Blue & You - Winter 2015

Winter
2015
A publication for the policyholders of the Arkansas Blue Cross and Blue Shield family of companies
page
10
Ways to pay
your bill
page
6
Don’t drive
distracted
page
14
Pharmacy
changes
page
18

3
- Thank you for choosing us
4
- There’s still time to enroll
5
- Hold the phone
- Uninsured? Neep help?
Visit a Goodwill store!
Vera Campbell and her family
can look forward to a better
future thanks to Arkansas’
private option — page 8
6
7
8
- Paying your bill just got easier!
- Don’t throw it away!
- Living Fearlessly: Moving on with
life thanks to health insurance
18
19
20
- Formulary alternatives for 2015 exclusions
- Drug benefit plan tier changes
- Boo with Blue Halloween party draws 600
10
12
14
- Exercising mind & body
- SilverSneakers: Fitness never
looked more fun
- Distracted driving:
Don’t text and drive
21
22
- 2015 Blue & You Fitness Challenge
- Komen Race for the Cure 2014
- The Blue & You Foundation: By the numbers
- Blue & You Foundation recognized by UAMS
for contributions to medical education
17
- Get social with us
23
- Pregnant women at higher risk of
complications from the flu
- Customer service numbers
Winter
2015
24
- A show you can see, and you get in for free!
EDITOR: Jennifer Gordon – bnyou-ed@arkbluecross.com • DESIGNER: Ryan Kravitz • PHOTOGRAPHER: Chip Bayer
CONTRIBUTORS: Chip Bayer, Ben McVay and Alex Roberts VICE PRESIDENT of CORPORATE MARKETING: Karen Raley
MANAGER of COMMUNICATIONS and eMARKETING: Kelly Whitehorn
BLUE & YOU Winter 2015
on the
cover
Children at Chicot Primary in Little Rock take a
much-needed GoNoodle break during class — page 10

Thank you for choosing us
It’s now up to us to earn your trust and loyalty.
The health insurance open enrollment period
in 2013 was the first time Americans could sign
up for health care coverage through the federal
Health Insurance Marketplace (healthcare.gov).
Ultimately we saw a dramatic increase in the
number of Arkansans who have coverage, but
we know it was a rocky start for everyone.
People were trying to enroll, and were having
difficulties accessing the healthcare.gov
website. Many of our current members had
questions. New enrollees wanted to be sure
they had coverage. We pride ourselves on our
quick response to sales and service calls, but
last year was an extraordinary circumstance.
It pains us that you needed us and at times
there were delays, so we made some changes
for the current enrollment season. Our goal
is to provide you the very best in customer
service, and due to the open enrollment not
beginning in October (later than last year)
but starting November 15 (per the federal
government) this is another challenging open
enrollment period.
Not only did we increase the number of
employees answering our customer service
telephone lines, we streamlined our processes
to get you enrolled quickly, get your ID card
mailed to you and send you the information
you need to get started using your health
insurance. We also developed more options
for you to be able to pay your bill. We are not
through by any means, but we are working
every day to meet your needs.
A more pleasant surprise after last year’s
open enrollment period closed was finding
out that Arkansas’ unique Medicaid
expansion, called the private option, enrolled
more than 211,000 Arkansans. In fact,
Arkansas experienced the largest drop in
uninsured citizens in the nation thanks to the
private option. Hospitals in the state have
reported that their unreimbursed care costs
have been significantly reduced now that
many of their patients have health insurance.
We talk to people every day whose lives have
changed because they now have access to
needed health care. People like Vera Campbell,
one of our members on the private option,
who we feature in this issue of Blue & You.
Like so many Arkansans, Vera was working
hard, but could not afford health care
coverage. Her future, and her family’s future,
is brighter because she now can get the
medical care she needs.
Regardless of your politics, we can all take
pride that our state has been responsible
for reducing the pain and suffering of so
many of our fellow Arkansans. And, your
neighbors at Arkansas Blue Cross are
committed to making sure you receive the
highest quality health care coverage with
the best experience possible.
Winter 2015 BLUE & YOU

There’s
still time
TO ENROLL!
f you are considering an individual
health plan — on or off the federal Health
Insurance Marketplace (healthcare.gov)
— Arkansas Blue Cross and Blue Shield
has several options from which to
choose. But don’t delay — you only have
until February 15 to apply!
If you are under 65 and not eligible
for Medicare, you still have time to
sign up for health insurance on the
Marketplace, where you may qualify
for financial assistance. If you have
friends or family who may qualify, let
them know that Arkansas Blue Cross is
ready to help them enroll. We also have
affordable options for people shopping
off the Marketplace.
Call an agent or call us at
1-800-310-3778, or go to our website,
arkansasbluecross.com, to find out more
about the health plans available. You
can use the “Do I Qualify for Financial
Assistance” online tool to find out if
you could receive financial help on your
health insurance premium. You can even
visit one of nine Goodwill Industries of
Arkansas ® stores to visit with an Arkansas
Blue Cross representative (see page 5).
If you have an individual or family
plan purchased before April 2010, it is
a grandfathered plan, which is exempt
from many health care law regulations.
You already should have renewed
your grandfathered plan before
December 31 in order to keep it.
If you have a Medicare plan or an
employer-purchased health plan,
your health insurance needs should
be covered.
Whether you are already enrolled in a
plan or are still looking, you can put your
trust in Arkansas Blue Cross to provide
you with the best possible coverage
and service.
David Bridges, executive
vice president and chief
administrative officer for
Arkansas Blue Cross, answers
calls from our members.
4 BLUE & YOU Winter 2015
HOLD THE
PHONE!
During open enrollment, Arkansas Blue
Cross and Blue Shield and our family
of companies sometimes experience
surges in the number of telephone calls
we receive. In anticipation, this year
we developed a strategy that allows
our Customer Service representatives
in other lines of business, their
supervisors, and even our executive
management to take incoming calls
at peak call times. If you call with a
question about your coverage, don’t
be surprised if you get to talk to David
Bridges, (pictured) our executive vice
president and chief administrative
officer, or one of many others in
management. Because at Arkansas
Blue Cross, we recognize that we
all work in customer service.

