Within Your First 90 Days

Complete the steps required during the first 90 days of your Healthy Blue Living plan start date so you can maintain enhanced benefits.

A woman and a health care provider looking at a tablet

Two steps forward

You have the first 90 days of your plan year to complete these two action items and maintain your enhanced benefits, with lower out-of-pocket costs.

STEP 1

Meet with your primary care provider

Schedule your well visit and have your provider complete your qualification form.

STEP 1

Meet with your primary care provider

Schedule your well visit and have your provider complete your qualification form.

Download the form (PDF)

STEP 2

Complete your online health assessment

Log in to your BCN member account and select the health assessment link.

STEP 2

Complete your online health assessment

Log in to your BCN member account and select the health assessment link.

Go to your account

Step 1: Completing a qualification form

As a Healthy Blue Living member, you'll pay less with the enhanced benefit level.

You'll need to meet certain requirements within the first 90 days of your plan year.

One of them is a health evaluation with your primary care provider, or PCP.

If you've seen your PCP within the last six months, this qualifies.

But your doctor will still need to submit the form.

Your doctor will submit your health evaluation using an online qualification form.

The qualification form is based on six measures.

Each health item will have an A, B or C score.

An A means you're meeting your targets.

Receiving all A's on your qualification form means you can maintain enhanced status without submitting another qualification form for 2 to 3 years based on your age.

A B score is a health issue you are working to control.

This score keeps you at your benefit level.

C’s mean your wellness target is not being met and you won't agree to treatment.

This will impact your benefit level.

You may have some follow up action items.

For example, if the form shows your BMI is 30 or more, you will be asked to join a weight management program within 120 days of when your plan started.

If your form shows that you use tobacco, you will be required to join a tobacco cessation program within 120 days of your plan start date.

You can check in on the status one week after your appointment by logging into your online member account.

If you don't see that the form was submitted, give your doctor's office a call and remind them.

If you cannot get an appointment with your doctor in the first 90 days of your plan year, call the number on the back of your member ID card.

Step 2: Completing the health assessment

As a Healthy Blue Living member, you'll pay less with the enhanced benefit level.

You'll need to meet certain requirements within the first 90 days of your plan year.

One of them is an online health assessment.

To take your health assessment register and log in to your online member account at BCBSM.com.

Once logged in, click the “Take the Health Assessment” box on the homepage.

You'll be guided through some simple questions about your current health and health goals.

When you've answered the questions, you'll receive a summary of your current health and some steps you may need to take.

You can log into your Blue Cross account and visit your to-do list to confirm your health assessment has been successfully completed and recorded.

That's all there is to it.

You'll be asked to do this once each year.

How the qualification form works

  1. Schedule a health evaluation with your primary care provider.

  2. 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 form, complete the Member section, then give it to your doctor as a reminder for them to submit it online. A qualification form is available here and is included in your welcome kit.

  3. The form must be submitted within the first 90 days of your plan year. Your deadline date is posted on the to-do list in your member account.
Download the qualification form

  1. Schedule a health evaluation with your primary care provider.

  2. 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 form, complete the Member section, then give it to your doctor as a reminder for them to submit it online. A qualification form is available here and is included in your welcome kit.

  3. The form must be submitted within the first 90 days of your plan year. Your deadline date is posted on the to-do list in your member account.
Download the qualification form

Maintaining your enhanced benefits

A man checks his smart watch and mobile device

Keep track of these checkpoints

In the first 90 days:

  1. Make sure your primary care provider is in the Blue Care Network
  2. Schedule and complete a health evaluation visit with your in-network primary care provider
  3. Log in to your BCN member account a week after your appointment to confirm that your qualification form has been submitted
  4. Score all A's and B's on your qualification form
  5. Complete your online health assessment