Blueprint - SUMMER 2023
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A publication for the policyholders of the Arkansas<br />
Blue Cross and Blue Shield family of companies <strong>SUMMER</strong> <strong>2023</strong><br />
Peace<br />
&<br />
Quiet<br />
Blue & You Foundation helps students create a calm space<br />
PAGE 4<br />
Why case managers<br />
are crucial<br />
PAGE 6<br />
Arkansas Blue Cross partnership<br />
shows students paths for<br />
behavioral health careers<br />
PAGE 8<br />
Arkansas Blue Cross<br />
employees aid in<br />
tornado recovery<br />
PAGE 12
AWordwith Curtis Barnett<br />
Our President and Chief Executive Officer<br />
Preparing students for behavioral health careers<br />
Arkansas Blue Cross and Blue<br />
Shield recognizes that education is<br />
essential to the successful future<br />
of our youth. It’s important that<br />
students have access to safe, highquality<br />
schools and good career<br />
paths when they finish.<br />
When we learned about the<br />
Academies of Central Arkansas<br />
model from the Little Rock<br />
Chamber of Commerce, it was<br />
clear to us that our company<br />
needed to play a role.<br />
With our focus on mental and<br />
behavioral health – recognizing<br />
that physical health and mental<br />
health are intimately and<br />
completely connected, we knew<br />
Parkview Arts & Science Magnet<br />
High School was a perfect fit with<br />
its pathway focused on health and<br />
applied science with an emphasis<br />
on mental and behavioral health.<br />
We’re facing a mental and<br />
behavioral health crisis in our<br />
country. We continue to see<br />
significant increases in rates<br />
of depression, anxiety, suicidal<br />
behaviors, and substance use,<br />
especially among our adolescents<br />
and young adults.<br />
"Physical health and mental health are intimately and<br />
completely connected. There is no health without mental<br />
health," Arkansas Blue Cross and Blue Shield President and<br />
Chief Executive Officer Curtis Barnett said during<br />
a recent announcement of the<br />
partnership with Parkview<br />
Arts & Science Magnet<br />
High School.<br />
The mental and behavioral<br />
healthcare challenges we face<br />
are layered and complex, so<br />
expanding the available mental<br />
health workforce to meet the<br />
growing demand must be part of<br />
the solution.<br />
A critical first step in growing the<br />
behavioral health workforce is to<br />
expose young people to mental<br />
health career paths while they’re<br />
in high school.<br />
We look forward to working<br />
alongside the Parkview team –<br />
teachers, administrators, and an<br />
academy coach – to develop and<br />
deploy the mental and behavioral<br />
health pathway of study.<br />
There are many rewarding career<br />
opportunities in the behavioral<br />
health field, and the need is great.<br />
We hope to provide engaging<br />
learning opportunities for students<br />
to help them not only understand<br />
and prepare for the many job<br />
opportunities in behavioral health<br />
but also to appreciate how their<br />
work helps people live better lives.<br />
Our hope is that this will be an<br />
amazing opportunity to make a real<br />
difference in the future of our city<br />
and state where these students will<br />
live, work, and play in the future.<br />
2 <strong>SUMMER</strong> <strong>2023</strong>
Caring for family with Alzheimer’s disease:<br />
a true labor of love<br />
It has been called the long goodbye.<br />
When a loved one begins to show<br />
signs of Alzheimer’s disease, it can<br />
be heartbreaking. Many families go<br />
into denial. But early intervention with<br />
new treatments can offer delays in<br />
the progression of Alzheimer’s,<br />
giving families the gift of more<br />
time together.<br />
Alzheimer’s disease, the most<br />
common cause of dementia, usually<br />
affects people age 65 and older.<br />
More than 6 million Americans are<br />
