Blue & You - Summer 2011

BlueCares team reaches out to storm victims; Why our doctors are good for you; Program helps children; SilverSneakers blends cultures, creates friendships with asthma

BlueCares team reaches out to storm victims;
Why our doctors are good for you; Program helps children;
SilverSneakers blends cultures, creates friendships with asthma


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<strong>Summer</strong> 11<br />

A publication for the policyholders of<br />

the Arkansas <strong>Blue</strong> Cross and <strong>Blue</strong> Shield<br />

family of companies<br />

• Why our doctors are<br />

good for you, Page 6<br />

• Program helps children<br />

with asthma, Page 16<br />

<strong>Blue</strong>Cares team<br />

reaches out to storm<br />

victims, Page 22

Sachiko Halter of<br />

Conway gracefully<br />

performs tai chi,<br />

one of several<br />

exercise classes<br />

she enjoys through<br />

the SilverSneakers<br />

program.<br />

on Page 10<br />

On the Cover:<br />

<strong>Blue</strong>Cares — Arkansas <strong>Blue</strong> Cross and <strong>Blue</strong> Shield<br />

employees serve food to victims and workers after the<br />

storms that hit Vilonia, Ark., in recent weeks. See the<br />

story on Page 22.<br />

INSIDE<br />

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4<br />

5<br />

6<br />

9<br />

10<br />

12<br />

14<br />

15<br />

16<br />

17<br />

18<br />

19<br />

20<br />

22<br />

24<br />

26<br />

27<br />

28<br />

Out of the <strong>Blue</strong><br />

Personal Health Statements coming to<br />

Health Advantage members<br />

Individual plan prescription drug benefits change<br />

Why our doctors are good for you<br />

NSAIDs shouldn’t be taken after heart attack<br />

Store dabigatran in original container<br />

SilverSneakers blends cultures, creates friendships<br />

Lifelong Health with Dr. David<br />

Are teens fretting about Facebook?<br />

Lose weight The Healthy Weigh!<br />

Baby on Board: Use rear-facing car safety seats<br />

at least until age 2<br />

New education program helps children with asthma<br />

breathe easier<br />

Individual/family policies can make changes<br />

in October<br />

$1,000 health-improvement grants go fast<br />

From the Pharmacist — FDA decision removes<br />

unapproved drugs from market<br />

Alternatives to treating colic<br />

The Doctor’s Corner<br />

Employees rally to serve after storms<br />

<strong>Blue</strong> News<br />

Financial Information Privacy Notice<br />

Customer Service telephone numbers<br />

Good for you<br />

<strong>Summer</strong> 11<br />

is published four times a year by<br />

Arkansas <strong>Blue</strong> Cross and <strong>Blue</strong> Shield for<br />

the company’s members, health care<br />

professionals and other persons<br />

interested in health care and wellness.<br />

Editor: Kelly Whitehorn — bnyou-ed@arkbluecross.com<br />

Assistant Editor: Jennifer Gordon<br />

Designer: Gio Bruno Photographer: Chip Bayer<br />

Contributors: Chip Bayer, Matthew Creasman, Damona Fisher, Kristy Fleming,<br />

Trey Hankins, Heather Iacobacci-Miller, Ryan Kravitz, Kathy Luzietti and<br />

Mark Morehead<br />

Vice President, Communications and Product Development: Karen Raley

Out of the<br />

<strong>Blue</strong><br />

A message from our<br />

CEO and President,<br />

Mark White<br />

Corporate social responsibility in<br />

difficult times<br />

The devastation from numerous tornadoes, ongoing<br />

storms and massive flooding throughout Arkansas this<br />

spring was horrific, but the actions of so many in the<br />

following days and weeks reaffirmed to me one of the<br />

great things about Arkansans … we support each other<br />

and work together in times of need.<br />

At Arkansas <strong>Blue</strong> Cross and <strong>Blue</strong> Shield, compassion<br />

is part of our culture; our employees not only take care<br />

of each other in difficult times, but they seek out opportunities<br />

to help causes around the globe. And, when<br />

it is our own communities that are in need, our employees<br />

embrace that mission with even more passion.<br />

Corporate social responsibility means that what<br />

is good for a community is good for business. It’s a<br />

“shared value.” Businesses have a vested interest in<br />

doing what’s best for their communities, whether it be<br />

through financial support, volunteer work or just being<br />

there in times of need. And, when the needs of the<br />

community and business objectives align … it’s good<br />

for everyone.<br />

During this last natural disaster in our state, some<br />

of our own employees suffered damage or lost their<br />

homes. As our employees reached out to them, we<br />

reached out to our members as well.<br />

Arkansas <strong>Blue</strong> Cross helped those hurt by the storms<br />

by waiving prescription costs for our members who<br />

were storm victims and whose pharmacy benefit plan<br />

is managed by Arkansas <strong>Blue</strong> Cross. A number of our<br />

employees served lunch to volunteers helping Vilonia<br />

citizens recovering from the tornadoes. And, our<br />

employees reached deep into their own wallets and<br />

donated to a relief fund for the Arkansas Chapter of the<br />

American Red Cross.<br />

Being a good corporate citizen also means finding<br />

ways to improve our communities on a daily basis,<br />

promoting health and wellness activities among our<br />

citizens, and encouraging positive behaviors through<br />

programs that support our members in their healthy<br />

lifestyles. We are proud of projects like The Medical<br />

Mile in Little Rock’s Riverfront Park and our ongoing<br />

<strong>Blue</strong> & <strong>You</strong> Fitness Challenge, which engages thousands<br />

of participants each year.<br />

Just because we say we are a company that values<br />

social responsibility doesn’t make it so … we must continually<br />

monitor our engagement to be certain that our<br />

actions reflect our values. We share our commitment to<br />

our local communities through grants from the <strong>Blue</strong> &<br />

<strong>You</strong> Foundation for a Healthier Arkansas, by investing in<br />

Responsibility, continued on Page 4<br />

3<br />

<strong>Blue</strong> & <strong>You</strong> <strong>Summer</strong> <strong>2011</strong>

Responsibility, continued from Page 3<br />

our health care system through supporting the education<br />

of future physicians at the University of Arkansas have a need you think the <strong>Blue</strong>Cares team can help<br />

ing a hand in communities throughout Arkansas. If you<br />

for Medical Sciences, and through our Enterprise with, feel free to contact us.<br />

Employees’ Committee (an internal group consisting of Here’s hoping we are blessed the rest of this year<br />

our own employees), which finds opportunities for our with blue skies and gentle rain showers. However, if<br />

employees to serve the community through fundraisers,<br />

food drives and special events.<br />

is some other emergency, I know the folks at Arkansas<br />

the storms make their way back to our state, or there<br />

In the next few months, you may hear about a group <strong>Blue</strong> Cross will be ready and willing to do what we can<br />

of employees from Arkansas <strong>Blue</strong> Cross called the to help our neighbors and our communities. Because at<br />

<strong>Blue</strong>Cares team. These highly motivated individuals are Arkansas <strong>Blue</strong> Cross, that’s what we do. And it’s good<br />

dedicated to helping whenever and wherever they are for all of us.<br />

needed. They will be at fund-raising events and lend-<br />

4<br />

Personal Health Statements<br />

coming to Health Advantage members<br />

Health Advantage members will see a different<br />

communication on their health care benefits beginning<br />

this summer with the upgrade to the new Personal<br />

Health Statement (PHS).<br />

The PHS replaces the Explanation of Benefits (EOB),<br />

which was generated every time we received a claim<br />

from your doctor or hospital. The PHS is more comprehensive<br />

than the EOB and designed to make claims<br />

processing easier to understand.<br />

The PHS includes:<br />

• A better description of the discounts you receive on<br />

your health care services.<br />

• Information on how to get in touch with us.<br />

• A quick understanding of how much you owe<br />

and to whom.<br />

• A section that shows you your personal health benefits<br />

and tracks where you are in meeting deductibles<br />

and out-of-pocket maximums.<br />

Pharmacy information has been added, including<br />

generic medications recommendations. Other features<br />

on the new PHS are personal health messages and<br />

reminders to get health screenings.<br />

The new PHS will be issued two times a month<br />

instead of every time a claim is filed. If you only have<br />

pharmacy claims during a month, the PHS will be<br />

issued quarterly.<br />

Members still have the option to confidentially view<br />

their PHS electronically. To sign up for a notification<br />

e-mail when a new PHS is generated, you can go online<br />

and sign up through the My <strong>Blue</strong>print member selfservice<br />

center.<br />

<strong>Blue</strong> & <strong>You</strong> <strong>Summer</strong> <strong>2011</strong>

Prescription drug benefits change<br />

on individual health plan<br />

5<br />

Customer feedback has led<br />

to an exciting change in prescription<br />

drug benefits for some of our<br />

policyholders. Arkansas <strong>Blue</strong> Cross<br />

and <strong>Blue</strong> Shield modified the prescription<br />

drug benefit on its Comprehensive<br />

<strong>Blue</strong> PPO III health plan,<br />

effective May 1, <strong>2011</strong>.<br />

A popular feature for members,<br />

the $10 copayment for generic<br />

medications on the plan’s drug list<br />

or “formulary,” remains the same.<br />

However, members began paying<br />

a flat copayment amount for<br />

other prescription medications on<br />

the drug list rather than paying the<br />

previously required deductible and<br />

coinsurance:<br />

• $35 copayment for preferred<br />

brand-name prescription drugs.<br />

• $70 copayment for non-preferred<br />

brand-name drugs.<br />

The prescription drug list remains<br />

the same, as do monthly premiums.<br />

Members will continue to use their<br />

current member ID card and have<br />

their prescriptions filled the<br />

same way.<br />

“We are pleased to offer this benefit<br />

enhancement for individuals and<br />

families,” said Ron DeBerry, senior<br />

vice president of Statewide Business.<br />

“This health plan has been<br />

available since Jan. 1, <strong>2011</strong>. And,<br />

because it is a new plan, Arkansas<br />

<strong>Blue</strong> Cross reviewed all of our<br />

members’ prescription claims —<br />

back to January 1, or their original<br />

effective date — to ensure they had<br />

not paid out more with the old drug<br />

benefit than they would have with<br />

the new drug benefit structure. For<br />

those who had paid out more, we<br />

issued a refund.”<br />

Members who have questions<br />

about the prescription drug benefit<br />

change, may call Customer Service<br />

at 1-800-863-5561.<br />

For more information about health<br />

plans for individuals and families,<br />

visit arkansasbluecross.com or call<br />

1-800-392-2583.<br />

<strong>Blue</strong> & <strong>You</strong> <strong>Summer</strong> <strong>2011</strong>

