From prenatal to adolescence, young adulthood to the
golden years, we provide you with programs and coverage
to help you reach your individual health goal at each stage
of your life. Don’t leave managing your family’s health and
the care they receive to chance. Learn what is available to
you and take full advantage of your benefits and the services
we offer. Nothing is more important than your and your
family’s health.
… and baby makes 3
You want your baby to be born
healthy. And that’s the goal of
Healthy Addition. This award-winning
prenatal education/early intervention
program provides expectant
mothers with steps they can take to
help them enjoy a healthy pregnancy
and delivery. It particularly
focuses on risk factors that might
indicate a complicated pregnancy,
and provides one-on-one support
for mothers who are experiencing
an at-risk pregnancy.
Nurse case managers—all experienced
OB/GYN registered nurses—
provide:
- Pregnancy risk screening and monitoring
- Education on healthful lifestyle and dietary habits
- Prenatal information
- Emotional support and answers to questions and concerns
www.bcbsfl.com
Click on Members, Health &
Wellness, Health Programs,
Prenatal education
Don’t wait to take your child to a
doctor when he or she is sick.
Preventive care is just as important
to your child’s health. That’s why
many of our plans cover well-child
care. This includes well-child
checkups and recommended immunizations.
A complete list of recommended
childhood and adolescent
immunizations is available on
our website.
www.bcbsfl.com
Member, Health & Wellness,
Health Programs or Health Links
Each year more than 13,000 young
people are diagnosed with type 1, or
juvenile, diabetes. But type 2 diabetes
(a disease usually diagnosed
in adults ages 40 years or older) has
been reported among U.S. children
and adolescents with increasing frequency
during the last two decades,
the Centers for Disease Control and
Prevention (CDC) reports.
In type 1, the pancreas makes no
insulin. In type 2, insulin production
is too low or ineffectual.
Obesity and lack of physical activity
among young people, as well as
exposure to diabetes in utero, the
CDC says, may be major contributors
to the increase in type 2 diabetes
during childhood and adolescence.
Children with type 2 diabetes
may have no symptoms or mild
symptoms, so it can be difficult
to diagnose.
If your child is overweight and your
family has a history of type 2 diabetes,
learn the facts about the risks.
Visit our website to download a
brochure, “Type 2 Diabetes: Obesity
and Your Child.” And check out the
body mass index chart for children
on the CDC’s website.
If your child has diabetes, our website
includes a link to Children with
Diabetes, an online support network
for kids, families and adults with
diabetes.
www.bcbsfl.com
Member, Health & Wellness, Health Programs or Health Links
www.cdc.gov/nccdphp/dnpa/bmi/childrens_BMI/about_childrens_BMI.htm
We want you to stay well. That’s
why we offer an adult wellness benefit.
It helps cover expenses such as
an annual physical or gynecological
exam, including family planning/
contraceptive services and wellness
services related to annual checkups,
such as Pap tests, prostate-specific
antigen (PSA) tests, X-rays, laboratory
services and immunizations.
Because we want to make sure you
take advantage of these adult wellness
benefits, these services are not
subject to your individual calendaryear
deductible. You’ll pay only your
regular office visit copayment or
applicable coinsurance.
www.bcbsfl.com
Click on Members, Health & Wellness, Health Links
Check your Benefit Handbook for coverage
With one in every nine women
getting breast cancer, having a
regular screening mammogram is
essential. You should get a baseline
mammogram at age 35 or later; one
every other year once you reach 40;
and an annual mammogram from
age 50 on. And don’t forget to do
monthly breast self-exams.
Find an OB/GYN
www.bcbsfl.com
Click on Provider Directory
In Florida, 1.4 million residents
have diabetes. And nearly one-third
of them don’t know it. Floridians
of African-American or Hispanic
descent are particularly at risk.
They’re almost twice as likely as
Caucasians to develop diabetes over
their lifetimes.*
To heighten awareness of the danger
of diabetes and what can be done to
reduce everyone’s risk, Blue Cross
and Blue Shield of Florida has
launched a Diabetes Multicultural
Outreach Program. Offered in
conjunction with Health Dialog®
(see “What’s new?,”), the
program informs you—in either
English or Spanish:
- How to prevent or delay the onset of diabetes
- Warning signs of diabetes
- Coverage benefits
Take the interactive risk assessment
on our website to help determine
your relative risk of developing diabetes.
If you are at high risk, you can
get educational materials from the
Dialog CenterSM on lifestyle changes
to help lower your risk. You also can
get immediate counseling based on
your assessment results by calling a
Health Dialog Health Coach toll free
at (800) 789-2583.
www.bcbsfl.com
Click on Members, Health &
Wellness, Health Programs,
Chronic Disease Management,
Diabetes Awareness
Or do a search on “diabetes”
As health problems develop, it can
be harder to gain control of our
medical care. But, you don’t have
to struggle with complex medical
needs. We can help you make
informed health care choices based
on both your needs and health plan
benefits when you are dealing with
complex or catastrophic illnesses.
Our nurses reach out to members
who meet the criteria for extra help.
An experienced registered nurse
(R.N.) will work with you, your family,
health care providers and community
organizations to maximize
your health care experience. The
nurse will evaluate your care while
you are receiving it, get involved
with discharge planning if you are
hospitalized and help coordinate the
services you need. Call it one-stop
service—your one point of contact to
help you navigate the health care
system.
www.bcbsfl.com
Click on Members, Health & Wellness,
Health Programs, Personal Case
Management
If you are a caretaker for a parent
on Medicare or are approaching
65 yourself, you should know about
Medicare Part D prescription drug
coverage. It is available for people
enrolled in Medicare Part A and/or
Part B. The deadline for current
Medicare beneficiaries to enroll in a
prescription drug plan without paying
a penalty was May 15, unless
they have, on average, coverage at
least as good as Medicare Part D
from another plan. The penalty is a
premium increase of 1 percent for
every month after May 15 in which
they were eligible but did not enroll.
The next enrollment period begins
Nov. 15, 2006. If your eligible parents
haven’t enrolled, encourage them
to do so this fall.
The benefits of our BlueScript®
plans are designed to meet the
needs of Florida residents—needs
we’ve been meeting for more than
60 years. Our BlueScript plans also
cover a wide range of drugs. And
with our open formulary, we will
cover prescribed medications beneficiaries
are currently using even if
they aren’t on our formulary.
BlueScript for Medicare Part D prescription
drug coverage for Medicare
beneficiaries is just our latest offering
for Medicare beneficiaries. We offer
seniors and other Medicare beneficiaries
a variety of health insurance
plans, including Medicare HMOs
and PPOs.
www.bcbsfl.com
Click on Products, Plans & Services
Your privacy is our concern
Our HIPAA-AS* Privacy Notice
explains how we may use and
disclose your protected health information
for treatment, payment and
health care operations. You may
obtain a copy of our HIPAA-AS
Privacy Notice by calling customer
service at the telephone number
on your health plan ID card or by
visiting
www.bcbsfl.com.