The Boeing Company | Member Information Guide 2022 Plans for Active Employees and Early Retirees - Boeing Total Rewards Partner
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This is a
Boeing Total Rewards Partner
The Boeing Company | Member Information Guide 2022
Plans for Active Employees and Early Retirees
Contents Welcome to Blue Cross and Blue Shield of Illinois..................................................................... 1 Frequently Asked Questions.......................................................................................................... 3 Prescription Drug Benefits: Prime Therapeutics®...................................................................... 5 Using Your Online Resources......................................................................................................... 7 Understanding Your Explanation of Benefits Statement......................................................... 9 Health Insurance Fraud................................................................................................................ 11 Blue Cross Blue Shield Global® Core.......................................................................................... 13 Blue Distinction® Specialty Care.................................................................................................. 15 Primary Nurse................................................................................................................................ 16 Behavioral Health.......................................................................................................................... 17 Women's and Family Health........................................................................................................ 18 24/7 Nurseline................................................................................................................................ 19 Digital Mental Health.................................................................................................................... 20 Fitness Program............................................................................................................................. 22 Livongo® for Diabetes.................................................................................................................... 23 Hinge Health................................................................................................................................... 23 Other Boeing Benefits.................................................................................................................. 24 WINFertility..................................................................................................................................... 25 Davis VisionSM................................................................................................................................. 26 Important Information................................................................................................................. 27 Contact Information At a Glance..................................................................................Back Cover
Welcome to Blue Cross and
Blue Shield of Illinois
Preventive care may help you have a healthier life,
and Blue Cross and Blue Shield of Illinois (BCBSIL)
understands this. For more than 80 years, BCBSIL
has provided health care benefits and services
to the members and communities we serve.
Through these covered services plans, BCBSIL
provides members with access to programs and
support to help them become knowledgeable
health care consumers, make smart health care
choices and manage their well-being.
1
We Are Here to Help
BCBSIL knows that the choices you make If You Have Questions
every day can affect your health now and in For details on your medical coverage, including
the future. We have a wide variety of tools deductibles, copayments, coinsurance and covered
and resources to help you plan and manage services, call Boeing Member Services. Health Advocates
can answer questions about your medical benefits.
your health care.
You can also go to www.bcbsil.com/boeing, which is
If you have questions, call Boeing Member Services at
your source for benefits information and tools. There,
888-802-8776. A Health Advocate is available Monday
you can register for Blue Access for MembersSM, a
through Friday from 5 a.m. to 5 p.m. PT (8 a.m. to 8 p.m.
secure member portal, where you can find answers to
ET and 7 a.m. to 7 p.m. CT). Whether you are trying to
your questions, send a secure email directly to Member
improve your health or reach the next level of wellness,
Services or chat live with them.
BCBSIL is here to help.
How to Use This Guide Please note: This booklet is meant to be a summary of administrative
services only. Benefits and coverage levels vary by plan option and are
Please take a few minutes to review this guide, which explained in more detail in the applicable summary plan descriptions,
insurance contracts and other formal plan documents. In the event
is intended to help you learn more about your BCBSIL of a conflict between this booklet and the formal plan documents, the
plan documents will govern.
benefits, such as how to find a physician, contact
* Not all plans include vision care.
dedicated clinicians, submit a claim and understand your
explanation of benefits (EOB) statements.
For most plans, Boeing contracts with different service
representatives for vision care.* An overview of benefits is
provided for people enrolled in those services.
2
Frequently Asked Questions
Who is BCBSIL? Do I need to select a primary care physician or
BCBSIL provides health care coverage to more than obtain a referral to see a specialist?
8.8 million members. We started in the height of the Great You are not required to select a primary care physician or
Depression in 1936 in Chicago and grew out of a shared obtain a referral to see a specialist. However, an ongoing
interest to protect individuals and families. relationship with a primary care physician can help you
Today, we remain member-owned. We answer to manage your health and address any concerns you have.
our members. You can use Provider Finder from your computer or
mobile phone web browser to search for primary care
How do I find a physician or hospital? physicians in specialties, such as internal medicine and
The Provider Finder® tool can help you locate doctors and family practice for you and your covered family members.
other health care providers who are in-network. You can Will I receive a provider directory?
view the most current list of providers online by visiting
www.bcbsil.com/boeing. Click Doctor or Pharmacy, Provider directories are not printed because they are
select Provider Finder and then choose your plan. updated frequently. You may view the current list of
providers online by visiting www.bcbsil.com/boeing.
What type of information will Provider Finder Click Doctor or Pharmacy, select Provider Finder and
give me? then choose your plan.
Searching for a network doctor and pharmacy is now How can I get more information about
easier than ever with the enhanced Provider Finder tool. my health care coverage through BCBSIL?
Members can compare providers on a single page, view
and sort providers by quality, cost, and accessibility, and Please visit www.bcbsil.com/boeing for additional
estimate costs for over 1,600 procedures and tests. information about your health care coverage, or call
Boeing Member Services.
Provider and facility profiles are also available, which
include information about a provider's specialty and areas
of expertise as well as detailed member reviews and an
overall quality rating.
3
Frequently Asked Questions
Where can I get a summary of my benefits? Why do the ID cards have only the subscriber’s name
You may view your plan benefits online by visiting and not all family members’ names?
www.bcbsil.com/boeing. Click Coverage and then The member ID cards display only the subscriber
select Medical Benefits. You can also call Boeing Member (employee or retiree) name. The cards are to be used for all
Services at 888-802-8776 for more information about eligible family members even though their names are not
your benefits. printed on the card. If you need an additional card, you can
request one by contacting Boeing Member Services.
When will I receive ID cards?
If you have not already received a new member ID card How and when can I call BCBSIL Member Services?
from BCBSIL, you should get it soon. Please be sure to You can reach Member Services at 888-802-8776 from
show your new ID card to each provider you see so he 5 a.m. to 5 p.m. PT (8 a.m. to 8 p.m. ET and 7 a.m. to
or she can update their billing systems with your new 7 p.m. CT). Health Advocates are available to explain
information. Show your member ID card when seeking your benefits, answer questions about claims or assist
behavioral health services and at the pharmacy when with many other matters. Call Boeing Member Services or
filling prescriptions. visit www.bcbsil.com/boeing and log in to Blue Access
Digital ID cards are also available on Blue Access for for Members to use Live Chat. You can also find other
Members. Text* BCBSILAPP to 33633 to use the helpful plan information online at any time.