Uninsured? Need help?
Visit a Goodwill store!
If you have a friend or family member who
is uninsured and think they may qualify for
no-cost or low-cost health insurance, help
is around the corner. Arkansas Blue Cross
and Blue Shield representatives will be at
nine Goodwill Industries of Arkansas stores
to provide assistance enrolling in the Health
Insurance Marketplace (healthcare.gov).
You can shop for bargains and health
insurance at the same time!
Certified insurance agents are manning
Arkansas Blue Cross enrollment stations in
these Goodwill retail stores. They can walk
eligible Arkansans through the enrollment
process, answer
questions and help
them select a health
plan. “Arkansans
without insurance
face barriers in
accessing quality health care and
necessary medications,” said Karen Raley,
vice president of Corporate Marketing
for Arkansas Blue Cross. “We were thrilled
last year to team up with Goodwill Industries
of Arkansas to give Arkansans a place to
go to apply for health care coverage,
and we are pleased to offer the same
opportunity this year.”
®
Agents will be at the nine Goodwill
locations an average of 20 hours a week
through February 15, 2015. Go online to
arkansasbluecross.com for current hours of
operation or to find out more information.
Goodwill locations hosting Arkansas Blue
Cross enrollment stations are:
®
Cabot
Fayetteville
Jonesboro
Little Rock
Newport
N. Little Rock
Paragould
Pine Bluff
204 S. Rockwood Dr.
3105 W. Martin Luther
King Jr. Blvd. /
705 E. Appleby Rd.
1515 S. Caraway Rd.
109 Markham Park Dr.
2500 Malcolm Ave.
6929 JFK Blvd.
2808 W. Kingshighway
2707 E. Harding Ave.
Winter 2015 BLUE & YOU
5

Paying your bill
just gOT
easier!
If you have an individual or family health plan
that you purchased directly from us or with
help from an agent, Arkansas Blue Cross and
Blue Shield offers several convenient ways
to pay your bill, and recently added two
new ways — online or mobile and by phone.
ONLINE or MOBILE
Go online to
arkansasbluecross.com/
paybill to make a payment
24/7. You can pay online
using a credit card, debit
card or check. You will need
your member ID number
from your invoice.*
BY PHONE
Call 1-800-354-9904
to pay your bill using
a credit card, debit card
or check. You will need
your member ID number
from your invoice.*
BANK DRAFT
Go to our website or call us
for a form to set up a
monthly automatic
bank draft. It’s the
easiest way to pay!*
If you have questions,
visit our website
arkansasbluecross.com.
* Medicare Advantage and Prescription Drug plan
product members must call Customer Service
(see page 23) to discuss available payment options.
Health Advantage conversion plans are not eligible
for online, mobile or pay-by-phone payment options.
6 BLUE & YOU Winter 2015

IN PERSON
You can visit any Arkansas Blue Cross office,
ArkansasBlue retail store, or go to any of the more
than 250 MoneyGram** locations in the state.
Arkansas Blue Cross Offices
and ArkansasBlue locations
Please bring a check or money order and
your invoice to pay your bill. Cash is not accepted.
We have locations throughout the state. See
page 23 for addresses and contact information.
MoneyGram
You’ll need your invoice and you may
pay by cash or debit card with a PIN.
No transaction fee applies. Call 1-800-666-3947
or visit moneygram.com to find a location.
Don’t throw it away!
BY MAIL
For members with metallic medical plans
(Gold, Silver, Bronze, Catastrophic),
send a check or money order (no cash) to:
Enterprise Exchange Services
P.O. Box 34320 • Little Rock, AR 72203-4320
For all other members (including dental
and non-metallic medical plans),
send a check or money order (no cash) to:
Arkansas Blue Cross and Blue Shield
Attn: Cashiers
P.O. Box 3590 • Little Rock, AR 72203-4320
**MoneyGram is an independent company that
provides health insurance payment services for
Arkansas Blue Cross and Blue Shield customers.
When you get your member ID
card from Arkansas Blue Cross
and Blue Shield or one of our
family of companies, it may
come with additional
information printed on the
same page or in a letter.
If it does, don’t throw it away!
If information is included, it will
tell you about your deductible,
copayments and a bit about
your benefits. It’s all good
information to know and keep
handy. If that information isn’t
with your card, it will come in
your new member
Welcome Kit. And, as always,
if you don’t know something
about your benefits and can’t
find your information, just
call our customer service
representatives. We love to
hear from you!
Winter 2015 BLUE & YOU
7

