Blue & You - Summer 2009

Dr. David offers healthy living tips, Page 20 Brenda and Malvin Lansdell stop and smell the flowers after Malvin’s recovery from cardiac surgery. See their story on Page 10.

Dr. David offers healthy living tips, Page 20
Brenda and Malvin Lansdell stop and smell the flowers after Malvin’s recovery from cardiac surgery. See their story on Page 10.


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<strong>Summer</strong> 09<br />

• Arkansas Tech University celebrates health, Page 22<br />

• Dr. David offers healthy living tips, Page 20<br />

• Our new affordable health insurance plans, Page 8<br />

Brenda and Malvin Lansdell<br />

stop and smell the flowers<br />

after Malvin’s recovery from<br />

cardiac surgery. See their<br />

story on Page 10.<br />

A publication for the policyholders of the Arkansas<br />

<strong>Blue</strong> Cross and <strong>Blue</strong> Shield family of companies

on Page 18<br />

6 Pandemic preparedness<br />

18 Busy life finds time for<br />

SilverSneakers<br />

22 Arkansas Tech focuses on health<br />

INSIDE<br />

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31<br />

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32<br />

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

Coffee and tea linked to lower risk of uterine cancer<br />

Head injuries: When to seek medical care<br />

Breastfeeding for future health<br />

10 heart-healthy foods<br />

Valproate use during pregnancy<br />

Keep yourself healthy<br />

Salmonella<br />

Our new affordable health insurance plans<br />

Cost sharing: What is it? How does it help you?<br />

The HEART of a family<br />

FDA warns against skin patches during MRI scans<br />

Good for you starts with us<br />

Grants available for health-improvement programs<br />

The Joy of Cooking reflects the public’s joy of eating<br />

Lose weight The Healthy Weigh!<br />

Wait before using some weight-loss supplements<br />

Senior Moments with Dr. David<br />

<strong>Blue</strong>Card lands Satisfaction Award<br />

Can sports drinks harm your teeth?<br />

Do the changes in COBRA affect you?<br />

The Doctor’s Corner<br />

Chiropractic medicine for lower back pain<br />

Arkansas <strong>Blue</strong> Cross has a heart<br />

<strong>Blue</strong>Ann Ewe joins Perritt Primary School<br />

Financial Information Privacy Notice<br />

From the Pharmacist —<br />

Generic drugs: Use with confidence!<br />

Arkansas <strong>Blue</strong> Cross helps city of Mena<br />

Customer Service telephone numbers<br />

Good for you<br />

<strong>Summer</strong> 09<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 />

Vice President, Communications and Product Development: Karen Raley<br />

Editor: Kelly Whitehorn — BN<strong>You</strong>-Ed@arkbluecross.com<br />

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

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

Jennifer Gordon, Trey Hankins, Heather Iacobacci-Miller, Ryan Kravitz, Kathy<br />

Luzietti and Mark Morehead

Out of the<br />

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

A message from our<br />

CEO and President,<br />

Mark White<br />

Health care needs meaningful reform<br />

According to the Centers for Medicare and Medicaid<br />

services (CMS), we spend an average of $7,868 per<br />

person each year on health care. If we do nothing, this<br />

is projected to grow to $11,684 by 2015. We have the<br />

highest proportion of health-care spending to the Gross<br />

National Product (GNP) in the world (16.6 percent) and<br />

without significant change, it is projected to grow even<br />

faster during the next 10 years. Our economy can’t<br />

sustain this rate of growth, so our health-care system<br />

must change.<br />

Organizations and people on the frontlines of creating<br />

health policy — employers, consumers, health-care<br />

providers, insurers, public health professionals and others<br />

— want meaningful change. We believe everyone<br />

should have good health coverage. We must implement<br />

system reforms to promote more effective and efficient<br />

health care. We also must develop creative ways to<br />

increase the number of people who have insurance coverage<br />

so society does not have to support the cost of<br />

providing care to the uninsured.<br />

We want to increase coverage and promote access<br />

to affordable and effective health care. Reform should<br />

build on — not take away — employer-sponsored insurance<br />

plans. It should create safety-net programs for<br />

hard working individuals and families who just cannot<br />

make ends meet. Those who lose their jobs due to the<br />

economy should have more options to maintain their<br />

insurance. Health-care reform should make health coverage<br />

more affordable and assure fair reimbursement to<br />

those who provide effective care.<br />

To become a healthier nation, individually and collectively,<br />

we must focus on healthy lifestyles and disease<br />

prevention rather than just treating illness. By eliminating<br />

poor diet, inactivity and tobacco use, the Centers<br />

for Disease Control and Prevention estimates that 80<br />

percent of heart disease and stroke, 80 percent of type<br />

2 diabetes and 40 percent of cancer could be eliminated.<br />

We have to focus our attention on resources for<br />

wellness, prevention and primary care.<br />

In many ways, our system is working. Americans<br />

are fortunate to have the best clinical outcomes in the<br />

world, and life expectancy continues to rise. However,<br />

we need to improve the efficiency of our system and<br />

pay for the quality of the care, not the quantity. We<br />

also must figure out how to pay for the prevention of<br />

illnesses.<br />

Meaningful reform must be the result of a careful<br />

and balanced approach. It must include all stakeholders,<br />

and it must build on our current system. Health care<br />

has, and always will be, a shared responsibility. Individuals,<br />

employers, government, insurance companies,<br />

doctors and hospitals all will have to do their share for<br />

meaningful reform to occur. We support health-care reform.<br />

We will do our part to modify the current system<br />

so it works for all Arkansans. By taking a balanced and<br />

steady approach, Arkansas and the United States will<br />

be healthier — both physically and financially.<br />

3<br />

<strong>Blue</strong> & <strong>You</strong> <strong>Summer</strong> <strong>2009</strong>

Coffee and tea linked to<br />

lower risk of uterine cancer<br />

In a recent article published in the International Journal of Cancer, researchers<br />

found that of the 1,100 women surveyed, those who drank caffeinated coffee and<br />

tea had a lower risk of uterine cancer. Research suggests that caffeine may induce<br />

enzymes that help neutralize cancer-causing substances. However, the research<br />

team noted that both tea and coffee contain various antioxidant compounds that<br />

also may be responsible for protecting body cells from damage.<br />

Source: Reuters Health<br />

Head injuries:<br />

When to seek medical care<br />

Breastfeeding<br />

for future health<br />

4<br />

Head injuries are not uncommon. While most are minor, they can<br />

be serious and even fatal. How do you know when to seek medical<br />

care? MedlinePlus lists the following symptoms that are indicative of<br />

a more serious head injury and require medical care:<br />

• Changes in, or unequal size of pupils<br />

• Convulsions<br />

• Distorted features of the face<br />

• Fluid draining from nose, mouth or ears (may be clear or bloody)<br />

• Bruising of the face, swelling at the site of the injury or scalp<br />

wound<br />

• Impaired hearing, smell, taste or vision<br />

• Inability to move one or more limbs<br />

• Irritability (especially in children), personality changes or unusual<br />

behavior<br />

• Loss of consciousness, confusion or drowsiness<br />

• Restlessness, clumsiness or lack of coordination<br />

• Severe headache<br />

• Slurred speech or blurred vision<br />

• Stiff neck or vomiting<br />

Source: MedlinePlus<br />

Not only is breastfeeding good<br />

for your baby, there may be<br />

positive long-term health effects<br />

for women who nurse. A recent<br />

study, conducted by Eleanor Bimla<br />

Schwartz, MD, assistant professor<br />

of medicine at the University<br />

of Pittsburgh and colleagues, suggests<br />

that breastfeeding lowers<br />

women’s risks for heart disease,<br />

diabetes and stroke. The researchers<br />

found that the longer women<br />

nursed, the lower their chances<br />

were for developing these<br />

illnesses.<br />

Source: WebMD<br />

<strong>Blue</strong> & <strong>You</strong> <strong>Summer</strong> <strong>2009</strong>