BCBSIL App. Can I email questions directly to BCBSIL?
Yes. Once you register for Blue Access for Members, the
*M
essage and data rates may apply. Terms, conditions and
privacy policy at bcbsil.com/mobile/text-messaging. secure member portal at www.bcbsil.com/boeing, you
can send a secure email directly to Member Services.
4
Your Pharmacy Benefits
How your pharmacy benefits work Use a retail pharmacy
Prime Therapeutics LLC (Prime) manages your
1
• Prime offers a large national network of pharmacies
prescription drug benefits for your Boeing-sponsored where you can use your pharmacy benefits.
medical plan, administered by BCBSIL. Prime pharmacy • If you use a pharmacy that’s not in your network, you
experts work hard to make your medicine more affordable could pay more.
and your experience easier.
• Find network pharmacies at
Visit www.myprime.com/boeing to check the list of www.myprime.com/boeing.
medicines covered under your pharmacy benefits (called a
drug list). Doctors and pharmacists have carefully selected Set your preferences at www.myprime.com/boeing
the generic and brand-name drugs on the list. Drugs that Help us keep in touch with you. Register at
aren’t on this list may cost you more.
www.myprime.com/boeing and set your communication
For covered medicines, the amount you pay is called your preferences so we can contact you in your preferred way.
copay, or cost share. Your pharmacy benefit plan pays the Once you register, you can look up covered medicines,
rest. Your plan may also have a deductible, which is the get an estimate of how much they’ll cost and much more.
amount you must pay before your plan begins to pay.
5
Your Pharmacy Benefits (continued)
You could save money Create or access your account at
AllianceRx Walgreens Prime can help you learn about www.myprime.com/boeing
generic drugs that can cost you up to 85 percent less.1 All you need to register at www.myprime.com/boeing
Generic drugs are lower-cost versions of a brand-name is your member ID number and a few clicks. Once you’ve
drug. They work the same as the brand-name drug in registered, you can set your communication preferences,
safety, strength and effectiveness. Ask your doctor or see your benefits and access tools to:
pharmacist if a generic may be right for you.
Find medicines. Look up different drugs to see if your
Save time (and possibly money) with home delivery plan covers them. You can see prices and find out if there’s
a generic version to help save you up to 85 percent. If your
• Get up to a 90-day supply of your long-term medicines
medicine isn’t covered, talk to your doctor. You may be
from AllianceRx Walgreens Prime.
able to switch to a medicine that’s on the drug list.
• Standard shipping is free to anywhere in the
Find pharmacies. One way we help make your medicines
United States.
more affordable is by working with certain pharmacies
• Learn more at alliancerxwp.com/home-delivery or to lower prices for you. These pharmacies make up your
call 877-845-7710. plan’s preferred pharmacy network. Search by pharmacy
name, your location and more.
Trust an experienced specialty pharmacy
View prescription history. See your prescription drug
• AllianceRx Walgreens Prime offers a full-service specialty
claims history, including the medicine, fill date and what
pharmacy that’s part of your Pharmacy Select Network.
you paid. You can easily print your history for your doctor
• AllianceRx Walgreens Prime’s experienced pharmacists to review.
and dedicated staff focus on providing education and
support to members living with chronic or complex Contact Prime
health conditions. Boeing Member Website: www.myprime.com/boeing
• Call 855-899-6005 to learn more. Boeing Member Services: 888-802-8776
Rx Savings Solutions Myprime.com/boeing is designed to work on your
Rx Savings Solutions is a confidential service that gives computer, tablet or phone—wherever and whenever you
personalized prescription guidance at no cost to help you need it.
save money. It sends a text or email if you ever pay too
much for a prescription. Rx Savings Solutions finds other
ways to get the same treatment for less money. You can
register via the link at www.myprime.com/boeing, the
Boeing member website.
1
rime Therapeutics LLC is an independent company providing pharmacy benefit management services for Boeing health plan members. Prime
P
Therapeutics has an ownership interest in AllianceRx Walgreens Prime, a central specialty and mail service company. Myprime.com/boeing is an
online resource offered by Prime Therapeutics LLC.
Rx Savings Solutions (RxSS) is an independent company that contracts directly with Prime to provide Rx consultations. RxSS does not offer
other health plan products or services and is solely responsible for the products and services that it provides. There are no endorsements,
representations or warranties made regarding third-party vendors. Members should contact the vendor directly with questions about the
products and services offered by third parties.
6
Using Your Online Resources
BCBSIL Provides Tools and Resources to BCBSIL App
Help You Manage Your Health and Benefits You can access your health coverage and wellness
You can register for Blue Access for Members information conveniently and securely via your mobile
using your member ID card. Use this secure device anytime, anywhere. You can even access your ID
website to manage your benefits and health. Go to card information.
www.bcbsil.com/boeing, and click Log In. Text BCBSILAPP to 33633 to get the BCBSIL App that lets
you use Blue Access for Members while you’re on the go.
Manage Your Benefits
Once you register and log in, Blue Access for Members Provider Finder
allows you to: You can also use Provider Finder to locate in-network
• Review your coverage. doctors, hospitals and pharmacies. Filter the search
results by provider type, specialty, ZIP code, language and
• Review who is covered under your plan.
gender. Plus, get door-to-door directions.
• Find and compare providers or facilities.
With Provider Finder, it's easy to:
• Check the status of a claim. • Compare providers on a single page.
• Sign up to receive email notifications when a claim is • View and sort providers by quality, cost and accessibility.
finalized.
• Estimate costs for over 1,600 procedures and tests.
• View and print your explanation of benefits statements
and opt out of receiving printed copies in the mail. • Find pharmacies on the Prime Therapeutics network.
• Request a replacement or additional ID card, print a
temporary one or access your digital ID card.