Moving on with life
thanks to health insurance
s Vera Campbell and
her family enjoyed an autumn
afternoon at the small fishing
pond near her home, she
remembered a similar outing this
past summer that led to some
big changes in her life — some
frightening and some positive.
The positive changes
happened when nurse case
managers from Arkansas
Blue Cross and Blue Shield
worked with Vera and others
in the medical community to
get her the medical care she
needed through her insurance
coverage under Arkansas’
private option. The frightening
changes happened a few
weeks before that.
Vera had just returned home to
Pine Bluff from visiting Texas in
June when she and her fiancé,
Cosie Robinson III, took their
seven-year-old son AJ down to
8 BLUE & YOU Winter 2015
the fishing pond. Vera wasn’t
feeling well and struggled to
breathe on the short walk from
the car to the edge of the pond.
She thought she would feel
better once she rested, but she
just couldn’t catch her breath.
Thinking she was having an
asthma attack, Cosie rushed
her to the emergency room
at Jefferson Regional Medical
Center. Laboratory tests
showed that Vera’s kidneys
were failing — a result of
uncontrolled diabetes. Cosie
said that looking at her later
that night, covered in tubes
and surrounded by monitors,
he thought he and AJ might
lose her forever.
How had Vera ended up in such
a critical situation?
“She was one of the many
working Arkansans who fell
through the cracks,” said Vickie
Montgomery, a nurse case
manager for Arkansas Blue
Cross and the one to visit Vera a
few days into her hospital stay.
Looking back, Vera said the
problems started a few years
earlier when she was laid
off from a full-time job. Back
then she was managing her
diabetes, but when she went
to pick up her prescriptions
soon after, the bill was
$167, which was most of
what she was receiving in
unemployment. Knowing she
needed to feed and care for
her son, she didn’t get her
medications that day. Later
she was able to find parttime
work, but she no longer
had health care coverage
and couldn’t afford her
medications. All the while,
diabetes was destroying
her kidneys.

When Vera received Arkansas
Blue Cross health care coverage
through the private option in
January 2014, she said she
didn’t understand that the cost
of her doctor appointments and
medications would be covered.
And, like many working moms,
she kept putting off taking care
of herself. It wasn’t until Vera was
critically ill that she realized she
had to make changes in her life.
Vickie said that when she
walked into Vera’s hospital
room that day, she could see
how sad and overwhelmed
the young mother was with
her life. Vera’s kidneys were
only working at about 10
percent, and her hemoglobin
A1C, the test that shows
how her body is handling
diabetes, came back above 14
(a normal reading is around
5). Vickie said Vera was still in
the mindset that she couldn’t
afford the medical care she was
receiving, so she made sure
she understood the situation.
“That was then and this is
now,” Vickie told Vera. “You
have access to medicines now
and you have to do this for
your little boy. I’m here to help
you with that.” She shared with
Vera all the resources available
to her and how Arkansas Blue
Cross nurse case managers
could help, but Vera was very
quiet. Vickie told her she would
come back in a few days to see
if she had questions.
Two days later, Vickie walked in
to see Vera ready for her with
a notepad full of questions.
“That’s what really impressed
me about her,” Vickie said,
remembering how Vera
Vickie Montgomery (left) and
Sonya Peterson, nurse case
managers for Arkansas Blue
Cross, have become close
with Vera and her family.
Having health care
coverage has helped me
move forward and have
a better quality of life.
Vera Campbell
–Vera Campbell
decided she was determined to
help herself get better. The two
visited often when Vera was in
the hospital, getting her set up
with a primary care provider
and diabetic supplies delivered
to her home. When Vera was
discharged from the hospital,
the whole family came to the
ArkansasBlue health insurance
retail store in Pine Bluff where
Vickie works so she could go
over the instructions from
the doctors.
Because Vickie was training
to become a supervisor, Vera
met once a week with another
nurse case manager, Sonya
Peterson. Through Sonya, Vera
learned that if she could get
her diabetes under control, she
could use an insulin pump.
She had already received
approval for in-home dialysis
earlier. Those changes will
lead to an even bigger goal —
going back to college. Vera had
previously put her education
on hold, and only had two
more classes to go at the
University of Arkansas at Pine
Bluff to receive a bachelor’s
degree in human development
and family studies.
“Having health care coverage
has helped me move forward
and have a better quality of
life,” Vera said recently. “When
you have your medicines, you
can keep going.” She said she
believes that having health
insurance through Arkansas’
private option will lead to
her finishing her degree and
getting a full-time job where
she once again has health
care coverage through an
employer. And that means a
better life for her entire family.
Winter 2015 BLUE & YOU
9