10 He a r t -He a lt h y Fo o d s<br />

Protect your heart with these top heart-healthy foods<br />

that are packed with healthy fats, antioxidants and other<br />

essential nutrients:<br />

1. Salmon — one of the healthiest fish choices; high<br />

in protein and vitamin D.<br />

2. Oatmeal — daily consumption<br />

of a bowl of oatmeal can lower<br />

blood cholesterol, due to its<br />

soluble fiber content.<br />

3. Avocado — packed with<br />

heart-healthy fat.<br />

4. Olive Oil — can help<br />

regulate cholesterol and<br />

is anti-inflammatory.<br />

5. Nuts — almonds and<br />

walnuts are the healthiest.<br />

6. Berries — rich in anti-inflammatories.<br />

7. Spinach — packed with essential nutrients.<br />

8. Legumes — such as chickpeas, lentils, black beans<br />

and kidney beans.<br />

9. Flaxseed — studies show it can help<br />

stabilize blood sugar levels and is high in<br />

dietary fiber.<br />

10. Soy — edamame, tofu<br />

and soy milk are sources<br />

of lean protein and vital<br />

minerals.<br />

Sources: Health.com,<br />

WebMD<br />

5<br />

Valproate use during pregnancy<br />

associated with impaired cognitive development<br />

The antiepileptic drug valproate has been linked to an increased likelihood<br />

of impaired cognitive development for children exposed while still<br />

in the womb. This study, published in the New England Journal of Medicine,<br />

enrolled women taking one of four drugs for epilepsy while pregnant.<br />

Researches then assessed cognitive function of their children at<br />

age three. According to the study, those children exposed to valproate<br />

had significantly lower IQs than those exposed to other antiepileptic<br />

drugs (carbamazepine, lamotrigine or phenytoin). Autumn Klein, M.D., in<br />

Journal Watch Neurology, concluded, “Unless valproate is the only drug<br />

that will control a particular patient’s seizures, it should be avoided in<br />

women who might become pregnant.”<br />

Sources: New England Journal of Medicine, Medscape.com<br />

<strong>Blue</strong> & <strong>You</strong> <strong>Summer</strong> <strong>2009</strong>

Pandemic<br />

preparedness<br />

Keep yourself<br />

healthy<br />

6<br />

In June, the World Health Organization<br />

(WHO) declared that the<br />

novel H1N1 influenza virus, also<br />

known as swine flu, had reached<br />

pandemic proportions throughout<br />

the world. The announcement of the<br />

first global influenza epidemic in 41<br />

years is in recognition of the widespread<br />

nature of the disease; the<br />

illness itself has been rated as only<br />

moderate in severity.<br />

The symptoms of H1N1 are similar<br />

to those experienced in seasonal<br />

flu —<br />

It makes good sense to<br />

fever,<br />

have the preparations chills,<br />

on hand to ease your aches,<br />

family through a crisis. fatigue<br />

and<br />

cough — and can include runny<br />

nose, sore throat, nausea, vomiting<br />

or diarrhea. While there are no vaccines<br />

available to protect humans<br />

against swine flu, the Centers for<br />

Disease Control and Prevention<br />

recommend the antiviral treatments<br />

Tamiflu and Relenza.<br />

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

<strong>Blue</strong> Shield, we have been working<br />

closely with officials at the Arkansas<br />

Department of Health and other<br />

state agencies to prepare for a flu<br />

pandemic. We have made extensive<br />

plans to keep our services going if<br />

the pandemic affects large populations<br />

in the United States and to<br />

have the latest local information on<br />

our Web sites.<br />

It makes good sense to have the<br />

preparations on hand to ease your<br />

family through a crisis, whether it<br />

is caused by a pandemic or another<br />

type of emergency.<br />

Please continue to read our<br />

publication, <strong>Blue</strong> & <strong>You</strong>, and any<br />

correspondence we may send in<br />

the future regarding flu pandemic<br />

preparedness.<br />

The CDC suggests the following<br />

everyday tips to help prevent the<br />

spread of germs:<br />

• Cover your nose and mouth<br />

with a tissue when you cough<br />

or sneeze, then throw the tissue<br />

in the trash.<br />

• Wash your hands often with<br />

soap and water, especially after<br />

you cough or sneeze. Alcoholbased<br />

hand cleaners also are<br />

effective.<br />

• Avoid touching your eyes, nose<br />

or mouth.<br />

• Try to avoid close contact with<br />

sick people.<br />

• Stay home and limit contact<br />

with others if you get sick with<br />

the flu.<br />

Sources: CDC, WebMd<br />

<strong>Blue</strong> & <strong>You</strong> <strong>Summer</strong> <strong>2009</strong>

7<br />

Salmonella<br />

Salmonella bacteria may be small, but they can make<br />

you sick in a big way. If you are one of the more than<br />

40,000 who have experienced Salmonellosis each year<br />

in the United States, then you know that food safety is<br />

vital for your health and the health of your family.<br />

People with Salmonellosis experience diarrhea, abdominal<br />

cramps and fever, along with chills, headache,<br />

nausea and vomiting within eight to 72 hours after<br />

eating contaminated food. Symptoms usually disappear<br />

within four to seven days, but Salmonella infections<br />

can be life-threatening for infants, young children, pregnant<br />

women and their unborn babies, older adults, and<br />

people with weakened immune systems.<br />

Any raw food of animal origin, such as meat, poultry,<br />

milk and dairy products, eggs, seafood and some fruits<br />

and vegetables may carry Salmonella bacteria. The<br />

bacteria only can be killed by cooking meat, poultry, and<br />

egg products thoroughly and by washing fruits and vegetables.<br />

The bacteria also can cross contaminate foods<br />

that come in contact with surfaces like cutting boards<br />

where contaminated meats were prepared.<br />

The only way to know for certain if a person has<br />

Salmonellosis is to perform a laboratory test of a stool<br />

sample for the bacteria. And because many milder<br />

cases are not reported, the Centers for Disease Control<br />

and Prevention estimate the actual number of cases<br />

each year may be much higher.<br />

Sources: Department of Health and Human Services,<br />

Centers for Disease Control and Prevention<br />

<strong>Blue</strong> & <strong>You</strong> <strong>Summer</strong> <strong>2009</strong>

8<br />

Our new affordable<br />

health insurance plans<br />

Affordable, comprehensive protection is something<br />

Arkansans have come to expect from Arkansas <strong>Blue</strong><br />

Cross and <strong>Blue</strong> Shield. To continue this tradition, beginning<br />

June 1, our two new health insurance plans —<br />

Comprehensive <strong>Blue</strong> PPO and HSA <strong>Blue</strong> PPO II — will<br />

be available for individuals and families under the age of<br />

65 and not on Medicare. Both plans offer:<br />

• Doctor and specialist visits with no referrals needed<br />

• Wellness benefits with no deductible<br />

• 100 percent coverage for children’s preventive care<br />

• Prescription drug coverage<br />

• Inpatient and outpatient hospital services<br />

• And, an optional maternity rider<br />

As the name implies, Comprehensive <strong>Blue</strong> PPO provides<br />

comprehensive major medical coverage within a<br />

preferred provider organization (PPO). The plan features<br />

$500, $1,000, $2,500, $5,000 and $10,000 deductible<br />

options with low, predictable copayments for doctor<br />

and specialist visits.<br />

HSA <strong>Blue</strong> PPO II is an HSA-compatible health insurance<br />

plan. If policyholders choose, they may open a<br />

separate HSA (health savings account) from the financial<br />

institution of their choice and reap the associated<br />

tax benefits. All HSA contributions are tax-deductible,<br />

which means a policyholder’s taxable income is reduced<br />

by the amount contributed to the HSA each year.<br />

The plan features deductible options of $1,500, $2,500<br />

and $5,000 for individuals and deductibles of $3,000,<br />

$5,000 and $10,000 for families. After the deductible is<br />

met, the plan pays 100 percent of covered expenses.<br />

Both plans feature a $5,000,000 lifetime maximum<br />

benefit for each covered person. In addition, policyholders<br />

have the option of purchasing term life insurance<br />

and critical illness coverage — both underwritten by<br />

USAble Life — at the time of application.<br />

“At a time when managing out-of-pocket health-care<br />

expenses is most critical, we are excited to introduce<br />

our two new very affordable health plans,” said Ron<br />

DeBerry, senior vice president of Statewide Business.<br />

“With several deductible options and features, Comprehensive<br />

<strong>Blue</strong> PPO and HSA <strong>Blue</strong> PPO II will give<br />

prospective policyholders the choices they desire when<br />

buying health insurance. Also, with up to $5,000,000 in<br />

lifetime maximum benefits for each covered person on<br />

the plan, Arkansas <strong>Blue</strong> Cross continues to provide the<br />

protection our policyholders want and need.”<br />

If you know someone who could benefit from either<br />

Comprehensive <strong>Blue</strong> PPO or HSA <strong>Blue</strong> PPO II, they<br />

may call toll free 1-800-392-2583, visit us online at<br />

arkansasbluecross.com/free or contact a local independent<br />

agent for more information.<br />

<strong>Blue</strong> & <strong>You</strong> <strong>Summer</strong> <strong>2009</strong>

