SISC Value Added Benefits 2021-2022 - Rio School District
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SISC Value Added Benefits 2021-2022
Table of Contents Click the links below to view the SISC benefits available to you: MDLIVE: Virtual Medical Consultation Teladoc Medical Experts — Expert Medical Option Services EAP - myStrength Program Employee Assistance Program’s Live Tobacco Free Program Employee Assistance Program (EAP) Hinge Health– Digital Therapy Programs (back, knees & hips) Carrum Health –Premium Surgery Benefit Contigo Health: Enhanced Cancer Care Benefit Diabetes Prevention Program Free Generic Medication at Costco and Through Mail Order Delta Dental: Toothpic: Teledentistry Delta Dental: Virtual Consult Delta Dental: LASIK Services Delta Dental: Hearing Aids Fitness Your Way-Tivity Health Vida Digital Health Coaching Program Blue Shield Discounts
MDLIVE App Now
Available on Android
Introducing the
MDLIVE App
Sick in bed? Sick at work? Got a
smartphone? Doctor visits are easier
than ever with the MDLIVE App.
Access to a doctor anywhere:
at home, at work, or on the go
Choose doctors from one of the
nation's largest telehealth networks
Available 24/7 by video or phone
Private, secure and confidential visits
Connect instantly with MDLIVE Assist
Scan with your smartphone
to get the app
mdlive.com/getapp
No smartphone? No worries!
Activate your account online or over the phone at:
mdlive.com/sisc 1-888-632-2738
MDLIVE, INC. CONFIDENTIALITY NOTICE:
This e-mail and any attachments arLMVY[OLL_JS\ZP]LHUKJVUÄKLU[PHS\ZLVM[OLPU[LUKLKrecipient. If you are not the intended recipient, please do not read, distribute or take
action in reliance on this message. If you have received this message in error, please notify us immediately by return e-mail and promptly delete this message and its attachments
from your computer system. We do not waive attorney-client, work product, doctor-patient, therapist-client or intellectual property privileges by the transmission of this message.
Need a doctor?
No long wait.
Now $0 copay
Always open.
With MDLIVE, you can visit with a doctor
24/7 from your home, office or on-the-go.
Welcome to MDLIVE!
Your anytime, anywhere Your COPAY is $0
doctor’s office.
Visit a doctor by phone, secure video, or MDLIVE App. Your copay is $0 for
Pediatricians are available 24/7, and family members are
also eligible. Behavioral health and psychiatric visits are
available from the convenience of your own home. all visits through
Per IRS guidelines, HSA members are responsible for the full September 2022
cost of the visit until their deductible is met.
U.S. board-certified doctors with an
average of 15 years of experience.
We treat over 50 routine
medical conditions including:
• Acne • Fever • Respiratory
Consultations are convenient, • Allergies • Headache Problems
private and secure. • Cold / Flu • Insect Bites • Sore Throats
• Constipation • Nausea / • Urinary
Vomiting Problems / UTI
• Cough
Prescriptions can be sent to • Vaginitis
• Diarrhea • Pink Eye
your nearest pharmacy,
• Rash • And More
if medically necessary. • Ear Problems
Download the app. MDLIVE.com/sisc
Join for free. Visit a doctor. 1-800-657-6169
Copyright © 2019 MDLIVE Inc. All Rights Reserved. MDLIVE may not be available in certain states and is subject to state regulations. MDLIVE does not replace the primary care physician, is not an insurance product and may not be able
to substitute for traditional in person care in every case or for every condition. MDLIVE does not prescribe DEA controlled substances and may not prescribe non-therapeutic drugs and certain other drugs which may be harmful because
of their potential for abuse. MDLIVE does not guarantee patients will receive a prescription. Healthcare professionals using the platform have the right to deny care if based on professional judgment a case is inappropriate for telehealth
or for misuse of services. MDLIVE and the MDLIVE logo are registered trademarks of MDLIVE, Inc. and may not be used without written permission. For complete terms of use visit https://www.MDLIVE.com/terms-of-use/.
Common conditions we treat
General Health Behavioral Health
Asthma Common cold / Flu Addictions Relationship and
Bronchitis Cough Stress marriage issues
Infections Fever Bipolar disorders Trauma and PTSD
Joint Aches Insect bites Depression Child and
Rashes Allergies Eating disorders Adolescent Issues
Respiratory Infections Diarrhea Grief and loss Men’s Issues
Sinus Infections Nausea / Vomiting Life changes Panic Disorders
Skin Infections Pink eye Panic disorders Women’s Issues
Urinary Tract Infections Sore throat Parenting issues And more
Headache Constipation Postpartum depression
Ear problems And more...
Sign up with Sophie, your personal health assistant! Text
DOCTOR to MDLIVE (635483).