Why our doctors are<br />

good for you<br />

6<br />

The Arkansas <strong>Blue</strong> Cross and <strong>Blue</strong> Shield Medical<br />

Management Division recently reorganized to intensify<br />

our focus on quality. Why? Because quality health care<br />

Our Medical<br />

Management<br />

Division is led by 13<br />

physicians. For a breakdown<br />

of their titles, locations and<br />

specialties, see the legend on the<br />

following page.<br />

improves our members’ quality of life.<br />

What is quality health care? It is care that helps you<br />

protect your health by promoting a healthy lifestyle and<br />

provides you with treatments that are proven to be effective<br />

through the course of your lifetime. Quality care<br />

is efficient care that does<br />

more than sustain life — it<br />

makes life<br />

better<br />

for you<br />

and your<br />

loved<br />

ones.<br />

Focusing<br />

on<br />

Quality<br />

“The goal<br />

of every<br />

doctor and<br />

hospital is to<br />

provide quality<br />

health care,<br />

which can be<br />

defined as the<br />

right evaluation and<br />

treatment at the right<br />

time done the right<br />

way in the right setting,”<br />

said Robert Griffin,<br />

M.D., senior vice president<br />

and chief medical officer<br />

for Arkansas <strong>Blue</strong> Cross. “The<br />

goal for Arkansas <strong>Blue</strong> Cross is<br />

<strong>Blue</strong> & <strong>You</strong> <strong>Summer</strong> <strong>2011</strong>

to provide doctors and hospitals with the support they<br />

need to attain those goals, by analyzing the barriers that<br />

may keep patients from getting the care they need, and<br />

then proposing and assisting with strategies to overcome<br />

the barriers.”<br />

An example where health plans may be able to<br />

help, Dr. Griffin said, is cardiac rehabilitation programs,<br />

Quality health<br />

care helps you<br />

protect your health<br />

by promoting a<br />

healthy lifestyle<br />

and provides you<br />

with treatments<br />

that are proven to<br />

be effective over<br />

the course of your<br />

which provide education<br />

and support to improve fitness,<br />

diet, cholesterol and<br />

stress management after a<br />

cardiac event. According to<br />

the Centers for Medicare &<br />

Medicaid Services (CMS),<br />

nationally fewer than 20 percent<br />

of patients who qualify<br />

for cardiac rehab actually do<br />

it. Women participate at an<br />

even lower rate.<br />

“What we know is, if you do cardiac rehab, you are<br />

less likely to have another cardiac event within the next<br />

few years,” Dr. Griffin said. In fact, he added, a Kaiser<br />

Family Foundation report showed that in a 10-year, allcost<br />

survival study, people who did cardiac rehab had a<br />

much better chance of survival for more than 10 years<br />

than those who didn’t. By looking at possible barriers<br />

keeping people from participating in cardiac rehab, Dr.<br />

Griffin said, Arkansas <strong>Blue</strong> Cross may be able to find<br />

ways to improve participation, especially among women.<br />

“We would be improving quality of care and quality<br />

of life while reducing overall costs at the same time,”<br />

he said.<br />

lifetime.<br />

Examining the Data<br />

The Medical Management Division at Arkansas <strong>Blue</strong><br />

Cross also helps you and your doctors by providing the<br />

latest health and medical data available. Arkansas <strong>Blue</strong><br />

Cross accesses national data through the <strong>Blue</strong> Cross<br />

and <strong>Blue</strong> Shield Association’s Technology Evaluation<br />

Center (TEC), <strong>Blue</strong> Health Intelligence (BHI), and shares<br />

8<br />

9<br />

3<br />

10<br />

4<br />

1<br />

Our medical team, including their titles, locations and specialties:<br />

1. James Adamson, M.D., medical officer for National Accounts, Little<br />

Rock (pulmonary disease); 2. Robert Griffin, M.D., chief medical officer,<br />

Little Rock (general surgery); 3. Kimberly Davis, M.D., medical director,<br />

Pine Bluff (family medicine); 4. Sidney P. Hayes, M.D., Medicare medical<br />

director, North Little Rock (pulmonary disease); 5. Connie Meeks,<br />

M.D., corporate medical director for Internal Affairs, Little Rock (family<br />

medicine); 6. Mike Martin, M.D., medical director, Texarkana and Hot<br />

Springs (internal medicine); 7. Cygnet Schroeder, D.O., medical director,<br />

Fort Smith (physical medicine); 8. Al Thomas, M.D., medical director,<br />

Little Rock (ophthalmology); 9. Vic Snyder, M.D., corporate medical<br />

director for External Affairs, Little Rock (family medicine); 10. Clement<br />

Fox, M.D., medical director for Health Advantage and central Arkansas,<br />

Little Rock (pulmonary disease); 11. Bert Price, M.D., medical director,<br />

Jonesboro (psychiatry); 12. Raymond Bredfeldt, M.D., medical director,<br />

Fayetteville (family medicine); 13. Roberta Monson, M.D., medical<br />

director, Little Rock (internal medicine/infectious disease).<br />

information on the <strong>Blue</strong> Distinction Centers for<br />

Specialty Care ® .<br />

5<br />

TEC is one of only 14 centers selected by the federal<br />

Agency for Healthcare Research and Quality (AHRQ)<br />

to assess the effectiveness and safety of medical<br />

procedures, devices or drugs based on evidence.<br />

TEC provides objective information based on clinical<br />

and scientific evidence. The assessments answer the<br />

important question of whether a technology’s benefits<br />

exceed its harms. Knowing which treatments work best<br />

helps ensure you receive the safest, most effective<br />

care available.<br />

BHI is the nation’s largest health care claims database,<br />

developed by participating <strong>Blue</strong> Cross and <strong>Blue</strong><br />

Shield companies. BHI provides insight into health care<br />

trends and best practices but removes all personal<br />

information from the data. Through BHI, an employer<br />

could learn that his employees are collectively at a<br />

11<br />

6<br />

12<br />

<strong>Blue</strong> & <strong>You</strong> <strong>Summer</strong> <strong>2011</strong><br />

2<br />

7<br />

13<br />


8<br />

high risk for back injuries, and could use that information<br />

to put better safety measures in place. In the<br />

future, doctors could use the information to determine<br />

best practices for specific health issues and individuals<br />

could learn which health concerns are highest in their<br />

geographical area.<br />

<strong>Blue</strong> Distinction ® is a designation awarded to medical<br />

facilities that have demonstrated expertise in delivering<br />

quality health care. Its goal is to help members find<br />

quality specialty care while encouraging health care<br />

professionals to improve the overall quality and delivery<br />

of care nationwide. The six specialty areas of care are:<br />

• Bariatric surgery<br />

• Cardiac care<br />

• Complex and rare cancers<br />

• Knee and hip replacement<br />

• Spine surgery<br />

• Transplants<br />

Playing to Strengths<br />

Part of Medical Management’s realignment involves<br />

playing to the strengths already available within the<br />

staff, Dr. Griffin said. “We have tremendous talent with<br />

our regional medical directors,” Dr. Griffin said, explaining<br />

that each one has a specialty, and while they have<br />

oversight of the medical activities within their geographic<br />

region and have established relationships with<br />

physicians and facilities locally, they periodically share<br />

their expertise with providers and facilities in counties<br />

outside their region. (The medical directors, and their<br />

specialties, are listed in the photo on the previous page.)<br />

Enhancing Case Management<br />

If you are healthy, you may not be aware of the case<br />

managers who work at Arkansas <strong>Blue</strong> Cross, but if you<br />

develop a severe illness or have a catastrophic health<br />

issue, you can be sure one of them will be there if you<br />

need assistance. Arkansas <strong>Blue</strong> Cross case managers<br />

are there to help you as you move from a hospital to a<br />

rehabilitation facility or back home. They help you to better<br />

understand your condition and what you can do to<br />

improve your health status. They can help you set shortterm<br />

and long-term goals and to track your progress<br />

toward those goals. They will work with your physician<br />

and your caregiver to help support your individual care<br />

plan and they will help you plan to get the most out of<br />

your office visit by developing specific questions for<br />

your physician before your visit. However, they cannot<br />

provide specific medical advice or treatment.<br />

Case managers are located in each regional office<br />

and at the main office in Little Rock. If you feel you<br />

need assistance through case management and we<br />

have not contacted you, you can reach a case manager<br />

through your regional office. Originally, case managers<br />

focused only on a geographical area, but under the new<br />

realignment of medical management, some specialized<br />

case managers will be available to share their expertise<br />

across regions for members with a specific medical<br />

condition. “We may have a case manager in one region<br />

who is superb in dealing with neurological disorders,<br />

and we want to share that talent across the state,<br />

rather than having one region stronger in that area,” Dr.<br />

Griffin said.<br />

“A lot of people don’t know<br />

who we are or what we do,”<br />

said Rochelle Nix, a case manager<br />

in the Pine Bluff office.<br />

Rochelle’s recent work with<br />

a member who has multiple<br />

myeloma, a cancer of the blood,<br />

is a good example of how our case managers can help.<br />

“Jason” was overwhelmed by his diagnosis and the<br />

amount of medical terminology thrown at him, but Rochelle<br />

was able to explain the medical information and<br />

provide additional information on his medical coverage.<br />

Because Jason needed a stem cell transplant, Rochelle<br />

worked closely with the corporate transplant coordinator,<br />

who provided her with the details of the transplant.<br />

Rochelle then was able to explain it to Jason. Later,<br />

Rochelle<br />

Nix<br />

<strong>Blue</strong> & <strong>You</strong> <strong>Summer</strong> <strong>2011</strong>

