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

We’ve made some changes to MPSERS LivingWell program for 2014

In 2014, Michigan Public School Employees Retirement System Medicare members will be automatically enrolled in LivingWell and receive a lower deductible. Non-Medicare members who follow the steps below will be enrolled in LivingWell and will have a lower deductible for 2014.

About LivingWell

Introduced in 2009, LivingWell is a voluntary program that gives members an opportunity to lower their cost share if they completed an annual health assessment. The program has been updated with additional requirements.

2014 LivingWell program requirements

1. Complete a health assessment. Non-Medicare members will receive their health assessments in December 2013. Medicare members will receive the Medicare Advantage Health Assessment in February. BCBSM will send members a health report based on their responses. We’re encouraging members to bring these reports to their doctor to discuss any health questions or concerns.

2. Select a primary care physician. The LivingWell health assessment will include a space for members to enter the name of their primary care doctor.

3. Complete an annual wellness visit by March 31, 2014. Effective Oct. 1, 2013, routine physicals are a covered benefit for non-Medicare MPSERS members. The following procedure codes are now payable for MPSERS non-Medicare members:

*99385  Preventive visit for new patient (18-39)
*99386  Preventive visit for new patient (40-64)
*99395  Preventive visit for established patient (18-39)
*99396  Preventive visit for established patient (40-64)

An annual wellness visit is already covered for Medicare members.

4. Bonus step: Choose a patient-centered medical home. Non-Medicare MPSERS members who select a PCMH doctor and complete other program requirements receive an additional discount on their deductible. To learn more about becoming a PCMH practice, go to valuepartnerships.com and click on the Patient-Centered Medical Home tab or send an email to providerpartnerships@bcbsm.com.

We hope these LivingWell program enhancements will support your ongoing efforts to improve your patients’ health.

If you have any questions about LivingWell, please call MPSERS Member Services at 1-800-422-9146, 8:30 a.m. to 5 p.m., Monday through Friday.

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.