20.04.2021 Views

Blueprint magazine-SPRING 2021 issue

This issue of our member magazine focuses on COVID-19 vaccines and the Vaccinate the Natural State coalition's campaign, which seeks to help bring the coronavirus pandemic to an end.

This issue of our member magazine focuses on COVID-19 vaccines and the Vaccinate the Natural State coalition's campaign, which seeks to help bring the coronavirus pandemic to an end.

SHOW MORE
SHOW LESS

Create successful ePaper yourself

Turn your PDF publications into a flip-book with our unique Google optimized e-Paper software.

A publication for the policyholders of the Arkansas<br />

Blue Cross and Blue Shield family of companies <strong>SPRING</strong> <strong>2021</strong><br />

Vaccinate the<br />

Natural State<br />

PAGE 4<br />

A talk with<br />

Dr. Nash<br />

PAGE 6<br />

Special COVID-19<br />

vaccination section<br />

PAGES 9-16<br />

Care has no<br />

boundaries<br />

PAGE 18


a<br />

Word<br />

with Curtis Barnett<br />

Our President and<br />

Chief Executive Officer<br />

<strong>SPRING</strong> <strong>2021</strong><br />

Vaccines: A step toward “normal”<br />

We’ve all been anxiously awaiting<br />

the end of the COVID-19 pandemic …<br />

and a return to “normal” life.<br />

And now we have entered an<br />

incredibly hopeful – and vitally<br />

important – stage of our journey out<br />

of this historic public health crisis.<br />

Our hope is fueled by the longanticipated<br />

deployment of new<br />

COVID-19 vaccines that are both<br />

safe and effective.<br />

Vaccines are marvels of medical<br />

science, but they cannot work<br />

unless enough of us do our part<br />

and accept them.<br />

As a company whose primary<br />

concern is the health and wellbeing<br />

of our members and our<br />

communities, Arkansas Blue<br />

Cross and Blue Shield is committing<br />

substantial effort and resources<br />

to help keep people safe and work<br />

to end the pandemic.<br />

We’re in the process of ramping up<br />

internal and external initiatives to<br />

encourage people to accept the vaccine<br />

as soon as it’s their turn. We are:<br />

• Working with partners throughout<br />

Arkansas to produce a multifaceted<br />

grassroots outreach<br />

and communications initiative<br />

– “Vaccinate the Natural State” –<br />

about COVID-19 vaccines.<br />

• In partnership with the Arkansas<br />

State Chamber of Commerce/<br />

Associated Industries of Arkansas<br />

and the Arkansas Foundation for<br />

Medical Care, Northwest Arkansas<br />

Council and Walmart, we are reaching<br />

out to employers to help prepare them<br />

for getting employees vaccinated and<br />

returning to the workplace.<br />

• Focusing on underserved<br />

populations in our state (like the<br />

African American, Latinx, Pacific<br />

Islander and rural communities),<br />

we are working with the Arkansas<br />

Minority Health Commission, the<br />

Northwest Arkansas Council and<br />

UAMS to address some culturespecific<br />

hesitancies, fears and<br />

misperceptions; ensure ready<br />

access to the vaccines; and<br />

promote vaccination.<br />

• Assisting in facilitating<br />

and promoting COVID-19<br />

vaccination events statewide.<br />

There are lots of different views<br />

on COVID-19 vaccination. And it’s<br />

understandable that some people<br />

may be confused or conflicted.<br />

But for me, it’s simple: It’s about<br />

family and the preciousness of life.<br />

My greatest pandemic fear has<br />

been the possibility of infecting<br />

my 81-year-old mother, who<br />

already suffers with heart and lung<br />

conditions. I’m going to do my<br />

best to avoid that tragic scenario<br />

by staying safe … and getting the<br />

vaccine as soon as I can.<br />

Vaccination protects my family,<br />

supports the valiant efforts of our<br />

heroic healthcare workers and<br />

scientists and honors the memory of<br />

those who have fallen to COVID-19.<br />

It would be a shame to let vaccine<br />

fear, mistrust and misinformation<br />

allow the pandemic to rage on and<br />

claim even more lives.<br />

So let’s all do our part by washing<br />

our hands, watching our distance,<br />

wearing a mask … and getting the<br />

vaccine as soon as it’s our turn.<br />

EDITOR<br />

Jennifer Bridgeman<br />

Editor@arkbluecross.com<br />

DESIGNER<br />

Ryan Kravitz<br />

PHOTOGRAPHERS<br />

Chip Bayer<br />

David Lewis<br />

CONTRIBUTORS<br />

Chip Bayer<br />

Katie Eisenhower<br />

Suzi Parker<br />

Greg Russell<br />

Marie Trotter<br />

VICE PRESIDENT<br />

of CORPORATE<br />

MARKETING<br />

Alison Melson<br />

MEDICAL<br />

REVIEWERS<br />

Mark Jansen, M.D.,<br />

vice president and<br />

chief medical officer<br />

Creshelle Nash, M.D.,<br />

medical director for<br />

Public Programs<br />

NOTE: Read about the entire effort and a listing of all partners on pages 4-5.<br />

2 <strong>SPRING</strong> <strong>2021</strong>


Overdoses up amid pandemic<br />

Help is available<br />

While the<br />

United States<br />

has been battling a global<br />

pandemic, a drug epidemic<br />

continues to silently rage<br />

through the country.<br />

More than 81,000 drug<br />

overdose deaths occurred in the<br />

United States in the 12 months<br />

ending in May 2020, the highest<br />

number of overdose deaths ever<br />

recorded in that time frame. *<br />

The latest numbers suggest an<br />

acceleration of overdose deaths<br />

during the COVID-19 pandemic<br />

— the majority of those deaths<br />

from opioids.<br />

What We Are Doing<br />

People with substance use<br />

disorders often are reluctant to<br />

ask for help because they fear<br />

they will get in trouble or be<br />

denied what they need to cope.<br />

Substance use disorder destroys<br />

lives. Recovery shouldn’t.<br />

That’s why Arkansas Blue Cross<br />

and Blue Shield is working<br />

closely with the medical<br />

community and Arkansas<br />

businesses to address<br />

substance use disorders.<br />

Through the Blue & You<br />

Foundation, we’ve funded the<br />

distribution of naloxone kits<br />

and training to law enforcement<br />

officers. We’re part of Together<br />

Arkansas (togetherarkansas.com),<br />

an opioid response initiative that<br />

provides employers a toolkit of<br />

free resources.<br />

And we are working with our<br />

members, recognizing that you,<br />

or someone you love, may<br />

be struggling to live a normal<br />

life while hiding a disorder.<br />

We recognize that medicationassisted<br />

treatment (MAT),<br />

provided by qualified physicians<br />

and paired with counseling, can<br />

help people regain control of<br />

their lives without disrupting<br />

their jobs or families.<br />

What You Can Do<br />

For medication-assisted<br />

treatment to work, people<br />

who need it have to speak<br />

up. Talk to your doctor, call<br />

the number on the back of<br />

your health plan ID card or call<br />

the New Directions Substance<br />

Use Member Hotline at<br />

877-326-2458. Take the<br />

first step ... ask for help.<br />

Source: Centers for Disease Control and Prevention (CDC).<br />

There's Still Time to Enroll in a<br />

Family and Individual Health Plan<br />

Do you know anyone who still needs <strong>2021</strong> coverage?<br />

The federal government opened a Special Enrollment Period<br />

where families and individuals can enroll in a <strong>2021</strong> Affordable<br />