after Jason told Rochelle he was confused by all the<br />

bills he was receiving, Rochelle asked him to drop them<br />

off at the regional office, and the office staff created<br />

a spread sheet for him that showed which bills were<br />

under the transplant global reimbursement and which<br />

were not.<br />

The biggest change in Jason came when he started<br />

calling Rochelle to let her know that he already had handled<br />

a situation. She said he still needed the encouragement,<br />

but was confident enough, and understood the<br />

medical terminology enough, to handle it on his own.<br />

When he called to say he was in remission, the entire<br />

office cheered. Jason stops by the Pine Bluff office on<br />

occasion to visit his friends, which is who Rochelle and<br />

the others have become.<br />

Existing Programs<br />

Keeping you healthy isn’t anything new for Arkansas<br />

<strong>Blue</strong> Cross. Our health education programs offer<br />

expecting mothers guidance on getting ready for their<br />

newborns, and help adults and kids with chronic illnesses<br />

like diabetes and asthma. If you’re one of many who<br />

have low back pain, we can help there, too. And, if you<br />

haven’t already, check out our Web sites for discounts<br />

to fitness centers and weight-loss programs throughout<br />

the state. Arkansas <strong>Blue</strong> Cross is good for you no matter<br />

if you are healthy and want to stay that way, or need<br />

some help getting back into more healthy habits.<br />

Keeping <strong>You</strong> Well<br />

So, is wellness really an important part of Arkansas<br />

<strong>Blue</strong> Cross’ business? “A major portion of our national<br />

health care needs would not exist if people had a better<br />

diet, exercised appropriately, didn’t smoke or use tobacco<br />

products of any kind and only consumed alcohol<br />

in reasonable quantities,” said Dr. Griffin. “And, wellness<br />

improves the health status of our members. So, along<br />

with outstanding customer service and operations, we<br />

promote wellness. And that is another way we continue<br />

to be good for you.”<br />

Using nonsteroidal anti-inflammatory drugs<br />

(NSAIDs) — even for brief periods — after a heart attack<br />

increases your risk for another heart attack and death,<br />

according to a study in the American Heart Association<br />

journal, Circulation.<br />

Researchers in Denmark identified more than 80,000<br />

patients who’d been treated for a first heart attack and<br />

then studied the prescriptions they received afterward.<br />

More than 40 percent of patients received at least one<br />

prescription for an NSAID after their heart attacks.<br />

Risks of another heart attack or death were significantly<br />

higher during treatment with all NSAIDs, but<br />

Diclofenac (sold under the brand name Voltaren) had<br />

the greatest risk. Naproxen had the lowest risk.<br />

The authors say their results indicate, “there is no apparent<br />

safe therapeutic window” for NSAIDs in patients<br />

with a prior heart attack.<br />

NSAIDs<br />

shouldn’t be<br />

taken after<br />

heart<br />

attack<br />

Store dabigatran in<br />

original container<br />

If you take the medication dabigatran, also known<br />

by the brand name Pradaxa, you only should store it in<br />

its original container, according to the U.S. Food and<br />

Drug Administration (FDA). Dabigatran is an anticoagulant,<br />

which means it prevents blood clots.<br />

Dabigatran comes in bottles and in blister packets<br />

that seal out moisture. After the pills have been exposed<br />

to air, they must be used within 60 days. If you<br />

move the medication to a pill organizer or pill box, or<br />

take the pills out of the blister packet, the humidity in<br />

the air may cause it to lose its potency.<br />

9<br />

<strong>Blue</strong> & <strong>You</strong> <strong>Summer</strong> <strong>2011</strong>

SilverSneakers blends<br />

cultures, creates friendships<br />

10<br />

Sachiko Halter<br />

(foreground) and Alicia<br />

Kow (background)<br />

move through tai chi<br />

poses during a class at<br />

the Conway Regional<br />

Health and Fitness<br />

Center.<br />

As she gracefully moves<br />

from one tai chi position to the<br />

next, Sachiko Halter glows with<br />

confidence and quiet strength.<br />

It’s hard to imagine that a few<br />

years ago she was shy around<br />

people outside her family, but<br />

that was before a letter arrived<br />

in the mail from Arkansas <strong>Blue</strong><br />

Cross and <strong>Blue</strong> Shield.<br />

Sachiko is originally from<br />

Kitakyushu, Kokura, Japan, on<br />

the southern island of Kyushu.<br />

She came to the United States<br />

as a young woman and eventually<br />

settled in Conway, Ark. She<br />

and her husband, Victor Halter,<br />

have six children between them<br />

and nine grandchildren.<br />

While Sachiko was very busy<br />

with family, she was lonely. “I<br />

have a wonderful husband,” she<br />

said, “but I missed ‘girl talk.’<br />

Some days I think the only time<br />

I talked to someone besides my<br />

husband was when I went to the<br />

grocery store,” she said, “and<br />

that was to say if I wanted paper<br />

or plastic!”<br />

When Sachiko turned 65,<br />

Arkansas <strong>Blue</strong> Cross sent her a<br />

<strong>Blue</strong> & <strong>You</strong> <strong>Summer</strong> <strong>2011</strong>

letter inviting her to learn more about the SilverSneakers<br />

® Fitness Program. She said<br />

she was a little nervous at the thought<br />

of exercising in a group, which she<br />

had never done, but she wanted to<br />

learn more.<br />

“When I heard that Arkansas<br />

<strong>Blue</strong> Cross offers SilverSneakers<br />

for free, I just jumped right in!”<br />

she said. SilverSneakers is the<br />

nation’s leading exercise program<br />

designed exclusively for older adults,<br />

offering an innovative blend of physical<br />

activity, healthy lifestyles and socially<br />

oriented programming. SilverSneakers<br />

is available to Arkansas <strong>Blue</strong> Cross Medi-Pak ®<br />

and Medi-Pak Advantage (PFFS) members at no<br />

additional cost at wellness centers, YMCAs and Curves ®<br />

locations in all 50 states, Puerto Rico and Washington.<br />

Sachiko started taking SilverSneakers classes at the<br />

Conway Regional Health and Fitness Center four years<br />

ago. Now, at age 69, Sachiko says she attends classes<br />

five days a week. With several SilverSneakers classes<br />

to choose from, including the Silver Splash class,<br />

Sachiko stays busy. But her favorite class is tai chi.<br />

Tai chi chuan, or simply tai chi, was developed more<br />

than 2,000 years ago in China. It is a graceful form of<br />

exercise used for stress reduction and other health<br />

conditions, like joint pain. A study by the University of<br />

California Los Angeles showed significant benefits of<br />

tai chi in the management of late-life depression. The<br />

American Geriatrics Society also recently encouraged<br />

exercise, like tai chi, for balance, gait and strength<br />

training.<br />

Sachiko enjoys tai chi so much that for a while she<br />

took additional classes at the University of Central<br />

Arkansas and became a certified instructor herself. But<br />

when Alicia “Siaw-Khian” Kow, became the instructor<br />

at the Conway Regional Health and Fitness Center,<br />

she said she realized that she didn’t need to<br />

go outside of the fitness center. Alicia,<br />

who is originally from Malaysia, often<br />

travels back to her home country<br />

and to China to attend tai chi and<br />

qigong training sessions with<br />

masters of these arts. Sachiko<br />

can lead the class if Alicia is away,<br />

but said she enjoys learning from<br />

such a skilled teacher.<br />

A big part of that enjoyment<br />

comes from her classmates. The<br />

class gathers in a circle as soft music<br />

fills the air and they breathe and<br />

move as one, shifting their weight slowly<br />

from one foot to the other, hands cupped<br />

as if holding a ball of energy. The hushed<br />

instructions from Alicia quickly give way to giggles and<br />

smiles from the class as they take a break. The women<br />

have a special bond and once a week members of the<br />

tai chi and Silver Splash classes go out to lunch, something<br />

that Sachiko truly enjoys.<br />

Alicia said she has seen amazing changes in each<br />

of the women since they joined the class. For some,<br />

it is subtle, as stiff muscles learn to relax; for others<br />

it is drastic, like a 30-point drop in blood pressure. For<br />

Sachiko, it is personal, enjoying the company of women<br />

so much like her, but who grew up in a culture so different<br />

than her own.<br />

“SilverSneakers is one of the best things to happen<br />

to me,” she said.<br />

For more information on SilverSneakers, call 1-888-<br />

423-4632 or visit silversneakers.com.<br />

SilverSneakers ® is a registered mark of Healthways, Inc.<br />

The SilverSneakers Fitness Program is provided by<br />

Healthways, Inc., an independent company that operates<br />

separately from Arkansas <strong>Blue</strong> Cross and <strong>Blue</strong> Shield.<br />

Source: americantaichi.net<br />

11<br />

<strong>Blue</strong> & <strong>You</strong> <strong>Summer</strong> <strong>2011</strong>

