New BCBSTX Health and Wellness Partner Programs

Exciting news! As of September 1, 2020, several new health partner programs are in effect in collaboration with your Blue Cross and Blue Shield of Texas (BCBSTX) insurance plans. If you are enrolled in the A&M Care, 65 Plus, and J plans, you may be eligible to participate in Hinge Health, Omada, or Livongo.

Hinge Health

If you experience chronic back, hip, or knee pain, you might want to check out Hinge Health. This is a 12-week, coach-led digital musculoskeletal (MSK) program based on proven nonsurgical care guidelines. It is delivered remotely using mobile and wearable technology. Hinge Health is focused on 3 core pillars:

  • Exercise Therapy –Wearable sensors and tablet provided for real-time movements feedback.
  • Behavioral Health – Cognitive behavioral therapy and unlimited 1:1 coaching.
  • Education – Personalized and interactive education curriculum.

Participants go through a clinical screening to determine eligibility. You can submit the screening questionnaire at https://hingehealth.com/ if you are interested in the program. Your eligible Blue Cross and Blue Shield insurance plan will cover the program cost if you are accepted!

Omada

Omada is a digital lifestyle change program to help reduce the risks of type 2 diabetes and heart disease, and hypertension. Omada brings together the individualized attention of professional health coaches with a researched curriculum and manageable but powerful goals.

  • It helps connects the dots between knowing how to get healthy and actually doing it.
  • You get the support and tools you need, including an interactive program, wireless scale, health coach, and more.

Participants go through an application process to determine eligibility. Both the program and shipping are free to you if you are accepted into the program, and enrolled in the above health plans. Visit https://omadahealth.com to take the one-minute risk screener. You are eligible to apply if the screener results indicate a risk – then you can complete the online application.

Livongo

Livongo is a program specifically for those diagnosed with Type I or Type II diabetes or hypertension. You will be contacted by Livongo if you are determined to be eligible for the program. You cannot apply to join the program without being contacted.
The Livongo diabetes program includes:

  • An advanced meter
  • Unlimited strips and lancets
  • 24/7 support from Livongo Expert Coaches

The Livongo hypertension program includes:

  • Free, connected blood pressure monitor
  • Better blood pressure management
  • Personalized support

New Plan Year – New Activities on Your Checklist!

When logging into MyEvive, you and your covered spouse may see up to 11 health and wellness activities on your MyEvive Personalized Checklist (PCL). These may include your annual wellness exam, nationally-recommended preventive screenings, registration in various benefit programs, self-paced wellness courses, and more. They are personalized based on general demographic information and recommendations from the United States Preventive Services Task Force. Some items show up for everyone by default because System Benefits Administration does not receive personal health data to know who may or may not be eligible to participate. You can choose any two activities to complete for the $30 wellness incentive credit for FY22. Credits are applied to the next plan year for tasks completed in the current plan year*.

New activities this plan year include flu shots, nutritional counseling, and preventive skin care exams.

Completing any two steps on your PCL will ensure that you have the lowest rate for your health insurance premium. Be sure to complete these activities by June 30, 2021, and allow some time for processing! Retirees and graduate student employees enrolled in the Graduate Plan already receive the lower premium and do not need to participate. The Blue Cross and Blue Shield-Well onTarget Health Assessment and your annual wellness exam will still count as the alternative to using the MyEvive portal.

*The checklists restarted September 1, 2020. Simply complete two tasks in FY21 for credit in FY22.

Getting Ready for Open Enrollment 2020

Open Enrollment is right around the corner and it is a great time to review your benefits. How often did you go to the dentist this past year? Are you filling maintenance prescriptions that might be cheaper through mail order? Did you complete your two-step wellness incentive tasks? These are questions to consider when thinking about next year’s benefit elections.

IMPORTANT: All Open Enrollment meetings will be virtual this year!

Due to COVID-19, System Benefits Administration has made the decision to conduct virtual open enrollment meetings by Webex Presentations throughout the month of July. A calendar is posted on the Open Enrollment website and below with information on how to attend your virtual Open Enrollment meeting. Please record this information in advance so you are ready to either call in or log into your meeting by computer.

