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Blue & You - Summer 2013

Get Ready for Changes Under the Health Care Law; Live Fearless; Arkansas Blue Cross tops national customer survey; Financial Information Privacy Notice

Get Ready for Changes Under the Health Care Law;
Live Fearless;
Arkansas Blue Cross tops national customer survey;
Financial Information Privacy Notice

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SUMMER<br />

<strong>2013</strong><br />

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

Representatives of Arkansas <strong>Blue</strong> Cross and <strong>Blue</strong> Shield are<br />

ready to help you. Call or come by one of our locations.<br />

page<br />

4<br />

Live<br />

Fearless<br />

page<br />

10<br />

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

national customer survey<br />

page<br />

15<br />

Financial Information<br />

Privacy Notice<br />

page<br />

22


of<br />

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

employee Michael<br />

Stewart greets<br />

a customer at<br />

the Shackleford<br />

Crossings<br />

location.<br />

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

15<br />

4<br />

7<br />

9<br />

The health care law and you<br />

The Health Insurance Marketplace –<br />

how it might help you<br />

Meetings for small businesses<br />

Arkansas’ Health Care Independence<br />

Program: Do you qualify?<br />

16<br />

17<br />

18<br />

19<br />

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

as a top <strong>Blue</strong> Plan in the nation<br />

Over-the-counter medicines<br />

<strong>You</strong>r role in health care<br />

Will Arkansas have enough doctors?<br />

Member discounts<br />

Grants available for health programs<br />

10<br />

Live Fearless – our new advertising<br />

campaign<br />

20<br />

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

store opens in Pine Bluff<br />

12<br />

Fast food and asthma<br />

Binge drinking studies<br />

Lose weight the Healthy Weigh!<br />

22<br />

The “freedom” of short-term coverage<br />

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

Financial Information Privacy Notice<br />

13<br />

14<br />

Is memory loss from aging<br />

or lack of sleep? Maybe both.<br />

<strong>Blue</strong> News<br />

23<br />

24<br />

Customer Service telephone numbers<br />

Health care law timeline<br />

SUMMER<br />

<strong>2013</strong><br />

<strong>Blue</strong> & <strong>You</strong> is published four times a year by Arkansas <strong>Blue</strong> Cross and<br />

<strong>Blue</strong> Shield for the company’s members, health care professionals<br />

and other persons interested in health care and wellness.<br />

Health information from sources outside of Arkansas <strong>Blue</strong> Cross and <strong>Blue</strong><br />

Shield do not necessarily represent the official position of the company.<br />

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

CONTRIBUTORS: Will Ballard, Chip Bayer, Gio Bruno, Matthew Creasman, Damona Fisher, Kristy Fleming, Lauren<br />

Green,Trey Hankins, Heather Iacobacci-Miller, Genny Kirchner, Kathy Luzietti, Wendy McCullar, Mark Morehead,<br />

Alex Roberts, Kelly Whitehorn and Stephen Wilson<br />

VICE PRESIDENT, COMMUNICATIONS and PRODUCT DEVELOPMENT: Karen Raley<br />

2 BLUE & YOU SUMMER <strong>2013</strong><br />

on the<br />

cover<br />

Sara Harris, Arkansas<strong>Blue</strong> team leader,<br />

consults with a customer about the<br />

upcoming health care law changes.


OUT<br />

Upcoming changes under the health care law<br />

It has been a busy year for the health care<br />

industry, and it is only halfway through. We<br />

have seen remarkable progress made toward<br />

implementing provisions of the new health care<br />

law as they become effective, but I know many<br />

of you still have concerns about the changes yet<br />

to be implemented. <strong>You</strong> can rest assured that our<br />

team at Arkansas <strong>Blue</strong> Cross and <strong>Blue</strong> Shield has<br />

been working to determine how to best address<br />

these challenges.<br />

Arkansas Medicaid expansion<br />

Arkansas historically has had one of the most<br />

restrictive Medicaid programs in the country,<br />

and I applaud the bipartisan efforts of the<br />

Arkansas Legislature and Gov. Mike Beebe<br />

to create the Arkansas Medicaid private<br />

option that was signed into law in April.<br />

Arkansas is the first state in the nation to<br />

create a system allowing qualified low-income<br />

Arkansans to purchase subsidized private<br />

insurance through the state’s Health Insurance<br />

Marketplace, but other states are watching with<br />

interest. For the first three years, this program<br />

will be funded entirely with federal money.<br />

Expanding Medicaid to provide health care<br />

coverage to low income Arkansans is the right<br />

thing to do. It not only benefits people who are<br />

struggling financially, it benefits their families,<br />

the business owners who hire these workers,<br />

our health care providers and the state’s<br />

economy. Ultimately, we will see the benefits<br />

of a healthier population.<br />

Controlling health care costs<br />

Many of you may have heard news reports<br />

concerning increases in premium costs as a<br />

result of new regulations under the health care<br />

law. There are provisions of the law that will<br />

increase costs for some, but there will be both<br />

winners and losers under the new regulations.<br />

BLUE<br />

a message from our President and CEO,<br />

MARK WHITE<br />

Why are costs increasing for some? The law<br />

requires the insurance industry to cover more<br />

services, offer some services at no cost to the<br />

member, and calculate premiums according<br />

to new guidelines. There also are a number of<br />

new taxes and fees included within the law.<br />

Certainly, most Americans understand that when<br />

you provide free or reduced-cost insurance to<br />

millions of people and cover more services,<br />

there will be a cost associated with it.<br />

In this issue of <strong>Blue</strong> & <strong>You</strong>, we explain some of<br />