*Message and data rates apply. Terms, conditions and privacy policy are at bcbsil.com/mobile/text-messaging.
7
Find What You Need with Blue Access for Members
7
1 2 3 4 5 6
Dashboard – See your family’s claims and health care spending at a glance, order an ID, navigate the site
1 quickly and easily.
2 Claims – View quick claims summaries or download your Explanation of Benefits (EOB).
3 Coverage – See benefit highlights for your medical, dental and pharmacy plans.
4 Spending – Keep track of your deductible and out-of-pocket expenses.
5 Find Care – Find in-network doctors, hospitals and other health care providers quickly and easily.
Wellness – Take control of your well-being with preventive care guidelines, information and health tips for
6 managing health conditions and living a healthier life.
My Account – Use this menu for everything else: View your health history, update your profile and preferences,
7 sign up for electronic EOBs, find claim forms, manage privacy preferences and contact us.
8Understanding Your Explanation of Benefits: What You Can Find
PO Box 7344
Chicago, IL 60680-7344 EXPLANATION OF BENEFITS
Log into Blue Access for MembersSM at bcbsil.com
• View plan and claim details
B
Sample
John Smith • Contact us through our secure Message Center
Your Explanation of Benefits lets you know 1234 Cedar Road
APT #2
• Sign up for digital health plan info
• Search for health care providers
Any Town, IL 76065
when and how we process your claims. It isn’t a Text* GOBCBSIL to 33633 to download the
mobile app.
bill. It gives you a detailed look at the covered A Have questions about this EOB? Customer Advocates
are here to help! XXX-XXX-XXXX
services and shows how much you may owe SUBSCRIBER INFORMATION
GROUP NAME
C
your provider after we apply your benefits. Member ID#: XXXXXXXXX777V Group #: 000012345
Dear John Smith,
An Explanation of Benefits (EOB) is a statement showing how claims were processed. This is not a bill. Your provider(s) may bill you directly for
any amount you may owe. KEEP FOR YOUR RECORDS. C
HELPFUL INFORMATION
Want Your Health Care Info Digitally?
To get this EOB and other health care info on our mobile app, text* GOBCBSIL to 33633 to download the app. You can also go digital by logging in
at bcbsil.com/member. Once logged in, navigate to Settings, click Preferences, then select Go Paperless.
Health Care Fraud Hotline: 800-543-0867
Health care fraud affects health care costs for all of us. If you suspect any person or company of defrauding or attempting to defraud
Blue Cross and Blue Shield of Illinois (BCBSIL), please call our toll-free hotline. All calls are confidential and may be made anonymously. For more
information about health care fraud, please go to bcbsil.com.
Page One Covers the Basics GLOSSARY OF TERMS - We have described some of the
terms used here to help you understand them, but you
should make sure to read your benefit plan materials if
Deductible: The amount, if any, you must pay before we start
paying contract benefits. You do not send this amount to us. We
subtract this amount from covered expenses on claims you and
you have questions. health care professionals send us. Some services can be covered
A. Confirm your policy ID. Amount Billed: The amount your provider billed for the service(s)
rendered.
before the deductible is met.
Non-Participating Provider: An out-of-network provider who does
not accept rates for services we set to keep your costs down.
B. Learn how to download the mobile app and Amount Covered (Allowed): Discounts, reductions, and amount
covered (allowed) reflect the terms of your plan, and in the case of Out-of-Pocket Limit (Maximum): Once you pay this amount in
an in-network provider, the savings we have negotiated with your deductibles, copayments and coinsurance for covered services, we
access your claims online. provider. Your deductible, coinsurance and copay are based on
the allowed amount and the terms of your plan. Your share of
pay 100% of the allowed amount for covered services for the rest of
the benefit period.
coinsurance is a percentage of the allowed amount after the Participating Provider: An in-network or out-of-network provider
C. Find helpful contacts and a glossary. deductible is met. who accepts agreed-upon rates for services.
Coinsurance: The percentage of the allowed amount you pay as Your Total Costs: This is the sum of your copay, deductible and
your share of the bill. For example, if your plan pays 80% of the coinsurance. It also includes any amounts not covered by your
allowed amount, 20% would be your coinsurance. health plan. Amounts that a non-participating provider may bill
Copay Amount (Also known as Copayment): The set fee you you are not part of this
pay each time you receive a certain service. Some plans do not
have copayments.
*Message and data rates may apply. Terms & Conditions and Privacy Policy bcbsil.com/text-messaging
Blue Cross and Blue Shield of Illinois provides administrative claims payment services only and does not assume any financial risk or obligation with respect to claims.
A Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association 241939.0421 1
9F SUBSCRIBER INFORMATION
GROUP NAME
Member ID#: XXXXXXXXX777V Group #: 000012345
Customer Advocates are here to help! XXX-XXX-XXXX
Sample
CLAIM DETAIL (1 OF X) O2
D Amount Billed $7,850.00
PATIENT: John Smith
Discounts and Reductions - $3,930.00
PROVIDER: Ralph Johnston M.D. E
CLAIM # XXXXXXXXXXXXX DATE PROCESSED: 06/20/2020 Health Plan Responsibility - $2,219.00
We reviewed the claim for this patient based on the additional information received regarding You may owe your health care provider for these services $1,701.00
other group health care coverage involvement. Blue Cross and Blue Shield of Illinois (BCBSIL)
has negotiated discounts with this provider. The following shows how this claim was adjusted.