Care Act (ACA) health insurance plan for <strong>2021</strong> coverage.<br />

Enrollment ends May 15.<br />

You can shop for plans at arkbluecross.com or schedule an<br />

appointment at our eight ArkansasBlue welcome centers,<br />

where you can receive friendly customer service, ask questions,<br />

shop for new plans and find out if you're eligible for financial<br />

assistance. Our welcome centers are open by appointment only,<br />

but customers may schedule phone and video appointments,<br />

too. To find your nearest welcome center and schedule your<br />

time, visit arkbluecross.com/locations or flip to page 23.<br />

<strong>SPRING</strong> <strong>2021</strong> 3


Vaccinate the Natural State<br />

Let’s end this COVID pandemic together!<br />

The COVID-19 pandemic has<br />

taken too much from Arkansans<br />

and the people we know and love.<br />

Hope is on the horizon in the<br />

form of vaccinations, but<br />

developing and distributing the<br />

vaccine is only half the battle.<br />

The other half is getting the<br />

majority of people to accept the<br />

vaccination when it's their turn.<br />

The Vaccinate the Natural State<br />

initiative, launched in February,<br />

is sponsored and led by Arkansas<br />

Blue Cross and Blue Shield,<br />

in partnership with multiple<br />

business and community<br />

organizations, to educate and<br />

engage Arkansans in doing our<br />

part to help stop the pandemic.<br />

"The health of our communities<br />

relies on every eligible Arkansan<br />

getting the COVID-19 vaccine<br />

as soon as it becomes available<br />

to them," said Curtis Barnett,<br />

president and chief executive<br />

officer of Arkansas Blue Cross.<br />

"Vaccinations offer our best<br />

path for eliminating the virus,<br />

ending the suffering and starting<br />

the process of returning our<br />

lives back to some sense of<br />

normal. The organizations that<br />

have come together to fuel this<br />

movement represent best-ofclass<br />

knowledge, coupled with<br />

connected networks. We believe<br />

this combination will help make<br />

Vaccinate the Natural State lifechanging<br />

for all of us"<br />

There are two primary focuses<br />

for the initiative:<br />

BUSINESS-TO-BUSINESS<br />

ENGAGEMENT<br />

is helping employers prepare<br />

for getting employees<br />

vaccinated and safely<br />

returning to the workplace.<br />

Employers will have a<br />

microsite for resources,<br />

(including video modules and<br />

toolkits with digital and print<br />

resources and information),<br />

and are being encouraged to<br />

champion vaccine acceptance<br />

by taking a pledge.<br />

COMMUNITY ENGAGEMENT<br />

is reaching individuals<br />

statewide with targeted<br />

information and<br />

encouragement and providing<br />

access to vaccinations.<br />

This outreach is two-fold:<br />

1. Health Disparity<br />

Populations<br />

The initiative is informing and<br />

encouraging underserved<br />

populations to receive<br />

a vaccination. Specific<br />

messaging is being shared<br />

with African American,<br />

Latinx, Pacific Islanders and<br />

rural Arkansans. Vaccination<br />

clinics are being arranged<br />

in these communities.<br />

2. All Arkansans<br />

This initiative will reach all<br />

Arkansans with information<br />

about the importance of<br />

receiving the vaccination<br />

and encouragement to take<br />

the vaccine.<br />

The pandemic has revealed many<br />

things this past year, and one<br />

thing is certain: it has heightened<br />

awareness of health disparities<br />

in our state and nation. Vaccinate<br />

the Natural State is committed<br />

to reaching all Arkansans with<br />

information and vaccines. It will<br />

take everyone working together to<br />

make it happen.<br />

Great work already is taking<br />

place in Arkansas. Hospitals<br />

and pharmacies, government<br />

agencies and organizations<br />

are working quickly to get the<br />

available vaccine to Arkansans.<br />

The Vaccinate the Natural State<br />

initiative seeks to extend that<br />

effort, helping to make sure<br />

the vaccine gets to vulnerable<br />

populations.<br />

4 <strong>SPRING</strong> <strong>2021</strong>


In partnership with: The Arkansas Department of Health, Arkansas Foundation<br />

