2022 Member Guide - BlueOption SC

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Focus on life. Focus on health. Stay focused.2022 Member GuidePlease note: There should be a white line on top and bottom of this patternstrip the same width as the white lines in the graphic when used on a colorbackground or photo. They are present in this vector image.BlueChoice HealthPlan of South Carolina is an independent licensee of the Blue Cross Blue Shield Association.

Welcometo BlueChoicePlease note:There shouldbe a white line onHealthPlantop and bottom of this patternis your Blue Option Member Guide. It outlines your benefits and covered services. The first section coversstrip theThissamewidth as the white lines in the graphic when used on a colorimportant topics for you to know. If you need more detailed information about a topic, please read the expandedbackgroundor photo. They are present in this vector image.information in the back of the guide.How to Contact Us:Icons 2018 Icons - 2018CumulativeWe know this is a lot of information and you may have questions. We are here to help you! If you can’t find whatyou’re looking for by visiting www.BlueOptionSC.com, need more information or have any questions related toyour Blue Option plan, please contact us.QuickBillBilling Department866-569-59338:30 a.m. 5 p.m.Monday FridayBasesNewsMailBlueChoice HealthPlanP.O. Box 6170Columbia, SC 29260-6170Physician’sOffice ManualMember Services855-816-76368:30 a.m. – 5 p.m.Monday – FridayTTY Services711 (855-816-7636)Store LocationsFor your convenience, we have South Carolina BLUESM retail centers around the state to help with your healthinsurance questions. Stop by one of our locations between 9 a.m. – 5:30 p.m., Monday – Friday. Saturdays are byLaboratoryappointmentonly. Learning lle1025 Woodruff Road, Suite A105Greenville, SC 29607-4113864-286-2285CenterBenefits MgmtColumbia1260 Bower Parkway, Suite A4Columbia, SC 29212803-264-9000Mount PleasantTown Centre Place1795 North Highway 17, Unit 7Mount Pleasant, SC 29464843-216-7760

Table of ContentsImportant Things to Do . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2If You Need a Prescription . . . . . . . . . . . . . . . . . . . . . . . . . . 26ID Card . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2What Is a Covered Drug? . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26Your ID Card is Digital, Too . . . . . . . . . . . . . . . . . . . . . . . . . . . 2How We Cover Drugs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26Selecting a Primary Care Physician . . . . . . . . . . . . . . . . . . . . . 2Pharmacy Network . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27Do You Know All That’s Available To You? . . . . . . . . . . . . . . 3Can Drugs That Are Covered Change? . . . . . . . . . . . . . . . . 28Save Time and Money . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3What if My Drug Is Not Covered? . . . . . . . . . . . . . . . . . . . . . 28The Blue Option Network . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4For More Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28Continuation of Care . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4If You Need Emergency Care . . . . . . . . . . . . . . . . . . . . . . . . 29Transition of Care . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5If You Need Care Away From Home . . . . . . . . . . . . . . . . . . . 29Online Resources . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6If You Need to See a Specialist, Get BehavioralHealth Care Services or Hospitalizations . . . . . . . . . . . . . . . 29My Health Toolkit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 Get Our Texts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7Doctor Visits Anytime, Anywhere . . . . . . . . . . . . . . . . . . . . . . 8Value Added Benefits and Services . . . . . . . . . . . . . . . . . . . 10My Life Consult . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10Blue365 Discounts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10When Is an Emergency Not an Emergency? . . . . . . . . . . . . 30HIPAA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31Rights and Responsibilities . . . . . . . . . . . . . . . . . . . . . . . . . 32Authorization to Disclose Form . . . . . . . . . . . . . . . . . . . . . . 33Notice of Privacy Policies . . . . . . . . . . . . . . . . . . . . . . . . . . . 35Vision . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10Policies and Procedures . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35Preventive Dental . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12Administering Benefits for Appropriate Services . . . . . . . . 35Dental Reimbursement Form . . . . . . . . . . . . . . . . . . . . . . . . 13Appeals and External Review Procedures . . . . . . . . . . . . . . 35FOCUSfwd Wellness Incentive Program . . . . . . . . . . . . . . . 14Covering New Technology . . . . . . . . . . . . . . . . . . . . . . . . . . . 36FOCUSfwd App . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14Privacy Practices . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37Personal Health Assessment . . . . . . . . . . . . . . . . . . . . . . . . . 15Authorization to Disclose Protected Health Information . . 37GET FIT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16Questions and Concerns . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37Device Integration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17Subrogation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37My Diabetes Discount Program . . . . . . . . . . . . . . . . . . . . . . 19Health Management Programs . . . . . . . . . . . . . . . . . . . . . . . 20Great Expectations for Weight Management . . . . . . . . . . . 21Behavioral Health Coverage . . . . . . . . . . . . . . . . . . . . . . . . . 21Payment and Billing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22How Your Plan Works . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23What We Pay For . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23Notice of Our Privacy Policies and Practices . . . . . . . . . . . 39Notice of Privacy Practices . . . . . . . . . . . . . . . . . . . . . . . . . 41Change Request Form . . . . . . . . . . . . . . . . . . . . . . . . . . . . 45Glossary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 47SC Guaranty Association Act Notice . . . . . . . . . . . . . . . . . 50Non-Discrimination Statement andForeign Language Access . . . . . . . . . . . . . . . . . . . . . . . . . 52What We Do Not Pay For . . . . . . . . . . . . . . . . . . . . . . . . . . 24Services and Supplies We Don’t Cover . . . . . . . . . . . . . . . . 241