Cost sharing:<br />

What is it?<br />

How does it help you?<br />

Cost sharing is<br />

when you pay<br />

a portion of<br />

your health-care<br />

costs and Arkansas<br />

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

Shield pays a larger<br />

part. We share<br />

the costs.<br />

For example, cost<br />

sharing is having a<br />

copayment when you<br />

visit the doctor or<br />

get a prescription<br />

filled at your<br />

local pharmacy.<br />

<strong>You</strong> pay a portion,<br />

and Arkansas <strong>Blue</strong> Cross pays the rest.<br />

Cost sharing is an important part of health insurance<br />

because it helps control the cost of health insurance<br />

premiums by giving people some “skin in the game.” In<br />

other words, when the money comes out of our own<br />

pockets, we think twice about how we spend it. People<br />

who have health insurance often are insulated from<br />

the true cost of health-care, so giving members some<br />

responsibility for the cost of the services they receive<br />

makes them more aware of the actual cost.<br />

For example, most people will make sure they really<br />

need to go to the emergency room (ER) or the doctor<br />

when some of the cost comes directly out of their<br />

checking account. They might rethink that ER visit for an<br />

ear infection if they know it is a $100 or more copayment,<br />

while waiting to see the doctor the next day<br />

would be a $25 copayment. Most of us are more mindful<br />

of how we spend our own money than we are about<br />

how our health plan’s money is spent.<br />

Health plans whose benefits include cost sharing are<br />

more affordable, give members predictable costs for<br />

medical services and help to ensure that those who<br />

use health-care services have an increased awareness<br />

of how much those services actually cost.<br />

9<br />

<strong>Blue</strong> & <strong>You</strong> <strong>Summer</strong> <strong>2009</strong>

10<br />

The HEART<br />

of a family<br />

Cardiac history<br />

tests brothers<br />

Brenda Lansdell was worried.<br />

Malvin, her husband of 41 years,<br />

was short of breath, and in January,<br />

after a meal at their daughter’s<br />

home, he could barely carry a bowl<br />

out to their truck. When she asked<br />

him about it, Malvin looked at her<br />

and confessed, “I’m scared, but I’m<br />

scared not to do something, too.”<br />

Brenda understood all too well.<br />

Every man in Malvin’s family has<br />

had cardiovascular problems. Malvin<br />

was one of seven brothers; his<br />

oldest brother already had died of<br />

a heart attack, and his twin brother<br />

and a younger brother also had suffered<br />

from heart attacks. His father<br />

and uncle both had died of heart<br />

attacks. Whether it was genetics or<br />

good Southern cooking, the Lansdell<br />

men seemed to live short lives.<br />

At 64, Malvin recently had retired,<br />

putting in 38 years at the Domtar<br />

Ashdown Paper Mill. He and Brenda<br />

were enjoying their home in Winthrop,<br />

about 50 miles north of Texarkana.<br />

A devoted husband and father<br />

of two sons and a daughter, his new<br />

focus had been on entertaining his<br />

three grandchildren.<br />

While aware of the family history<br />

of cardiovascular disease, Malvin<br />

considered himself to be in pretty<br />

good shape, taking only high blood<br />

pressure medicine and an aspirin a<br />

day. “That aspirin is probably what<br />

saved his life,” Brenda said, thinking<br />

back on the situation.<br />

<strong>Blue</strong> & <strong>You</strong> <strong>Summer</strong> <strong>2009</strong>

The same day Malvin and Brenda<br />

were visiting with a cardiologist,<br />

his brother, Harold, told his wife,<br />

Virginia, a fib. He casually mentioned<br />

that he had a scheduled<br />

doctor’s appointment and needed to<br />

go to CHRISTUS St. Michael Health<br />

System in Texarkana, Texas. Harold<br />

didn’t want to scare Virginia, but he<br />

was having a heart attack.<br />

After some tests at the cardiologist’s<br />

office, Malvin and Brenda<br />

headed home, but were greeted<br />

with an ominous phone call. The<br />

staff at the office of Brent Robinson,<br />

M.D., wanted Malvin to go to<br />

CHRISTUS St. Michael as soon as<br />

possible for cardiac catheterization,<br />

which allows doctors to watch the<br />

heart in action with the help of X-ray<br />

equipment and a special dye. They<br />

scheduled the procedure for the<br />

next day. Meanwhile, Harold was<br />

having coronary artery bypass grafts<br />

on four of his arteries at CHRISTUS<br />

St. Michael under the care of cardiothoracic<br />

surgeon Billy Parsons, M.D.<br />

For Malvin, the cardiac catheterization<br />

began what he calls “the<br />

great sleep.” He doesn’t remember<br />

anything that happened for four<br />

days — but Brenda does. Soon<br />

after they took Malvin in for testing,<br />

Brenda was told that they were taking<br />

him to surgery. Once again, Dr.<br />

Parsons was working on a Lansdell<br />

man, this time performing five coronary<br />

artery bypass grafts on Malvin.<br />

While the urgency of the situation<br />

left little time to choose their medical<br />

facility, both Lansdell brothers a large number of cardiac patients<br />

intensive cardiac services, serve<br />

selected CHRISTUS St. Michael in and have proven positive outcomes<br />

Texarkana, a hospital designated that far surpass other hospitals.<br />

by the <strong>Blue</strong> Cross and <strong>Blue</strong> Shield Once you are in a <strong>Blue</strong> Distinction<br />

Association as a <strong>Blue</strong> Distinction hospital, you are followed through<br />

Center SM for Cardiac Care. In order your rehabilitation, so you continue<br />

to receive this national recognition, to receive care far into recovery.<br />

CHRISTUS St. Michael must meet The hospital and cardiac team must<br />

high quality standards established have a program for ongoing quality<br />

by an expert panel of physicians, management and ways to identify<br />

surgeons and other health-care potential for improvement.<br />

Brothers left to right: Harold and Malvin Lansdell.<br />

If you are<br />

looking for<br />

a hospital<br />

with a <strong>Blue</strong><br />

Distinction<br />

designation,<br />

go to our<br />

Web sites<br />

and visit our<br />

“Member”<br />

section.<br />

professionals. When a hospital has We do the work for you, so you can<br />

been designated a <strong>Blue</strong> Distinction<br />

Center, you know they have best care possible. Other medical<br />

be assured you are receiving the<br />

expertise in that specialty, that they centers designated as <strong>Blue</strong> Distinction<br />

Centers for Cardiac Care in<br />

focus on quality, and that they have<br />

a history of patients with positive the Arkansas <strong>Blue</strong> Cross and <strong>Blue</strong><br />

outcomes. Hospitals do provide Shield service area include Baptist<br />

care differently, and <strong>Blue</strong> Cross has Health Medical Center in Little Rock,<br />

created a process where hospitals and St. Bernards Regional Medical<br />

can demonstrate their expertise. Center in Jonesboro.<br />

It’s not easy becoming a <strong>Blue</strong> For Dr. Parsons, working on the<br />

Distinction Center for Cardiac Care. two brothers within 24 hours of<br />

Hospitals that make the grade must each other, “was a unique situation,”<br />

be fully accredited and the cardiac<br />

team must be board certified. and even twins before. But, as a<br />

though he has worked on siblings<br />

They must provide a wide range of Heart, continued on Page 12<br />

11<br />

<strong>Blue</strong> & <strong>You</strong> <strong>Summer</strong> <strong>2009</strong>

12<br />

Heart, continued from Page 11<br />

<strong>Blue</strong> Distinction Center for Cardiac<br />

Care and a hospital that has consistently<br />

been in the top 5 percent for<br />

HealthGrades, the leading independent<br />

health-care ratings company,<br />

CHRISTUS St. Michael is known for<br />

its cardiac program, and it’s the first<br />

place people think to go in the Texarkana<br />

area when they are concerned<br />

about their hearts.<br />

“I think what sets us apart is the<br />

willingness of our people to have<br />

a team approach. From our CEO to<br />

our nurses — what we do is more<br />

than a job,” Dr. Parsons said.<br />

Because of Texarkana’s location<br />

between Little Rock and Dallas,<br />

Parsons said CHRISTUS St. Michael<br />

has a large service area, which<br />

requires the staff to stay abreast of<br />

the latest changes in medical knowledge<br />

while staying with protocols<br />

that have been tested and trusted.<br />

He and Bruce Cannon, M.D., partners<br />

in Texarkana Cardiovascular &<br />

Thoracic Surgical Associates, are<br />

both board certified general thoracic<br />

surgeons as well as fellows of the<br />

American College of Surgery and<br />

American Board of Surgery.<br />

The Lansdell brothers ended up<br />

on the same floor, two doors down<br />

from each other. “There were ‘name<br />

alerts’ on everything,” Brenda chuckled,<br />

remembering the precautions<br />

the hospital took to keep down<br />

the confusion. It even took Hillary<br />

Cross, a case manager for Arkansas<br />

Brenda and Malvin Lansdell meet with their Arkansas <strong>Blue</strong> Cross case<br />