EXERCISING
MIND & BODY
A new program in
Arkansas schools
encourages healthy living
The kids bend and flex into dozens of spelling
words until they’ve exhausted the list — and
themselves. It’s more than just a spelling
exercise — it’s exercise. The five minutes of
fast and furious bursts of movement help the
students expend their pent up energy.
Statewide phenomena
GoNoodle describes itself as “brain breaks” for
the classroom. The physical activity program
was developed using research showing that
short bursts of physical activity positively
impact academic achievement, cognitive skills
and behavior as well as overall health. Activity
breaks include math, spelling, science and
geography, applying action-based learning
principles to improve fluency and recall.
T
he students in Tera Phillips’ first grade class
find their square on a multi-colored rug in the
front. It’s 8:20 a.m. and the kids are already
restless and fidgety, waiting on their first brain
break of the day. They don’t know the jumping,
stretching and thinking they are about to enjoy
is sponsored by Arkansas Blue Cross and Blue
Shield and the Arkansas Children’s Hospital;
they just know it’s fun.
With a click of a mouse, an interactive physical
activity break is beamed to the front of the
classroom. The first graders are instantly
focused — it’s GoNoodle time. The first activity
is Bodyspell. A robot spells out a word and the
students move their bodies to create the shape
of each letter in a word.
Teachers use GoNoodle in between lessons as
short, snappy educational transitions combined
with much-needed classroom calisthenics.
Arkansas Children’s Hospital began working with
HealthTeacher, Inc., the developers of GoNoodle,
in 2008, to begin a new initiative within the
state’s schools with a two-pronged approach
to improving the health of children, according
to Fidel Samour, director of child advocacy and
public health at Arkansas Children’s Hospital.
1) Increase physical activity among
school-aged children
2) Teach healthy-living tools and values
that students can take home
C-L-A-P.
10 BLUE & YOU Winter 2015

WHAT THE
KIDS HAD
TO SAY
“I like the songs
and the characters.”
– Amira
“It gets out all my energy.”
– Derrick
“You can get muscles.”
– Denilson
“I like to jump.”
– Angalic
“GoNoodle lets me
shake and dance.”
– Bren
“I’m learning to move.”
– Eber
Thirty-five Arkansas school districts took part in
a successful pilot of HealthTeacher, a web-based
health education curriculum, in 2009, and began
using GoNoodle in 2013. After that, Arkansas
Children’s Hospital wanted to see GoNoodle
reach more Arkansas children, and looked for
some financial help to make that happen. That’s
when the Blue & You Foundation for a Healthier
Arkansas stepped in. The Foundation is funded
by Arkansas Blue Cross to promote better health
in Arkansas. In 2014, the Foundation agreed to
co-sponsor GoNoodle with Arkansas Children’s
Hospital in every elementary school in the
state. And based on good results in 2014, the
Foundation will fund GoNoodle again in 2015.
In the first nine months of 2014, Natural State
elementary students logged 15,618,764 total
minutes of exercise with GoNoodle. That’s 30 years
worth of exercise minutes from the state’s kids.
BOUNDLESS ENERGY
“Children that age have a very short attention span
and benefit from getting wiggle opportunities,”
said Sherry Chamber, principal at Chicot Primary
School in Little Rock. “We can have a class
GoNoodle
IN ARKANSAS
A LOOK AT ONE MONTH *
4,728
CLASSES
engaged for about 20 minutes, then we have
to do something to get them moving around.”
“GoNoodle is a great resource for us to use
in the classroom and my students have made
more progress because of it,” Tera Phillips said.
“GoNoodle allows us to get the energy out
before we move on to the next lesson. If I don’t
let them move around, my lesson falls apart.”
Mainstream science supports what these
teachers already know. In 2013, the Institute
of Medicine’s report, “Educating the Student
Body,” stated:
“Students should engage in additional
vigorous or moderate-intensity
physical activity throughout the
school day through recess, dedicated
classroom physical activity time,
and other opportunities.”
GoNoodle is doing this and more in
Arkansas classrooms across the state,
thanks to the vision of Arkansas Children’s
Hospital and the investment from the
Blue & You Foundation. Arkansas teachers
can learn more by calling 501-364-9916 or
emailing naturalwonders@archildrens.org.
110,702
STUDENTS
*
numbers from October 2014
93,482
PHYSICAL
ACTIVITY BREAKS
Winter 2015 BLUE & YOU 11 7

Lavinda
Counce
Fitness
Never Looked
MORE FUN
ucked away in the back of a Jonesboro
wellness center is a small rectangular
workout room with floor-to-ceiling
mirrors lining the walls. It’s here
you’ll find 90-year-old Lavinda
Counce — every Monday, Wednesday
and Friday — working out with
20 or 30 of her SilverSneakers ®
Fitness Program classmates.
On Wednesday, September 10, though,
class was a little different. The NEA
Baptist Clinic Wellness Center was filled
with friends, family and classmates,
all there to celebrate Lavinda being
awarded the state’s 2014 Richard L.
Swanson Inspiration Award.
Kara Fowler, fitness coordinator and
senior advisor at the wellness center,
described Lavinda as an inspiration
and a model SilverSneakers student.
12 BLUE & YOU Winter 2015

