Healthy Blue Living: Help

All renewing members start the new plan year at the same level of benefits where they ended last plan year. If you had standard benefits, you’ll remain at that level until you meet the requirements for enhanced benefits. If you had enhanced benefits, you’ll remain at that level unless you do not meet the requirements for maintaining enhanced benefits. New members are automatically enrolled with enhanced benefits.

Yes, if you are still within the 90 or 120-day window. Once you meet the requirements for scoring an A or B on the health measure(s) that previously scored a C, you can move back to enhanced benefits. This assumes that you’ve completed everything else on your to-do list.

Yes, the doctor you schedule your health evaluation with, and who completes your qualification form, must be in the Blue Care Network.

Your doctor’s office might not submit your qualification form right after your appointment. Log in to your online member account to check your to-do list a week after your appointment to confirm it’s been submitted. If not, call your doctor’s office to remind them you’re a Blue Care Network member with the Healthy Blue Living plan, and they need to submit the electronic form to us online before your deadline.

The system keeps track of your progress, so simply sign back in and pick up where you left off.

Schedule a health evaluation with your Blue Care Network primary care provider. Your provider should have the qualification form and may make notes on it during your appointment. They will then submit the form electronically. As an option, you can download the Qualification Form (PDF), complete the Member section, then give it to your doctor as a reminder for them to submit it online. Your provider must submit the form within the first 90 days of your plan year. Your deadline date is posted on the to-do list in your member account.

No, only you as the primary subscriber need to meet the plan requirements, then everyone on your contract will have enhanced benefits with lower out-of-pocket costs.

One requirement for enhanced benefits is that you must score all A's and B's on your qualification form. An A score means you’re meeting the health targets and a B means you’ve committed to treatment to improve a particular health measure. A C score indicates that you are unwilling to work toward that particular health goal so you will move to standard benefits for the remainder of the plan year.  

You don’t need to complete a qualification form and health assessment every year if you score all A's on your most recent qualification form. If you’re younger than 40, you’ll need to submit a qualification form every three years. If you're 40 or older, you'll submit one every two years.

Inquiries related to requirements, deadlines, benefit level or completion status should be made through your online member account under the “To-Do List” tab. If you don't see a status confirming your completion of the requirements, remember to allow seven days for any changes to appear. If you still don't see the information after seven days, confirm with your primary care provider if the qualification form was submitted and if any C scores were given in error. For additional questions, or if the health assessment is not showing as complete, call the number on the back of your BCN member ID card.

It starts from the beginning of your plan year. For example, if your plan year starts on January 1, you would have until the end of June to complete the 120-day requirements. Note that the 120-day time period starts the same date that the 90-day time period starts.

Blue Cross Well-Being programs and resources are available to all Healthy Blue Living members even if they don't have a weight management or tobacco coaching requirement on their To-Do List. 

No. If your qualification form shows you have a BMI of 30 or higher and use tobacco, you only need to sign up for one coaching program — Lifestyle Coaching or Tobacco Coaching. It will count for both to-dos, regardless of the coaching program you choose.