Ageless - AUTUMN 2022
A publication for active seniors from Arkansas Blue Cross and Blue Shield
A publication for active seniors from Arkansas Blue Cross and Blue Shield
Create successful ePaper yourself
Turn your PDF publications into a flip-book with our unique Google optimized e-Paper software.
FEEL GOOD STAY ACTIVE WE’LL HELP<br />
<strong>AUTUMN</strong> <strong>2022</strong><br />
<strong>Ageless</strong><br />
Open Enrollment<br />
for 2023 Coverage<br />
pg. 2<br />
The Case for Case<br />
Management<br />
pg. 4<br />
Taking on High<br />
Blood Pressure<br />
pg. 7
Open Enrollment<br />
for 2023 coverage<br />
Choosing a health plan is an important decision, and<br />
Arkansas Blue Cross and Blue Shield’s experts are here to<br />
help. If you need individual or family health coverage, the<br />
Open Enrollment Period (OEP) begins November 1, <strong>2022</strong><br />
and continues until January 15, 2023. You must enroll by<br />
December 15 for coverage to begin<br />
on January 1.<br />
If you already have health coverage<br />
with us, now is the time for you to<br />
review your information and decide if<br />
you want to keep your current health<br />
plan the way it is or make changes.<br />
Updating your coverage<br />
Enroll by December 15<br />
for coverage<br />
to begin on January 1<br />
November 1 , <strong>2022</strong><br />
to<br />
January 15, 2023<br />
2 <strong>Ageless</strong> <strong>AUTUMN</strong> <strong>2022</strong><br />
Watch your mail for your annual<br />
benefit update letter, which will<br />
explain your options in detail. If you<br />
want to discuss a new health plan:<br />
• Call 800-392-2583 to talk<br />
with one of our health<br />
insurance experts.<br />
• Visit an ArkansasBlue<br />
welcome center. To find<br />
a location near you, visit<br />
arkbluecross.com / locations.<br />
During open enrollment, most<br />
welcome center locations<br />
will even be open on Saturdays.<br />
• Visit arkbluecross.com<br />
to shop for a new plan.<br />
• Call your local agent.<br />
Whether you keep your current<br />
health plan or change to a new<br />
one, Arkansas Blue Cross is<br />
happy to help your family get<br />
the coverage you need.
Always have your<br />
member ID card<br />
11:44<br />
Have you ever stood at a receptionist’s desk or pharmacy<br />
counter frantically rifling through your wallet in search of<br />
your member ID card while the long line of people behind you<br />
grows increasingly impatient? It’s happened to the best of us.<br />
Fortunately, the Blueprint Portal mobile app can make such<br />
unpleasant scenarios a thing of the past. Now you can have<br />
instant access to your digital member ID card (and the cards<br />
of your dependents) right on your smartphone.<br />
When you download the app, you get access to your health<br />
plan and features like on-demand virtual healthcare,<br />
wellness programs, health records, real-time claims<br />
information, estimated treatment costs and policy<br />
information. You’ll also have your member ID card.<br />
You can access your ID card in the app the day your<br />
coverage is effective. So, if you’re currently a member,<br />
you can download it today. Once you have the Blueprint<br />
Portal app you can email or fax your digital ID cards to<br />
doctors, family members, or anyone else who needs it.<br />
You also can order replacement IDs.<br />
MENU<br />
Medical ID Card<br />
Jane<br />
Flip Card<br />
Email Fax Mail<br />
PCP/PHONE#<br />
JOHN A SMITH<br />
(501) 555-1234<br />
Copay: $20/$35<br />
Coins: 20%<br />
RX Copay: $12/35/55/100%<br />
Open Access POS<br />
Home ID Card Claims Find Care<br />
Use the QR codes to the right to visit the App Store or<br />
Google Play to download the Blueprint Portal app and<br />
carry your member ID card everywhere you go.<br />
PCP/PHONE#<br />
JOHN A SMITH<br />
(501) 555-1234<br />
Copay: $20/$35<br />
Coins: 20%<br />
RX Copay: $12/35/55/100%<br />
Open Access POS<br />
<strong>Ageless</strong> <strong>AUTUMN</strong> <strong>2022</strong> 3
The Case for Case Management<br />
The healthcare system can be confusing and<br />
complex. Dealing with a new diagnosis of a<br />
chronic illness, facing surgery, or multiple<br />
conditions can be overwhelming. That’s where<br />
Arkansas Blue Cross and Blue Shield case<br />
managers can help.<br />
A case manager is your advocate, on your side,<br />
to help you. Case managers can work with<br />
Benefits of having<br />
a case manager:<br />
your doctors to help develop a plan. They can<br />
also find doctors and clinics and help make<br />
appointments. They can ask questions you<br />
might not know to ask or are afraid to.<br />