Download the app. MDLIVE.com/sisc
Join for free. Visit a doctor. 1-800-657-6169
Copyright © 2019 MDLIVE Inc. All Rights Reserved. MDLIVE may not be available in certain states and is subject to state regulations. MDLIVE does not replace the primary care physician, is not an insurance product and may not be able
to substitute for traditional in person care in every case or for every condition. MDLIVE does not prescribe DEA controlled substances and may not prescribe non-therapeutic drugs and certain other drugs which may be harmful because
of their potential for abuse. MDLIVE does not guarantee patients will receive a prescription. Healthcare professionals using the platform have the right to deny care if based on professional judgment a case is inappropriate for telehealth
or for misuse of services. MDLIVE and the MDLIVE logo are registered trademarks of MDLIVE, Inc. and may not be used without written permission. For complete terms of use visit https://www.MDLIVE.com/terms-of-use/.
World-renowned medical advice
for you and your family.
If you or a dependent is facing a serious medical issue,
make sure you get the right advice.
With Teladoc, you can:
Have a world-renowned Get expert medical Get personalized Find a leading
physician review a diagnosis guidance if you have been answers to medical local physician for you
and treatment plan admitted into the hospital questions, big or small and your family
Get the answers you need from our Medical Experts.
Call us to get started: 1-800-TELADOC (835-2362)
Visit www.teladoc.com/sisc | Download the app
20E-143-2_363663324_12232019
Take a deep breath
with myStrength
Your go-to for emotional well-being
and peace of mind
Life gets busy. And sometimes it’s hard to keep up. That’s
why your Employee Assistance Program EAP offers
myStrength, a free online and mobile program that supports
emotional health and wellness.
The program’s tools and resources are available to help you
and your household members manage:
}} Addiction }} Depression
}} Anxiety }} Problems with sleep
}} Chronic pain }} Stress
Think of myStrength as a private, 24/7 health club for your
It’s time you felt your best again! Let myStrength
mind TM. You can try out: help you get there. Go to your EAP website,
anthemEAP.com, and enter SISC or call
Positivity-training A daily
tools. mood tracker. 800-999-7222 to learn more.
Inspirational videos, Step-by-step
articles and quotes. eLearning
programs.
The health club for your mind is a trademark of myStrength, Inc.
myStrength is not a health care provider and does not provide medical advice, diagnosis or treatment. If you are currently thinking about or planning to harm yourself or someone else, please call 911, go to the nearest hospital emergency room or call the National Suicide Prevention Lifeline at
1-800-273-TALK (8255).
Language Access Services - (TTY/TDD: 711)
Spanish - Tiene el derecho de obtener esta información y ayuda en su idioma en forma gratuita. Llame al número de Servicios para Miembros que figura en su tarjeta de identificación para obtener ayuda.
Anthem complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex.
Anthem Blue Cross is the trade name of Blue Cross of California. Anthem Blue Cross and Anthem Blue Cross Life and Health Insurance Company are independent licensees of the Blue Cross Association. ANTHEM is a registered trademark of Anthem Insurance Companies, Inc.
52138CAMENABC VPOD 2/18 52687567-114611443
Want to kick the habit for good?
Check out Employee Assistance Program’s Live Tobacco Free program.
No matter how long you’ve used tobacco, Employee Assistance Program’s Live Tobacco Free program
can help. The program offers a powerful blend of online support and one-on-one coaching. Together
they can help break your tobacco habit for good.
Online support that will help you quit
The online program gives you the power to help you reach your goals. During 10 interactive sessions, you’ll
learn positive strategies to help break your emotional and physical ties to tobacco. You’ll also get tips for
dealing with the stress that may come with your efforts.
Connect with a coach by phone or IM
In the Live Tobacco Free program, you’ll work with a coach specially trained to help you stop using
tobacco. Your coach will help guide you, support you and cheer you on to a healthier life.
You’ll connect with a coach by telephone or instant messaging (IM). Your coach will help you target why
and when you use tobacco. At the same time, you’ll get help managing your weight and meeting personal
fitness goals. Your coach will use positive motivation to help you live better and gain control of your
health.
Isn’t it time to take charge of your health? If you’re ready, Employee Assistance Program can help. Call
Employee Assistance Program at 800-999-7222 now. You can also log on to our website:
anthemEAP.com; login ID: SISC.
Like all Employee Assistance Program programs, Live Tobacco Free is
available to you and members of your household at no extra cost.
Here’s how to reach us:
Toll-free: 800-999-7222
Website: anthemEAP.com
Login ID: SISC
Anthem Blue Cross is the trade name of Blue Cross of California. Anthem Blue Cross and Anthem Blue Cross Life and Health Insurance Company are independent licensees of the Blue Cross Association. ® ANTHEM and 360° Health are registered
trademarks of Anthem Insurance Companies, Inc. The Blue Cross name and symbol are registered marks of the Blue Cross Association.
26439CAMENABC 1/12
Lean on us
Your Employee Assistance Program (EAP) has support,
resources, counseling and information 24/7 to support
you. That’s what we’re here for.
We hope you’ll reach out to EAP if you’ve been
affected by a tragic or stressful events.. It’s hard
when disaster strikes and you have to deal with the
unexpected. Your EAP is here, ready to help.
How to reach EAP:
800-999-7222 Let EAP know if you or household members need help coping,
including:
Anthemeap.com and enter SISC to log in Telephonic support and counseling referrals
A library of grief, loss and coping articles
Self-help tools
Remember, you can always turn to EAP for:
Work/life resources
Legal and financial resources
Information on child and elder care
Your privacy matters. EAP services are confidential so no one
will know if you contact EAP unless you give permission in
writing.*
When you need answers, let EAP give you a helping hand.