for Medical Care (AFMC), Arkansas Minority Health Commission, Arkansas<br />

State Chamber of Commerce/Associated Industries of Arkansas, Northwest<br />

Arkansas Council, University of Arkansas for Medical Sciences and Walmart.<br />

Brought to you by:<br />

Arkansas Blue Cross<br />

and Blue Shield<br />

Community partners: Arkansas Colleges of Health Education, Arkansas Faith<br />

Network, Arkansas Hospital Association, Arkansas Immunization Action<br />

Coalition (Immunize Arkansas), Arkansas Medical, Dental & Pharmaceutical<br />

Association, Arkansas Pharmacists Association, Association of Federally<br />

Qualified Health Centers, Community Health Centers of Arkansas and NYIT<br />

College of Osteopathic Medicine at Arkansas State University in Jonesboro.<br />

The collaboration of great<br />

partners will help ensure that.<br />

Creshelle Nash, M.D., Arkansas<br />

Blue Cross and Blue Shield<br />

medical director for public<br />

programs, is helping lead<br />

community engagement efforts.<br />

"Vaccinate the Natural State is<br />

pulling together a diverse set of<br />

organizations, many of which<br />

I've been proud to work with for<br />

quite some time, as well as some<br />

other key groups who share<br />

Arkansas Blue Cross' desire for all<br />

Arkansans to be healthy and get<br />

the care they need," said Dr. Nash.<br />

"COVID-19 has uncovered and<br />

illuminated deep, long-term health<br />

and healthcare disparities, some<br />

more obvious than others, in our<br />

nation and here at home. We all<br />

have a responsibility to bridge the<br />

great disparity divides – racial,<br />

digital and healthcare access.<br />

"We hope to address some<br />

culture-specific hesitancies,<br />

fears and misperceptions as<br />

well as ensure ready access<br />

to the vaccines for disparate<br />

communities in Arkansas."<br />

Some efforts are already<br />

organized and activated;<br />

some are in the early stages<br />

of formation and will be<br />

accelerated to meet evolving<br />

needs. Vaccinate the Natural<br />

State collaborators are:<br />

• Developing communications<br />

in languages people can<br />

understand<br />

• Volunteering at vaccination<br />

events or organizing<br />

vaccination opportunities<br />

close to home<br />

• Funding efforts like mobile<br />

vaccination units to ensure<br />

all Arkansans have access<br />

to vaccines<br />

• Identifying needs not<br />

yet revealed<br />

Vaccinate the Natural State<br />

collaboration will extend to<br />

the Arkansas Faith Network,<br />

Arkansas Medical, Dental &<br />

Pharmaceutical Association,<br />

the Association of Federally<br />

Qualified Health Centers,<br />

Community Health Centers of<br />

Arkansas and more.<br />

"We want to reach Arkansans<br />

in all areas of the state,<br />

metropolitan and rural,<br />

with information and<br />

encouragement about the<br />

importance of receiving the<br />

vaccination and get the vaccine<br />

to all parts of the state," said Dr.<br />

Nash. "With this crisis comes<br />

opportunity. Arkansas has<br />

a chance to get it right. The<br />

collaboration of the community<br />

partners involved in Vaccinate<br />

the Natural State is driven –<br />

one friend, one family member,<br />

one neighbor, one stranger at<br />

a time – until our more than 3<br />

million citizens are free from<br />

the fear of COVID."<br />

<strong>SPRING</strong> <strong>2021</strong> 5


A candid conversation with<br />

Creshelle Nash,<br />

MD, MPH, CHIE<br />

Arkansas Blue Cross and Blue Shield<br />

Medical Director for Public Programs<br />

COVID-19 vaccines, vulnerable populations<br />

and advancing healthcare equity<br />

Creshelle Nash was nearing the end of her medical<br />

residency 20 years ago, when surgeons removed<br />

her spleen. Doctors believed she had lymphoma, a<br />

type of blood cancer. However, as it turns out, she<br />

didn’t have lymphoma but rather a benign growth<br />

on her spleen, discovered during the splenectomy.<br />

That’s actually the good news. Unfortunately,<br />

removing her spleen placed Dr. Nash in a category<br />

of immunosuppressed individuals, so fighting<br />

infections is typically much harder.<br />

She’s not complaining or disenchanted by her health<br />

status. As an African American woman, physician<br />

and public health practitioner, it informs how she<br />

educates, engages and fights for health equity<br />

alongside communities of color and the underserved.<br />

Dr. Nash spoke with <strong>Blueprint</strong> about the COVID-19<br />

crisis, her thoughts on the new vaccines and her<br />

work toward quality healthcare for every Arkansan.<br />

Because of COVID-19, we hear more about the<br />

need for equity in healthcare. Talk a little about<br />

what that means.<br />

Dr. Nash: Equity in healthcare means everyone<br />

has the opportunity to be as healthy as possible.<br />

It means the removal of barriers that keep some<br />

people from being as healthy as others. Some<br />

barriers include lack of access to quality education,<br />

employment and housing. It encompasses judicial<br />

fairness, social and socioeconomic status, etc.<br />

Throughout my medical and public health training,<br />

I’ve witnessed healthcare disparities, mainly how<br />

minority, rural and underserved populations have<br />

less access to care and receive lower-quality care.<br />

COVID-19 has uncovered and illuminated deep, longterm<br />

healthcare disparities, some more obvious<br />

than others. There are documented inequities in<br />

most health conditions, from cardiovascular<br />

disease to cancer to asthma and HIV.<br />

It’s almost impossible to talk about healthcare<br />

disparity and its negative impact on people of<br />

color, particularly African Americans, without<br />

talking about the Tuskegee Experiment.<br />

Dr. Nash: True. It’s easy to point to the 40-year long<br />

Tuskegee Experiment as an egregious, horrific<br />

example of healthcare mistreatment in research,<br />

and it was awful. It was unconscionable. Yet,<br />

there have been hundreds of years of medical<br />

mistreatment and denial of treatment for people<br />

of color and the underserved before and beyond<br />

Tuskegee. Since then, many individuals in clinical<br />

research, clinical practice, policies and programs<br />

are working to ensure this never happens again.<br />

I share their passion, and we’re making progress.<br />

The Tuskegee Experiment should convict us to<br />

learn from the past as we address COVID-19.<br />

In this current crisis, black and brown people<br />

have higher rates of infection than white<br />

individuals. That’s due to many factors like the<br />

inability to social distance because of crowded<br />

and limited housing and the fact that many are<br />

essential workers who are overly exposed and<br />

under-protected. Minorities experience higher rates<br />

of hospitalization but are still more likely to die.<br />

6 <strong>SPRING</strong> <strong>2021</strong>


theTuskegee<br />

Experiment<br />

In 1932, the Centers for<br />

Disease Control and Prevention<br />

(CDC) and the U.S. Public<br />

Health Service (USPHS, a<br />

division of the Department of<br />

Health and Human Services),<br />

recruited 600 African American<br />

men to study the long-term<br />

effects of syphilis. Syphilis is<br />

commonly transmitted sexually<br />

or from an infected mother<br />

to her unborn child. Endemic<br />

syphilis is a nonsexual form.<br />

It is common in dry, hot, rural<br />

climates with lots of poverty,<br />

inadequate sanitation and<br />

limited access to proper<br />

hygiene. Of the 600 men<br />

recruited, 399 had syphilis but<br />

were not told of their condition.<br />

The men were poor<br />

sharecroppers who never<br />

received medical care before<br />

the experiment. To keep them<br />

committed, the researchers<br />

promised them hot meals<br />

and free medical care. The<br />

experiment was slated to last six<br />

months but went on for 40 years.<br />

According to the CDC, the<br />

experiment “became unethical<br />

in the 1940's when penicillin<br />

became the recommended<br />

drug for the treatment of<br />

syphilis and researchers did<br />

not offer it to the subjects.”<br />

The CDC and USPHS forbade<br />

other healthcare providers<br />

from treating the men when<br />

they sought treatment outside<br />

of the experiment.<br />

The Tuskegee Experiment<br />

stands as one of the most<br />

appalling violations of ethics in<br />

medical research history. It was<br />

the catalyst for massive reforms<br />

in U.S. research practices.<br />

A commonly held myth about<br />

the Tuskegee Experiment is that<br />

researchers infected the men<br />

with syphilis, which is not true.<br />

The men had syphilis before the<br />

study. The researchers prevented<br />

the men from receiving an<br />

antibiotic that would have<br />

treated their condition.<br />

Ultimately, who’s responsible for eradicating<br />

disparities in healthcare among people of color<br />

and underserved populations?<br />

Dr. Nash: We all are. And as healthcare providers<br />

and public health professionals, we must step up<br />

and own up to how we have prolonged and, in<br />

some cases, worsened healthcare inequalities.<br />

It’s our responsibility as citizens and professionals<br />

to become solution-oriented. This crisis is our<br />

opportunity to improve our entire healthcare system.<br />

It’s how we honor our communities for whom the<br />

healthcare system was established. Likewise, each<br />

person has a role to educate themselves and speak<br />

up for those more vulnerable.<br />

What are your thoughts on the COVID-19 vaccines<br />

and the reluctance of some people to get vaccinated?<br />

Dr. Nash: I understand their reluctance. Yet,<br />

despite a healthcare system that has not always<br />

worked for people of color, many have bravely<br />

volunteered for the clinical trials! While working<br />

from home and researching the vaccine, I thought<br />

about others whose jobs require them to leave<br />

their homes. Eventually, I was no longer just<br />

researching for myself but in honor of them.<br />

I want everyone to know that the COVID-19<br />

vaccine science and technology are not new.<br />

The review processes were not skipped. They<br />

were simultaneous and not sequential, making<br />

everything faster. Safety-monitoring boards work<br />

closely with drug manufacturers. After I weighed<br />

the benefits and risks, I was satisfied enough with<br />

the data to recommend the vaccine to my father,<br />

mother and other family members.<br />

What keeps you hopeful about the outcome<br />

of the COVID-19 vaccines?<br />

Dr. Nash: My faith, primarily. Courageous<br />

communities helping those most affected and<br />

in greatest need inspire me. The vaccine is<br />

representative of the best medical science we<br />

have, and it’s becoming accessible to everyone.<br />

After receiving my shot, I attended an event in<br />

Pine Bluff, talked to people and administered the<br />

vaccine to everyone who wanted it. Roughly 850<br />

individuals were vaccinated that day.<br />

How can healthcare providers persuade patients<br />

to take the vaccine when it’s available?<br />

Dr. Nash: Share the scientific data about efficacy and<br />

safety, yes. But that alone won’t convince a person to<br />

get vaccinated. Demonstrating concern for people’s<br />

health and values is persuasive. That’s complicated<br />

when providers might be seeing patients every 15<br />

minutes. But when patients are convinced that you<br />

care for and respect them, they are more open.<br />

<strong>SPRING</strong> <strong>2021</strong> 7


Getting<br />

to know<br />