Case managers are registered nurses and<br />
certified case managers, which means they<br />
have the experience and knowledge needed<br />
to help you.<br />
Have better communication with your doctors<br />
and other providers.<br />
Get the proper healthcare. Help you see the<br />
right providers at the right time in the right place,<br />
guiding you through the healthcare system.<br />
Make better decisions by understanding your<br />
condition and your benefits. Get the information<br />
you need to make decisions about your<br />
treatment options and insurance coverage.<br />
Stay healthy through preventive care. Your<br />
case manager can share ways for you to stay<br />
healthy and avoid illness when possible. They<br />
can also connect you with a social worker to<br />
help find local resources if you need help with<br />
transportation, food, housing, utilities and more.<br />
4 <strong>Ageless</strong> <strong>AUTUMN</strong> <strong>2022</strong>
Is case management<br />
available for you?<br />
Medicare Advantage<br />
PFFS<br />
Most of our members have case management<br />
available if needed. There is a good chance<br />
you qualify if you have:<br />
Medicare<br />
HMO<br />
Medicare<br />
PPO<br />
For Case Management programs and information, call 800-285-6682.<br />
A Passionate Advocate<br />
“She needed an advocate and<br />
guidance,” said Ashley Stormes,<br />
an Arkansas Blue Cross and<br />
Blue Shield social worker, about<br />
a recent member case that<br />
came to her attention. Sheila’s<br />
needs were brought to Stormes<br />
by Ann Furlow, a Registered<br />
Nurse case manager for Blue<br />
Cross and Blue Shield.<br />
“This patient came to my<br />
attention after calling customer<br />
service needing resources,”<br />
said Furlow. “Sheila had been<br />
case-managed in the past by<br />
one of my co-workers, so she<br />
was aware of the assistance<br />
the case management program<br />
could provide.”<br />
Sheila had been recently<br />
diagnosed with stage three<br />
rectal cancer and needed to<br />
receive six weeks of daily<br />
chemotherapy and radiation<br />
treatments at the University of<br />
Arkansas Medical Sciences’<br />
Winthrop P. Rockefeller Cancer<br />
Institute. The problem? Living<br />
two hours away from UAMS,<br />
Sheila could not drive or get<br />
transportation to Little<br />
Rock. She also dealt<br />
with multiple mental<br />
health issues that made<br />
making the necessary<br />
arrangements for the<br />
needed care impossible.<br />
This is where Arkansas<br />
Blue Cross stepped in.<br />
Stormes set on an<br />
extensive search for a<br />
place for the member to stay<br />
while going back and forth from<br />
UAMS for cancer treatments.<br />
One of the hurdles Stormes<br />
had to clear was keeping the<br />
temporary housing affordable.<br />
“After many calls and what<br />
felt like daily changes, I found<br />
an apartment complex called<br />
The Goodness Village of<br />
Little Rock,” said Stormes.<br />
“They offer very clean and<br />
assessable apartments for<br />
people and families going<br />
through medical struggles.<br />
It’s located close to UAMS.<br />
The cost is very, very minimal<br />
compared to other options.<br />
As a case manager, we<br />
can impact change and<br />
hopefully improve the<br />
outcome of the member’s<br />
healthcare experience.<br />
– Ashley Stormes<br />
Arkansas Blue Cross and Blue Shield social worker<br />
And, in this case, the rate was<br />
able to be covered by UAMS.”<br />
The story has a happy ending.<br />
Sheila got her chemotherapy<br />
and radiation treatments and,<br />
according to Stormes,<br />
is currently “stable.”<br />
“The most satisfying thing<br />
about being a case manager<br />
is meeting so many different<br />
members and their care<br />
teams,” said Furlow. “I love<br />
that as a case manager,<br />
along with my team of social<br />
workers, we can impact change<br />
and hopefully improve the<br />
outcome of the member’s<br />
healthcare experience.”<br />
<strong>Ageless</strong> <strong>AUTUMN</strong> <strong>2022</strong> 5
WAYS to<br />
SHOO the FLU<br />
We spent so much emotional and mental bandwidth<br />
dealing with COVID and its variants that it shouldn’t<br />
be any surprise we wouldn’t have much will left to<br />
fight off the flu.<br />
Despite what we might wish, a new flu season is ahead.<br />
The best way to avoid the flu and its possible serious<br />
complications? As usual, the answer is to get your<br />
seasonal flu vaccine.<br />
Who should get the flu shot?<br />
There are a variety of types of flu vaccines, making<br />
it easy for most people over the age of 6 months<br />