YOUR BENEFITS APPLIED YOUR RESPONSIBILITY
Amount Discounts and Amount Health Plan Deductible Copay Amount Not Your Total
Service Description Service Dates Covered Coinsurance
Billed Reductions (Allowed) Responsibility Amount Amount Covered Costs
G H I J K L M N O
Surgical Charges 04/04/2020 4,000.00 (1) 1,800.00 2,200.00 960.00 1,000.00 240.00 1,240.00
Recovery Room 04/04/2020 900.00 (1) 410.00 490.00 392.00 98.00 98.00
Med/Surg Supplies 04/04/2020 300.00 (1) 140.00 160.00 128.00 32.00 32.00
Med/Surg Supplies 04/04/2020 100.00 (2) 100.00 100.00
Laboratory Services 04/04/2020 1,200.00 (1) 820.00 380.00 304.00 76.00 76.00
Laboratory Services 04/04/2020 400.00 (1) 270.00 130.00 72.00 50.00 8.00 58.00
MRI Outpatient 04/04/2020 950.00 (1) 490.00 460.00 363.00 15.00 82.00 97.00
CLAIM TOTALS $7,850.00 $3,930.00 $3,820.00 $2,219.00 $1,000.00 $65.00 $536.00 $100.00 $1,701.00
Total covered benefits approved for this claim: $2,219.00 to Ralph Johnston M.D. on 06-20-20. J 2
Notes about amounts under “YOUR BENEFITS APPLIED” and “YOUR RESPONSIBILITY”
(1) The amount billed is greater than the amount allowed for this service. Based on our agreement with this provider, you will not be billed the difference.
(2) Your Health Care Plan does not provide benefits for surgical assistant services when billed by the same physician who performed the surgery or administered the anesthesia. P
No payment can be made.
Your health care plan has a calendar year maximum for x-rays and laboratory services performed in the outpatient department of a hospital, a clinic or a doctor‘s office. When this
maximum has been reached, the balance is eligible under your major medical benefits, subject to a yearly deductible and a coinsurance share.
For your up-to-date Medical Spending summary, visit Blue Access for MembersSM on our website, the BCBSIL Mobile App or call the phone number on the
back of your ID card. Q
JOHN SMITH - For benefit period 01-01-20 through 12-31-20 to date this patient has met $4,515.02 of her/his $7,350.00 Out-of-Pocket Expense Limit.
242384.0421 2
On Page Two You Can:
O. Your Total Costs is the sum of your copay, deductible
At a glance, confirm the: and coinsurance. You may owe less if your provider
D. Patient E. Provider F. Policy Information collected any of these payments before beginning
services. It also includes any amounts not covered by
your health plan. The total cost in this column details
Get the Details the amount shown in the claim summary (O2). It does
YOUR BENEFITS APPLIED – This section shows your not include any amounts that a non-participating
list of services and how they’re covered. provider may bill you.
G. Amount Billed is the total amount your provider
billed for the services. Get More Information
I. Amount Covered (Allowed) is the amount billed (G) Your EOB may include a little more information about:
minus any discounts or reductions (H). J2. Total covered benefits approved – This is the amount and
J. Health Plan Responsibility is the portion we paid to the date we paid your provider. The total matches the
your provider. total in the Health Plan Responsibility column (J).
P. Numbered notes give more details about discounts and
See Your Cost Share reductions (H) and any amounts that aren’t covered (N).
YOUR RESPONSIBILITY – This section shows your Q. Health care plan maximums help you track your yearly
member cost-share amounts, including: out-of-pocket totals so you’ll know when your patient
cost-shares are met.
K. Deductible L. Copays M. Coinsurance
Sign up to get your EOBs online on Blue Access for Members or
* Message and data rates may apply. See terms and conditions and our privacy policy at Text* GOBCBSIL to 33633 to download the mobile app.
bcbsil.com/text-messaging.Health Insurance Fraud: What You Should Know
Don’t Be a Victim
Identifying Fraud
Commonly identified schemes involving
providers include:
• Misrepresenting services
Intentionally billing procedures under different names
or codes to obtain coverage for services that aren’t
included in a member’s plan.
• Upcoding
Deliberately charging for more complex or more
expensive services than those actually provided.
• Non-rendered and/or “free” services
Some providers intentionally bill for tests or services
never provided. This can also mean that the provider
offered “free” services to bill the insurance company
for services not performed or needed.
• Kickbacks, bribes or rebates
Referring patients to a provider or facility where the
referring provider has a financial interest.
Commonly identified member schemes include:
• Identity swapping
Allowing an uninsured individual to use your
insurance card.
• Identity theft
Using false identification to gain employment and the
health insurance benefits that come with it.
• Non-eligible members
Adding someone to a policy who is not eligible Fraud Affects Everyone.
or failing to remove someone when that person
Fraud may cost the health care industry
becomes ineligible.
(public and private payers) more than
• Prescription medicine and abuse diversion
Controlled substances can be obtained through $200 billion each year. This fraud may
deception or dishonesty for personal use or sale “on
cause you to face rising premiums,
the street.” Prescription medications can be obtained
through doctor shopping, visiting several emergency increased copayments and deductibles
rooms or stealing doctors’ prescription pads. and the elimination of certain benefits.
11Health Insurance Fraud: What You Should Know
BCBSIL Offers Tips for Fighting Fraud Fraud Isn’t Fair — Help Us Fight It
• Know your own benefits and scope of coverage. Reducing health care fraud is a collaborative effort
• Review all EOB statements. Make sure the exams, between BCBSIL, its providers and its members. Additional
procedures and tests billed were the ones you actually information — including a “fighting fraud checklist” — is
had with the provider who treated you. available through the SID website at www.bcbsil.com/sid.
• Understand your responsibility to pay deductibles We also encourage you to report any suspected
and copayments, and what you can and cannot be incidence of fraud by calling our Health Care Fraud
balance-billed (an amount your provider may bill you) for Hotline, completing a form online or sending us a note in
once your claim has been processed. the mail. Suspicions of fraud can be reported to the SID
anonymously.
• Guard your health insurance card and personal
insurance information. Notify BCBSIL immediately if 3 Ways to Report Fraud to BCBSIL
your card or insurance information is lost or stolen. The SID is here to help you. You can contact the SID
• Sign and date only one claim form per office visit. in any of the following ways:
• Never lend your member ID card to another 1 800-543-0867
person. The toll-free Health Care Fraud Hotline operates
• Don’t give out insurance or personal information 24 hours a day, seven days a week. You can remain
if services are offered as “free.” Be sure you understand anonymous or provide information if you want to be
what is “free” and what you or your insurance company contacted by a member of the SID.
will be charged for. 2 www.bcbsil.com/sid/reporting
• Ask your doctors exactly what tests or procedures This website address links to an online fraud-reporting
they want you to have and why they are necessary form that you can complete and send to the SID
before you have them. electronically.
