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A new year means a new health plan. Manny Licata, vice president for Group and Individual Operations at BlueCross BlueShield of South Carolina, provides some tips for how to make the most of your plan in 2020. 

Know your plan 

The first thing to do in the new year is to understand all the basics of your plan. BlueCross offers a variety of plans so knowing which plan you have and what is covered or included is important. 

  • What is your copay? It’s the fixed amount for a covered service you pay to the provider before receiving the service. 
  • What is your deductible for the year? It’s the amount you pay toward costs of covered health care services each year before your health insurance begins to pay its part. 
  • What is your coinsurance? It’s the percentage you pay when you and your health insurance split the bill for a health care service.
  • What doctors are in network? You can find the physician list or provider directory in your My Health Toolkit® account.

Know what changed

After understanding all the basics of your plan, consider what changed from 2019 to the new year. This can be as simple as knowing the difference in your monthly premium or which doctors are in network. For example, BlueCross added Lexington Medical Center to its list of providers for members who purchased health care coverage through the exchange under the Affordable Care Act (ACA) this year. 

Know your pharmacy plan 

Another area to consider is what drugs you have access to with your plan in 2020. This can be particularly important if you take a medication regularly. It will help ensure that you know the cost of your medicine before you pick it up at the pharmacy. 

Know what is free

There are a few things that are free with some BlueCross plans. One of the most common of these is a flu shot. Your health plan may have others, such as a yearly physical. You can find details for what is included in your plan on My Health Toolkit. You can explore plan perks here

Know your tools 

With most BlueCross plans you will have access to several helpful tools that can help you manage your health and your plan all year. Log in to My Health Toolkit and get to know what is there. Here's what you will find:

  • physician list so you know you are visiting an in-network doctor. 
  • Access to your digital ID card(s) so you don’t have to worry if you left your insurance card at home. 
  • View and manage your claims.

My Health Toolkit also has a mobile app so that you can access your information from anywhere.

Another helpful tool is Blue CareOnDemandSM. This service allows you to talk with a doctor anywhere for a low, fixed copay through your phone, tablet, or computer.

Know where to go 

If you have any questions or need help navigating your health plan, find help at the BLUESM retail stores. There are three locations across the state in Columbia, Mount Pleasant and Greenville. The stores also have other resources available.

Know your rewards 

Members who purchased a BlueEssentialsSM individual health insurance policy are eligible for the Blue RewardsSM program. A member can receive up to $150 by getting a flu shot, a yearly physical and registering for Blue CareOnDemand. Reward dollars can be used for covered medical expenses. Pharmacy is excluded. That means a family of four could potentially get $600 in rewards to use on health care for the year. Review your plan materials for more details.

Stay in the know

Follow BlueCross across all social media channels to get health tips, helpful information and nutritious recipe ideas. You can find us on Facebook, Twitter and Instagram. You can also catch more helpful information here on our blog.

Dec. 27, 2019

Know the Lingo

The lingo used in health care insurance can be confusing. Get to know the language used with these helpful videos: 

What are benefits? 

This term refers to everything covered by your health insurance.

What is deductible? 

The amount you pay toward costs of covered health care services each year before your health insurance begins to pay its part.
 

What is coinsurance? 

This is the percentage you pay when you and your health insurance split the bill for a health care service.

What is a network? 

These are the doctors, hospitals and other providers and facilities that work with your health plan. 

My Health Toolkit Hover image

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