Healthy Blue Living: Help
The plan
Answers to general questions about how the Healthy Blue Living plan works
You'll receive reminder letters before each deadline and a Member Guide for renewing members. You also have online access to your Member Handbook and personal to-do list by logging in to your online account.
Keep checking your Healthy Blue Living to-do's inside your online account. This is automatically updated with your progress. Note that it could take up to two weeks for updates to appear in your account.
If you're renewing your Healthy Blue Living plan, you'll start the new plan year with the same benefits you had at the end of the last plan year.
If you had standard benefits, you'll keep them until you complete your list of Healthy Blue Living to-do's.
If you had enhanced benefits, you'll keep them unless you don't complete your to-do's. If you're new to the plan, you're automatically enrolled with enhanced benefits.
Yes. Once you score an A or B on the health measures where you previously had scored a C, you can move back to enhanced benefits. This assumes that you've completed all your other Healthy Blue Living to-do's.
90-day to-do's
Answers to your questions about your doctor visit, qualification form and health assessment
To avoid this situation, try to schedule your visit as soon as you join Healthy Blue Living. If you're unable to schedule an appointment within the 90-day timeframe, call Customer Service at the number on the back of your BCN member ID card for help. Also, qualification forms are accepted for an office visit that occurred up to 180 days before your plan year began. Your doctor can still complete the form now, even if it's for a past visit.
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 March to complete the 90-day requirements. Note that the 90-day time period starts the same date that the 120-day time period starts. Also, you can complete your doctor visit and your health assessment now, even if the plan year hasn't started yet. And remember that a primary care visit that occurred during the 180 days before the beginning of the plan year can also count toward this plan year.
Yes, the doctor you schedule your health evaluation with, and who completes your qualification form, must be in the Blue Care Network.
If you had an office visit any time up to 180 days before this plan year started, it counts toward this year's 90-day to-do. Your doctor must still complete and submit a qualification form, even if it's after the fact, and you must follow up to make sure this happens.
Your doctor’s office might not submit your qualification form right after your appointment. Log in to your online account to check your Healthy Blue Living to-do's 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.
Yes. You can access the health assessment from your online account and complete it on your own without visiting your doctor. It’s a questionnaire that covers topics about you and your lifestyle, well-being, conditions, lab tests and screenings.
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.
Yes, qualification forms are accepted for an office visit that occurred up to 180 days before your plan year began. Your doctor can still complete the form now, even if it's with information from a past visit.
No, only you as the primary subscriber need to complete the steps, 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 didn’t meet the recommended target, and you won’t commit to your doctor’s treatment plan or enroll in a BCN program for weight or tobacco. You'll 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 Healthy Blue Living to-do's, deadlines, benefit level or completion status should be made through your online account under the Healthy Blue Living T-Dos. If you don't see a status confirming you've completed your to-do's, 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.
120-day to-do's
Answers to general questions about the 120-day to-do's
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 to-do's. 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 posted weight management or tobacco coaching to-do.
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-do's, regardless of the coaching program you choose.
Yes. If you choose Triple Tracker and your qualification form shows you use tobacco, you will need to participate in both Triple Tracker and Tobacco Coaching to complete your to-do's.
You can reach Member Services Support within your well-being account. A representative is available by:
- Chat: Monday through Friday, excluding holidays, 2 a.m. to 9 p.m. Eastern Time
- Email: Monday through Friday, excluding holidays, 8 a.m. to 9 p.m. Eastern Time
Weight management
Answers to your questions about the weight-management program options
Participate in a session with your coach for a minimum of 20 minutes once each calendar month. Do this until your doctor submits a qualification form that shows you have a BMI below 30.
No. You must attend a session with your health coach each calendar month until the end of your plan year to receive credit. Remind your coach that you're a Healthy Blue Living member and your plan requires you to meet monthly. If you skip a month, you'll move to standard benefits.
You're responsible for scheduling your session and meeting with your coach each month, using your Blue Cross Well-Being account.
Your health coach will send messages through your Blue Cross Well-Being account. Check your well-being account often for important details about your progress and upcoming sessions. You'll also receive email notifications when you have new messages.
Complete 7,000 steps daily, a 15-minute workout or 15 minutes of continuous activity — or any combination of the three — at least 20 days a month. Do this until your doctor submits a qualification form that shows you have a BMI below 30.
You'll be keeping track of your weight as you attend your Lifestyle Coaching sessions or complete your Triple Tracker activities. You can also track your BMI using an online BMI calculator.
Once your BMI falls under 30, schedule a health evaluation with your doctor to complete a new qualification form. Your doctor will submit it on your behalf.
Tobacco Coaching
Answers to your questions about the Tobacco Coaching program
Participate in a session with your health coach for a minimum of 20 minutes once each calendar month. Do this until you quit tobacco.
If you skip a month, you'll move to standard benefits with higher out-of-pocket costs.