living with this disease, and that<br />
number is forecast to more than<br />
double by 2050, thanks to the aging<br />
baby boomer generation. Their<br />
care is a responsibility we all carry<br />
– from individuals and caregivers<br />
to the government and the nation’s<br />
healthcare system.<br />
According to “<strong>2023</strong> Alzheimer’s<br />
Disease Facts and Figures,” a<br />
special report from the Alzheimer’s<br />
Association, better care requires<br />
conversations about memory<br />
as soon as there are reasons<br />
for concern. Knowledgeable,<br />
accessible care teams led by<br />
physician specialists can diagnose<br />
the disease, monitor it as it<br />
progresses, and treat it.<br />
Studies have consistently shown that<br />
there are ways to improve the lives<br />
of those affected by Alzheimer’s and<br />
other dementias and their caregivers.<br />
They include using available<br />
treatment options and managing any<br />
coexisting conditions.<br />
You can improve the quality of life<br />
for a loved one with Alzheimer’s<br />
by becoming educated about the<br />
disease, training to manage your<br />
loved one’s day-to-day life, and<br />
ensuring their physicians and other<br />
healthcare providers work together.<br />
Encourage your loved one to<br />
continue participating in activities<br />
that bring them joy or a sense of<br />
purpose. Help them to maintain<br />
their relationships and friendships.<br />
Connecting with others living with<br />
dementia can also be helpful.<br />
The good news is that new treatment<br />
options are on the horizon.<br />
Current treatments include seven<br />
drugs approved by the U.S. Food<br />
and Drug Administration for treating<br />
Alzheimer’s. There are no cures, and<br />
not all treatments are appropriate for<br />
everyone living with Alzheimer’s, but<br />
five of them aim to improve symptoms,<br />
and the other two work to change the<br />
underlying biology of the disease.<br />
The recent discovery that Alzheimer’s<br />
disease begins 20 or more years<br />
before symptoms appear suggests<br />
there is a large window during which<br />
the disease’s progression may be<br />
interrupted. Scientific advances,<br />
including identifying biomarkers<br />
for Alzheimer’s, allow for earlier<br />
detection. This helps identify those<br />
who may qualify for clinical trials of<br />
experimental treatments that may<br />
prevent or delay symptoms.<br />
Need more information?<br />
Contact the Alzheimer’s Association in your state.<br />
<strong>SUMMER</strong> <strong>2023</strong> 3
Peace<br />
&<br />
Quiet<br />
Grant helps students<br />
create a calm space<br />
The middle school experience is a challenging time<br />
for students. Add in a pandemic, and the stress<br />
increases. When COVID-19 arrived in 2020, so did<br />
remote learning and new methods of communicating<br />
and interacting.<br />
After seeing an idea for a mindfulness room,<br />
Logan Guynn (far right) gathered with four<br />
other students to plan and create the room.<br />
Returning to school, a group of White Hall Middle<br />
School seventh-graders saw the need for a safe<br />
space, a mindfulness room where students who<br />
are upset can retreat to calm down or talk with<br />
a counselor.<br />
Logan Guynn, now 14 and an eighth grader, saw the<br />
idea for a mindfulness room on a list of unfinished<br />
projects the pandemic had prevented the school’s<br />
EAST (environmental and spatial technology) lab<br />
from creating.<br />
Each student has unique challenges in their lives,<br />
some of which intensified during the pandemic<br />
isolation, Logan said. “We were struggling with a<br />
lot of disruptive people and a lot of mental health<br />
issues, especially after not seeing each other for a<br />
very long time during the pandemic.”<br />
4<br />
<strong>SUMMER</strong> <strong>2023</strong><br />
Ordering items online to fill the room,<br />
the students also assembled the<br />
furnishings, including this small sofa.
