Blue Rewards Means Money Back

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1 Blue Rewards Means Money Back Start Earning Your Reward Today Taking steps to get and stay healthy has its rewards. Complete 4 steps within 120 days of your effective date to earn your Blue Reward. You can use your reward to pay for eligible expenses related to your health plan.

2 Get Started with Blue Rewards Welcome Amy Smith Medical Plan Summary Employer Name Switch Plan Type: Group Number: BluePreferred PPO XXXX Metal Level: Member ID: Gold Start Date: Subscriber Name: December 1, 2013 Amy Smith View All Plans Pay My Bill Covered Members ID Cards Quick Links Blue Rewards Quick Links Blue Rewards EOBs EOBs My Claims Select/Change PCP Drug Pricing Tool Treatment Cost Estimator It s easy to begin earning and tracking your Blue Reward. > Register or log in to My Account, our secure member website, at > Click on Blue Rewards under Quick Links, or > Click on the Start Earning Now button PCP: John Jones M.D. Amy@gmail.com Change means money back! plete yo Earn up to $750 PCP Copay: $15 Deductible Specialist Copay: $35 Out of Pocket Covered Benefits? You have until 04/01/2015 to complete your steps. Start Earning Now Start Earning Now In Network Remaining: $ In Network Remaining: $ Met $ Out of $ Met $ Out of $ More

3 Home / Blue Rewards Get rewarded for making healthy choices. Earn up to $750 per family! Earn up to $300 per adult, up to $75 per child. Earn a CareFirst Blue Rewards Visa Incentive Card. Current Reward Type: Member Amy (06/19/1964) John * (06/19/1964) Bobby (06/19/1999) Suzzanne (06/19/2008) Last day to submit 04/01/ /01/ /01/ /01/2015 Select a PCMH PCP E-consent Health Assessment Health and Wellness Evaluation Start Start Start Start Start Start Start Start Learn about Blue Rewards Health and Wellness Evaluation Form How to use your incentive card Blue Rewards Resources Start Start Start Start View Details View Details Start N/A N/A Start View Details Start N/A N/A Start View Details 4 Steps to Earn your Blue Reward Click on Start to begin each step of the Blue Rewards process. Once you complete step 1, the rest of the steps can be completed in any order. Step 1: Select a Patient-Centered Medical Home primary care provider (PCP) (Ages 2+) Step 2: Consent to Electronic Communications (Ages 18+) Step 3: Complete the Online Health Assessment (Ages 18+) Step 4: Complete your Health and Wellness Evaluation (Ages 2+) The policyholder can visit the Blue Rewards homepage at any time to see which steps have been completed by each family member.

4 Select a Patient-Centered Medical Home (PCMH) PCP: To search for a PCMH doctor, simply click on the check box and look for the PCMH symbol. Note: If you have a PPO or Advantage plan, and you are outside of the CareFirst service area (Maryland, D.C. or Northern Virginia) you can select a provider in the BlueCard PPO network who specializes in General Practice, Family Practice, Internal Medicine, Pediatrics or Geriatrics.

5 Consent to Electronic Communications: Simply check and click Submit to start receiving wellness-related communications on your computer, tablet or smartphone. Home / Blue Rewards / Electronic Communication Consent Electronic Communication Consent CareFirst BlueCross BlueShield (CareFirst) wants to help you manage your health care information and simplify your life with electronic communications. arding Instead of paper notices, you can receive s and/or text messages regarding your health care coverage by providing your address and/or phone number; along with consent below. By subscribing to electronic communications, CareFirst will notify you about Explanation of Benefits, Health and Wellness news and other correspondence regarding your coverage., I agree, I agree to have information delivered electronically. No, I do not want to have information delivered electronically. No, I do not Submit Cancel

6 Complete the Health Assessment: Select to consent to share the information with your PCMH PCP, then click the Continue button to be taken to the online survey. Answer a variety of health and lifestyle questions that will help you get an accurate picture of your health status. Get rewarded for making Health healthy Assessment choices. Consent Earn up to $750 per family! Earn up to $300 per adult, up to $75 per child. Earn a CareFirst Blue Rewards Visa Incentive Card. NOTE: If you do not give consent you will not be eligible for your Blue Reward. It may take Current Reward Type: Blue Rewards approximately incentive 24 card hours Change before your health assessment is reflected in My Account. Please make sure your pop-up blocker is turned off before you continue. Member Amy (06/19/1964) John * Learn about Blue Rewards Health and Wellness Evaluation Form I authorize CareFirst to release my health assessment questionnaire including my responses to the questions contained therein to my designated primary care How provider to use your (PCP). incentive card I understand that my personal health information may be disclosed as required Blue Rewards by or Resources allowed by law. ake s Last day to o submit 08/19/ /01/2015 Select a PCMH PCP E-consent No Health Assessment Health and Wellness Evaluation Continue Start Start Start Start View Details

7 Complete your Health and Wellness Evaluation Form: Print the Health and Wellness Evaluation Form available at Call your selected PCMH PCP and schedule the necessary lab work needed to complete your evaluation (including blood glucose) Visit your doctor to complete and sign the form Enter your results online and keep your form for your records Home / Blue Rewards / Amy (06/23/1988) / Instructions / Form Step1 / Form Step2 Health and Wellness Evaluation Form Step 1 Participant & Provider Information Section III: Health Measures 1. Weight Date Measured: MM/YYYY Adult Height: (optional) Step 2 Health Measures Adult BMI Adult Weight: (optional) Step 3 in lbs in Alternative Standard Set at initial screening Screening/Immunization Waiver Provided by PCP Adult Waist Measurement: (optional) 2. Flu Vaccine Waiver Provided by PCP

8 Home / Blue Rewards / Amy (06/23/1988) Blue Rewards Details for Amy (06/23/1988) Congratulations! You have earned your Blue Reward. Blue Rewards Ea Earned $300 $300 Rewards Earned out of $300 Rewards Earned out of $300 Date Earned: 011/20/2014 Reward Type: CareFirst Blue Rewards Visa Incentive Card Health and Wellness Evaluation Form Results Weight: BMI 25 Tobacco use: Blood Glucose: Screenings/ Immunization: All Steps are Completed Want to check your card balance? 110 Flu Vaccine: Blood Pressure: Cholesterol: Policyholders can check the balance and transaction history of their Blue Rewards by clicking View Payments from the landing page and then View Balances and Transactions. 100/80 180mg/dl View Details Congratulations! You have earned your Blue Reward Your reward can be used for out-of-pocket costs like copays or coinsurance related to your CareFirst BlueCross BlueShield or CareFirst BlueChoice, Inc. health plan (including medical, prescription drug, dental and vision expenses). You can use your CareFirst Blue Rewards Visa Incentive Card at doctors offices, pharmacies, dental offices, vision care centers, urgent care centers and hospitals. The card can be used during the benefit period in which you earned the incentive and will expire the last day of your benefit period. CareFirst BlueCross BlueShield is the shared business name of Group Hospitalization and Medical Services, Inc. and CareFirst of Maryland, Inc. CareFirst BlueCross BlueShield and CareFirst BlueChoice, Inc. are independent licensees of the Blue Cross and Blue Shield Association. Registered trademark of CareFirst of Maryland, Inc. The CareFirst Blue Rewards Visa Incentive Card is issued by The Bancorp Bank pursuant to a license from Visa U.S.A. Inc. The card may not be used everywhere Visa debit cards are accepted. No cash access permitted. The Bancorp Bank; Member FDIC. SUM2730-9N (3/15)