Getting the Most Out of Your Benefits

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Ready, Set, Goals: Three Simple Steps to Better Oral Health in 2019

This is where your oral health routine comes in!

It’s easy to forget how connected our oral health is to our bodies, but don’t be fooled. Poor oral habits can lead to diseases like endocarditis and cardiovascular disease. If you’re pregnant, it’s even more important to keep up with your dental care as conditions like periodontitis has been linked to unwanted birth defects like premature birth and low birth weight.

So, what is the easiest way to avoid these dental-induced health dilemmas? Set healthy oral health goals for 2019, and commit to sticking with them.

Sign up for MySmile Today info box.

Goal #1 – Commit To Going To The Dentist

Many people, even those with dental coverage, do not take advantage of this benefit. Think about going to the dentist the same way you would your yearly flu shot vaccine. Preventative care can only help if you decide to use it, so do your best to take advantage. Want to be reminded when it’s time for your yearly cleanings? Make sure to register your free MySmile account and we’ll handle the rest.

Goal #2 – Kick a Bad Habit

In general, habits require about 30 days of practice before they become second nature to you. In the spirit of breaking bad habits, the start of a new year is the perfect time to put a sunset date on that smoking habit that may be yellowing your teeth, or practice relaxation techniques to prevent you from grinding your teeth at night or when stressed.

Goal #3 – Challenge Yourself To Floss Daily

Add regular flossing to your hygiene routine and you can have a tremendous and positive impact on your oral health. Because our teeth develop with five unique surfaces, brushing alone isn’t enough to remove bacteria and plaque buildup. Even with an electric toothbrush, nothing is quite as effective as taking the time to floss. If you find that you’re having trouble keeping yourself accountable, try to make flossing fun by challenging a friend or a partner to a flossing challenge for 2019.

Do you have health goals for the new year?

Join the conversation and share them with us on Twitter!

* Delta Dental of Washington, 2018

 

 

 

Health and Wellness Support Beyond Medical Coverage

In this season of thanks and giving, the Business Health Trust (BHT) wants to remind you that we care about your health, nutrition, and fitness. That’s why Premera Blue Cross, the medical carrier for the BHT’s Industry Health Trusts, offers special perks through its Member Discounts Program.

The program is separate from your medical benefits plan. These member discounts are just another way Premera supports the health of you and your family beyond providing medical coverage.

Popular discount categories include:

  • Diet, nutrition, and supplements
  • Eye care services and hardware
  • Fitness clubs and gyms
  • Health products and devices
  • Hearing aids and screenings
  • Newborn services and products

You and your covered dependents can take advantage of discounts that stretch your dollar and meet a variety of health needs—vitamins and supplements, electric toothbrushes, products to baby proof your home, weight loss programs, and more.

Go to premera.com/discounts for more details. Offers might not be available in all locations. Please check with the company offering the discount before making your purchase.

Choosing the right plan for you

You have choices when selecting a health plan during open enrollment. That’s a good thing, but it does mean you need to take action to find the right options for you and your family.

Try these 3 strategies to make sure you get the right coverage for you:

  • Call your favorite family doctors. Do they work with the plan you are considering? If not, are you willing to choose a new doctor?
  • Compare the different types of plans. One way to help you compare them is to look for a summary of benefits, which highlight plan differences.
  • Consider prescription coverage. Are your regular medications covered? Can you save on generic versions or by receiving prescriptions by mail?

 Tip: Sleep on it. If possible, allow yourself at least one night to mull over your choices. That way, you’ll be more confident you made the right call.

Premera Blue Cross

Immunization syringe on top of immunization history.

Protect your health with an annual flu shot

Getting a flu shot is one of the best ways to protect yourself from getting sick. The flu virus changes every year, so you should get the vaccine each year. According to the U.S. Centers for Disease Control, everyone over the age of 6 months should get a flu shot. You can get a flu vaccination at almost any in-network pharmacy or doctor. If you go to an in-network doctor or pharmacy, your flu shot is free*.

* If the flu shot is your only reason for your office visit, the visit will be fully covered for members enrolled in Premera medical through the Business Health Trust. If you have other care or services as part of the office visit, you may responsible for all or part of the cost of the visit. You may need to pay up-front at your pharmacy. Go to premera.com to download and submit a medical claim form to be reimbursed.

Tip: Find an in-network doctor or pharmacy by visiting premera.com and using the Find a Doctor tool.

Health and Wellness Support Beyond Medical Coverage

Premera Blue Cross offers special perks through the Member Discounts Program.

The program is separate from your medical benefits plan. These member discounts are just another way Premera supports the health of you and your family beyond providing medical coverage.

Popular discount categories include:
• Diet, nutrition, and supplements
• Eye care services and hardware
• Fitness clubs and gyms
• Health products and devices
• Hearing aids and screenings
• Newborn services and products

You and your covered dependents can take advantage of discounts that stretch your dollar and meet a variety of health needs—vitamins and supplements, electric toothbrushes, products to baby proof your home, weight loss programs, and more.

Go to premera.com/discounts for more details. Offers might not be available in all locations. Please check with the company offering the discount before making your purchase.

On the Mend with Outpatient Rehab

Premera’s Outpatient Rehabilitation Management program makes sure you get the best care—and the right kind of care—after an illness or injury.

Outpatient rehabilitation, or rehab, benefits are part of every Premera plan. They include therapy you get outside of a hospital admission:

  • Massage therapy
  • Physical therapy
  • Occupational therapy

Ensuring your best care
Premera reviews treatment plans for outpatient rehab that are developed by therapists to make sure you’re getting care that’s both effective and medically necessary. We want you to:

  • Get the right care for your condition
  • Avoid paying for services that don’t help you recover
  • Have benefits available when you need them

What to expect
When your doctor refers you for outpatient rehab:
1. Your therapist assesses your condition and treats you at your first visit. The first 6 visits you need to treat your condition must be medically necessary, but do not need review by eviCore – Premera’s medical review partner.

2. If additional visits are needed beyond the initial 6 to treat the same condition, your therapist tells eviCore about your condition, gets authorization for additional visits, and creates a treatment plan.

3. eviCore’s medical professionals review the plan using medical best practices and clinical
guidelines to determine the medical necessity, and best duration of care.

4. Once your treatment plan is approved, you can proceed with your next visit.

Most plans are reviewed within 24 hours.

Denied? Don’t despair.
If your treatment plan is denied:

  • Your therapist can revise and resubmit the plan
  • Your therapist can review the plan with an eviCore therapist or medical director
  • You may appeal the decision