• Be sure any referrals you receive from your 3 U.S.
Mail
network provider are to other network doctors or You can write the SID at:
facilities. If you’re not sure, ask. Blue Cross and Blue Shield of Illinois
• Monitor your prescription use at Prime Therapeutics Special Investigations Department
at www.myprime.com/boeing. Make sure the 300 E. Randolph Street
medications billed to your insurance are accurate. Chicago, Illinois 60601
Preventing Health Care Fraud
BCBSIL created the Special Investigations Department
(SID) to fight fraud and help lower health care costs. The
staff includes individuals with medical, insurance and
law enforcement backgrounds as well as data analysts
experienced in detecting fraudulent billing schemes. The
SID aggressively investigates allegations of fraud and refers
appropriate cases for criminal prosecution.
12Blue Cross Blue Shield
Global Core
You’re Never Far from Health Care Services
—
Even When You’re Far from Home
Like your passport, always carry your member ID card
with you when you travel or live abroad. Through the Blue
Cross Blue Shield Global Core program, you have access to
doctors, hospitals and other health services in nearly 200
countries and territories around the world.
How Blue Cross Blue Shield Global Core Works
To take advantage of the Blue Cross Blue Shield Global
Core program, review this information:
• Before you leave home, contact BCBSIL for coverage
details. Your coverage outside the United States may
be different.
• Always carry your member ID card.
• In an emergency, go directly to the nearest hospital.
• The Blue Cross Blue Shield Global Core Service
center is available 24 hours a day, seven days a
week toll free at 800-810-BLUE (2583) or by
calling collect at 804-673-1177.
Call the Service Center in these situations:
• You need to locate a doctor or hospital or need medical services.
An assistance coordinator, in conjunction with a medical professional, will
arrange a physician appointment or hospital stay.
• You need inpatient care. After calling the Service Center, you should
also call BCBSIL Customer Service for precertification or pre-approval. You
can find the telephone number on the back of your ID card. This number
is different than the Blue Cross Blue Shield Global Core Service Center
number shown here.
GeoBlue is the trade name of Worldwide Insurance
Services, LLC (Worldwide Services Insurance Agency,
LLC in California and New York), an independent
licensee of the Blue Cross and Blue Shield Association. Blue Cross Blue Shield Global Core
GeoBlue is the administrator of coverage provided is there if you need medical care
under insurance policies issued by 4 Ever Life
International Limited, Bermuda, an independent outside the U.S.
licensee of the Blue Cross and Blue Shield Association.
13Blue Cross Blue Shield Global Core
Payment Information Claim Filing
• For participating Blue Cross Blue Shield • The hospital will file your claim if the Blue Cross
Global Core hospitals – Blue Shield Global Core Service Center arranged your
In most cases, you should not need to pay up front for hospital stay. You will need to pay the hospital for the
inpatient care at participating hospitals except for the usual out-of-pocket expenses.
usual out-of-pocket expenses (non-covered services, • You must file the claim for outpatient and doctor care
deductibles, copayments and/or coinsurance). The or inpatient care not arranged through the Blue Cross
hospital should submit the claim on your behalf. Blue Shield Global Core Service Center. You will need to
• For doctors and/or non-participating hospitals – pay the health care provider and submit an international
You will need to pay up front for services. Then you claim form with the original bill(s).
can complete a Blue Cross Blue Shield Global Core
international claim form and send it with the bill(s) to the Claim Forms
Blue Cross Blue Shield Global Core Service Center at the International claim forms are available from BCBSIL, the
address on the form. You can also submit your claim Service Center or www.bcbsglobalcore.com.
online or through the Blue Cross Blue Shield Global Core
mobile app. The claim form is available from your Blue
Remember to take this information with
Cross Blue Shield company or online at
www.bcbsglobalcore.com. you when you travel or live outside the U.S.
Blue Cross Blue Shield Global
Core Service Center
Blue Cross Blue Shield Global Core can be used for personal travel. Toll-free: 800-810-2583
Boeing expatriate assignees should refer to Boeing Worklife for
more information. Collect: 804-673-1177
14Blue Distinction Specialty Care
Choosing Quality Care for You and Your Family
With Blue Distinction® Centers, you have access to designated
Nationwide Access
specialty care facilities that have met national measures
There are approximately 1,900 Blue
for quality and cost-efficient care. When you use a Blue
Distinction Centers nationwide. Use
Distinction Center, you will receive the most from your
Provider Finder to find one near you:
benefits and know that the facility has a record of providing
proven, effective specialty care. 1 to www.bcbsil.com/boeing and
Go
Blue Distinction Centers are available for the following click Doctor or Pharmay.
specialty health care services:
2 Blue
Distinction Centers and then choose
Blue Distinction® Centers for Bariatric Surgery
Find a Blue Distinction® Specialty Care
Postoperative care, follow-up and patient education
Facility.
Blue Distinction® Centers for Cardiac Care
Cardiac care, cardiac rehabilitation, cardiac catheterization 3 You
may search for a specific area of specialty
and cardiac surgery care or view a complete list of Blue Distinction
Centers by state.
Blue Distinction® Centers for Cellular Immunotherapy
Treatments for immune system diseases; chimeric antigen
receptor T (CAR-T) cell therapies Note: Designation as Blue Distinction Centers means these
facilities’ overall experience and aggregate data met objective
Blue Distinction Centers for Gene Therapy
®
criteria established in collaboration with expert clinicians’ and
Gene therapies for inherited disorders, including leading professional organizations’ recommendations. Individual
outcomes may vary. To find out which services are covered under
ocular disorders your policy at any facilities, please call your local Blue Cross and Blue
Shield Plan. Call your provider before making an appointment, to
Blue Distinction® Centers for Knee and verify the most current information on their Network participation
Hip Replacement status. Neither Blue Cross and Blue Shield Association nor any of
its licensees are responsible for any damages, losses, or non-
Inpatient knee and hip replacement surgeries and services covered charges that may result from receiving care from a provider
designated as a Blue Distinction Center.