Here are plan updates for September 1:

  1. The A&M Care full-time premiums are remaining the same for the 5th year in a row; however, other plan premiums, including part-time premiums and the graduate student plan premiums, are changing. Please review the premium sheets found on the A&M System Benefits Open Enrollment website.
  2. Family, group, and marriage counseling will now be covered by the A&M Care, J and 65+ health insurance plans.
  3. A new coverage tier is being added to the A&M Care 65 Plus and A&M Care Plans. Blue Cross and Blue Shield of Texas-designated Blue Distinction Centers have a proven record of delivering specialty care and results. Blue Distinction Center care includes the following categories: bariatric surgery, cardiac care, knee/hip replacement, spine surgery, and transplants. This tier will be covered at 90% coinsurance for inpatient services. The benefits of the Blue Distinction Centers are available to 65 PLUS plan members, but there is no plan savings since, in most cases, Blue Cross and Blue Shield pays what Medicare does not pay for inpatient hospitalizations.
  4. Polycarbonate lenses and standard anti-reflective lenses are now covered in full for participants and dependents enrolled in the vision plan.
  5. The vision premium will have a small increase $.60 per month for employee only and $1.72 for employee and family and include the above additional coverage.
  6. Every 6 years, the A&M System Benefits Administration office is required to bid the insurance plans. This year, during the Request for Proposal process, a new Life Insurance carrier was selected. The Hartford will be the new carrier for FY21, however, there will be no plan changes.
  7. The MDLIVE Virtual Visits copay will decrease from $20 to $10 for the A&M Care, J, and 65 Plus plans. Virtual Visits is a way to conduct doctor’s or behavioral health appointments for non-emergency conditions by phone, video, or the MDLIVE app 24/7. To register for MDLIVE, go to MDLIVE.com/bcbstx and enter the information found on your ID card.
  8. Dependent Life Insurance Plan B has been split into Spouse Life B and Child Life B. This change has not changed the coverage amount and slightly lowered the premium for some enrollees. The premium is now: Spouse Plan B – $1.05; Child Plan B – $0.32 (for one or multiple children).
  9. The Healthcare Flexible Spending Account maximum annual election will increase from $2,700 to $2,750.
  10. The credit hour requirements for voluntary graduate students will be changed from 6 to 5 hours. Continuation coverage for the Graduate Student employee Plan (Grad Plan) will be reduced from 6 months to 3 months.
  11. During a recent records audit, we determined there is no provision to name an alternate beneficiary for Dependent Life Insurance. The beneficiary is the employee or retiree, and if deceased as well, the benefit will go to the estate.
  12. Livongo for diabetes and hypertension, Omada for pre-diabetes and pre-hypertension, and Hinge Health for musculoskeletal conditions are being added as Blue Cross and Blue Shield partner programs. These programs are based on eligibility or diagnosis, and include digital tools to assist with these chronic conditions such as a scale or virtual therapy courses. There will be more information provided about these programs after September 1.

 

Virtual Open Enrollment Calendar and Meeting Presentation Schedule

July 1 – July 31

Below you will find the morning, afternoon, and Retiree Meeting presentation schedules. If your campus or agency meeting is shown on the calendar in the AM, use the AM Presentation schedule for reference. You may join the Webex at any time during the meeting to listen to the vendor presentation for which you are most interested. Click the calendar above, and click on your campus or agency name to quickly get to the Webex meeting for your event. You may also drop off the meeting at any time. You will need the Webex information below to dial in. You may also have received this information from your benefits office via email invite. Please record this information ahead of your meeting.

Call-in Information: 1.855.282.6330 (toll free)
Password: benefits

Access Codes:

TAMIU:  145 341 0876
TAMUCC: 145 785 9574
TAMU-HSC: 145 382 8386
TAMU-K: 145 824 7915?
TAMU (7/13): 145 609 6860
TAMU (7/14): 145 315 7150
TAMUS: 145 679 8555
AgriLife: 145 158 5324
TEEX/TFS/TTI: 145 241 9072
TEES/COE: 145 679 3032
Retiree Meeting: 145 623 6773
WTAMU:145 385 2677
PVAMU: 145 500 0676
TAMUSA: 145 440 6709?
TAMUCT/TAMUT: 145 959 8925
TAMUC: 145 261 3887
Tarleton: 145 863 7222

Two-Step Wellness Program Reminder

Two-Step Wellness Program Reminder

When logging into MyEvive, employees and covered spouses may see up to 7 health and wellness activities on their MyEvive Personalized Checklists (PCL). These may include your annual wellness exam, nationally-recommended preventive screenings, registration in various benefit programs, self-paced wellness courses, and more. They are personalized based on general demographic information and recommendations from the United States Preventive Services Task Force. Some items, like Naturally Slim, show up for everyone by default because System Benefits Administration does not receive personal health data to know who may or may not be eligible to participate. You can choose any two activities to complete for the incentive credit for FY21. Credits are applied to the next plan year for tasks completed in the current plan year*.

