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Blueprint magazine -- AUTUMN 2020

Blueprint magazine -- AUTUMN 2020 issue In this issue: -- Medicare your way -- Arkansas Blue Cross honored as Hunger Hero -- Blue packs 2 million meals for Arkansas! -- Welcome back! Your local ArkansasBlue welcome centers (including two new ones, in Little Rock and Rogers) are ready to serve you safely -- In person and personal; Visit an ArkansasBlue welcome center for a face-to-face visit -- Open Enrollment 2020 (November 1 - December 15) -- Open enrollment for Arkansas State and Public School Employees (OCTOBER 1-31) -- Medicare Annual Enrollment Period (October 15 – December 7) -- Introducing a new ... and better Arkansas Blue Medicare -- SilverSneakers® -- Vaccine volunteer; Chief Medical Officer’s reasons for participating are personal and professional -- Virtual health: Bringing healthcare to you -- Officer down ... Blue & You Foundation grant saves lawman’s life -- ANNUAL NOTICE: 2020 Summary of Benefits and Coverage – available November 15 for individual/family policyholders -- Women’s Health and Cancer Rights Act annual notice -- Notice of Privacy Practices Availability annual notice; Arkansas Blue Cross and Blue Shield and Health Advantage -- Avoid the "twindemic": Get a flu shot!

Blueprint magazine -- AUTUMN 2020 issue

In this issue:
-- Medicare your way
-- Arkansas Blue Cross honored as Hunger Hero
-- Blue packs 2 million meals for Arkansas!
-- Welcome back! Your local ArkansasBlue welcome centers (including two new ones, in Little Rock and Rogers) are ready to serve you safely
-- In person and personal; Visit an ArkansasBlue welcome center for a face-to-face visit
-- Open Enrollment 2020 (November 1 - December 15)
-- Open enrollment for Arkansas State and Public School Employees (OCTOBER 1-31)
-- Medicare Annual Enrollment Period (October 15 – December 7)
-- Introducing a new ... and better Arkansas Blue Medicare
-- SilverSneakers®
-- Vaccine volunteer; Chief Medical Officer’s reasons for participating are personal and professional
-- Virtual health: Bringing healthcare to you
-- Officer down ... Blue & You Foundation grant saves lawman’s life
-- ANNUAL NOTICE: 2020 Summary of Benefits and Coverage – available November 15 for individual/family policyholders
-- Women’s Health and Cancer Rights Act annual notice
-- Notice of Privacy Practices Availability annual notice; Arkansas Blue Cross and Blue Shield and Health Advantage
-- Avoid the "twindemic": Get a flu shot!

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

Blue Cross and Blue Shield family of companies <strong>AUTUMN</strong> <strong>2020</strong><br />

New and Blue<br />

and right<br />

for you!<br />

PAGE 8<br />

Face-to-face<br />

service makes<br />

a comeback<br />

PAGE 4<br />

Enrollment<br />

season is here<br />

once again<br />

PAGE 6<br />

Blue & You<br />

grant saves<br />

officer’s life<br />

PAGE 13


a<br />

Word<br />

with Curtis Barnett<br />

Our President and<br />

Chief Executive Officer<br />

Medicare Your Way<br />

If there is one thing we can<br />

say about baby boomers, it’s<br />

that one size certainly doesn’t<br />

fit all. This generation (born<br />

1946-1964) started entering<br />

Medicare in 2011, and at a<br />

rate of about 10,000 per day,<br />

Medicare’s rolls are expected to<br />

top the 80 million-beneficiary<br />

mark by 2030.<br />

Since the inception of Medicare<br />

in the 1960s, products that<br />

supplement Medicare coverage<br />

or, more recently, replace<br />

Medicare coverage altogether,<br />

have been an important part of<br />

our benefit portfolio. Boomers<br />

are a diverse group, and they<br />

deserve Medicare plans that<br />

fit their lifestyles and budgets.<br />

With that in mind, we went back<br />

to the drawing board.<br />

In the past year, Arkansas Blue<br />

Cross and Blue Shield has<br />

dedicated more resources than<br />

ever before to our Medicare<br />

coverage options, creating<br />

products with more options to<br />

choose from and features that<br />

promote wellness, condition<br />

management and quality<br />

healthcare … and, yes, help<br />

make our plans more affordable.<br />

(You can read about those<br />

exciting, new plans on page 8).<br />

Not only are our new Medicare<br />

plans consumer-friendly, they<br />

have features that promote<br />

wellness and help you manage<br />

chronic health conditions and<br />

better coordinate all the care<br />

you receive. We believe these<br />

features, while keeping you<br />

healthier, will also help make<br />

healthcare more affordable for<br />

our senior population.<br />

And this is only the beginning.<br />

We have a multi-year plan to<br />

continue to grow and develop<br />

our Medicare offerings to<br />

respond to what senior<br />

Arkansans need and want.<br />

At Arkansas Blue Cross, we<br />

see our Medicare members<br />

for who they are ... real people<br />

with real health needs. One size<br />

doesn’t fit all. Come visit an<br />

ArkansasBlue welcome center<br />

to see what we have to offer.<br />

Not only are our new<br />

Medicare plans consumerfriendly,<br />

they have features<br />

that promote wellness and<br />

help you manage chronic<br />

health conditions and<br />

better coordinate all the<br />

care you receive.<br />

Arkansas Blue Cross and Blue Shield and its family of affiliates comply with applicable<br />

federal civil rights laws and does not discriminate on the basis of race, color, national<br />

origin, age, disability or sex. ATENCIÓN: si habla español, tiene a su disposición servicios<br />

gratuitos de asistencia lingüística. Llame al 844-662-2276. CHÚ Ý: Nếu bạn nói Tiếng<br />

