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Covering most health services that most Tennesseans need. 2nd Quarter 2013


In this issue

Coverage for new hires and changes in coverage of spouses

New hires

Have a new employee? Make sure he or she doesn’t miss the window of opportunity to apply for CoverTN coverage. All new hires must apply for CoverTN coverage and have their application received at BCBST within 30 days from date of hire, or the application will be denied.

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Understanding Generic Drugs

Your employees’ CoverTN Prescription Drug Program saves them money through the use of generic drugs.

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Protecting personal information

Protecting your employees’ privacy is important to CoverTN. We allow access to our subscriber’s information when we perform the following tasks:

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Does Your Enrolled Employee Need Maternity Coverage?

Maternity benefits are not included as a benefit under CoverTN. Members who become pregnant should take the following steps:

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Reminder: Non-Sufficient Funds (NSF) Notices

As a participating CoverTN employer, you are required to fund both your third and your employee’s third of the required premium through the bank draft process. The State pays the final third. You must withhold your employee’s third through payroll deduction.

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Review your Monthly Statement of Account

Review your Monthly Statement of Account from CoverTN for accuracy and make changes in a timely manner.

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Be Assured of Fair Decisions About Care

BlueCross BlueShield of Tennessee works hard to earn and keep the trust of your employees. Whenever possible, we want to be an open book about how we make decisions. For prior authorizations and other health care decisions, we look at two factors:

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CoverTN rights and responsibilities: What your employee should know

CoverTN knows it is important for your employees o understand how their health plan works. As plan members, they have the right to:

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Do you need help in these languages: arabic symbol(Arabic); Bosanski (Bosnian); Kurdish-B (Kurdish-Badinani); Kurdish-S (Kurdish- Sorani); Soomaali (Somali); Español (Spanish); Nguoi Việt (Vietnamese)? CoverTN language and member services are free at 1-888-887-3224, Monday-Friday, 8 a.m. to 6 p.m. ET. For TDD/ TTY help call 1-866-591-2908. Federal and State laws protect your rights. They do not allow anyone to be treated in a different way because of: race, language, sex, age, color, birthplace, or disability. Need help? Call the Office of Non-Discrimination Compliance for free at 1-855-286-9085 or TTY: (877) 779-3103. BlueCross BlueShield of Tennessee, Inc., an Independent Licensee of the BlueCross BlueShield Association

The information in this newsletter is not meant to take the place of a doctor's advice.

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