*In accordance with federal and state law, and professional ethical standards. This document is for general informational purposes. Check with
your employer for specific information on the services available to you.
Anthem Blue Cross is the trade name of Blue Cross of California. Anthem Blue Cross and Anthem Blue Cross Life and Health Insurance Company
are independent licensees of the Blue Cross Association. ANTHEM is a registered trademark of Anthem Insurance Companies, Inc. The Blue Cross
name and symbol are registered marks of the Blue Cross Association.
56426CAMENABC VPOD 09/15
It’s like having a personal
assistant for your life
Employee Assistance Program website
Do you have a hectic schedule? Is your to-do list getting longer each day? If so, your Employee Assistance
Program (EAP) website at anthemEAP.com can help.
For example, the EAP website has easy-to-use tools that can help you:
}} Find day care for children and elder care for parents
}} Set goals for your retirement
}} Choose a pet sitter when you go away on a vacation
You can use the website to find resources near where you
live or work. Just put in your ZIP code in the search feature.
Do you need help with a challenging problem?
The website is ready 24/7, so when you need help, just go
If you want to talk with someone about an issue, you can to anthemEAP.com and enter SISC. You can find other
call your EAP 24 hours a day, seven days a week at resources, such as:
800-999-7222. If you need to meet with a licensed
}} Online tools and seminars for living healthier
counselor, we can make an appointment for you. If you have
money or legal problems, we can put you in touch with a }} Articles about educational choices for you or your children
financial advisor or lawyer. }} Tips for balancing your personal life and work
£ LiveCONNECT instant messaging for live chats with work/
We understand how important privacy is when it comes to life consultants if you have questions or just want to talk
subjects like these. So, rest assured that your friends, about your situation
family and employer can’t find out about your use of EAP
services, unless you give your written permission.* These services are provided at no cost to you and everyone
who lives in your home. There’s no need to sign up — you’re
automatically enrolled.
*In accordance with federal and state law, and professional ethical standards.
Anthem Blue Cross is the trade name of Blue Cross of California. Anthem Blue Cross and Anthem Blue Cross Life and Health Insurance Company are independent licensees of the Blue Cross Association. ® ANTHEM and 360° Health are registered trademarks of Anthem Insurance Companies, Inc. The Blue
Cross name and symbol are registered marks of the Blue Cross Association.
20568CAMENABC 5/11Conquer back or joint
pain wit hout drugs or
surgery
Members on t he SISC Ant hem PPO or Blue Shield
PPO medical plans get *f ree access t o Hinge
Healt h?s innovat ive digit al programs for back, knee,
hip, neck, or shoulder pain. Sign up for:
- Free wearable sensors & monit oring device
- Unlimit ed 1-on-1healt h coaching
- Personalized exercise t herapy
Over 30,000 members have part icipat ed in our
programs so far, and cut t heir pain by over 60%!
*Part icipat ion is free for members who are not on a HDHP/HSA plan. Program fee
for members on an HDHP/ HSA plan is subject t o t he deduct ible.
To learn more call (855) 902-2777, or apply at :
HINGEHEALTH.COM/ SISCTHE SMARTER SURGERY BENEFIT
Considering surgery? Carrum Health is your premium surgery benefit, offered through Self
Insured Schools of California (SISC), that allows employees and dependents to access top
surgeons and hospitals across the country at no additional cost to you, including travel*.
EXPLORE YOUR OPTIONS
A wide range of covered procedures at hospitals
across California that specialize in the care you need.
CHOOSE THE BEST
Pick from among our highly-qualified surgeons who have
performed hundreds of medical procedures on average.
WE’LL TAKE IT FROM HERE
Your travel will be fully-covered with a dedicated patient care
specialist to help guide you through every step of the process.
PROCEDURES FULLY COVERED FOR YOU:
LEARN MORE:
CALL: 1-888-855-7806
TEXT: “SISC” to 555888
VISIT: CARRUM.ME/SISC
Most SISC members on Anthem Blue Cross or Blue Shield of California PPO plans are eligible to use this optional benefit. It must
be accessed through Carrum Health.
*Per IRS rules, a portion of the covered travel expenses will be reported as taxable income to the employee. Due to IRS
regulations, on HSA plans the deductible applies but coinsurance is waived.MORE PROVIDERS, MORE COVERAGE
Carrum Health allows you to explore the best surgery options available so that
you and your family can receive the highest quality care, with the least amount
of stress, regardless of where you live.
YOUR CARRUM HEALTH HOSPITAL SPOTLIGHT:
THE BEST SURGEONS
To provide the highest-quality care for our patients, we use rigorous analysis to select
top-quality surgeons, by procedure, at the best hospitals and surgical centers.
80% 50% 4x
Less complications Fewer readmissions Our surgeons perform
compared to average compared to average up to 4x as many of
Calfornia facilities California facilities your surgeries
LEARN MORE:
VISIT: CARRUM.ME/SISC CALL: 1-888-855-7806
TEXT: “SISC” to 555888
Most SISC members on Anthem Blue Cross or Blue Shield of California PPO plans are eligible to use this optional benefit. It must
be accessed through Carrum Health.