Việt, có các dịch vụ hỗ trợ ngôn ngữ miễn phí dành cho bạn. Gọi số 844-662-2276.<br />

<strong>AUTUMN</strong> <strong>2020</strong><br />

EDITOR<br />

Greg Russell<br />

Editor@arkbluecross.com<br />

DESIGNER<br />

Ryan Kravitz<br />

PHOTOGRAPHERS<br />

Chip Bayer<br />

David Lewis<br />

CONTRIBUTORS<br />

Chip Bayer<br />

Jennifer Bridgeman<br />

Katie Eisenhower<br />

Suzi Parker<br />

Marie Trotter<br />

Kimberly Walker<br />

VICE PRESIDENT of<br />

CORPORATE MARKETING<br />

Alison Melson<br />

ON THE COVER:<br />

Julie and Bill Bridgforth<br />

of Pine Bluff enjoy<br />

the convenience and<br />

excellent service they<br />

experience when<br />

they visit their local<br />

ArkansasBlue<br />

welcome center.<br />

2<br />

<strong>AUTUMN</strong> <strong>2020</strong>


BlueNEWS<br />

Arkansas Blue Cross<br />

honored as Hunger Hero<br />

Healthy food is an important<br />

part of good health. And<br />

addressing social determinants<br />

such as nutrition is an<br />

important focus of Arkansas<br />

Blue Cross and Blue Shield’s<br />

mission to improve the health<br />

of all Arkansans. In September,<br />

the Arkansas Hunger Relief<br />

Alliance recognized Arkansas<br />

Blue Cross as a Corporate<br />

Hunger Hero and presented<br />

Curtis Barnett, our president<br />

and CEO, the Acting Out<br />

Against Hunger award for<br />

•<br />

FEARLESS<br />

•<br />

the company’s dedication to<br />

addressing food insecurity in<br />

the state. The Alliance provides<br />

programs, food resources,<br />

education and advocacy to<br />

reduce hunger in Arkansas. To<br />

find out more about the great<br />

work of Arkansas Hunger Relief<br />

Alliance and how you can help,<br />

visit arhungeralliance.org.<br />

Barnett helps out at a meal-packing event.<br />

“Whether packing more than 2<br />

million meals during the past<br />

few years, investing more than<br />

$2.3 million dollars toward food<br />

insecurity since 2005, helping<br />

harvest fields, or funding food<br />

for those made even more<br />

vulnerable during the pandemic,<br />

our employees, our board and<br />

our leadership are committed to<br />

Arkansans,” said Curtis.<br />

Blue packs 2 million meals<br />

for Arkansas!<br />

In 2018, Arkansas Blue Cross<br />

committed to packing 700,000<br />

meals to help fight food insecurity<br />

in Arkansas as part of its 70 th<br />

anniversary celebration. We<br />

partnered with The Pack Shack,<br />

a nonprofit focused on food<br />

insecurity, to hold high-energy<br />

community rallies throughout the<br />

state where scores of volunteers<br />

packed nutritious meals for local<br />

food pantries. We beat our goal<br />

that year, packing more than 1<br />

million meals, then added hundreds<br />

of thousands more meals to the<br />

total in 2019, and during <strong>2020</strong>,<br />

exceeded the 2 million meals mark!<br />

When the pandemic hit this spring,<br />

we knew the need for healthy food<br />

would increase exponentially.<br />

Thanks to a donation from our<br />

Blue & You Foundation for a<br />

Healthier Arkansas, The Pack<br />

Shack mobilized small groups<br />

of volunteers at its warehouse,<br />

masked and appropriately<br />

distanced, to pack more than<br />

140,000 meals on behalf of<br />

Arkansas Blue Cross and Blue<br />

Shield, bringing the grand total<br />

to 2,145,310 meals, thanks to<br />

funding or hands-on packing.<br />

Community food banks and<br />

local food pantries throughout<br />

Arkansas were able to distribute<br />

these meals to feed the hungry in<br />

their locations. Together, we can<br />

meet and beat food insecurity.<br />

Fearless Food Fights are parties with a purpose.<br />

<strong>AUTUMN</strong> <strong>2020</strong><br />

3


welcome back!<br />

Your local ArkansasBlue welcome centers are ready to serve you safely<br />

e’re back and ready to help … safely.<br />

After being closed for five months<br />

due to the COVID-19 pandemic, local<br />

ArkansasBlue welcome centers<br />

throughout the state reopened<br />

September 8, <strong>2020</strong>, on an<br />

appointment-only basis.<br />

“Sometimes meeting with someone face<br />

to face is the best way to understand<br />

your health insurance situation, and<br />

the ArkansasBlue welcome centers are<br />

the places where you can go to speak<br />

in person to licensed experts who<br />

can help you find practical, affordable<br />

solutions that meet your specific health<br />

insurance needs,” said Dwayne Pierce,<br />

senior lead executive for regional and<br />

sales operations. “We are taking every<br />

precaution we can to protect your<br />

health, so you’ll be comfortable coming<br />

in to speak with us.”<br />

For your safety, here are some guidelines for visiting your local ArkansasBlue welcome center:<br />

