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Blue & You - Autumn 2015

Working to "eLEMONate" Cystic Fibrosis, p12 Enrollment information, p4 Arkansas Blue Cross honored by American Red Cross, p10 Bullying prevention, p16

Working to "eLEMONate" Cystic Fibrosis, p12
Enrollment information, p4
Arkansas Blue Cross honored by American Red Cross, p10
Bullying prevention, p16

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<strong>Autumn</strong><br />

<strong>2015</strong><br />

A publication for the policyholders of the Arkansas <strong>Blue</strong> Cross and <strong>Blue</strong> Shield family of companies<br />

page<br />

12<br />

Enrollment<br />

information<br />

pages<br />

4-5<br />

Arkansas <strong>Blue</strong> Cross honored<br />

by American Red Cross<br />

page<br />

10<br />

Bullying<br />

prevention<br />

page<br />

16


3<br />

4<br />

5<br />

6<br />

7<br />

8<br />

- Out of the <strong>Blue</strong><br />

- Medicare enrollment is here<br />

- Important information for members<br />

with individual or family policies<br />

- Internet safety reminder<br />

- The ABCs of 1095 tax forms<br />

- Shop, enroll, pay: Insurance just got easier<br />

- My Application Tracker gets a new look<br />

9 - <strong>You</strong>r search is now simpler<br />

22<br />

10<br />

12<br />

14<br />

15<br />

16<br />

18<br />

- Living Fearlessly: Arkansas <strong>Blue</strong> Cross<br />

employees honored by American Red Cross<br />

- Raising funds and awareness to<br />

“eLEMONate” cystic fibrosis<br />

- <strong>You</strong> asked ... we responded<br />

- Why are we encouraging our members<br />

to have primary care physicians?<br />

- Bullying prevention<br />

- Packing healthy school lunches<br />

20<br />

21<br />

22<br />

23<br />

24<br />

25<br />

26<br />

27<br />

- New and upcoming generics<br />

- UAMS medical students receive<br />

Arkansas <strong>Blue</strong> Cross and <strong>Blue</strong><br />

Shield Primary Care Scholarships<br />

- Interprofessional education team<br />

gets national recognition<br />

- Arkansas <strong>Blue</strong> Cross awards grant<br />

to establish nursing professorship at<br />

University of Arkansas at Pine Bluff<br />

- Arkansas <strong>Blue</strong> Cross named one of the<br />

Best Places to Work in Arkansas<br />

- New Arkansas<strong>Blue</strong> opens in<br />

Red Wolves territory!<br />

- Annual notice<br />

- Women’s health and cancer rights act<br />

- Customer service numbers<br />

<strong>Autumn</strong><br />

<strong>2015</strong><br />

28<br />

- Catch free tickets to “The Gingerbread Man”<br />

EDITOR: Jennifer Gordon – bnyou-ed@arkbluecross.com • DESIGNER: Ryan Kravitz • PHOTOGRAPHER: Chip Bayer<br />

CONTRIBUTORS: Chip Bayer, Ben McVay and Alex Roberts VICE PRESIDENT of CORPORATE MARKETING: Karen Raley<br />

DIRECTOR of CORPORATE MARKETING: Kelly Whitehorn<br />

BLUE & YOU <strong>Autumn</strong> <strong>2015</strong><br />

on the<br />

cover<br />

Nine-year-old Aven Emery set up her lemonade stand<br />

on the steps of the Arkansas Capitol building to help<br />

“eLEMONate” cystic fibrosis. See page 12 for more.


A true Arkansas solution<br />

As members of the Arkansas Legislature consider<br />

the future of healthcare in our state, Arkansas<br />

<strong>Blue</strong> Cross and <strong>Blue</strong> Shield wants to build on the<br />

progress we’ve already made and work together<br />

to ensure a system that’s by and for Arkansans.<br />

To keep Arkansas moving in a stronger, healthier<br />

direction, we recommend that we, as a state:<br />

Adopt a holistic view of the healthcare system<br />

that makes care more affordable for everyone.<br />

Arkansas’ healthcare delivery system should<br />

provide cost effective, high-quality care to all<br />

residents, regardless of the source of payment for<br />

that care. Traditionally funded Medicaid fee-forservice<br />

payments artificially suppress the cost of<br />

care for one population while driving higher prices<br />

for others. A collaborative approach to engaging the<br />

healthcare delivery system to effectively manage<br />

care and costs is critical to the long-term viability<br />

of the state’s healthcare system, particularly in<br />

rural areas. By paying market established rates<br />

to doctors and hospitals, Arkansas’ response to<br />

Medicaid expansion has opened up access to care<br />

across the state, while coming in below Medicaid<br />

budget guidelines. Moving forward, we need to<br />

build on this program—as well as the value-based<br />

innovations we have achieved across the healthcare<br />

system as a whole— as we also implement more<br />

actively managed care strategies for individuals<br />

with complex health needs.<br />

Give healthcare consumers the support<br />

they need to use their care wisely.<br />

More than 60% of patients say they have no idea<br />

about the cost of their care until they receive a<br />

bill. 1 We need to give people the support that will<br />

help them understand (and become invested in)<br />

the cost implications of their healthcare choices.<br />

Having access to care is one thing, knowing how to<br />

use that care is something much more significant.<br />

Comprehensive healthcare literacy education<br />

and the one-on-one support of local healthcare<br />

navigators who can help individuals choose<br />

care wisely and direct individuals to community<br />

resources should be a requirement for all health<br />

plans charged with caring for the current Private<br />

Option population.<br />

Create incentives for greater<br />

personal responsibility.<br />

1. Institute of Medicine, September 2012<br />

2. Robert Wood Johnson Foundation. Chronic Care: Making the Case for Ongoing Care.<br />

Princeton, NJ: Robert Wood Johnson Foundation; 2010:16<br />

In a country where 84% of all healthcare spending<br />

is on those with one or more chronic medical<br />

conditions 2 , it’s clear that we need to focus on the<br />

kinds of care and support that address the lifestyle<br />

risks and behaviors that lead to chronic illness.<br />

The newly insured present a unique opportunity<br />

to tackle the root causes of poor health through<br />

member-centered support and education. By<br />

building appropriate incentives into the program<br />

around preventive care and wellness, such as<br />

requirements to complete a health risk assessment,<br />

select a primary care doctor and complete an<br />

annual physical, we can reinforce personal<br />

responsibility and move a long way towards<br />

improving Arkansas’ overall health ranking.<br />

“OUT OF THE BLUE”<br />

CONTINUED ON PAGE 26<br />

<strong>Autumn</strong> <strong>2015</strong> BLUE & YOU


MEDICARE<br />

Annual Election Period<br />

October 15 through December 7<br />

Medicare’s Annual Election Period (AEP) begins<br />

October 15, and runs through December 7.<br />

During AEP, Medicare beneficiaries can purchase a Medicare Advantage plan and/or a Medicare<br />

Part D prescription drug plan. <strong>You</strong> also may change from your existing plan. If you join a plan during<br />

AEP, or make changes to an existing plan, your new benefits will be effective January 1, 2016.<br />

Affordable coverage and peace of mind<br />

Arkansas <strong>Blue</strong> Cross and <strong>Blue</strong> Shield’s Medicare products continue to offer members low monthly premiums.<br />