Important Things to DoID CardKeep your member ID card with you at all times. If you’re a newmember, you will receive your ID card in a separate mailing. If youhave purchased an individual Blue Option plan, you will receive oneID card. If you have purchased a family Blue Option plan, you willreceive two cards. The two cards will include the subscriber’s name,but all covered family members can use them. Your ID card is specificto your health plan. Once you receive the card, you can begin using itthe first day your plan is effective. Please see your bill for your effectivedate. Whenever you need medical care, be sure to show your ID card to the health care provider.Your ID Card Is Digital, TooYou can access your digital ID card anytime, anywhere from your computer or mobile device.Advantages of your digital ID cardYour digital ID card is identical to your physical card. It contains your member ID number and other coverage detailsunique to you. Unlike your physical card, you don’t have to worry about losing it or ordering duplicate copies foryour family. Your ID card will auto-download to your smartphone after your first log in to the My Health Toolkitapp. This way you can access it in case you are somewhere that has limited to no service. See page 7 for additionalinformation about the My Health Toolkit app.You can easily: View your card on your smartphone, tablet or computer. Email your card to your spouse, children, doctor’s office or pharmacy.SUBSCRIBER’S FIRST NAMESUBSCRIBER’S LAST NAMEMember IDZCL00000000 Print your card at home from your smartphone or computer. Use the printed cardjust like your physical card.PLANPLAN CODERxBINRxGRPPPO380.04021684CHCHealth BenefitsPediatric VisionComprehensive Dentalwww.BlueChoiceSC.comSUBSCRIBER’S FIRST NAMESUBSCRIBER’S LAST NAMEMember IDZCJ00000000Blue Option NetworkPLAN CODERxBINRxGRPHealth Benefits380.04021684CHCwww.BlueOptionSC.comOut of State OnlyHow to access your digital ID cardGo to www.BlueOptionSC.com and log in to your My Health Toolkit account: On your computer: Under the Insurance Card section on the left, select View Your Card.BLUECHOICE HEALTHPLANZCL00000000 On your mobile device: Select ID Card from the mainmenu.Jan 1, 2022 - Jan 1, 2023Don’t discard your physical ID card. Some doctors may still want a copy of it forBLUECHOICE HEALTHPLANBZCJ00000000ZJan 1, 2022 - Jan 1, 2023their records.Selecting a Primary Care PhysicianAlthough you are not required to have a primary care physician (PCP), we strongly encourage you to select one.Your plan offers a network of doctors, hospitals and other health care providers. Once you have selected a PCPfrom the Blue Option network, call his or her office to schedule an appointment for your routine checkup.2