the new provisions within the health care law<br />

and what we believe you can expect regarding<br />

your coverage. Some of you will find that your<br />

coverage will be less expensive in the future;<br />

for others, it will be more costly. Regardless of<br />

the impact, Arkansas <strong>Blue</strong> Cross has spent the<br />

past two years working to find solutions that<br />

will provide you and your family affordable<br />

insurance options.<br />

If you purchase health care coverage for<br />

you and your family on your own, we will be<br />

reaching out to you this summer to request<br />

a health insurance review. During a phone<br />

call or a visit we can cover any changes the<br />

law will require and make you aware of the<br />

most affordable choices available to you.<br />

It is important that you are informed about<br />

your options and you that maintain your<br />

“grandfathered” status until you have the<br />

information needed to aid in the decision<br />

process. Our customer support teams are<br />

CHANGES continued on page 23<br />

SUMMER <strong>2013</strong> BLUE & YOU<br />

3


the HEALTH CARE law<br />

?<br />

“Will it impact my coverage?”<br />

Whether your health insurance coverage will<br />

change as a result of new health care rules that<br />

go into effect January 1, 2014, depends on when<br />

you bought your health insurance and whether<br />

you bought it at work or on your own.<br />

Medicare Plans<br />

If you are on a Medicare Supplement plan,<br />

regardless of when it was purchased, you won’t<br />

see any changes to your plan coverage in 2014<br />

as a result of the health care law. If you have a<br />

Medicare Advantage or Medicare Prescription<br />

Drug Plan, the process for notifying you about<br />

2014 changes at the end of September <strong>2013</strong><br />

remains unchanged as a result of the law.<br />

Plans purchased before March 2010<br />

If your health plan was in place before the law<br />

was passed in March 2010, whether purchased<br />

through your employer or on your own, you<br />

may have what is known as a “grandfathered”<br />

plan. A number of changes already have<br />

been made to these policies to meet new<br />

legal requirements. Changes include allowing<br />

children to stay on a parent’s health plan until<br />

their 26th birthday and removing lifetime dollar<br />

limits on some medical services. These plans<br />

will not see any big changes in 2014. If you are<br />

unsure whether your plan is grandfathered, call<br />

the customer service number on your ID card or<br />

contact your human resources administrator.<br />

Employer Plans (purchased after March 2010)<br />

If you have coverage through a company with<br />

100 or more employees, many changes required<br />

by the health care law already have been applied<br />

to your health plan. These required changes<br />

included removing any annual or lifetime dollar<br />

limits on certain medical services and adding<br />

preventive services if your plan did not include<br />

them. A major change that will be implemented<br />

relates to your total out-of-pocket cost. When<br />

this rule is put in place for your health plan, all<br />

deductibles, coinsurance and copayments will<br />

count toward your out-of-pocket maximum.<br />

4 BLUE & YOU SUMMER <strong>2013</strong><br />

If your employer employs 51 to 100<br />

employees, similar changes will become<br />

effective in 2016.<br />

Employers with 50 or fewer employees are<br />

likely to see a number of changes to their<br />

coverage if the plan is not a grandfathered plan.<br />

The law requires that these health plans include<br />

a core set of benefits (essential health benefits)<br />

and cover preventive services at 100 percent<br />

with no member out-of-pocket costs. Among<br />

the preventive services provided with no cost<br />

sharing are colonoscopies and contraceptives.<br />

Also in 2014, your health plan will cover medical<br />

conditions that previously required a waiting<br />

period. Employers with two to 50 employees will<br />

be invited to attend meetings with Arkansas <strong>Blue</strong><br />

Cross to discuss in detail how the health care<br />

law is impacting our employer customers (see<br />

article on page 9). After the meeting, employers<br />

will be contacted by their agent or an Arkansas<br />

<strong>Blue</strong> Cross representative, to determine the<br />

most affordable option for their organization.<br />

Those who bought coverage on their own<br />

after March 2010<br />

If you bought an individual or family health<br />

plan (not a Medicare plan) on your own and it<br />

was purchased after March 2010, you can keep<br />

the policy you currently have until December 30,<br />

2014, with no changes.<br />

Some of our members will find the new health<br />

plans to be more desirable. <strong>You</strong> may receive a<br />

new kind of tax credit that lowers their monthly<br />

health plan costs. If that is the case, your agent<br />

or an Arkansas <strong>Blue</strong> Cross representative will<br />

make you aware of a more affordable option.<br />

New health care plans will cover preventive<br />

health benefits at 100 percent, will have no<br />

waiting periods for medical conditions and you<br />

will have guaranteed approval for health care<br />

coverage. Also, all deductibles, copayments<br />

and coinsurance will go toward your out-ofpocket<br />

maximum.