I would probably be in a
wheelchair without SilverSneakers
–Lavinda Counce
“I wish for nothing more
than for everyone to be
as active, energetic and
sweet as Lavinda,” Fowler
said. “But I also want
people to see the difference
that exercise and the
SilverSneakers group have
made in her life.”
Nearly eight years ago,
Lavinda fell on a staircase
and broke her leg. Instead
of moping in misfortune,
she committed herself to a
full recovery. One year later,
Lavinda was in Fowler’s
SilverSneakers classes.
“She has more strength,
energy and spunk than
many of the 65-year-old
rookies in my class,” Fowler
said of the 90-year old.
Lavinda’s near-perfect
attendance and enthusiasm
for exercise were both factors
in her Swanson award. But
it’s not perfect attendance or
awards that motivate her. It’s
all about how she feels at the
end of the day.
“I would probably be in
a wheelchair without
SilverSneakers,” said
Lavinda. “At home, you
don’t get as much exercise.
Here, I get to be with friends. I
get exercise. It’s a great place.”
On that particular warm
afternoon, Lavinda and her
classmates smile, chitchat
and enjoy lunch together.
When the remarks are read,
the final piece of celebratory
cake finished and family and
friends all depart, the NEA
Baptist SilverSneakers class
folds up the excess chairs,
puts away leftover food
and turns on some tunes.
Time for 45-minutes of
SilverSneakers exercise.
It is a Wednesday, after all.
THE
DREAMTEAM
For more information on
SilverSneakers, call 1-888-423-4632,
or visit silversneakers.com.
The NEA Baptist Clinic Wellness Center in Jonesboro
is getting used to the flashbulbs of the paparazzi.
Lavinda is the state’s second consecutive
Richard L. Swanson Inspiration Award winner
from that class of 20-30 people. Last year, Betty Foster
was crowned the winner. Talk about a Dream Team!
SilverSneakers ® is a registered mark of
Healthways, Inc. The SilverSneakers ® Fitness
Program is provided by Healthways, Inc.,
an independent company that operates
separately from Arkansas Blue Cross
and Blue Shield.
Winter 2015 BLUE & YOU
13

DON’T BE A DANGER ON THE ROAD!
If you haven’t made a resolution for 2015, consider this one:
“I will not be distracted while driving.”
In 2011, the National Highway Traffic Safety Administration began
collecting data on distraction-affected crashes. The following year, more
than 400,000 people were injured and 33,500 were killed because of
a distracted driver. At Arkansas Blue Cross and Blue Shield, we want
you to be safe, for your own health and the health of others.
WHAT is distracted driving?
Distracted driving is simple. If you’re not 100 percent focused on driving,
you’re distracted. There are three types of distractions:
According
to the CDC,
distracted driving
is a global public
health problem.
COGNITIVE
VISUAL
MANUAL
These distractions take your mind off the task of
driving, like talking to a passenger or someone on a
cell phone (even hands-free phones are problematic).
These distractions take your eyes off the road,
like Christmas lights, children in the back seat,
watching a video or reading a map.
These distractions take your hands off the wheel,
like eating, grooming, digging through a purse
or adjusting the radio.
14 BLUE & YOU Winter 2015

THE MOST DANGEROUS DISTRACTION
Texting is one of the most dangerous
things you can do behind the wheel
because it involves all three types
of distractions simultaneously. Your
attention is turned to communicating,
your eyes are focused on a small
screen, and your hand(s) are off the
wheel. Engaging in this kind of visualmanual
subtask increases your risk of
getting into a crash by three times!*
THE TRUTH ABOUT CELL
PHONES AND DRIVING
People talking on cell phones
or sending text messages
cause more than one out of
every four accidents.**
Brain activity associated with
driving is reduced by 37 percent
when using a cell phone.***
Sending or reading a text takes
your eyes off the road for five
seconds. At 55 miles per hour, that’s
like driving the length of an entire
football field, blindfolded.**
LAWS IN
ARKANSAS
Besides accidents, distracted driving can
have other expensive consequences. In
the state of Arkansas, any driver can be
pulled over for texting, as well as any
driver age 18-20 that’s seen using a handheld
device. Further, if a driver under age
18 is pulled over for speeding or another
violation and is found to be using a cell
phone, he or she can receive a ticket for
that as well. It’s just not worth it!
WHAT YOU CAN DO
Pledge to not drive distracted. Turn your cell phone
off when you turn the ignition on, let your passengers
do some of the work so you’re not multi-tasking, and
save the serious conversations for later. Removing
distractions will allow you to prioritize safety.
Speak up! At any given daylight moment, more than
660,000 drivers are using a hand-held device.** If you’re
in the car with one of these people, gently remind him or
her of the dangers of being distracted. It could save a life.
Be a good example. Sixteen percent of all distracted
driving crashes are caused by drivers under age 20.**
These inexperienced drivers are most at risk and can
benefit from watching seasoned drivers treat driving as
the serious responsibility it is.
For more information, visit distraction.gov, the official
U.S. government website for distracted driving.
SOURCES
*Virginia Tech Transportation Institute
**National Highway Traffic Safety Administration
***Carnegie Mellon University
Winter 2015 BLUE & YOU
15