In 2016, choose from:<br />

MEDICARE FEATURING:<br />

ADVANTAGE • Low monthly premiums – with some plans as low as $0 a month<br />

PLANS • Option to include prescription drug coverage<br />

• Access to the state’s top doctors and hospitals<br />

• Free basic fitness center membership<br />

MEDICARE<br />

PRESCRIPTION<br />

DRUG PLANS<br />

FEATURING:<br />

• Competitively priced monthly premiums<br />

• Convenient home delivery with our mail-order program<br />

MEDICARE<br />

SUPPLEMENT<br />

PLANS<br />

FEATURING:<br />

• Affordable monthly premiums<br />

• Coverage for all conditions from day one, upon acceptance<br />

Attention Medicare Advantage and<br />

Medicare Part D plan members<br />

If you have a Medicare Advantage or Medicare<br />

Part D plan, this fall you will receive an Annual<br />

Notice of Change (ANOC), which will explain any<br />

changes to your current plan that will become<br />

effective in January. If you are satisfied with<br />

your current plan, you are not required to<br />

change anything.<br />

If you would like to learn more<br />

about our Medicare plans...<br />

Call your local Medi-Pak ® Choice licensed agent<br />

or 1-844-298-2444 to learn more. <strong>You</strong> also can visit<br />

our website, arkansasbluecross.com/Medicare.<br />

We’d love to hear from you. If you have a friend or<br />

family member who will be looking for a Medicare<br />

Advantage or Part D plan this AEP, we hope you’ll<br />

recommend Arkansas <strong>Blue</strong> Cross!<br />

4 BLUE & YOU <strong>Autumn</strong> <strong>2015</strong>


IMPORTANT INFORMATION<br />

For members with individual or family policies<br />

Selecting a health insurance plan<br />

is one of the most important<br />

decisions you can make to protect<br />

you and your family, so it is<br />

important to make the best choice.<br />

<strong>You</strong>r open enrollment period<br />

(OEP) begins November 1 and<br />

ends January 31*. During OEP,<br />

you will be able to review your<br />

information and decide if you<br />

want to keep the plan you have,<br />

make changes to your current<br />

plan or change health plans.<br />

Watch your mail for a letter<br />

from Arkansas <strong>Blue</strong> Cross<br />

that will explain your options<br />

in more detail. Because<br />

information regarding the<br />

health plans on the Health<br />

Insurance Marketplace will not<br />

be available until November 1,<br />

we can’t discuss your options<br />

with you until then. But as soon<br />

as the information is available,<br />

we will be happy to help!<br />

If you need to choose a new<br />

health plan because you either<br />

didn’t have coverage before or<br />

are leaving a group health plan<br />

provided by your employer, call<br />

us, or if you have an agent, call<br />

your agent. We can help you<br />

determine your options. Call<br />

1-800-238-8379 after November 1<br />

for more information.<br />

*For policies purchased before<br />

April 1, 2010, OEP is October 1<br />

through December 15.<br />

INTERNET<br />

SAFETY<br />

REMINDER<br />

Shopping and managing personal accounts<br />

online is so simple and convenient that it’s easy<br />

to forget about the dangers of being hacked.<br />

Here are five tips when using the Internet to<br />

make sure your data stays protected:<br />

1.<br />

2.<br />

3.<br />

Keep your computer’s anti-virus and<br />

anti-spyware up to date<br />

Keep all of your passwords secure<br />

Don’t click on links or open attachments<br />

from people you don’t recognize<br />

4.<br />

5.<br />

Check a site for an indication that it’s<br />

secure, including a small lock icon on<br />

your web browser’s status bar or a<br />

web address that begins with “https”<br />

(the “s” stands for “secure”)<br />

Call your bank, service provider or the<br />

institution to verify any information<br />

requests or if you have any questions<br />

<strong>Autumn</strong> <strong>2015</strong> BLUE & YOU<br />

5


The<br />

ABCs<br />

of 1095<br />

TAX FORMS<br />

In 2016, everyone who files a <strong>2015</strong> federal income tax return also will need to include<br />

at least one 1095 tax form. A 1095 tax form provides basic information about your health<br />

insurance and is proof that you had healthcare coverage.<br />

<strong>You</strong> may receive a 1095 A, B or C tax form from either the federal government, state of<br />

Arkansas, your health insurance provider or your employer. <strong>You</strong> also may receive more than<br />

one 1095 tax form if you had more than one form of healthcare coverage during the year.<br />

1095-A<br />

1095-B<br />

or<br />

1095-C<br />

If you purchased healthcare coverage through healthcare.gov and<br />

received financial assistance through an advanced premium tax credit<br />

(subsidy) to help lower the cost of your monthly health insurance<br />

premium, you should receive a 1095-A tax form from the federal<br />

government. If you received healthcare coverage through the Private<br />

Option, you should receive a 1095-A tax form from the state of Arkansas.<br />

If you purchased your health plan directly from Arkansas <strong>Blue</strong> Cross and <strong>Blue</strong><br />

Shield, you should receive a 1095-B tax form. If you have healthcare coverage<br />

through an employer, you may receive a 1095-B or 1095-C tax form from either<br />

Arkansas <strong>Blue</strong> Cross, Health Advantage, USAble Mutual or your employer.<br />

Exclusions<br />

What you should know<br />

• If you don’t receive a 1095 tax form. If you<br />

don’t receive at least one form by early<br />

February, you should contact the entity<br />

that should have issued it to you (federal<br />

government, state or Arkansas, Arkansas<br />

<strong>Blue</strong> Cross or your employer).<br />

• If you receive more than one form, they<br />

should show – collectively – for which months<br />

you had coverage.<br />

Some of our members won’t receive a 1095 tax form from us.<br />

If you have coverage such as a short-term plan, that doesn’t meet<br />

the government requirements to be a qualified health plan, you<br />

won’t receive a 1095. If you aren’t sure if you should receive a<br />

1095 from us. you can call the Customer Service number<br />

associated with your health plan on page 27.<br />

The type of 1095 tax form you receive is not that important. What is important:<br />

• That the information on the form(s) is accurate.<br />

If you don’t agree with the information, you can<br />

contact the entity that issued it to you (federal<br />

government, state of Arkansas, Arkansas <strong>Blue</strong><br />

Cross or your employer) to discuss it.<br />

If Arkansas <strong>Blue</strong> Cross provides you with a 1095-B,<br />

you will be able to print additional copies from<br />

My <strong>Blue</strong>print, our member self-service website.<br />

It’s one more reason to register for My <strong>Blue</strong>print!<br />

<strong>You</strong>r tax preparer should be able to answer any questions you have regarding your healthcare coverage and taxes.<br />

Arkansas <strong>Blue</strong> Cross does not provide tax advice.<br />

6 BLUE & YOU <strong>Autumn</strong> <strong>2015</strong>


Insurance just got easier<br />

Life gets busy – we understand – so we’ve been working to<br />

make it a little easier. Beginning in December, if you purchase<br />

healthcare coverage directly from Arkansas <strong>Blue</strong> Cross and<br />

<strong>Blue</strong> Shield or through healthcare.gov, you will be able to set<br />

up automatic payments through your account in our secure<br />

member website, My <strong>Blue</strong>print, at arkansasbluecross.com.<br />

If you are considering purchasing healthcare coverage from<br />

us for the first time during this year’s open enrollment, you<br />

will be able to shop, enroll and pay for the first month of<br />

your insurance coverage in one easy transaction. After you<br />

pay your first month’s premium, you will have the option<br />

of setting up automatic payments for your health or dental<br />

insurance coverage.<br />

If you prefer to set up automatic payments later, or if you<br />

want to change how you are paying — maybe from a<br />

checking account to a credit card — you can do that, too.<br />

It will all be available beginning in December.<br />

We also offer several other options, including paying in<br />

person with a monthly bill. See your options below and<br />

choose what’s best for you!<br />

OPEN<br />

ENROLLMENT<br />

BEGINS<br />

November 1<br />

for Individual and<br />

Family plan members<br />

Auto Pay<br />

New<br />

Members<br />

Online or<br />

Mobile<br />

By phone<br />

By mail<br />

In person<br />

Payment Options<br />

Set up autopayments online at arkansasbluecross.com<br />

(beginning in December).<br />

Pay your first premium when you complete your application<br />

online at arkansasbluecross.com.<br />

Go to arkansasbluecross.com/paybill or log in to the secure<br />

member website, My <strong>Blue</strong>print, from our home page<br />

1-800-354-9904<br />

Members with metallic<br />

medical plans (Gold, Silver,<br />

Bronze, Catastrophic):<br />

Enterprise Exchange Services<br />

P.O. Box 34320<br />

Little Rock, AR 72203-4320<br />

All other members<br />

(including dental and<br />

non-metallic medical plans):<br />

Arkansas <strong>Blue</strong> Cross and <strong>Blue</strong> Shield<br />

Attn: Cashiers (Drafts)<br />

P.O. Box 3590<br />

Little Rock, AR 72203-432<br />

Stop by one of the 250 convenient Moneygram locations,<br />

found at moneygram.com, or visit one of our offices in<br />

locations throughout the state (see page 27 for locations).<br />

For more information on your payment options, visit arkansasbluecross.com/paybill<br />

<strong>Autumn</strong> <strong>2015</strong> BLUE & YOU<br />

7


myAPPLICATIONTRACKER<br />

gets a new look<br />

If you enroll online with Arkansas <strong>Blue</strong> Cross and <strong>Blue</strong> Shield this year, you’ll be using<br />

the redesigned My Application Tracker tool. My Application Tracker is a seamless part of<br />

the healthcare coverage shopping experience. It creates a personal, password-protected<br />

account when you submit your medical coverage application. <strong>You</strong> can log in later to:<br />

Check the status<br />

of your application<br />

See if we need any additional<br />

documentation from you<br />

Sign up for email updates<br />

Shop for additional coverage<br />

8 BLUE & YOU <strong>Autumn</strong> <strong>2015</strong><br />

To access My Application Tracker<br />

after you’ve submitted an application,<br />

go to arkansasbluecross.com and<br />

select “Applicant” under “Log in.”