Lifelong Health<br />

with Dr. David<br />

12<br />

A simple diet plan containing<br />

proven super foods promotes<br />

a longer and better life<br />

Want to live as long and as healthy as possible? Including<br />

super foods in your diet can make you healthier<br />

by adding fiber, vitamins, minerals, omega 3 fatty acids<br />

and unique compounds that have significant health<br />

benefits.<br />

David A. Lipschitz,<br />

M.D., Ph.D.<br />

Although it is possible to obtain pills, powders and<br />

shakes containing these substances, the message is<br />

clear — the best way to get these healthy nutrients is<br />

to eat the natural foods containing them. Consider this<br />

diet plan, which contains the most valuable super foods<br />

offering the chance of promoting health, preventing disease<br />

and reducing the risks of obesity. Ideally eat three<br />

meals daily and at least three appropriate snacks. This<br />

balanced approach will minimize overeating and prevent<br />

weight gain.<br />

Breakfast<br />

• Eat plenty of fiber. The best breakfast is either a<br />

high-fiber cereal or oatmeal that contains soluble<br />

and insoluble fiber to promote intestinal function,<br />

reduce the risk of cancer and lower cholesterol.<br />

Soluble fiber found in oatmeal dramatically can lower<br />

cholesterol and promote heart health. Insoluble fiber<br />

adds bulk to the diet, promotes normal bowel function,<br />

decreases constipation and lowers the risk of<br />

irritable bowel syndrome.<br />

• Add half a cup of blueberries to breakfast. Compared<br />

to any other fruit, blueberries contain the<br />

highest concentration of antioxidants that promote<br />

cellular health and prevent cancer and heart disease.<br />

Research conducted by the National Institute on Aging<br />

shows that blueberries prolong life expectancy,<br />

reduce cholesterol levels and produce anthocyanin,<br />

which improves vision. Pterostilbene found in blueberries<br />

promotes brain function. Add fat-free or lowfat<br />

milk to complete the meal. Consider 2 percent<br />

organic milk that contains the ideal omega 3 fatty<br />

acids rather than the unhealthy omega 6 fatty acids<br />

found in milk from corn-fed animals.<br />

<strong>Blue</strong> & <strong>You</strong> <strong>Summer</strong> <strong>2011</strong>

Editor’s Note: David A. Lipschitz, M.D., Ph.D., is nationally<br />

recognized as a leader in the field of geriatrics.<br />

Arkansas <strong>Blue</strong> Cross and <strong>Blue</strong> Shield is honored to have<br />

him as a contributor to <strong>Blue</strong> & <strong>You</strong> magazine.<br />

Lunch and Dinner<br />

• Have a salad for one meal. Consider a large salad<br />

consisting of mixed greens, as many colored vegetables<br />

as possible and a low-fat protein source<br />

(chicken or fish). Use a delicious low-fat dressing in<br />

moderation. The more color in the salad, the greater<br />

the concentration of antioxidants. A salad like this<br />

provides ideal concentrations of vitamins such as C,<br />

folic acid, beta carotene and lycopene, which prevents<br />

vision loss. Salads also provide fiber, the best<br />

fats and if eaten slowly, prevent hunger and promote<br />

weight loss.<br />

• Make sure you include the right foods in your<br />

meal. A healthy lunch or dinner includes protein<br />

(tofu, lean meat or fatty fish), two servings of a<br />

starch (no more than two-thirds the size of your fist)<br />

and plenty of fruits and vegetables.<br />

• The benefits of red wine. If you can, have one or<br />

two glasses of red wine with your evening meal. In<br />

addition to containing rich amounts of antioxidants,<br />

red wine contains resveratrol, a unique molecule<br />

that may promote life expectancy and reduce<br />

heart attacks.<br />

Snacks<br />

• An ounce of walnuts. Consider<br />

walnuts as an afternoon snack, or<br />

add an ounce to a salad. Walnuts<br />

are the nuts with the highest concentration<br />

of antioxidants, providing<br />

more than an average person obtains<br />

from all the fruits and vegetables consumed<br />

daily. Nuts are rich in fiber and omega 3 fatty acids,<br />

which reduce cholesterol, heart-disease risk, cancer<br />

and perhaps Alzheimer’s Disease.<br />

• Apples. Try and eat at least two apples daily. A study<br />

conducted by researchers at Florida State University<br />

has shown that two, rather than one apple a day,<br />

significantly lowers cholesterol, reduces inflammation,<br />

decreases the risk of heart attack and stroke<br />

and, without dieting, promotes an average loss of<br />

three pounds annually. Apples are rich in pectin, a<br />

soluble fiber that lowers cholesterol. Always eat the<br />

peel, which contains the highest concentrations of<br />

antioxidants.<br />

• Cocoa. Last, but not least, have a glass of warm cocoa<br />

about an hour before bedtime. Recent research<br />

has shown that cocoa reduces blood pressure,<br />

lowers cholesterol and appears to lower the risk of<br />

diabetes by making the body more sensitive to insulin.<br />

Furthermore, a light snack before bed promotes<br />

better sleep.<br />

Splurging<br />

The message is clear<br />

— the best way to<br />

get these healthy<br />

nutrients is to eat<br />

the natural foods<br />

containing them.<br />

We all splurge, but do not do this every night. It is<br />

OK to have a rich dessert or high-calorie food on occasion,<br />

but do not do it every day. And, most<br />

importantly, watch portion size. A small<br />

baked potato with a low-calorie dressing<br />

is much better that a large one with all<br />

the trimmings.<br />

So there you have it. Whatever you<br />

do, avoid the temptation of substituting<br />

a pill for the real thing. Until proven<br />

otherwise, assume that the pills may cause<br />

more harm than good. Follow this approach to<br />

eating, splurge no more than twice a week and you<br />

have set the course for a long, disease-free life.<br />

13<br />

<strong>Blue</strong> & <strong>You</strong> <strong>Summer</strong> <strong>2011</strong>

14<br />

<strong>You</strong>r teen probably isn’t the only person in your household that<br />

stays connected to family and friends through the social networking<br />

site, Facebook. However, using Facebook is not without risks for teens,<br />

according to the American Academy of Pediatrics.<br />

Why are doctors worried?<br />

With the friends of teens constantly adding new friends, updating<br />

their “status” with recent fun outings or activities, and adding photo<br />

upon photo of good times, it’s a tough landscape for teens who are<br />

already dealing with self-esteem or depression issues.<br />

Parents are encouraged to talk to their teens about online use and<br />

be aware of the risks including depression, self-esteem issues or even<br />

“cyberbullying” (when teens may post judgmental comments or inappropriate<br />

remarks about others).<br />

Remember, Facebook also can help kids feel more socially connected.<br />

As with all things involving parenting, it’s just important to stay<br />

connected to your child — in person.<br />

Are teens<br />

fretting<br />

about<br />

Facebook?<br />

Lose<br />

weight<br />

The Healthy<br />

Weigh!<br />

The Healthy Weigh! Education<br />

Program is free for members of<br />

Arkansas <strong>Blue</strong> Cross and <strong>Blue</strong> Shield,<br />

Health Advantage (except ARHealth<br />

members*), <strong>Blue</strong> Cross and <strong>Blue</strong><br />

Shield Service Benefit Plan (Federal<br />

Employee Program), Medi-Pak ® Advantage<br />

(PFFS), Medi-Pak Advantage PPO<br />

and eligible members of <strong>Blue</strong>Advantage<br />

Administrators of Arkansas.<br />

To enroll, complete the attached<br />

enrollment form and return it in the<br />

self-addressed, postage-paid envelope<br />

included in this magazine. The program<br />

starts when you enroll.<br />

After enrollment, you will begin to<br />

receive information through the mail,<br />

which you can read in the privacy of<br />

your own home and at your own pace.<br />

The program is completely voluntary,<br />

and you may leave the program at any<br />

time. If you have further questions<br />

about the program, call the Health<br />

Education Program’s toll-free number<br />

at 1-800-686-2609.<br />

* Arkansas state and public school<br />

employees and retirees can access the<br />

“Nourish” program through LifeSynch.<br />

Simply complete, sign and return the<br />

attached enrollment form in the selfaddressed,<br />

postage-paid envelope to join<br />

The Healthy Weigh!<br />

<strong>Blue</strong> & <strong>You</strong> <strong>Summer</strong> <strong>2011</strong>

Baby on Board:<br />

Use rear-facing car<br />

safety seats at least<br />

until age 2<br />

How can you protect your<br />

“precious cargo?” Put them in<br />

the back seat, turn them around<br />

and buckle them down.<br />

The American Academy of<br />

Pediatrics (AAP), recently recommended<br />

that all infants ride<br />

in the back seat of all vehicles,<br />

in rear-facing car safety seats,<br />

starting with their first ride<br />

home from the hospital and continuing<br />

until they are 2 years of<br />

age or until they reach the highest<br />

weight or height allowed by<br />

the car safety seat’s manufacturer.<br />

Sadly, according to AAP,<br />

motor vehicle crashes are the<br />

leading cause of death for children<br />

4 years old and older.<br />

Types of rear-facing<br />

car safety seats<br />

There are three types of rearfacing<br />

car safety seats: infantonly<br />

seats, convertible seats and<br />

Age Group Seat Type Guidelines<br />

Infants/toddlers<br />

Toddlers/<br />

preschoolers<br />

School-aged<br />

children<br />

Older children<br />

Infant seats<br />

and rear-facing<br />

convertible seats<br />

Convertible seats<br />

and forward-facing<br />

seats with harnesses<br />

Booster seats<br />

Seat belts<br />

three-in-one seats. When children reach the highest weight or length allowed<br />

by the manufacturer of their infant-only seat, they should continue to face the<br />

back of the vehicle in a convertible seat or three-in-one seat.<br />

Source: American Academy of Pediatrics<br />

All infants and toddlers should ride in<br />

a rear-facing car safety seat until they<br />

are 2 years of age or until they reach the<br />

highest weight or height allowed by their<br />

car safety seat’s manufacturer.<br />

All children 2 years or older, or those<br />

younger than 2 years who have<br />

outgrown the rear-facing weight or<br />

height limit for their car safety seat,<br />

should use a forward-facing car safety<br />

seat with a harness for as long as<br />

possible, up to the highest weight or<br />

height allowed by their car safety seat’s<br />

manufacturer.<br />

All children whose weight or height<br />

is above the forward-facing limit for<br />

their car safety seat should use a beltpositioning<br />

booster seat until the vehicle<br />

seat belt fits properly, typically when<br />

they have reached 4 feet 9 inches in<br />

height and are between 8 and 12 years<br />

of age.<br />

When children are old enough and<br />

large enough to use the vehicle seat<br />

belt alone, they should always use lap<br />

and shoulder seat belts for optimal<br />

protection.<br />

All children younger than 13 years<br />

should be restrained in the rear seats of<br />

vehicles for optimal protection.<br />

15<br />

<strong>Blue</strong> & <strong>You</strong> <strong>Summer</strong> <strong>2011</strong>