The holidays have come and gone … the extra
pounds have come and not gone … and it’s cold
and dreary outside. If you are hungry for comfort
food but don’t want to ruin your resolution to eat
healthier, this zesty chicken chili recipe from the
crew at the Green Leaf Grill is great for watching
a football game on a lazy Sunday or for coming
home to after a long, cold day at work.
Prep Time: 10 minutes
Cook Time: 4-6 hours
Yield: Serves 6
Ingredients:
Directions:
1. Combine all ingredients
but the chicken and cilantro
in the slow cooker (crock
pot). Stir until combined.
Place uncooked chicken
on top of the mixture and
cover. Cook on low for six
hours or on high for four
hours, stirring occasionally.
Chicken Taco Chili
2. Thirty minutes before
serving, pull chicken
breasts apart with two
forks. Stir and continue
cooking. Top with fresh
cilantro or any other
desired toppings.
Serving size 1 1/2 cups.
Nutrition Facts:
– 297 calories – 22.7 g. protein – 1.7 g. fat
– 15.6 g. fiber – 8.7 g. sugar – 1,314 mg. sodium
– 0.2 g. saturated fat – 50.5 g. carbohydrate
• 1 16-ounce can black beans, drained
• 1 16-ounce can kidney beans, drained
• 2 garlic cloves, minced
• 1 medium onion, chopped
• 1 jalapeno pepper, minced
• 1 green bell pepper, chopped
• 10-ounce package (1 1/4 cups)
frozen corn kernels
• 1 8-ounce can tomato sauce
• 1 28-ounce can diced tomatoes, drained
• 1 tablespoon cumin
• 1 tablespoon chili powder
• 1 teaspoon dried oregano
• 1 teaspoon kosher salt
• 1/2 teaspoon freshly ground pepper
• 2 boneless, skinless chicken breasts,
uncooked
• 1/4 cup chopped fresh cilantro (optional)
Optional toppings: Additional cilantro,
shredded cheese, chopped scallions, red
onion, fat-free sour cream or Greek yogurt.
16
BLUE & YOU Winter 2015
The Green Leaf Grill is a restaurant located
on the first floor of the Arkansas Blue Cross
and Blue Shield building at Sixth and
Gaines in downtown Little Rock. It is a
full-service restaurant and open for
breakfast and lunch to the general public.

Get social
with us!
If you’d like to know more about upcoming events we
sponsor in the community, fitness-related information,
or even some motherly advice, be sure to like our
Facebook pages and follow us on Twitter!
Arkansas Blue Cross and Blue Shield has three profiles
in social media: as Arkansas Blue Cross, The Blue & You
Fitness Challenge and Mother Hood.
The Arkansas Blue Cross and Blue Shield
Facebook page is a community page
where we share and interact with our
friends, employees and members. When
you like us, you can be one of the first to
know about upcoming events, like kids’
parties at the Museum of Discovery, or
free tickets to shows at the Arkansas Arts
Center. To find us on Facebook search for
Arkansas Blue Cross and Blue Shield and
follow @ArkBlueCross on Twitter.
Mother Hood Is our “neighborhood”
where you can connect with other
moms, share your favorite
“play date” locations or even brag
ALL YOU WANT on your little one.
On Facebook and Twitter, you’ll find
useful articles, helpful tips, and even
information about consignment sales
or stroller-friendly walks. Search for
Mother Hood on Facebook and
@TheMother_Hood on Twitter.
If you are a fan of fitness, the
Blue & You Fitness Challenge starts
in March (see article on page 21)
and will keep you active all
year long. Just search Blue & You
Fitness Challenge on Facebook and
follow @BYChallengeAR on Twitter.
Whatever social media you use, feel free to send us
questions and comments. We love to hear from you!
Winter 2015 BLUE & YOU 17

Medication Options *
FOR 2015
FOR OUR STANDARD AND
VALUE FORMULARIES
KEY
Non-covered Medication – Use
• Similar, covered medications
Humalog/Humulin (insulin) – Diabetes
• Novolog/Novolin
Each year Arkansas Blue Cross and
Blue Shield reviews our drug benefit
plans and makes changes. As of
January 1, the non-covered medicines
below are only available at full price.
If one or more of your medications is
listed, the good news is that there are
other, lower-cost choices available.
Talk to your doctor about getting new
prescriptions for covered generic or
preferred brand options.
Apidra Solostar (insulin glulisine – rapid acting insulin) – Diabetes
• Novolog (insulin aspart – rapid acting insulin)
Byetta (exenatide) – Diabetes
• Bydureon (exenatide)
• Different formulation of exenatide
Onglyza (saxagliptin) and Kombiglyze (metformin/saxagliptin) – Diabetes
• Januvia (sitagliptin), Tradjenta (linagliptin)
• Janumet or Janumet XR (metformin/sitagliptin)
• Jentadueto (metformin/linagliptin)
Jalyn (dutasteride/tamsulosin) – BPH
• Finasteride or Avodart (dutasteride) with tamsulosin, alfuzosin, doxazosin, terazosin, or Rapaflo
Ventolin HFA (albuterol ) and Xopenex HFA (levalbuterol) – Rescue inhaler for asthma
• ProAir
Alvesco (ciclesonide) – Inhaled steroid for asthma
• Asmanex, Flovent, Pulmicort Flexhaler, Qvar
Symbicort (budesonide/formoterol) – Combination steroid and long acting beta agonist for asthma
• Advair, Dulera
18 BLUE & YOU Winter 2015