*Per IRS rules, a portion of the covered travel expenses will be reported as taxable income to the employee. Due to IRS
regulations, on HSA plans the deductible applies but coinsurance is waived.A cancer diagnosis is scary.
If you or a covered family
The SISC Enhanced CancerBenefit
member is facing a cancer
diagnosis,
you are not alone.
The SISC Oncology Center of
Excellence Program is here to
help you navigate a cancer
journey.
This benefit provides access to the
City of Hope and is offered to SISC members
on Anthem and BlueShield PPO plans at
no additional cost to you*
➢ An in-person or virtual evaluation –
(travel costs covered for patient and a
companion)
➢ A recommended care plan from a cancer
expert who will discuss it with you and
your treating oncologist
➢ Continued access to cancer care experts
for 12 months following the evaluation.
*Per IRS guidelines, this benefit is subject to the deductible for members enrolled on HSA plans.
Excluding 65+ PPO Plans.Diabetes Prevention
Program
Did you know that one in three people are at risk for developing type 2
diabetes? With the Diabetes Prevention Program, you can learn more
about wellness, make changes to start losing weight and reduce your risk
of developing type 2 diabetes.
Within just a few weeks, this new Wellvolution®
program can help you form healthy habits that
last a lifetime.
When you enroll, you get to choose the type of
support you prefer, whether it’s in-person, online
or even through a smartphone app.
Are you at risk for diabetes
or prediabetes?
More than 86 million Americans have
prediabetes – and most don’t even know it.
Prediabetes means that blood sugar levels are
higher than normal, but not high enough yet to
be classified as type 2 diabetes.
There are certain factors that can increase the
risk of developing diabetes or prediabetes:
• W
eight: Having a body mass index (BMI)
over 25
Start the journey to a healthier
• Age: Being age 40 or older
you with a one-minute quiz
• Family history: Having a parent or sibling Make lasting lifestyle changes
with diabetes with the new Diabetes Prevention
Program. Simply take a short quiz
• Ethnicity: Being of Hispanic or African
to find your risk level. If you qualify,
American origin
you’re ready to begin!
• Activity level: Having a more sedentary
Ready to take the first step?
lifestyle
Visit www.solera4me.com/shield.Helpful tools and features Support that’s right for you
Most participants lose 5% to 7% of their total Blue Shield offers the Diabetes Prevention
body weight during the program through Program with Solera Health. Solera provides
healthier eating and more physical activity. many different program options to choose from.
This type of weight loss results in a 58% risk In-person
reduction in developing diabetes, according to Provides support within a small group setting,
the Centers for Disease Control and Prevention. including in-person access to a health coach.
To help you reach your goal, the Diabetes
Online
Prevention Program typically offers:
Provides digital access to a health coach and
• Access to a personal health coach peer support from other program members.
• Easy-to-understand tips Smartphone
• Tools like wireless scales or activity trackers Offers an all-mobile experience with real-time,
in-app support and guidance.
See if you qualify
The Diabetes Prevention Program is available as a year-long covered benefit to eligible
Blue Shield members, at no additional cost.
It only takes a minute to see if you’re Programs you can select may include:
eligible to take part in the program.
• Weight Watchers
Blue Shield of California is an independent member of the Blue Shield Association A49987 (1/17)
1. Visit www.solera4me.com/shield. • Healthslate®
2. Answer a handful of questions. • Jenny Craig
3. Discover your risk for diabetes. • Noom®
• RetrofitSM
4. Select the program you prefer.
• Skinny Gene Project
5. Start the path to a healthier you! • And more
More ways to kick-start your health
The Diabetes Prevention Program is part of Wellvolution, the simplest way to work wellness
into your day.
With a range of different offerings, Wellvolution can help you learn about your health
and help you improve your well-being. Visit mywellvolution.com for more information.
The Diabetes Prevention Program is provided by Solera Health, an independent company.
HealthSlate is a registered trademark of Informational Media Brands LLC.
Wellvolution is a registered trademark of Blue Shield of California. Blue Shield and the Shield symbol are registered trademarks of the BlueCross BlueShield Association, an
association of independent Blue Cross and Blue Shield plans.Weight loss with Lark
Losing weight can make a big difference in lowering your risk for type
2 diabetes. Lark members lose an average of 4.2% of their body weight in
12 months on the diabetes prevention program.2 As part of the program,
you receive a wireless scale at no extra cost to help you track your weight
loss progress. Your scale also syncs with the Lark app so you can share
updates with your coach.
24/7 coaching support
Losing weight and making lifestyle changes can feel intimidating even
if you know it can lead to better health. Your coach can help you stay
motivated. Send your coach a message anytime from anywhere and
receive an immediate response and extra support when you need it most.
During the course of the program, your coach will:
Be available 24/7 through the Lark mobile app to provide
personalized coaching.
Customize your program based on your food preferences and lifestyle.
Provide educational information on prediabetes and preventing
type 2 diabetes.
Help you learn about how stress affects your health and how to cope
with it.
You are in control of your health. Prevent diabetes and start
improving your overall health and well-being today.