We are here to help<br />

This summer we are asking our members<br />

with individual or family health plans (not<br />

Medicare plans) to call us or their agent or<br />

come in and let us check to see if a lower cost<br />

plan will be available under the new law. Our<br />

representatives are trained and ready to talk<br />

?<br />

“Will it impact what I pay?”<br />

For many Americans who are not on<br />

Medicare, the full implementation of the new<br />

health care law in 2014 may mean a change in<br />

what they pay monthly (called a premium). And<br />

there will be winners and losers.<br />

The extent to which the new rules will affect<br />

your health plan depends in part on when your<br />

coverage was purchased, and whether you<br />

get coverage through an employer or if you<br />

purchase coverage on your own for yourself<br />

and/or your family. The new changes will have<br />

the greatest impact on those who work for<br />

companies with 50 or fewer employees and<br />

those who buy coverage for themselves and<br />

their families on their own or through an agent.<br />

The amount you pay monthly (your premium)<br />

may increase or decrease as a result of four<br />

primary provisions contained in the new law.<br />

They are:<br />

• New taxes and fees<br />

• New requirements regarding what<br />

medical services must be covered<br />

by insurance policies<br />

• New rules concerning how insurance<br />

companies must calculate members’<br />

monthly costs<br />

• The availability of tax credits or subsidies to<br />

help pay for health insurance for individuals<br />

and families who qualify<br />

with you. <strong>You</strong> can call us at 1-800-310-3778 or<br />

you can visit with us in person at one of our<br />

offices around the state. Arkansas <strong>Blue</strong> Cross<br />

has been providing Arkansans quality health<br />

plans at affordable prices for 65 years, and<br />

we look forward to working with you.<br />

New Taxes and Fees<br />

New taxes and fees included in the law will<br />

have an impact on premiums. The money<br />

collected from these fees will be used to<br />

help pay for advance premium tax credits<br />

(commonly called subsidies) which will be<br />

available to Americans in low-to-middle<br />

income ranges to help pay for health insurance.<br />

These taxes and fees also will be used to fund<br />

research into effective medical practices, to<br />

help cover the cost of the Health Insurance<br />

Marketplaces that will be established in every<br />

state and to stabilize the insurance market in<br />

the early reform years. Industry experts project<br />

that the fee collected to help fund the tax credit<br />

alone will add 2-3 percent to the cost of health<br />

insurance. Collectively, the fees could add as<br />

much as 3-5 percent to individual and employer<br />

health plan premiums.<br />

New Coverage Requirements<br />

Health plans sold to individuals and employers<br />

with 50 or fewer employees must cover a core<br />

set of medical services called “essential health<br />

benefits.” Many of these essential health<br />

benefits were covered by Arkansas <strong>Blue</strong> Cross<br />

health plans already, such as hospitalization and<br />

emergency care. Others were offered, but the<br />

buyer in some cases had the choice of whether<br />

to purchase the coverage, such as maternity<br />

and preventive care. Beginning in 2014, these<br />

coverage requirements no longer will be<br />

optional. In addition, more preventive services<br />

have been added and the health plan must pay<br />

100 percent of the cost of these services.<br />

LAW continued on page 6<br />

SUMMER <strong>2013</strong> BLUE & YOU<br />

5


LAW continued from page 5<br />

Because more services will be covered and the<br />

health plan will pay more of the cost, premiums<br />

will go up to cover the cost of these new health<br />

plan benefits.<br />

New rules around determining your monthly costs<br />

Historically, insurance companies have<br />

considered a number of factors when<br />

calculating premiums for employers or<br />

individuals purchasing coverage. These factors<br />

include the health condition of the individual<br />

or the employees in an employer’s group plan.<br />

Those employers or individuals who have more<br />

health conditions are likely to use more medical<br />

services and are, therefore, charged a higher<br />

rate. Beginning in 2014, health insurers will<br />

not be allowed to consider health conditions in<br />

developing premiums. As a result, those who<br />

are less healthy may find their costs are less<br />

and those who are healthier will pay more in<br />

monthly premiums.<br />

Age also has been an important consideration<br />

in establishing premiums. Older people generally<br />

use more medical services and, therefore, pay<br />

more, while younger people who are not as<br />

likely to need expensive medical care pay less.<br />

Although age still will play a role in setting rates,<br />

there will not be as a great a range between the<br />

rate charged to a 24-year-old and the rate charged<br />

to a 60-year-old. <strong>You</strong>nger people can expect to<br />

pay higher rates when these rules are applied in<br />

2014, and older people will pay less.<br />

These are two of a number of new rules<br />

regarding setting premiums that will begin<br />

in 2014 and will cause changes in how much<br />

people pay for coverage.<br />

Advance premium tax credits<br />

Beginning in January 2014, many low- and<br />

middle-income Americans who do not have the<br />

opportunity to enroll in an employer’s health<br />

plan will be eligible to receive a new kind of<br />

tax credit that lowers monthly premiums. The<br />

amount of tax credit a household receives is<br />

based on their household income and family<br />

size. The lower the household income, the<br />

higher the tax credit.<br />

If you think your household may be eligible<br />

for an advance premium tax credit, please<br />

call Arkansas <strong>Blue</strong> Cross. We will help you<br />

determine if you meet the requirements and<br />

provide you with an estimate of what your<br />

premium might be after the tax credit is applied.<br />

Arkansas <strong>Blue</strong> Cross has the information you need<br />

The health care law is complex and difficult to<br />

understand. Some of our members will benefit<br />

and others will not. <strong>You</strong> can count on Arkansas<br />

<strong>Blue</strong> Cross to provide the accurate and reliable<br />

guidance you need to understand how the<br />

health care law affects you and those you love.<br />

Please don’t make any changes to your health<br />

insurance coverage without talking to us first.<br />

If your current plan was issued before the law<br />

passed, keeping it may be your best option.<br />

And if you drop it, you can’t get it back. If you<br />

buy coverage on your own, call your agent or<br />

Arkansas <strong>Blue</strong> Cross or come by one of our<br />

locations for a health insurance review. We are<br />

ready to help you evaluate your options and<br />

select a plan that provides the coverage you want<br />

at the lowest cost. Call 1-800-310-3778 today.<br />

Could you receive help with<br />

your health care costs?<br />

We can help you find out in just a few<br />

seconds. Literally.<br />

If you are wondering if you will get a break on<br />

the monthly cost of your health insurance plan<br />

in 2014, we can give you a quick answer.<br />

Just visit our website, arkansasbluecross.com,<br />

and select “Will I qualify for a tax credit?,” and<br />

you can get an answer by answering two simple<br />

questions: household income and household<br />

size. That’s it.<br />

This “estimator” is for individuals or families<br />

who purchase their health insurance on their<br />

own (in other words, you do not have coverage<br />

through your employer). Glad we can help!<br />

6 BLUE & YOU SUMMER <strong>2013</strong>


the HEALTH INSURANCE Marketplace<br />

?<br />

Qualifying for a tax credit<br />

Federal Poverty Level – <strong>2013</strong><br />

PEOPLE<br />

in family 100% 133% 200% 300% 400%<br />

1<br />

2<br />

3<br />

4<br />

5<br />

6<br />

7<br />

8<br />

Helping some Americans pay for health care<br />

If you are one of millions of Americans under<br />

age 65 who will purchase a health plan this<br />

fall through the Health Insurance Marketplace<br />

(exchange), you may be eligible for a $0<br />

premium plan or a new kind of tax credit that<br />

lowers your monthly premiums.<br />

The Health Insurance Marketplace is a website<br />

designed to determine if you are eligible for<br />

financial help to cover your health insurance<br />

costs. It also will help you and your family shop<br />

for and purchase health insurance. Americans<br />

may also contact the Health Insurance<br />

Marketplace by telephone.<br />

A Health Insurance Marketplace is being set<br />

up in each state, either by the state itself, by the<br />

federal government, or in Arkansas’ case, in<br />

partnership with the federal government. Each<br />

marketplace will be responsible for:<br />

• Creating and maintaining a consumer<br />

shopping website.<br />

• Providing access to all information necessary<br />

to determine if you are eligible for help<br />

paying for your premium or if you qualify for<br />

free coverage.<br />

• Helping consumers shop for and purchase<br />

health plans.<br />

• Making sure all health plans offered on the<br />

marketplace meet all the new regulations.<br />

The Health Insurance Marketplace will be<br />

open October 1 for people to purchase<br />

coverage that begins January 1.<br />

$11,490<br />

$15,510<br />

$19,530<br />

$23,550<br />

$27,570<br />

$31,590<br />

$35,610<br />

$39,630<br />

$15,282<br />

$20,628<br />

$25,975<br />

$31,322<br />

$36,668<br />

$42,015<br />

$47,361<br />

$52,708<br />

$22,980<br />

$31,020<br />

$39,060<br />

$47,100<br />

$55,140<br />

$63,180<br />

$71,220<br />

$79,260<br />

$34,470<br />

$46,530<br />

$58,590<br />

$70,650<br />

$82,710<br />

$94,770<br />

$106,830<br />

$118,890<br />

$45,960<br />

$62,040<br />

$78,120<br />

$94,200<br />

$110,280<br />

$126,360<br />

$142,440<br />

$158,520<br />

NOTE: Federal minimum wage employee working 50 weeks per<br />

year, 40 hours per week would earn $14,500.<br />

Why buy on the marketplace?<br />

Many Americans will be eligible to receive<br />

advance premium tax credits (subsidies) if they<br />

purchase a health plan through the marketplace.<br />

An advance premium tax credit is a new tax credit<br />

that you can use to lower your monthly premium<br />

costs beginning January 1, 2014. (see chart below<br />

to see if you might qualify.)<br />

The amount of the advance premium tax credit<br />

that each household will receive is calculated by<br />

using their income, the size of their family and<br />

other factors. This new tax credit helps lower- and<br />

middle-income families. Some households, based<br />

on their income, will receive additional financial<br />

assistance when they receive medical care.<br />

Essential health benefits<br />

Every health plan sold to small employer<br />

groups and individuals on the Health Insurance<br />

Marketplace must include a core set of benefits<br />

established by the law. Many of these services<br />

are covered today by health plans sold by<br />

Arkansas <strong>Blue</strong> Cross. Others, such as preventive<br />

care and mental health services, are available to<br />

purchase as options, but going forward, those<br />

will be required.<br />

The essential health benefits are included in<br />

the following 10 categories:<br />

1. Ambulatory patient services<br />

2. Emergency services<br />

3. Hospitalization<br />

4. Maternity and newborn care<br />

5. Mental health and substance<br />

use disorder services, including<br />

behavioral health treatment<br />

6. Prescription drugs<br />

7. Rehabilitative and habilitative<br />

services and devices<br />

8. Laboratory services<br />

9. Preventive and wellness services<br />

and chronic disease management<br />

10. Pediatric services, including oral<br />

and vision care<br />

LAW continued on page 8<br />

SUMMER <strong>2013</strong> BLUE & YOU<br />

7


LAW continued from page 7<br />

In addition, these essential health benefits<br />

must be covered with no annual or lifetime<br />

dollar limits. Preventive services, including<br />

women’s preventive care and birth control must<br />

be paid 100 percent by the health plan.<br />

Metallic plans<br />

People often found that it was difficult to<br />

compare what their total cost would be from<br />

one plan to the next. It was easy to compare<br />

the monthly payments (premiums) but it was<br />

difficult to compare how much you would pay<br />

out of pocket for medical services. In an effort to<br />

make it easier for people to determine what they<br />

will pay for medical services, the health care<br />

law standardized the health plans on and off the<br />

Health Insurance Marketplace. Because these<br />

health plans are called Bronze, Silver, Gold and<br />

Platinum, they are referred to as Metallic Plans.<br />

For instance, the lowest level of coverage,<br />

called the Bronze plan, is designed to cover<br />

60 percent of your total health care costs.<br />

A person purchasing a Bronze plan will pay<br />

more when they receive health care but less<br />

month to month (their premium). A person<br />

purchasing a Platinum plan will pay more<br />

month to month, but pay less at the doctor’s<br />

office. (See chart below.)<br />

Because the law requires that insurance<br />

companies offer plans that only fit these levels,<br />

they are no longer allowed to offer plans that<br />

don’t fit the requirements. For instance, you<br />

won’t be able to purchase a plan to cover 75<br />

percent of your medical costs. As a result of<br />

this regulation, health insurance companies<br />

will have to reduce the options available to<br />

small employers and individuals.<br />

Arkansas <strong>Blue</strong> Cross can estimate any<br />

advance premium tax credits you may be<br />

eligible to receive and can help you select<br />

a health plan. <strong>You</strong> can buy an Arkansas <strong>Blue</strong><br />

Cross plan on and off the marketplace. Call<br />

us at 1-800-310-3778 or come in for a health<br />

insurance review.<br />

Metallic<br />

Coverage<br />

LEVELS<br />

100%<br />

0%<br />

60% * 70% * 80% * 90% *<br />

BRONZE SILVER GOLD PLATINUM<br />

*NOTE: Percentage shows how much of your total health care costs this plan pays.<br />

? Have a question? Ask us!<br />

The health care law is complex and confusing,<br />

but Arkansas <strong>Blue</strong> Cross and <strong>Blue</strong> Shield is here<br />

to help. If you have questions regarding anything<br />

to do with the health care law, we want to hear<br />

from you in an email, post or tweet.<br />

Our email address designated for the health<br />

care law questions is HCRinfo@arkbluecross.com.<br />

Send us an email and we will respond directly<br />

8 BLUE & YOU SUMMER <strong>2013</strong><br />

to you. We usually can get an answer back<br />

to you in a day or two. To find our corporate<br />

Facebook page, just search for Arkansas <strong>Blue</strong><br />

Cross and <strong>Blue</strong> Shield. Our Twitter account<br />

is arkbluecross.<br />

If you are under 65 and have an individual or<br />

family health plan you purchased on your own<br />

or with the help of an agent, you can call your<br />

agent or call us for a health insurance review at<br />

1-800-310-3778.<br />

We love to hear from you!