Customer visits are by<br />

appointment only.<br />

If you have a cough or fever,<br />

please reschedule. People<br />

who have symptoms like that<br />

won’t be allowed to enter.<br />

Remain in your vehicle until<br />

your appointment time. A<br />

representative will notify you when<br />

it is time to enter the building.<br />

You’ll be asked some health<br />

questions related to COVID-19 risks<br />

and have your temperature checked.<br />

You will be required to wear<br />

a mask. If you don’t have a<br />

mask, we’ll give you one.<br />

You will be required to apply<br />

hand sanitizer when you enter<br />

the building.<br />

If you need to bring us a payment,<br />

just leave it in the mailbox outside<br />

the front door. There’s no need to<br />

come inside. To increase safety,<br />

we are not taking payments in<br />

person. And if you want to save<br />

yourself a trip, just use any of our<br />

other convenient payment options.<br />

You can find them on our website.<br />

No more than 10 customers can be<br />

in the building at any given time.<br />

No more than three people<br />

(including the representative)<br />

can be in a representative’s<br />

office at any given time.<br />

Protective shields will be in<br />

place on each desk.<br />

Social-distancing protocols<br />

will be observed at all times.<br />

We will sanitize after every<br />

consultation, and every facility<br />

will be thoroughly cleaned and<br />

sanitized every evening.<br />

4 <strong>AUTUMN</strong> <strong>2020</strong>


nd now we have more places to serve<br />

you. In September, we opened two brandnew<br />

ArkansasBlue welcome centers – one<br />

in Rogers and one in midtown Little Rock –<br />

bringing the statewide number to 10.<br />

“We are an Arkansas company, and we<br />

want to serve Arkansans,” Pierce said.<br />

“By expanding our locations, we can better<br />

serve our customers right where they live.”<br />

6.<br />

1.<br />

1.<br />

ArkansasBlue welcome centers<br />

2.<br />

8.<br />

Fayetteville<br />

2. Fort Smith<br />

ROGERS<br />

3. Hot Springs<br />

4. Jonesboro<br />

4602 West Walnut Street<br />

Rogers, AR 72756<br />

479-973-6675<br />

3.<br />

5.<br />

LITTLE ROCK (Midtown)<br />

416 South University Avenue<br />

Suite 110<br />

Little Rock, AR 72204<br />

501-396-8675<br />

5.<br />

6.<br />

7.<br />

8.<br />

Little Rock (West)<br />

Lowell<br />

Pine Bluff<br />

Texarkana<br />

The Bridgforths describe their positive experiences<br />

at the Pine Bluff ArkansasBlue welcome center.<br />

7.<br />

4.<br />

In person<br />

andpersonal<br />

Visit an ArkansasBlue welcome<br />

center for a face-to-face visit<br />

Maybe you’re not comfortable with technology.<br />

Or maybe you’re just confused or overwhelmed<br />

when making a choice about your health coverage.<br />

These are common sentiments among Medicareage<br />

customers. People with coverage through their<br />

employer may not have to make decisions about<br />

health plans. But at retirement, there are numerous<br />

decisions to make and a wide array of options to<br />

choose from. It can be a daunting process.<br />

Fortunately, our local ArkansasBlue welcome<br />

centers are there to help.<br />

“There is kind of a maze to work through when you<br />

first start trying to decide what you need and what<br />

you don’t need,” said Julie Bridgforth of Pine Bluff,<br />

who went through the process with her husband,<br />

Bill, at their local ArkansasBlue welcome center.<br />

“They could not have been nicer and more helpful,”<br />

Bill recalled. “The minute we walked in, we felt<br />

welcome and more at ease. They helped us find<br />

answers to questions we didn’t even know to ask.”<br />

“Without a local office like this, it would have been<br />

so much harder to get all of that figured out,” Julie<br />

said. “And they don’t treat you like you’re asking a<br />

dumb question. They are very patient.”<br />

Bobbie Kemp of Monticello agrees. “I do some of<br />

my business online, so it’s not that I don’t know<br />

how. But for me, with my health insurance, having<br />

that person sitting across from you makes all the<br />

difference in the world. I live 47 miles away (from<br />

Pine Bluff), but the service I get there makes it<br />

worth the drive. Bambi (Wilson) has gone above<br />

and beyond for me. I had a pharmacy problem,<br />

and she researched it and told me how to fix it.<br />

It was a great experience. We laughed a lot. It’s<br />