manager, Hillary Cross, RN.<br />

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

Regional Office in Texarkana,<br />

by surprise.<br />

“I went to the front desk to ask<br />

for the room number for Mr. Lansdell<br />

and they said ‘which one?’”<br />

she said. Malvin is covered under<br />

<strong>Blue</strong>Advantage Administrators of<br />

Arkansas and Harold is covered under<br />

the Federal Employee Program<br />

under another <strong>Blue</strong> Cross plan, so<br />

he was not on her list of patients<br />

to follow.<br />

For Brenda, curled up in a chair<br />

with her shoes off in Malvin’s<br />

hospital room, seeing Hillary walk<br />

through the door was a breath of<br />

fresh air.<br />

“When she said, ‘Hi, I’m Hillary<br />

Cross, a case manager with Arkan-<br />

<strong>Blue</strong> & <strong>You</strong> <strong>Summer</strong> <strong>2009</strong>

sas <strong>Blue</strong> Cross, and I’m a registered<br />

nurse,’ it made me feel good right<br />

then,” Brenda said. While the staff<br />

had been very helpful, Brenda<br />

said she trusted Hillary to help her<br />

understand the medical terms and<br />

plan their next steps to getting<br />

Malvin home.<br />

Harold and Malvin Lansdell were patients at the same time at<br />

CHRISTUS St. Michael Health System.<br />

“She’s been there for me to talk<br />

to,” Brenda said of the many conversations<br />

she has had with Hillary in<br />

person and over the telephone.<br />

Through the medical tests they<br />

also discovered that Malvin had diabetes,<br />

so Hillary provided them with<br />

information on lifestyle changes so<br />

he could keep his blood sugar levels<br />

in check. Perhaps it was because<br />

of the medications, but at first<br />

Malvin complained that the healthy<br />

foods, “tasted like cardboard.” After<br />

awhile, however, he had to admit,<br />

“this cardboard tastes pretty good.”<br />

As the two brothers became<br />

more mobile, the confusion increased.<br />

Brenda said at one point a<br />

hospital aide came to the room and<br />

asked for Mr. Lansdell. “He’s down<br />

the hall,” she said. The aide looked<br />

on the chart, looked back to the<br />

room number and then in confusion<br />

looked back at Brenda. “He’s<br />

visiting the other<br />

Mr. Lansdell,”<br />

she explained,<br />

laughing.<br />

Harold, with his<br />

four bypasses,<br />

recovered faster<br />

than Malvin, and<br />

soon was released<br />

to continue his recovery<br />

with home<br />

health services.<br />

Still, Malvin only<br />

was in the hospital<br />

about a week<br />

before he also was released.<br />

Hillary continued to call<br />

their home and check<br />

on their needs.<br />

Malvin said that<br />

while the case<br />

management<br />

service from Arkansas<br />

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

was tremendous,<br />

“they did a good<br />

job on claims processing,<br />

too.” He said everything<br />

was handled smoothly so he didn’t<br />

have any concerns, and they even<br />

received a small check back on a<br />

service that was overpaid. Having<br />

a dependable health plan administered<br />

by <strong>Blue</strong>Advantage also took<br />

the stress off Brenda so she could<br />

focus on helping Malvin get back to<br />

his old routine.<br />

With Malvin nearing 65, they<br />

started looking at Medicare supplement<br />

and prescription plans. Brenda<br />

said they could have looked elsewhere,<br />

but after their experience<br />

with Arkansas <strong>Blue</strong> Cross, they<br />

visited with their friend, insurance<br />

agent Ray Tipton in Ashdown, to<br />

sign up for the Arkansas <strong>Blue</strong> Cross<br />

Medi-Pak products. Now they can<br />

focus on the things that matter<br />

most, like grandchildren, fishing and<br />

spending time together.<br />

Editor’s Note: The day after Malvin<br />

gave this interview, he was fishing<br />

on Texarkana Lake and caught, as he<br />

described it, “the biggest crappie I<br />

had ever seen.”<br />

13<br />

<strong>Blue</strong> & <strong>You</strong> <strong>Summer</strong> <strong>2009</strong>

Preparing for an MRI<br />

Before the exam you will be asked to fill<br />

out a screening form asking about anything<br />

that might create a health risk or interfere<br />

with imaging. These items include:<br />

• Cardiac pacemaker or implantable defibrillator.<br />

• Catheter that has metal components<br />

that may pose a risk of a burn injury.<br />

• A ferromagnetic metal clip placed to<br />

prevent bleeding from an intracranial<br />

aneurysm.<br />

• An implanted medication pump (used to<br />

deliver insulin or a pain-relieving drug).<br />

• A cochlear (inner ear) implant.<br />

Source: American College of Radiology<br />

14<br />

FDA warns against<br />

skin patches during MRI scans<br />

The U.S. Food and Drug Administration (FDA) recently<br />

advised against wearing medicated skin patches during<br />

an MRI (magnetic resonance imaging) scan. Some<br />

medicated patches may contain aluminum or other<br />

metals in the non-adhesive backing. During an MRI<br />

scan, the metal potentially can conduct electricity and<br />

cause a skin burn at the site of the patch. Many patches<br />

containing metals provide a label warning patients to<br />

remove the patch before undergoing an MRI scan because<br />

of the risk of burns. However, the FDA has found<br />

that not all patches containing metal provide a warning.<br />

The FDA is in the process of compiling a list of all<br />

patches that contain metals to ensure that they are<br />

properly labeled with a warning about the potential<br />

risks of burns. If in doubt, Sandra Kweder, M.D., deputy<br />

director of the FDA’s Office of New Drugs, recommends<br />

that patients remove their patches prior to an MRI scan<br />

and put them back on afterwards.<br />

Sources: FDA and WebMd<br />

<strong>Blue</strong> & <strong>You</strong> <strong>Summer</strong> <strong>2009</strong>

When it comes to serving our customers,<br />

we’re the best!<br />

When you need a question about your<br />

benefits answered accurately, when you<br />

need your claims paid quickly and efficiently,<br />

and when you just<br />

need good customer<br />

service whether you<br />

are at home or traveling,<br />

you have the<br />

right health insurance<br />

company to meet<br />

your needs.<br />

All of the <strong>Blue</strong> plans<br />

throughout the United<br />

States measure how<br />

they are meeting members’ needs and expectations,<br />

and then they compare how they are doing against<br />

all of the other <strong>Blue</strong> Plans. And, for the fourth quarter<br />

of 2008, we were the best in the nation —<br />

ranked No. 1!<br />

When you need service right here, right now —<br />

you can feel comfortable knowing that the company<br />

that you trust to take care of your health-care coverage<br />

takes that job seriously — and all of the employees<br />

at Arkansas <strong>Blue</strong> Cross and <strong>Blue</strong> Shield are doing<br />

their part when our members need help in times of a<br />

health crisis or when then need health information or<br />

support.<br />

“This remarkable achievement shows the commitment<br />

of everyone in the company to our members,”<br />

said Mark White, president and chief executive officer<br />

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

Grants available for<br />

health-improvement<br />

programs<br />

The <strong>Blue</strong> & <strong>You</strong> Foundation for a Healthier Arkansas<br />

is accepting applications for grants ranging from $5,000<br />

to $150,000 to fund health-improvement programs in<br />

Arkansas.<br />

The <strong>Blue</strong> & <strong>You</strong> Foundation, established in 2001 by<br />

Arkansas <strong>Blue</strong> Cross and <strong>Blue</strong> Shield, awards about $1<br />

million in grants annually to nonprofit and governmental<br />

organizations and programs that positively affect the<br />

health of Arkansans. In its first seven years of operation,<br />

the foundation has awarded more than $8.5 million<br />

to 129 health-improvement programs in Arkansas.<br />

The deadline to apply for a grant is July 15, <strong>2009</strong>.<br />

Information about applying for grants can be found at<br />

<strong>Blue</strong>And<strong>You</strong>FoundationArkansas.org, or may be requested<br />

by writing to:<br />

<strong>Blue</strong> & <strong>You</strong> Foundation<br />

USAble Corporate Center<br />

320 West Capitol, Suite 200<br />

Little Rock, AR 72201<br />

Applications will be reviewed in the fall and grants<br />

will be awarded in November for programs to be<br />

implemented in 2010.<br />

15<br />

<strong>Blue</strong> & <strong>You</strong> <strong>Summer</strong> <strong>2009</strong>

