Benefit Brochure 2022

Additional Medical Services

CAREFIRST MY ACCOUNT As a CareFirst BlueCross BlueShield (CareFirst) member, your personalized benefit information is available 24/7. Register for My Account for secure online access to your coverage details, ID cards and more. Plus, you’ll also be able to quickly locate in -network providers and facilities nationwide. Go to carefirst.com/myaccount to register. CAREFIRST MOBILE APP Once you register with My Account you can download the CareFirst Mobile app to access in-network doctors, urgent care centers and other care nationwide. You can also view, order, or email member ID Cards, Check claims and Deductible status, Update communication preferences, Plus more. Visit your favorite online store to download the CareFirst app. KNOW BEFORE YOU GO Choosing the right setting for your care — from allergies to X-rays — is key to getting the best treatment with the lowest out-of-pocket costs. It’s important to understand your options so you can make the best decision when you or your family members need care. Primary care provider (PCP)

Convenience care centers (retail health clinics) These are typically located inside a pharmacy or retail store (like CVS MinuteClinic or Walgreens Healthcare Clinic) and offer accessible care with extended hours. Visit a convenience care center for help with minor concerns like cold symptoms and ear infections. Urgent care centers Urgent care centers (such as Patient First or ExpressCare) have a doctor on staff and are another option when you need care on weekends or after hours. Emergency room (ER) An emergency room provides treatment for acute illnesses and trauma. You should call 911 or go straight to the ER if you have a life-threatening injury, illness or emergency. Prior authorization is not needed for emergency room services

Establishing a relationship with a primary care provider is the best way to receive consistent, quality care. Except for emergencies, your PCP should be your first call when you require medical attention. Your PCP may be able to provide advice over the phone or fit you in for a visit right away. FirstHelp — free 24-hour nurse advice line Call 800-535-9700 anytime to speak with a registered nurse. Nurses will discuss your symptoms with you and recommend the most appropriate care. CareFirst Video Visit See a doctor 24/7/365 without an appointment! You can consult with a board-certified doctor on your smartphone, tablet or computer. Doctors can treat a number of common health issues like flu and pink eye. Visit carefirstvideovisit.com for more information. WHEN YOU NEED CARE

When your PCP isn’t available, being familiar with your options will help you locate the most appropriate and cost-effective medical care. The chart below shows how costs* may vary for a sample health plan depending on where you choose to get care.

To determine your specific benefits and associated costs: • Log in to My Account at carefirst.com/myaccount • Check your Evidence of Coverage or benefit summary • Ask your benefit administrator, or • Call Member Services at the telephone number on the back of your member ID card

Sample cost Sample symptoms 24/7 Rx

Cough, cold and flu Pink eye Ear pain Cough, cold and flu Pink eye Ear pain Sprains Cut requiring stitches Minor burns Chest pain Difficulty breathing Abdominal pain



Video Visit

$20

Convenience Care (e.g., CVS MinuteClinic or Walgreens Healthcare Clinic)



$20

Urgent Care (e.g., Patient First or ExpressCare)



$60



Emergency Room

$200

The costs in this chart are for illustrative purposes only and may not represent your specific benefits or costs.

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