Y O U R<br />

SEARCH<br />

WILL SOON BE<br />

SIMPLER<br />

Hola! Habla espanol?<br />

~<br />

El directorio ~ de<br />

proveedores en<br />

epanol estara<br />

disponible en<br />

Noviembre.<br />

Beginning in November, our<br />

online list of in-network doctors<br />

and hospitals, or provider directory,<br />

will be updated to make finding<br />

care easier. The update looks a little<br />

like Google, with just one search<br />

bar. In it you can enter a doctor or<br />

clinic name, specialty, or a medical<br />

condition you’re experiencing,<br />

and receive a list of healthcare<br />

professionals who can treat you.<br />

More filters to<br />

narrow your<br />

search and find<br />

exactly what<br />

you need<br />

OTHER UPDATES INCLUDE:<br />

Added quality<br />

star ratings<br />

to compare<br />

doctors<br />

Now accessible<br />

across devices,<br />

including your<br />

smartphone<br />

We tested the new directory with<br />

members. They found it to be easier<br />

to use — we think you will, too!<br />

<strong>Autumn</strong> <strong>2015</strong> BLUE & YOU<br />

9


Kirstie Kelly, chairperson for the Arkansas <strong>Blue</strong> Cross<br />

Employees’ Committee accepts the American Red<br />

Cross <strong>2015</strong> Clara Barton Distinguished Humanitarian<br />

of the Year Award on behalf of all employees.<br />

F<br />

rom cleaning up the devastation left behind by<br />

tornadoes, to giving of their own blood, Arkansas<br />

<strong>Blue</strong> Cross and <strong>Blue</strong> Shield employees have long<br />

been involved in helping their fellow Arkansans<br />

through the American Red Cross. This year, for the<br />

first time ever, the 13th American Red Cross Clara<br />

Barton Distinguished Humanitarian of the Year award<br />

went … not to one person … but to the employees<br />

of Arkansas <strong>Blue</strong> Cross. Because <strong>Blue</strong> cares.<br />

The award was presented at the annual Arkansas<br />

Heroes Celebration luncheon. Candace A. Carey,<br />

American Red Cross of Greater Arkansas executive<br />

director, shared with attendees the reasons why the<br />

actions of the employees at Arkansas <strong>Blue</strong> Cross<br />

warranted the award.<br />

‘‘<br />

10 BLUE & YOU <strong>Autumn</strong> <strong>2015</strong><br />

Arkansas <strong>Blue</strong> Cross employees<br />

honored by American Red Cross<br />

“The enthusiasm of the employees of Arkansas<br />

<strong>Blue</strong> Cross to support the mission of the Red Cross<br />

continues to be impressive. From generous financial<br />

support from the <strong>Blue</strong> & <strong>You</strong> Foundation to expand<br />