Logan, along with other students Kaitlyn Cooper,<br />
Emily Scarborugh, Hannah Harrison, and Presley<br />
Bennett, all also now 14 and in the eighth grade,<br />
helped create the room.<br />
The students, assisted by a guidance counselor, applied<br />
for and received a $1,000 mini grant from the Blue & You<br />
Foundation for a Healthier Arkansas. Established in 2001,<br />
the Foundation is evidence of the company’s intention<br />
to provide caring solutions to the healthcare needs of all<br />
Arkansans and advances the company's commitment to<br />
corporate citizenship and the public good. The original plan<br />
to transform a smaller storage space expanded after White<br />
Hall Methodist Church's congregation also donated $1,000.<br />
An Amazon wish list, posted on the school’s PTO Facebook<br />
page, brought another $600 of items to fill the room.<br />
The inviting space, completed in spring 2022, features<br />
a calming atmosphere, soft music, journals, coloring<br />
pages, sensory objects and games for the students<br />
and teachers to use.<br />
“The room is used by students who need to ‘cool down’<br />
or de-escalate, are feeling overwhelmed or anxious,<br />
or simply need a quick, quiet moment,” said Guidance<br />
Counselor Michelle Bond, who oversees the space. It<br />
allows students to return to the learning environment<br />
feeling calmer, relaxed, and with an overall better sense<br />
of belonging and feeling more grounded, she added.<br />
“Seeing the room become a reality was great,”<br />
Logan said. “It’s way beyond what we could ever<br />
imagine. It’s become a safe place.”<br />
Guidance Counselor Michelle Bond with White Hall Middle<br />
School students (left to right) Logan Guynn, Presley Bennett,<br />
Hannah Harrison, Kaitlyn Cooper, and Emily Scarborugh.<br />
Nearly 200 students have already used the room,<br />
which is also used for small group counseling<br />
sessions, parent meetings and a relaxing retreat for<br />
teachers during their prep periods.<br />
“It gives students a place, outside of their family and<br />
apart from the rest of the school, where they can come to<br />
talk to someone or just sit down and relax,” said Presley.<br />
“Our perspective on mental health has changed<br />
drastically, seeing the room come to life and all of the<br />
people who’ve benefited from it,” said Hannah.<br />
Students’ feedback, left on a dedicated laptop, confirms<br />
they appreciate it.<br />
“All the students really respect the space and take good<br />
care of it,” Michelle said. If funds allow, the originally<br />
targeted, smaller space will be used to create a place for<br />
students to meet with counselors or therapists.<br />
Create a space for your school<br />
As part of our 75th anniversary<br />
milestone - and our commitment to<br />
mental and behavioral health - Arkansas<br />
Blue Cross and Blue Shield will award<br />
funding for 75 quiet rooms in junior and<br />
senior high schools around the state.<br />
Watch for more information in August<br />
about how your school can apply for<br />
help in creating a calming space for<br />
students who are needing to take a<br />
break when feeling overwhelmed or to<br />
pull away to refocus at school. Schools<br />
will have until September 22 to apply.<br />
The mindfulness room includes small details like positive, inspirational<br />
messages and tactile objects like small toys to employ the sense of touch.<br />
<strong>SUMMER</strong> <strong>2023</strong><br />
5
Why do you need<br />
a case manager?<br />
When you or a loved one experience a health<br />
issue, you need an advocate – a case manager<br />
– to effectively navigate the world of doctors,<br />
hospitals, and health insurance on your behalf.<br />
There are many reasons you may need a nurse<br />
case manager:<br />
• You may be leaving the<br />
hospital after surgery.<br />
• You may have diabetes and<br />
have trouble regulating your<br />
blood sugar.<br />
• You may be caring for a child<br />
with uncontrolled asthma.<br />
• You may need help finding<br />
medical equipment.<br />
• You may have learned you<br />
have a frightening illness<br />
you don’t know much about.<br />
The reasons are endless, but the answer is the<br />
same. Nurse case managers are here to help.<br />
6<br />
<strong>SUMMER</strong> <strong>2023</strong>
Kathy<br />
Hendon<br />
Our registered nurses (RNs) work directly with<br />
members to ensure they get needed medical care<br />