great to have that kind of interaction, especially<br />

when you’re stressed.”<br />

<strong>AUTUMN</strong> <strong>2020</strong><br />

5


Open Enrollment <strong>2020</strong><br />

November 1 - December 15<br />

Choosing a health plan is<br />

an important decision. But<br />

fortunately, Arkansas Blue<br />

Cross and Blue Shield has<br />

friendly experts who are<br />

here to help.<br />

If you need an individual<br />

or family health plan, the<br />

open enrollment period<br />

(OEP) begins November 1<br />

and ends December 15 .<br />

You will be able to review<br />

your information and<br />

decide if you want to keep<br />

your plan the way it is or<br />

make a change.<br />

Watch your mail for your<br />

annual benefit update<br />

letter, which will explain<br />

your options in detail.<br />

If you need to choose<br />

a new health plan, our<br />

knowledgeable customer<br />

service representatives –<br />

or your insurance agent/<br />

broker – can help you pick<br />

a great option. Just call<br />

800-392-2583 during the<br />

OEP period. Or make an<br />

appointment at one of<br />

our ArkansasBlue<br />

welcome centers (see<br />

arkbluecross.com/locations ).<br />

During open enrollment,<br />

some locations will even<br />

be open on Saturdays.<br />

Avoid the December<br />

rush and get your health<br />

plan shopping done in<br />

November. You’ll have<br />

more time – and more<br />

peace of mind – to enjoy<br />

the holidays.<br />

(Pro tip: New enrollees do not need to wait for Arkansas Blue<br />

Cross to send a premium statement. Payment options are<br />

immediately available on our website or via payment kiosks<br />

at any of our Arkansas Blue welcome centers.)<br />

Open enrollment for<br />

Arkansas State<br />

and<br />

Public School<br />

Employees<br />

OPEN ENROLLMENT:<br />

OCTOBER 1-31<br />

Arkansas State Employee and Public<br />

School Employee (ASE/PSE) open<br />

enrollment is here (October 1-31).<br />

ASE/PSE members may choose a<br />

health plan or make changes to their<br />

existing coverage for the next plan<br />

year, which starts January 1, 2021.<br />

Rates and benefits have been approved<br />

by the State and Public School Life<br />

and Health Insurance Board. Plan<br />

options and premium information for<br />

ASE/PSE members have been posted<br />

on arbenefits.org. For questions and<br />

additional information, contact the<br />

Employee Benefits Division at<br />

877-815-1017.<br />

You also can visit the Health Advantage<br />

website, healthadvantage-hmo.com,<br />

for featured plan information, health<br />

resources and our member self-service<br />

portal, My <strong>Blueprint</strong> (which lets you<br />

access valuable benefits and services<br />

wherever you are). Find a doctor …<br />

access your electronic member ID card<br />

… check claims, coverage and benefit<br />

info … contact customer service …<br />

estimate treatment costs … fill out<br />

a personal health record … all with<br />

just a click or touch.<br />

6 <strong>AUTUMN</strong> <strong>2020</strong>


October 15 – December 7<br />

Got Medicare? Need it? Medicare’s Annual Enrollment Period (AEP) is your opportunity to purchase<br />

a Medicare Advantage plan or upgrade your existing plan. And this year, Arkansas Blue Medicare and<br />

Health Advantage have some exciting, new options. (See page 8 for details).<br />

The Annual Enrollment Period is October 15 through December 7. New benefits will be effective January 1, 2021.<br />

Here’s a little more about our<br />

Medicare<br />

Advantage plans<br />

• HMO and PPO plans with $0 premiums and low copays<br />

• Comprehensive dental, vision, hearing and prescription drug coverage<br />

• A large network of doctors you know and hospitals you trust<br />

Want to learn more about our Medicare Advantage plans?<br />

Call your local licensed agent or 800-392-2583 to learn more<br />

or visit arkbluemedicare.com. We’d love to hear from you. If you<br />

have a friend or family member who is looking for a Medicare<br />

Advantage plan, we hope you’ll recommend Arkansas Blue<br />

Cross and Health Advantage.<br />

<strong>AUTUMN</strong> <strong>2020</strong><br />

7


Introducing a new ... and better<br />

Ready for something exciting in Medicare Advantage?<br />

In 2021 we are raising the bar on Medicare Advantage plan options. We’ve reimagined<br />

existing plans and designed several new ones to better meet your needs and budget.<br />