DR.NASH<br />

A native Arkansan<br />

• Graduated from Hall High School in Little Rock<br />

A head for medicine<br />

• Attended the University of Maryland<br />

School of Medicine in Baltimore<br />

• Received her medical degree in 1994<br />

• Served her medical residency at The George Washington<br />

University School of Medicine and Health Sciences in<br />

Washington, D.C.<br />

• Completed a residency in Primary Care Internal<br />

Medicine in 1997<br />

A heart for public health<br />

• Earned a master's degree in public health from the<br />

Harvard T.H. Chan School of Public Health in 1998<br />

• Completed the Commonwealth Fund Harvard<br />

University Fellowship in Minority Health Policy<br />

• Worked for the Clinton School of Public Service, the<br />

Fay W. Boozman College of Public Health and the<br />

University of Arkansas for Medical Sciences College<br />

of Medicine Department of General Internal Medicine<br />

• Enjoys community advocacy, teaching and<br />

mentoring students<br />

A Certified Health Insurance Executive<br />

(America’s Health Insurance Plan Executive<br />

Leadership Program for Medical Directors)<br />

• CHIEs help lead healthcare innovations and transformation<br />

within their organizations and communities<br />

A favorite quote<br />

Of all the forms of inequality, injustice<br />

in health care is the most shocking and the<br />

most inhuman because it often results<br />

in physical death.<br />

– Martin Luther King, Jr.<br />

8 <strong>SPRING</strong> <strong>2021</strong>


What you need to know about<br />

COVID-19 vaccinations<br />

COVID-19 vaccines are increasingly reaching Arkansans. The<br />

vaccination process offers hope that, if we work together, we may<br />

soon return to the activities we've missed during the pandemic.<br />

There is a lot of misinformation circulating about the vaccines, so<br />

Arkansas Blue Cross and Blue Shield created this special section<br />

to provide some reliable answers. It can help you understand more<br />

about the vaccines, how to sign up for an appointment (even if you<br />

don't have a computer) and what to expect when you get vaccinated.<br />

We want to dispel the rumors and myths you may be hearing and<br />

give you the straight facts.<br />

As a daughter, a doctor, a teacher, a woman of color and a<br />

person who lives with an autoimmune condition, I understand<br />

the questions people have about the vaccines.<br />

However, based on my own research, I have confidently<br />

recommended that my family, friends, co-workers and students<br />

take the vaccine when it’s available to them. I encourage you to do the<br />

same. The vaccine is free to you, whether you have insurance or not.<br />

While we wait, and even after you receive the vaccine, please<br />

continue to wash your hands, wear masks and keep a safe distance.<br />

Arkansas Blue Cross has been working closely with state officials<br />

and health experts to take care of Arkansans during the pandemic,<br />

and we will continue to do so during and after the vaccinations.<br />

If you have questions after reading this publication, please<br />

reach out to the Arkansas Department of Health COVID-19<br />

Hotline at 800-803-7847.<br />

--Dr. Creshelle Nash<br />

page<br />

10<br />

page<br />

11<br />

page<br />

12<br />

page<br />

13<br />

page<br />

14<br />

page<br />

15<br />

page<br />

16<br />

Special Section<br />

About the COVID-19 vaccines<br />

Setting up a COVID-19<br />

vaccination appointment<br />

Your COVID-19<br />

vaccination appointment<br />

After your vaccination<br />

Vaccination information<br />

in Spanish<br />

COVID-19 vaccine<br />

questions and answers<br />

Avoid vaccination scams<br />

<strong>SPRING</strong> <strong>2021</strong> 9


COVID-19 vaccines<br />

How they were made ...<br />

and how they work<br />

COVID-19 vaccines are marvels of modern medicine that were developed in less<br />

than a year, but that doesn't mean they were rushed. The science behind them is<br />

the result of decades of research. That's why they could be developed so quickly.<br />

Safety<br />

The U.S. vaccine safety system ensures that all<br />

vaccines are as safe as possible. Any vaccines<br />

with Emergency Use Authorization (EUA) have<br />

been tested according to the federal Food & Drug<br />

Administration's (FDA) rigorous standards.<br />

Most of the time, vaccine developers run<br />

one test at a time. Because of the pandemic,<br />

researchers ran many of these tests at the same<br />

time. This sped up the testing process without<br />

compromising safety.<br />

Messenger RNA vaccines<br />

The vaccines made by Pfizer-BioNTech and<br />

Moderna use messenger RNA (mRNA), a<br />

genetic material containing instructions for<br />

making proteins. The mRNA is coated with a fat<br />

nanoparticle (think of a fatty overcoat) to protect<br />

it. Inside the body, the outer coat is removed,<br />

and the mRNA enters the immune system,<br />

instructing it to produce only the "spike" protein<br />

found on the surface of the virus (those are the<br />

spiky things you see in pictures of viruses). The<br />

body recognizes the spike protein as an invader<br />

and produces antibodies against it. Later, if<br />

the antibodies encounter the actual virus, they<br />

recognize those spike proteins and destroy it.<br />

Think of the spike protein like a key trying to<br />

unlock our cells. The antibodies from the vaccine<br />

block the keyhole, preventing the virus from<br />

intruding. The mRNA strand never enters the cell's<br />

nucleus or affects genetic material. The vaccine<br />

can't alter your DNA or give you COVID-19.<br />

Pfizer-BioNTech vaccine:<br />

Two doses, 21 days apart; peak<br />

immunity two weeks after second dose<br />

95% effective at preventing<br />

symptomatic COVID-19<br />

For people age 16 and older<br />

Moderna vaccine:<br />

Two doses, 28 days apart, peak<br />

immunity two weeks after second dose<br />

94.1% effective at preventing<br />

symptomatic COVID-19<br />

For people age 18 and older<br />

Adenovirus vaccines<br />

Some vaccines, like the Johnson & Johnson<br />

vaccine, use a common cold virus called an<br />

adenovirus. In the adenovirus vaccine, a small<br />

amount of genetic material from the spike protein<br />

is attached to the cold virus. Think of it as the<br />

adenovirus wearing a backpack containing the<br />

spike protein’s genetic material. In the body,<br />

the adenovirus enters cells and unpacks the<br />

backpack, tricking them into producing the spike<br />

protein, which triggers the immune system to<br />

produce antibodies that protect against the real<br />

virus. Adenovirus vaccines also can't alter your<br />

DNA or give you a cold or COVID-19.<br />

Johnson & Johnson vaccine:<br />

One dose; peak immunity two weeks after shot<br />

85% effective at preventing severe COVID-19<br />

For people age 18 and older<br />

10 <strong>SPRING</strong> <strong>2021</strong><br />

Sources: CDC.gov; FDA.gov.


Setting up a COVID-19<br />

vaccination appointment<br />

Even if you don’t have<br />

internet or a smartphone,<br />

help is available!<br />

Important note: Please choose only one vaccination site. Signing up at multiple locations<br />

could keep someone else from getting a vaccination.<br />

If you have internet<br />

The Arkansas Department of Health (ADH) COVID-19 website, healthy.arkansas.gov, has links<br />

for online scheduling and phone numbers to set up appointments.<br />

If you don’t have internet<br />

You can call the state’s COVID-19 Call Center at 800-803-7847, and a representative will help you<br />

locate a vaccination site where you can call to set up an appointment. You can also call the state’s<br />

new COVID-19 vaccination hotline at 800-985-6030. They can schedule you at an upcoming<br />

vaccination event or direct you to a local pharmacy, where you can call for an appointment.<br />

If you’re age 65+<br />

Online scheduling – Check the ADH COVID-19 website healthy.arkansas.gov.<br />

Self-scheduling – The state’s COVID-19 Call Center at 800-803-7847 can help you locate<br />

a vaccination site where you can call to set up an appointment.<br />

If you need help signing up for a vaccination, you can call the state’s new COVID-19<br />

vaccination hotline at 800-985-6030. They can schedule you at an upcoming vaccination<br />

event or direct you to a local pharmacy, where you can call for an appointment.<br />

Assisted scheduling – The eight regional members of the Arkansas Association of Area<br />

Agencies on Aging can find a vaccination site near you and even get you scheduled –<br />

just call 866-739-7751 (They help Arkansans 50+). (Note: They may be able to find<br />

you a ride to and from your vaccination appointments.)<br />

If you’re employed<br />

At work – Check with your employer to see if they are planning an on-site vaccination clinic.<br />

Community pharmacies – You can check the Arkansas Department of Health COVID-19 website,<br />

healthy.arkansas.gov, or call the state’s COVID-19 Call Center at 800-803-7847 or call the<br />

state’s new COVID-19 vaccination hotline at 800-985-6030.<br />

What to take to your COVID-19 vaccination appointment<br />

You should bring a photo ID and your health plan member ID card (and your pharmacy card,<br />

if it is separate). There’s nothing to pay, but the staff will need your insurance coverage<br />

information to file a claim with your health plan.<br />

<strong>SPRING</strong> <strong>2021</strong> 11


Your COVID-19<br />

vaccine appointment<br />

Here are some tips for the best experience at<br />

your COVID-19 vaccine appointment.<br />

Be patient<br />

When you arrive, you’ll have some paperwork<br />

to fill out, and you may have a bit of a wait.<br />

You will be asked some questions, and you<br />

will need to fill out a consent form. You will also<br />

need to show your identification and insurance<br />

card, if you have one. (It’s OK if you don’t.)<br />

Be safe<br />

You still need to wear your mask and practice<br />

social distancing when you get your<br />

vaccination. Medical staff will be washing their<br />

hands and doing their part to keep you healthy.<br />

Read the signs<br />

Pay attention to any signs directing where to<br />

stand, where to go next, etc. You may also see<br />

signs indicating capacity limits for the room.<br />

Listen<br />

The medical professional who gives you<br />

the vaccine may ask questions about your<br />

medical history or may say things to keep you<br />

calm. Listen carefully, answer the questions<br />

and follow directions they give you as they<br />

administer the shot.<br />

Wait<br />

After you receive the shot in your upper arm,<br />

you will be asked to wait 15 minutes before<br />

leaving. You will be checked for medical<br />

reactions, including anxiety about getting the<br />

shot. In rare cases, reactions can occur after<br />

leaving the facility. If that happens, call your<br />

doctor immediately.<br />

Second shot?<br />

Some COVID-19 vaccines need two doses,<br />

approximately 3 to 4 weeks apart. The<br />

Johnson & Johnson vaccine only requires<br />

one dose. If you need a second dose, you<br />

will be given a card showing which vaccine<br />

you received (e.g., Moderna, Pfizer, etc.),<br />

your first vaccination date and when and<br />

where to return for the second dose.<br />

From start to finish, your appointment should last about an hour. Many people choose to return home and<br />

rest. Once you receive your COVID-19 vaccine (first, second or only dose), the Centers for Disease Control<br />

and Prevention (CDC) recommends you wait at least 14 days before getting a vaccine for the flu, shingles,<br />

or other illness. The reverse is also true if you get another vaccine before getting a COVID-19 vaccine.<br />