Learn if you are at risk for prediabetes
Go to lark.com/anthemBC and take a quick
one-minute survey to see if you could benefit
from Lark’s diabetes prevention program.
1 Centers for Disease Control and Prevention website: Prediabetes – Your Chance to Prevent Type 2 Diabetes (accessed October 2020): cdc.gov.
2 Lark internal data
Diabetes Prevention Program is provided by Lark, an independent company.
Anthem Blue Cross is the trade name of Blue Cross of California. Anthem Blue Cross and Anthem Blue Cross Life and Health Insurance Company are independent licensees of the Blue Cross Association. Anthem is a registered trademark of Anthem Insurance Companies, Inc.Self-Insured Schools of California
Schools Helping Schools
Get Free Generic
Medications at
Costco and Through
Mail Order
1 Take your prescription for a
This program is available to SISC generic medication to a Costco
members on participating drug plans. Pharmacy. This includes 90-day
To locate a Costco near you, call Costco
prescriptions and supplies.
at 1 (800) 774-2678 and press 1. You can also use your 90-day
prescription to start Mail Order
service.
2 Present the pharmacist with your
insurance card.
3 Get your generic medication with
a $0 co-payment.
(excluding some narcotic pain
medications and some cough
medications).
You do not have to be a Costco member to
use their pharmacy. Just tell the associate
at the front door you are going
to their pharmacy.
Available to SISC PPO and HMO Members. Not available to Kaiser Members.How it works
STEP 1
Meet Toothpic Delta Dental will provide members a registration
link todownload the Toothpic app.
A new photo-based teledentistry app STEP 2
Members answer a few questions about their
for PPO™ and Premier ® plan members oral health history and reason for visit.
Toothpic is an innovative app that offers virtual dental
screenings for non-urgent issues from a Delta Dental PPO STEP 3
dentist – right from your smartphone, in under 24 hours. The app guides members to take 6 photos of
Delta Dental 1 has partnered with Toothpic to provide their teeth, gums and areas of concern.
virtual assessments from in-network dentists as a
covered benefit for PPO and Premier plan members. STEP 4
Members’ case and photos are sent securely
through the HIPAA-compliant app to the nearest
available Delta Dental dentist.
STEP 5
In under 24 hours, members receive a
personalized diagnostic report on their results!
Every issue detected is
explained and marked
on the photos, with
severity, treatment
options, and in-app
access to Delta Dental’s
provider directory for
follow-up care.
1|2Available Now!
Visit deltadental.toothpic.com
Keep your employees healthy with
Delta Dental will provide optional marketing resources to give you
greater access to quality dental care an easy way to create awareness with your employees, which we
Toothpic gives your employees a fast and easy way to check on encourage. Your Account Manager will reach out with more
dental concerns. This helps them save time, minimizes information soon.
absenteeism, and keeps employees safe from unnecessary
exposure. Toothpic can be a great way to encourage your
employees to use their benefits, which could lead to healthier
outcomes.
Your employees can:
Receive a fast and easy dental screening without an
appointment, even when the dentist office is closed – from
anywhere in the US.
Address non-emergency dental issues to understand the
severity of an issue and get treatment options.
Save time and experience the convenience of getting a
dental checkup without leaving the comfort of their home,
especially if their dentist is far away or there’s a limited
number in their area.
Take the first step in getting care for members who don’t see
a dentist regularly, and proactively get ahead of issues
before it worsens.
Here’s what else you need to know:
There are no plan design changes or new contracts for you
to sign.
There are no additional fees for your group to pay. 1. Dental of California, Delta Dental of New York, Inc., Delta Dental of
Pennsylvania, Delta Dental Insurance Company and affiliated
A virtual dental screening is covered as a diagnostic exam companies. Delta Dental is a registered trademark of Delta Dental
and will count towards diagnostic exam frequency limitations. Plans Association.
Toothpic’s app is HIPAA-compliant, and all health information 2. Deductibles, annual maximums, co-insurance and frequency
stored and sent through the app is encrypted, safe and limitations apply. A Toothpic virtual dental screening
secure. will count as one of the diagnostic exams. Most plans cover
two diagnostic exams per year.
2|2Delta Dental – Virtual Consult:
Use your benefts to see a dentist online
A new virtual dentistry tool for members is here. Say hello to Delta Dental – Virtual
Consult.
Virtual Consult connects Delta Dental members and dentists for real-time video
appointments. It’s totally secure and HIPAA-compliant, and it’s available for free1
with your existing Delta Dental PPO™ or Delta Dental Premier® plan2.
When you have an urgent issue, even if it’s after hours, Virtual Consult makes getting
a dentist’s advice simple. Even if you don’t have a dentist that you see regularly,
Virtual Consult makes urgent care, e-prescriptions and check-ins with Delta Dental
dentists accessible from the comfort of your own home.
Virtual Consult is great if you…
• Are experiencing an urgent dental issue
• Don’t have a regular dentist
• Can’t take time of work or have difculty visiting the dentist’s ofce
• Aren’t feeling well or visiting the dentist’s ofce isn’t recommended
Copyright © 2021 Delta Dental. All rights reserved.
deltadentalins.com #129611 (rev. 01/21)What can I do with
Virtual Consult?