Blue Distinction® Centers for Maternity Care
Childbirth services, including both vaginal and
cesarean deliveries
Blue Distinction® Centers for Spine Surgery
Spine surgery services, including discectomy,
fusion and decompression procedures
Blue Distinction® Centers for Substance Use Treatment
and Recovery
Treatment for substance use disorder including opioid
use disorder.
Blue Distinction® Centers for Transplants
Transplant and support services
15Primary Nurse Program
BCBSIL has a team of registered nurses* • Help you and your family understand medications and
and social workers ready to help Boeing their possible side effects.
employees and their covered family • Work with your doctor and other caregivers if you need
members manage their health. In fact, the transitional care between the hospital and your home.
Primary Nurse Team helps about 16,000 • Provide regularly scheduled calls to discuss your health,
Boeing members annually. set goals and help you manage your condition.
Start the Conversation Connect with a Cancer Specialist
Our Primary Nurses are trained to work together with Cancer can be a scary word. BCBSIL cancer nurses want
you, your doctor and any caregivers. They will help explain to make it a little less scary. They can help you understand
your benefits from other Boeing-sponsored vendors and your care options and your health benefits. And they’ll
collaborate with BCBSIL Member Services to help answer be there to support you throughout your journey – from
your questions. finding a provider through treatment and beyond.
These nurses can help you better understand a complex Take the Call: It’s Confidential
medical condition, prepare for a surgery, coordinate home
There is no extra cost to you for this special service. Your
health care and much more.
health information and use of the program is kept private.
They also have clinical experience in several specialties, The team’s main purpose is to support you and your family
including transplant, bariatric, maternity and oncology. and help you better manage your health. If a nurse from
If you choose to work with a Primary Nurse, they will be the program calls you, please take the call.
dedicated to you. They can help answer questions and
address your health concerns. Your Primary Nurse will: * The Primary Nurse program is not a substitute for the sound medical
advice of your physician. If you have any questions or concerns
• Answer questions you may have about a diagnosed regarding your health, please contact a medical professional.
medical condition.
16Behavioral Health
Feeling Worried? Sad? Anxious? Learn to Live
With help, you can start to feel better. See how much better life can feel with digital mental
Most people have times when they don’t feel their best. health programs from Learn to Live**.
But when negative feelings get in the way of normal You can learn new skills to break old patterns that may be
activities or last a long time, you may need extra support. holding you back. Digital mental health programs from
The good news is there is support and treatment available. Learn to Live can help you get your mental health on track
With help, distressing feelings and symptoms can be so you can feel better and enjoy life more.
resolved so that you can live your best life. The program is available 24/7 by text, email and phone for
Your health care plan includes behavioral health benefits participants age 13+. An online assessment helps pinpoint
so you and your covered family members can get the help the right programs for you, such as:
you may need for issues such as: • Stress, anxiety and worry • Social anxiety
• Alcohol and substance use disorder • Depression • Substance use
• Anxiety and panic disorders • Insomnia
• Attention deficit disorders
Need More Help?
• Autism spectrum disorder
To find a behavioral health provider in your area, go to
• Bipolar disorder www.bcbsil.com/boeing. Or call Boeing Member
• Depression Services at 888-802-8776. Our advocates are available
• Eating disorders Monday through Friday, 5 a.m. to 5 p.m. PT (8 a.m. to
8 p.m. ET and 7 a.m. to 7 p.m. CT). They can help you find
• Schizophrenia and other mental health conditions aprovider and/or help with scheduling an appointment.
You can also call Member Services to be connected to one
Most people know someone who is dealing of our Behavioral Health professionals on the Boeing Care
with a behavioral health issue. Seeking Management team at BCBSIL who can assist with locating
help is a sign of strength and a first step in a provider who meets your needs.
getting better.
* Beacon Health Options is an independent company that administers
Boeing Employee Assistance Program the Boeing Employee Assistance Program and Solutions for Living
program, as well as its website at www.achievesolutions.net.
The Boeing Employee Assistance Program and Solutions Beacon Health Options contracts directly with Boeing and does not
provide Blue Cross and Blue Shield of Illinois products or services.
for Living* program is confidential. Employees and their Beacon Health is solely responsible for the products and services it offers.
families have access to counseling professionals for **Learn to Live provides educational behavioral health programs;
members considering further medical treatment should consult with a
help with personal, family or workplace issues (up to six physician. Learn to Live, Inc. is an independent company that provides
counseling sessions per member, per issue, per year) at online behavioral health programs and tools for members with coverage
through Blue Cross and Blue Shield of Illinois.
no cost. The program also offers access to free legal and
financial advice, and provides referrals for a variety
of services — like eldercare and childcare. Visit
www.achievesolutions.net/boeing for more
information.
Member communications and information from the program are not
meant to replace the advice of health care professionals. Members are
encouraged to seek the advice of their doctors or behavioral health
specialist to discuss their health care needs. Decisions regarding
course and place of treatment remain with the member and his or her
health care providers.
17Prepare for Your Life-Changing Journey
Women’s and Family Health Pregnancy Plus, if your pregnancy is high-risk, BCBSIL will provide
and Parenting Support support from one of our experienced maternity nurses to
help you care for yourself and your baby. To connect with
Whether you are pregnant or planning to get pregnant,
a maternity nurse on the Boeing-dedicated Clinical Team,
you should prepare as much as you can. BCBSIL has tools
call 888-802-8776, Monday through Friday, 5 a.m. to 5
to help you – at no extra cost to you.
p.m. PT (8 a.m. to 8 p.m. ET and 7 a.m. to 7 p.m. CT).
Ovia HealthTM†
Apps are for tracking your cycle, pregnancy and baby’s † Ovia Health is an independent company that provides maternity and
family benefits solutions for Blue Cross and Blue Shield of Illinois.
growth. The apps are available in English and Spanish*, * To access the Spanish version of the Ovia Fertility, Ovia Pregnancy
and provide videos, tips, coaching and more. and Ovia Parenting apps, you must select “Español” as the language
preference in your mobile phone or device settings.
