+ All Categories
Home > Documents > Welcome/Activation FLB-FRM2016 - Florida Blue · Offer 1100-09 PO Box 752653 El Paso, TX 88575-9917...

Welcome/Activation FLB-FRM2016 - Florida Blue · Offer 1100-09 PO Box 752653 El Paso, TX 88575-9917...

Date post: 19-Jan-2019
Category:
Upload: dinhthuan
View: 214 times
Download: 0 times
Share this document with a friend
12
Dear <Member Name>, Welcome to Healthy Blue Rewards, a special member program that rewards you for taking better care of your health. By completing health care activities, you can earn gift cards from popular retailers. Florida Blue is partnering with a company called Novu to bring you this program and deliver the gift cards to you. Just complete each activity in the chart below, contact us in the way that’s most convenient for you, and we’ll send you the reward of your choice. The more activities you complete, the more you earn! FLB-FRM2016 Welcome/Activation <Sample A. Sample> <Address Line 1> <Address Line 2> <City, ST ZIP> Don’t miss your chance! Complete your health care activities by 12/31/16 to earn rewards. Earn rewards for taking care of your health REWARD $ Online Visit: www.novu.com/go/FloridaBlue Choose from more gift card options—and get them faster! Mail Mail activity cards to: Healthy Blue Rewards Offer 1100-09 PO Box 752653 El Paso, TX 88575-9917 Phone Call us toll-free at: 1-888-262-1697, TTY/TDD 711 Monday-Friday 8 a.m. to 10 p.m. ET, Saturday 10 a.m. to 3 p.m. ET OR OR Choose your reward online, by phone or by mail There are three ways to tell us about your completed health care activities and select your reward. Choose the one that works best for you: Health Care Activity Gift Card Value [<Annual Wellness Visit >] [<$xx>] [<Flu Shot>] [<$xx>] [<Breast Cancer Screening>] [<$xx>] [<Colon Cancer Screening>] [<$xx>] [<Diabetic Dilated Eye Exam>] [<$xx>] Earn at least: <$xx> Para servicio en español llame al: 1-888-262-1697, TTY 711
Transcript
Page 1: Welcome/Activation FLB-FRM2016 - Florida Blue · Offer 1100-09 PO Box 752653 El Paso, TX 88575-9917 Phone Call us toll-free at: 1-888-262-1697, TTY/TDD 711 Monday-Friday 8 a.m. to

Dear <Member Name>,Welcome to Healthy Blue Rewards, a special member program that rewards you for taking better care of your health. By completing health care activities, you can earn gift cards from popular retailers. Florida Blue is partnering with a company called Novu to bring you this program and deliver the gift cards to you. Just complete each activity in the chart below, contact us in the way that’s most convenient for you, and we’ll send you the reward of your choice. The more activities you complete, the more you earn!

FLB-FRM2016Welcome/Activation

<Sample A. Sample><Address Line 1><Address Line 2><City, ST ZIP>

Don’t miss your chance! Complete your health care activities by 12/31/16 to earn rewards.

Earn rewards for taking care of your health REWARD

$

Online Visit:

www.novu.com/go/FloridaBlue Choose from more gift card

options—and get them faster!

Mail Mail activity cards to:

Healthy Blue Rewards Offer 1100-09

PO Box 752653 El Paso, TX 88575-9917

Phone Call us toll-free at:

1-888-262-1697, TTY/TDD 711Monday-Friday

8 a.m. to 10 p.m. ET, Saturday

10 a.m. to 3 p.m. ET

OROR

Choose your reward online, by phone or by mail There are three ways to tell us about your completed health care activities and select your reward. Choose the one that works best for you:

Health Care Activity Gift Card Value[<Annual Wellness Visit >] [<$xx>][<Flu Shot>] [<$xx>][<Breast Cancer Screening>] [<$xx>][<Colon Cancer Screening>] [<$xx>][<Diabetic Dilated Eye Exam>] [<$xx>]Earn at least: <$xx>

Para servicio en español llame al: 1-888-262-1697, TTY 711

Page 2: Welcome/Activation FLB-FRM2016 - Florida Blue · Offer 1100-09 PO Box 752653 El Paso, TX 88575-9917 Phone Call us toll-free at: 1-888-262-1697, TTY/TDD 711 Monday-Friday 8 a.m. to