16<br />

The Joy of<br />

Cooking<br />

reflects<br />

the<br />

public’s<br />

joy of<br />

eating<br />

It’s been 70 years since the first<br />

issue of The Joy of Cooking hit the<br />

bookstore shelves. Since that time,<br />

the average calories per serving of<br />

18 of its classic recipes increased<br />

more than 35 percent per serving.<br />

Why? Throughout the years, the<br />

recipes have called for ingredients<br />

higher in calories and small, but<br />

regular, increases in serving sizes.<br />

The calories and portion sizes reflect<br />

Average Calories of 18 classic recipes<br />

by The Joy of Cooking publication year<br />

Average Total Calories<br />

Per Recipe<br />

Average Calories Per<br />

Serving<br />

Average Number of<br />

Servings Per Recipe<br />

well-established cultural changes<br />

that include more and more food,<br />

which leads to expanding waistlines<br />

(see graph).<br />

When cooking, be sure to use<br />

low-calorie ingredients and look for<br />

low-calorie recipe options. When<br />

trying to lose weight, every calorie<br />

counts.<br />

Source: Annals of Internal Medicine<br />

1936 1963 2006<br />

2123 2250 3051<br />

268 294 384<br />

12.9 12.7 12.7<br />

Lose<br />

weight<br />

The Healthy<br />

Weigh!<br />

The Healthy Weigh! Education<br />

Program is free for members of Arkansas<br />

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

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

<strong>Blue</strong> Shield Service Benefit Plan<br />

(Federal Employee Program), and<br />

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<br />

program starts when you enroll.<br />

After enrollment, you will begin<br />

to receive information through the<br />

mail, which you can read in the<br />

privacy of your own home and at<br />

your own pace. The program is<br />

completely voluntary, and you may<br />

leave the program at any time. If<br />

you have further questions about<br />

the program, call the Health Education<br />

Program’s toll-free number at<br />

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

Simply complete, sign and return<br />

the attached enrollment form in<br />

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

envelope.<br />

<strong>Blue</strong> & <strong>You</strong> <strong>Summer</strong> <strong>2009</strong>

Wait before using some<br />

weight loss supplements<br />

If you are one of millions of Americans buying<br />

over-the-counter (OTC) weight loss supplements sold<br />

on various Web sites and in some retail stores and<br />

beauty salons, you may be taking in more than you<br />

bargained for.<br />

The U.S. Food and Drug Administration (FDA) recently<br />

identified 72 weight loss products it considers to be<br />

tainted by undeclared active ingredients. That means<br />

the products contain ingredients that have not been<br />

approved by the FDA for sale in the United States and<br />

may put consumers’ lives at risk.<br />

Some of the products claim to be “natural” or to<br />

contain only “herbal” ingredients but actually contain<br />

potentially harmful ingredients not listed on the products’<br />

labels. The FDA has inspected a number of companies<br />

associated with the sale of these illegal products<br />

and currently is seeking product recalls. These products<br />

are illegal and include the following undeclared active<br />

pharmaceutical ingredients:<br />

• Sibutramine – a prescription appetite suppressant<br />

and a controlled substance.<br />

• Fenproporex – a controlled substance not approved<br />

in the United States.<br />

• Fluoxetine – a prescription antidepressant.<br />

• Bumetanide – a potent prescription diuretic.<br />

• Furosemide – a potent prescription diuretic.<br />

• Rimonabant – a drug not approved in the<br />

United States.<br />

• Cetilistat – an experimental obesity drug not approved<br />

in the United States.<br />

• Phenytoin – an anti-seizure medication.<br />

• Phenolphthalein – a solution used in chemical<br />

experiments and a suspected cancer-causing agent<br />

that is not approved in the United States.<br />

The FDA warns that these OTC supplements can<br />

cause profound health risks, including high blood pressure,<br />

seizures, heart attack and stroke. If you have<br />

taken supplements containing any of these ingredients,<br />

you should talk to your doctor as soon as possible. Before<br />

starting a weight loss program, you should always<br />

discuss your plan with your doctor.<br />

A complete list of the drugs can be found at fda.gov/<br />

cder/consumerinfo/weight_loss_products.htm.<br />

17<br />

<strong>Blue</strong> & <strong>You</strong> <strong>Summer</strong> <strong>2009</strong>

Busy life finds<br />

time for<br />

18<br />

SilverSneakers<br />

<strong>Blue</strong> & <strong>You</strong> <strong>Summer</strong> <strong>2009</strong>

Rita Nelson is always on the go. If she’s not at her home in<br />

Gurdon, she’s at the lake house in Hot Springs. In fact it only was<br />

recently that she found the time to retire. But, if you think that<br />

opened the door for this spunky 88-year-old to slow down —<br />

think again!<br />

During her near-nine decades, she always has led a healthy lifestyle,<br />

and believes that taking care of yourself is an important part<br />

of taking care of business and others. Sometimes it’s mind over<br />

matter … sometimes it’s a matter of mind and body … and always,<br />

it’s heart and soul with Rita.<br />

Rita participates in yoga early in the week when she is in Gurdon.<br />

When she heard about the SilverSneakers ® Fitness Program<br />

at the Hot Springs YMCA, she decided that would fit into her busy<br />

schedule for the second part of her week. After about 10 months<br />

of workouts, she can tell you, “<strong>You</strong><br />

Not too many<br />

use your toes to your fingernails!”<br />

Rita said the SilverSneakers routine people can<br />

is “very invigorating” and “it does<br />

make you feel better” which is a good keep up with<br />

thing since she still does all her own<br />

Rita.<br />

housework. She also walks on a treadmill<br />

in the morning to stay physically fit.<br />

Not too many people can keep up with Rita, but Ralph Berdikoski<br />

is giving it a go. The two have known each other for years, and<br />

Ralph started helping Rita by coming over to mow her three acres<br />

of land. Finally, one day, he asked her, “Why don’t we spend our<br />

golden years together?”<br />

Rita said they had a wonderful wedding on Oct. 2, 2004, with a<br />

reception at the Majestic Hotel in Hot Springs. She added that he<br />

is very active for an 84 year old!<br />

To enroll in SilverSneakers, Medi-Pak and Medi-Pak Advantage<br />

members can go to a participating fitness center near them and<br />

show their ID card. Fitness center staff will assist with enrollment<br />

and provide tours of the locations.<br />

Because new fitness centers are being added to the program<br />

regularly, members can go online to silversneakers.com to find all<br />

participating locations in Arkansas.<br />

19<br />

<strong>Blue</strong> & <strong>You</strong> <strong>Summer</strong> <strong>2009</strong>

20<br />

Senior Moments<br />

<strong>You</strong> and your doctor<br />

David A. Lipschitz, M.D, Ph.D.<br />

Living a healthy life used to be simple — eat right<br />

and exercise. Today, we have made living a healthy life<br />

so very, very complicated. Read this book, listen to this<br />

doctor and take this special, highly formulated just-foryou<br />

vitamin. It’s overwhelming!<br />

In this world of overly complex health care, there is<br />

one glaring void in the discussion. <strong>You</strong> may know what<br />

vitamin to take or what exercise routine to follow, but<br />

most patients do not know how to build a healthy relationship<br />

with their doctors. More than anything else,<br />

with Dr. David<br />

this is the most vital step to living the healthiest life<br />

possible.<br />

With this in mind, I have made it my mission to help<br />

everyone — of every age — to be empowered consumers<br />

of health care. <strong>You</strong>r relationship with your doctor is<br />

a two-way street — you must play an active role. The<br />

more educated you are about your health, the better<br />

the relationship. Know what to expect before you<br />

walk into the doctor’s office. Know what to ask. Do<br />

your homework, and be prepared. Trust me, there is a<br />

formula to developing a better relationship with your<br />

doctor. Here’s how:<br />

1. Get an annual physical. This is the perfect opportunity<br />

to get a bottom-line assessment of your health.<br />

And, it’s the prime time to start building a trusting,<br />

healthy relationship with your primary care physician.<br />

Make sure he or she does a complete examination<br />

and discusses any health issues or concerns. Tell<br />

your physician you want to do everything possible to<br />

promote your health and ask him to help develop a<br />

lifestyle plan for disease prevention.<br />

At your yearly physical, you should expect:<br />

• A comprehensive health history<br />

• A complete physical examination<br />

• Appropriate screening tests<br />

• A plan for the future<br />

2. If you have a health concern, educate yourself<br />

first! Remember, your doctor may not adequately<br />

explain all of the details of your condition. It is critically<br />

important that you do as much research as you<br />

can before you put on the clinic gown.<br />

Here are some tips:<br />

• Go online. Review reputable consumer health<br />

<strong>Blue</strong> & <strong>You</strong> <strong>Summer</strong> <strong>2009</strong>