Blue is<br />

Our 2021 Medicare Advantage plans offer more<br />

and better choices. And with better choices, you<br />

can get a plan that delivers what you need most<br />

from your healthcare coverage.<br />

Our Medicare Advantage options feature:<br />

• HMO and PPO plans with $0<br />

premiums and low copays<br />

more<br />

• Comprehensive dental, vision, hearing<br />

and prescription drug coverage<br />

• Quarterly allowances for Medicareapproved<br />

over-the-counter products<br />

• PPO in-network coverage that travels with you<br />

Blue is<br />

value<br />

Arkansas Blue Medicare Advantage<br />

plans include valuable extras<br />

designed to help you stay your<br />

healthiest. You’ll have $0 copays<br />

on many preventive screenings, a<br />

SilverSneakers ® fitness program<br />

membership and gift card rewards<br />

for simply getting Medicare-approved<br />

screenings and tests. You take care<br />

of your health, and we take care of<br />

you. It’s our promise.<br />

8 <strong>AUTUMN</strong> <strong>2020</strong>


Blue is<br />

confidence<br />

Blue is<br />

your plan<br />

We’ve served Arkansans like you for<br />

more than 70 years. When you choose an<br />

Arkansas Blue Medicare Advantage plan,<br />

you get the peace of mind that we’ll be<br />

there when and where you need it. With our<br />

plans, you get a large network of doctors<br />

you know and hospitals you trust.<br />

The Annual Enrollment Period begins October<br />

15 and runs through December 7. If you’re<br />

getting ready to age in to Medicare, or you are<br />

already a Medicare Advantage member, now<br />

is the time to take a look at Arkansas Blue<br />

Medicare. We’ve designed our plans to meet<br />

your changing needs. Our Medicare experts<br />

will help you find the right plan for you.<br />

Want to learn more?<br />

If you have questions or want to know what Medicare Advantage<br />

plans are available in your area:<br />

Call 800-392-2583<br />

Visit arkbluemedicare.com<br />

Make an appointment at your nearby ArkansasBlue<br />

welcome center (see page 4 for details)<br />

Speak to your local licensed agent<br />

SilverSneakers ®<br />

SilverSneakers is one of the nation’s leading<br />

exercise programs for senior adults. It’s a no-cost<br />

gym membership for eligible seniors with access to<br />

more than 13,000 locations. SilverSneakers aims<br />

to keep adults active and healthy. It’s available to all<br />

Arkansas Blue Medicare Advantage members.<br />

<strong>AUTUMN</strong> <strong>2020</strong><br />

9


accine<br />

Volunteer<br />

One of 30,000<br />

Chief Medical<br />

Officer’s<br />

reasons for<br />

participating<br />

are personal<br />

and professional<br />

On August 14, <strong>2020</strong>, Mark Jansen, M.D.,<br />

was given a shot in his left arm.<br />

The injection was either a potential coronavirus<br />

vaccine or a placebo – a harmless starch or<br />

sugar solution.<br />

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

chief medical officer, a veteran primary care<br />

physician and a son who lost his mother to<br />

COVID-19, he’s invested in seeing the outcome.<br />

Whichever it turns out to be, Jansen hopes his<br />

contribution to this clinical trial will help scientists<br />

counter the virus that has cost our society, and<br />

his own family, so dearly.<br />

Dr. Jansen is one of 30,000 American adults<br />

expected to participate in a double-blind, placebocontrolled<br />

coronavirus vaccine study conducted<br />

by Moderna, Inc., a Massachusetts biotechnology<br />

company, in collaboration with the National<br />

Institutes of Health.<br />

This type of study is the “gold standard” of clinical<br />

trials. Neither the people getting the shots nor the<br />

clinicians giving the shots know who gets a placebo<br />

and who gets the real treatment. Only the data<br />

analysts who interpret the results at the study’s<br />

end can tell who was in which group.<br />

“The weird part is, if I get the placebo, yes, they’re<br />

hoping that I get COVID-19,” Jansen said. That<br />

way, Moderna can compare rates of infection<br />

among people who received the vaccine and<br />

those who got the placebo. “If the ones who<br />

get the actual vaccine stay well, it demonstrates<br />

the effectiveness of the vaccine,” he added.<br />

Across the country, Moderna has roughly 89<br />

clinical research sites involved in this third phase<br />

of its vaccine trial. The study is recruiting people<br />

who are at least age 18 years old and have never<br />

tested positive for coronavirus. Participants get<br />

periodic blood tests and are closely monitored<br />

throughout the trial, which could last 25 months.<br />

Clinical trial<br />

phases 1, 2, 3<br />

Vaccine clinical trials like Moderna’s have three primary phases, each<br />

designed to answer different questions about a potential treatment. Phase<br />

1 investigates the safety of a treatment in humans. Phase 2 examines<br />

whether a treatment works. Phase 3 compares a new treatment with<br />

standard treatments to see if it works better, has fewer side effects, etc.<br />

“Operation<br />

Warp Speed”<br />

The federal government launched “Operation Warp Speed” as a publicprivate<br />

partnership with drugmakers to produce and deliver 300 million<br />

doses of COVID-19 vaccines to Americans by January 2021. On August 11,<br />

Moderna signed an agreement with the White House to produce<br />

100 million doses of its anticipated COVID-19 vaccine.<br />

10 <strong>AUTUMN</strong> <strong>2020</strong>


Jansen on COVID-19 and the flu<br />

The symptoms of the coronavirus and the flu are similar, so we’re going to see an increase in the<br />

push for people to get the flu vaccine this year. We don’t have any extra capacity in the care delivery<br />

system to handle a spike in both. For instance, if people get a bad case of the flu and then contract<br />

pneumonia … there might not be an available hospital bed if we’re also dealing with the coronavirus.<br />