Gift Card Terms and ConditionsWalmartPurchase of this card constitutes acceptance of the following terms: The balance on this card is solely a liability of Walmart Stores Inc., in the U.S. and Puerto Rico. To use at SAMS CLUB®, the holder must be a SAM’S CLUB member or a 10% service fee will apply except where prohibited. Shopping card value may be applied toward annual Membership. This card cannot be redeemed for cash except in those states that require redemption for cash. Lost or stolen cards cannot be replaced without original receipt.TargetThe Bullseye Design, Target and Target GiftCards are registered trademarks of Target Brands, Inc. Terms and conditions are applied to gift cards. Target is not a participating partner in or sponsor of this offer.Applebee’sThis gift card is usable up to balance only to purchase goods or services at any Applebee’s® Grill & Bar in the U.S. and Canada or through applebees.com. Not usable to purchase gift cards. Card is not redeemable for cash unless required by law. Card will not be replaced or replenished if lost, stolen, damaged or used without authorization. ACM Cards, Inc. or the Franchisee of the independently owned restaurant where card was purchased is the card issuer. ACM or Franchisee may delegate its issuer obligations to an assignee. Purchase, use or acceptance of card constitutes acceptance of these terms. Inquiries, complete terms and restaurant location information: visit applebees.com or call 1-800-252-6722. ©2016 Applebee’s Restaurants LLC.

DisclaimersYour Evidence of Coverage explains how your Florida Blue Medicare plan covers these services. Florida Blue has partnered with Novu to manage our member rewards program. Check with your doctor to see which covered health care services are right for you.

Florida Blue is a PPO, RPPO and Rx (PDP) Plan with a Medicare contract. Florida Blue HMO and Florida Blue Preferred HMO are HMO plans with a Medicare contract. Enrollment in Florida Blue, Florida Blue HMO or Florida Blue Preferred HMO depends on contract renewal.

Y0011_33588 0816 C: 08/2016

Page 3: Welcome/Activation FLB-FRM2016 - Florida Blue · Offer 1100-09 PO Box 752653 El Paso, TX 88575-9917 Phone Call us toll-free at: 1-888-262-1697, TTY/TDD 711 Monday-Friday 8 a.m. to

(mm/dd/yy) (eligible dates: <01/01/16 – 12/31/16)>Date of vaccination:Name of clinic or location:Clinic or location phone number:

/ /

[$xx]jfii2o3ij324

Overview: A flu shot is a great way to lower your chances of getting the flu. Every flu season is different, so you should get a flu shot once per year in the early fall (before October, if possible). Get your flu shot this year to be eligible for a reward.

What to expect: You can get a flu shot from your doctor or nurse, but many other places, such as pharmacies, clinics or health centers, might offer flu shots as well.

Health Care Activity | Flu Shot

Health Care Activity | Flu Shot Submit this information to receive your reward:

This is the only personal information we need. The bar code will take care of the rest. See back for more details.

[$xx]jfii2o3ij324

Overview: An annual wellness visit is a one-on-one conversation between you and your doctor about your health. By completing this once-a-year visit, you’ll be eligible for a reward.

What to expect: Your doctor will likely give you a simple vision test and record your height, weight and blood pressure. You’ll also have a chance to talk about your medications, eating habits, physical activity and general well-being. You can ask questions, and your doctor will put together a plan of action that’s tailored just for you.

Health Care Activity | Annual Wellness Visit

Health Care Activity | Annual Wellness VisitSubmit this information to receive your reward:

This is the only personal information we need. The bar code will take care of the rest. See back for more details.

(mm/dd/yy) (eligible dates: <01/01/16 – 12/31/16)>Appointment date:Doctor’s full name: Name of clinic or location:Doctor’s phone:

/

- -

- -

/Dr.

Page 4: Welcome/Activation FLB-FRM2016 - Florida Blue · Offer 1100-09 PO Box 752653 El Paso, TX 88575-9917 Phone Call us toll-free at: 1-888-262-1697, TTY/TDD 711 Monday-Friday 8 a.m. to

[$xx]

(Default)**This card will be sent if no choice is made.

Florida Blue is a PPO, RPPO and Rx (PDP) Plan with a Medicare contract. Florida Blue HMO and Florida Blue Preferred HMO are HMO plans with a Medicare contract. Enrollment in Florida Blue, Florida Blue HMO or Florida Blue Preferred HMO depends on contract renewal.

1 Complete this health care activity. 2 Fill out your information on the back of this

card and choose your reward. 3 Mail to: Healthy Blue Rewards

Offer 1100-09 PO Box 752653 El Paso, TX 88575-9917

Or, go online to www.novu.com/go/FloridaBlue to confirm completion and choose your reward.

