With this plan, your costs are more predictable, but youll likely still have out-of-pocket expenses. If you live in Hawaii, you are only eligible for the Platinum Be Fit Plan offered by Kaiser-Hawaii. EOB Sign up to receive your health statements online. Providers in CA, ID, NY, LEARN MORE Here are a few of the tools and resources you will find on myWellmark: Find Medicare Insurance Plans Shop Individual & Family Plans Member Resources Compare Group Insurance Plans Producer Resources Bettendorf, Grundy Center, Hiawatha receive 2023 Healthy Hometown Powered by Wellmark Community Award 1 of 6 However, only the amount you pay towards your specialty prescriptions will be applied to your deductible and out-of-pocket maximum. Are there any age restrictions when using Doctor on Demand? For complete details on coverage and for more information on how to enroll, visit the Mercer Marketplace 365+website. 1Number of medical plan options varies by location and eligibility. Learn more about our Total Care and Blue Distinction Specialty Care designation programs and find a designated doctor or hospital that meets your needs. You do not need to pick a plan level before receiving care from a provider. Click on Choose a location and plan" when the Hi there, let's get started!" The $3,000 Deductible Plan is a high deductible health plan, or HDHP. Find a doctor, provider, dentist, pharmacy or facility | Wellmark If you have diabetes, this program helps you monitor and control your glucose levels. You may have to file your claims. through annual out-of-pocket maximums that limit the amount youll pay each year. When you sign up, you get exclusive discounts for wellness products and services you use every day, such as fitness trackers, eyeglasses and athletic shoes. Care program recognizes healthcare providers for their quality care and patient results. Select either "Medical Directory or Behavioral Health Directory as appropriate. This level would include any other providers not found when using the XQW prefix on the Wellmarks website and could be participating with BCBS or non-participating with BCBS subject to balance billing beyond any coinsurance that the member may owe. BDC and BDC+ are displayed on www.bcbs.com. The cost of your prescription drugs under each medical plan depends on the tier of the medication: include most generics; these drugs contain the same active ingredients as their brand-name equivalents and meet the same federal standards for safety, but typically cost significantly less. Each providers cost of When care is provided at the University of Iowa Hospital and Clinics, the individual and the provider will agree on the medical residents' role in their care. GET STARTED The care you need. It should be back shortly, but if you keep getting this message, please call technical assistance at 800-407-0267. For details on a providers in-network status or Each medical plan provider provides a wide variety of tools and resources, in addition to those listed below. Comunquese al 800-524-9242 o al (TTY: 888-781-4262). It offers the lowest premiums and highest deductibles, along with the option to elect a tax-advantaged Health Savings Account (HSA) that helps you save pre-tax money to cover eligible medical expenses. You can also use the Express Scripts mobile app on your digital device to locate a participating pharmacy or call Express Scripts at the number listed on the back of your member ID card. A) Salary.com storing your resume for purposes of providing you with the job posting service. Strong verbal/written communications skills. 4With the $1,850 Deductible Plan (excluding the Kaiser California $1,850 Deductible Plan), the family out-of-pocket maximum must be met before the plan will begin to pay 100% of the cost of covered services for any covered family member. If this is your first time visiting the site, take a minute to register (be sure you have your member ID number handy). these facilities or physicians, or other non-designated providers, contact your Demonstrates ability to anticipate and analyze long-term reimbursement model outcomes. 2With the $1,850 Deductible Plan (excluding the Kaiser California $1,850 Deductible Plan), the family deductible must be met before the plan will begin to pay coinsurance for any covered family member. Top candidates will have hospital and/or health care facility reimbursement experience. included with each medical plan. *NOTE: Another resource available exclusively to Wellmark members is BeWell 24/7. Employees can earn up to $500, and a covered spouse has the opportunity to earn an additional $300. If you take a long-term or maintenance medication to manage a health condition like high blood pressure, diabetes or high cholesterol, the Smart90 program gives you the option to pick up a three-month supply of your medication at a CVS or Walgreens, or have your medication shipped to your home using Express Scripts mail-order pharmacy. SUMMARY OF BENEFITS AND COVERAGE MANUAL FINDER Search for the Summary of Benefits and Coverage (SBC) and Coverage Manual for your plan. Find a Provider; Member Forms; Prescription Drug Info; Important Things to Know; Get Adobe Reader; Company. A CareLine nurse can help you find nearby care including urgent care clinics and retail clinics, which are open evenings and weekends. You enjoy supporting stakeholders with ad hoc requests and tackling data-related projects because it allows you to use your expertise while tapping into your creative side. Wellmark Blue Cross Blue Shield or United Healthcare, based on the state where you live. ABOUT OUR SITE:The information presented on our website describes only the highlights of the plans and does not constitute official plan documents. If your Kaiser provider determines the care you need can be provided in a video visit, this is a great alternative to making a trip for an in-person visit. With Diabetes Remote Monitoring, you will receive a free smart glucose meter that synchronizes with your smartphone and securely sends data to specialist pharmacists who are available to support you. Visit Wellmark.com/Blue365 for a full list of deals and discounts available to you. In that case, it is advisable to contact Blue Cross and Blue Shield for assistance in