as efficiently as possible. They keep the lines of<br />
communication open with physicians, make sure<br />
members completely understand the instructions<br />
for medications and help with any billing or<br />
claims issues.<br />
Our case managers assist members in getting<br />
help for their specific needs, ranging from<br />
pregnancy to heart disease. They also work with<br />
their families and medical care providers to<br />
address each health issue from every angle.<br />
If you struggle with a health condition, Arkansas<br />
Blue Cross and Blue Shield’s case managers are<br />
ready to answer questions about your condition,<br />
help develop a plan, teach self-care techniques,<br />
and connect you to support services.<br />
Our entire team of RN case managers, dedicated<br />
to this very purpose, are ready to help you and<br />
your family navigate the stresses of challenging<br />
health situations. But they can’t share that help<br />
unless they are aware that you need it, so your<br />
first step is to call the customer service number<br />
on the back of your member ID card.<br />
Case management<br />
helps Joe with<br />
diabetes supplies<br />
Joe Killion, an Arkansas Blue Cross and Blue Shield<br />
member in Tennessee, has type 1 diabetes. He<br />
has used a continuous glucose monitoring system<br />
for five years, but recently his supplier stopped<br />
accepting his insurance for his sensors.<br />
Joe tried to get his supplies elsewhere but was<br />
unsuccessful. That’s when he turned to Arkansas<br />
Blue Cross and RN case manager Kathy Hendon<br />
for help.<br />
“It involved several calls and working with his<br />
doctor, but, after many phone calls and emails,<br />
we finally found a vendor who would provide his<br />
sensors,” Kathy said.<br />
“If Kathy would not have stepped in, I would not<br />
have received them,” said Joe, whose blood glucose<br />
levels quickly improved after receiving the sensors.<br />
“It was a pleasure to work with Mr. Killion,” Kathy<br />
said. “I’m always happy to assist members with<br />
their healthcare needs.”<br />
<strong>SUMMER</strong> <strong>2023</strong> 7
New partnership<br />
introduces students to<br />
behavioral health careers<br />
Mental health and overall health go hand-in-hand. That’s why Arkansas Blue Cross and<br />
Blue Shield is continuing its commitment to mental health with its latest partnership.<br />
Arkansas Blue Cross is<br />
partnering with the Greater<br />
Little Rock Regional Chamber<br />
of Commerce and the Little<br />
Rock School District to form<br />
the Arkansas Blue Cross and<br />
Blue Shield Academy of Health<br />
at Parkview Arts and Science<br />
Magnet High School.<br />
The partnership will allow<br />
students interested in mental<br />
and behavioral health-related<br />
careers to gain real world<br />
experience through guest<br />
lectures, career mentors,<br />
industry tours, and job<br />
shadowing.<br />
8<br />
<strong>SUMMER</strong> <strong>2023</strong><br />
During the announcement in<br />
March, Arkansas Blue Cross<br />
President and Chief Executive<br />
Officer Curtis Barnett shared<br />
that the partnership is a natural<br />
fit because of the company’s<br />
commitment to overall health.<br />
“Physical health and mental<br />
health are intimately and<br />
completely connected,” he told<br />
the crowd that gathered for the<br />
announcement.<br />
The Academy of Health is<br />
one of the participants in the<br />
Academies of Central Arkansas,<br />
an initiative of the Little Rock<br />
Regional Chamber being<br />
implemented in all four<br />
public school districts in<br />
Pulaski County.<br />
The Academies’ model<br />
of teaching and learning<br />
transforms the public high<br />
school experience by blending<br />
core academics with career and<br />
technical education. Students<br />
better engage with their math,<br />
science, English, and social<br />
studies when taught through<br />
the lens of an occupation or<br />
industry presented by a local<br />
business partner.
Zoe Shepherd, a ninth grader<br />
who is participating in Parkview’s<br />
Academy, spoke during the<br />
March announcement and said<br />
her future career aspirations<br />
drew her to the program.<br />
"I want to be a pediatric<br />
physical therapist when I grow<br />
up," Zoe said. "I know physical<br />
and mental health are directly<br />
connected, and the opportunities<br />
this partnership will provide me<br />
will better equip me to serve my<br />