our health and safety training infrastructure, to<br />

Arkansas <strong>Blue</strong> Cross employee and corporate<br />

support of Red Cross responses across the state, as<br />

well as national and international responses, their<br />

response<br />

‘‘<br />

has been humbling.”<br />

Carey added, “During the response to last year’s<br />

EF-4 tornado, Arkansas <strong>Blue</strong> Cross employees,<br />

many of whom were personally impacted by the<br />

tornado, performed a variety of roles with the Red<br />

Cross from financial donors, to telethon participants,<br />

to Red Cross representatives in the community.<br />

Arkansas <strong>Blue</strong> Cross employees are always ready<br />

to take an active role in support of the Red Cross.”<br />

Our employees prove daily that together, we can accomplish much.<br />

And help our neighbors live a little more fearlessly.<br />

– Mark White, president and CEO of Arkansas <strong>Blue</strong> Cross<br />

‘‘


In 2014 alone:<br />

• Arkansas <strong>Blue</strong> Cross employees raised<br />

a total of $57,000 for 25 charitable<br />

organizations through $2 casual days;<br />

$23,248 of that amount was raised for<br />

the American Red Cross’ disaster relief.<br />

• More than 300 employees donated<br />

approximately 3,743 hours of their<br />

time to directly impact more than<br />

136,233 Arkansans.<br />

• More than 60 employees joined with<br />

others to pack thousands of boxes for<br />

the Arkansas Hunger Alliance in 2014.<br />

• More than 700 employees signed up for<br />

Arkansas <strong>Blue</strong> Cross and <strong>Blue</strong> Shield<br />

teams to walk, run or bike to raise<br />

money and awareness for charitable<br />

organizations around the state.<br />

Arkansas Governor<br />

Asa Hutchinson, a former<br />

American Red Cross<br />

Humanitarian of the<br />

Year honoree, makes<br />

opening remarks at the<br />

American Red Cross<br />

award luncheon held<br />

at the Little Rock<br />

Marriott on May 27.<br />

“Arkansas <strong>Blue</strong> Cross is honored for our employees to<br />

be named recipients of the Clara Barton Distinguished<br />

Humanitarian of the Year Award by the American Red<br />

Cross,” Mark White, president and chief executive<br />

officer of Arkansas <strong>Blue</strong> Cross, said during the<br />

presentation. “What a testament to the selfless acts<br />

of kindness they perform, the hours of volunteer time<br />

they give, the money they donate personally and the<br />

spirit in which they serve others every day.<br />

“It is my privilege to work beside them and watch them<br />

in action outside the workplace serving their fellow<br />

Arkansans. Our employees prove daily that together,<br />

we can accomplish much. And help our neighbors live<br />

a little more.<br />

Kirstie Kelly, chairperson for the Arkansas <strong>Blue</strong> Cross<br />

Employees’ Committee, said, “Our employees are the<br />

first to raise their hands to volunteer and then use their<br />

hands to pick up debris following a natural disaster<br />

like the tornadoes in Vilonia and Mayflower last year.<br />

They are the first to dig deep into their own pockets to<br />

contribute to a cause that will mean a child or a senior<br />

will have shelter or a healthy dinner tonight. They are<br />

the first to roll up their sleeves and donate blood so<br />

that an accident victim or a cancer patient will get a<br />

second chance.”<br />

Because <strong>Blue</strong> cares.<br />

11


Raising funds<br />

awareness<br />

and<br />

to<br />

“eLEMONate” cystic fibrosis<br />

Aven Emery dreams of a<br />

day when she won’t have to<br />

wear a loud vest that shakes<br />

her lungs three times a day; when<br />

she can go play with other children<br />

without fear of getting sick; and when<br />

a cure is found for cystic fibrosis,<br />

the illness that has controlled her<br />

life since she was a tiny infant.<br />

All those dreams are still a long way<br />

off, but with the help of Arkansas<br />

<strong>Blue</strong> Cross and <strong>Blue</strong> Shield, one<br />

dream became a reality — to set up<br />

a lemonade stand to raise funds and<br />

awareness for the Cystic Fibrosis<br />

Foundation. Through Aven’s Lemonade<br />

Stand, set up on the steps of the<br />

Arkansas State Capitol, Arkansas<br />

<strong>Blue</strong> Cross raised more than $8,000 to<br />

help find a cure for children like Aven.<br />

Aven, 9, is one of an estimated<br />

30,000 people in the United States<br />

(and 70,000 worldwide) living with<br />

cystic fibrosis (CF). In people with<br />

CF, a defective gene causes thick<br />

mucus in the lungs, pancreas<br />

and other organs. In the lungs,<br />

the mucus clogs airways and traps<br />

bacteria, leading to infections and<br />

damage. In the pancreas, the mucus<br />

prevents the release of digestive<br />

enzymes that allow the body to break<br />

down food and absorb vital nutrients.<br />

“It would make me so happy if we<br />

had a cure for cystic fibrosis so I<br />

wouldn’t have to wear this vest<br />

every day,” Aven said of her daily<br />

treatment. She must wear the<br />

shake vest 40 hours a month and<br />

take more than 12,000 pills a year,<br />

mostly pancreatic enzymes.<br />

Only about 300 people in Arkansas<br />

have CF, but surprisingly, the<br />

disease has touched the lives of six<br />

employees at Arkansas <strong>Blue</strong> Cross.<br />

Curtis Barnett, senior vice president<br />

of Arkansas <strong>Blue</strong> Cross, became a<br />

CF champion after working closely<br />

with Brittany Emery, and by getting<br />

to know her daughter, Aven.<br />

Governor Asa Hutchinson, center, declares<br />

August 26, <strong>2015</strong>, Cystic Fibrosis Awareness Day.<br />

12 BLUE & YOU <strong>Autumn</strong> <strong>2015</strong>


“Our employees<br />

are like family to us,<br />

so we were proud to<br />

get the chance to work with<br />

the CF Foundation to raise<br />

public awareness and funds.<br />

During the time that I’ve<br />

become involved with CF, I’ve<br />

been overwhelmed by the<br />

kindness and caring of the<br />

CF community, their passion<br />

for finding a cure, and how<br />

CF patients are living their<br />

lives to the fullest despite<br />

the challenges they face. CF<br />

patients and their families<br />

truly are an inspiration.<br />

“Because CF does not qualify<br />

for federal funding, bringing<br />

attention to this disease is<br />

critical to raising funds from<br />

private sources so we can find<br />

a cure. I’m proud to be part<br />

of the fight to eliminate CF,<br />

and I’m especially proud to be<br />

chosen as the Breath of Life<br />

Honoree for the Cystic Fibrosis<br />

Foundation of Arkansas gala.”<br />

Trish Jenkins, another<br />

Arkansas <strong>Blue</strong> Cross<br />

employee, has two children<br />

with CF, Dylan and Presley.<br />

“I really appreciate all that<br />

Arkansas <strong>Blue</strong> Cross is doing.<br />

Obviously a cure would be<br />

very important for me as it<br />

would let my children lead<br />

longer and healthier lives.”<br />

For Dylan, 17, a cure would<br />

mean going to public school<br />

and hanging out more with<br />

his friends. He said other kids<br />

didn’t understand his illness<br />

and he was often bullied.<br />

“People with CF, they don’t<br />

look sick. It’s all on the<br />

inside,” he said.<br />

Presley Harwood<br />

Dylan Jenkins<br />

Jeisse, Alexander and Misty Castillo<br />

Aven Emery<br />

His older sister, Presley<br />

Harwood, 20, is married<br />

with a young daughter, and<br />

while she tries hard to live a<br />

normal life, she battles not<br />

only with her CF, but with<br />

diabetes caused by the illness.<br />

“When they find a cure …<br />

that would be the highlight<br />

of my life because I would<br />

be able to do activities with<br />

my daughter that I can’t do<br />

now. I could get a pedicure<br />

for once, or a manicure, go to<br />

a waterpark or a playground<br />

and not worry about getting<br />

terribly sick,” Presley said.<br />

Arkansas <strong>Blue</strong> Cross employee<br />

Jeisse Castillo, and his wife<br />

Misty, recently found out their<br />

son, Alexander, has CF.<br />

“My wife called me when<br />

she took him to his first<br />

pediatric appointment. I was<br />

at work and she told me<br />

that our son had a deadly<br />

disease called cystic fibrosis.<br />

That was something I had<br />

never heard of in my life.”<br />

He said at first they were<br />

frightened by what they<br />

read about the disease<br />

on the Internet, but the<br />

website for the Cystic<br />

Fibrosis Foundation, CFF.org,<br />

provided them information<br />

that gave them hope. They<br />

also were immediately<br />

embraced by co-workers<br />

at Arkansas <strong>Blue</strong> Cross.<br />

“I’ve never worked for a place<br />

that is more than willing to<br />

help us with something as big<br />

as this, and now more than<br />

ever I think that their help<br />

is amazing,” Jeisse said.<br />

“It really is amazing.”<br />

<strong>Autumn</strong> <strong>2015</strong> BLUE & YOU<br />

13


<strong>You</strong> asked ...<br />

we responded<br />

Member feedback leads to coverage<br />

changes for breast pumps<br />

Social media has allowed Arkansas <strong>Blue</strong><br />

Cross and <strong>Blue</strong> Shield to share information<br />

on upcoming events, job opportunities and<br />

even funny videos, but the best use for it has<br />

been getting feedback from our members.<br />

When several members asked<br />

on our Facebook page and<br />

Twitter account why electric<br />

breast pumps were not<br />

covered for mothers of new<br />

infants, our social media team<br />

went to work seeking answers<br />

for them. That led to several<br />

discussions and, ultimately, to<br />

a change in the policy.<br />

“When we say at Arkansas<br />

<strong>Blue</strong> Cross that we love to<br />

hear from you, we really<br />

do,” said Karen Raley, vice<br />

president of Corporate<br />

Marketing. “While we review<br />

our policies on a regular<br />

basis, your feedback is helpful<br />

in determining if we are<br />

meeting your needs. We are<br />

pleased with the changes<br />

in the breast pump policy<br />

and benefits that have been<br />

implemented this year.”<br />

All fully insured Arkansas <strong>Blue</strong> Cross and<br />

Health Advantage* members, and most<br />

<strong>Blue</strong>Advantage Administrators of Arkansas<br />

members, may now request coverage of<br />

an electric breast pump up to $160 with<br />

no deductible, coinsurance or copayment.<br />

This is a one-time-only benefit per member;<br />

not for each pregnancy. Coverage also is<br />

‘‘<br />

When we say at<br />

Arkansas <strong>Blue</strong><br />

Cross that we<br />

love to hear from<br />

you, we really do.<br />

‘‘<br />

– Karen Raley,<br />

vice president of<br />

Corporate Marketing<br />

available for members who need to rent a<br />

hospital-grade breast pump due to medical<br />

complications for either the mother or child.<br />

Rental of a hospital-grade breast pump is<br />

covered for six months and is available after<br />

each pregnancy depending on need.<br />

Contact the Customer<br />

Service number listed<br />

on the back of your<br />

member ID card or<br />

the number associated<br />

with your health<br />

plan on page 27<br />

for more details.<br />

*Baptist Health members should contact Customer<br />

Service for specific information about their policy.<br />

14 BLUE & YOU <strong>Autumn</strong> <strong>2015</strong>


Why are we encouraging our members<br />

to have primary care physicians?<br />

At Arkansas <strong>Blue</strong> Cross and <strong>Blue</strong> Shield, your health is our greatest concern. That is why we started an initiative<br />

this year to align our members with a primary care physician in their area, ensuring they will receive the right<br />

care from the right place at the right time.<br />

<strong>You</strong> may have received a letter from us asking for you to choose a primary care physician (PCP) and to let us<br />

know who you have chosen. Here’s why:<br />

HAVING A PCP HELPS:<br />

Improve<br />

health<br />

A PCP makes sure you<br />

get the care you need<br />

when you need it.<br />

HOW DOES THE PCP ALIGNMENT WORK?<br />

Lower out-ofpocket<br />

costs<br />

By improving health,<br />

a PCP can help you avoid<br />

costly visits to the<br />

emergency room, or<br />

inpatient hospital stays.<br />

Increase the<br />

quality of care<br />

Having a PCP can help avoid<br />

duplicate tests and prescriptions.<br />

And by having access to test<br />

results run by specialists, PCPs<br />

have a big-picture view of<br />

your health and can often<br />

determine the cause<br />

of an illness.<br />

If you do not have a PCP selected, we first look at your claims history. If it shows you have been to a local<br />

PCP recently, we will assign you to that doctor. Letters were sent to members regarding this initiative. We<br />

hope that if you received a letter, you chose a PCP and called Customer Service to share that information.<br />

YOU CAN CHANGE YOUR PCP WHENEVER YOU LIKE<br />

If you decide you want to change your PCP, you can do so at any time. All of our members can call<br />

Customer Service to change their PCP, and many members can go into My <strong>Blue</strong>print, our self-service<br />

website, and make the change. It only takes a few minutes and your health plan ID card to register<br />

for My <strong>Blue</strong>print, and it gives you immediate access to all the resources in the self-service center.<br />