Do You Know All That’s Available To You? All-inclusive, comprehensive copayment that covers all services at a participating provider’s office, such as labs,X-rays, surgical procedures and more!– Ensure laboratories are in network by using the Find Care tool on BlueOptionSC.com– Does not apply to high deductible (HD) plans Access to a board-certified physician anytime, anywhere with Blue CareOnDemandSM. See page 8. Routine adult and pediatric vision coverage. See pages 10 – 11. Dental allowance for exams and cleanings. See page 12. More rewards with FOCUSfwd Wellness Incentive Program. See page 14. Doctors Care visits for the same cost as primary care visits, saving members money when an ER visit is unnecessary.VISIT TYPEEXAMPLE OF OUT-OF-POCKET COSTS*Doctors Care, Primary Care Physician or Blue CareOnDemand 45Emergency Room 500 copayment, then 20% after deductibleSMSave Time and Money Large network of doctors, hospitals, specialists, pharmacies and other health care providers No claim forms or referrals needed for in-network specialists Preventive screenings at NO cost to you 0 cost on immunizations, such as flu vaccines Health management programs to help keep you and your family healthy Convenient online bill payment and online access to plan documents Help with services, including financial counseling and planning, college consultation resources, and legalconsultations and documents More lab choices for more savings and less out-of-pocket costs for you Discounts at chiropractors, massage therapists, dietitians and acupuncturists through our ChooseHealthy program Discounts on fitness memberships, wellness products, cosmetic services and more Partnerships with free-standing imaging centers and ambulatory surgical centers that allow us to pass significantsavings on to youEXAMPLEFACILITY FEE*You use a free-standing ambulatory surgical center. 200You use the hospital or an outpatient facility affiliated with a hospital.Deductible, then 30%*Benefits vary. Please check your Schedule of Benefits.3

The Blue Option NetworkRemember to bring your member ID card with you each time you visit your PCP.Your network is the Blue Option network. This is an exclusive provider organization (EPO). This means you must getyour health care services from providers in this network. Since the majority of providers in the Blue Option network arelocated in South Carolina, please call the number on the back of your ID card before visiting an out-of-state providerto verify they are an in-network provider. If you go to a provider that is out of network, you will have to pay the entirecost of those services unless it’s a true medical emergency. If you are not currently a patient of the physician youchoose, please call his or her office to make sure the physician is accepting new patients. We require all PCPs in ournetwork to have 24-hour telephone service and another physician on call if they are unavailable.You can access the full listing of doctors, hospitals and other health providers, including PCPs, in the Blue Optionnetwork by visiting www.BlueOptionSC.com/FindCare. You can call, write or email us to request a full directorywith this information. You can also get professional qualifications of network providers by calling MemberServices. The directory also includes professional qualifications of practitioners, such as medical school attended,residency completed and board certification status. If your current doctor is not in the Blue Option network andyou are in a treatment plan that began before your effective date, you can use the Transition of Care form.Continuation of CareIf benefits under the Blue Option policy are no longer covered due to a change in a provider’s terms ofparticipation in the network, such as a network provider’s contract ends or is not renewed for any reason otherthan fraud or failure to meet specified quality standards, including suspension or revocation of the provider’slicense, and you are a continuing care patient of the provider at the time, you may be eligible to continue toreceive network benefits for that provider’s services for a limited period of time. We will attempt to notify youif and when these situations arise with your providers, and we’ll explain your right to elect continued networkcoverage, but such continued network coverage is not automatic. Please contact us or have your provider contactus in order to receive this continued network coverage.We recommend you use a Transition of Care form for this request. This form can be found at www.BlueOptionSC.comor you can call the Member Service phone number on your BlueChoice ID card. Your treating physician shouldinclude a statement confirming that you have a serious medical condition. Upon receipt of your request, we willconfirm the last date the provider is part of our network and a summary of continuation of care requirements. Ifadditional information is necessary, we may contact you or the provider.If you qualify for continued in-network status, we will provide in-network benefits for that provider for 90 days oruntil the end of the benefit period, whichever is greater. During this time, the provider will accept the BlueChoiceNetwork allowance as payment in full. Such continued network status is subject to all other terms and conditionsof the policy, including regular benefit limits.4

Transition of CareYou need to get approval for this short-term benefit. With transition of care, you can get in-network healthcare benefits from out-of-network providers. You work with your PCP to get continued, ongoing care. It shouldnot replace the normal benefits you receive from us. You must submit the request in writing. The Transition ofCare form can be found on our website in the Forms section. Please fill out the form completely, including theauthorization to release information, and mail both forms to the address listed on the form.Access the full listing of doctors, hospitals and other health providers, including PCPs,in the Blue Option network by visiting www.BlueOptionSC.com/FindCare.5

