet stores. SNAP Fitness 24-7 Take 50% off the best current enrollment offer, with no processing fees. Plus, get a 5% discount off monthly dues and enjoy up to five personal-training sessions for 10% off. Continued on Reverse Side We designed Blue365 to support you as you make healthy choices everyday throughout the year. Blue365 gives you access to special savings on health-related products and services from leading national companies, all in one convenient place. Blue Cross and Blue Shield of Kansas City is an Independent Licensee of the Blue Cross and Blue Shield Association. MCM B365PARS-NMet 4/12

4 Blue365 Participants Healthy Eating Dole Child Nutrition Enjoy free access to Dole s SuperKids to get recipes, games and comics plus educational resources on nutrition for teachers and parents. ediets Take 20% off meal-delivery services, and get a success pack (valued at $80) for every fifth paid shipment. Jenny Enjoy free 30-Day Program or get a 25% discount on a Premium Program, plus the cost of food and shipping. NutriSystem Extra 12% discount and free shipping on 28-day program orders, plus an additional 20% discount with Auto-Delivery. Personal Care Beltone 25% off retail price on all Beltone hearing aids for eligible products, a free one-year supply of batteries, and a free second-year warranty. Davis Vision Enjoy 10-40% off eyewear and eye exams. Hope Paige Medical Designs Get 30% off any medical emergency bracelet, plus free shipping and engraving. LasikPlus Get a free Lasik exam, plus take 15% off standard rates or 5% off special promotional prices whichever results in a lower cost. QualSight Enjoy exclusive pricing for traditional LASIK with a one-year assurance plan or custom LASIK with Intralase, including a lifetime assurance plan. SeniorLink Care Get 17% off a 3-month premium membership or 25% off a 12-month premium membership on professional advisory services, eldercare and caregiver options. TruHearing Choose from two discount programs and save on hearing aids, get rebates and discounted batteries. CaringBridge Create a free, personalized CaringBridge website to get connected with others going through a similar health challenge, condition or illness. Blue365 offers access to savings on items that Members may purchase directly from independent vendors. Blue365 does not include items covered under members policies with Blue KC or any applicable federal healthcare program. To find out what is covered, call Blue KC. Blue Cross and Blue Shield Association (BCBSA) and Blue KC may receive payments from Blue365 vendors. Neither BCBSA nor Blue KC recommends, endorses, warrants, or guarantees any specific Blue365 vendor or item. Discounts are NOT insurance. It is important to note that these value-added discounts are not covered services under the health plan. Blue KC will not pay benefits for these services. Billing and payment for these services will occur directly between the provider and the member. Discounts, services and participants may vary.

5 NOW AVAILABLE Blue KC 24-Hour Nurse Line Registered nurses are ready to take your call Call us 24 hours a day, 7 days a week, 365 days a year and you ll have access to Care Advisors to help you with symptoms or answer a health-related question. Just knowing these nurses are there to support you reduces stress and anxiety and gives you confidence in your health. No matter what the situation from simple things like a twisted ankle, to a potentially life threatening urgent health concern the Blue Cross and Blue Shield of Kansas City (Blue KC) 24-Hour Nurse Line is there to help. How can we help? Here are just a few of the many other ways our Care Advisors can help you: Gain convenient access to quality care Become better-informed about healthcare Gain confidence when speaking to providers during office visits Become educated on self-care for non-urgent injuries and illnesses Improve your knowledge of drugs and medications Live better with healthy lifestyle tips 24-Hour Nurse Line hours a day days a year! Plus, you ll also have 24-hour access to an Audio Health Library that contains more than 1,500 topics in English and Spanish, as well as current community health concerns and announcements. The health topics include: adult, pediatric, and women s health. Clinical experience Blue KC 24-Hour Nurse Line nurses have an average of 18 years of clinical experience. They use the latest advancements in technology to assist you in making the right choices involving health issues or concerns. Most importantly, they re available to you 24 hours a day, 7 days a week, 365 days a year. So call us. You ll be glad you did. NL BF 11/10

6 BlueKC.com Y O U R G O-T O H E A LT H C A R E R E S O U R C E Being a smart healthcare consumer means staying informed. At Blue KC we want to make sure you have all the information, tools and resources available to understand your health insurance and live a healthier life. Stay Informed Blue KC has always utilized cutting-edge technologies to provide the best service possible. Our website, BlueKC.com, gives us the opportunity to continually update content and add to its functionality so you always have the information you need to manage your healthcare 24 hours a day, seven days a week. OPTIMIZED FOR MOBILE DEVICES BlueKC.com is optimized for smartphones to help facilitate on-the-go access to tools and resources commonly used on our traditional site. Blue KC members will need to register for an account on a computer before being able to use member only features on the mobile site. See the reverse side of this flyer for registration instructions. FIND THE LATEST HEALTH INFORMATION AT BLUEKC.COM Check your plan coverage, find a doctor, look up health and wellness information, learn about conditions and treatments, review your Member Handbook or find out more about our insurance plan options. You can do all this and more, quickly and easily, at BlueKC.com. BlueKC.com Features The Blue KC website was designed with you in mind. Here are just a few of the features you ll find: Claims Look-up Check the details or status of a filed claim. Coverage and Benefits Summary See what your specific Blue KC plan covers. Searchable Provider Directory Search by name, by area and by specialty. Temporary Member ID Print it out and carry it until your permanent card arrives. Need Insurance? Section Compare Blue KC plans plus learn about our dental and life insurance plan options. Dependent Access View information on your dependents younger than 18 years of age. Health Risk Appraisal Learn about your health risk factors and how you can live a healthier life. Health & Wellness Get informed on health topics. Stay up to date on the latest healthcare news, and access special discounts on services to help you maintain a healthier lifestyle. Continued on Back MCM EFI-WEB 1/12

7 BlueKC.com, continued Register Now At Blue KC, we want to make sure you have the knowledge and resources to make informed decisions and feel good about your health. That s why we ve packed BlueKC.com with so much useful information about healthcare, wellness and plan coverage. Much of our site is accessible to all visitors, but some areas are for members only, since they may include personal plan information. To access the members-only features of BlueKC.com, simply go to the the register button in the upper right hand corner and enter your member information. (You ll need your Blue KC member ID card to register.) And remember, your information is safe on our secure site. Easy and Secure Registration Register as a member on BlueKC.com by using your Blue KC Member ID Card PBDG NAME ID#: YBC08T SUFFIX: 00 GROUP#: PLAN: PPO EMERG ROOM URGENT CARE OFFICE VISIT CUSTOMER SERVICE: / RXBIN: PCN: A4 Group KCBA Preferred-Care Preferred-Care Blue PPO Once you ve registered, you will be able to access your personal health plan information, receive information tailored to your specific healthcare needs and much more. We hope you ll enjoy working with your personal health connection: BlueKC.com. Blue Cross and Blue Shield of Kansas City is an Independent Licensee of the Blue Cross and Blue Shield Association