<strong>Autumn</strong> <strong>2015</strong> BLUE & YOU<br />

15


Bullying is one of the prominent<br />

causes of distress and ongoing<br />

turmoil in our students’ lives.<br />

It is common, one out of four<br />

children report being bullied at<br />

least once each year. It can take<br />

the form of physical violence,<br />

social isolation, spreading<br />

rumors or cyber bullying.<br />

As a 6’4” awkward sophomore,<br />

I was never “agile, mobile and<br />

hostile” enough for my coaches,<br />

who let me know they resented<br />

having to special-order a pair<br />

of size 16 football cleats for me.<br />

After off-season football practice<br />

at Jonesboro High, we filed into<br />

the locker room. Larry, a short,<br />

tough cocky junior had it in for<br />

me. He jumped on my back and<br />

wouldn’t get off. His face up by<br />

my ear, running his mouth, I<br />

staggered for a couple of steps<br />

trying to get him off. Then I<br />

pitched forward and flipped<br />

him off my back. He came up<br />

swinging. My next memory<br />

has me on my knees looking<br />

up trying to keep him from<br />

punching me in the head. They<br />

pulled him off and I dressed<br />

out in silence feeling ashamed,<br />

shaken and alone. No one in the<br />

locker room said anything and<br />

16 BLUE & YOU <strong>Autumn</strong> <strong>2015</strong><br />

they kept their distance.<br />

Forty years later at my high<br />

school reunion, Danny, our<br />

place kicker, came up to me.<br />

“ Herbert I never forgot that<br />

time when you stood up to<br />

Larry. We all thought that<br />

was something.”<br />

“ He beat me up,” I said,<br />

not wanting to get back<br />

to the memory.<br />

“ Yeah, but you really got<br />

some good licks in, and<br />

he never messed with<br />

any of us after that.”<br />

Danny had a totally different view<br />

of the incident than I had. What<br />

I remembered with shame and<br />

humiliation as a beating, he had a<br />

totally different memory. It never<br />

registered to me that I connected<br />

with any of my swings.<br />

As in my story, the victim’s<br />

perception is quite different from<br />

the perceptions of others. There<br />

may be distortion of what really<br />

happened. The person feels like<br />

they are alone in experiencing<br />

bullying. This experience of feeling<br />

alone after bullying is common.<br />

There is a power imbalance that<br />

defines bullying that gets reflected<br />

in classroom relations. Those who<br />

witness bullying play a key role<br />

in reinforcing and maintaining<br />

the social imbalance. In studies,<br />

while most students report that<br />

they disapprove of bullying, they<br />

are unlikely to stand up for the<br />

bullied, even if they feel sorry for<br />

them. Like the other sophomores<br />

in that locker room, they may be<br />

reluctant to get involved because<br />

they feel anxious about their own<br />

safety or social status.<br />

Our society has normalized<br />

bullying as a part of growing<br />

up. Pediatricians recognize that<br />

bullying is not a developmental<br />

milestone, nor should it be<br />

addressed as such. They have<br />

a long-standing history of<br />

preventing violence among<br />

youth. In 1999, the American<br />

Academy of Pediatrics released<br />

a policy statement outlining<br />

the important role pediatricians<br />

play in preventing violence<br />

among children and youth.<br />

Harmful biological changes<br />

associated with bullying are<br />

revealed in genetics research,<br />

neuroimaging studies and studies<br />

of the stress response system.


Bullying is defined as<br />

unwanted, aggressive behavior<br />

among school-aged children that involves<br />

real or perceived power imbalance.<br />

The behavior is repeated, or has the<br />

potential to be repeated, over time.<br />

Studies show bullying causes<br />

depression in children and youth.<br />

Bullying impacts the body’s stress<br />

response system and these changes<br />

can be risk factors for poorer health.<br />

Being bullied “gets under the skin.”<br />

The community can prevent bullying.<br />

Schools can create a sense of<br />

belonging. They can support norms<br />

against bullying. Students can show<br />

respect for one another. Parents can<br />

set an example by being kind. They<br />

also can talk with their children and<br />

work with schools to address bullying.<br />

Bullying is preventable.<br />

Consistent discipline can<br />

reduce bullying.<br />

Having just one friend<br />

makes it less likely that<br />

a child will be bullied.<br />

Signs a student may be bullied<br />

Students who are being bullied often exhibit some warning<br />

signs. These students may:<br />

• Have torn, damaged or missing pieces of clothing, books,<br />

or other belongings<br />

• Have unexplained cuts, bruises and scratches from fighting<br />

• Have few, if any, friends with whom he or she spends time<br />

• Seem afraid of going to school, walking to and from school,<br />

riding the school bus, or taking part in organized activities<br />

(such as clubs or sports) with peers<br />

• Take a long “illogical” route when walking to or from school<br />

• Lose interest in doing school work, or suddenly begin to do<br />

poorly in school<br />

• Appear sad, moody, teary or depressed when he or she<br />

comes home<br />

• Complain frequently of headaches, stomachaches<br />

or other physical problems<br />

• Have frequent bad dreams or trouble sleeping<br />

• Experience a loss of appetite<br />

• Appear anxious and suffer from low self-esteem<br />

Characteristics of a bully<br />

It’s important to recognize the characteristics of students<br />

who bully, which may help prevent bullying and allow<br />

for early intervention. These students may:<br />

• Have a positive attitude toward violence and the<br />

use of violent means<br />

• Have a strong need to dominate and subdue other<br />

students and get their own way<br />

• Be impulsive, aggressive or easily angered<br />

• Lack empathy toward students who are bullied<br />

• Have defiance and aggression toward adults,<br />

including teachers and parents<br />

• Be involved in other anti-social or rule-breaking activities<br />

such as vandalism, delinquency and substance abuse<br />

• Have greater physical strength than others in general and<br />

the students they bully in particular (especially in boys)<br />

• Be more likely to report owning a gun for risky<br />

reasons, such as to gain respect or to frighten others<br />

<strong>Autumn</strong> <strong>2015</strong> BLUE & YOU<br />

17


PACKING<br />

Keep your kids healthy and happy<br />

by thinking outside the lunchbox<br />

Feeding your children healthy and<br />

nutritious food is an important part of<br />

parenting. But healthy eating means<br />

much more than making them eat<br />

their broccoli at the dinner table—<br />

it’s a well-rounded approach to diet.<br />

Packing healthy school lunches is<br />

one way to make a big difference in<br />

your children’s health. A balanced<br />

lunch provides the essential vitamins,<br />

minerals and other nutrients your<br />

kids needs for healthy growth and<br />

development. Take a few extra<br />

minutes each morning to pack a<br />

healthy, balanced lunch.<br />

PACK A<br />

BALANCED<br />

LUNCHBOX:<br />

A balanced lunch includes<br />

fruits and vegetables (apples,<br />

bananas, carrots, grapes,<br />

strawberries), whole grains<br />

(bread, crackers, cold wholewheat<br />

pasta salad), lean<br />

proteins (sliced chicken<br />

breast, peanut and<br />

almond butter,<br />

beans) and low-fat<br />

dairy products<br />

(carton of milk,<br />

yogurt). Try<br />

not to load the<br />

lunchbox with<br />

processed food.<br />

18 BLUE & YOU <strong>Autumn</strong> <strong>2015</strong><br />

Take your kids to the<br />

supermarket and let<br />

them pick fruit that<br />

they want.<br />

SIMPLIFY<br />

LUNCH:<br />

Kids love finger foods—<br />

make lunch easy to eat.<br />

Cut up larger fresh fruit,<br />

like apples or watermelon,<br />

into bite-sized chunks.<br />

Pack baby carrots or celery<br />

with a small container of<br />

black bean dip, hummus<br />

or another dipping sauce.<br />

REINVENT<br />

THE CLASSICS:<br />

<strong>You</strong> don’t have to pack the<br />

same PB&J sandwich every<br />

day. Consider replacing the<br />

jelly or jam with banana<br />

slices, honey or apple butter.<br />

Use all-natural peanut<br />

butter and whole-grain<br />

or whole-wheat bread.<br />

Give sandwiches<br />

a completely different<br />

spin – serve ham, turkey<br />

or chicken sandwiches<br />

in a whole-wheat tortilla<br />

wrap, with lettuce, tomato<br />

and a drizzle of low-fat<br />

ranch dressing.


