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Boeing Medicare Supplement Plan Contents The Boeing Company This is a Member Boeing Well Being Partner Information Guide 2021 www.bcbsil.com/boeingBoeing Medicare Supplement Plan Contents Welcome to Blue Cross and Blue Shield of Illinois .................................................................... 2 Frequently Asked Questions ......................................................................................................... 5 Using Your Online Resources ........................................................................................................ 7 Filing a Claim .................................................................................................................................... 9 Health Insurance Fraud ............................................................................................................... 11 Blue Cross Blue Shield Global® Core ......................................................................................... 13 Blue Distinction® Specialty Care ................................................................................................. 15 24/7 Nurseline .............................................................................................................................. 16 Understanding Your Explanation of Benefits Statement ...................................................... 17 Fitness Program ............................................................................................................................ 19 Prescription Drug Benefits: Prime Therapeutics® ................................................................... 20 Important Information ................................................................................................................ 22 Contact Information At a Glance .................................................................................Back Cover www.bcbsil.com/boeing 1 888-802-8776 Welcome to Blue Cross and Blue Shield of Illinois Preventive care may help you have a healthier life, and Blue Cross and Blue Shield of Illinois (BCBSIL) understands this. For more than 80 years, BCBSIL has provided health care benefits and services to the members and communities we serve. Through these covered services plans, BCBSIL provides members with access to programs and support to help them become knowledgeable health care consumers, make smart health care choices and manage their well-being. www.bcbsil.com/boeing 2 888-802-8776 We Are Here to Help BCBSIL knows that the choices you make If You Have Questions every day can affect your health now and in For details on your medical coverage, including the future. We have a wide variety of tools deductibles, copayments, coinsurance and covered and resources to help you plan and manage services, call Boeing Member Services. Health Advocates your health care. can answer questions about your medical benefits. You can also go to , which is If you have questions, call Boeing Member Services at www.bcbsil.com/boeing your source for benefits information and tools. There, 888-802-8776. A Health Advocate is available Monday you can register for Blue Access for MembersSM, a through Friday from 5 a.m. to 5 p.m. PT (8 a.m. to 8 p.m. secure member portal, where you can find answers to ET and 7 a.m. to 7 p.m. CT). Whether you are trying to your questions, send a secure email directly to Member improve your health or reach the next level of wellness, Services or chat live with them. BCBSIL is here to help. How to Use This Guide Please note: This booklet is meant to be a summary of administrative services only. Benefits and coverage levels vary by plan option and are explained in more detail in the applicable summary plan descriptions, insurance contracts and Please take a few minutes to review this guide, which is other formal plan documents. In the event of a conflict between this booklet and intended to help you learn more about your benefits, such the formal plan documents, the plan documents will govern. as how to find a physician, contact dedicated clinicians, submit a claim and understand your explanation of benefits (EOB) statements. www.bcbsil.com/boeing 3 888-802-8776 Watch for Your ID Cards. Member ID cards will arrive separately by mail. If you need a temporary or additional ID card, or need to request a replacement card, go online to www.bcbsil.com/boeing or call Boeing Member Services. You can access a digital ID card on Blue Access for Members. Remember to show your member ID card to each provider you see so he or she can update your records and help ensure that your claims are paid in a timely manner. www.bcbsil.com/boeing 4 888-802-8776 Frequently Asked Questions Who is BCBSIL? What type of information will Provider Finder BCBSIL provides health care coverage to more than give me? 8.1 million members. We started in the height of the Great Searching for a network doctor and pharmacy is now Depression in 1936 in Chicago and grew out of a shared easier than ever with the enhanced Provider Finder interest to protect individuals and families. tool. Members can compare providers on a single page, Today, we remain member-owned. We answer to view and sort providers by quality, cost and accessibility. our members. Members can also estimate costs for over 1,600 procedures and tests. How do I find a physician or hospital? Provider and facility profiles are also available, which Keep in mind that Medicare is primary and your Boeing include information about a provider’s specialty and areas plan provides secondary coverage to Medicare. Your plan of expertise as well as detailed member reviews and an does not include a network requirement, but you may overall quality rating. wish to confirm with your provider that he or she accepts Medicare reimbursement. Do I need to select a primary care physician or get a referral to see a specialist? The Provider Finder® tool can help you locate doctors and other health care providers that meet criteria you set. You are not required to select a primary care physician or You can view the most current list of providers online obtain a referral to see a specialist. However, an ongoing by visiting www.bcbsil.com/boeing. Click Menu, relationship with a primary care physician can help you select Find a Doctor or Hospital and then choose manage your health and address any concerns you have. Provider Finder. You can use Provider Finder from your computer or mobile phone web browser to search for primary care physicians for you and your covered family members in specialties such as internal medicine and family practice. Will I receive a provider directory? Provider directories are not printed because they are updated frequently. You may view the current list of providers online by visiting www.bcbsil.com/boeing. Click Menu, select Find a Doctor or Hospital and then choose Provider Finder. How can I get more information about my health care coverage through BCBSIL? Please visit www.bcbsil.com/boeing for more information about your health care coverage, or call Boeing Member Services. www.bcbsil.com/boeing 5 888-802-8776 Frequently Asked Questions Where can I get a summary of my benefits? How do I submit a claim? You may view your plan benefits online by visiting If you use a Medicare provider, the provider will submit www.bcbsil.com/boeing. Click Menu, select claims directly to Medicare and then to BCBSIL. Be sure Coverage and Plans and then choose Medical to show your new ID card to each provider you see. If you Benefits. You can also call Member Services or view need to file a claim yourself, you must fill out and submit a your plan benefits via Boeing Worklife. claim following the instructions on page 9. When will I receive ID cards? How and when can I call BCBSIL Member Services? If you have not already received a new member ID card, You can reach Member Services at 888-802-8776 from you should receive it soon. Please be sure to show 5 a.m. to 5 p.m. PT (8 a.m. to 8 p.m. ET and 7 a.m. to your new ID card to each provider you see so he or 7 p.m. CT). Health Advocates are available to explain she can update their billing systems with your new your benefits, answer questions about claims or information. Show your member ID card when seeking assist with many other matters. Call Boeing Member behavioral health services and at the pharmacy when Services or visit www.bcbsil.com/boeing and log filling prescriptions. in to Blue Access for Members to use Live Chat. You Digital ID cards are also available on Blue Access for can also find other helpful plan information online at Members. Text* BCBSILAPP to 33633 to use the any time. BCBSIL App. Can I email questions directly to BCBSIL? Why do the ID cards have only the subscriber’s name Yes. Once you register for Blue Access for Members, the and not all family members’ names? secure member portal at www.bcbsil.com/boeing, you The member ID cards display only the subscriber can send a secure email directly to Member Services. (employee or retiree) name. The cards are to be used for all eligible family members even though their names are not printed on the card. If you need an additional card, you can request one by contacting Member Services. What’s new with my prescription drug benefits in 2021? Blue Cross Group MedicareRxSM (PDP), managed by Prime Therapeutics LLC** (Prime), has been selected by Boeing as your new pharmacy benefit administrator. Prime is collectively owned by several Blue Cross and Blue Shield plans, subsidiaries or affiliates of those plans, including the main administrator of Boeing-sponsored medical plans - Blue Cross
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