New education program helps<br />

children with asthma breathe easier<br />

16<br />

For skateboarders and skiers, “catching air” is a<br />

radical move; for children with asthma, it can be the difference<br />

between life and death.<br />

The new CatchAir <strong>You</strong>th Asthma Program teaches<br />

parents and children about asthma through fun information<br />

that also is easy to understand. The program is free<br />

and voluntary for Arkansas <strong>Blue</strong> Cross and <strong>Blue</strong> Shield,<br />

Health Advantage and eligible <strong>Blue</strong>Advantage Administrators<br />

of Arkansas members.<br />

CatchAir targets four age-<br />

specific groups — 0-3, 4-6,<br />

7-11 and 12-17.<br />

After enrollment, program<br />

participants receive monthly age-appropriate information<br />

through the mail. Parents read, use and share the<br />

information with the younger children. Older program<br />

participants can read and learn more on their own,<br />

although there always is a parent component.<br />

“Learning that your child has asthma may be alarming,”<br />

said Robert Griffin, M.D., senior vice president and<br />

chief medical officer for Arkansas <strong>Blue</strong> Cross. “Most<br />

people want information and support. Our goal is to<br />

make a positive difference in the lives of parents and<br />

their children who have asthma, by helping them learn<br />

more about asthma care. That way, they are better prepared<br />

in an emergency, and can live a more peaceful,<br />

healthy day-to-day life by managing the condition.”<br />

Margaret Fizer, R.N., B.S.N., a health improvement<br />

nurse specialist for Arkansas <strong>Blue</strong> Cross, developed the<br />

CatchAir program. “We want our youngest members to<br />

feel the freedom and power over asthma that a snowboarder<br />

might feel when they ‘catch air,’” Fizer said.<br />

As many as 71,000 children in Arkansas have asthma;<br />

nationally one in 10 students<br />

have asthma. “Asthma is a lifelong<br />

disease that children don’t<br />

outgrow,” she said. “Symptoms<br />

may decrease as a child gets<br />

older, but the asthma is still present.”<br />

Educational materials range from the basics of<br />

asthma to tracking asthma symptoms and medications,<br />

emergency planning, healthy eating and fitness tips,<br />

and everyday health. Telephone and Web resources are<br />

provided as well as follow-ups with a registered nurse<br />

case manager for those members who need case management<br />

services.<br />

For more information on the CatchAir <strong>You</strong>th Asthma<br />

Program, contact Arkansas <strong>Blue</strong> Cross’ Health<br />

Education Division at 1-800-686-2609.<br />

<strong>Blue</strong> & <strong>You</strong> <strong>Summer</strong> <strong>2011</strong>

Individual/family policies can make changes in October<br />

Arkansas <strong>Blue</strong> Cross and <strong>Blue</strong> Shield’s<br />

Open Enrollment Period (OEP) for individual<br />

and family health plans will be held Oct. 1-31,<br />

<strong>2011</strong>. During this OEP, members may:<br />

1. Request policy changes, such as<br />

• Adding or deleting dependents.<br />

• Increasing or decreasing their<br />

deductible.<br />

• Adding or deleting maternity.<br />

• Requesting removal of surcharges<br />

or exclusions.<br />

2. Apply for child-only policies for individuals age 18<br />

or younger. During the rest of the year, individuals<br />

age 18 or younger only can be considered for coverage<br />

as a dependent.<br />

Change forms for existing policies and applications<br />

for new policies must be received (not just postmarked)<br />

no later than Oct. 31, <strong>2011</strong>. Forms are printable from<br />

arkansasbluecross.com or you can call Customer<br />

Service at 1-800-238-8379 to receive one.<br />

Changes to existing policies will be effective<br />

Jan. 1 or 15, 2012, depending on the<br />

policy billing cycle. All<br />

new child-only individual policies will be<br />

effective Jan. 1, 2012.<br />

Qualifying Life Events<br />

Existing policyholders may make<br />

changes throughout the year only if there<br />

is a “qualifying life event” — such as a<br />

marriage, divorce, death, birth of a child or loss of other<br />

health insurance coverage. Child-only policy applications<br />

may be submitted throughout the year only as a result<br />

of involuntary loss of employer-sponsored health insurance<br />

coverage, and must be submitted within 30 days<br />

of the loss of coverage.<br />

Watch for more information online and in the next<br />

issue of <strong>Blue</strong> & <strong>You</strong>.<br />

17<br />

$1,000 health-improvement grants go fast<br />

A<br />

new grant program from the <strong>Blue</strong> & <strong>You</strong> Founda-<br />

and awarded all 50 grants,” O’Sullivan said. “As this was<br />

tion for a Healthier Arkansas recently provided $1,000<br />

minigrants to 50 Arkansas organizations to implement<br />

health-improvement projects in their communities. The<br />

grant program was administered through the Arkansas<br />

Community Foundation (ARCF).<br />

“In addition to its annual, large-grants program, the<br />

<strong>Blue</strong> & <strong>You</strong> Foundation wanted to offer<br />

a new minigrants program that would<br />

help more Arkansas communities<br />

through a simpler application process<br />

and a quicker funding decision,” said<br />

Patrick O’Sullivan, executive director of the <strong>Blue</strong> & <strong>You</strong><br />

Foundation.<br />

The new minigrants program proved to be extremely<br />

popular. “In the first 28 days, we had 74 applications<br />

considered a pilot, we are now evaluating the effectiveness<br />

of the program and will likely offer a new round of<br />

minigrants in early 2012.”<br />

Any 501(c)(3) public charity, public school, government<br />

agency or nonprofit hospital in Arkansas is eligible<br />

to apply, but grants are not made to individuals. Funding<br />

can be used to support an existing<br />

health-improvement program or to support<br />

a new start-up project.<br />

The <strong>Blue</strong> & <strong>You</strong> Foundation is also<br />

accepting applications through July 15<br />

for its regular grants program (grants from $5,000<br />

to $150,000). More information about these grant<br />

opportunities can be found at blueandyoufoundationarkansas.org.<br />

<strong>Blue</strong> & <strong>You</strong> <strong>Summer</strong> <strong>2011</strong>

FDA decision removes<br />

unapproved drugs from market<br />

18<br />

In March <strong>2011</strong>, the U.S. Food<br />

and Drug Administration (FDA) announced<br />

that it will remove certain<br />

unapproved prescription medicines<br />

intended to relieve cough, cold and<br />

allergy symptoms from the U.S.<br />

market.<br />

These products have<br />

not been evaluated by<br />

FDA to assure that they<br />

are safe, effective and<br />

of good quality. These<br />

products may therefore<br />

pose unnecessary risks<br />

to consumers, especially<br />

when there are<br />

other products available<br />

for the treatment of<br />

cough, cold and allergy<br />

symptoms, including<br />

FDA-approved prescription drugs or<br />

over-the-counter drugs that follow<br />

appropriate FDA standards.<br />

Some of the prescription medicines<br />

being removed have been<br />

Throughout<br />

the past<br />

century,<br />

the laws<br />

outlining the<br />

requirements<br />

for drug<br />

approval<br />

have<br />

changed.<br />

From the<br />

marketed for many years. Throughout<br />

the past century, the laws<br />

outlining the requirements for drug<br />

approval have changed. First, drug<br />

regulation focused on adulteration<br />

and misbranding but did not<br />

require that new drug products be<br />

approved prior to being marketed.<br />

Then, laws on drug<br />

regulation changed to<br />

include drug safety<br />

as a requirement for<br />

approval. Currently, the<br />

law requires that new<br />

drugs be shown to be<br />

safe, effective, of good<br />

manufacturing quality<br />

and not misbranded<br />

prior to being approved<br />

by the FDA. As a result<br />

of these changes in<br />

law, many of the products that<br />

are the focus of this action have<br />

been marketed without being<br />

approved under the current legal<br />

requirements.<br />

The FDA says most manufacturers<br />

affected by this action in March<br />

<strong>2011</strong> must stop making the product<br />

within 90 days and stop shipping<br />

them within 180 days. The FDA says<br />

taking them off the market should<br />

not create problems for consumers<br />

because there are many other<br />

products — both prescription and<br />

over-the-counter — available for<br />

the treatment of cough, cold and<br />

allergy symptoms that meet FDA<br />

standards.<br />

If you are taking a prescription<br />

medicine for cough, cold or allergy<br />

symptoms and you want to know<br />

if it is an approved drug, there are<br />

a few resources available on the<br />

FDA’s Web site, fda.gov. If you find<br />

that you are taking one of the unapproved<br />

prescription medications<br />

that are affected by the FDA action,<br />

please discuss alternatives with<br />

your doctor or pharmacist.<br />

Source: fda.gov, fda.gov/consumer<br />

Pharmacist<br />

by Trey Gardner, Pharm D.,<br />

Arkansas <strong>Blue</strong> Cross and <strong>Blue</strong> Shield<br />

<strong>Blue</strong> & <strong>You</strong> <strong>Summer</strong> <strong>2011</strong>