12 <strong>SPRING</strong> <strong>2021</strong>


After your<br />

vaccination<br />

Here are a few tips on what you might<br />

experience after getting the COVID-19 vaccine.<br />

Right after the shot<br />

You will be asked to wait for about 15 minutes as a<br />

precaution to rule out an allergic reaction – which<br />

is very rare. While you are waiting, you can sign up<br />

for v-safe, a smartphone-based tool that provides<br />

health check-ins after receiving your vaccination.<br />

Through v-safe, you can tell the Centers for<br />

Disease Control and Prevention (CDC) if you have<br />

any side effects, and they can check on you.<br />

Side effects<br />

It's not uncommon to have mild side effects from<br />

vaccinations, but they are much less serious<br />

than having COVID-19. According to the CDC, side<br />

effects are a sign that your body is building<br />

protection. Side effects usually show up one<br />

to three days after your shot, and they’re more<br />

common after your second dose.<br />

The most reported side effects include:<br />

Redness, swelling<br />

and/or pain at the<br />

injection site<br />

Tiredness or fatigue<br />

Headache<br />

Muscle pain<br />

Chills<br />

Joint pain<br />

Fever<br />

Nausea and/or vomiting<br />

Swollen lymph nodes<br />

Here are some tips that might help:<br />

• Move your vaccinated arm around gently<br />

to help reduce pain or swelling<br />

• Put a cool, wet washcloth on the injection site<br />

to help reduce any soreness.<br />

• Take a non-aspirin pain reliever (if it’s safe<br />

for you to take one) if you experience soreness,<br />

muscle aches or low-grade fever.<br />

Side effects should resolve within a few days<br />

and seem to be less frequent or severe for<br />

those over age 55.<br />

Keep up pandemic precautions<br />

It takes about two weeks for you to be fully<br />

protected after you receive your final vaccination,<br />

but after that, the vaccines are highly effective.<br />

In fact, the CDC now says vaccinated people can<br />

visit indoors without wearing masks or physical<br />

distancing if it is with other fully vaccinated<br />

people or with unvaccinated people from a<br />

single household who are at low risk for severe<br />

COVID-19. Great news for grandparents!<br />

However, when you are in public, you still should:<br />

Wash your hands<br />

Wear a mask<br />

Stay at least 6 feet from others<br />

Why? We don’t know yet if fully vaccinated people<br />

can spread the illness to others. And, the virus keeps<br />

changing, so it is good to protect yourself from those<br />

variants. So far it looks as if the vaccines do protect<br />

from the different variants, but that could change.<br />

Once case numbers drop, more pandemic<br />

precautions can stop. And once enough of us<br />

are vaccinated, we can all get those hugs we’ve<br />

been missing.<br />

<strong>SPRING</strong> <strong>2021</strong> 13


Información importante<br />

sobre las vacunas COVID-19<br />

Como programar una cita de vacunación covid-19<br />

Nota importante: Por favor elija solo un sitio de vacunación. Si usted se registra en<br />

múltiples lugares podrían evitar que otra persona se vacuna.<br />

Si no tiene Internet<br />

o un teléfono inteligente,<br />

¡hay ayuda disponible!<br />

Si tienes internet<br />

El sitio web del Departamento de Salud de Arkansas (ADH), healthy.arkansas.gov, tiene enlaces<br />

para la programación en línea. Todos los sitios de vacunación enlistan los números de teléfono<br />

para obtener citas.<br />

Si no tienes internet<br />

Puede llamar a la nueva línea directa de vacunación COVID-19 de Arkansas, al teléfono 800-985-6030.<br />

Ellos pueden programarle una cita en algún evento de vacunación o dirigirlo a una farmacia<br />

local donde puede llamar para programar una cita. Hay servicios de traducción disponibles.<br />

Si tiene más de 50 años y necesita ayuda<br />

La Asociación de Agencias en el Área de la Tercera Edad de Arkansas puede encontrar un<br />

sitio de vacunación cerca de usted y ayudar a programar su cita. Llame al 866-739-7751.<br />

(Nota: Es posible que puedan encontrarle trasporte hacia y desde sus citas de vacunación.)<br />

Q<br />

Q<br />

Q<br />

Preguntas y respuestas sobre la vacuna COVID-19<br />

¿Puedo contraer COVID-19<br />

por la vacuna?<br />

No, las vacunas sólo incluyen<br />

una pequeñísima parte del virus,<br />

por lo que no se puede contraer<br />

el virus COVID-19 de la vacuna.<br />

¿Tendré una reacción<br />

alérgica a la vacuna?<br />

Con cualquier vacuna para<br />

cualquier virus, pueden ocurrir<br />

reacciones alérgicas raras. Si<br />

ha tenido una reacción alérgica<br />

previa a una vacuna, consulte a<br />

su médico.<br />

¿Pueden vacunarse las<br />

mujeres embarazadas,<br />

las que desean quedar<br />

embarazadas o que están<br />

amamantando?<br />

Sí, son elegibles para recibir<br />

la vacuna. Si está embarazada<br />

14 <strong>SPRING</strong> <strong>2021</strong><br />

Q<br />

o está tratando de quedar<br />

embarazada, debe consultar con<br />

su médico sobre las vacunas<br />

COVID-19. Los estudios han<br />

encontrado que las mujeres<br />

sanas que están embarazadas<br />

están especialmente en un severo<br />

riesgo de contraer COVID-19.<br />

¿Debo recibir la vacuna si<br />

tengo diabetes, presión<br />

arterial alta, enfermedades<br />

cardíacas u otra afección<br />

subyacente?<br />

Sí, las vacunas, ya sea para<br />

COVID-19, gripe o neumonía,<br />

son importantes para los<br />

adultos con ciertas condiciones<br />

médicas subyacentes debido<br />

a un mayor riesgo de contraer<br />

una enfermedad grave a cause<br />

del COVID-19.<br />

Q<br />

Q<br />

¿Deben vacunarse los niños?<br />

La vacuna Pfizer ha sido<br />

autorizada para mayores<br />

de 16 años.<br />

Las vacunas Moderna y Johnson<br />

& Johnson están actualmente<br />

aprobadas para mayores de<br />

18 años. Varios fabricantes<br />

de vacunas tienen en marcha<br />

ensayos clínicos pediátricos.<br />

¿Cuáles son las variantes<br />

y si la vacuna me protege<br />

de ellas?<br />

Los virus cambian<br />

constantemente, incluyendo<br />

el nuevo coronavirus. Las<br />

vacunas COVID-19 muestran<br />

protección contra las variantes<br />

actuales, pero es posible que sea<br />

necesario modificar las vacunas<br />

y probablemente en un futuro<br />

necesitemos vacunas adicionales.