4<br />

5<br />

$<br />

1<br />

7 8<br />

6<br />

3<br />

9<br />

The Arkansas Health Care<br />

Independence Program is a<br />

new program for low income<br />

Arkansans that will allow them<br />

to shop for and enroll in Arkansas<br />

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

other health care plans on the<br />

Health Insurance Marketplace.<br />

These health plans will be<br />

available at no cost to them.<br />

People who choose this<br />

program can use any of the<br />

doctors or hospitals that other<br />

MEETINGS for SMALL<br />

businesses<br />

2<br />

1<br />

2<br />

3<br />

Employers with two to 50 employees are invited to attend meetings with<br />

Arkansas <strong>Blue</strong> Cross and <strong>Blue</strong> Shield representatives to discuss in detail<br />

how the health care law is impacting our employer customers.<br />

Arkansas <strong>Blue</strong> Cross will hold meetings in 10 locations throughout<br />

the state during August and September. After the meetings,<br />

employers will be contacted by their agent or an Arkansas <strong>Blue</strong> Cross<br />

representative. We hope to see you at one of the following locations:<br />

HOT SPRINGS<br />

Thursday, August 8<br />

Hot Springs Convention Center<br />

JONESBORO<br />

Tuesday, August 13<br />

Hilton Garden Inn<br />

LITTLE ROCK<br />

Wednesday, August 21<br />

Embassy Suites<br />

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

choose and will either pay<br />

nothing or very little when<br />

they receive medical care.<br />

Call us at 1-800-310-3778<br />

to find out if you qualify.<br />

Beginning in October, we<br />

can help you enroll.<br />

FORT SMITH<br />

Tuesday, August 27<br />

Holiday Inn City Center<br />

FAYETTEVILLE<br />

Wednesday, August 28<br />

Embassy Suites<br />

MOUNTAIN HOME<br />

Thursday, August 29<br />

ASU – Vada Sheid Development Center<br />

(The Sheid)<br />

TEXARKANA<br />

Wednesday, September 4<br />

Texarkana Country Club<br />

EL DORADO<br />

Wednesday, September 11<br />

El Dorado Conference Center<br />

PINE BLUFF<br />

Thursday, September 12<br />

Pine Bluff Convention Center<br />

The Arkansas Health Care Independence Program: Do you qualify?<br />

On April 23, Arkansas Gov. Mike<br />

Beebe signed historic legislation<br />

approving a Medicaid expansion<br />

program in Arkansas, creating<br />

the Arkansas Health Care<br />

Independence Program.<br />

4<br />

5<br />

6<br />

Meetings will be held at 1:30-3 p.m. in all locations.<br />

7<br />

8<br />

9<br />

SUMMER <strong>2013</strong> BLUE & YOU<br />

9


When was the last time you felt … FREE?<br />

Free of worry? Free of fear?<br />

Free of uncertainty?<br />

It’s time to uncover that feeling again.<br />

Because you are protected …<br />

with the compassion of a CROSS<br />

that’s been trusted for 65 YEARS;<br />

the security of a SHIELD accepted<br />

by more than 90 PERCENT<br />

of doctors and specialists.<br />

And the power of a card that<br />

opens doors in IN ALL 50 STATES.<br />

Giving you the freedom to love.<br />

To dream. To dare. To believe. To laugh.<br />

To dance like no one is watching.<br />

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

LIVE FEARLESS<br />

<strong>You</strong>’ve likely seen and heard our new<br />

messages on television and radio for<br />

several weeks now. What is it all about?<br />

Health care financing was invented<br />

during the Great Depression, and with<br />

a new health care revolution on the<br />

horizon, we know you may have concerns.<br />

Arkansans have come to rely on Arkansas<br />

<strong>Blue</strong> Cross and <strong>Blue</strong> Shield for more than<br />

six decades — and you still can.<br />

with the card that opens doors in 50 states<br />

An independent licensee of the <strong>Blue</strong> Cross and <strong>Blue</strong> Shield Association.<br />

We’ll be here to guide you through this<br />

rapidly evolving health care landscape.<br />

Giving you strength to be fearless, even<br />

in the face of change. Contact us about<br />

affordable health coverage to protect you<br />

and your family. So you can Live Fearless.<br />

10 BLUE & YOU SUMMER <strong>2013</strong>


An independent licensee of the <strong>Blue</strong> Cross and <strong>Blue</strong> Shield Association.<br />

An independent licensee of the <strong>Blue</strong> Cross and <strong>Blue</strong> Shield Association.<br />

SUMMER <strong>2013</strong> BLUE & YOU<br />

11


Fast Food and Asthma<br />

We all know fast food isn’t exactly ideal for<br />

us. But, if your child has asthma, you may have<br />

even more of a reason to cut out the fast food.<br />

A recent study published in Thorax (a respiratory<br />

medical journal, suggests that consuming fast<br />

food more than three times a week can lead to an<br />

increase in the severity of their asthma.<br />

While the findings do not show that fast food is the<br />

cause of asthma, they do suggest that children with<br />

asthma who eat fast food often have more severe<br />

asthma than children who do not eat fast food often.<br />

Why? It appears that it may be due to the high<br />

levels of saturated and trans fats and sugar found<br />

in fast food; all of which are known to affect the<br />

immune system.<br />

Sources: Healthyliving.msn.com / Usnews.com<br />

Studies tie binge drinking to future heart<br />

disease and liver damage<br />

<strong>You</strong>ng people who party too hard may regret it later<br />

in life, according to recent studies on alcohol’s lasting<br />

effects on health.<br />

In research published in the Journal of the American<br />

College of Cardiology and in Alcoholism: Clinical<br />

& Experimental Research, binge drinking has been<br />

identified as a significant risk factor for both heart<br />

disease and liver damage later in life.<br />

In the study regarding heart health, researchers looked<br />

at two groups of healthy nonsmoking students, ages 18<br />

to 25. One group had a history of binge drinking and the<br />

other group did not drink heavily. The study found that<br />

binge drinkers had impaired function in two cell types<br />

that control blood flow. These vascular changes can be<br />

a precursor to hardening of the arteries, heart attack<br />

and stroke.<br />

The study focused on liver damage in binge drinkers<br />

found that over time binge drinking can sensitize<br />

the liver and make it prone to more subsequent<br />

damage. High levels of alcohol were found to create<br />

an inflammatory response in the liver, sending out<br />

various damaging signals to systems in the body.<br />

Both studies cautioned against the notion that<br />

being young and healthy can protect people from<br />

poor lifestyle behaviors or choices.<br />

Source: Journal of the American College of Cardiology;<br />

Alcoholism: Clinical & Experimental Research<br />

12 BLUE & YOU SUMMER <strong>2013</strong><br />

SPECIAL NOTICE:<br />

*Arkansas State and Public School Employees<br />

can enroll in a weight-loss program administered<br />

by the Employee Benefits Division.<br />

Call 1-877-815-1017 for more information.<br />

**Medi-Pak ® Medicare supplement and<br />

Medi-Pak Rx insurance policyholders are<br />

not eligible for The Healthy Weigh! program.<br />

Lose weight<br />

The Healthy Weigh! Education<br />

Program is free for members of<br />

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

Shield, Health Advantage (except<br />

ARBenefits members*), <strong>Blue</strong> Cross<br />

and <strong>Blue</strong> Shield Service Benefit<br />

Plan (Federal Employee Program),<br />

Medi-Pak Advantage (PFFS), Medi-<br />

Pak Advantage PPO, and eligible<br />

members of <strong>Blue</strong>Advantage<br />

Administrators of Arkansas.**<br />

To enroll, complete the attached<br />

enrollment form and return it in<br />

the self-addressed, postage-paid<br />

envelope included in this magazine.<br />

The program starts when you enroll.<br />

After enrollment, you will begin to<br />

receive information through the mail,<br />

which you can read in the privacy<br />

of your own home and at your own<br />

pace. The program is completely<br />

voluntary, and you may leave the<br />

program at any time. If you have<br />

further questions about the program,<br />

call the Health Education Program’s<br />

toll-free number at 1-800-686-2609.<br />

Simply complete, sign and return<br />

the attached enrollment form in the<br />

self-addressed, postage-paid envelope<br />

to join The Healthy Weigh!