What’s missing in their diet?<br />

Research shows American children aren’t getting<br />

enough of four essential nutrients: vitamin D,<br />

calcium, fiber and potassium. Here are some<br />

foods that are rich in each missing nutrient.<br />

VITAMIN D: Milk products, most<br />

breakfast cereals, orange juice,<br />

salmon and tuna<br />

CALCIUM: Milk products, hard<br />

cheese and some orange juice<br />

FIBER: Fruits and vegetables, chickpeas,<br />

lentils, whole-grain products<br />

POTASSIUM: Fruit and vegetables,<br />

dairy, meat and seafood<br />

NO-BAKE<br />

ENERGY<br />

BITES<br />

No-bake energy bites are a<br />

lunchtime dessert or afternoon<br />

snack. They’re healthy, tasty and<br />

will give your kids the energy to<br />

finish the school day satisfied.<br />

PREP: 10 MIN. TOTAL: 40 MIN.<br />

PLAN<br />

AHEAD:<br />

<strong>You</strong>’re more likely to<br />

succeed when you<br />

plan lunch in advance.<br />

Have the ingredients<br />

on hand, and lunch will<br />

come together more<br />

quickly with a<br />

game plan.<br />

Use a<br />

calendar or<br />

paper to map out the<br />

week’s meals, and<br />

take that list to the<br />

grocery store.<br />

FEED YOUR CHILD<br />

ENOUGH<br />

CALORIES:<br />

As adults, we’re<br />

often looking to<br />

cut calories. <strong>You</strong>r<br />

child, on the other<br />

hand, needs to eat<br />

enough so he/she<br />

is not hungry<br />

in class that<br />

afternoon. Talk to<br />

your pediatrician<br />

to learn how many<br />

calories your<br />

child should eat<br />

for lunch.<br />

INGREDIENTS:<br />

• 1 cup (dry) oatmeal<br />

• 2/3 cup toasted coconut flakes<br />

• 1/2 cup all-natural peanut butter<br />

• 1/2 cup ground flax seed<br />

• 1/2 cup chocolate chips (optional)<br />

• 1/3 cup honey or agave nectar<br />

• 1 tsp vanilla extract<br />

DIRECTIONS:<br />

Stir ingredients together in<br />

medium bowl until mixed.<br />

Cover bowl and let chill in<br />

refrigerator for half an hour.<br />

Once chilled, roll mixture into balls.<br />

Store in an airtight container and<br />

keep refrigerated for up to 1 week.<br />

MAKES 20-25 BALLS<br />

<strong>Autumn</strong> <strong>2015</strong> BLUE & YOU<br />

19


NEW<br />

and<br />

UPCOMING GENERICS<br />

The following medications may be available soon (or now!) in generic form. Ask your<br />

pharmacist if there is a generic available for your prescription. Generic medications are<br />

the same as their brand-name counterparts in dosage form, safety, strength, route of<br />

administration, quality, performance characteristics and intended use. <strong>You</strong> can learn<br />

more about generics on the U.S. Food and Drug Administration’s website, fda.gov.<br />

BRAND NAME GENERIC USE GENERIC RELEASE<br />

Aloxi Palonosetron Nausea <strong>2015</strong><br />

Avodart Dutasteride Benign prostatic hyperplasia <strong>2015</strong><br />

Axert Almotriptan Migraines <strong>2015</strong><br />

Doribax Doripenem Antibiotic <strong>2015</strong><br />

Emend Caps Aprepitant Nausea <strong>2015</strong><br />

Fenoglide Fenofibrate High cholesterol <strong>2015</strong><br />

Ortho Tri-Cyclen Lo Norgestimate/ Birth control <strong>2015</strong><br />

ethinyl estradiol<br />

Patanol Olopatadine Opthalmic antihistamine <strong>2015</strong><br />

Argatroban Argatroban Anticoagulant <strong>2015</strong><br />

Mirapex ER Pramipexole Parkinson’s Disease/ <strong>2015</strong><br />

(not 0.375, 0.75, 1.5mg) Dihydrochloride Restless leg syndrome<br />

Renagel Sevelamer Elevated phosphate levels <strong>2015</strong><br />

Tazorac Gel & Cream Tazarotene Psoriasis/acne <strong>2015</strong><br />

Cenestin Estrogens, Osteoporosis 2016<br />

conjugated synthetic<br />

Glumetza ER Metformin Diabetes 2016<br />

Coreg CR Carvedilol High blood pressure 2016<br />

Enablex Darifenacin Overactive bladder 2016<br />

Frova Frovatriptan Migraines 2016<br />

Jalyn Dutasteride/ Benign prostatic hyperplasia 2016<br />

Tamsulosin<br />

Nuvigil Armodafinil Narcolepsy 2016<br />

20 BLUE & YOU <strong>Autumn</strong> <strong>2015</strong>


UAMS medical students<br />

receive Arkansas <strong>Blue</strong><br />

Cross and <strong>Blue</strong> Shield<br />

Primary Care Scholarships<br />

Lauren Lavender<br />

Rural Arkansas is known for<br />

its scenic beauty and country<br />

charm, but it’s also known for<br />

its lack of doctors. Arkansas<br />

<strong>Blue</strong> Cross and <strong>Blue</strong> Shield<br />

recognized this troubling trend,<br />

and in 2012 came up with a<br />

plan to help place young, eager<br />

primary care doctors back into<br />

the Natural State’s smaller<br />

communities.<br />

Seniors Nora Gibbons of<br />

Stuttgart, and Lauren Lavender<br />

of Little Rock, are the <strong>2015</strong><br />

recipients of the Arkansas <strong>Blue</strong><br />

Cross and <strong>Blue</strong> Shield Primary<br />

Care Scholarship, awarded<br />

each year to two students at<br />

the University of Arkansas for<br />

Medical Sciences (UAMS) who<br />

plan to set up practice in the<br />

more rural parts of the state.<br />

These scholarships not only<br />

help deserving students, they<br />

help hundreds of people in the<br />

communities where these future<br />

physicians will practice.<br />

The scholarships are possible<br />

through a $1 million endowment<br />

grant from Arkansas <strong>Blue</strong> Cross<br />

in partnership with UAMS. Nora<br />

and Lauren each will receive<br />

$20,000 toward their educations.<br />

They graduate in May 2016.<br />

“My grandfather (and his father<br />

before him) practiced as a<br />

family physician in the small<br />

community of Ozark for more<br />

than 50 years,” said Nora. “I,<br />

myself, have lived in Ozark for<br />

seven years and Stuttgart for 10,<br />

thus I have certainly experienced<br />

living in an underserved area<br />

and understand how important<br />

it is for passionate primary care<br />

physicians to be in those areas.”<br />

“I have always wondered<br />

what it would be like to live<br />

in a small town, and soon I<br />

will know,” said Lauren. She<br />

explained that she and her<br />

fiancé, both medical students,<br />

are planning to “locate to<br />

a rural town in Arkansas to<br />

practice primary care and serve<br />

the underserved. We are both<br />

very passionate and excited<br />

about our future!”<br />

Nora Gibbons<br />

<strong>Autumn</strong> <strong>2015</strong> BLUE & YOU<br />

21


NEWS<br />

Interprofessional Education team gets national recognition<br />

What if medical doctors, nurses, dentists,<br />

pharmacists and public health officials all learned<br />

to work together to address patients’ needs?<br />

That may sound like a futuristic goal, but at the<br />

University of Arkansas for Medical Sciences, it is<br />

happening, and the program is receiving support<br />

from Arkansas <strong>Blue</strong> Cross and <strong>Blue</strong> Shield. A<br />

team representing the UAMS Interprofessional<br />

Education program presented a poster this spring<br />

at the Interprofessional Education Collaborative<br />

Conference in Virginia.<br />

Alicia Berkemeyer (far left), Vice President of<br />

Enterprise Primary Care Initiatives and Pharmacy<br />

Programs for Arkansas <strong>Blue</strong> Cross and <strong>Blue</strong><br />

Shield joined Lee Wilbur, M.D., director of<br />

Interprofessional Education at UAMS; Kevin W.<br />

Ryan JD, MA, associate professor, co-director<br />

DrPH Program associate dean for Professional<br />

Programs at the Fay W. Boozman College of Public<br />

Health; and Kat Neill, PharmD, assistant dean for<br />

Experiential Education andassociate professor; to<br />

present the poster, which was well received.<br />

22 BLUE & YOU <strong>Autumn</strong> <strong>2015</strong><br />

18<br />

New look, same us!<br />

If the envelope looks a little different<br />

than what you are used to seeing<br />

when you get your Personal Health<br />

Statement or other member mail,<br />

please note that Arkansas <strong>Blue</strong> Cross<br />

and <strong>Blue</strong> Shield and its family of<br />

companies are using a new envelope<br />

and printing process.<br />

The new process is designed to help reduce<br />

cost and improve efficiency without sacrificing<br />

member quality. <strong>You</strong> still will recognize our<br />

company logos; the envelope sizes may be a slight bit different<br />

GIVE THE GIFT<br />

OF FITNESS<br />

While you are shopping online for Christmas gifts, get something extra<br />

special for yourself, your friends or co-workers. Give the gift of fitness<br />

and register your group or team for the <strong>Blue</strong> & <strong>You</strong> Fitness Challenge.<br />

The Challenge starts March 1 and runs through May 30. The <strong>Blue</strong> & <strong>You</strong><br />

Fitness Challenge is a three-month contest designed to encourage good<br />

exercise habits. Groups and individuals compete to earn points by<br />

completing a variety of cardiovascular exercises.<br />

and the ink may look a little different, but it is important mail from us — your health plan provider.<br />

If you register your group by Cyber Monday<br />

And don’t forget, you can sign up to receive an email when your Personal Health Statement is available<br />

(November 30), your name will be entered into a drawing<br />

and securely review it online. Check it out on My <strong>Blue</strong>print, our member to win self-service a Jawbone wristband center awarded – and go on green! March 1.<br />

Visit blueandyoufitnesschallenge-ark.com to find out more<br />

information and register.