With Virtual Consult, you can:
• Get urgent dental care for issues such as pain or pressure, bumps or swelling,
cuts or lesions, chipped teeth and bleeding. You can even get e-prescriptions for
pain or infections sent directly to the pharmacy of your choice.
• Have a live video consultation with a Delta Dental dentist from the comfort
of your own home or anywhere you have a camera and internet-equipped
computer.
• Get follow-up instructions sent to you and visit summaries and histories made
available for your regular dentist. Your medical information and visit history will
also be stored in your secure profle for any future visits.
Ready to get started?
Visit deltadentalins.com/virtual-consult for more information and to learn how
to download and use Virtual Consult. For best results, please use Chrome as your
browser and close any VPN or frewall connections before your appointments.
1
Members who have 100% coverage for oral evaluations and who have not exceeded their frequency limitations
for ofce visits or limited oral evaluations are eligible to use Virtual Consult. There are no additional costs to use
the platform.
2
Delta Dental PPO and Delta Dental Premier are open networks that allow you to visit any licensed dentist, either
in the PPO network, where you will save the most on out-of-pocket costs, or the moderate cost Premier network.
Outside the Delta Dental network, there are no cost protections. Members who visit a network dentist receive
the advantages of no billing beyond the charges allowed by the plan and the submission of claims by dentists. In
Texas, Delta Dental Insurance Company provides a dental provider organization (DPO) plan.
© Delta Dental. Delta Dental of California, Mid-Atlantic states (Delta Dental of Delaware, Inc.; Delta Dental of the
District of Columbia; Delta Dental of New York, Inc.; Delta Dental of Pennsylvania [and Maryland], Delta Dental
of West Virginia, Inc.) and Delta Dental Insurance Company, together with our afliate companies, represent
one of the country’s largest dental benefts delivery systems, administering benefts to 36 million people in 15
states plus the District of Columbia and Puerto Rico. All our companies are members, or afliates of members, of
Delta Dental Plans Association, the national network of 39 Delta Dental companies that together provide dental
coverage to 80 million people in the U.S.
Copyright © 2021 Delta Dental. All rights reserved.
deltadentalins.com #129611 (rev. 01/21)Set your sights on even
more value
Think you’d never be able to afford LASIK eye surgery? Now it may be within reach.
Why? Because Delta Dental1 has selected QualSight2 to offer you access to discounts
on LASIK services. Through QualSight, you can save 40-50% off the national average
price of Traditional LASIK3 along with big savings on Custom and Custom Bladeless
LASIK procedures!
Continued on backSee it to believe it. QualSight can help you find the right vision solution.
Extra savings Expert surgeons Expansive choice
You get preferred There’s no need to fear With more than 1,000
pricing on LASIK — QualSight’s network LASIK locations4,
through QualSight is built with credentialed you can choose the
providers across the laser eye surgeons physician with the
nation. Plus, pre- and who have collectively experience, reputation
postoperative visits are performed more than and technology your
included, along with a 6.5 million procedures.4 vision correction
one-year assurance plan. requires.
Ready. Set. Save. It only takes three simple steps to take advantage of these savings.
1. Get ready. 2. Get set. 3. Save!
Give a QualSight care A care manager will Pick a physician and pay
manager a call at explain the program and a discounted price
1-855-248-2020. answer any questions. for LASIK services.
To learn more about the LASIK discounts,
visit www.qualsight.com/-delta-dental.
1 Delta Dental of California, Delta Dental Insurance Company, Delta Dental of Pennsylvania, Delta Dental of New York, Inc. and our affiliated
enterprise companies.
2 The Vision Corrective Services are not an insured benefit. Delta Dental makes the Vision Corrective Services program available to enrollees to
provide access to the preferred pricing for LASIK surgery.
3 Refractive Quarterly Update, Market Scope LLC, November 2018. Discounts or savings may vary by provider.
4 QualSight provider file, February 2019
Delta Dental is a registered trademark of Delta Dental Plans Association.
Copyright © 2019 Delta Dental. All rights reserved.
EF74 #120020B (rev. 3/19)An offer to keep you smiling
— from ear to ear
You now have access to discounts on hearing aids through Amplifon Hearing Health Care.1
Delta Dental2 selected Amplifon, a leader in hearing health care, to act as your personal
concierge. They’ll guide you through every step, from using your discounts to finding the
right products and care to match your hearing needs.
Continued on backHave you heard? 48 million Americans have significant hearing loss.3
Let Amplifon help.
The new program gives you:
Access to the best hearing aid prices, guaranteed.
There’s no sign-up fee for the program, and you’ll enjoy 62% average savings off retail
pricing.4 If you find a lower price at another local provider, Amplifon will not only match
it, they’ll beat it by 5%.5 Plus, no interest financing is available.
Choice of top hearing aid brands.
Amplifon offers access to the nation’s leading hearing aid brands featuring the latest
technology. And, all products are backed by a 60-day no-risk trial.
Thousands of hearing care providers.6
With a broad network of hearing clinics across the nation, it’s likely Amplifon has a
provider near you.
Industry-leading support for your purchase.
