The Record - for physicians and other health care providers to share with their office staffs
January 2013

New Blues Medicare Advantage Health Assessment requires your action

You now have another tool to support you in talking to your Medicare Advantage patients about their health risks and conditions during their annual wellness visits.

Our new Blues Medicare Advantage Health Assessment is for Blue Cross Blue Shield of Michigan and Blue Care Network members with Medicare Plus Blue PPOSM, Medicare Plus Blue Group PPOSM, BCN Advantage HMO-POSSM and BCN Advantage HMOSM coverage.

We are offering the Blues Medicare Advantage Health Assessment to all Medicare Advantage members via mail and telephone beginning in January 2013. Members who complete the health assessment and return it will receive a letter identifying health topics they may want to discuss with their physicians.

We encourage them to bring the letters to their next visits with their physicians. Some members may need your support. If your patient hasn’t already completed a Blues Medicare Advantage Health Assessment in the past year, we ask you to assist him or her in completing it during the annual exam.

The Patient Protection and Affordable Care Act and the Centers for Medicare & Medicaid Services require providers to conduct a health assessment during a member’s annual wellness visit. But, more than that, it is a key opportunity for you and your patients to discuss their past and current health status, including health risks, medical conditions, medications and activities of daily living.

The Blues Medicare Advantage Health Assessment form is available to you via web-DENIS. To download it:

  • Log in to web-DENIS.
  • In the left-hand navigation, click on BCBSM Provider Publications and Resources.
  • Then click on Newsletters & Resources.
  • Click on MA Resources on the left side of the screen.
  • Scroll down to Frequently Used MA Forms and click on Medicare Advantage Health Assessment Form.

A set of instructions for use, including the fax number, will appear on the first page of each Blues Medicare Advantage Health Assessment printed from here.

We’ll provide you with results of completed member health assessments beginning in spring 2013 through the Blues’ Health e-BlueSM online tool. Health e-Blue tracks the health status of your Medicare Plus Blue PPO members and is available by logging in to Provider Secured Services on bcbsm.com.

If you have any questions about the Medicare Advantage health assessment, contact your provider consultant.

No portion of this publication may be copied without the express written permission of Blue Cross Blue Shield of Michigan, except that BCBSM participating health care providers may make copies for their personal use. In no event may any portion of this publication be copied or reprinted and used for commercial purposes by any party other than BCBSM.

*CPT codes, descriptions and two-digit numeric modifiers only are copyright 2012 American Medical Association. All rights reserved.