• Ovia Fertility: Track your cycle and predict when you are
more likely to get pregnant.
• Ovia Pregnancy: Monitor your pregnancy and baby’s Download any of the Ovia Health apps
growth week by week leading up to your baby’s due from the Apple App Store or Google Play.
date. During sign-up, make sure to choose
“I have Ovia Health as a benefit.” Then
• Ovia Parenting: Keep up with your child’s growth and
select BCBSIL as your health plan and
milestones from birth through three years old.
enter your employer name (optional).
1824/7 Nurseline: Around-the-Clock, Toll-Free Support
Health happens — good or bad, 24 hours a
day, seven days a week. That is why we
have registered nurses waiting to talk to
you whenever you call our 24/7 Nurseline
at 800-765-7298.
Our nurses can answer your health questions and try to
help you decide whether you should go to the emergency
room or urgent care center or make an appointment with
your doctor.
You can also call the 24/7 Nurseline whenever you or
your covered family members need answers to health
questions about:
• Asthma, back pain or a chronic health issue
• Dizziness or severe headaches
• Cuts or burns
• A grandchild’s high fever or nonstop crying
• And much more
Plus, when you call, you can access an audio
library of more than 1,000 health topics –
with more than 500 topics available
in Spanish.
Note: For medical emergencies, call 911 or your local
emergency services first. 24/7 Nurseline is not a substitute
for a doctor’s care. Talk to your doctor about any health
questions or concerns.
19Retrain Your Brain
See how much better life can feel with digital mental health programs from Learn to Live.1
More than half of people will struggle with a mental
health concern at some point in their lives.2 But you
can learn new skills to break old patterns that may be
Find out where you may need support
holding you back. Digital mental health programs from An online assessment helps pinpoint the right
Learn to Live can help you get your mental health on programs for you, such as:
track so you can feel better and enjoy life more. • Stress, anxiety and • Insomnia
worry • Social anxiety
• Depression • Substance use
Learn to Live, Inc. is an independent company that provides online behavioral health programs
and tools for members with coverage through Blue Cross and Blue Shield of Illinois.
BCBSIL makes no endorsement, representations or warranties regarding third-party
vendors and the products and services offered by them.
20Get a mental health tune-up — online
Learn to adjust unhelpful thoughts and control your moods
Explore quick and easy lessons whenever it fits your schedule. A little homework between sessions
helps you keep up your progress. Activities are based on therapy techniques with a track record of
helping people get better.
An expert coach can guide you
If you need one-on-one support to reach your goals, connect with a coach by phone, text or email.
They’ll lift you up, cheer you on and help you master your new skills.
Your personal details are private
Just like with face-to-face therapy, your personal results, program progress and messages with your
coach will not be shared with your employer.
Check out the programs
included at no added cost
through your Blue Cross and
Blue Shield of Illinois plan:
1. Log in at www.bcbsil.com/boeing.
2. Click Wellness.
3. Choose Digital Mental Health.
1. Learn to Live provides educational behavioral health programs; members considering further medical treatment should consult with a physician.
2. https://www.cdc.gov/mentalhealth/learn/index.htm
21Fitness Program
Focus on Fitness Features
The Fitness Program gives you flexible options to help you • Mobile App: Allows members to access location search,
live a healthy lifestyle and gives you access to a nationwide studio class registration, location check-in and activity history.
network of fitness locations. Choose one location close to • Real-time Data: Provided to the mobile app and Well
home and one near work, or visit locations while traveling.* onTarget portals.
Flexible Gym Network: A choice of gym networks to fit • Complementary and Alternative Medicine (CAM)
your budget and preferences. Discounts Through the Whole Health Living Choices
Program: Save money through a nationwidenetwork
Options
Digital
Base Core Power Elite
of 40,000 health and well-being providers, such as
Only acupuncturists, massage therapists and personal
Monthly trainers. To take advantage of these discounts, register
$10 $19 $29 $39 $99
Fee** at whlchoices.com.
Digital • Blue PointsSM: Get 2,500 points for joining the Fitness
Gym Facility
Access 3,000 7,500 12,000 12,400 Program. Earn additional points for weekly visits. You
Network Size†
Only can redeem points for apparel, books, electronics, health
$19 Initiation Fee (No Initiative Fee for Digital Only) and personal care items, music and sporting goods.***
• Studio Class Network: Boutique-style classes and specialty • Web Resources: You can go online to find fitness
gyms with pay-as-you-go option and 30 percent off every locations and track your visits.
10th class.
Digital Fitness
• Family Friendly: Expands gym network access to your
covered dependents at a bundled price discount. Enjoy Prime Live workouts designed for all skill levels. With
• Convenient Payment: Monthly fees are paid via automatic 24/7 access to On-Demand videos, and new Live classes
credit card or bank account withdrawals. added each week, you have the flexibility to choose when
†
epresents possible network locations. Check local listings for exact network options as some
R and where to work out.
locations may not participate. Network locations are subject to change without notice.
• LesMillsTM: Get access to LesMills exclusive On-Demand
It’s easy to sign up: workouts led by world-class instructors to motivate and
1. Go to www.bcbsil.com/boeing and log in to Blue push you each step of the way. Choose from full body
Access for Members. weight workouts, martial arts inspired classes, new
2. Click Wellness and scroll to Fitness Program. generation yoga, high intensity classes and more.
Prefer to sign up by phone or have questions about • BurnAlong: Feel the burn with BurnAlong. Access
the Fitness Program? Just call the toll-free number thousands of workouts and live classes including cardio,
888-762-BLUE (2583) Monday through Friday from 5 a.m bootcamps, barre, nutrition, yoga, and even stress
to 5 p.m. PT (8 a.m. to 8 p.m. ET and 7 a.m. to 7 p.m. CT). management and insomnia support.
*Individuals must be 18 years old to purchase a membership. Dependents, 16-17 years old, can join but must be accompanied to the location by a parent/guardian who is also a Fitness Program
member. Check your preferred location to see their membership age policy. Underage dependents can login and join through the primary member’s account as an “additional member.”