COVID-19 vaccine<br />

questions and answers<br />

Q<br />

Can I get COVID-19 from<br />

the vaccine?<br />

No, the vaccines only include<br />

a tiny part of the virus, so you<br />

cannot get the COVID-19 virus<br />

from the vaccine.<br />

Q<br />

Q<br />

Will I have an allergic<br />

reaction to the vaccine?<br />

With any vaccine for any<br />

virus, rare allergic reactions<br />

can occur. If you have had a<br />

previous allergic reaction to a<br />

vaccination, talk to your doctor.<br />

Can pregnant women,<br />

women wanting<br />

to become pregnant or<br />

who are breastfeeding get<br />

the vaccine?<br />

Yes, they are eligible to get the<br />

vaccine. If you are pregnant<br />

or trying to become pregnant,<br />

you should discuss COVID-19<br />

vaccinations with your doctor.<br />

Studies have found that healthy<br />

women who are pregnant are<br />

especially at risk of severe<br />

COVID-19.<br />

Q<br />

Q<br />

Should I get the vaccine<br />

if I have diabetes, high<br />

blood pressure, heart<br />

disease or another<br />

underlying condition?<br />

Yes, vaccinations, whether for<br />

COVID-19, flu or pneumonia, are<br />

important for adults with certain<br />

underlying medical conditions<br />

because of their increased<br />

risk for severe illness from<br />

COVID-19.<br />

Should children get<br />

vaccinated?<br />

The Pfizer vaccine has been<br />

authorized for ages 16 and up.<br />

The Moderna and Johnson &<br />

Johnson vaccines are currently<br />

approved for ages 18 and<br />

up. Several vaccine<br />

manufacturers have pediatric<br />

clinical trials underway.<br />

Q<br />

Q<br />

If I have recovered from<br />

COVID-19, should<br />

I get vaccinated?<br />

Yes. If you have already had<br />

COVID-19, you may have some<br />

natural immunity from the virus.<br />

But it is unclear how long this<br />

immunity lasts. The Centers for<br />

Disease Control & Prevention<br />

(CDC) recommends that<br />

people who had COVID-19 get<br />

vaccinated when it is their turn.<br />

What are variants and<br />

does the vaccine protect<br />

me from them?<br />

Viruses constantly change,<br />

including the novel coronavirus.<br />

The COVID-19 vaccines show<br />

protection against the current<br />

variants, but to keep up with<br />

these changes, the vaccines may<br />

need to be adapted and we may<br />

need additional vaccinations in<br />

the future.<br />

Q<br />

How long does vaccine<br />

protection last?<br />

It’s not clear how long the<br />

protection lasts from the<br />

vaccines. Researchers are<br />

learning more every day about<br />

natural immunity and vaccineinduced<br />

immunity.<br />

Q<br />

If I currently have<br />

COVID-19, can I get<br />

vaccinated?<br />

No. If you currently have<br />

COVID-19, you should wait until<br />

you recover to get vaccinated.<br />

Talk to your doctor about when<br />

you should receive the vaccine.<br />

Please note the information in this article is accurate as of this printing. The situation surrounding<br />

COVID-19 continues to evolve, so please follow updates on the CDC websites.<br />

<strong>SPRING</strong> <strong>2021</strong> 15


PROTECT YOURSELF!<br />

Avoid COVID-19 Vaccine Scams<br />

As COVID-19 vaccine distribution begins,<br />

here are signs of potential scams:<br />

You are asked to pay "out of pocket" to get the vaccine.<br />

You are asked to pay to put your name on a vaccine<br />

waiting list or to get early access.<br />

Advertisements for vaccines from unsolicited/<br />

unknown sources through social media platforms,<br />

email, telephone calls or online.<br />

Marketers offering to sell or ship doses of the<br />

vaccine for payment.<br />

PROTECT YOURSELF!<br />

Do not give out your personal information to unknown sources<br />

If you believe you have been the victim of<br />

COVID-19 fraud, immediately report it to:<br />

HHS-OIG Hotline: 1-800-HHS-TIPS tips.hhs.gov<br />

FBI Hotline: 1-800-CALL-FBI ic3.gov<br />

CMS/Medicare Hotline: 1-800-MEDICARE<br />

For accurate, up-to-date information<br />

about COVID -19, visit:<br />

oig.hhs.gov/coronavirus<br />

fbi.gov/coronavirus<br />

justice.gov/coronavirus<br />

Sources: HHS Office of Inspector General, Federal Bureau of Investigation,<br />

Department of Justice and Centers for Medicare & Medicaid Services<br />

16 <strong>SPRING</strong> <strong>2021</strong>


COVID-19: Sick all over<br />

Novel coronavirus can strike many parts of the body<br />

COVID-19 has a well-earned reputation as an<br />

illness that hits the respiratory system especially<br />

hard. But it is far more than just a lung disease.<br />

COVID-19 can affect the:<br />

BRAIN<br />

Causing encephalopathy (“COVID brain”) and stroke<br />

NOSE<br />

Triggering the loss of smell and taste<br />

LUNGS<br />

Producing cough, pneumonia and respiratory failure<br />

HEART<br />

Bringing heart rhythm problems, heart injury,<br />

inflammation, congestive heart failure and shock<br />

STOMACH and BOWELS<br />

Causing nausea, vomiting and diarrhea<br />

KIDNEYS<br />

Resulting in renal insufficiency and failure<br />

BLOOD/CIRCULATORY SYSTEM<br />

Producing clotting in the lungs, brain and extremities<br />

Its effect on the lungs can be profound and gets<br />

lots of attention. But COVID-19 can impair organs<br />

and systems throughout the body.<br />

For these reasons, COVID-19 is particularly dangerous for people who:<br />

Suffer from cardiovascular disease Have a history of cancer (especially<br />

blood, lung and metastatic varieties)<br />

Live with diabetes<br />

Are affected by chronic kidney disease<br />

Have high blood pressure<br />

Are obese<br />

Struggle with chronic lung disease Smoke<br />

These factors are part of what makes COVID-19 so problematic – because there are so<br />

many ways it can wreak havoc in the body and cause serious illness and even death.<br />

This is your brain on COVID-19<br />

COVID-19’s effects on the brain may not grab the headlines, but they can be disruptive ... and even<br />

devastating. When novel coronavirus enters the brain, it prompts the release of proteins called<br />

cytokines as part of the body’s immune response. Occasionally, the body goes overboard, creating<br />

a “cytokine storm,” which can create inflammation and neurotoxicity, causing brain dysfunction.<br />

Sometimes symptoms are mild – like headache, fever, fatigue or minor mental focus/concentration<br />

problems. But more severe symptoms can include confusion, seizures, paralysis, speech or hearing<br />

problems and more. If you have or had COVID-19 and any of these symptoms sound familiar, share<br />

your concerns with your healthcare provider.<br />

<strong>SPRING</strong> <strong>2021</strong> 17


Care has no boundaries<br />

WWhen Robin Hughes, R.N., a nurse case<br />

manager for Arkansas Blue Cross and Blue<br />

Shield, was first assigned to help David * ,<br />

a member in Minnesota, she didn’t realize the<br />

struggle he had already gone through to survive.<br />

She received a referral on David on September 28,<br />

2020, but his healthcare journey started six months<br />

earlier, as COVID-19 began to ravage his lungs.<br />

David, in his 40s, was living with his dog in a<br />

sparsely populated part of Minnesota, but he<br />

worked at a factory across the state line in North<br />

Dakota. He was overweight, and COVID-19 hit him<br />

hard. After a short stay in a hospital in late April, he<br />

was discharged home and told to follow up with his<br />

doctor in early May.<br />

“He didn’t keep his follow-up appointments because<br />

his illness got worse,” said Robin. “He wasn’t able to<br />

walk his dog, maintain his home or care for himself.<br />

He lost 150 pounds in 60 days.”<br />

David struggled alone in his home until his parents<br />

traveled from Illinois to Minnesota to check on<br />

him. When they arrived on July 7, they immediately<br />

called an ambulance. He was taken to the nearest<br />

hospital, where they discovered that he had<br />

suffered a collapsed lung due to a lack of proper<br />

nutrition. He also had to have part of his intestine<br />

removed. After a few weeks, David was moved<br />

to a nursing facility for rehabilitation, where he<br />

stayed until late September. But just as things were<br />

looking up, David was thrown another curveball.<br />

going? My first course of action was to let them<br />

know that I’m here and to please keep me updated.”<br />

Robin began reviewing David’s case to get up to<br />

speed. In the meantime, David was discharged and<br />

opted to stay with his parents. He flew to Illinois on a<br />

Saturday and Robin called him the following Monday.<br />

She began by asking him about his immediate<br />

needs. His response was a little shocking.<br />

“He told me, ‘I have a valve in my chest, and I think<br />

they were supposed to take it out,’” Robin said.<br />

“He is the only person I’ve ever dealt with who was<br />

discharged with a Heimlich valve still in place.”<br />

She immediately went to work and discovered there<br />

were more hurdles to cross than she initially realized.<br />

“David’s case was really different because so much<br />

happened before I ever got the case,” Robin said.<br />

“Plus, it was so complicated because he lives in<br />

Minnesota, works in North Dakota and was staying<br />

in Illinois — I was dealing with three different states.”<br />

“He was getting ready to go home, and he started<br />

getting short of breath. They discovered he had<br />

another collapsed lung,” said Robin. David was<br />

readmitted to the hospital, where they inserted a<br />

chest tube and then put in a Heimlich valve, which<br />

prevents air from traveling back along a chest tube.<br />

That’s when Robin got involved.<br />

“The first thing I did was contact the hospital facility<br />

where he was and talk to the case manager there,”<br />

said Robin. “I needed to know his condition: What<br />

are his needs? When can he go home? Where is he<br />

18 <strong>SPRING</strong> <strong>2021</strong><br />

Heimlich valve<br />

* This member's name and certain details<br />

have been changed to protect his identity.