Drug Benefit Plan Tier Changes *
Our job at Arkansas Blue Cross and Blue Shield is to make certain you get safe
and effective medicine at the lowest possible cost. This year we have included
more generics and preferred medications to our benefit plans’ drug lists. Because
of this, we ask some members to consider these medications to help keep their
costs low. Starting January 1, the following medicines will cost more at the pharmacy,
but because there now are lower-cost options available:
• Enjuvia — Hormone replacement • Combipatch — Hormone replacement
• Cenestin — Hormone replacement • Zovirax cream — Topical antiviral
If you take one of these medications, we encourage you and your doctor to consider
changing to a preferred or generic medicine.
Several other medications have become preferred medications and will be available
at a lower copayment:
• Crestor – cholesterol
• Dexilant – Acid reflux
• Lyrica – Nerve pain
• Focalin XR – ADHD
• Synthroid – Thyroid
• Celebrex – NSAID
• Chantix – Smoking cessation
*These changes do not impact Medicare Part D prescription,
Metallic plans or plans that use a different pharmacy vendor.
Qnasl (beclomethasone) and Veramyst (fluticasone) – Nasal steroid for allergies
• Flunisolide, fluticasone, triamcinolone, Nasonex
Androgel and Testim (testosterone) – Testosterone replacement
• Androderm, Axiron, Fortesta
Livalo (pitavastain) – Cholesterol
• Atorvastatin, fluvastatin, lovastatin, pravastatin, simvastatin, Crestor, Simcor, Vytorin
Lumigan (bimatoprost) – Glaucoma
• Latanoprost, travoprost, Travatan Z, Zioptan
Prevacid SoluTab (lansoprazole) – Acid reflux
• Nexium, Dexilant, lansoprazole, omeprazole, pantoprazole
Asacol (mesalamine) – Inflammatory bowel disease and ulcerative colitis
• Balsalazide, sulfasalazine, Apriso, Lialda, Pentasa
Adderall XR (amphetamine-dextroamphetamine salts XR) – ADHD
• Generic available
Rebif (interferon Beta-1a) – Multiple sclerosis
• Avonex, Copaxone, Extavia, Gilenya, Tecfidera
If you have questions or need
additional information, please
call 1-800-863-5561.
Winter 2015 BLUE & YOU
19

NEWS
Boo with Blue Halloween party draws 600
Halloween got an early start in 2014
as more than 600 parents and children
joined Arkansas Blue Cross and
Blue Shield at the “Boo with Blue”
Halloween party at the Museum of
Discovery in Little Rock, October 10.
The museum was filled with ghosts,
goblins and vampires as well as
cheerleaders and princesses. Many of
the costumed families took part in the
costume parade and were judged by
Arkansas Blue Cross volunteers. Prizes
were awarded for the best costumes
in six different categories. Partygoers
also enjoyed a dance party, trick-ortreating,
crafts and a ‘scary’ movie.
The event was free to Arkansas
Blue Cross members and nonmembers
could pick up free
tickets at any of our ArkansasBlue
retail store locations. Watch Blue
& You magazine, our websites
and Facebook for information on
upcoming events.
18 20 BLUE & YOU Winter 2015
Arkansas Blue Cross took part in “The
Happiest 5K on the Planet!” by sponsoring
the blue color zone at The Color Run
Little Rock held in the River Market on
November 8. More than 5,000 fearless
race participants were sprayed with our
favorite color…blue. Arkansas Blue Cross
also hosted a booth in the Finish Festival
and gave runners shoelaces and water.

2015 Blue & You Fitness Challenge
Resolving to get fit? Then register for the Blue & You
Fitness Challenge! Individual registration began
January 2. It’s the perfect time to make a commitment!
The Challenge is an annual three-month physical
activity contest designed to encourage healthy living by
exercising 30 minutes each day, most days of the week.
The Challenge kicks off March 1, 2015, which gives
you time to register. To get more information, visit
blueandyoufitnesschallenge-ark.com.
THINK
PINK!
Arkansas Blue Cross and Blue Shield is proud
each year to turn from blue to pink in honor of
the Susan G. Komen Race for the Cure. Not only
are we the largest corporate team at the race in
Little Rock, but we hand out thousands of gifts
to the participants and provide water along the
way. We also celebrate our employees who are
survivors. It’s our way of “living fearlessly” as we
support the search for a cure to breast cancer.
Winter 2015 BLUE & YOU 21