**Taxes may apply. Individuals must be at least 18 years old to purchase a membership.
***Member agrees to comply with all applicable federal, state and local laws, including making all disclosures and paying all taxes with respect to their receipt of any reward.
The Fitness Program is provided by Tivity HealthTM, an independent contractor that administers the Prime Network of fitness locations. The Prime Network is made up of independently owned
and operated fitness locations.
The WholeHealth Living Choices program is administered by Tivity Health Services, LLC. This is NOT insurance. Some of the services offered through this program may be covered by a health
plan. The relationship between these vendors and Blue Cross and Blue Shield of Illinois is that of independent contractors.
LesMills is an independent company that has contracted with Blue Cross and Blue Shield of Illinois to provide digital fitness for members with coverage through BCBSIL.
BurnAlong is an independent company that has contracted with Blue Cross and Blue Shield of Illinois to provide digital fitness for members with coverage through BCBSIL.
Blue Points Program Rules are subject to change without prior notice. See the Program Rules on the Well onTarget Member Wellness Portal at wellontarget.com for further information.
The Well onTarget member rewards redemption service is provided by an independent third party.
BCBSIL makes no endorsement, representations or warranties regarding third-party vendors and the products and services offered by them.
22Digital Health Benefits
Livongo — Digital Diabetes Management
Livongo® for Diabetes is a health benefit that combines advanced technology with coaching to support Boeing members
with diabetes. All at no cost to you!
Who is Eligible?
• Employees enrolled in a Boeing-sponsored health plan option administered by Blue Cross and Blue Shield of Illinois
• Their non-Medicare-eligible spouses or domestic partners, if applicable
• Dependents who also are enrolled in the employee’s health plan.
Sign-Up and Receive:
• Connected Meter: Automatically uploads your blood glucose readings to your secure online account and provides
real-time personalized tips.
• Support when you need it. Ask expert coaches your questions on nutrition, medications, or anything else related to
your health.
• Unlimited strips at no cost to you. Get more strips and lancets whenever you need them, sent right to your door.
• 5-Day Challenges. Fun mini challenges help spark new habits around food, exercise, sleep, stress, and more.
Go to www.join.livongo.com/BOEING.
Hinge Health — Digital Musculoskeletal (MSK) Program
Hinge Health offers a digital MSK program with at-home exercise therapy programs for back, knee, hip, shoulder and
neck pain. Get digital support from a care team that includes doctors, physical therapists and health coaches. All at no
cost to you!
Who is Eligible?
Active employees, early retirees, and their dependents, enrolled in a Blue Cross and Blue Shield of Illinois (BCBSIL)
medical plan.
Sign-Up and Receive:
• A tablet and wearable sensors at no cost to you.
• Personalized exercise therapy, done in 10 to 15-minute sessions.
• Unlimited 1-on-1 health coaching via text, email or phone.
• Interactive education, teaching you how to manage your specific condition, treatment options and more.
Learn more at www.hingehealth.com/boeingstretch.
Livongo and Hinge Health are independent companies that have contracted with Blue Cross and Blue Shield of Illinois to provide condition
management programs for members with coverage through BCBSIL. BCBSIL makes no endorsement, representations or warranties regarding
third-party vendors and the products and services offered by them.
23Other Boeing Benefits
In addition to the medical coverage
provided through BCBSIL, you may
also receive coverage for specialized
services through vendors with whom
Boeing has contracted, as described
in this section. Specific offerings may
depend on employment status, union
agreements and other factors.
The benefits described in this section
are not administered by BCBSIL. The
vendors mentioned are independent
companies that do not provide
BCBSIL products or services. These
vendors are solely responsible for the
products and services described.
24WINFertility
The journey to parenthood isn't always easy. If you need
assistance starting your family, WINFertility is here to help.
WIN will help you better understand your options so you
can maximize your fertility benefit and choose the best
course of treatment. More importantly, WIN knows this
can be an extremely stressful and emotional time. They
provide personalized guidance and support to help you
select the right provider and work with pharmacies for
coordination of care throughout treatment.
WINFertility Program Benefits
Nurse Care Managers are available 24/7/365 to answer
your questions and provide education on: Get the App
• Infertility – causes, testing and diagnosis Download the WINFertility Companion mobile app to take
• Treatment – options, success rates and potential risks advantage of your benefits on the go. WIN's mobile app
• Help with provider selection allows you to:
• Understanding your benefits
• Speak with a Nurse Care Manager by phone, text or
email
• Medications – usage, storage and side effects
• Privately track multiple family-related activities
• Pathology and laboratory services including hormonal
blood tests, semen analysis, ultrasound, fertilization,
• Set calendar reminders for doctor appointments and
embryology, egg retrieval and embryo transfer other medical events
• Get discreet alerts for ovulation tracking
BCBSIL Fertility Benefit
Use employer code BOE22 when creating or updating an
Eligible employees and their covered dependents are account on the mobile opp. Enter the name that you used
provided six combined cycles of Ovulation Induction when you registered for your health plan (i.e., legal name,
(Intrauterine Insemination "IUI" Cycles or Timed not nickname).
Intercourse Cycles) and 2 cycles of In Vitro Fertilization
"IVF" Oocyte retrievals. The limit applies toward certain Learn more by calling 833-439-1513 or visit the website at
medical costs related to fertility treatments, artificial https://managed.winfertility.com/boeing.
insemination cycles (natural and clomid/letrozole cycles),
and medically necessary cryo-preservation with one year WINFertility is an independent company that contracts directly with
Boeing to provide fertility benefit services to employees and their
storage. Specific benefit exclusions may apply. Contact covered dependents who participate in a Boeing-sponsored medical
WIN for benefit details. The BCBSIL medical plan also plan administered by BCBSIL.
covers medications in support of the medical benefit limit. WINFertility does not provide BCBSIL products and services and is
solely responsible for the products and services it offers.
Getting Started BCBSIL makes no endorsement, representations or warranties
regarding third-party vendors.
Begin the prior authorization process by calling
WINFertility at 833-439-1513 before initiation of medical
services for family building. It is recommended you verify
provider network status and cost information with BCBSIL
Member Services prior to initiating services.
25You can also read