So, we really have to be good this year about getting flu shots.<br />

– Mark Jansen, M.D.<br />

Chasing a vaccine<br />

But if Moderna expects trials to last two years,<br />

how could the country possibly have a safe<br />

vaccine early next year? “If the researchers see<br />

really good results, they can stop the trial early,”<br />

Jansen said. “That’s called ‘un-blinding’ the study.”<br />

If that happens, Moderna would offer everyone<br />

who received the placebo the real vaccine.<br />

Moderna is the front-runner among dozens<br />

of established and “startup” drug developers<br />

currently working on coronavirus treatments.<br />

Other drug companies in the race, which the<br />

United States government calls “Operation Warp<br />

Speed,” include AstraZeneca, GlaxoSmithKline,<br />

Johnson & Johnson and Pfizer.<br />

COVID-19 hits close to home<br />

Frances Bovick Jansen was the 11 th person in<br />

Arkansas to die from COVID-19 complications. She<br />

was 94 years old and had lived an exciting, full life.<br />

She was a singer who landed a big band recording<br />

contract in Hollywood. However, she left that life<br />

behind when she met and married Gerald Thomas<br />

Jansen, M.D., her husband of 58 years. Together,<br />

they had three sons, two daughters and a host<br />

of grandchildren and great-grandchildren. On<br />

April 1, Mrs. Jansen, who had some dementia,<br />

died at Briarwood Nursing & Rehab in Little Rock.<br />

“You don’t get over your mother’s death, but I’m<br />

dealing with it,” Jansen said. “Now that I have this<br />

chance to be a part of the solution to help eliminate<br />

the virus that ended her life … it’s personal.”<br />

As a physician, Jansen is excited to be part of<br />

medical research for a coronavirus treatment.<br />

“Once you’re a doctor you’re always a doctor,<br />

and if you went into medicine for the right<br />

reason, you realize how remarkable this is.”<br />

The loss of his mother to COVID-19 gives Jansen added<br />

motivation to assist in the search for a vaccine.<br />

<strong>AUTUMN</strong> <strong>2020</strong><br />

11


:<br />

Bringing healthcare to you<br />

If you have a computer,<br />

electronic tablet, smartphone<br />

or even a home telephone,<br />

you have access to thousands<br />

of doctors, therapists and<br />

more through virtual health<br />

(also known as telehealth<br />

or telemedicine).<br />

What is virtual health?<br />

Virtual health is a way of<br />

connecting with medical<br />

professionals and behavioral<br />

health professionals from your<br />

home or on the go. It’s as easy<br />

as picking up the phone and<br />

talking or having a video call<br />

with a friend. It’s convenient<br />

and safe to use.<br />

Pandemic benefits<br />

During the COVID-19 pandemic,<br />

we have expanded access to<br />

virtual health services:<br />

• Medical care – Our members<br />

can seek medical virtual<br />

healthcare from in-network<br />

providers (at no cost to the<br />

member). This includes videoconferencing<br />

as well as visits<br />

by telephone.<br />

• Behavioral health – Our<br />

members can get counseling<br />

(again, at no cost to the<br />

member) from almost 2,300<br />

in-network behavioral health<br />

professionals including<br />

psychiatrists, psychologists,<br />

advanced practice<br />

nurse practitioners,<br />

licensed clinical<br />

social workers and<br />

licensed professional<br />

counselors.<br />

• Therapy specialists –<br />

We also have expanded<br />

virtual health access<br />

to include specific<br />

services from physical<br />

therapists, occupational<br />

therapists, speech and<br />

language therapists,<br />

chiropractors,<br />

podiatrists, registered<br />

dieticians and boardcertified<br />

behavioral<br />

analysts. Deductibles,<br />

copays and coinsurances<br />

apply to these specialists.<br />

An option for the future<br />

Even before the COVID-19<br />

pandemic, Arkansas Blue<br />

Cross was looking to the<br />

connectivity and convenience<br />

of virtual health as a way to<br />

improve access to medical<br />

care in underserved areas and<br />

improve patient engagement.<br />

In April <strong>2020</strong>, only a few<br />

weeks into the public health<br />

emergency, more than 97,800<br />

virtual health visits were<br />

made by our members. Those<br />

numbers have dropped in<br />

recent months, but people<br />

are still using virtual health<br />

for follow-up visits and<br />

behavioral health. The big<br />

takeaway? Many members –<br />

and their doctors – seem to like<br />

the option of virtual visits.<br />

Sign up today<br />

Learn about your virtual health<br />

options before you need them.<br />

Ask your doctor’s office about<br />

virtual health and how you can<br />

get connected. You can also go<br />

to MyVirtualHealth.com for<br />

many nonemergency conditions.<br />

State-licensed, board-certified<br />

physicians are ready and waiting<br />

to help you 24/7, 365 days a<br />

year. Register today so you<br />

can easily access medical<br />

help when you need it.*<br />

* Copyright © <strong>2020</strong> MDLIVE Inc. All Rights Reserved. MDLIVE does not replace the primary care physician and is not an insurance product. MDLIVE may not be available in certain states and is<br />

subject to state regulations. MDLIVE does not prescribe DEA controlled substances and may not prescribe non-therapeutic drugs and certain other drugs, which may be harmful because of their<br />

potential for abuse. MDLIVE does not guarantee patients will receive a prescription. Healthcare professionals using the platform have the right to deny care if based on professional judgment<br />

a case is inappropriate for telehealth or for misuse of services. MDLIVE and the MDLIVE logo are registered trademarks of MDLIVE, Inc. and may not be used without written permission. For<br />

complete terms of use visit https://welcome.mdlive.com/terms-of-use/. MDLIVE is an independent company that provides telehealth services on behalf of Arkansas Blue Cross and Blue Shield.<br />

Virtual health is for members with medical coverage but is not available to all health plans at this time. Members whose coverages include virtual health should be able to successfully register<br />

online. A check of your benefit summary will indicate whether virtual health is available to you.<br />