Alternatives<br />

to treating<br />

colic<br />

All babies cry for a reason,<br />

mostly when they are hungry, tired<br />

or need a fresh diaper. But, if you’ve<br />

ever been around a baby with colic,<br />

you know it is altogether a different<br />

situation.<br />

Colic is an attack of crying due to<br />

what appears to be abdominal pain<br />

in early infancy. It is common — occurring<br />

in approximately 20 percent<br />

of all babies during their first few<br />

months of life — and it is extremely<br />

frustrating.<br />

Colic normally appears just a few<br />

weeks after birth and can last for<br />

three or four months. Babies with<br />

colic usually exhibit some or all of<br />

the following symptoms:<br />

• Crying intensely and furiously,<br />

even when normal needs are<br />

met.<br />

• Fists may be clenched, abdominal<br />

muscles may be tensed and<br />

knees may be drawn up.<br />

• Sleep may be irregular and interrupted<br />

with episodes of crying.<br />

• Feeding also may be interrupted<br />

and irregular with episodes of<br />

intense crying. However, the<br />

amount the baby eats will not be<br />

less.<br />

There are few treatment options<br />

for colic, but in a recent study,<br />

several nutritional supplements and<br />

other complementary and alternative<br />

treatments were examined.<br />

The use of fennel extract, herbal tea<br />

(especially those with chamomile,<br />

licorice, fennel and balm mint) and<br />

sugar solutions were somewhat<br />

effective in relieving the symptoms<br />

of colicky babies but the results,<br />

overall, were inconclusive. It was<br />

determined that additional research<br />

is necessary.<br />

In the meantime, if you are dealing<br />

with a colicky baby, you can<br />

resort to a few “tried and true”<br />

methods until he or she outgrows it.<br />

These methods include:<br />

• Swaddling a baby during a crying<br />

episode.<br />

• Sit the baby upright when feeding<br />

to reduce the amount of air<br />

swallowed.<br />

• Use more frequent, but smaller,<br />

feedings.<br />

• If breastfeeding, avoid tea, coffee,<br />

spicy foods and alcohol.<br />

• Use a pacifier.<br />

• Go for a walk with a stroller.<br />

• Give the baby a warm bath or<br />

gentle massage.<br />

Perhaps the best tip is this one:<br />

Have someone else help you with<br />

the baby so you can have some private<br />

time away. This may help calm<br />

your anxieties and provide for a<br />

more peaceful atmosphere overall.<br />

19<br />

<strong>Blue</strong> & <strong>You</strong> <strong>Summer</strong> <strong>2011</strong>

20<br />

The<br />

Doctor’s<br />

Corner<br />

Have a “hawk eye” in the hospital<br />

Customer Service. <strong>You</strong> also can<br />

learn more about your doctor and<br />

hospital by searching online.<br />

• Arrange for someone to be at<br />

the hospital with you. Make sure<br />

they understand why you are<br />

going to the hospital and are<br />

aware of any other health concerns<br />

you may have. This person<br />

or persons will be your “hawk”<br />

eyes and ears if you are sedated<br />

or recovering.<br />

• Make a list of all your medications,<br />

or bring them with you.<br />

Include any over-the-counter<br />

medications, like aspirin; these<br />

medications can be as important<br />

to your doctor as your prescription<br />

medications.<br />

If you travel anywhere in Arkansas,<br />

you can’t help but see the<br />

hawks sitting silently above the<br />

fields, watching calmly and listening<br />

intently. And if you’ve ever gotten<br />

too close to a hawk’s nest, you<br />

know how fast they can move and<br />

how loud they can be in order to<br />

protect their young. The next time<br />

you or a loved one has to enter the<br />

hospital, think back on those hawks;<br />

that same quiet attention to detail<br />

and fast action can make you a powerful<br />

patient advocate and a strong<br />

member of the care team.<br />

Before Going to the Hospital<br />

Some hospitalizations occur<br />

suddenly while others are planned<br />

well in advance. If the situation<br />

allows you to plan ahead, consider<br />

the following:<br />

• If you smoke, try to quit at least<br />

two weeks before the hospitalization.<br />

If you can’t quit, let the<br />

hospital staff know. They may<br />

be able to provide you with<br />

support to help with withdrawal<br />

symptoms.<br />

• Do some research. Make sure<br />

your doctor is in our network by<br />

going to our Web site or calling<br />

At the Hospital<br />

As a patient, or as the advocate<br />

for your loved one, you are part of<br />

the care team. If you see something<br />

that doesn’t look right, or you hear<br />

information that may not be correct,<br />

ask questions. If you still are not<br />

satisfied, don’t hesitate to alert the<br />

doctor, a nurse or a hospital administrator.<br />

By being polite and quiet<br />

when things are going well, you<br />

will be taken seriously when you do<br />

speak out regarding an issue.<br />

As a Patient:<br />

• Be sure your doctor is aware<br />

of any allergies to medications,<br />

food, latex or tape adhesive.<br />

• Be honest if you have an addiction<br />

to alcohol or drugs. <strong>You</strong>r doc-<br />

<strong>Blue</strong> & <strong>You</strong> <strong>Summer</strong> <strong>2011</strong>

tor may be able to help you with<br />

withdrawal, and not letting the<br />

doctor or hospital know could<br />

create a serious health situation<br />

for you.<br />

• Ask if the hospital has adopted<br />

a surgical checklist. If not, ask<br />

what your surgeon and anesthesiologist<br />

will do to be sure the<br />

requirements are met.<br />

• Ask if you need antibiotics prior<br />

to the operation. Also, if you typically<br />

require antibiotics before<br />

dental work, tell your doctor.<br />

• Ask for the surgical site to be<br />

marked before you are sedated<br />

so you know it is the correct location.<br />

Make sure your advocate<br />

knows the location as well.<br />

• Do not shave the surgical site<br />

yourself. The hospital staff should<br />

use clippers, not razor blades, to<br />

prepare the site.<br />

As a Patient Advocate:<br />

• Be sure you wash your hands<br />

frequently and be sure others<br />

(family, nurses, doctors) wash<br />

theirs every time they come in<br />

the room. If someone doesn’t,<br />

say something. Be sure the<br />

doctors and nurses wear gloves<br />

when doing wound care, dressing<br />

changes, IV site changes etc.<br />

• Politely tell any sick visitors that<br />

they should wait to visit when<br />

they — and the patient — are<br />

better.<br />

• Keep a record of all activities and<br />

conversations and include times<br />

and names of all people involved.<br />

What medicine was given? Was<br />

there a change? Which doctor<br />

rounded? What tests or procedures<br />

were done? Did the results<br />

get back to the doctor?<br />

• Ask what medications are being<br />

given. If something is new, ask<br />

what it does and find out if there<br />

could be side effects.<br />

It is important<br />

for the patient<br />

and advocate<br />

to listen, ask<br />

questions and take<br />

notes.<br />

• If the stay in the hospital is<br />

lengthy, be sure the staff keeps<br />

your loved one from developing<br />

bedsores by frequently turning<br />

him or her.<br />

• Ask whether a medicine is<br />

needed to prevent blood clots.<br />

• Report any broken or malfunctioning<br />

equipment, including<br />

call lights, wheelchairs, bedside<br />

tables, hand-sanitizer dispensers<br />

or bathroom handrails. If it is not<br />

working, it may cause problems.<br />

• Talk to each nurse at shift change<br />

about fall prevention. Falls are<br />

frequent in hospitals because<br />

of sickness, age, incontinence,<br />

medication effects and being in<br />

a strange environment. Combine<br />

your common sense and knowledge<br />

of your loved one with the<br />

by Vic Snyder, M.D.,<br />

Corporate Medical Director<br />

for External Affairs<br />

nurse’s professional experience.<br />

What changes have occurred in<br />

your loved one that may increase<br />

the risk of falling?<br />

° Is the room cluttered or<br />

too dark?<br />

° Are wheels locked on<br />

wheelchairs and other<br />

equipment?<br />

° Are the toilet seat and<br />

the bed at the appropriate<br />

height?<br />

° Would a regular bathroom<br />

schedule be safer than<br />

waiting for an urgent call of<br />

nature?<br />

° Is the call-light working and<br />

reachable?<br />

° As your loved one improves,<br />

is the activity level expanded<br />

so that muscle strength<br />

and conditioning improves?<br />

• If there is a central venous line,<br />

watch for signs of infection. Pay<br />

strict attention to hand washing<br />

and gloves. Talk to the doctor<br />

daily regarding how long the<br />

central line needs to stay in.<br />

Hospital, continued on Page 27<br />

21<br />

<strong>Blue</strong> & <strong>You</strong> <strong>Summer</strong> <strong>2011</strong>

22<br />

<strong>Blue</strong>Cares team rallies to se<br />

In the aftermath of a tornado<br />

that devastated their community on<br />

Arkansas <strong>Blue</strong> Cross<br />

employees serve lunch<br />

to storm victims and<br />

volunteers in Vilonia.<br />

April 25, <strong>2011</strong>, the members of Vilonia<br />

United Methodist Church looked<br />

for ways to help their neighbors.<br />

The members of their community<br />

were so consumed with digging out<br />

of the rubble left in the wake of the<br />

storm, they had little time to even<br />

consider from where their next<br />

meal was coming.<br />

That’s when the members of the<br />

church took action. According to<br />

their pastor, Belinda Price, Vilonia<br />

United Methodist Church coordinated<br />

with various restaurants to<br />

provide meals. As a result, they<br />

served approximately 400 people<br />

in a single day. But so much more<br />

needed to be done.<br />

“We were having a meeting at<br />

our church discussing how to do<br />

this again because the need was so<br />

great,” said Price.<br />

They began calling other restaurants<br />

for help, one of which was<br />

Whole Hog Café in Little Rock.<br />

“We asked if they could help out<br />

and they said they were already<br />

fixing enough barbecue to feed<br />

1,000 people in Vilonia the following<br />

Saturday,” said Price.<br />

Which raised some questions…<br />

Where would they distribute<br />

the food?<br />

Did they need a place?<br />

<strong>Blue</strong> & <strong>You</strong> <strong>Summer</strong> <strong>2011</strong>

ve community after storms<br />

Who was organizing this effort in the first place?<br />

“We called back and asked,” said Price.<br />

That’s when they found out the effort was being<br />

coordinated by Arkansas <strong>Blue</strong> Cross and <strong>Blue</strong> Shield.<br />