Is memory loss<br />

from aging or<br />

lack of sleep?<br />

maybe both<br />

The benefits of a good night’s sleep on the body are well known, but did you know it is<br />

also beneficial for your brain? New findings are making strong correlations between sleep<br />

and memory, and are shedding light on why older people may have trouble with both.<br />

A study by the National Institutes of Health’s National Institute on Aging found a marked<br />

difference in the brain-wave activity of younger people and older people while they sleep.<br />

Looking deeper into the difference, they found that the lack of deep sleep in seniors<br />

prevents their brains from storing memories in the location of the brain used for recalling<br />

them over the long term. Instead their brains leave memories stored in the portion of the<br />

brain that is used for short-term memory.<br />

So, if you find yourself struggling to recall facts, or having more frequent “it’s-just-onthe-tip-of-my-tongue”<br />

moments, make sleep a priority.<br />

How can you get better sleep?<br />

• Turn off electronics a couple of<br />

hours before bedtime.<br />

• Avoid nicotine, caffeine and alcohol in<br />

the evening.<br />

• Stick to a schedule; don’t sleep late<br />

on weekends.<br />

• Exercise in the late afternoon.<br />

• Keep your room cool and dark.<br />

Place black tape over electronic<br />

lights if necessary.<br />

• Keep pets and children out of the bed.<br />

• Take a hot shower or bath before<br />

going to bed.<br />

• When you wake up in the morning,<br />

open the blinds or step outside as<br />

soon as possible. Sunlight helps<br />

regulate your biological clock.<br />

• Seek medical help if you have a<br />

sleep problem, especially if it<br />

includes snoring.<br />

SUMMER <strong>2013</strong> BLUE & YOU<br />

13


NEWS<br />

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

family fun for members<br />

Arkansas <strong>Blue</strong> Cross and <strong>Blue</strong> Shield members enjoyed a<br />

variety of family-friendly activities earlier this year. We appreciate<br />

our members and always are looking for opportunities to add<br />

value to our relationship. And, there is more to come!<br />

Families at the Hop on Over Easter Party at Arkansas<strong>Blue</strong><br />

enjoyed dancing and playing games with Radio Disney. And,<br />

two lucky families won season passes to the Museum of<br />

Discovery and the Little Rock Zoo along with beach towels,<br />

insect repellent, sunscreen, first-aid kits, bubbles and more.<br />

Arkansas<strong>Blue</strong> is Arkansas’ first health insurance store, located<br />

in the Shackleford Crossings shopping center in Little Rock.<br />

The Easter Bunny and<br />

<strong>Blue</strong>Ann Ewe interact with<br />

a young admirer at the<br />

Arkansas<strong>Blue</strong> Easter party.<br />

During the Night at the Museum Pajama Party in June at the<br />

Museum of Discovery in Little Rock, parents and children went on a scavenger hunt in the<br />

Arkansas <strong>Blue</strong> Cross and <strong>Blue</strong> Shield Amazing <strong>You</strong> Gallery for a chance to win prizes, and<br />

shared healthy snacks in the Gigabyte room. <strong>Blue</strong>Ann Ewe was on hand to dance with the kids<br />

and point out clues in the gallery. While all of our members could get in free to the event, we<br />

also gave away 300 tickets to non-members at Arkansas<strong>Blue</strong>.<br />

As part of our title sponsorship of the Arkansas <strong>Blue</strong> Cross and <strong>Blue</strong> Shield Amazing <strong>You</strong><br />

Gallery inside the Museum of Discovery (designed to teach youth and families about the<br />

body and how to keep it healthy), we have two member-appreciation days each year.<br />

Mark your calendar — the next member-appreciation day at the Museum of Discovery<br />

will be on Grandparent’s Day, Sunday, September 8.<br />

Walk at Lunch<br />

April 24 was National Walk @ Lunch Day (NW@LD), and Arkansas <strong>Blue</strong> Cross and<br />

<strong>Blue</strong> Shield; Arkansas Center for Health Improvement; Me, Myself and I Workout;<br />

Arkansas Department of Human Services; Arkansas Workers’ Compensation; and the<br />

Arkansas Plant Board employees walked together to the Little Rock River Market.<br />

NW@LD is an event designed to encourage employees to spend part of their lunch<br />

break on this day walking in an effort to promote fitness and encourage regular<br />

worksite wellness activities. NW@LD is part of the <strong>Blue</strong> Cross and <strong>Blue</strong> Shield<br />

Association’s Walking Works program.<br />

14 BLUE & YOU SUMMER <strong>2013</strong>


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

as a top <strong>Blue</strong> Plan in the Nation<br />

Arkansas <strong>Blue</strong> Cross and <strong>Blue</strong> Shield is one of the best <strong>Blue</strong> Plans in the nation in providing<br />

valuable products, excellent customer service and gaining the trust of members, according to a<br />

national survey of <strong>Blue</strong> Plan members.<br />

A recent consumer brand index (CBI), a tool for understanding consumers’ perceptions of a brand or<br />

company, was developed for the <strong>Blue</strong> Cross and <strong>Blue</strong> Shield Association to determine how all the <strong>Blue</strong><br />

Plan markets rank with their members. There are 38 <strong>Blue</strong> Plans across the United States, but the survey<br />

was more in-depth and actually involved 61 individual markets. The survey focused on three primary areas:<br />

Did the Plan meet expectations? Is the Plan a company you can trust?<br />

3. How do you feel and think about the Plan?<br />

1. 2.<br />

Out of a possible 100 points, Arkansas <strong>Blue</strong> Cross received an overall score of 82, tying two other<br />

<strong>Blue</strong> Plan markets for the top score in the nation. The median score nationwide was 76. Members<br />

were asked, based on everything they have seen, heard, read or experienced, how they think about<br />

their Plan on a scale of 1 to 10. A score with a plus sign indicates that the score was significantly<br />

different than the system-wide results. So how did Arkansas <strong>Blue</strong> Cross do, question-by-question?<br />

Did your Plan meet expectations?<br />

Arkansas <strong>Blue</strong> Cross: 8.3 +<br />

<strong>Blue</strong> Plan national average: 7.7<br />

Is your Plan a company you can trust?<br />

Arkansas <strong>Blue</strong> Cross: 8.6 +<br />

<strong>Blue</strong> Plan national average: 8.0<br />

How do you feel and think about your Plan?<br />

Arkansas <strong>Blue</strong> Cross: 8.2 +<br />

<strong>Blue</strong> Plan national average: 7.8<br />

“We are pleased that our members think so highly of us,” said Karen Raley, vice president of<br />

Communications and Product Development at Arkansas <strong>Blue</strong> Cross. “We put our members first in<br />

everything we do and these survey results let us know that our members recognize that.”<br />

It is that “member first” attitude permeating every division within Arkansas <strong>Blue</strong> Cross that makes<br />

it difficult to pinpoint who should get the most credit for the glowing CBI results. Customer Service<br />

and other employees who interact directly with members leave a lasting impression of the company<br />

as a whole. The Communications team provides a Web presence that is user-friendly and informative.<br />

New member welcome kits provide vital information right up front that help members more<br />

completely understand their benefits.<br />

“It takes all of us to deliver the kind of service our members deserve, and all of our employees<br />

should be pleased with these excellent ratings,” said Karen. “However, we have no intention of<br />

relaxing now. Our industry as a whole is facing unprecedented challenges, and we need to raise<br />

the bar — for ourselves and for Arkansas <strong>Blue</strong> Cross. Our customers deserve that.”<br />

Heart Walk <strong>2013</strong><br />

Arkansas <strong>Blue</strong> Cross had a great team showing at the Heart Walk held April 20<br />

at Burns Park in North Little Rock. Employees and their family members walked<br />

together to show their support for heart disease research. <strong>Blue</strong> definitely cares!<br />