The advantages of Amplifon don’t stop right after you buy. You get one year of free
follow-up care, two years of free batteries and a three-year product warranty for all
hearing aid purchases.
Ready to get started? It’s simple.
1 2 3
Call Amplifon at Your advocate will Sit back. Amplifon will
1-888-779-1429. A explain the discount send you and your
Patient Care Advocate process, ask you a selected provider the
will help you find a few simple questions, necessary information to
hearing care provider then help you make an activate your hearing aid
near you. appointment. discounts.
Take advantage of your value-added feature!
Visit www.amplifonusa.com/deltadentalins or call 1-888-779-1429 to get started.
1 Amplifon’s hearing health care services are not insured benefits. Delta Dental makes the hearing health care services program available to
enrollees to provide access to the preferred pricing for hearing aids and other hearing health services.
2 Delta Dental of California, Delta Dental Insurance Company, Delta Dental of Pennsylvania, Delta Dental of New York, Inc. and our affiliated
enterprise companies.
3 Center for Hearing and Communication; http://chchearing.org/facts-about-hearing-loss/
4 Amplifon Hearing Health Care utilization database, January-December 2018. Discounts or savings may vary by manufacturer and technology
level of the hearing aid device.
5 Amplifon offers a price match on most hearing devices; some exclusions apply. Not available where prohibited by law. Visit www.amplifonusa.
com/deltadentalins or call 1-888-779-1429 for more details.
6 Amplifon Hearing Health Care provider file, February 2019
Delta Dental is a registered trademark of Delta Dental Plans Association. Copyright © 2019 Delta Dental. All rights reserved.
EF78 #120020A (rev. 3/19)Fitness Your Way
Get healthy and feel good on your own terms with Fitness Your WayTM. The program offers you
the flexibility to work out at any network fitness location, on your time and on a budget that
you can live with.
Fitness Your Way is available to Blue Shield of California members through Tivity HealthTM. It’s a
flexible, affordable, and accessible way to adopt a healthy lifestyle and remain committed to
it. You and your dependents who are age 18 and older are eligible.
Blue Shield of California is an independent member of the Blue Shield Association A51373 (11/18)
Meet your goals On your time On your budget
View your gym Network includes more than 800 fitness locations Pay only $25
visits online to keep in California and over 10,000 nationally. a month per person.*
on track and stay For eligible
motivated. • Finding locations is quick and easy:
visit fitnessyourway.tivityhealth.com/bsc. seniors (age 65+),
SilverSneakers offers
• Visit any participating location – anytime, a no-cost fitness
anywhere – as often as you like. benefit.†
Enroll today in Fitness Your Way
Go to fitnessyourway.tivityhealth.com/bsc.
Click Enroll.
Complete the five easy steps to enrollment.
Or you can enroll over the phone at (833) 283-8387,
Monday through Friday, 5 a.m. to 5 p.m. Pacific time.
* Taxes may apply. Individuals must be at least 18 years old to purchase a membership.
† SilverSneakers is a fitness program available at no extra cost for eligible seniors (65+) offering access to gyms, classes, and amenities. Visit Silversneakers.com to learn
more and check your eligibility.
Tivity Health and SilverSneakers are registered trademarks or trademarks of Tivity Health, Inc., and/or its subsidiaries and/or affiliates in the USA and/or other countries.
© 2018 Tivity Health, Inc. All rights reserved.
Tivity health discounts are not a covered benefit of Blue Shield health plans, and none of the terms or conditions of Blue Shield health plans apply. Tivity Health discounts are
available to all members with a Blue Shield medical, dental, vision, or life insurance plan. The network of Tivity health providers and facilities in this program are managed
outside of Blue Shield of California. Blue Shield does not review the services provided by Tivity Health, nor does Blue Shield make any recommendations, representations,
claims, or guarantees regarding the providers, their availability, fees, services, or products.
WellvolutionBe healthy and save
To help you save money while you’re working on meeting your health and
fitness goals, we offer preferred pricing and discounts on popular programs.1
These are available to all members who have a Blue Shield of California
medical plan, dental plan, vision plan, or life insurance plan.2
Health and wellness Healthy living discounts
Fitness and exercise Health and wellness products
Get healthy and feel good on your own terms with Browse and purchase a broad selection of health
Fitness Your WayTM . The gym membership program, improvement and wellness products, fulfilled by an
available through Tivity HealthTM, offers special rates e-retail site.
to Blue Shield members. You and your dependents
Visit blueshieldca.com/wellnessdiscounts for
who are age 18 and older are eligible.
program details.
• Work out at any facility within a wide network of
more than 800 locations in California and 10,000+
locations nationwide.
• Meet your lifestyle needs by working out anytime,
anywhere, and as often as you need while tracking
progress of your goals online.
• If you are a Medicare-eligible member, you have
access to gyms and fitness classes with coverage
provided by the SilverSneakers fitness program.
To enroll, visit fitnessyourway.tivityhealth.com/bsc
or call (833) 283-8387. To find locations, visit
fitnessyourway.tivityhealth.com/locations.
Weight management programs
Lose those extra pounds and keep them off
through nationally recognized diet and lifestyle
change programs.