Arkansas <strong>Blue</strong> Cross and <strong>Blue</strong> Shield awards grant to establish<br />

nursing professorship at University of Arkansas at Pine Bluff<br />

As part of its continued commitment to improve<br />

the health of all Arkansans, Arkansas <strong>Blue</strong> Cross<br />

and <strong>Blue</strong> Shield in August announced a grant<br />

of $250,000 to the University of Arkansas at<br />

Pine Bluff’s (UAPB) Department of Nursing to<br />

fund the Arkansas <strong>Blue</strong> Cross and <strong>Blue</strong> Shield<br />

Endowed Nursing Professorship in Rural Health.<br />

The endowment will help the university<br />

attract and retain top faculty. Better-educated<br />

nurses will be able to identify and solve the<br />

unique health issues that face Arkansans in the<br />

majority of the state.<br />

The professorship allows UAPB to provide<br />

increased focus on the particular issues related<br />

to serving rural communities, and to expand<br />

the number of opportunities for students to<br />

enter into the program.<br />

“Arkansas <strong>Blue</strong> Cross is committed to helping<br />

Arkansans have access to quality healthcare where<br />

and when they need it — at the hospital bedside,<br />

in the clinic setting or in the community,” said Mark<br />

White, president and chief executive officer of Arkansas<br />

<strong>Blue</strong> Cross.“ And with a large percentage of Arkansans<br />

living in rural areas with special health and economic<br />

needs, we know that having skilled, knowledgeable<br />

nurses is critical to the care of our residents. The<br />

Arkansas <strong>Blue</strong> Cross Endowed Professorship in Rural<br />

Health will be used to help secure top faculty who<br />

are forward thinkers — the kind of faculty that will<br />

educate, engage and inspire nursing students to work<br />

toward ways to meet the needs of Arkansans through<br />

innovative care and access options.”<br />

“We are grateful to Arkansas <strong>Blue</strong> Cross for<br />

recognizing our university’s role in producing<br />

qualified nurses for the state,” said Dr. Laurence<br />

B. Alexander, chancellor of the University of<br />

Arkansas at Pine Bluff. “Through this gift, we are<br />

able to attract highly sought after faculty to add<br />

to our already strong roster of instructors.”<br />

GIVE THE GIFT OF FITNESS<br />

While you are shopping online for holiday gifts, why not give the gift of fitness<br />

for free! Register yourself, along with a group of your friends or co-workers in<br />

the <strong>Blue</strong> & <strong>You</strong> Fitness Challenge.<br />

If you register your group by Cyber Monday (November 30), your name will<br />

be entered into a drawing to win a Jawbone wristband, awarded on March 1.<br />

A program of Arkansas <strong>Blue</strong> Cross and <strong>Blue</strong> Shield,<br />

Arkansas Department of Human Services<br />

and the Arkansas Department of Health<br />

Visit blueandyoufitnesschallenge-ark.com to find out more information and register.<br />

The Challenge starts March 1 and runs through May 30.<br />

The <strong>Blue</strong> & <strong>You</strong> Fitness Challenge is a three-month contest designed<br />

to encourage good exercise habits. Groups and individuals compete<br />

to earn points by completing a variety of cardiovascular exercises.<br />

<strong>Autumn</strong> <strong>2015</strong> BLUE & YOU 23


3in a<br />

ROW!<br />

Arkansas <strong>Blue</strong> Cross named one<br />

of the Best Places to Work in Arkansas<br />

For the third time, Arkansas <strong>Blue</strong> Cross<br />

has been named by Arkansas Business<br />

and Best Companies Group as one of<br />

the Best Places to Work in Arkansas.<br />

The annual award is designed to<br />

identify, recognize and honor the best<br />

employers in Arkansas, benefiting<br />

the state’s economy, workforce and<br />

businesses. Arkansas <strong>Blue</strong> Cross is<br />

one of 12 companies in this year’s Best<br />

Places to Work in Arkansas.<br />

“Our employees continually go above<br />

and beyond for our members, so we<br />

take great pride in providing them<br />

with a positive work environment,”<br />

said Mark White, president and chief<br />

executive officer for Arkansas<br />

<strong>Blue</strong> Cross. “Being ranked so high in<br />

the Best Places to Work survey<br />

for a third time tells us that our programs to encourage better health,<br />

to further their education and to cultivate our family atmosphere are<br />

appreciated by our employees.”<br />

Arkansas <strong>Blue</strong> Cross offers employees tuition reimbursement, a cafeteria<br />

focused on healthy foods and an employee health clinic. The average tenure<br />

at Arkansas <strong>Blue</strong> Cross is 10 years, and hundreds of employees have been<br />

with the company 15 years or longer.<br />

If you’d like to know more about career opportunities at Arkansas <strong>Blue</strong><br />

Cross, visit our website, arkansasbluecross.com, or like our Facebook page.<br />

We’d love to have you on the <strong>Blue</strong> Team!<br />

24 BLUE & YOU <strong>Autumn</strong> <strong>2015</strong>


New Arkansas<strong>Blue</strong><br />

opens in<br />

Red Wolves territory!<br />

Residents of Jonesboro and northeast Arkansas are able to speak face to face with<br />

health insurance experts who can advise them about affordable health plans and<br />

more at the new Arkansas<strong>Blue</strong> office located at 2110 Fair Park Boulevard, Suite I,<br />

in Jonesboro (across from Lowe’s). The store opened for business September 14.<br />

The new Arkansas<strong>Blue</strong> provides Arkansas <strong>Blue</strong> Cross and <strong>Blue</strong> Shield members<br />

and insurance shoppers with information about Arkansas <strong>Blue</strong> Cross insurance<br />

plans, advice on which plan best covers them and fits their budget, as well as<br />

helping determine if they may qualify for free or low-cost healthcare coverage<br />

through healthcare.gov. Arkansas<strong>Blue</strong> also will provide visitors with information<br />

on dental and other insurance plans.<br />

“Arkansas <strong>Blue</strong> Cross has operated a full-service office in Jonesboro since 1995,<br />

serving members in a 17-county area with customer service, individual and<br />

group product sales and service, medical management, provider services and<br />

care management for members,” said Bill Brown, regional executive. “Our new<br />

location will allow us to expand our services and provide more one-on-one<br />

counseling about health and dental insurance for individuals and families.”<br />

Walk-in members and shoppers also can pick up informational brochures or<br />

digitally walk through an online shopping experience with an Arkansas <strong>Blue</strong><br />

Cross representative. Telephone numbers for the new Arkansas<strong>Blue</strong> store will be<br />

the same as the numbers for the previous regional office location (see page 27).<br />

Arkansas <strong>Blue</strong> Cross opened Arkansas’ first health insurance store in 2011 in Little<br />

Rock to help Arkansans better understand health insurance products and how they<br />

work. Other Arkansas<strong>Blue</strong> locations include Pine Bluff, Hot Springs and Lowell.<br />