SUMMER <strong>2013</strong> BLUE & YOU<br />

15


FROM the PHARMACIST<br />

Over-the-counter medicines<br />

Access + Knowledge = Power<br />

More and more, Americans can go to their<br />

favorite grocery store instead of to the doctor<br />

when they need medicine. This immediate<br />

access to medicine to treat an ailment gives us<br />

immense power over our health, but it must be<br />

balanced by the knowledge to use the medicine<br />

correctly. The following information from the<br />

U.S. Food and Drug Administration (FDA)<br />

provides some great advice for using over-thecounter<br />

(OTC) medicines responsibly.<br />

The FDA determines whether medicines are<br />

prescription (Rx) or OTC. The FDA also decides<br />

when a prescription medicine is safe enough<br />

to be sold directly to consumers, a regulatory<br />

process known as Rx-to-OTC switch. More than<br />

700 products sold over the counter today use<br />

ingredients or dosage strengths available only<br />

by prescription 30 years ago.<br />

With new opportunities in self-medication come<br />

new responsibilities and an increased need for<br />

knowledge. The FDA and the Consumer Healthcare<br />

Products Association (CHPA) have prepared the<br />

following information to help Americans take<br />

advantage of self-care opportunities.<br />

by TREY GARDNER, Pharm D.,<br />

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

OTC know-how: It’s on the label<br />

<strong>You</strong> wouldn’t ignore your doctor’s instructions<br />

for using a prescription medicine; so don’t<br />

ignore the label when taking an OTC medicine.<br />

Here’s what to look for:<br />

• Product name<br />

• Active ingredients — therapeutic substances<br />

in medicine<br />

• Purpose — product category (such as<br />

antihistamine, antacid or cough suppressant)<br />

• Uses — symptoms or diseases the product<br />

will treat or prevent<br />

• Warnings — when not to use the product,<br />

when to stop taking it, when to see a<br />

doctor and possible side effects<br />

• Directions — how much to take,<br />

how to take it, and how long to take it<br />

• Other information — such as storage<br />

information<br />

• Inactive ingredients — substances<br />

such as binders, colors or flavoring<br />

Make sure you are reading the label correctly.<br />

Always use enough light. It usually takes three<br />

times more light to read the same line at age 60<br />

than at age 30. If necessary, use your glasses or<br />

contact lenses when reading labels.<br />

Always remember to look for the statement<br />

describing the tamper-evident feature(s) before<br />

you buy the product and when you use it.<br />

When it comes to medicines, more does<br />

not necessarily mean better. <strong>You</strong> should never<br />

misuse OTC medicines by taking them longer<br />

or in higher doses than the label recommends.<br />

Symptoms that persist are a clear signal it’s time<br />

to see a doctor.<br />

16 BLUE & YOU SUMMER <strong>2013</strong><br />

PHARMACY continued on page 21


the DOCTOR’S corner<br />

<strong>You</strong>r role in health care<br />

Health care is changing in many ways to<br />

provide the highest quality of care while<br />

keeping costs down. Doctors and their care<br />

teams, hospitals, insurance companies,<br />

employers and many others are learning their<br />

roles as part of this new approach. What you<br />

may not realize, however, is that you are a vital<br />

part of that change. On its most basic level,<br />

health care is between the person who delivers<br />

care and the person who receives it. To achieve<br />

better health outcomes, patients must make<br />

good decisions based on complete information.<br />

If you’ve been in your doctor’s office recently,<br />

you may have noticed some changes. The clinic<br />

may be using an electronic medical record.<br />

Computerized records make it easier to keep<br />

up with current and past problems, medication<br />

lists, recommended screening tests, lab results<br />

and needed immunizations. Some doctors and<br />

facilities have developed systems to securely<br />

share your information so those who need<br />

to know a test result will have access to it<br />

rather than delaying care or repeating the test.<br />

There may be someone in the clinic who is<br />

coordinating care between specialists or the<br />

emergency room and your doctor. To improve<br />

the clinic’s efficiency, you may be asked for<br />

feedback about clinic services. Specialists and<br />

primary care doctors are communicating more<br />

in order to monitor costs and improve your care.<br />

To achieve the highest quality of care,<br />

both underuse and overuse of health care<br />

resources must be avoided. With some of the<br />

new payment methods, your doctor may be<br />

eligible for higher payments if his patients<br />

receive appropriate tests that have proven<br />

beneficial. The health maintenance your doctor<br />

recommends is to prevent or delay more<br />

serious illness, and you should benefit from<br />

following his advice and changing behaviors.<br />

<strong>You</strong> may be asked to participate in an education<br />

program for a condition like diabetes or<br />

by CONNIE MEEKS, M.D. – Corporate Medical Director<br />

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

low back pain. If your doctor recommends<br />

a screening or a behavior change, consider<br />

his advice. Take personal responsibility and<br />

recognize that routine care is an investment in<br />

better health for the long term.<br />

In contrast, there are some overused<br />

procedures that have not proven effective.<br />

Leading medical specialty societies have<br />

teamed up with Consumer Reports to spread<br />

the word that doctors and patients should<br />

have important conversations to decrease the<br />

practice of ordering unnecessary tests and<br />

procedures. The Choosing Wisely campaign<br />

focuses on lists of “Five Things Physicians and<br />

Patients Should Question,” created by each<br />

participating specialty group. For instance, the<br />

specialty group for family doctors recommends<br />

that electrocardiograms or other cardiac<br />

screenings for low-risk patients without<br />

symptoms should not be ordered.<br />

Pediatricians recommend against cough and<br />

cold medicines for respiratory illnesses in children<br />

under four years of age. Doctors will be spending<br />

more time discussing with patients why certain<br />

tests may or may not be needed. <strong>You</strong>r part in this<br />

is to be open to discussions with your doctor and<br />

to understand that there are new expectations<br />

for him to provide advice supported by evidence,<br />

discuss options and gain your cooperation in a<br />

plan of care. This is shared decision making, so<br />

there is an expectation that you will participate<br />

and follow through with decided plans.<br />

The goal of improved personal health is<br />

not only that it is good for patients, but that<br />

it will contribute to the improved financial<br />

health of our country. The effort begins with<br />

you taking responsibility.<br />

Source: Choosing Wisely campaign,<br />

choosingwisely.org<br />

SUMMER <strong>2013</strong> BLUE & YOU<br />

17


WILL ARKANSAS<br />

The <strong>Blue</strong> & <strong>You</strong> Foundation for a Healthier<br />

Arkansas recently collaborated with the Arkansas<br />

Center for Health Improvement (ACHI) to fund a<br />

study examining the current and future numbers<br />

of physicians and specialists statewide.<br />

The report, Arkansas Health Care<br />

Workforce: A Guide for Policy Action,<br />

provides a unique, multi-dimensional<br />

look at how and where health care<br />

is provided in Arkansas. This includes<br />

location, office capacity, acceptance<br />

of patients covered by Medicare and<br />

Medicaid and the patient experience. Previous<br />

studies either have been national in scope and based<br />

on raw population-to-physician ratios or have relied<br />

solely on survey information.<br />

According to Patrick O’Sullivan, executive director<br />

of the <strong>Blue</strong> & <strong>You</strong> Foundation, the report provides<br />

a much-needed resource for informing policy<br />

decisions that will result in meaningful solutions<br />

for improving the health care system in Arkansas.<br />

“Much discussion has centered on the idea that<br />

we have a serious statewide shortage of doctors<br />

and that this shortage will worsen due to an<br />

aging health care workforce,” Patrick said. “At the<br />

same time, there has been a lack of consistent<br />

data to demonstrate the real picture in Arkansas.<br />

ACHI has proven expertise for using information<br />

from various sources to pull together a big picture<br />

and identify policy implications. The <strong>Blue</strong> & <strong>You</strong><br />

Foundation is pleased to have partnered with<br />

ACHI to provide policymakers and stakeholders a<br />

guide for important decisions.”<br />

The information in the report shows not only<br />

the number of medical professionals needed, but<br />

where they will be needed. The report describes a<br />

severe shortage in the southeast and southwest<br />

regions, but points to an excess supply in<br />

central Arkansas. On a positive note, many clinic<br />

managers surveyed said they expect to keep their<br />

present staff and in many cases have plans to add<br />

new clinicians.<br />

18 BLUE & YOU SUMMER <strong>2013</strong><br />

have<br />

enough<br />

DOCTORS?<br />

The <strong>Blue</strong> & <strong>You</strong> Foundation funds a study to find out<br />

Arkansas<br />

Health Care Workforce<br />

A Guide for<br />

Policy Action<br />

March <strong>2013</strong><br />

Funded by:<br />

The following are a few highlights<br />

from the report:<br />

• While there is a shortage of primary care<br />

physicians, the presence in Arkansas of<br />

physician extenders, like advanced<br />

practice nurses and physician assistants,<br />

make up all but 4 percent of the shortfall<br />

in the supply of primary care clinicians.<br />

• There are critical shortages of primary<br />

care physicians and physician extenders<br />

in some rural areas and a potential<br />

oversupply in urban areas.<br />

• Primary care clinicians may approach<br />

the needed number statewide by 2020,<br />

but shortages will remain in rural parts of<br />

the state unless incentives are put in place.<br />

• Creative solutions may involve policies<br />

regarding expanded insurance coverage,<br />

transportation resources and use of<br />

information technology.<br />

Demand greater than supply<br />

Demand 20% or more<br />

Demand 10% to 19%<br />

Little or no supply shortage<br />

Demand = Supply (+ 9%)<br />

Supply 10% or more<br />

Adequacy of Supply and Demand of Primary Care Providers<br />

by County (2012)<br />

To learn more about the report, go to the<br />

ACHI website, achi.net.


