Benefits Enrollment & Reference Guide - Harford County Public ...

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Getting Healthy Utilization Management Our program ensures you’ll receive the most appropriate care when you need it. If you have to be hospitalized, or need therapy, our team will review your case, help coordinate care with your provider and assist with discharge planning. If necessary, our team will also approve additional inpatient hospital days. Case Management If you have a serious illness or injury, our Case Management program can help you navigate through the health care system and provide support along the way. Our Case Managers, who are registered nurses, will: Options Discount Program/Blue365 Program As a CareFirst member, you have access to discounts on alternative therapies, as well as health and wellness resources such as fitness centers, acupuncture, massages, chiropractic care, nutritional counseling, laser vision correction and more. Visit www.carefirst.com/ options to learn more. Symptom Checker App Better health is just a click away with our new Symptom Checker App. You have access to reliable health information wherever you go. Find out when to manage symptoms at home and when to seek medical care, locate the nearest emergency room, or look up the prescribed dosage of common over-the-counter medicines. The app can be downloaded at www.carefirst.com/socialmedia. Health News Get the latest information to help you, and your family, maintain a healthy lifestyle. Sign up for our monthly electronic member newsletter at www.carefirst.com/ healthnews to receive health-related articles and recipes. Work closely with you and your doctors to develop a personalized treatment plan. Coordinate necessary services. Contact you regularly to see how you’re doing. Answer any of your questions. Suggest available community resources. Our Case Management program is voluntary and confidential. To enroll or for more information, call (888) 264-8648. Mental Health Benefits All CareFirst Plans Participants enrolled in the CareFirst medical plans must use Magellan’s Behavioral Health Plan for inpatient mental health services. To receive benefits, all participants must certify their care at 1-800-245- 7013 before they may access mental health services. Magellan can help you and your eligible family members with a variety of issues including, but not limited to, depression, stress, and alcohol and drug abuse. A Magellan representative will help you access care within the Magellan network, certify your care, and/or provide authorization to non-participating providers if necessary. Visit www.magellanhealth.com for more information on accessing care and providers, as well as wellness topics and self-assessment tools and resources. 32 Harford County Public Schools – Benefits Enrollment & Reference Guide
Health & Wellness Discounts Alternative Therapies and Wellness Services Take advantage of the special offers and discounts available to CareFirst BlueCross BlueShield and CareFirst BlueChoice, Inc. (collectively, CareFirst) members. Our Options and Blue365 discount programs offer the health and wellness information, support and services you need — while at the same time providing you with special member savings. Enjoy Discounts with Both Programs Discounted products and services include: Acupuncture Chiropractic care Fitness centers Financial services Fitness footwear and apparel Hearing and vision care including laser vision correction Massage therapy Nutritional counseling Personal training Spa services Sporting and fitness equipment Travel Weight loss programs New products and services are added frequently, so visit us online at www.carefirst.com/options for the latest list. For details on the health and wellness discounts available to you, visit www.carefirst.com/options. Harford County Public Schools – Benefits Enrollment & Reference Guide 33
Page 1 and 2: Benefits Enrollment & Reference Gui
Page 3 and 4: Welcome Vision Harford County is a
Page 5 and 6: Benefits and Eligibility Basic Bene
Page 7 and 8: Medical and Dental Deductions Activ
Page 9 and 10: Be an Informed Healthcare Consumer
Page 11 and 12: Enrollment Instructions Enroll Onli
Page 13 and 14: Preferred Provider Organization A R
Page 15 and 16: Find a Doctor, Hospital, or Urgent
Page 17 and 18: BlueCard ® Wherever You Go, Your H
Page 19 and 20: BlueChoice HMO Coordinated Care wit
Page 21 and 22: How to Find a Doctor or Hospital In
Page 23 and 24: Rx Drug Program - 3 Tiers A Total P
Page 25 and 26: Rx Drug Program - 3 Tiers A Total P
Page 27 and 28: CareFirst Drug Program Summary of B
Page 29 and 30: Rx Drug List - 3 Tiers Manage Your
Page 31 and 32: Patient-Centered Medical Home Focus
Page 33: Whether you’re looking for health
Page 37 and 38: My Account Online Access to Your Cl
Page 39 and 40: AB = Allowed Benefit This chart con
Page 41 and 42: AB = Allowed Benefit This chart con
Page 43 and 44: Harford County Public Schools - Hea
Page 51 and 52: Harford County Public Schools - Ben
Page 53 and 54: Flexible Spending Account (FSA) Hig
Page 59 and 60: Basic Life Insurance and Accidental
Page 61 and 62: Employee Assistance Program Conveni
Page 63 and 64: Savings & Retirement Benefits betwe
Page 65 and 66: Savings & Retirement Benefits What
Page 67 and 68: Frequently Asked Questions If I wan
Page 69 and 70: COBRA Continuation Coverage Rights
Page 71 and 72: Health Insurance Portability Accoun
Page 73 and 74: Privacy Notice Your privacy is a hi
Page 75 and 76: Fully-Insured vs. Self-Insured: Wha

Benefits Enrollment & Reference Guide - Harford County Public ...

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