Online ResourcesWhen you have questions about your Blue Option plan, visit www.BlueOptionSC.com to find the answers. You’ll finda wealth of information immediately — on your schedule. Find in-network doctors and hospitals, prescription druginformation, and the many discounts and added values you get just for being a Blue Option member! You can alsoquickly and easily download forms you need in the Members section. Once in the Members section, select Forms.Choose the form you need.We are here to serve you by creating a simpler, more personalized health care experience. That’s why we createdMy Health Toolkit. Visit My Health Toolkit at www.BlueOptionSC.com to help you better manage benefits,treatment and wellness.6

My Health Toolkit10You can use My Health Toolkit to see if your plan covers a specific procedure,get more information about your health benefits, check the status of a claim, andentries!more. If you don’t have an account, it just takes a few minutes to create one.Once you’ve created your account, be sure to select your contact preferencesfor My Health Toolkitregistrationunder My Profile to tell us how you want to receive our communications.What’s Included?In the Resources section, you can:In the Benefits section, you can find:In the Health and Wellness section, Find doctors, hospitals, dentists Prescription information.for desktop and tablet users and Eligibility and benefits.Benefits for mobile users, helpful My Health Noveltools include:and other health care providers. Rate your visit with a provider.SM FOCUSfwd Wellness Incentive Access Blue365 Discount Program.Programs. (Page 10) Health Coaching Activity Center.Download the My Health Toolkit Mobile App Today!Your insurance benefits are with you wherever you go and whenever you need them.With the app, you can:SUBSCRIBER’S FIRST NAMESUBSCRIBER’S LAST NAMEMember IDZCL00000000 View and share your digital ID card. Find an in-network doctor or hospital. Quickly check the status of your claims. Update your contact information.PLANPLAN CODERxBINRxGRPPPO380.04021684CHCHealth BenefitsPediatric VisionComprehensive Dentalwww.BlueChoiceSC.comSUBSCRIBER’S FIRST NAMESUBSCRIBER’S LAST NAMEMember IDZCJ00000000Blue Option NetworkPLAN CODERxBINRxGRPHealth .comPLANPLANwwwOut of State Only See what’s covered by your health plan.– If you need to make additional changes, please submit a changeBLUECHOICErequestform (page 45).HEALTHPLANBLUECHOICE HEALTHPLANBLUECurrent My Health Toolkit users can log in to the app with theirZCL00000000existing usernameZCJ00000000ZCJ0and password.Jan 1, 2022 - Jan 1, 2023Jan 1Jan 1, 2022 - Jan 1, 2023New My Health Toolkit users can register through the app. Visit the App Store or Google Playand download today.Get Our Texts!Get important information delivered to your smartphonewhen you sign up for our text messages: Keys to using your coverage Health and wellness reminders Ways you can save. and more!To get started, simply call 844-206-0622. Please have yourmember ID card ready.5entries!when you sign up to receivetext messages7

Doctor Visits Anytime, AnywhereAll you need is your computer, tablet or smartphone to see a doctoranytime, day or night. During your video visit, the doctor will askquestions, answer questions, diagnose your symptoms and, ifappropriate, call in a prescription to a nearby pharmacy.What Types of Conditions Can Doctors Treat? Cold and flu symptoms Allergies Bronchitis and other respiratory infections Migraine Sinus infections Rashes and other skin irritations Pinkeye Urinary tract infections Ear infections Mental health and breastfeeding support servicesWhen Should You Use Video Visits? You need to see a doctor but can’t fit it into your schedule. You have children at home and don’t want to bring them. Your doctor’s office is closed. You’re on business travel and stuck in a hotel room. You feel too sick to drive. You feel uncomfortable going to a doctor’s office.Get Started Now!There are two easy ways to use Blue CareOnDemand: From your computer, go to www.BlueCareOnDemandSC.com. From your mobile phone or tablet, download the Blue CareOnDemand app foryour Apple or Android device.Don’t wait until you’re sick. Create your account now so it’s ready when you need it.85entries!for BlueCareOnDemandregistration