Web sites such as WebMd.com. (If you’re not<br />

computer savvy, visit the library.)<br />

• Get the basics — What is your condition?<br />

What are the symptoms? What are the concerns<br />

or complications with this condition?<br />

What are your treatment options?<br />

• Take notes. When doing any health research,<br />

online or otherwise, you are going to have<br />

questions. Write them down and take them<br />

with you when you visit your doctor.<br />

3. When developing a treatment plan, always ask<br />

these questions.<br />

• Why is this the recommended course of<br />

treatment?<br />

• What are the side effects?<br />

• What is the expected outcome, and what<br />

percentage of patients achieve successful<br />

results?<br />

• Is this the most affordable and rational treatment<br />

plan for me?<br />

Follow these three steps and you will be well on<br />

your way to being an educated consumer of health<br />

care. Remember — when it comes to building a<br />

healthy relationship with your doctor, take an active<br />

role. Both you and your doctor play a part when it<br />

comes to your health.<br />

So, get engaged and be empowered!<br />

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

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

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

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

<strong>Blue</strong>Card lands<br />

Satisfaction Award<br />

Nothing frustrates<br />

people<br />

more than getting<br />

caught in the<br />

middle of claims<br />

payment issues<br />

between the<br />

doctor’s office or<br />

hospital and the<br />

insurance company.<br />

At Arkansas<br />

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

<strong>Blue</strong> Shield, we<br />

Left to right, Virginia Collier, manager<br />

of <strong>Blue</strong>Card Claims; Dan Stevens,<br />

get it — in fact we<br />

manager of Provider Network Operations;<br />

and Alicia Clayton, manager<br />

get it so well that<br />

of <strong>Blue</strong>Card Customer Service.<br />

we received the<br />

Provider Satisfaction Award for 2008.<br />

Arkansas <strong>Blue</strong> Cross and <strong>Blue</strong> Shield was in the top<br />

five <strong>Blue</strong> plans to achieve a service level greater than<br />

80 percent on a national provider satisfaction survey for<br />

<strong>Blue</strong>Card, our program that allows members traveling<br />

or living outside the state to see doctors and hospitals<br />

contracted with other <strong>Blue</strong> plans.<br />

More than 600 surveys were conducted in the Arkansas<br />

<strong>Blue</strong> Cross market, and more than 30,000 were<br />

conducted nationally. Providers rated the plans on<br />

overall satisfaction and a variety of claims processing<br />

issues.<br />

What does that mean for you? It means we work<br />

hard to process claims quickly and accurately, so you<br />

won’t get a telephone call or letter from your provider<br />

asking for additional payments. It means that we are<br />

proactive in resolving issues and making providers happy.<br />

And by making your doctors and their staff happy,<br />

they can focus on the most important part of their job<br />

— taking care of you.<br />

21<br />

<strong>Blue</strong> & <strong>You</strong> <strong>Summer</strong> <strong>2009</strong>

22<br />

ATU’s centennial<br />

celebrates education,<br />

growth and<br />

focuses on<br />

health<br />

David Moseley and staff<br />

members take a stroll<br />

through the Arkansas<br />

Tech campus as part of<br />

the <strong>Blue</strong> & <strong>You</strong> Fitness<br />

Challenge.<br />

Arkansas Tech University in<br />

Russellville is 100 years old this<br />

year, but through its partnership<br />

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

Shield, the faculty and staff are feeling<br />

as young as ever.<br />

“Our partnership works in many<br />

ways,” said Arkansas Tech President<br />

Robert Charles Brown, Ph.D. “The<br />

provisions of wellness information<br />

and preventive care are especially<br />

beneficial because they keep our<br />

faculty and staff healthy and<br />

ultimately help to keep our<br />

costs down.”<br />

Set in the Ozark foothills, Arkansas<br />

Tech serves almost 7,500<br />

students with 862 faculty and staff<br />

members and offers a wide range of<br />

degrees and certificates. The campus<br />

has experienced tremendous<br />

growth in the past few years, something<br />

Brown said can put a strain<br />

on the budget. But while in today’s<br />

economy some businesses are looking<br />

to cut costs in areas like employee<br />

benefits,<br />

Brown said<br />

that Arkansas<br />

Tech recognizes<br />

the importance<br />

of maintaining good benefits. “It is<br />

fundamental to our business model,”<br />

he said.<br />

Perhaps the value of human<br />

resources is recognized more at<br />

Arkansas Tech because of their<br />

mission. “The only thing we offer<br />

<strong>Blue</strong> & <strong>You</strong> <strong>Summer</strong> <strong>2009</strong>

is human resources … that’s what<br />

higher education is …” Brown said,<br />

adding, “If you don’t have healthy<br />

professors you don’t have a good<br />

learning environment for<br />

your students.”<br />

Arkansas Tech<br />

joined the Arkansas<br />

<strong>Blue</strong> Cross family<br />

in 1993, and in<br />

that long relationship,<br />

Brown said, the<br />

members have taken<br />

advantage of health fairs, a<br />

diabetes lunch and learn, health<br />

education programs and more.<br />

Tech always has been focused on<br />

education, but now a greater part<br />

of that education is focused on<br />

health and wellness. The cafeteria<br />

often spotlights nutritional information<br />

on select items and Tech Fit,<br />

the fitness center is available to<br />

faculty, staff and students. Students<br />

in the wellness science degree<br />

program can even coach faculty on<br />

using the fitness center as part of<br />

their course work.<br />

Brown said the campus plans to<br />

go smoke free this summer and<br />

is looking into building a two-mile<br />

walking trail around the campus.<br />

Freshman orientation even includes<br />

a focus on maintaining good health<br />

to help students avoid the dreaded<br />

“freshman 15” weight gain.<br />

Mary Ann Rollans, dean of the<br />

school of Community Education,<br />

said that each year the campus<br />

holds professional development<br />

training for administrative professionals,<br />

but this year, with about<br />

70 faculty and staff entered into<br />

the <strong>Blue</strong> & <strong>You</strong> Fitness<br />

Challenge, there has<br />

been such a focus<br />

on health that they<br />

decided on healthy<br />

living as the theme.<br />

The seminar included<br />

tips from a<br />

nutritionist and other<br />

health-related topics.<br />

David Moseley, senior vice president<br />

of administration and finance,<br />

has been the liaison between Arkansas<br />

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

and said that he is living proof of the<br />

value of quality health insurance.<br />

Moseley had a quadruple bypass in<br />

1999, and said that if it weren’t for<br />

regular checkups, “my story could<br />

have been a whole lot different.”<br />

Moseley said the relationship between<br />

Arkansas Tech and Arkansas<br />

<strong>Blue</strong> Cross is built on four things:<br />

accessibility, trust, value and customer<br />

service.<br />

“All we have to do is call Dee<br />

Rodgers or Sonya George in the<br />

Central Regional Office,” he said of<br />

the quick response they get to any<br />

question or concern. And, he added,<br />

“We trust Arkansas <strong>Blue</strong> Cross is<br />

going to do what they say they are<br />

going to do.”<br />

Moseley said the long-term value<br />

is apparent whenever a faculty or<br />

staff member has to go to the doctor<br />

or hospital. As far as customer<br />

service is concerned — “<strong>You</strong> can’t<br />

beat it,” he said.<br />

Students and faculty members can<br />

exercise at Tech Fit, a state-of-the-art<br />

fitness center on campus.<br />

23<br />

<strong>Blue</strong> & <strong>You</strong> <strong>Summer</strong> <strong>2009</strong>

24<br />

A recent study suggests you may<br />

be hurting your teeth after toning<br />

your body if you guzzle a large amount of sports drinks.<br />

Researchers at New York University College of Dentistry<br />

took cow teeth, which are similar to human teeth,<br />

cut them in half and soaked them in sports drinks for 75<br />

to 90 minutes. Afterward, they found the acid from the<br />

drinks caused damage to the tooth enamel, the dentin<br />

(the second layer of the tooth) and caused considerable<br />

staining.<br />

While some opponents of the research say that the<br />

study does not replicate real life, the implications of<br />

the research still may be valuable, especially for those<br />

who consume sports drinks on a regular basis. But,<br />

you don’t have to give them up completely. The following<br />

are suggested in order to prevent the possibility of<br />

tooth erosion:<br />

• Drink sports drinks in moderation.<br />

• Sip sports drinks through a straw.<br />

• Drink plenty of water to flush out the mouth.<br />

Ironically, because sports drinks soften tooth enamel,<br />

the researchers suggest you wait at least 30 minutes<br />

before brushing your teeth after consuming them.<br />

Instead of protecting your pearly whites, you could<br />

actually cause more damage.<br />

Sources: WebMD and CNN.com<br />

Can<br />

sports<br />

drinks<br />

harm<br />

your<br />

teeth?<br />

Health insurance is important!<br />

1. It protects you financially against<br />

catastrophic costs due to an accident<br />

or illness.<br />

2. It provides you with a discount on the<br />

medical services you receive.<br />

Do the<br />

changes in<br />

COBRA<br />

affect you?<br />

They might if you have recently lost your job.<br />

The COBRA (Consolidated Omnibus Budget Reconciliation<br />

Act) subsidy, which was passed as part of the<br />

economic stimulus package in February, gives 65 percent<br />

of COBRA premiums, for nine months, to workers<br />

who are laid off between September 2008 and the<br />

end of this year. The subsidy applies only to workers<br />

laid off from companies with 20 or more workers. This<br />

subsidy is not available to workers whose companies<br />

have closed their doors.<br />

For more information about COBRA, visit the U.S.<br />

Department of Labor Web site at dol.gov.<br />

If you are without a job and without insurance, we<br />

have a plan to meet your needs. Visit arkansasbluecross.com<br />

for more information.<br />

<strong>Blue</strong> & <strong>You</strong> <strong>Summer</strong> <strong>2009</strong>

