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Value-Added Programs
Anthem blue cross HealthyExtensionsSM
Special Program for PPO Members
Special Program for HMO Members
Anthem blue cross HealthyExtensionsSM
Anthem blue cross HealthyExtensions,
a program for all our medical plan members, helps your employees take
an active role in shaping healthy lives. The program offers helpful
resources to meet individual health and fitness goals. Anthem blue cross’
prevention and health management programs form the basis for HealthyExtensions,
then add a variety of alternative and wellness products and services
through independent vendors offering Anthem blue cross member discounts. HealthyExtensions
includes:
Healthy Living Programs
Get professional, reliable health care information
instantly by phone, toll-free, any time of the day or night, from the
registered nurses at Anthem blue cross MedCall. They can answer your health
questions and help you decide whether to call your physician, go to
the emergency room, or treat your symptoms at home. MedCall, featured
on all our current medical plans, also offers educational audio tapes
on more than 200 health topics.
Anthem blue cross HealthyCheckSM
Regular health screenings are a vital part of promoting health. Anthem blue cross developed HealthyCheck to provide Anthem blue cross PPO and EPO members
with affordable and convenient annual preventive care screenings.
Annual HealthyCheck screenings are available to Anthem blue cross of California members ages 7 to adult who have purchased their
PPO or EPO health plan through their employer who has 50 or fewer employees,
and to most members who have purchased their PPO or EPO health plan
directly and not through their employer. HealthyCheck screenings are
not routinely available for members who have purchased their insurance
through an employer with more than 50 employees or to our mature members.
Eligible members can visit a HealthyCheck center once
every 12 months. Children aged 7 to 17 get certain dental, vision
and hearing screenings, along with necessary childhood immunizations,
for a single $25 fee. Adults can choose from two levels of screening
for $25, or $75.
HealthyCheck centers provide educational materials,
including recommendations for developing a healthier lifestyle. In some
instances, members may also be able to register for classes on health-related
topics, such as weight loss and fitness. At the end of your screening,
you'll receive a individualized health status report, which includes
a copy of all your test results. Results are also sent to your doctor,
and if appropriate, it may be recommended that you consult your doctor
for a more thorough exam.
Call our toll-free number, (800) 274-WELL, for more information or to
schedule an appointment, which will be set within 60 days and within
30 miles of your home or work location. If you are a BCC member, check
out the HealthyCheck page of this website
for more information.
Anthem blue cross Baby
ConnectionSM*
The Anthem blue cross Baby Connection promotes early and regular prenatal care,
giving our members an even higher probability of having a healthy pregnancy
and a healthy baby. Our Baby Connection nurses work with you and your
doctor to create a pregnancy program around your specific needs. The
nurses are available by phone, toll-free, to answer your questions and
fill other special needs concerning your pregnancy and newborn baby.
They help all Anthem blue cross medical plan members identify potential risk
factors, such as pre-term labor, pregnancy-induced hypertension or diabetes,
and provide information and educational material on how to have a safe,
healthy pregnancy and early motherhood.
Health
Management Programs*
Anthem blue cross provides programs and activities for managing chronic conditions
affecting a large number of our members. We offer self-care programs
for asthma, diabetes and congestive heart failure. Anthem blue cross works
with members, their health care providers and employers to provide education,
home or telephone coaching, and health management tools to help members
with chronic conditions enjoy a fuller, more active life.
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Discount Programs
and Products*
All Anthem blue cross Medical plan members can take advantage of discounts
from 10-50 percent on a variety of alternative health care and wellness
products and services offered by independent vendors. You can save on
vitamins, nutrition and fitness programs, health clubs, hearing aids,
eyeglasses and contacts, skin care products, educational materials and
online health resources.
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Health and Wellness
Practitioners*
Massage therapists, registered dieticians, hypnotherapists and yoga
instructors can help guide you on your road to wellness. A network of
these professionally qualified practitioners offers Anthem blue cross members
discounts averaging from 10-25 percent. These practitioners augment
the acupuncture and chiropractic benefits covered in many of our medical
plans.
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Special Program for PPO Members
BlueCard ®
The BlueCard program gives Anthem blue cross PPO members access to doctors
and hospitals in participating local Blue plan networks throughout the
nation. The program features assistance in locating these participating
providers from a roster including more than 70 percent of doctors and
80 percent of hospitals in America. Blue Card extends “Power of
Blue cost savings and the security of access to quality health
care, wherever you travel within the U.S.
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Special Programs for HMO Members
Self-Referral for
OB/GYN Care
All women enrolled in a Anthem blue cross HMO may select OB/GYN care directly
from a participating specialist, without referral from their Primary
Care Physicians. Your medical group can provide you with a list of participating
OB/GYN referral physicians.
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Anthem blue cross DirectAccessSM
Anthem blue cross DirectAccess provides members the option of self-referral
to participating specialty service providers for some services, without
authorization from their Primary Care Physicians. Specialty services
include allergy, dermatology, and ear, nose and throat. This program
is available to HMO members who choose medical groups in the provider
directory that participate in the DirectAccess program.
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Anthem blue cross SpeedyReferralSM
With SpeedyReferral, members benefit from immediate referrals from their
Primary Care Physicians for certain specialty-first consultations, without
prior authorization from their medical group’s management committees.
Specialty services include cardiology, dermatology, ear, nose and throat,
endocrinology, gastroenterology, general surgery, hematology, neurology,
oncology, ophthalmology, orthopedic surgery, podiatry, routine laboratory,
routine x-ray and urology. This program is available to HMO members
who choose medical groups in the Provider Directory that participate
in the SpeedyReferral Program.
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