patients in the future."<br />
Little Rock Regional Chamber<br />
President and Chief Executive<br />
Officer Jay Chesshir applauded<br />
the role Arkansas Blue Cross<br />
will have in the Academy and<br />
encouraged other businesses to<br />
join the effort.<br />
“We need businesses engaged<br />
in our public high schools to<br />
provide relevance and reallife<br />
examples to students’<br />
college and career preparation.<br />
Arkansas Blue Cross<br />
understands the important<br />
role it plays in that regard and<br />
is a shining example of that<br />
commitment. They are one of<br />
many companies stepping up<br />
to partner and lead the charge<br />
in transforming our public high<br />
schools in Pulaski County.”<br />
Little Rock School District<br />
Superintendent Dr. Jermall<br />
Wright said the Academy<br />
model provides “21 st century<br />
educational experiences that<br />
make learning real and relevant.<br />
This partnership is particularly<br />
timely in that it highlights<br />
desirable career pathways<br />
while simultaneously meeting<br />
the needs of our students and<br />
community and addressing<br />
today’s challenges.”<br />
This partnership is<br />
particularly timely<br />
in that it highlights<br />
desirable career<br />
pathways while<br />
simultaneously<br />
meeting the needs<br />
of our students and<br />
community and<br />
addressing today’s<br />
challenges.<br />
– Dr. Jermall Wright<br />
Little Rock School District<br />
Superintendent<br />
<strong>SUMMER</strong> <strong>2023</strong> 9
Taking good care<br />
of the community<br />
Winter, Spring,<br />
<strong>SUMMER</strong> and Fall!<br />
In addition to caring for you and your family, Arkansas Blue Cross believes in taking care of our communities.<br />
Here are just a few of the many ways we work to improve all Arkansans’ quality of life. Follow the QR code<br />
to the right to visit our new community calendar and find our locations at arkbluecross.com/locations.<br />
Caring for you and baby, too!<br />
Pregnant or planning to become pregnant? Let us<br />
shower you with maternal health info, giveaways,<br />
and prizes. Join us at the ArkansasBlue Welcome<br />
Center in Rogers (4602 W. Walnut St.) for a free<br />
maternal health seminar, Take Good Care: Mom<br />
and Baby. The event is from 5:30-7:30 p.m. on<br />
July 13. You can register to WIN $150 toward<br />
your baby registry. You don’t need to be an<br />
Arkansas Blue Cross member to attend.<br />
Visit arkansasbluecross.com/<br />
support/community-events or<br />
scan the QR code to find other<br />
events our Welcome Centers<br />
are hosting.<br />
Take good care of your social,<br />
mental and physical health<br />
Let the Blue & You Fitness Challenge * help!! The<br />
<strong>2023</strong> Blue and You Fitness Challenge just wrapped<br />
up its 20 th anniversary and is gearing up for next<br />
year. Visit blueandyoufitnesschallengeark.com<br />
using our QR code to find out more and<br />
register for the 2024 Challenge. Strong starts here!<br />
Down, set, hut!<br />
To celebrate the kickoff of another great football<br />
season, the ArkansasBlue Welcome Centers<br />
statewide will be hosting a fun, free event –<br />
an ArkansasBlue Blitz!<br />
Hey batter, batter ...<br />
Join Arkansas Blue Cross at Arvest Ballpark in<br />
Springdale on July 22 and August 12 for a chance<br />
to watch some great Northwest Arkansas Naturals<br />
baseball and register to win great prizes. Look for<br />
the Arkansas Blue Cross tent when you get there.<br />
We look forward to seeing you at the ol’ ballgame!<br />
The event(s) are tentatively scheduled for<br />
3-6 p.m., Friday, September 22. The ArkansasBlue<br />
Welcome Centers will serve up hot dogs and<br />
drinks, host fun games and give away great prizes.<br />
And that’s not all. The first 30 people will receive<br />
a $25 gift card. Participants can<br />
also register to win a Blackstone ®<br />
Tailgater, pop-up canopy, cooler,<br />
camping chairs and more!<br />
10 <strong>SUMMER</strong> <strong>2023</strong><br />
*The Blue and You Fitness Challenge is a program of Arkansas Blue Cross and Blue Shield,<br />
the Arkansas Department of Health and the Arkansas Department of Human Services.
Mental Health First Aid Classes<br />
Free Mental Health<br />
First Aid training<br />
for Arkansans<br />
Arkansas Blue Cross and Blue Shield is<br />
offering dozens of free Take Good Care:<br />
Mental Health First Aid classes, open to all<br />
