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Blue Benefits Bulletin

December 2009

BlueCross Earns A+ in Latest Financial Strength Rating from S&P

Inline ImageAs a trusted partner, you will be happy to know that Standard and Poor’s assigned BlueCross BlueShield of Tennessee an A+ financial strength rating with a stable outlook for the future. S&P’s strong financial rating for BlueCross BlueShield of Tennessee was based on a thorough, objective analysis of our business, financial records and meetings with our management staff.   Read More »

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Quote New VisionBlue Product for Your Groups

VisionBlue is a new vision product available for groups on a voluntary or non-voluntary basis, and can be combined with medical, dental and pharmacy coverage to create a comprehensive benefit package for your accounts.
 
The attached brochure has further details about the latest addition to the BlueCross BlueShield of Tennessee portfolio of products.  To learn more or request a VisionBlue quote for your groups, contact your BlueCross sales or account executive.

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Updated Medical Benefit Estimator Ready for Quoting

To assist you when quoting medical coverage for your groups, BlueCross BlueShield of Tennessee provides a helpful medical benefit estimator tool.  The latest version is now available and should be used for quoting your groups beginning with Dec. 1, 2009, effective dates. Please discontinue use of previous versions of the tool.
 
If you have any questions regarding the benefit estimator tool, please contact your BlueCross account or sales executive.

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Endometrial Ablation Requires Prior Authorization after January 1, 2010

Beginning Jan. 1, 2010, BlueCross BlueShield of Tennessee will require prior authorization for endometrial ablation, a surgical procedure performed to reduce or prevent uterine bleeding.  Post-procedure reviews have determined that about 60 percent of the procedures are not medically necessary, according to BlueCross medical policy. Read More »

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EyeMed Replaces Davis Vision as BluePerks Vendor

BluePerks welcomes EyeMed as the new vision vendor Inline Imageunder the umbrella of special discounts available only to BlueCross BlueShield of Tennessee members. EyeMed, which replaces Davis Vision, maintains a large national network of providers including national chains: LensCrafters, Pearle Vision, Target, Sears and JCPenney. Read More »

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H1N1 Vaccine Administration for Group HDHPs

Following our announcement about covering the cost of H1N1 flu shots, there have been some questions about H1N1 vaccine administration benefits in High Deductible Health Plans.  
 
Questions include:

  • Does the charge for the H1N1 vaccine administration apply to the deductible?
  • Does the member have to pay the $20 preventive copay?

To answer these questions, the H1N1 vaccine administration is covered at 100 percent in all insured plans, including HDHPs. There is no member cost share, so nothing applies to the deductible or to the out-of-pocket maximum.  This does not disqualify the plan, because the vaccine is considered a preventive service.

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Learn About Changes to the Preferred Drug List in 2010

Inline ImageThe Preferred Drug List (PDL) and other drug lists for 2010 are now available and can be reviewed in the Pharmacy section of bcbst.com. Read More »

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BlueCross is Committed to Ethical Business Practices

BlueCross BlueShield of Tennessee is committed to a corporate culture of ethics and compliance.  In an effort to reinforce that commitment, the Board of Directors has adopted a Code of Business Conduct that applies to all employees, officers, contractors and members of the Board of Directors.  We are willing to share our Code of Conduct, along with related policies and procedures, with our business partners in order to relay our commitment to a corporate culture of ethics and compliance.  The Code of Conduct sets an ethical tone for the organization and provides guidelines for how we and our business partners are expected to conduct business. Read More »

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