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Value-Added Benefits and ServicesMy Life ConsultSMEveryone needs some advice from time to time. That’s why My Life Consult offers you and those in yourhousehold a total of three free life management sessions to help you tackle some of life’s most challengingdecisions. Here are some of the services that are available: Financial counseling and planning Legal consultations and documents Adult care resources Child care resources College consultation resources Parenting/adoption resourcesMy Life Consult services are offered through First Sun. Because First Sun is a separate company fromBlueChoice , First Sun is solely responsible for all services related to individual assistance programs.Blue365 Discount ProgramsAs a Blue Option member, you get discounts on many items: Blue365 — exclusive access to health and wellness Jenny Craig information, discounts and savings from industry- Bosley leading brands Discounts at a variety of fitness centersJenny Craig and Bosley are independent companies that offer program discounts to BlueChoice HealthPlan members.VisionAll Blue Option plans include our routine pediatric and adult vision coverage through an independent company,Physicians Eyecare Network (PEN). PEN provides vision services through the Physician Eyecare Plan (PEP) onbehalf of BlueChoice HealthPlan.You have access to these top retail providers, including Walmart Vision Center, Pearle Vision , Sam’s Club Optical,LensCrafters , Target Optical , JCPenney Optical, Eyeglass World and America’s Best Contacts & Eyeglasses .You can also use your material allowance online at www.PEPOptical.com to purchase glasses and/or contactlenses and have them shipped free directly to your door. Be sure to use coupon code BLUEOPTION5 to receive5 percent off of your purchase.**Discount code cannot be combined with other discount codes.10

Pediatric Vision Care**For children (ages 0 18), this includes: 15 copayment for one annual routine eye exam. 49 copayment for one standard contact lens fitting or 15 percent discount off the provider’s nonstandard contactlens fitting fee per benefit year.* 150 material allowance with a 25 copayment every benefit year for glasses and contacts that can be spent onframes, lens and lens upgrades with no limits on frame or lens selection. Discounts of 20 percent on glasses and 15 percent on contacts on any amounts spent over the materialallowance (at most providers). If using an out-of-network provider, up to 40 will be allowed toward the routine eye exam and up to 65 percent ofthe material allowance that is used, less material copayment. You will need to file your own claim when visiting anout-of-network provider.Please note for pediatric vision, you must visit an in-network provider to receive this benefit. Costs incurredfrom these services count toward maximum out-of-pocket (MOOP) expenses. These benefits are essential.***For dependent children until the age of 18. Adult vision care begins on the first day of the month following their 19th birthday.** Essential benefit: A set of 10 categories of services health insurance plans must cover under the Affordable Care Act. These include doctors’ services, inpatient andoutpatient hospital care, prescription drug coverage, pregnancy and childbirth, mental health services, and more.Adult Vision CareFor adults (ages 19 and over), this includes: 0 copayment for one annual routine eye exam. 49 copayment for one standard contact lens fitting or 15 percent discount off the provider’s nonstandard contact lensfitting fee per benefit year. 150 material allowance with 0 copayment every benefit year for glasses and contacts that can be spent onframes, lenses and lens upgrades with no limits on frame or lens selection. Discounts of 20 percent on glasses and 15 percent on contacts on any amounts spent over the materialallowance (at most providers). I f using an out-of-network provider, up to 40 will be allowed toward the routine eye exam and up to 65 percent ofthe material allowance that is used, less material copayment. You will need to file your own claim when visiting anout-of-network provider.Please note that you must visit an in-network provider to receive this benefit. Costs incurred from these servicesdo not count toward MOOP expenses. Consult your PEP Provider for information on discounts for which you maybe eligible if you exceed the material allowance. These benefits are nonessential.*See the glossary on pages 47 and 48 for a definition of MOOP and other health insurance terms. To locate anin-network eye doctor, please go to www.BlueOptionSC.com/FindCare and click the Vision Care Providerslink to search for a network provider for routine vision.* Nonessential benefit: Any benefit provided that is not considered an essential health benefit is a nonessential benefit.11

Dental CareStart smiling, because our plans include a reimbursement for preventive care, which includes exams and cleaningsfrom a licensed South Carolina dentist.For Adults (Ages 20 ) and Children (Ages 19 and Under): One exam every six months: 50 allowance for initial/ 50 allowance for periodic One cleaning every six months: 50 allowanceYou will be responsible for paying any additional balance above what we cover. You will need to submit a dentalreimbursement form with a bill or receipt from the dentist to BlueChoice for reimbursement.For example, if your dentist charges you 130 for an initial cleaning and exam, you will pay your dentist 130 atthe time of service. We will reimburse you 100 once we receive your reimbursement form.Please note: You can visit any South Carolina licensed dentist. Costs incurred from these services do not counttoward MOOP expenses.To locate a dentist, please visit www.BlueOptionSC.com/FindCare.12