Arkansans, in our ArkansasBlue Welcome<br />
Centers throughout the state. The inperson<br />
classes, led by instructors with the<br />
Arkansas Rural Health Partnership, include<br />
two hours of online pre-work that can be<br />
done at the participant’s own pace.<br />
The classes, held from 10 a.m. to 4:30<br />
p.m., are designed to save lives and<br />
improve the well-being of Arkansans and<br />
their communities. One in five Americans<br />
live with a mental illness, and more than<br />
120 die by suicide every day.<br />
The class covers common signs and<br />
symptoms of mental health and substance<br />
use issues and how to interact with a<br />
person in crisis and connect them with<br />
help. Participants<br />
who complete the<br />
classes will receive<br />
certification from the<br />
National Council for<br />
Mental Wellbeing.<br />
JULY 15 Little Rock: 416 S. University Ave., Suite 110<br />
18 Texarkana: 1710 Arkansas Blvd.<br />
Pine Bluff: 509 Mallard Loop<br />
19 Hot Springs: 1635 Higdon Ferry Road, Suite J<br />
20 Jonesboro: 2110 Fair Park Blvd., Suite I<br />
Fort Smith: 3501 Old Greenwood Road, Suite 3<br />
29 Rogers: 4602 W. Walnut St.<br />
AUG 12 Little Rock: 416 S. University Ave., Suite 110<br />
15 Texarkana: 1710 Arkansas Blvd.<br />
Pine Bluff: 509 Mallard Loop<br />
16 Fort Smith: 3501 Old Greenwood Road, Suite 3<br />
Hot Springs: 1635 Higdon Ferry Road, Suite J<br />
17 Jonesboro: 2110 Fair Park Blvd., Suite I<br />
Fayetteville: 3013 N. College Ave.<br />
26 Rogers: 4602 W. Walnut St.<br />
SEPT 9 Little Rock: 416 S. University Ave., Suite 110<br />
Fayetteville: 3013 N. College Ave.<br />
12 Texarkana: 1710 Arkansas Blvd.<br />
Pine Bluff: 509 Mallard Loop<br />
13 Hot Springs: 1635 Higdon Ferry Road, Suite J<br />
14 Jonesboro: 2110 Fair Park Blvd., Suite I<br />
Fort Smith: 3501 Old Greenwood Road, Suite 3<br />
16 Rogers: 4602 W. Walnut St.<br />
<strong>SUMMER</strong> <strong>2023</strong><br />
11
Helping Arkansans<br />
the storm<br />
A fter tornadoes devastated parts of central and<br />
northeast Arkansas on March 31, Arkansas Blue<br />
Cross and Blue Shield employees stepped up to<br />
help our neighbors.<br />
Employees volunteered their time and energy in<br />
the immediate days and weeks after the tornadoes.<br />
They sorted donations at the Emergency Operation<br />
Center in Little Rock just days after the tornado;<br />
worked to clear out homes and yards in some of<br />
the hardest hit areas in Jacksonville; created boxes<br />
to meet survivors’ essential needs at the FEMA<br />
command center in North Little Rock; and provided<br />
lunch to 75 volunteers helping with tornado clean<br />
up in Wynne.<br />
Employees also pitched in financially, donating to<br />
the company’s Take Good Care of Arkansas Tornado<br />
Survivors account. Arkansas Blue Cross matched<br />
employees’ donations 2 to 1. A total of $20,000 went<br />
to the Arkansas chapter of the American Red Cross<br />
for its disaster relief efforts in the state.<br />
“Arkansas Blue Cross employees have shown a<br />
commitment to volunteering in their communities time<br />
after time,” said President and CEO Curtis Barnett.<br />
“After the recent tornadoes, our team members<br />
quickly pitched in to help, giving both their time and<br />
their money. I could not be prouder of the work they<br />
are doing to help those affected by the storms.”<br />
Arkansas Blue Cross and its family of companies also<br />
made assistance available to members in other ways.<br />
Eligible members covered by Arkansas Blue Cross,<br />
Health Advantage or BlueAdvantage Administrators<br />
of Arkansas were given a one-time, 10-day<br />
emergency refill on maintenance medications.<br />
The company provided pharmacy benefit exceptions<br />
to our members who lost their medications in the<br />
destruction and offered counseling services to<br />
members in need of emotional support. A dedicated<br />
crisis line was also activated for members in need<br />
of emotional support at no cost to the member.<br />
12<br />
<strong>SUMMER</strong> <strong>2023</strong><br />
After the March 31 tornadoes in Little Rock, North Little<br />
Rock, Jacksonville and Wynne, Arkansas Blue Cross and<br />
Blue Shield employees were quick to assist. They helped<br />
receive food and other donations to send to a distribution<br />
center, unloaded donated mattresses and cleared debris<br />
from both homes and small, independent businesses.