The plan was to provide free barbecue lunches to storm<br />

clean up crews and displaced families in Vilonia.<br />

“So we called Arkansas <strong>Blue</strong> Cross and asked them<br />

if they needed a place to serve the food and they<br />

said, ‘yes.’”<br />

So, 20 volunteers from Arkansas <strong>Blue</strong> Cross set up<br />

shop at Vilonia United Methodist Church and started<br />

feeding people. It was a mission that hit<br />

very close to home for many of them.<br />

“I have become accustomed to seeing<br />

this type of thing on the news, but to witness it first<br />

hand was humbling,” said Betsy Petty, a supervisor for<br />

<strong>Blue</strong>Card Host Adjustments and one of the Arkansas<br />

<strong>Blue</strong> Cross volunteers. “I live within 10 miles of Vilonia.<br />

That night the storm could have easily turned and gone<br />

through my neighborhood — so a lot of emotions went<br />

through me. I’m thankful that I was spared, but I’m also<br />

hurt by the suffering that Vilonia was going through.”<br />

The volunteers fed an estimated 800 to 900 people.<br />

“It was astounding,” said Price. “So many people<br />

were served, both at the church and in the<br />

neighborhoods.”<br />

The damage had blocked so many roads that many<br />

of the clean-up crews could not get to the church. But,<br />

according to Price, crews would send one person to<br />

get through the debris to the church. That person would<br />

then take back a lot of takeout orders.<br />

Elaine Hickman, a lead system analyst/programmer<br />

for Pinnacle Business Solutions, Inc., also was one of<br />

the volunteers.<br />

“I cried all the way to the church,” she said. “After<br />

seeing the disaster, it really brings into focus that this<br />

could have been any one of us, and we should be willing<br />

to do whatever we can to assist those in need. The<br />

need is still so great and this clean up will take a<br />

long time.”<br />

Serving meals was not the only assistance offered by<br />

Arkansas <strong>Blue</strong> Cross. The company also waived pharmacy<br />

costs for its members who were victims of<br />

the storm.<br />

“Our hearts go out to our fellow Arkansans who lost<br />

so much in these storms,” said Mark White, president<br />

and chief executive officer of Arkansas <strong>Blue</strong> Cross. “We<br />

know there is a lot to go through following<br />

a natural disaster, and we want our<br />

members to stay healthy as they rebuild.<br />

We want to ease their financial burden by replacing<br />

their needed medications.”<br />

Helping out in times of need is nothing new for<br />

Arkansas <strong>Blue</strong> Cross. In fact, the company has a rich<br />

history of community involvement. A little more than a<br />

week before storms ravaged Arkansas, employees of<br />

Arkansas <strong>Blue</strong> Cross turned out en masse to participate<br />

in the <strong>2011</strong> Start! Heart Walk and raised more than<br />

$10,000 for the American Heart Association.<br />

Mike Brown, executive vice president and chief<br />

operating officer for Arkansas <strong>Blue</strong> Cross, served as the<br />

<strong>2011</strong> corporate walk chair for the Little Rock chapter of<br />

the American Heart Association.<br />

This kind of dedication would come as no surprise<br />

to Donna Lewis, a member of Vilonia United Methodist<br />

Church, after seeing employees in action at her church.<br />

“Arkansas <strong>Blue</strong> Cross employees took care of everything,”<br />

she said. “And when it was over, they even<br />

helped us take everything down and then helped us set<br />

up for our Sunday services. I said, ‘<strong>You</strong> don’t have to do<br />

that,’ and they said, ‘no, no, we’re here to help you.’”<br />

23<br />

<strong>Blue</strong> & <strong>You</strong> <strong>Summer</strong> <strong>2011</strong>

BLUE News<br />

24<br />

Grant funds training for hospital board members<br />

competence needed to make better, more educated de-<br />

A hospital’s quality, safety and fiscal responsibility cisions and to govern more effectively on behalf of the<br />

is determined not only by its doctors but by its board patients and communities they serve. Arkansas <strong>Blue</strong><br />

members. For this reason, Arkansas <strong>Blue</strong> Cross and Cross has provided $50,000 to this mission.<br />

<strong>Blue</strong> Shield is providing funding to the Arkansas Hospital<br />

Association (AHA) and the Arkansas Association of to health care and emergency care in communities;<br />

Hospitals are not only vital in providing easy access<br />

Hospital Trustees (AAHT) to support their goal of certifying<br />

at least 80 percent of all hospital board members in the AHA, hospitals are the second largest private sec-<br />

they have an important economic impact. According to<br />

Arkansas in the Best on Board educational program. tor source of jobs in the nation. Every dollar spent by<br />

Best on Board specializes in helping hospital trustees a hospital supports more than two dollars of additional<br />

and other health care leaders gain the confidence and business activity in a community.<br />

Gray Dillard named chief financial officer<br />

Gray Dillard, CPA, has<br />

been named chief financial<br />

officer (CFO) and treasurer<br />

for Arkansas <strong>Blue</strong> Cross<br />

and <strong>Blue</strong> Shield.<br />

As CFO, Dillard will be<br />

responsible for financial<br />

activities for Arkansas <strong>Blue</strong><br />

Cross, HMO Partners, Inc.<br />

and USAble Corporation, which includes accounting,<br />

financial operations, administrative cost management,<br />

enterprise reporting and capital management. He will<br />

serve as treasurer of Arkansas <strong>Blue</strong> Cross and HMO<br />

Partners, and as secretary/treasurer of USAble Corporation.<br />

Dillard also will continue his responsibilities as vice<br />

president of Financial Services.<br />

Dillard joined Arkansas <strong>Blue</strong> Cross in March 1994<br />

as senior accountant for Health Advantage and was<br />

promoted to accounting manager of Financial Services<br />

and controller of HMO Partners in 2000. He served as<br />

regional executive in the Hot Springs office from 2005<br />

to 2008. He was promoted to vice president of Financial<br />

Services in 2009.<br />

Dillard received his bachelor’s degree from Harding<br />

University in Searcy. Dillard works closely with the<br />

Maumelle Sports Association and coaches youth baseball,<br />

basketball and softball. He is an active member of<br />

Levy Church of Christ. Dillard was a recent member of<br />

the Hot Springs Fifty for the Future and completed the<br />

Leadership Hot Springs Program where he served as<br />

treasurer.<br />

Ask<strong>Blue</strong> about reform<br />

Ask<strong>Blue</strong> is a new feature available on our Web sites<br />

that helps both individuals and businesses understand<br />

more about health insurance reform — it’s a personal<br />

guide to understanding the basics and includes<br />

changes happening now and in the future.<br />

Ask<strong>Blue</strong>, created by the <strong>Blue</strong> Cross and <strong>Blue</strong> Shield<br />

Association, is available on the Arkansas <strong>Blue</strong> Cross<br />

and <strong>Blue</strong> Shield, Health Advantage and <strong>Blue</strong>Advantage<br />

Administrators of Arkansas Web sites.<br />

<strong>Blue</strong> & <strong>You</strong> <strong>Summer</strong> <strong>2011</strong>

Vic Snyder, M.D., joins medical staff<br />

Arkansas <strong>Blue</strong> Cross wins awards<br />

Arkansas <strong>Blue</strong> Cross and <strong>Blue</strong> Shield’s Enterprise Information<br />

Development Division recently won two <strong>Blue</strong><br />

Health Intelligence (BHI) Best of <strong>Blue</strong> Awards at the<br />

<strong>Blue</strong> National Summit held in Chicago. The first award<br />

was for plan-to-plan collaboration and the second was<br />

for return on investment.<br />

BHI combines the health care information of more<br />

than 54 million <strong>Blue</strong> Cross and <strong>Blue</strong> Shield members<br />

nationwide in a database that is fully protected under<br />

the safeguards established by the Health Insurance<br />

Portability and Accountability Act (HIPAA).<br />

Vic Snyder, M.D., former<br />

U.S. representative for Arkansas’<br />

2nd Congressional<br />

District, has been named<br />

the corporate medical<br />

director for external affairs<br />

for Arkansas <strong>Blue</strong> Cross<br />

and <strong>Blue</strong> Shield. In his new<br />

position, Snyder will participate<br />

in the development of medical policy, member<br />

benefits and physician and hospital networks.<br />

Snyder served in Vietnam as part of the U.S. 1st<br />

Marine Division during the Vietnam War. He earned his<br />

For the first award, Arkansas <strong>Blue</strong> Cross worked with<br />

a health care data analytics expert, to collect information<br />

from the BHI data warehouse and identify trends<br />

that increase cost and health care usage for one of the<br />

company’s largest nationwide accounts. As a result,<br />

Arkansas <strong>Blue</strong> Cross can provide statistical information<br />

to support the national account’s business decisions.<br />

bachelor’s degree in chemistry from Willamette University<br />

in Salem, Ore., and his doctorate in medicine from<br />

the University of Oregon Health Sciences Center (now<br />

Oregon Health and Science University) in Portland, Ore.<br />

Dr. Snyder completed his residency at the University of<br />

Arkansas for Medical Sciences. He served as a family<br />

practice physician in Little Rock for 15 years. He attended<br />

the University of Arkansas at Little Rock School<br />

of Law to obtain his law degree while still maintaining<br />

his medical practice. He served in the Arkansas State<br />

Legislature from 1991 until 1996. Snyder served as a<br />

congressman from 1997 to <strong>2011</strong>.<br />

To earn the award for return on investment, the<br />

Enterprise Information Development Division improved<br />

the timeliness in which data is delivered to Arkansas<br />

<strong>Blue</strong> Cross by implementing service level agreements<br />

that focus on quality, timeliness, change control and<br />

issue resolution. As a result, Arkansas <strong>Blue</strong> Cross’ data<br />

warehouse has seen a dramatic improvement in its<br />

ability to secure the data needed for various business<br />

purposes.<br />

James Gaston,<br />

manager of<br />

Enterprise<br />

Information<br />

Development, is<br />

presented with<br />

the BHI Best<br />

of <strong>Blue</strong> award<br />

for plan-to-plan<br />

collaboration.<br />

25<br />

<strong>Blue</strong> & <strong>You</strong> <strong>Summer</strong> <strong>2011</strong>