Member Discounts<br />

Metabolic Research Centers<br />

Enjoy a 10 percent discount on all new program enrollment<br />

fees at the Metabolic Research Center, a weight management<br />

company with locations in Bentonville, Fort Smith, Fayetteville,<br />

Conway and Little Rock.<br />

The Metabolic program is unique because it addresses the<br />

root cause of disorder eating and recurring weight gain. Their<br />

personalized approach helps clients by identifying why as well as what they eat. They recognize and<br />

affirm the unique and intrinsic worth of each individual by this one-on-one approach. The programs<br />

at Metabolic were designed by the nation’s foremost experts in the field of disorder eating and are<br />

administered nationally through Metabolic Research Centers. Metabolic Research Center offers to<br />

deliver high-quality, cost-effective services and products to the clients they serve.<br />

Save on Jenny Craig<br />

As our member, you can choose a FREE 30-Day Program*<br />

or 25 percent off a Premium Program* from Jenny Craig. ® Just<br />

print the coupon on the national and statewide discounts page<br />

on any of our websites.<br />

Pick a program that works with you, not against you! MyDays<br />

is a flexible, new weigh-loss choice that gives you the structure you need to stay on track and the<br />

freedom to live your life. Eat five days of Jenny and two days of your own healthy choices. <strong>You</strong>r<br />

consultant will help you find the program that fits your real life.<br />

It’s about progress, not perfection. <strong>You</strong>r personal consultant will help you stay on track every step<br />

of the way. Jenny has two options for consultations:<br />

• Get weekly, face-to-face support and<br />

motivation at one of more than 600 locations.<br />

* Plus the cost of food and shipping, if applicable.<br />

At participating centers. Restrictions apply.<br />

Grants available for health programs<br />

• Enjoy the convenience and privacy of getting<br />

your support and motivation on the phone<br />

each week.<br />

JULY15<br />

deadline<br />

Programs to improve the health of Arkansans, whether in a small town or throughout the state, have<br />

until July 15 to submit applications for grants from the <strong>Blue</strong> & <strong>You</strong> Foundation for a Healthier Arkansas.<br />

The grants of $5,000 to $150,000 may be used for general operational or specific program support<br />

for an existing or new program. Any public charity, public school, government agency or non-profit<br />

hospital in Arkansas is eligible to apply; however, grants are not made to individuals. Funds must be<br />

used to produce positive health outcomes for Arkansans.<br />

The grants will be awarded in November to fund health improvement programs during 2014.<br />

Information about the grants and the online application submission process can be found at<br />

blueandyoufoundationarkansas.org.<br />

SUMMER <strong>2013</strong> BLUE & YOU<br />

19


new<br />

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

health insurance store<br />

OPENS INPINE BLUFF<br />

Residents of Pine Bluff and southeast<br />

Arkansas can speak face to face with health<br />

insurance experts at the new Arkansas<strong>Blue</strong><br />

office at 509 Mallard Loop Drive in Pine Bluff.<br />

Health insurance experts at the new location<br />

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

Shield members and insurance shoppers with<br />

information about Arkansas <strong>Blue</strong> Cross insurance<br />

plans, advice on which plan best covers them<br />

and fits their budget, as well as assistance with<br />

questions or concerns they may have about<br />

purchasing or choosing health insurance.<br />

Arkansas<strong>Blue</strong> also will provide visitors with<br />

information on dental and other insurance plans.<br />

And, with the full implementation of the health<br />

care law approaching in 2014, visitors who have<br />

purchased individual or family health insurance<br />

plans can come in for health insurance reviews<br />

to see how new regulations will impact their<br />

health insurance coverage and cost.<br />

“Arkansas <strong>Blue</strong> Cross has operated a fullservice<br />

office in Pine Bluff since 1994, serving<br />

members in a 13-county area with customer<br />

service, individual and group product sales<br />

and marketing, medical management and<br />

provider services,” said Dwayne Pierce, regional<br />

executive. “Our new location will allow us to<br />

expand our services and provide more oneon-one<br />

counseling about health and dental<br />

insurance for individuals and families, especially<br />

with the implementation of the new health<br />

insurance law approaching.”<br />

Walk-in members and shoppers also can<br />

pick up informational brochures or digitally<br />

walkthrough an online shopping experience<br />

with an Arkansas <strong>Blue</strong> Cross representative.<br />

Arkansas <strong>Blue</strong> Cross opened Arkansas’ first<br />

health insurance store in 2011 in Little Rock to help<br />

Arkansans better understand health insurance<br />

products and how they work. The flagship store<br />

has proven to be a resource for people needing<br />

health insurance answers, and a gathering place<br />

for fun and informative events.<br />

The “freedom” of<br />

short-term coverage<br />

With the changes in the health insurance industry, some<br />

people will find they need a health insurance policy to<br />

fill a gap in coverage, or they may be looking for a more<br />

affordable solution with comprehensive coverage.<br />

Whether you need coverage<br />

for one month or a longer<br />

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

<strong>Blue</strong> Shield has a solution for<br />

you. We have affordable plans<br />

designed to provide coverage for<br />

the length of time you need it.<br />

Essential <strong>Blue</strong> Freedom is a<br />

comprehensive health insurance<br />

policy that lasts 364 days,<br />

with the freedom to reapply<br />

for coverage. It is available to<br />

Arkansas residents age 64 and<br />

younger who are not eligible<br />

for Medicaid or Medicare.<br />

20 BLUE & YOU SUMMER <strong>2013</strong><br />

It offers affordable copayments<br />

for doctor visits as well as<br />

prescription drug coverage.<br />

<strong>You</strong>r application is subject<br />

to a medical review, and a<br />

waiting period for pre-existing<br />

conditions may apply, but<br />

if you have no major health<br />

problems and you are looking<br />

for comprehensive coverage<br />

at a great rate, it may be the<br />

solution you need.<br />

What happens after day 364?<br />

<strong>You</strong> have the opportunity to<br />

reapply for another Essential<br />

<strong>Blue</strong> Freedom policy issued after<br />

answering a few simple healthrelated<br />

questions and by meeting<br />

certain medical criteria. If you<br />

fall outside the ranges, don’t<br />

worry — you still may qualify for<br />

reissue; however, your application<br />

will be subject to review.<br />

If you think Essential <strong>Blue</strong><br />

Freedom is an option for you,<br />

call us at 1-800-392-2583!<br />

We’d love to talk with you.