The Blue & You Foundation
By the numb3rs
Arkansas Blue Cross and Blue Shield is so
committed to the health of all Arkansans
that we created a foundation to focus on our
mission to help Arkansans be healthier.
Here is an overview of the
Foundation, by the numbers:
2001 – Year established
501(c)(3) – The Foundation’s non-profit status
$45 million – Amount invested by Arkansas
Blue Cross in the Foundation
2 – Employees dedicated to the Foundation
$56 million – Current assets in Foundation
(grows through investment returns)
5% – Percentage of assets required by IRS to be
distributed each year in grants
$2 million – Average amount given in grants each year
13 – Years of grant making
$22 million – Awarded in grants so far
$5,000 to $150,000 – Size of individual grants made
$1,000 – Mini grants available (Jan – March)
1,700 – Number of applications received (and read)
4 – Evaluators who read and score each application
7 – Board members who select the grant recipients
1 in 4 – Average number of grants funded
584 – Health-improvement projects
funded (grants awarded)
91% – Arkansas counties that have received
a grant (68 of 75)
122 – Number of cities in Arkansas that have
received grants
202 – Applicants considered in latest cycle
$2.6 million – Grant funding awarded in latest cycle
7/15/15 – Date when applications are due for next
funding cycle
The Blue & You Foundation for a Healthier
Arkansas makes grants to nonprofit
organizations, governmental agencies, and
public schools and churches to help support
health-improvement programs in Arkansas.
The Foundation has created a perpetual
source of funding that is not subject to the
ups and downs of the enterprise’s financial
results and external environmental factors.
This ensures a lasting commitment to the
state and the health of its citizens.
Blue & You Foundation
recognized by UAMS
for contributions
to medical education
The Blue & You Foundation recently
was inducted into the “Society of
the Double Helix” by the University
of Arkansas for Medical Sciences
(UAMS). The award, which mimics
the double helix structure of the DNA
molecule, recognizes individuals and
organizations that have contributed
$100,000 or more to UAMS. The
funding goes toward UAMS’s mission
to improve the health, health care and
well-being of Arkansans and others in
the region, nation and the world by
educating current and future health
professionals and the public.
Patrick O’Sullivan,
Executive Director
Blue & You Foundation
22 BLUE & YOU Winter 2015

Pregnant women at higher risk of complications from the flu
If you are pregnant, you may be hesitant to get a
flu shot, but the Centers for Disease Control and
Prevention (CDC) says the risk from the flu is
much higher for you and your baby. Here’s why.
A recent study from Stanford University found that
while it was previously thought that a woman’s
immune system weakened during pregnancy,
exposure to the flu virus actually created a much
stronger response than normal. And while that
might sound good, these same immune cells
create even more inflammation in the lungs,
which makes it hard to breathe. Pregnant women
are more likely to become very ill if they get the
flu, which is why the traditional flu shot is
recommended for pregnant women.
CUSTOMER SERVICE NUMBERS
May we help?
For customer service, please call:
TOLL FREE Number
Medi-Pak ® members 1-800-338-2312
Medi-Pak ® Advantage members 1-877-233-7022
Medi-Pak ® Rx members 1-866-390-3369
Arkansas Blue Cross members 1-800-238-8379
• Pharmacy questions 1-800-863-5561
• Specialty Rx pharmacy questions 1-866-295-2779
Arkansas Blue Cross Metallic members
(Gold, Silver, Bronze, Catastrophic) 1-800-800-4298
• Pharmacy questions 1-800-969-3983
Health Advantage members 1-800-843-1329
• Pharmacy questions 1-800-863-5567
BlueAdvantage members 1-888-872-2531
• Pharmacy questions 1-888-293-3748
Federal Employee members 1-800-482-6655
Looking for health or dental insurance? We can help!
For individuals, families 1-800-392-2583
For employer groups* 1-800-421-1112
*Arkansas Blue Cross, Health Advantage and BlueAdvantage Administrators of Arkansas
PAY YOUR *
B I L L
To pay by phone*, please call 1-800-354-9904
Prefer to speak with someone close to home?
Call or visit one of our offices near you:
• ArkansasBlue — Little Rock
2612 S. Shackleford Rd., Suite J 1-501-378-2222
• Fayetteville
516 East Millsap Rd., Suite 103 1-800-817-7726
• Fort Smith
3501 Old Greenwood Rd., Suite 5 1-866-254-9117
• ArkansasBlue — Hot Springs
1635 Higdon Ferry Rd. – Suite J 1-800-588-5733
• Jonesboro
707 East Matthews Ave. 1-800-299-4124
• Little Rock
601 S. Gaines Street 1-800-421-1112
• ArkansasBlue — Pine Bluff
509 Mallard Loop Drive 1-800-236-0369
• Texarkana
1710 Arkansas Boulevard 1-800-470-9621
Visit our websites for more information:
arkansasbluecross.com • healthadvantage-hmo.com
blueadvantagearkansas.com
blueandyoufoundationarkansas.org
Medicare Advantage and Prescription Drug plan product members must call Customer
Service to discuss available payment options. Health Advantage conversion plans are
not eligible for online, mobile or pay-by-phone payment option.
Winter 2015 BLUE & YOU
23

aSHOW
and you
for
get in
FREE!
you can
see,
Dr. Seuss is coming to the
Children’s Theatre at the
Arkansas Arts Center! Plan
now to pick up your free
tickets to a special showing
of “The Cat in the Hat” at
4 p.m. on Sunday, March
9. Complimentary tickets
will be available for pickup
starting February 1 at any
ArkansasBlue location (Little
Rock, Hot Springs or Pine
Bluff). Arkansas Blue Cross
and Blue Shield is proud to
sponsor the arts in Arkansas!
Oh the things you can find,
if you don’t stay behind! – Dr. Seuss
MPI 3152 1/15