Some states recognize the<br />

licenses of case managers from<br />

other states. Minnesota doesn’t.<br />

However, Robin is licensed<br />

in multiple states, including<br />

Minnesota.<br />

“You have to be specifically<br />

licensed in Minnesota; that’s<br />

how the case came to me in the<br />

first place,” she said. “There are<br />

a few states that don’t honor<br />

your home-state license, and<br />

Minnesota is one of them.”<br />

Robin called the hospital to get<br />

the surgeon’s name. She called<br />

the surgeon’s office and received<br />

a referral to a pulmonologist (lung<br />

doctor) in Illinois to remove the<br />

Heimlich valve. She found an innetwork<br />

primary care physician<br />

in Illinois and got David’s<br />

medications set up for him. After<br />

that, she spoke with David again.<br />

“We always ask, ‘What is your<br />

goal for your health?’” Robin said.<br />

David’s first request was about<br />

his home.<br />

“He told me that when he was<br />

unable to care for himself and<br />

his dog, conditions in his home<br />

became unliveable,” Robin said.<br />

“He needed help getting that<br />

cleaned up so he could return.”<br />

David had contacted a local<br />

contractor for a quote on deep<br />

cleaning and decontamination,<br />

but it would have cost more than<br />

he could afford. Additionally,<br />

he had fallen behind on his<br />

COVID-19 has been<br />

devastating, and I know our<br />

case management programs<br />

make a difference to affected<br />

members throughout the U.S.<br />

Robin Hughes, R.N.<br />

mortgage payments and was<br />

worried about foreclosure.<br />

Robin contacted the Tri-Valley<br />

Opportunity Council in David’s<br />

home county, where she was<br />

directed to the Minnesota<br />

Department of Housing and the<br />

Minnesota Department of Public<br />

Safety. With Robin’s help, David<br />

received assistance with his<br />

mortgage, utilities and cleaning<br />

his home.<br />

According to Robin, David is<br />

doing very well.<br />

“David is unusual because he<br />

followed everything I told him<br />

to do,” Robin said. “If I told him<br />

to call his doctor, he called his<br />

doctor. If I told him to call the<br />

housing authority, he called the<br />

housing authority. That almost<br />

never happens.”<br />

David returned home with his<br />

dog just after Christmas and<br />

continues to participate in<br />

outpatient therapy. He hopes to<br />

be back to work in March.<br />

“This has been a complicated<br />

but extremely rewarding case<br />

management case,” Robin said.<br />

“It has taken all disciplines<br />

to reach David’s goals, and<br />

I’m proud that we have made<br />

an impact. COVID-19 has<br />

been devastating to many<br />

Americans, and I know our<br />

case management programs<br />

make a difference to affected<br />

members throughout the<br />

United States. David’s is a real<br />

recovery success story.”<br />

Why do I need a<br />

case manager?<br />

When you or a loved one is in<br />

the midst of a health <strong>issue</strong>, you<br />

need an advocate who knows<br />

how to effectively navigate the<br />

world of doctors, hospitals and<br />

health insurance to go to work<br />

on your behalf. You need a nurse<br />

case manager.<br />

Case managers are registered<br />

nurses who work with our<br />

members to make sure they<br />

are getting necessary medical<br />

care and that their care is being<br />

delivered as efficiently and<br />

effectively as possible. They<br />

keep the lines of communication<br />

open with physicians, making<br />

sure instructions for medications<br />

are clearly understood and help<br />

with billing and claims <strong>issue</strong>s.<br />

If you struggle with a health<br />

condition, Arkansas Blue Cross<br />

and Blue Shield’s case managers<br />

are ready to go to work for you.<br />

They can answer questions about<br />

your condition, help you map out<br />

a plan, teach you about self-care<br />

techniques and connect you to<br />

helpful support services. But they<br />

can’t give you that help unless<br />

they know you need it. The first<br />

step is to call the customer<br />

service number on the back of<br />

your member ID card.<br />

<strong>SPRING</strong> <strong>2021</strong> 19


Welcome to our new Arkansas Blue Medicare and<br />

Health Advantage Medicare Advantage members<br />

Your confidence drives us to be the best possible partner.<br />

As an eligible Medicare member,<br />

you’ll have immediate access to<br />

tools and benefits created to<br />

help get the most from your plan.<br />

Getting started is easy…<br />

My <strong>Blueprint</strong> (our online member portal) provides secure and confidential<br />

access to personal health information. Go to arkbluemedicare.com/<br />

myblueprint or HAmedicare.com/myblueprint to register.<br />

The Wire (text messaging) keeps us connected and you engaged by delivering<br />

alerts, tips and reminders directly to your phone. Enrollment is easy. Simply<br />

update the notification preferences in your My <strong>Blueprint</strong> settings.<br />

Visit your primary care physician as soon as possible to get your annual wellness<br />

exam, register for Healthy Blue Rewards at arkansashealthyblue.healthmine.com<br />

and earn a $50 Healthy Blue reward. *<br />

* This reward is only available to Arkansas Blue Medicare and Health Advantage Medicare<br />

Advantage members.<br />

Am I<br />

COVERED?<br />

Independent, free-standing ERs:<br />

Be aware of where you seek care<br />

Going to an emergency room can be a traumatic experience.<br />

But getting stuck with 100% of a huge bill from an independent, free-standing<br />

ER (one not associated with a hospital) could give you financial trauma as well.<br />

The key to avoiding this pocketbook pain is simple: Know before you go.<br />

Know what? Whether that ER is covered by your health plan.<br />

Which ERs are<br />

not covered?<br />

In general, if an ER is not<br />

affiliated with a hospital,<br />

Arkansas Blue Cross<br />

and Blue Shield and its<br />

affiliates (and most other<br />

health plans) may not<br />

have a contract with it.<br />

That means you may be<br />

personally responsible<br />

for the entire cost of the<br />

services you receive.<br />

Which ERs are covered<br />

by your health plan?<br />

It’s easy to find out now which<br />

ERs your health plan covers.<br />

Just go to My <strong>Blueprint</strong> (our<br />

online member portal) and<br />

select Find Care & Costs or<br />

call the customer service<br />

number on the back of your<br />

health plan member ID card.<br />

That way, when you need an<br />

ER, you’ll know where to go.<br />

No time to check?<br />

Of course, if you have a true medical<br />

emergency (your life or long-term<br />

health are in imminent danger), just<br />

get to an ER as quickly as possible.<br />

And if you don’t have time to check<br />

beforehand, just remember this<br />

general rule of thumb:<br />

If an ER is not associated with<br />

a hospital, you might be responsible<br />

for paying the full bill.<br />

Avoiding ERs that are not covered could protect you from an injury to your bank account.<br />