to receive a flu shot. Standard-dose inactivated flu<br />
vaccines are approved for people as young as 6<br />
months of age. High-dose inactivated vaccines are<br />
approved for people 65 years and older. Even people<br />
with egg allergy can get a flu shot.<br />
The flu shot isn’t the only line of defense against this contagious<br />
respiratory virus. Here are ways to lessen your odds of getting the flu.<br />
Avoid close contact<br />
Keep your distance<br />
from others if they<br />
or you are sick.<br />
Sick? Stay at home<br />
If you have the flu,<br />
don’t be a hero. Stay<br />
at home and put off<br />
errands that would<br />
expose you to others.<br />
Practice other good health habits<br />
Clean and disinfect frequently touched<br />
surfaces at home, work, or school –<br />
especially when someone is ill. Get<br />
plenty of sleep, be physically active,<br />
manage your stress, rink plenty of<br />
fluids, and eat nutritious food.<br />
Avoid touching your eyes /nose /mouth<br />
Germs can spread when a person<br />
touches something that is contaminated<br />
with germs and then touches his<br />
or her eyes, nose, or mouth.<br />
6 <strong>Ageless</strong> <strong>AUTUMN</strong> <strong>2022</strong><br />
Cover your mouth /nose<br />
Your mother was right.<br />
Cover your mouth and<br />
nose when you cough<br />
or sneeze. This way<br />
microscopic droplets that<br />
carry influenza have less<br />
chance of infecting others.<br />
Clean your hands<br />
Washing your hands often will<br />
help protect you from germs. If<br />
soap and water are not available,<br />
use an alcohol-based hand rub.<br />
Sources: CDC
Taking On<br />
High Blood<br />
Pressure<br />
Until you have high blood pressure, those<br />
numbers given out after the squeezy arm<br />
cuff is taken off don’t mean a thing.<br />
140 over 85. Is that OK?<br />
When you have high blood pressure, you understand<br />
that the higher number is the Systolic and the lower<br />
number is the Diastolic. You also understand that<br />
140 over 85 is not where you want your blood pressure.<br />
The general rule is to get the Systolic number under 120-<br />
and the Diastolic number under 80. Medicine is usually<br />
prescribed to treat high blood pressure. However, there<br />
are things that can be done outside the doctor’s office<br />
to bring your blood pressure numbers down.<br />
Lose Weight<br />
Exercise regularly<br />
Adjust your diet<br />
Limit the alcohol<br />
Even 10 pounds<br />
can make a<br />
difference.<br />
30 minutes a day most<br />
days of the week is<br />
recommended.<br />
Add in whole grains,<br />
fruits, vegetables and<br />
low-fat dairy products.<br />
High blood pressure risk goes up<br />
with more than one drink a day for men<br />
and women older than 65 and for more<br />
than two a day for men under 65.<br />
Cut back<br />
on the salt<br />
Quit smoking<br />
Get enough sleep<br />
Reduce your stress<br />
Use herbs or<br />
spices instead.<br />
Each cigarette<br />
increases blood<br />
pressure for many<br />
minutes after you finish.<br />
Fewer than six hours of<br />
sleep for weeks or months<br />
at time can contribute to an<br />
increase in blood pressure.<br />
Easier said than done but finding<br />
ways to keep stressful situations<br />
to a minimum can get your blood<br />
pressure where it needs to be.<br />
<strong>Ageless</strong> <strong>AUTUMN</strong> <strong>2022</strong> 7
Arkansas Blue Cross and Blue Shield<br />
P.O. Box 2181<br />
Little Rock, AR 72203-2181<br />
Please note: This newsletter is for health education purposes only. We do not offer medical advice or<br />
services. Always consult your treating physician(s) for any medical advice or services you may need.<br />
<strong>Ageless</strong><br />
A<br />
publication for Arkansas Blue Cross and Blue Shield<br />
Medicare Advantage members.<br />
00005.04.01-1022 HEALTH AND WELLNESS OR PREVENTION INFORMATION<br />
Blue is your plan!<br />
We’re here to help when you need us.<br />
Nurse care (Nurse24)........................................................800-318-2384<br />
Fitness (SilverSneakers)...................................................888-423-4632<br />
Hearing aids (TruHearing).................................................833-750-5898<br />
Surgery (Welvie)...............................................................866-433-1343<br />
Document medical wishes (Welvie)................................877-434-6168<br />
Telehealth (MDLive)..........................................................877-540-2082<br />
Dental (LSV)......................................................................888-223-4999