The<br />

Doctor’s<br />

Corner<br />

Take your fish oil today?<br />

The oil found in fish and fish oil<br />

supplements (omega-3 fatty acids)<br />

recommends the following:<br />

• Go to bed at the same time<br />

every night.<br />

by Ray Bredfeldt, M.D.,<br />

Regional Medical Director<br />

Northwest Region, Fayetteville<br />

reduces the risk of macular degen-<br />

• Avoid napping during the day.<br />

eration, a common cause of blind-<br />

• Avoid heavy foods and caffeine<br />

(JAMA) should alleviate those fears.<br />

ness related to aging. Researchers<br />

four to six hours before bedtime.<br />

Researchers reviewed 47 studies on<br />

found that people who eat fish fre-<br />

• Exercise regularly but not right<br />

drugs used for various heart condi-<br />

quently (especially tuna and salmon)<br />

before going to bed.<br />

tions, and found no evidence that<br />

or who take fish oil supplements are<br />

• Eliminate distracting light and<br />

brand-name drugs were superior<br />

less than half as likely to develop<br />

macular degeneration as they age.<br />

noise if possible.<br />

• Avoid watching TV in bed. Watch-<br />

to generic drugs in actual medical<br />

practice.<br />

25<br />

ing TV for some people can<br />

stimulate the mind, making it<br />

more difficult to go to sleep.<br />

• Make sure the room is cool.<br />

• Try not to think about the<br />

worries of the day after you<br />

Smoking and colon cancer<br />

go to bed.<br />

It’s well known that smoking is<br />

the major cause of lung cancer.<br />

Sleeping is good for<br />

Generic vs. Brand-name<br />

Doctors also know that smoking<br />

your heart<br />

heart medications?<br />

is strongly associated with throat,<br />

People who do not get enough<br />

No difference!<br />

kidney, bladder, cervix, stomach<br />

sleep put their health at risk. A<br />

The U.S. Food and Drug Adminis-<br />

and pancreas cancer. A new study<br />

study published recently in the Ar-<br />

tration (FDA) requires that all ge-<br />

recently published in the Journal of<br />

chives of Internal Medicine showed<br />

neric drugs meet the same stan-<br />

the American Medical Association<br />

that people who sleep less than<br />

dards as the original drug. Despite<br />

(JAMA) has determined that colon<br />

seven and one-half hours per night<br />

this requirement, many people still<br />

cancer can be added to this long<br />

are 59 percent more likely to have a<br />

wonder whether generic and brand-<br />

list. Smokers were found to be 18<br />

heart attack, stroke or die suddenly<br />

name heart medications are equal<br />

percent more likely to develop colon<br />

from heart disease. If you have<br />

in their effectiveness. A recent<br />

cancer and 25 percent more likely to<br />

trouble sleeping, the University<br />

study published in the Journal of<br />

die from it than non-smokers.<br />

of Maryland Sleep Disorder Clinic<br />

the American Medical Association<br />

<strong>Blue</strong> & <strong>You</strong> <strong>Summer</strong> <strong>2009</strong>

Chiropractic medicine:<br />

26<br />

About 80 percent of adults have experienced<br />

low back pain at some point, making it the fifth<br />

most common reason for all physician visits<br />

in the United States. In many cases, the pain<br />

subsides in a short period of time, but in other<br />

cases, the pain is ongoing, indicating a serious<br />

problem.<br />

The back is a complicated structure of<br />

bones, joints, ligaments and muscles. Injuring<br />

any of these tissues can lead to pain and<br />

possibly impair neck, arm or leg movement. A<br />

healthy lower back provides structural support<br />

for the entire body.<br />

Medications frequently are prescribed<br />

for low back pain, though they only provide<br />

short-term benefits. More than 75 percent of<br />

patients are prescribed at least one medication<br />

for back pain at their initial office visit. But<br />

medications are not the only treatments<br />

available.<br />

Studies show that noninvasive treatments<br />

— such as spinal manipulation and massage<br />

therapy — often provide longer benefits than<br />

medications. A doctor of chiropractic medicine<br />

often provides these noninvasive treatments.<br />

Surgery is another option for treating low<br />

back pain. However, more than 40 percent of<br />

patients who underwent back surgery report<br />

being dissatisfied with the results. Before<br />

choosing surgery, it is recommended that patients<br />

experience at least two years of noninvasive<br />

interventions such as spinal manipulation.<br />

When it comes to managing acute and<br />

chronic back pain, there is no magic solution<br />

that works for everyone. However, chiroprac-<br />

Studies show that<br />

noninvasive treatments<br />

— such as spinal<br />

manipulation and<br />

massage therapy — often<br />

provide longer benefits<br />

than medications.<br />

<strong>Blue</strong> & <strong>You</strong> <strong>Summer</strong> <strong>2009</strong>

An effective option for low back pain<br />

tic care has been successful for millions of Americans<br />

looking to avoid surgery and/or regular pain medication.<br />

Chiropractors are best known for their conservative<br />

care of back and neck pain. However, doctors of chiropractic<br />

medicine are capable of treating a broad range<br />

of conditions and injuries. Not only is chiropractic care<br />

beneficial for conditions such as these, but when other<br />

health conditions exist, it may complement or even<br />

support medical treatment. Patient satisfaction<br />

rates are high when hands-on therapies<br />

were used for treatment of various<br />

conditions as an alternative to surgery<br />

or pharmaceuticals.<br />

Chiropractic doctors consult<br />

with their patients in ways<br />

similar to medical doctors.<br />

Laboratory tests or diagnostic<br />

imaging may be requested. A<br />

chiropractic doctor will perform<br />

a physical examination, paying<br />

close attention to the patient’s posture,<br />

motion, balance, muscle strength<br />

and level of neurologic involvement. This allows<br />

the chiropractic doctor to put the patient in one of three<br />

broad categories: 1) nonspecific low back pain related<br />

to joint and ligament laxity, strained or over-used muscles,<br />

or sprained ligaments; 2) back pain potentially associated<br />

with pinched nerves due to spinal stenosis or<br />

disc protrusion; and 3) back pain potentially associated<br />

with other spinal causes such as progressive neurologic<br />

deficits, tumors or infection. Placing the patient in the<br />

correct category helps guide the treatment.<br />

Depending on the examination, a chiropractic treatment<br />

plan may include any one or combination of the<br />

following:<br />

• Spinal manipulation<br />

• Electrical muscle stimulation<br />

• Traction<br />

• Ultrasound<br />

• Soft tissue massage<br />

• Home treatment recommendations<br />

• Lifting posture and lifestyles modifications<br />

• Rehabilitative exercises<br />

A treatment plan also may involve collaborative<br />

care with other health-care providers,<br />

such as your primary care physician,<br />

orthopedist or neurologist.<br />

The extent of a patient’s<br />

problems coupled with the<br />

hands-on nature of chiropractic<br />

treatment may require<br />

several office visits. While<br />

many patients feel immediate<br />

relief following chiropractic<br />

treatment, it may take others two<br />

to three weeks before they achieve<br />

substantial progress. <strong>You</strong>r chiropractic<br />

doctor should tell you how long the treatment<br />

should last.<br />

When choosing a doctor of chiropractic medicine,<br />

the American Chiropractic Association (ACA) suggests<br />

you select a chiropractic physician with whom you are<br />

comfortable, who thoroughly answers your questions<br />

and explains the recommended treatment plan.<br />

To locate a chiropractic doctor in your area, visit one<br />

of our Web sites listed on page 31.<br />

Sources: American Chiropractic Association (ACA),<br />

Consumer Reports, Annals of Internal Medicine<br />

27<br />

<strong>Blue</strong> & <strong>You</strong> <strong>Summer</strong> <strong>2009</strong>

<strong>Blue</strong>Ann Ewe and the Arkansas <strong>Blue</strong> Cross Heart Walk team.<br />