20 <strong>SPRING</strong> <strong>2021</strong>


Blue & You Foundation for a<br />

Healthier Arkansas awards mini-grants<br />

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

awarded 345 mini-grants to community projects<br />

throughout the state for <strong>2021</strong>.<br />

“We continue to see the mini-grants improve the quality<br />

of life for Arkansans. Organizations apply for $1,000 and<br />

make their community a safer place to live, improve their<br />

school’s mental health programs or offer fresh, healthy<br />

food to the hungry … all basic human needs that can’t be<br />

ignored, and the Blue & You Foundation is so happy to be<br />

able to fund this work,” said Rebecca Pittillo, executive<br />

director of the Blue & You Foundation.<br />

Of this year’s mini-grant recipients, 274 (79%) were firsttime<br />

recipients, 11 of which were from new cities, which<br />

brings the total number of Arkansas cities funded by the<br />

Foundation to 293.<br />

“This year we received mini-grants from all across<br />

the state and awarded at least one in each county.<br />

We continue to fund health-related needs such as food<br />

insecurity, healthy lifestyles and lifesaving tools, including<br />

AEDs, Stop the Bleed kits and naloxone kits,”<br />

said Pittillo.<br />

Blue & You saving lives by awarding<br />

168<br />

1,300<br />

2,600<br />

automated external<br />

defibrillators<br />

Stop the Bleed kits<br />

naloxone kits<br />

Find more information on this year’s mini-grants<br />

(and all previous grants) on the Foundation’s<br />

website: blueandyoufoundationarkansas.org.<br />

<strong>2021</strong> mini-grants<br />

Organization Types<br />

$<br />

113,000 to NONPROFITS<br />

$<br />

35,000 to CHURCHES<br />

$<br />

67,000 to SCHOOLS<br />

$<br />

130,000<br />

to GOVERNMENT<br />

ENTITIES<br />

Communities receiving at least one <strong>2021</strong> mini-grant.<br />

Top 10 areas funded<br />

1. AEDs and CPR Manikins<br />

2. Naloxone Kits<br />

3. Stop the Bleed Kits<br />

4. Food Insecurity<br />

5. Access to Healthy Food<br />

6. Healthy Lifestyles<br />

7. COVID-19 Relief<br />

8. Exercise<br />

9. Personal Health<br />

and Hygiene<br />

10. Behavioral and<br />

Mental Health<br />

<strong>SPRING</strong> <strong>2021</strong> 21


Spring Cleaning for Your Smile<br />

Need a dentist?<br />

If you don’t have a dentist,<br />

you can easily find one at<br />

arkansasbluecross.com.<br />

Spring is a time of renewal –<br />

a time to hit the reset button<br />

by cleaning dust and clutter<br />

built up over the winter. While<br />

you’re giving yourself a clean,<br />

fresh start to the season, how<br />

about giving your smile a fresh<br />

start also? It’s a great time to<br />

set up an appointment with<br />

your dentist for a little spring<br />

cleaning of your teeth.<br />

Take care of your teeth, and<br />

they’ll help take care of you<br />

Like dirt collects in your house,<br />

bacteria can build up in your<br />

mouth and cause problems down<br />

the road that can be painful ... and<br />

expensive. Good dental hygiene<br />

can help keep such <strong>issue</strong>s at<br />

bay. This includes brushing at<br />

least twice a day, flossing daily,<br />

drinking lots of water, limiting<br />

sugar and avoiding tobacco<br />

products. But that isn’t enough.<br />

According to the American Dental<br />

Association, you should get a<br />

dental checkup and have your<br />

teeth professionally cleaned at<br />

least twice a year.<br />

When it comes to teeth<br />

cleanings, timing is everything<br />

If you schedule a checkup and<br />

cleaning with your dentist now,<br />

you’ll be able to easily schedule<br />

a second visit before the end of<br />

the year. Best of all, these regular<br />

checkups and cleanings go a long<br />

way toward ensuring that you can<br />

have a confident smile and enjoy<br />

better health year-round.<br />

Blue365 is your online destination for deals and exclusive discounts<br />

Maintaining a healthy lifestyle is about making<br />

positive choices every day. It’s easy and affordable<br />

with our exclusive member * discount program,<br />

Blue365. It’s free to you, just for being Blue!<br />

Blue365 keeps you healthy and happy every day<br />

of the year. Enjoy discounts from your favorite<br />

national brands and local retailers on fitness<br />

gear, gym memberships, vision care, nutrition<br />

programs and more! Save on top brands like<br />

Fitbit ® , Reebok ® , Nutrisystem ® and more!<br />

Blue365<br />

Because Health is a Big Deal ®<br />

How do I join?<br />

Sign in to the My <strong>Blueprint</strong> online member portal<br />

(arkbluecross.com/myblueprint), go to Menu and<br />

select Blue365 and follow the instructions or<br />

visit blue365deals.com/arkbluecross.<br />

Once you are registered, you can choose your<br />

preferences to receive personalized deals and<br />

wellness tips straight to your inbox.<br />

Take charge of your health today and<br />

take advantage of this exciting program.<br />

* Includes all Arkansas Blue Cross and Blue Shield and Health Advantage members, as well as health plans utilizing BlueAdvantage<br />

Administrators of Arkansas. Always check with your benefits administrator to ensure coverage and in-network providers.<br />

22 <strong>SPRING</strong> <strong>2021</strong>


Get social<br />

with us!<br />

Whether it is sharing your cool new mask, your<br />

furry walking companion or a healthy recipe,<br />

Arkansas Blue Cross and Blue Shield loves<br />

seeing you on social media. And if you like us<br />

on Facebook, Instagram, LinkedIn or Twitter,<br />

you can see our latest articles (before they<br />

come out in print) through our <strong>Blueprint</strong> news hub,<br />

hub.arkansasbluecross.com. We’ll keep you up to<br />

date on vaccination clinics, Blue & You Foundation<br />

grants and the latest trends in health and wellness.<br />

Like us, share us and join in the conversation!<br />

Customer Service NUMBERS<br />

May we help? For customer service, please call toll free:<br />

Arkansas BlueMedicare Advantage<br />

HMO Plans (H6158) 844-463-1088<br />

PPO Plans (H3554) 844-201-4934<br />

PFFS Plans (H4213) 877-233-7022<br />

Arkansas Blue Medicare Prescription<br />

Drug Plans (S5795): 866-390-3369<br />

Health Advantage Medicare Advantage<br />

HMO Plans (H9699): 877-349-9335<br />

Arkansas Blue Cross and Blue Shield<br />

Medicare Supplement Plans 800-238-8379<br />

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

Pharmacy questions 800-863-5561<br />

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

Arkansas Blue Cross Metallic members<br />

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

Pharmacy questions 800-969-3983<br />

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

BlueAdvantage members<br />

Pharmacy questions<br />

888-872-2531<br />

888-293-3748<br />

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

Arkansas State Employees /<br />

Public School Employees 800-482-8416<br />

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

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

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

PAYING<br />

YOUR<br />

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

bill<br />

To pay by phone ** ,<br />

please call<br />

800-354-9904<br />

Visit our websites for more information:<br />

• arkbluecross.com<br />

• arkbluemedicare.com<br />

• hub.arkansasbluecross.com<br />

• healthadvantage-hmo.com<br />

• blueadvantagearkansas.com<br />

• blueandyoufoundationarkansas.org<br />

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

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

Fayetteville<br />

516 East Millsap Rd. – Suite 103 800-299-4109<br />

Fort Smith<br />

3501 Old Greenwood Rd. – Suite 3 800-299-4060<br />

Hot Springs<br />

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

Jonesboro<br />

2110 Fair Park Blvd. – Suite I 800-299-4124<br />

Little Rock (MIDTOWN)<br />

416 S. University Ave. – Suite 110 501-396-8675<br />

Pine Bluff<br />

509 Mallard Loop Dr. 800-236-0369<br />

Rogers<br />

4602 W. Walnut St. 479-973-6675<br />

Texarkana<br />

1710 Arkansas Blvd. 800-470-9621<br />

** Medicare Advantage and Prescription Drug plan product<br />

members must call Customer Service to discuss available<br />

payment options. Health Advantage conversion plans are not<br />

eligible for online, mobile or pay-by-phone payment options.<br />

<strong>SPRING</strong> <strong>2021</strong> 23


The Blue & You<br />

Fitness Challenge<br />

is stronger<br />

than ever!<br />

The Blue & You Fitness Challenge<br />

officially kicked off March 1 and has<br />

more than 90 teams improving their<br />

health and wellness while competing<br />

against each other and challenging<br />

themselves.<br />

The <strong>2021</strong> Challenge includes a new wellness<br />

platform powered by Wellable, which you can use to sync<br />

to a wearable device. You also have FREE access to a library<br />

of online, instructor-led workouts to help you stay motivated<br />

while socially distancing. To complete the Challenge, you<br />

must earn a minimum of 20,000 Wellable points.<br />

BONUS: Participants who log activity for 30 consecutive<br />

days starting March 1 will be entered into a drawing to win<br />

a $350 gift certificate to Wellable’s fitness store! If you are<br />

in the Challenge, make sure you log your points at<br />

app.wellable.co/login or visit blueandyoufitnesschallenge-ark.com<br />

and select Log Activity.<br />

10023 4/21

Hooray! Your file is uploaded and ready to be published.

Saved successfully!

Ooh no, something went wrong!