Dental Reimbursement FormPatient’s Name:Sex:M MaleM FemalePatient’s Birthdate: / /MM DDYYPatient’s Relationship to Insured:M SelfM SpouseM ChildM OtherInsured’s Name:Insured’s ID Number:Patient’s Address (No., Street):City:State:ZIP Code:Telephone: (MMDate(s) of ServiceFrom:To:DD YYMMDDYY)AmountPaidDescription of Item or ServiceProcedureCodeProvider’s Name:Provider’s Address (No., Street):City:State:ZIP Code:Telephone: ()PleasePlease submitsubmit aa billbill oror receiptreceipt withwith thethe provider’sprovider’s namename andand address.address. Include a complete description of services provided.Claims Address:BlueChoice HealthPlanClaims DepartmentP.O. Box 6170Columbia, SC 29260-6170You have three months from the date of service to submit this form.99835-3-201813

FOCUSfwd Wellness Incentive ProgramThe FOCUSfwd Wellness Incentive Program is designed to help youlead a healthier lifestyle. Complete our FOCUS Points, GET FIT andNutrition programs and receive 80 in rewards. Plus increase yourchances of winning one of the 1,000 quarterly and 5,000 annual cash rewards in our Sweepstakes!FOCUS Points*Get a 25 cash reward and 10 entries into the Sweepstakes when you complete your PersonalHealth Assessment. Plus get an additional 25 cash reward and 15 entries into the Sweepstakeswhen you complete an annual wellness exam, and preventive screening or flu vaccine, for a total of 50 in cash rewards and 25 entries!GET FIT*Get up to 20 in gift cards and 25 entries into the Sweepstakes for completing the annual step challenge.Nutrition*Get 10 in gift cards and 25 entries into the Sweepstakes for completing the Nutrition program,which helps you build and maintain healthy eating habits. You’ll also have opportunities to win amulticooker, blender or food processor.SweepstakesEarn entries into the Sweepstakes for chances to win one of the 1,000 quarterly and annual 5,000cash rewards by simply signing up for FOCUSfwd and completing any of its programs.Get started:1. Visit www.BlueOptionSC.com.2. Log in to My Health Toolkit.3. Desktop and tablet users: Select the Health and Wellness tab. Mobile users: Select Benefits.4. Select the FOCUSfwd Incentive Program link.5. Enter your email address to be eligible to win.Get the FOCUSfwd AppStay connected to your health and your rewards with the FOCUSfwd app. To get started, access FOCUSfwd fromyour mobile device. Then select Learn More and follow the prompts to download the app and link your account.*These are calendar-year programs and will restart annually.14

Personal Health AssessmentTaking a personal health assessment (PHA) is just one of the many ways you can take steps toward better health.Unfortunately, many chronic health conditions show no warning signs. Your PHA may provide insights on your riskfor developing certain chronic conditions so you can take preventive action and stay focused on the things thatmatter most to you.Your Privacy Is Our PriorityProtecting your personal health information is very important to us. All the answers you give are confidential andprotected by the federal HIPAA laws.You MatterChoices you make every day can impact your health. The PHA can help you identify personal risk factors related to: Nutrition. Health Tobacco Alcoholuse.history.use. Physicalactivity. Biometrics. Currenthealth. Stress10entries!and depression.Instant FeedbackAfter you’ve completed the assessment, you’ll receive: Ten entries into the FOCUSfwd Wellness Incentive Program Sweepstakes. Personalized experiences based on responses to survey questions. Tips and resources for lowering risk factors.for completing yourPersonal HealthAssessmentEasy Access to Your PHAYou can complete your assessment at www.BlueOptionSC.com. Access My Health Toolkit and follow these steps:1. Desktop and tablet users: Select the Health and Wellness t

www.BlueOptionSC.com SUBSCRIBER'S FIRST NAME SUBSCRIBER'S LAST NAME ZCJ00000000 Member ID PLAN CODE RxBIN RxGRP 380.04 021684 CHC Health Benefits Blue Option Network Out of State Only Jan 1, 2022 - Jan 1, 2023 Jan 1, 2022 - Jan 1, 2023 ZCJ00000000 www.BlueChoiceSC.com FIRST NAME LAST NAME ZCL00000000 Member ID PLAN 380.04 Advantage Network .