28<br />

Arkansas <strong>Blue</strong> Cross has a heart<br />

Arkansas <strong>Blue</strong> Cross and <strong>Blue</strong> Shield has a “heart” sas <strong>Blue</strong> Cross’ health ambassador, joined more than<br />

and encourages its employees to maintain a healthy 300 Arkansas <strong>Blue</strong> Cross employees on April 4 to walk<br />

heart! As “<strong>You</strong> Have A Heart” sponsors of the American<br />

Heart Association’s Heart Walk, Arkansas <strong>Blue</strong> the North Shore Riverwalk in North Little Rock.<br />

in the American Heart Association’s Heart Walk held at<br />

Cross formed a corporate team. <strong>Blue</strong>Ann Ewe, Arkan-<br />

<strong>Blue</strong>Ann Ewe joins Perritt Primary School<br />

<strong>Blue</strong>Ann Ewe joined the annual “Just Say No” drug<br />

prevention walk hosted by Perritt Primary School in<br />

Arkadelphia on April 10. <strong>Blue</strong>Ann led the fight against<br />

drugs with hundreds of elementary students, high<br />

school and college mentors, parents, teachers and<br />

administration staff, and community supporters. Perritt’s<br />

Nickelodeon singers got the day off to a great start<br />

with two musical numbers that fit with the theme.<br />

Arkadelphia High School cheerleaders and junior high<br />

drill team members led a workout on the school lawn.<br />

The students, along with <strong>Blue</strong>Ann, walked to the newspaper<br />

office for another rally and then headed back to<br />

the school, but not before stopping at the principal’s<br />

house for juice and cookies. Community and state<br />

leaders greeted the walkers, pledging their support in<br />

the fight against drugs. Ashlen Batson, Miss Arkansas<br />

2008, served as the keynote speaker. <strong>Blue</strong>Ann, Barney<br />

the Badger and “No Smok-e-mon” were special guests<br />

at the rally. Clark County Sheriff’s Office and Arkadelphia<br />

Police Department officers, and members of the<br />

Arkadelphia Fire Department Rescue Unit joined in the<br />

assembly.<br />

<strong>Blue</strong>Ann walks in the “Just Say NO” drug prevention walk<br />

hosted by Perritt Primary School in Arkadelphia.<br />

<strong>Blue</strong> & <strong>You</strong> <strong>Summer</strong> <strong>2009</strong>

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

Financial Information Privacy Notice<br />

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

<strong>Blue</strong> Shield and its affiliates<br />

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

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

Administrators of Arkansas), we<br />

understand how important it is to<br />

keep your private information just<br />

that — private. Because of the<br />

nature of our business, we must<br />

collect some personal information<br />

from our members, but we also are<br />

committed to maintaining, securing<br />

and protecting that information.<br />

Customer Information<br />

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

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 />

will provide information to one<br />

use of confidential information by an<br />

employee can result in disciplinary<br />

action up to and including termination<br />

of employment.<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.<br />

As required by state regulation, we<br />

must notify our members about<br />

how we handle non-public financial<br />

information of our members. Nothing<br />

29<br />

affiliates only compile information<br />

another or other third parties are:<br />

has changed in the way we conduct<br />

necessary for us to provide the<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 />

• 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 />

our business. If you would like to<br />

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 />

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 />

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 />

information. Improper access and<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 />

<strong>Blue</strong>Advantage Administrators of<br />

Arkansas — Members should call<br />

Customer Service using the toll-free<br />

telephone number on their ID card.<br />

<strong>Blue</strong> & <strong>You</strong> <strong>Summer</strong> <strong>2009</strong>

30<br />

Generic drugs: Use with confidence!<br />

Rising prescription drug costs FDA to sell generic versions. Since<br />

affect everyone, especially older they don’t have the investment, the<br />

Americans, but many people manufacturers sell the generic drug<br />

worry that generic versions of their at a lower price.<br />

medications are not as good as the The FDA review process for generic<br />

drugs is almost identical to the<br />

brand-name version. If you are one<br />

of these people — stop worrying! process for brand-name drugs:<br />

Generic drugs can be used with • A brand-name drug must be<br />

confidence.<br />

FDA-approved before a generic<br />

The U.S. Food and Drug Administration<br />

(FDA) approves brand name must have the same active<br />

can be created. The generic<br />

and generic drug products sold in ingredient or ingredients and the<br />

the United States, and the quality same strength as the brandname<br />

drug.<br />

standards are the same for both<br />

products. The difference in price • The manufacturer must show<br />

comes from the cost of developing the generic drug is bioequivalent<br />

the drug.<br />

to the brand-name drug. This<br />

New drugs are developed under means that it will react in the<br />

patent protection. Pharmaceutical same way in a person’s body.<br />

companies invest large amounts • The generic drug’s label must<br />

of money to be sure their products be essentially the same as the<br />

are safe and effective, so they are approved drug.<br />

allowed to sell the drug while the • The firm must document the generic<br />

drug’s chemistry, manufac-<br />

patent is in effect and they may sell<br />

it at a higher cost to recoup their turing steps and quality control<br />

investment. When patents on brandname<br />

drugs near expiration, drug • The raw materials and finished<br />

measures for FDA review.<br />

manufacturers may apply to the<br />

generic product must meet<br />

From the<br />

specifications set by U.S. Pharmacopoeia,<br />

a non-profit, scientific<br />

body that sets standards for<br />

drug purity.<br />

• Once on the market, the firm<br />

must continue to monitor the<br />

drug’s stability. Firms making<br />

sterile drugs must submit data<br />

assuring sterility.<br />

• The firm must comply with federal<br />

good manufacturing practice<br />

regulations and undergo FDA<br />

inspection to assure compliance.<br />

Generic competition keeps costs<br />

down and encourages drug companies<br />

to develop newer and better<br />

medicines. Generic drugs save<br />

Americans an estimated $8 to $10<br />

billion a year (according to the Congressional<br />

Budget Office). Billions<br />

more are saved when hospitals use<br />

generics.<br />

So the next time you get a prescription<br />

filled, ask your pharmacist<br />

if a generic version is available. Use<br />

generics with confidence!<br />

Source: U.S. Food and Drug<br />

Administration<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>2009</strong>

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

helps city of Mena<br />

(Left to right) Ken Bell, managed care service representative<br />

for the West Central Region in Fort Smith; Cindy Long, vice<br />

president of Retail Banking and Human Development for<br />

the Union Bank of Mena; Dr. Diann Gathright, Mena School<br />

Superintendent; Martha Carlson, regional executive for the<br />

West Central Region; and P.T. Plunkett, chairman of the<br />

Bearcat Foundation, Inc.<br />

When the city of Mena was devastated by a tornado<br />

in April, Arkansas <strong>Blue</strong> Cross and <strong>Blue</strong> Shield looked<br />

for ways to help the residents recover from the storm.<br />

A $5,000 donation was made to heavily damaged<br />

Mena Middle School to replace academic equipment<br />

and help purchase physical education equipment.<br />

Arkansas <strong>Blue</strong> Cross employees raised an additional<br />

$2,573 to help Mena’s residents recover.<br />

“Arkansas <strong>Blue</strong> Cross is always looking for ways to<br />

improve the lives of all Arkansans, and when our neighbors<br />

are in need, we are there to lend a helping hand,”<br />

said Martha Carlson, regional executive of the West<br />

Central Regional Office, which serves Polk County<br />

where Mena is located. Carlson presented the donation<br />

to Mena Middle School.<br />

Arkansas <strong>Blue</strong> Cross continually provides donations<br />

to organizations and communities in need throughout<br />

Arkansas through corporate sponsorship, the <strong>Blue</strong> &<br />

<strong>You</strong> Foundation for a Healthier Arkansas and employee<br />

fundraisers.<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 or Medi-Pak Rx 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? Regional Office<br />

telephone numbers:<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 />

Web sites:<br />

arkansasbluecross.com<br />

healthadvantage-hmo.com<br />

blueadvantagearkansas.com<br />

blueandyoufoundationarkansas.org<br />

blueannewe-ark.com<br />

31<br />

<strong>Blue</strong> & <strong>You</strong> <strong>Summer</strong> <strong>2009</strong>

32<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 />

Wellness Discounts are good for you<br />

As a member, you are entitled to numerous discounts!<br />

Our discount wellness program connects you with<br />

numerous resources such as health and fitness clubs,<br />

weight management plans, sporting goods and fitness<br />

and safety equipment vendors and more. For more<br />

information, visit us online at arkansasbluecross.com,<br />

healthadvantage-hmo.com or blueadvantagearkansas.<br />

com depending on your policy.<br />

Take ou r survey<br />

Tell us what you think. Go to<br />

arkansasbluecross.com and fill out the<br />

survey on the home page for a chance to<br />

win a gift card. We value your input.<br />

Someone you know need<br />

insurance?<br />

Chances are, if you are receiving this<br />

magazine, you already have insurance<br />

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

Shield or one of our affiliated companies.<br />

However, you may have<br />

a child who has “aged off” your<br />

plan, a brother who no longer has<br />

insurance through his employer,<br />

or an uncle who just turned 65<br />

and now is eligible for a Medicare<br />

plan. Whatever the need, we can<br />

help. Share our telephone number<br />

— 1-800-392-2583 — with someone<br />

today who needs health insurance,<br />

and we’ll help them find a plan to fit their<br />

needs and budget.<br />

<strong>Blue</strong> & <strong>You</strong> <strong>Summer</strong> <strong>2009</strong>

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