<strong>Autumn</strong> <strong>2015</strong> BLUE & YOU<br />

25


“OUT OF THE BLUE”<br />

CONTINUED FROM PAGE 3<br />

Support benefit design strategies that<br />

encourage smarter healthcare usage.<br />

We must continue to look for opportunities to<br />

refine the benefits design for the Private Option in<br />

ways that have been proven in the private sector,<br />

while removing those plan features that do not<br />

directly encourage smarter usage of care. Essential<br />

to improving health in our state is ensuring broad<br />

access to primary care, and finding ways to<br />

incentivize the use of that care rather than more costly<br />

emergency care. At Arkansas <strong>Blue</strong> Cross, we work in<br />

partnership with employers across the state to create<br />

a benefit model that rewards personal responsibility<br />

and better decision-making, and need that same<br />

flexibility to better serve those in the Private Option.<br />

Acknowledge that investments in the healthcare<br />

system are investments in a stronger economy.<br />

A physically healthier Arkansas and a financially<br />

healthier Arkansas are inextricably linked. Currently,<br />

Arkansas is ranked the 49th-healthiest state.<br />

Businesses are very aware of the cost of healthcare<br />

and the far-reaching effects of costly health<br />

conditions for employees and their family members.<br />

They understand that a healthier workforce, one<br />

with better access to preventive care and timely<br />

treatment, is a more present, productive workforce.<br />

As we improve our state’s healthcare system and<br />

the health of Arkansans, our state will be seen as<br />

an attractive home for businesses that currently see<br />

rapidly escalating health care. Our state will be seen<br />

as leading innovation, not just copying less effective<br />

solutions from other states. Our new approach<br />

to healthcare represents a long-term competitive<br />

advantage for our state. An investment in educating<br />

Arkansans in how to find and use care is an<br />

investment in a healthier state, and an investment<br />

in a healthier state is an investment in a larger,<br />

healthier workforce. That’s just common sense.<br />

This is the time for Arkansas to build a more<br />

sustainable approach to healthcare. By taking<br />

advantage of this unique opportunity, we can have a<br />

system that works better for all Arkansans. It’s time<br />

for a stronger Arkansas. We can build it together.<br />

ANNUAL NOTICE<br />

2016 Summary of Benefits and Coverage –<br />

available November 15 for individual/family policyholders<br />

As required by the Patient<br />

Protection and Affordable Care<br />

Act (PPACA), the Summary of<br />

Benefits and Coverage (SBC)<br />

(OMB Control Numbers 1545-<br />

2229, 1210-0147 and 0938-1146)<br />

provides information regarding<br />

coverage specifications and<br />

limitations that apply to the health<br />

insurance plan you have selected.<br />

Before the end of each year,<br />

Arkansas <strong>Blue</strong> Cross and <strong>Blue</strong><br />

Shield provides members<br />

who are under age 65 and<br />

have individual/family health<br />

insurance policies* with an SBC.<br />

This official communication<br />

includes information about<br />

the coverage provided by<br />

your health insurance plan<br />

in a summary format for the<br />

26 BLUE & YOU <strong>Autumn</strong> <strong>2015</strong><br />

upcoming year. Beginning<br />

November 15, <strong>2015</strong>, you may<br />

access this information:<br />

• Online in the “Benefits”<br />

section of the Arkansas <strong>Blue</strong><br />

Cross secure member selfservice<br />

center, My <strong>Blue</strong>print,<br />

at arkansasbluecross.com<br />

• By calling Arkansas <strong>Blue</strong><br />

Cross Customer Service at<br />

1-800-800-4298 to receive a<br />

printed version<br />

After that date, you also may<br />

log on to arkansasbluecross.<br />

com/sbc and enter your<br />

member number (found on<br />

your member ID card) into the<br />

SBC locator tool to review the<br />

document online and print it.<br />

If you make changes to your<br />

Arkansas <strong>Blue</strong> Cross health plan<br />

benefits that differ from your<br />

current coverage, a new SBC<br />

will be created for you within<br />

seven work days of our receipt<br />

of your change request. It will<br />

be available to you in the same<br />

manner described above.<br />

* These are members who do not have<br />

health insurance through an employer,<br />

a Medicare health plan, or short-term,<br />

limited-duration <strong>Blue</strong> policies, to<br />

include Essential <strong>Blue</strong> Freedom.<br />

Arkansas <strong>Blue</strong> Cross, Health<br />

Advantage and <strong>Blue</strong>Advantage<br />

Administrators of Arkansas<br />

members who receive health<br />

coverage through an employer<br />

group will get their SBC from their<br />

employer group plan administrator<br />

at the appropriate time.


Women’s Health and<br />

Cancer Rights Act<br />

The Women’s Health and Cancer<br />

Rights Act of 1998 introduced<br />

changes in insurance coverage<br />

for mastectomy.<br />

In accordance with the law, all group and individual<br />

health plans that provide medical and surgical<br />

benefits for mastectomy will cover reconstructive<br />

breast surgery, including:<br />

• Reconstructive surgery on the breast on which<br />

the mastectomy was performed.<br />

• Reconstructive surgery on the unaffected breast<br />

needed to “produce a symmetrical appearance.”<br />

• Prostheses and treatment of complications<br />

of any stage of a mastectomy, including<br />

lymphedema (post-surgical fluid buildup).<br />

These provisions apply to all policies issued by<br />

Arkansas <strong>Blue</strong> Cross and <strong>Blue</strong> Shield, Health<br />

Advantage and <strong>Blue</strong>Advantage Administrators<br />

of Arkansas and are subject to the applicable<br />

copayments, coinsurance, benefit limitations,<br />

exclusions and benefit maximums.<br />

If you have questions about your insurance<br />

coverage, contact your group benefits administrator<br />

or a customer service representative at your local<br />

Arkansas <strong>Blue</strong> Cross office.<br />

CUSTOMER SERVICE NUMBERS<br />

May we help?<br />

For customer service, please call:<br />

TOLL FREE Number<br />

Medi-Pak ® members 1-800-338-2312<br />

Medi-Pak ® Advantage members 1-877-233-7022<br />

Medi-Pak ® Rx members 1-866-390-3369<br />

Arkansas <strong>Blue</strong> Cross members 1-800-238-8379<br />

• Pharmacy questions 1-800-863-5561<br />

• Specialty Rx pharmacy questions 1-866-295-2779<br />

Arkansas <strong>Blue</strong> Cross Metallic members<br />

(Gold, Silver, Bronze, Catastrophic) 1-800-800-4298<br />

• Pharmacy questions 1-800-969-3983<br />

Health Advantage members 1-800-843-1329<br />

• Pharmacy questions 1-800-863-5567<br />

<strong>Blue</strong>Advantage members 1-888-872-2531<br />

• Pharmacy questions 1-888-293-3748<br />

Federal Employee members 1-800-482-6655<br />

Looking for health or dental insurance? We can help!<br />

For individuals, families 1-800-392-2583<br />

For employer groups* 1-800-421-1112<br />

*Arkansas <strong>Blue</strong> Cross, Health Advantage and <strong>Blue</strong>Advantage Administrators of Arkansas<br />

PAY YOUR *<br />

B I L L<br />

To pay by phone*, please call 1-800-354-9904<br />

Prefer to speak with someone close to home?<br />

Call or visit one of our offices near you:<br />

• Arkansas<strong>Blue</strong> — Little Rock<br />

2612 S. Shackleford Rd., Suite J 1-501-378-2222<br />

• Fayetteville<br />

516 East Millsap Rd., Suite 103 1-800-817-7726<br />

• Fort Smith<br />

3501 Old Greenwood Rd., Suite 5 1-866-254-9117<br />

• Arkansas<strong>Blue</strong> — Hot Springs<br />

1635 Higdon Ferry Rd. – Suite J 1-800-588-5733<br />

• Arkansas<strong>Blue</strong> — Jonesboro<br />

2110 Fair Park Boulevard – Suite I 1-800-299-4124<br />

• Little Rock<br />

601 S. Gaines Street 1-800-421-1112<br />

• Arkansas<strong>Blue</strong> — Lowell<br />

507 W. Monroe Ave. – Suite B 1-888-872-2539<br />

• Arkansas<strong>Blue</strong> — Pine Bluff<br />

509 Mallard Loop Drive 1-800-236-0369<br />

• Texarkana<br />

1710 Arkansas Boulevard 1-800-470-9621<br />

Visit our websites for more information:<br />

arkansasbluecross.com • healthadvantage-hmo.com<br />

blueadvantagearkansas.com<br />

blueandyoufoundationarkansas.org<br />

Medicare Advantage and Prescription Drug plan product members must call<br />

Customer Service to discuss available payment options. Health Advantage<br />

conversion plans are not eligible for online, mobile or pay-by-phone payment option.<br />

<strong>Autumn</strong> <strong>2015</strong> BLUE & YOU<br />

27


Catch FREE TICKETS<br />

to<br />

“ The Gingerbread Man!”<br />

4 p.m. Sunday,<br />

December 6<br />

at the<br />

Arkansas Arts Center’s<br />

Children’s Theatre in Little Rock.<br />

<strong>You</strong> can get free tickets<br />

starting November 1 at all<br />

Arkansas<strong>Blue</strong> stores.<br />

Hurry! Quantities are limited.<br />

MPI 4050 10/15

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