12 <strong>AUTUMN</strong> <strong>2020</strong>


Officer down ...<br />

Blue & You Foundation grant saves lawman’s life<br />

The chase was over. The subject<br />

was cuffed and in custody. But<br />

something wasn’t right.<br />

Officer Darrin Chase of the West<br />

Memphis Police Department made<br />

his way back to his vehicle, but<br />

suddenly, he felt dizzy and<br />

sensed he was in trouble. “I<br />

went to put the car in park,<br />

but I started touching the<br />

radio,” he said. He called Sgt.<br />

Jennifer Jordan for help.<br />

Sgt. Jordan’s patrol car was only about<br />

20 yards away, but before she could<br />

get to him, Officer Chase’s eyes rolled<br />

back, and he went limp. Officer down.<br />

Sgt. Jordan first suspected heat<br />

exhaustion, but when he failed to<br />

respond, she quickly guessed that<br />

Officer Chase may have been exposed<br />

to a drug during the arrest. Fentanyl,<br />

an incredibly potent (even deadly)<br />

opioid, can be absorbed through the<br />

skin. Law enforcement officers and<br />

other first responders risk potentially<br />

fatal fentanyl exposure daily. Later,<br />

they learned that Officer Chase<br />

had unwittingly come in contact<br />

with fentanyl when he reached into<br />

the suspect’s pocket looking for<br />

identification. The suspect, who was<br />

driving a stolen car, had a vial of the<br />

drug in his pocket, and it had broken<br />

during his apprehension.<br />

Fortunately, Sgt. Jordan remembered<br />

the naloxone (Narcan) kit that is in<br />

every patrol car. Naloxone quickly<br />

counteracts the effects of an opioid<br />

overdose. The kits were supplied<br />

to 2,720 Arkansas officers and<br />

deputies through $150,000 in grants<br />

from Arkansas Blue Cross and Blue<br />

Shield’s Blue & You Foundation for a<br />

Healthier Arkansas to the University<br />

of Arkansas System’s Criminal<br />

Justice Institute in Little Rock.<br />

Sgt. Jordan quickly gave Officer Chase<br />

two doses. The drug worked its magic,<br />

and Officer Chase began to awaken.<br />

Within 4 minutes, an ambulance<br />

arrived. But his exposure was so<br />

severe that he lost consciousness<br />

several more times and had to receive<br />

several more doses of naloxone.<br />

He spent three days in the hospital,<br />

including two in the intensive care unit.<br />

Doctors later said he would not have<br />

survived had he not quickly received<br />

the naloxone so quickly.<br />

While naloxone kits have been<br />

used to save the lives of people<br />

experiencing an opioid overdose<br />

(as reported in past issues of<br />

this <strong>magazine</strong>), this was the first<br />

time a kit was used to save a law<br />

enforcement officer.<br />

“I feel like if we had not gotten that<br />

grant that put the Narcan kits in our<br />

cars, I probably wouldn’t be here today,”<br />

Officer Chase said. “I am grateful Sgt.<br />

Jordan had the Narcan right there and<br />

was able to think on her feet so fast.”<br />

“As a shift supervisor, I feel an<br />

enormous responsibility to keep all<br />

my officers safe,” said Sgt. Jordan.<br />

“So to have the ability to save them<br />

and get them back to their families<br />

is a great feeling. I’ve had plenty<br />

of scary moments in 11 years of<br />

Officer Chase (right) says he owes his life to the Blue & You<br />

Foundation’s naloxone grant and the quick response of<br />

Sgt. Jordan (left and below).<br />

policing, but this one is up there near<br />

the top. And honestly, I probably owe<br />

the rest of my career to that grant.<br />

I really don’t know if I could have<br />

come back from losing one of my<br />

people like that – right in front of my<br />

eyes. I can’t imagine a life in policing<br />

without having these tools available.”<br />

In a fitting twist, just a few weeks<br />

after returning to duty, Officer<br />

Chase used the same tool to<br />

revive an overdose victim.<br />

<strong>AUTUMN</strong> <strong>2020</strong> 13


ANNUAL NOTICE<br />

As required by the Patient<br />

Protection and Affordable Care<br />

Act (PPACA), the Summary<br />

of Benefits and Coverage<br />

(SBC) (OMB Control Numbers<br />

1545- 2229, 1210-0147<br />

and 0938-1146) provides<br />

information regarding coverage<br />

specifications and limitations<br />

that apply to the health insurance<br />

plan you have selected.<br />

Before the end of each year,<br />

Arkansas Blue Cross and Blue<br />

Shield provides members who<br />

have individual/family health<br />

insurance policies* (but do<br />

not have Medicare policies)<br />

with an SBC.<br />

This official communication<br />

includes information about<br />

<strong>2020</strong> Summary of Benefits and Coverage – available<br />

November 15 for individual/family policyholders<br />

the coverage provided by<br />

your health insurance plan<br />

in a summary format for the<br />

upcoming year. Beginning<br />

November 15, <strong>2020</strong>, you may<br />

access this information:<br />

Online in the “Benefits”<br />

section of the Arkansas Blue<br />

Cross secure member selfservice<br />

center, My <strong>Blueprint</strong>,<br />

at arkbluecross.com<br />

By calling Arkansas Blue<br />

Cross customer service<br />

at 800-800-4298 to receive<br />

a printed version<br />

After that date, you also may<br />

go to arkbluecross.com/sbc<br />

and enter your member number<br />

(found on your member ID card)<br />

into the SBC locator tool to review<br />

the document online and print it.<br />

If you make changes to your<br />

Arkansas Blue Cross health<br />

plan benefits that differ from<br />

your current coverage, a new<br />

summary will be created for you<br />

within seven work days of our<br />

receipt of your change request.<br />

It will be available to you in the<br />

same manner described above.<br />

Arkansas Blue Cross, Health<br />

Advantage and BlueAdvantage<br />

Administrators of Arkansas<br />

members who receive health<br />

coverage through an employer<br />

group will get their SBC from their<br />

employer group plan administrator<br />

at the appropriate time.<br />

* These are members who do not have health insurance through an employer, a Medicare health plan<br />

or short-term, limited-duration Blue policies.<br />

14 <strong>AUTUMN</strong> <strong>2020</strong><br />

Women’s Health and<br />

Cancer Rights Act<br />

The Women’s Health and Cancer Rights Act of 1998 introduced<br />

changes in insurance coverage for a mastectomy.<br />

In accordance with the law, all group and individual health plans<br />

that provide medical and surgical benefits for mastectomy will<br />

cover reconstructive breast surgery, including:<br />

Reconstructive<br />

surgery on the<br />

breast on which<br />

the mastectomy<br />

was performed<br />

Reconstructive<br />

surgery on the<br />

unaffected<br />

breast to<br />

“produce a<br />

symmetrical<br />

appearance”<br />

Prostheses and<br />

treatment of<br />

complications of<br />

any stage of a<br />

mastectomy, including<br />

lymphedema (postsurgical<br />

fluid buildup)<br />

These provisions apply to all policies issued by Arkansas Blue Cross<br />

and Blue Shield, Health Advantage and BlueAdvantage Administrators<br />

of Arkansas and are subject to the applicable copayments,<br />

coinsurance, benefit limitations, exclusions and benefit maximums.<br />

If you have questions about your insurance coverage, contact your<br />

group benefits administrator or a customer service representative.