Completing any two steps on your PCL will ensure that you have the lowest rate for your health insurance premiums. Be sure to complete these activities by August 31, the extended deadline, and allow some time for processing! Retirees and graduate student employees enrolled in the Graduate Plan already receive the lower premium and do not need to participate. The Blue Cross and Blue Shield-Well onTarget Health Assessment and your annual wellness exam will still count as the alternative to using the MyEvive portal.

*Those who had not yet completed the HA and Wellness Exam to receive credit for FY20 can still complete these two tasks to receive their credit for the remainder of this fiscal year. If one of those checklist items was completed in FY19, you must then complete one more task to equal two tasks in the current plan year to receive the credit for FY21. The checklists will restart in FY21, with no partial completion accepted; simply complete two tasks in FY21 for credit in FY22.

Some new wellness tasks will be replacing some existing ones at the start of the new plan year so be looking for those!

Two-Step Wellness Program Reminder

Two-Step Wellness Program Reminder and Update

When logging into MyEvive, employees and covered spouses in the A&M Care Plans will see a variety health and wellness activities on their MyEvive Personalized Checklists (PCL). These may include your annual wellness exam, nationally-recommended preventive screenings, registration in various benefit programs, self-paced wellness courses, and more. Items on your checklist are programmatically displayed based on age/gender, United States Preventive Task Force Guidelines on preventive screenings, and then educational wellness activities. Some items, like Naturally Slim, show up for everyone by default because System Benefits Administration does not receive personal health data to single out those services. You can choose any two activities to complete for the incentive credit for FY21. Credits are applied to the next plan year for tasks completed in the current plan year*.

As we face the COVID-19 national emergency together, the safety and well-being of our employees, their families, and their communities is our top priority. That’s why we encourage you to delay any non-essential care you may have coming up, like biometric screenings and annual wellness exams. It can help lower the risk of spreading COVID-19 to others, and ensure that healthcare resources are there for the patients who need them the most. Accordingly, we extended the wellness incentive program completion date to August 31st, 2020. Please also note there are several checklist activities that can be completed virtually and we encourage you to participate in those programs to promote your health and wellbeing during this stressful time.

Completing any two steps on your PCL will ensure that you have the lowest rate for your health insurance premiums. Retirees and graduate student employees enrolled in the Graduate Plan already receive the lower premium and do not need to participate. The Blue Cross and Blue Shield-Well onTarget Health Assessment (BCBS HA) and your annual wellness exam will still count as the alternative to using the MyEvive portal. The BCBS HA may not be paired with an activity other than the wellness exam for credit.

*Those who had not yet completed the HA and Wellness Exam to receive credit for FY20 can still complete these two tasks to receive their credit this fiscal year. You will then complete one more task to equal two tasks in the current plan year to continue receiving the credit in FY21.

SEBAC Highlights

The System Employee Benefits Advisory Committee met for the second time during FY20 on February 22, 2020. The current state of the benefit plans was discussed. Below are some highlights from the meeting:

 

  • Health plan enrollment increased slightly as the number of employees and retirees overall has increased since last year. There are currently 30,738 covered employees and retirees, and 25,819 covered dependents. Total paid claims for the health plan are slightly higher than at the same time during FY19 and total $105.7M as of the end of December.
  • System Benefits Administration is required to bid the health plan every 6 years. Requests for Proposals were submitted for two carriers, and Blue Cross and Blue Shield will remain the health insurance plan provider for FY21-FY27. Their bid offered significant savings in provider discounts over the next closest bidder.
  • The Life Insurance and Accidental Death and Dismemberment Request for Proposals are currently under review by the A&M System. The finalist will be announced on April 22.
  • MDLIVE, the virtual visit service that allows covered plan participants to talk to a doctor via video and phone, has been active for 18 months. We are performing better than book of business for utilization comparable to other higher education entities.
  • Blue Cross and Blue Shield of Texas reported that cancer continues to be the System’s highest diagnostic category followed by musculoskeletal and circulatory conditions. Breast cancer is our highest-cost cancer and most prevalent with 7/1000 claimants per year. Cervical/colorectal cancer costs remain below benchmark, which is attributed to early detection from the preventive screenings. System Benefits Administration continues to use this data to strategically assess the employee wellness program and participation in preventive screenings.
  • A&M System participants are above the BCBSTX benchmark on all preventive screenings (Colon, breast, wellness, well-baby, well-child, etc).
    A&M System Benchmark
    Cholesterol 58.5% 37%
    Annual Wellness Exam 69% 39.6%
    Mammmograms 62.7% 45.6%
  • Health plans are evolving towards a wellbeing management structure, which involves increasing targeted communications to raise awareness and boost utilization of existing programs.
  • The biggest cost driver in student plans for last year across the country, as well as in our plan, was prescription drugs.