Denied claim?<br />
What's next?<br />
If you view your Explanation of Benefits (EOB) and find<br />
that your claim for services has been denied, there will<br />
be a reason listed. You have the right to file an appeal<br />
to request review of a denial in whole or in part. The<br />
first step is to submit an appeal in writing.<br />
How to appeal a denied claim<br />
If a claim is denied and you would like further information, follow these steps:<br />
Step 1: Go to the member dashboard in <strong>Blueprint</strong> Portal<br />
(blueprintportal.com) to access your claims history,<br />
policy information and EOBs.<br />
Step 2: Call the customer service number on the back of your ID card<br />
if you have questions about the denial.<br />
Step 3: Complete your written appeal request and include the<br />
following or download a form from the Documents and<br />
Forms page in <strong>Blueprint</strong> Portal:<br />
• Claim number being appealed and date of service<br />
• Member’s name and health plan ID number<br />
• Provider’s name<br />
• Reasons why you believe that the claim was<br />
incorrectly denied<br />
• Your request should also include any medical<br />
records relevant to the appeal, such as copies<br />
of any paperwork like an EOB, medical bills, etc.<br />
• Sign and date<br />
Step 4: Send your appeal within 180 days (about 6 months)* after the<br />
EOB is mailed to you or you access it online. You can mail, fax<br />
or email** the signed written request to your health plan.<br />
When to expect a response<br />
A review of the claim will be conducted to ensure there has not been an error processing it.<br />
A final written decision will be mailed to you within 60 days after your request is received<br />
unless unusual circumstances require more review.<br />
* Timeframes and appeals processes vary by health plan. Please call the number on the back of<br />
your ID card to speak with a customer service representative.<br />
** The mailing address, fax number and email address may vary by plan. Be sure to check your<br />
EOB to ensure you have the correct information.<br />
<strong>SUMMER</strong> <strong>2023</strong><br />
13
Arkansas Blue Cross and Blue Shield<br />
Financial Information Privacy Notice<br />
Arkansas Blue Cross and Blue Shield<br />
and its affiliates (including HMO<br />
Partners, Inc. d/b/a Health Advantage)<br />
understand how important it is to<br />
protect your private information.<br />
Because of the nature of our business,<br />
we often must collect highly personal<br />
information. We are committed to<br />
maintaining, securing, and protecting<br />
that information.<br />
Customer Information<br />
Arkansas Blue Cross and its affiliates<br />
compile only the information<br />
necessary to provide services that<br />
you (our members) request and<br />
to administer your business. We<br />
collect nonpublic personal financial<br />
information (any information that can<br />
be tied back to a specific person and<br />
is gathered by any source that is not<br />
publicly available) from:<br />
• Applications for insurance<br />
coverage. The application<br />
includes information such as<br />
your name, address, personal<br />
identifiers such as your Social<br />
Security number, and medical<br />
information that you authorize us<br />
to collect.<br />
• Your payment history and related<br />
financial transactions. This<br />
information is generated from the<br />
purchase and use of your coverage.<br />
• Your membership status. This<br />
information is related to your<br />
standing as a member.<br />
Sharing of Information<br />
Arkansas Blue Cross and its affiliates<br />
do not disclose, and do not wish to<br />
reserve the right to disclose, nonpublic<br />
personal information about you to our<br />
affiliates or other parties except as<br />
permitted or required by law. In some<br />
instances, Arkansas Blue Cross and<br />
its affiliates may provide personally<br />
identifiable information about you<br />
to affiliates or other third parties.<br />
This information includes (but is not<br />
limited to) your name, postal and email<br />
addresses, telephone numbers and<br />
related nonpublic financial information.<br />
Such information may be shared with<br />
our affiliates and/or third parties:<br />
• To service or process products<br />
that you have requested<br />
• To provide information as<br />
permitted and required by law<br />
to accrediting agencies<br />
• To provide information to comply<br />
with federal, state or local laws<br />
in an administrative or judicial<br />
process<br />
• To provide information to a<br />
business associate (including<br />
