AGENDA WELCOME ASO SIGNATURE PRODUCER INCENTIVE NETWORKING ANNE BAUM, VICE PRESIDENT LEHIGH VALLEY RICHARD MIGASH, MANAGER MAJOR MARKETS

Transcription

1 AGENDA WELCOME ANNE BAUM, VICE PRESIDENT LEHIGH VALLEY ASO SIGNATURE RICHARD MIGASH, MANAGER MAJOR MARKETS PRODUCER INCENTIVE AMANDA UNGER, DIRECTOR STRATEGIC PRODUCER RELATIONS NETWORKING THANK YOU 1

2 ASO SIGNATURE SELF- FUNDING MADE SIMPLE JULY 21, 2016 Capital BlueCross is an Independent Licensee of the BlueCross BlueShield Association

3 AGENDA THE RIGHT COVERAGE. AT THE RIGHT COST. CLARITY FOR HEALTH PLAN DATA BEYOND THE BENEFITS THE POWER OF BLUE QUESTIONS 3

4 THE RIGHT COVERAGE. AT THE RIGHT COST. 4

5 READY-MADE SOLUTION Cost, quality, and convenience in one package Freedom to choose from our most popular plan designs Dental and vision available Health and wellness programs Easy to manage, maximized value 5

6 WE VE GOT YOU COVERED Benefits and Administrative Services Most popular medical and Rx benefit plans Claims processing Behavioral health Data and analytics reporting review National BlueCard network access Electronic enrollment and invoicing Subrogation Coverage abroad Coordination of benefits 6

7 BENEFITS MADE EASY Communications and Materials Electronic plan documents Group landing page Secure member page 7

8 VALUE IN EVERY PLAN Telehealth * Visit a doctor 24/7 by live video from your smartphone, tablet, or computer Ways to Save Alerts Receive or text messages with ways to save on common and recurring expenses Blue365 Exclusive discounts on gym memberships, fitness apparel, nutrition plans, and more * Excluded from CareConnect SM PPO plan 8

9 RX INCLUDED Significant cost savings when medical and Rx benefits are combined Full picture of member claims and experience, which helps improve health management Single dedicated account management team One customer service number and single ID card for employees 9

10 CLARITY FOR YOUR HEALTH PLAN DATA 10

11 THEON CARE ENGAGER With our innovative advanced data and analytics platform, you can reduce waste, control costs, and best manage employee health conditions. Daily admission and discharge updates Monthly utilization and quality metrics Action reports 11

12 BEYOND THE BENEFITS 12

13 EASY DOES IT Streamlined health plan management Submit enrollment files from your desktop Download employee communications from Employer Portal Encourage employees to access plan documents from their secure member page 13

14 EMPOWERED MEMBERS Care Management Our award-winning clinical programs help members be their healthy best Nurse Line Chat by phone or online with a licensed nurse about any health concern, 24/7 Search & Save Center Find doctors and hospitals, compare costs, and save money using this one-stop resource 14

15 EMPOWERED MEMBERS Prescription Cost Estimator Find covered medications Look up costs Personal Profile Employees create a unique plan to help them achieve their health and wellness goals 15

16 EVEN MORE VALUE Buy-up Options HSA or HRA administration Stop-loss Health & wellness programs Tobacco cessation Weight management Diabetes management 16

17 ADMINISTRATIVE EFFICIENCIES ASO Signature differs from a traditional self-funded program Standard preauth/preventive services Rx is carved-in Standard ID cards Fixed Number of Open Enrollment Meetings All Electronic Documents SBC s Highlights Open Enrollment Materials 17

18 THE POWER OF BLUE 18

19 THE BLUES BY THE NUMBERS 1 in3 Americans covered by BCBS 26 million National Account members 86 of Fortune 100 companies served 92% of physicians are in-network 96% of hospitals are in-network 97% of claims paid in-network Source: BlueCross BlueShield Association 19

20 UNPARALLELED ACCESS Coverage no matter where employees work, live, or travel nationally and internationally IN THE U.S. OUTSIDE THE U.S. 92% of physicians are in-network 96% of hospitals are in-network 97% of claims paid in-network Access to physicians and hospitals in more than 200 countries Source: BlueCross BlueShield Association 20

21 QUESTIONS 21