locating the closest participating provider in that country. Non-participating providers do not have contracts with Blue Cross and Blue Shield. Check member eligibility, benefits and accumulations. If you choose a coverage tier other than Self Only, there is an embedded individual deductible, which means that coinsurance will begin for a covered family member if that persons individual deductible is met; coinsurance begins for all covered family members once the family deductible has been met. Your pre-tax HSA contributions and any earned Reward Dollars from Transamerica can help you pay your out-of-pocket costs. You can click on Search all" then enter a name or phrase, or click on one of the categories to search by a doctor's name, specialty, facility name or type of facility. Welcome to our provider network | Wellmark Get prescriptions delivered to your door with free standard shipping, or with Smart90 pick up a three month supply at a CVS or Walgreens near you, Transfer prescriptions easily online, by phone or via Express Scripts mobile app, Resolve claims issues with your insurance company, Find the right doctor and/or get an appointment scheduled, Make the right decisions while keeping costs down. You have access to a wealth of resources and helpful tools through your medical plan provider. Once you enroll for medical coverage, you will receive a prescription drug ID card from Express Scripts or Kaiser Pharmacy within 30 days of enrollment. If you have a complex or chronic condition, Mercer Health Advantage provides a special support team with your own nurse in the family approach, along with various health services at your fingertips. Your doctor might be able to help you choose the right specialist. There are times with specific populations where it could be more likely that Doctor on Demand would advise the person to seek in-person care due to potential complications, for example, a newborn or an older adult with multiple health issues. You can also access Mango Health, which offers a mobile app with games and rewards for healthy habits, such as taking medication on time. That means you can see any specialist in the network from OB-GYNs to podiatrists, chiropractors and others. Perform routine financial analysis for Wellmark leadership to monitor reimbursement methodologies for effectiveness. Newsroom; Related Sites. If you are in a state other than Iowa and require medical care, you may call Wellmark Blue Cross and Blue Shield of Iowa at (800) 810-BLUE (2583) for assistance in locating the closest participating provider in that state. Once you meet the deductible, youll pay 30% of your covered medical expenses; this amount is called your. Employees covering themselves and child(ren) only can earn up to $800 (only the employee is required to complete the activities). System Error | Wellmark Blue Cross and Blue Shield Register or sign in to myWellmark at myWellmark.com to get started. The policy of Wellmark Blue Cross Blue Shield is to recruit, hire, train and promote individuals in all job classifications without regard to race, color, religion, sex, national origin, age, veteran status, disability, sexual orientation, gender identity or any other characteristic protected by law. To find providers designated as Blue Distinction Centers and Blue Distinction Centers+, please note: *Blue Distinction Center designation only. Employees covering themselves and child(ren) only can earn up to $800 (only the employee is required to complete the activities). What health plans need to know about recent guidance. For your convenience, facility designations 5 SIMPLE STEPS TO RECONNECT WITH YOUR HEALTH If you're ready to improve your health and wellness, we have an easy 5-step checklist to help you reach your goals using benefits and resources you already have in your plan. Select Employer and Individual Plans, followed by Choice Plus.. Medical plans: View claims, estimate costs, find a network doctor, and more, Prescription coverage: Order/refill prescriptions, $4,500 Deductible Plan ($9,000 family deductible), $3,000 Deductible Plan ($6,000 family deductible), $1,850 Deductible Plan ($3,700 family deductible), Use the High Deductible Health Plans Wisely, $900 Deductible Plan ($1,800 family deductible), Accidental Death & Dismemberment (AD&D) Insurance, Additional Support for You and Your Family. If you receive emergency care for covered services and cannot reasonably reach a participating provider, emergency room care received during the emergency will be reimbursed as though the member obtained the services from a participating provider. Money in your HSA can be carried forward from year to year and is always yours to keep. Take care of them with a health plan that offers the coverage they need. Provide timely response to provider inquiries via Network Engagement and support data needs and inquiries. Strong conceptual, strategic thinking skills. You will never forfeit any money left in your HSA, it rolls over year after year. Click on "Choose a location and plan" when the "Hi there, let's get started!" box appears. Likewise, physician designations may show names of facilities (or other provider Blue Magazine; . For more detailed information you may contact Wellmark Blue Cross/Blue Shield attoll-free number800-524-9242(TTY: 888-781-4262), Monday through Friday from 7:30 a.m. to 5:00 p.m. (Central Time). Employees in Iowa who enroll in the Wellmark Narrow Network Plan must assign a Primary Care Physician during the enrollment process for you and your dependents. care received from Blue Distinction or other providers. 2023 Provider Directories. If you are looking to see if the provider is participating with BCBS outside of the Blue Choice/Blue Access network (using XQW), you can use the XQQ prefix to search those providers outside of the state of Iowa. with services such as annual physicals, recommended immunizations and routine cancer screenings covered at 100%. Provider | Blue Cross and Blue Shield of Illinois Keep in mind: If you choose a Kaiser plan in California, Colorado, the District of Columbia, Georgia, Maryland or Virginia, you are required to select a Primary Care Provider (PCP), who will manage your care.

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