Notice of<br />

Privacy<br />

Practices<br />

Availability<br />

Arkansas Blue Cross and Blue Shield and Health Advantage<br />

Arkansas Blue Cross and Blue Shield and its affiliated company,<br />

HMO Partners, Inc., d/b/a Health Advantage, are required by law to<br />

secure your protected health information (PHI) and to explain how<br />

we may use and release (disclose) your PHI. Our Notice of Privacy<br />

Practices is posted on our websites and includes:<br />

• How we may use your PHI<br />

• Circumstances when your PHI may be released to other entities<br />

• Your rights regarding your PHI<br />

• How to exercise your rights<br />

• How to file a complaint<br />

To view the Notice of Privacy Practices, please go to arkbluecross.com<br />

or healthadvantage-hmo.com. You can obtain a paper copy of<br />

the notice by contacting the customer service number on your member<br />

ID card (see below for a complete list of customer service numbers).<br />

Customer Service<br />

N U M B E R S<br />

May we help?<br />

For customer service, please call:<br />

TOLL-FREE Number<br />

Medi-Pak ® members 800-338-2312<br />

Medi-Pak ® Advantage members 877-233-7022<br />

Medi-Pak ® Rx members 866-390-3369<br />

Arkansas Blue Cross members 800-238-8379<br />

Pharmacy questions 800-863-5561<br />

Specialty Rx pharmacy questions 866-295-2779<br />

Arkansas Blue Cross Metallic members<br />

(Gold, Silver, Bronze, Catastrophic) 800-800-4298<br />

Pharmacy questions 800-969-3983<br />

Health Advantage members 800-843-1329<br />

Pharmacy questions 800-863-5567<br />

BlueAdvantage members 888-872-2531<br />

Pharmacy questions 888-293-3748<br />

Federal Employee members 800-482-6655<br />

Arkansas State Employees /<br />

Public School Employees 800-482-8416<br />

Looking for health or dental insurance? We can help!<br />

For individuals, families 800-392-2583<br />

For employer groups* 800-421-1112<br />

PAYING<br />

YOUR<br />

bill<br />

To pay by phone * ,<br />

please call<br />

800-354-9904<br />

Prefer to speak with someone close to home?<br />

Call or visit one of our offices near you:<br />

Fayetteville<br />

516 East Millsap Rd., Suite 103 800-299-4109<br />

Fort Smith<br />

3501 Old Greenwood Rd., Suite 3 800-299-4060<br />

Hot Springs<br />

1635 Higdon Ferry Rd. – Suite J 800-588-5733<br />

Jonesboro<br />

2110 Fair Park Blvd. – Suite I 800-299-4124<br />

Little Rock (MIDTOWN)<br />

416 S. University Ave. – Suite 110 501-396-8675<br />

Little Rock (WEST)<br />

2612 S. Shackleford Rd., Suite J 501-378-2222<br />

Lowell<br />

507 W. Monroe Ave. – Suite B 888-872-2539<br />

Pine Bluff<br />

509 Mallard Loop Dr. 800-236-0369<br />

Rogers<br />

4602 W. Walnut St. 479-973-6675<br />

Texarkana<br />

1710 Arkansas Blvd. 800-470-9621<br />

*Arkansas Blue Cross, Health Advantage and BlueAdvantage Administrators of Arkansas<br />

Visit our websites for more information:<br />

• arkbluecross.com<br />

• hub.arkansasbluecross.com<br />

• healthadvantage-hmo.com<br />

• blueadvantagearkansas.com<br />

• blueandyoufoundationarkansas.org<br />

* Medicare Advantage and Prescription Drug Plan product<br />

members must call Customer Service to discuss available<br />

payment options. Health Advantage conversion plans are not<br />

eligible for online, mobile or pay-by-phone payment options.<br />

<strong>AUTUMN</strong> <strong>2020</strong> 15


Avoid the<br />

Get a flu shot!<br />

This year, more than ever, it is critical that<br />

you and your loved ones get the flu vaccine.<br />

Why? Because the novel coronavirus (COVID-19) is still not<br />

under control in the United States. With flu season starting,<br />

many doctors are concerned the “twindemic” of two serious<br />

viruses circulating at once will be extremely dangerous.<br />

There currently isn’t an approved vaccine for COVID-19, but<br />

there is for the flu.<br />

And, we’re making it easy for many members. You and<br />

your family members who are older than age 7 may be<br />

able to get a flu shot at your pharmacy without even<br />

paying a copay. Some pharmacists who have been<br />

specially trained can even give flu shots to kids as young<br />

as age 3. Check with your pharmacy to see if you and<br />

your family are eligible for the flu shot at no cost to you.<br />

* A small percentage of people should not get a flu shot because<br />

of underlying health conditions. You can learn more at the<br />

Centers for Disease Control and Prevention website (cdc.gov/flu).<br />

9687 9/20<br />

It's that easy. Those are some pretty good<br />

reasons to get a flu shot. But in case you need<br />

more motivation, consider that:<br />

Hospitals and healthcare professionals will<br />

have their plates full with COVID-19-related<br />

illness this fall and winter, and an influx of flu patients<br />

could put even more strain on our overburdened<br />

healthcare system.<br />

It is possible to have COVID-19 and the flu at the same<br />

time, and having both of these illnesses simultaneously<br />

dramatically increases the likelihood that you might<br />

experience potentially life-threatening complications.<br />

You cannot get the flu from the vaccine. And while the<br />

vaccine is not a 100% guarantee that you will not get sick,<br />

if you do get the flu, having the vaccine could turn a bad<br />

case into a mild one.<br />

Make a plan for everyone in your family * to get a flu shot this<br />

year. And continue to wash your hands frequently, maintain<br />

proper distance in public and wear face coverings. Do it for<br />

yourself and those you love!

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