one of our affiliated companies)<br />
in the process of serving our<br />
health plans, sponsoring groups<br />
and you, our members<br />
How We Protect Your Information<br />
Arkansas Blue Cross and its affiliates<br />
use various security mechanisms to<br />
protect your personal data, including<br />
electronic and physical measures and<br />
company policies that limit employee<br />
access to nonpublic personal financial<br />
information. Improper access to and/<br />
or use of confidential information by<br />
an Arkansas Blue Cross employee can<br />
result in disciplinary action up to and<br />
including termination of employment.<br />
Disclosure of Privacy Notice<br />
Arkansas Blue Cross and its affiliates<br />
recognize and respect the privacy<br />
concerns of potential, current and<br />
former customers. Arkansas Blue<br />
Cross and its affiliates are committed<br />
to safeguarding this information.<br />
This Financial Information Privacy<br />
Notice is provided for informational<br />
purposes and will be updated and<br />
distributed as required by law. It<br />
is also available on our website at<br />
arkansasbluecross.com or from<br />
our Customer Service call centers.<br />
Our Customer Service call centers<br />
are open from 8 a.m. to 4:30 p.m.,<br />
Central time, Monday through Friday.<br />
Arkansas Blue Cross<br />
800-238-8379<br />
Health Advantage<br />
800-843-1329<br />
Members of self-funded health plans<br />
should call Customer Service using<br />
the toll-free telephone number on<br />
their member ID card.<br />
14<br />
<strong>SUMMER</strong> <strong>2023</strong>
If you need a passport,<br />
you need a plan.<br />
Get international health<br />
insurance for your big trip!<br />
arkbluecross.com/travel<br />
GeoBlue health plans are offered in cooperation with many Blue Cross ®<br />
and Blue Shield ® companies, including Arkansas Blue Cross and Blue<br />
Shield. You do not have to be currently enrolled in an Arkansas Blue Cross<br />
and Blue Shield medical plan to purchase most GeoBlue plans.<br />
Customer Service<br />
N U M B E R S<br />
May we help? For customer service, please call toll free:<br />
Arkansas Blue Medicare Advantage<br />
HMO Plans (H6158) 844-463-1088<br />
PPO Plans (H3554) 844-201-4934<br />
PFFS Plans (H4213) 877-233-7022<br />
Arkansas Blue Medicare Prescription<br />
Drug Plans (S5795): 866-390-3369<br />
Health Advantage Medicare Advantage<br />
HMO Plans (H9699): 877-349-9335<br />
Arkansas Blue Cross and Blue Shield<br />
Medicare Supplement Plans 800-238-8379<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 />
BlueAdvantage members 888-872-2531<br />
Pharmacy questions 888-293-3748<br />
Federal Employee Program 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 />
Visit our websites<br />
for more information:<br />
• arkansasbluecross.com<br />
• arkbluemedicare.com<br />
• hub.arkansasbluecross.com<br />
• healthadvantage-hmo.com<br />
• blueadvantagearkansas.com<br />
• blueandyoufoundationarkansas.org<br />
Prefer to speak with someone close to home?<br />
Call or visit one of our Welcome Centers near you:<br />
Fayetteville<br />
3013 N. College Ave. 479-379-5180<br />
Fort Smith<br />
3501 Old Greenwood Road – Suite 3 479-648-1635<br />
Hot Springs<br />
1635 Higdon Ferry Road – Suite J 501-620-2620<br />
Jonesboro<br />
2110 Fair Park Blvd. – Suite I 870-935-4871<br />
Little Rock (MIDTOWN)<br />
416 S. University Ave. – Suite 110 501-396-8675<br />
Pine Bluff<br />
509 Mallard Loop 870-536-1223<br />
Rogers<br />
4602 W. Walnut St. 479-973-6675<br />
Texarkana<br />
1710 Arkansas Blvd. 870-773-2584<br />
* Arkansas Blue Cross, Health Advantage and<br />
BlueAdvantage Administrators of Arkansas<br />
<strong>SUMMER</strong> <strong>2023</strong><br />
15
PRSRT STD<br />
U.S. POSTAGE<br />
PAID<br />
ARKANSAS BLUE CROSS<br />
BLUE SHIELD<br />
72201<br />
ARHOME Members!<br />
You might be at risk of losing your<br />
health insurance coverage.<br />
Have you received a renewal form from the Arkansas<br />
Department of Human Services (DHS)? Fill it out and<br />
return it to DHS immediately to avoid losing your coverage<br />
if you are still eligible.<br />
Questions? Reach out to DHS by calling 844-872-2660,<br />
visiting ar.gov/renew or visiting a local DHS office.<br />
We are here for you if you lose coverage.<br />
You’ll qualify for a Special Enrollment Period (SEP) that<br />
allows you to get a new health plan through the Health<br />
Insurance Marketplace, and you may even qualify for<br />
financial assistance.<br />
If you need assistance, visit your nearest ArkansasBlue<br />
Welcome Center, arkbluecross.com/coverage<br />
or call 800-392-2583.<br />
00002.08.01-0523