• Enroll at no additional charge through our Wellvolution
Diabetes Prevention Program. See if you qualify at
solera4me.com/shield.
Alternative care
Alternative Care Discount Program
Get 25% savings on acupuncture, chiropractic, and
therapeutic massage services from practitioners
in the ChooseHealthy program. Simply show your
Blue Shield member ID card at your appointment
with a participating practitioner to get your discount.
Visit blueshieldca.com/wellnessdiscounts for
program details.
blueshieldca.comVision discounts
Discount Provider Network3 QualSight LASIK
Save 20% on the following services and materials Save on LASIK surgery at more than 45 surgery
at participating providers whether or not you have centers in California.
vision care benefits through Blue Shield:
Services include:
• Routine eye exams
• Pre-screening
• Frames and lenses (including photochromic)
• Pre-operative exam
• Tints and coatings
• Post-operative visits
• Extra pair of glasses
To find out if you are a potential candidate, call
• Non-prescription sunglasses
(877) 437-6110 or visit qualsight.com/-lasikca.
• Hard contact lenses
Access participating providers at NVISION Laser Eye Centers
blueshieldca.com/find-a-doctor.
Get a 15% discount for services from NVISION
Laser Eye Centers with offices in Southern California
MESVision Optics
and Sacramento.
MESVisionOptics.com offers competitive prices on
You can use your flexible spending account or take
many contact lens brands4 as well as a selection of
advantage of affordable financing options.
sunglasses, reading glasses, and eye care accessories.
To learn more, call NVISION at (877) 91 NVISION or
• Blue Shield vision plan members can apply their
(877) 916-8474, or visit NVISIONcenters.com to find
eligible benefits to reduce their out-of-pocket cost
for contact lenses.
a provider.
• MESVision Optics stocks all major brands and types of
contact lenses at a reduced price from other online
Learn more
A20131 (11/18)
retail sellers.
• Every lens is shipped in safe, sealed containers and See all the ways you can save money
is guaranteed to be the exact lens prescribed by
your doctor.
and take better care of yourself at
blueshieldca.com/wellnessdiscounts.
Blue Shield of California is an independent member of the Blue Shield Association
• Free shipping is available for all orders over $50.
Learn more at MESVisionOptics.com.
1 These discount program services are not a covered benefit of Blue Shield health plans, and none of the terms or conditions of Blue Shield health plans apply. Discount program
services are available to all members with a Blue Shield medical plan, dental plan, vision plan, or life insurance plan.
The networks of practitioners and facilities in the discount programs are managed by the external program administrators identified below, including any screening and
credentialing of practitioners. Blue Shield does not review the services provided by discount program providers for medical necessity or efficacy. Nor does Blue Shield make any
recommendations, representations, claims, or guarantees regarding the practitioners, their availability, fees, services, or products.
Some services offered through the discount program may already be included as part of the Blue Shield plan covered benefits. Members should access those covered services
prior to using the discount program.
Members who are not satisfied with products or services received from the discount program may use Blue Shield’s grievance process described in the Grievance Process section
of the Evidence of Coverage or Certificate of Insurance/Policy. Blue Shield reserves the right to terminate this program at any time without notice.
Discount programs administered by or arranged through the following independent companies:
• Alternative Care Discount Program – services provided by the ChooseHealthy program, made available through ChooseHealthy, Inc., a subsidiary of American Specialty
Health Incorporated (ASH)*
• Discount Provider Network and MESVisionOptics.com – MESVision
• Fitness Your Way – Tivity Health, Inc.
• QualSight, LLC and NVISION Laser Eye Centers
2 Underwritten by Blue Shield of California Life & Health Insurance Company (Blue Shield Life).
3 The Discount Provider Network is available throughout California. Coverage in other states may be limited.
4 Requires a prescription from your doctor or licensed optical professional.
* The Alternative Care Discount Program is available to members with a Blue Shield medical plan. You are obligated to pay participating healthcare providers directly for the
discounted services. The ChooseHealthy program has no liability for providing or guaranteeing services and assumes no liability for the quality of services rendered. Discounts on
products and services available through the ChooseHealthy program are subject to change. Please consult the ChooseHealthy website for current availability. ChooseHealthy is
a federal registered trademark of ASH and used with permission herein.
Tivity Health and SilverSneakers are registered trademarks or trademarks of Tivity Health, Inc., and/or its subsidiaries and/or affiliates in the USA and/or other countries.
© 2018 Tivity Health, Inc. All rights reserved.
Tivity Health discounts are not a covered benefit of Blue Shield health plans, and none of the terms or conditions of Blue Shield health plans apply. Tivity Health discounts are
available to all members with a Blue Shield medical plan, dental plan, vision plan, or life insurance plan. The network of Tivity Health providers and facilities in this program is
managed outside of Blue Shield of California. Blue Shield does not review the services provided by Tivity Health, nor does Blue Shield make any recommendations, representations,
claims, or guarantees regarding the providers, their availability, fees, services, or products.
The Diabetes Prevention Program is provided by Solera Health, an independent company.
Fitness your way is a trademark of Tivity Health, Inc.
Wellvolution is a registered trademark of Blue Shield of California.
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