HealthyBlue 2.0/HealthyBlue Advantage Member ... - CareFirst

HealthyBlue: The Basics➤ Work with Your PCP to Complete the Healthand Wellness Evaluation – then submit it toCareFirst BlueChoice! Make sure to submitthe completed form within 180 days of youreffective date using one of the followingmethods:➤ Login to My Account at www.carefirst.com. Click on “My HealthyBlue Rewards”under the Manage My Health tab andselect “Qualification.” Click on “BeginEvaluation” to enter all of the informationthat your Provider wrote on your form; or➤ Scan and save the form in JPG, PDFor TIFF format. Login to My Accountat www.carefirst.com and click on “MyHealthyBlue Rewards” under the ManageMy Health tab. Click on “Upload yourHealth and Wellness Evaluation Form” tobrowse for your document and upload it; or➤ Fax it to (800)354-8205; or➤ Mail the form to:CareFirst BlueChoice, Inc.Mail AdministratorP.O. Box 14116Lexington, KY 40512-4116When you go for the Health and WellnessEvaluation visit with your PCP, be sure to bringthe Health and Wellness Evaluation Form withyou. You can download a copy from www.carefirst.com/healthyblue. Your PCP can’t complete yourevaluation without this important form.So that you’re familiar with what the formlooks like, below is a snapshot:Get Your Healthy RewardOnce CareFirst BlueChoice receives your Healthand Wellness Evaluation Form and your onlineHealth Assessment is complete (with the consentportion signed).For more information about the Healthy Reward,please visit www.carefirst.com/healthyblue.Please note: Children under 2 are not eligible to earnthe reward.Remember: You have 180 days to qualifyfor your Healthy Reward.HealthyBlue Prescription BenefitsYour coverage may include benefits for prescriptiondrugs. Please review your Evidence of Coverage/Agreement to determine whether or not you havebenefits for your prescription medications underyour CareFirst BlueChoice plan.CareFirst BlueChoice uses a Preferred Drug Listwhich is a list of Generic certain Preferred Branddrugs. Drugs that aren’t on the Preferred Drug Listmay be covered as part of your plan, although youmay have to pay higher out‐of‐pocket costs forthese drugs.If you’re prescribed a drug that is not on thePreferred Drug List, discuss with your doctorsome lower‐cost alternatives.You can rest easy knowing your medicationshave been reviewed for quality, effectiveness,safety and cost by a committee of doctors andpharmacists who serve in the CareFirst BlueChoiceregion. The Preferred Drug List changes frequentlyin response to the Food and Drug Administration(FDA) requirements and is also adjusted when aGeneric drug is introduced for a brand name drug.When that happens, the Generic will be added tothe Preferred Drug List.8 HealthyBlue Member Handbook