Arkansas <strong>Blue</strong> Cross and <strong>Blue</strong> Shield<br />

Financial Information Privacy Notice<br />

At Arkansas <strong>Blue</strong> Cross and <strong>Blue</strong><br />

Shield and its affiliates (including<br />

HMO Partners, Inc. d/b/a Health<br />

Advantage), we understand how<br />

important it is to keep your private<br />

purchase and use of our<br />

products.<br />

• Information related to the fact<br />

that you have been or currently<br />

are a member.<br />

information. Improper access and<br />

use of confidential information by an<br />

employee can result in disciplinary<br />

action up to and including termination<br />

of employment.<br />

26<br />

information just that — private.<br />

Because of the nature of our<br />

business, we must collect some<br />

personal information from our<br />

members, but we also are committed<br />

to maintaining, securing and<br />

protecting that information.<br />

Customer Information<br />

Arkansas <strong>Blue</strong> Cross and its<br />

Sharing of Information<br />

Arkansas <strong>Blue</strong> Cross and its<br />

affiliates do not disclose, and do not<br />

wish to reserve the right to disclose,<br />

non-public personal information about<br />

you to one another or to other parties<br />

except as permitted or required by<br />

law. Examples of instances in which<br />

Arkansas <strong>Blue</strong> Cross and its affiliates<br />

Disclosure of Privacy Notice<br />

Arkansas <strong>Blue</strong> Cross and its<br />

affiliates recognize and respect the<br />

privacy concerns of potential, current<br />

and former customers. Arkansas <strong>Blue</strong><br />

Cross and its affiliates are committed<br />

to safeguarding this information. As<br />

required by state regulation, we must<br />

notify our members about how we<br />

affiliates only compile information<br />

will provide information to one<br />

handle non-public financial information<br />

necessary for us to provide the<br />

another or other third parties are:<br />

of our members. If you would like<br />

services that you, our member,<br />

request from us and to administer<br />

your business. We collect non-public<br />

personal financial information (defined<br />

as any information that can be tied<br />

back to a specific person and is<br />

gathered by any source that is<br />

not publicly available) about our<br />

members from:<br />

• Applications for insurance coverage.<br />

The application includes<br />

information such as name, address,<br />

personal identifiers such<br />

as Social Security number, and<br />

medical information that you<br />

authorize us to collect.<br />

• Payment history and related<br />

financial transactions from the<br />

• To service or process products<br />

that you have requested.<br />

• To provide information as permitted<br />

and required by law to<br />

accrediting agencies.<br />

• To provide information to comply<br />

with federal, state or local<br />

laws in an administrative or<br />

judicial process.<br />

How We Protect <strong>You</strong>r<br />

Information<br />

Arkansas <strong>Blue</strong> Cross and its<br />

affiliates use various security<br />

mechanisms to protect your personal<br />

data including electronic and physical<br />

measures as well as company<br />

policies that limit employee access<br />

to non-public personal financial<br />

to review the Financial Information<br />

Privacy Notices for all Arkansas <strong>Blue</strong><br />

Cross members, you can visit our Web<br />

site at arkansasbluecross.com or call<br />

the appropriate Arkansas <strong>Blue</strong> Cross<br />

affiliate company to receive the Privacy<br />

Notice. Our customer service areas<br />

are open from 8 a.m. to 4:30 p.m.,<br />

Central time, Monday through Friday.<br />

To receive a copy of the Privacy<br />

Notice, members should call:<br />

Arkansas <strong>Blue</strong> Cross —<br />

1-800-238-8379.<br />

Health Advantage — 1-800-843-1329.<br />

Self-funded group members should<br />

call Customer Service using the tollfree<br />

telephone number on their<br />

ID card.<br />

<strong>Blue</strong> & <strong>You</strong> <strong>Summer</strong> <strong>2011</strong>

Hospital, continued from Page 21<br />

• Watch any wound<br />

dressings; if they<br />

come off or need<br />

to be changed, tell<br />

someone.<br />

• Be sure urine<br />

catheter bags are<br />

below your loved one’s center of gravity. Discuss<br />

with the doctor and nurses what can be done to<br />

prevent infections from the urinary catheter and<br />

make sure it happens.<br />

• If your loved one is on a ventilator, ask about bed<br />

elevation and how often his or her mouth should<br />

be cleaned.<br />

• Watch your loved one’s intake at meals. If food<br />

consistently is uneaten, tell the doctor.<br />

Before Leaving the Hospital<br />

Once again, it is important for the patient and<br />

advocate to listen, ask questions and take notes. Too<br />

often, patients do not follow their doctors’ discharge<br />

instructions and end up being re-admitted to the<br />

hospital. <strong>You</strong> may be able to avoid re-admittance by<br />

asking the following:<br />

• Is special care needed for any catheters, surgical<br />

incision sites or IV sites?<br />

• What medications will be taken? Will any previous<br />

medications be discontinued?<br />

• When is the follow-up appointment?<br />

• Will dressings need to be changed at home?<br />

• Are home health services needed?<br />

Being part of the care team when someone needs<br />

medical attention is a huge responsibility, but by being<br />

like a hawk — quietly watching and listening intently<br />

and speaking up when you have a concern —<br />

you can be sure you or your loved one gets the best<br />

care possible. To see more information on patient<br />

advocacy, go to our Web sites listed to the right.<br />

We love to hear from you!<br />

May we help? For customer service, please call:<br />

Little Rock<br />

Number (501)<br />

Toll-free<br />

Number<br />

Medi-Pak ® members 378-3062 1-800-338-2312<br />

Medi-Pak Advantage members 1-877-233-7022<br />

Medi-Pak Rx members 1-866-390-3369<br />

Arkansas <strong>Blue</strong> Cross members 378-2010 1-800-238-8379<br />

Pharmacy questions 1-800-863-5561<br />

Specialty Rx Pharmacy questions 1-866-295-2779<br />

Health Advantage members 378-2363 1-800-843-1329<br />

Pharmacy questions 1-800-863-5567<br />

<strong>Blue</strong>Advantage members 378-3600 1-888-872-2531<br />

Pharmacy questions 1-888-293-3748<br />

State and Public School members 378-2364 1-800-482-8416<br />

Federal Employee members 378-2531 1-800-482-6655<br />

Looking for health or dental insurance? We can help!<br />

For individuals, families<br />

and those age 65 or older 378-2937 1-800-392-2583<br />

For employer groups 378-3070 1-800-421-1112<br />

(Arkansas <strong>Blue</strong> Cross Group Services, which includes<br />

Health Advantage and <strong>Blue</strong>Advantage Administrators<br />

of Arkansas)<br />

Prefer to speak with someone close to home? Call or visit one<br />

of our regional office locations:<br />

Pine Bluff/Southeast Region 1-800-236-0369<br />

1800 West 73rd St.<br />

Jonesboro/Northeast Region 1-800-299-4124<br />

707 East Matthews Ave.<br />

Hot Springs/South Central Region 1-800-588-5733<br />

100 Greenwood Ave., Suite C<br />

Texarkana/Southwest Region 1-800-470-9621<br />

1710 Arkansas Boulevard<br />

Fayetteville/Northwest Region 1-800-817-7726<br />

516 East Milsap Rd., Suite 103<br />

Fort Smith/West Central Region 1-866-254-9117<br />

3501 Old Greenwood Rd., Suite 5<br />

Little Rock/Central Region 1-800-421-1112<br />

320 West Capitol Ave., Suite 900<br />

Visit our Web sites for more information:<br />

arkansasbluecross.com<br />

healthadvantage-hmo.com<br />

blueadvantagearkansas.com<br />

blueandyoufoundationarkansas.org<br />

27<br />

<strong>Blue</strong> & <strong>You</strong> <strong>Summer</strong> <strong>2011</strong>

28<br />

Curves discounts<br />

The Curves Greater Arkansas Area Cooperative<br />

has lowered its joining fee from $59 to $39 for<br />

new members. The discount only applies to Curves<br />

at the locations below. In addition to the regular<br />

Curves Circuit, all locations offer Zumba ® Fitness<br />

and the SilverSneakers ® Fitness Program.<br />

The discounts are available in: Benton, Bentonville,<br />

Bryant, Conway, Fayetteville, Fort Smith, Jacksonville,<br />

the Chenonceau Boulevard, Otter Creek<br />

and Shackleford locations in Little Rock, Maumelle,<br />

Sherwood and Springdale.<br />

At Arkansas <strong>Blue</strong> Cross<br />

and <strong>Blue</strong> Shield, we are<br />

always looking for new<br />

ways to be "Good for <strong>You</strong>."<br />

Here are some of our<br />

latest accomplishments.<br />

Like us on Facebook! Follow us<br />

on Twitter!<br />

Our annual <strong>Blue</strong> & <strong>You</strong> Fitness<br />

Challenge contest is finished …<br />

but our Facebook page and Twitter<br />

messages go on. If you want quick health tips, a<br />

way to connect with others who share your devotion<br />

to exercise, or are wondering what “walk” or<br />

fun, sweat-inducing event may be occurring in your<br />

hometown … check us out on Facebook<br />

and Twitter.<br />

Use this QR code to go directly<br />

to your new favorite exercise tips<br />

site. Don’t have a QR code reader<br />

on your smartphone? Just download<br />

a free QR code reader from<br />

your favorite app store. It’s easy!<br />

<strong>Blue</strong> & <strong>You</strong> <strong>Summer</strong> <strong>2011</strong><br />


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