PHARMACY continued from page 16<br />

Be sure to read the label for each product you<br />

purchase. Just because two or more products<br />

are from the same brand family doesn’t mean<br />

they are meant to treat the same conditions or<br />

contain the same ingredients.<br />

Remember, if you read the label and still have<br />

questions, talk to a doctor, nurse or pharmacist.<br />

Medicine Interactions<br />

Although mild and relatively uncommon,<br />

interactions involving OTC medicines can<br />

produce unwanted results or make medicines<br />

less effective. It’s especially important to know<br />

about medicine interactions if you’re taking Rx<br />

and OTC medicines at the same time.<br />

Some medicines also can interact with foods<br />

and beverages, as well as with health conditions<br />

such as diabetes, kidney disease and high<br />

blood pressure.<br />

Here are a few medicine interaction cautions<br />

for some common OTC ingredients:<br />

• Avoid alcohol if you are taking<br />

antihistamines, cough/cold products<br />

with the ingredient dextromethorphan, or<br />

medicines that treat sleeplessness.<br />

• Do not use medicines that treat<br />

sleeplessness if you are taking prescription<br />

sedatives or tranquilizers.<br />

• Check with your doctor before taking<br />

products containing aspirin if you’re taking<br />

a prescription blood thinner or if you have<br />

diabetes or gout.<br />

• Do not use laxatives when you have<br />

stomach pain, nausea or vomiting.<br />

• Unless directed by a doctor, do not use<br />

a nasal decongestant if you are taking<br />

a prescription medicine for high blood<br />

pressure or depression, or if you have<br />

heart or thyroid disease, diabetes,<br />

or prostate problems.<br />

This is not a complete list. Read the label!<br />

Medicine labels change as new information<br />

becomes available. That’s why it’s important to<br />

read the label each time you take medicine.<br />

Time for a Medicine Cabinet Checkup?<br />

• Be sure to look through your medicine<br />

supply at least once a year.<br />

• Always store medicines in a cool, dry place<br />

or as stated on the label.<br />

• Throw away any medicines that are past<br />

the expiration date.<br />

• To make sure no one takes the wrong<br />

medicine, keep all medicines in their<br />

original containers.<br />

Protect <strong>You</strong>rself Against Tampering<br />

Makers of OTC medicines seal most products<br />

in tamper-evident packaging (TEP) to help<br />

protect against criminal tampering. TEP works<br />

by providing visible evidence if the package has<br />

been disturbed. But OTC packaging cannot be<br />

100 percent tamper-proof. Here’s how to help<br />

protect yourself:<br />

• Be alert to the tamper-evident features<br />

on the package before you open it. These<br />

features are described on the label.<br />

• Inspect the outer packaging before you<br />

buy it. When you get home, inspect the<br />

medicine inside.<br />

• Don’t buy an OTC product if the packaging<br />

is damaged.<br />

• Don’t use any medicine that looks<br />

discolored or different in any way.<br />

• If anything looks suspicious, be suspicious.<br />

Contact the store where you bought the<br />

product. Take it back!<br />

• Never take medicines in the dark.<br />

Source: The U.S. Food and Drug Administration<br />

and the Consumer Healthcare Products<br />

Association (CHPA)<br />

SUMMER <strong>2013</strong> BLUE & YOU<br />

21


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

Financial Information Privacy Notice<br />

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

and its affiliates (including HMO Partners, Inc.<br />

d/b/a Health Advantage), we understand how<br />

important it is to keep your private information<br />

just that — private. Because of the nature of<br />

our business, we must collect some personal<br />

information from our members, but we also<br />

are committed to maintaining, securing and<br />

protecting that information.<br />

Customer Information<br />

Arkansas <strong>Blue</strong> Cross and its affiliates only<br />

compile information necessary for us to provide<br />

the services that you, our member, request<br />

from us and to administer your business. We<br />

collect non-public personal financial information<br />

(defined as any information that can be tied<br />

back to a specific person and is gathered by any<br />

source that is not publicly available) about our<br />

members from:<br />

• Applications for insurance coverage. The<br />

application includes information such as<br />

name, address, personal identifiers such<br />

as Social Security number, and medical<br />

information that you authorize us to collect.<br />

• Payment history and related financial<br />

transactions from the purchase and use<br />

of our products.<br />

• Information related to the fact that you<br />

have been or currently are a member.<br />

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

1-800-238-8379<br />

Health Advantage<br />

1-800-843-1329<br />

Self-funded group members<br />

should call Customer Service<br />

using the toll-free telephone<br />

number on their ID card.<br />

Sharing of Information<br />

Arkansas <strong>Blue</strong> Cross and its affiliates do not<br />

disclose, and do not wish to reserve the right to<br />

disclose, non-public personal information about<br />

you to one another or to other parties except<br />

as permitted or required by law. Examples of<br />

instances in which Arkansas <strong>Blue</strong> Cross and its<br />

affiliates will provide information to one another<br />

or other third parties are:<br />

• To service or process products that<br />

you have requested.<br />

• To provide information as permitted and<br />

required by law to accrediting agencies.<br />

• To provide information to comply<br />

with federal, state or local laws in<br />

an administrative or judicial process.<br />

How We Protect <strong>You</strong>r Information<br />

Arkansas <strong>Blue</strong> Cross and its affiliates use<br />

various security mechanisms to protect your<br />

personal data including electronic and physical<br />

measures as well as company policies that<br />

limit employee access to non-public personal<br />

financial information. Improper access and use<br />

of confidential information by an employee can<br />

result in disciplinary action up to and including<br />

termination of employment.<br />

Disclosure of Privacy Notice<br />

Arkansas <strong>Blue</strong> Cross and its affiliates recognize<br />

and respect the privacy concerns of potential,<br />

current and former customers. Arkansas<br />

<strong>Blue</strong> Cross and its affiliates are committed to<br />

safeguarding this information. This Financial<br />

Information Privacy Notice is provided to our<br />

members as required by state regulation to<br />

explain how we handle their non-public financial<br />

information. It is also available on our website<br />

at arkansasbluecross.com or from our Customer<br />

Service Call Centers. Our customer service areas<br />

are open from 8 a.m. to 4:30 p.m., Central time,<br />

Monday through Friday.<br />

22<br />

BLUE & YOU SUMMER <strong>2013</strong>


CHANGES continued from page 3<br />

ready to provide you with the information you<br />

need to make a good decision for you and your<br />

family. <strong>You</strong> also can request a review with an<br />

agent if you have one, or you can go to one of<br />

our locations throughout the state.<br />

If you are age 65 or older and have coverage<br />

through one of our Medicare products, there<br />

should be no changes to your health plan until<br />

2016 as a result of the health care law. We will<br />

discuss those changes in future issues.<br />

If you are an employer with two to 50<br />

employees, you will be receiving information<br />

regarding Arkansas <strong>Blue</strong> Cross meetings being<br />

held throughout the state to help our employer<br />

customers learn how the new regulations may<br />

impact their businesses. Afterward, you will be<br />

contacted by an agent or an Arkansas <strong>Blue</strong> Cross<br />

representative to discuss your situation in more<br />

detail. Until then, our advice is that you not make<br />

any changes to your health plan.<br />

If you are an employer with 51 or more<br />

employees, you likely already have been<br />

discussing options with an agent or Arkansas<br />

<strong>Blue</strong> Cross representative. If not, I encourage<br />

you to do so in the coming months.<br />

At Arkansas <strong>Blue</strong> Cross, we are concerned with<br />

making health care affordable for everyone. We<br />

applaud the efforts of our state for coming up<br />

with a unique solution to take care of the many<br />

Arkansans who can’t afford health care. And, we<br />

will continue to provide our members with the<br />

most affordable health care coverage available<br />

by finding solutions that work within health care<br />

reform regulations and giving our members the<br />

protection they deserve.<br />

CUSTOMER SERVICE NUMBERS<br />

May we help? For customer<br />

service, please call:<br />

LITTLE ROCK<br />

TOLL FREE<br />

Number (501)<br />

Number<br />

Medi-Pak ® members 378-3062 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 378-2010 1-800-238-8379<br />

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

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

Health Advantage members 378-2363 1-800-843-1329<br />

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

<strong>Blue</strong>Advantage members 378-3600 1-888-872-2531<br />

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

Federal Employee members 378-2531 1-800-482-6655<br />

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

For individuals, families 378-2937 1-800-392-2583<br />

For employer groups* 378-3070 1-800-421-1112<br />

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

• Hot Springs<br />

100 Greenwood Ave., Suite C 1-800-588-5733<br />

• Jonesboro<br />

707 East Matthews Ave. 1-800-299-4124<br />

• Little Rock<br />

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

• Pine Bluff<br />

509 Mallard Loop 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 • blueadvantagearkansas.com • blueandyoufoundationarkansas.org<br />

SUMMER <strong>2013</strong> BLUE & YOU 23


the HEALTH CARE LAW timeline<br />

JULY1<br />

<strong>2013</strong><br />

SEPT.3<br />

<strong>2013</strong><br />

OCT.1<br />

<strong>2013</strong><br />

DEC.15<br />

<strong>2013</strong><br />

JAN.1<br />

2014<br />

A new tool to help determine if you<br />

qualify for cost breaks launches on<br />

our website, arkansasbluecross.com<br />

2014 health care plans become<br />

available for review on our website<br />

Online marketplace opens<br />

Final day to buy health insurance for a<br />

January 1, 2014 effective date<br />

New health insurance plans begin<br />

MAR.31<br />

2014<br />

Last day to sign up for health insurance<br />

MPI 1624 6/13

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