(Default)**This card will be sent if no choice is made.

Please select one of the rewards below:

[$xx]Health Care Activity | Annual Wellness Visit

< > < > < >

Y0011_33589 0816 C: 08/2016

1 Complete this health care activity. 2 Fill out your information on the back of this

card and choose your reward. 3 Mail to: Healthy Blue Rewards

Offer 1100-09 PO Box 752653 El Paso, TX 88575-9917

Or, go online to www.novu.com/go/FloridaBlue to confirm completion and choose your reward.

Please select one of the rewards below:

Health Care Activity | Flu Shot

< > < > < >

Florida Blue is a PPO, RPPO and Rx (PDP) Plan with a Medicare contract. Florida Blue HMO and Florida Blue Preferred HMO are HMO plans with a Medicare contract. Enrollment in Florida Blue, Florida Blue HMO or Florida Blue Preferred HMO depends on contract renewal.

Y0011_33596 0816 C: 08/2016

Page 5: Welcome/Activation FLB-FRM2016 - Florida Blue · Offer 1100-09 PO Box 752653 El Paso, TX 88575-9917 Phone Call us toll-free at: 1-888-262-1697, TTY/TDD 711 Monday-Friday 8 a.m. to

(mm/dd/yy) (eligible dates: <01/01/16 – 12/31/16)>Date of test:Doctor’s full name: Name of clinic or location (or write “home kit”):Doctor’s phone:

/ /

[$xx]jfii2o3ij324

Overview: Although the idea of getting screened for colon cancer can be scary, regular screenings could help find growths (called polyps) before they’re cancerous, or catch cancer early when it may be easier to treat. Talk with your doctor to set up a plan for how often you should be screened, the age that you should start and the type of screening that’s right for you. Complete a colon cancer screening this year to be eligible for a reward.

What to expect: There are different types of colon cancer screenings. Most tests involve a thin tube with a tiny camera used to look inside your colon. Although, based on your doctor’s recommendation, you may receive an at-home kit to complete and send back.

Health Care Activity | Colon Cancer Screening

Health Care Activity | Colon Cancer ScreeningSubmit this information to receive your reward:

This is the only personal information we need. The bar code will take care of the rest. See back for more details.

[$xx]jfii2o3ij324

Overview: A breast cancer screening, also called a mammogram, is an X-ray of the breasts to check for cancer. It can help find cancer early, when it may be easier to treat. Based on your family and personal history, your doctor will help you set up a plan for when and how often you should be screened. Complete a breast cancer screening this year to be eligible for a reward.

What to expect: On the day of your screening, you will need to remove jewelry and clothing from the waist up prior to being X-rayed. Don’t wear deodorant that day because it could be seen on the X-rays and cause confusion. You will feel pressure for a few seconds in your breasts during the screening.

Health Care Activity | Breast Cancer Screening

Health Care Activity | Breast Cancer ScreeningSubmit this information to receive your reward:

This is the only personal information we need. The bar code will take care of the rest. See back for more details.

(mm/dd/yy) (eligible dates: <01/01/16 – 12/31/16)>Appointment date:Doctor’s full name: Name of clinic or location:Doctor’s phone:

/

- -

- -

/Dr.

Dr.

Page 6: Welcome/Activation FLB-FRM2016 - Florida Blue · Offer 1100-09 PO Box 752653 El Paso, TX 88575-9917 Phone Call us toll-free at: 1-888-262-1697, TTY/TDD 711 Monday-Friday 8 a.m. to

[$xx]

[$xx]

(Default)**This card will be sent if no choice is made.

(Default)**This card will be sent if no choice is made.

1 Complete this health care activity. 2 Fill out your information on the back of this

card and choose your reward. 3 Mail to: Healthy Blue Rewards

Offer 1100-09 PO Box 752653 El Paso, TX 88575-9917

Or, go online to www.novu.com/go/FloridaBlue to confirm completion and choose your reward.

Health Care Activity | Breast Cancer Screening

< > < > < >

Florida Blue is a PPO, RPPO and Rx (PDP) Plan with a Medicare contract. Florida Blue HMO and Florida Blue Preferred HMO are HMO plans with a Medicare contract. Enrollment in Florida Blue, Florida Blue HMO or Florida Blue Preferred HMO depends on contract renewal.

Y0011_33593 0816 C: 08/2016

1 Complete this health care activity. 2 Fill out your information on the back of this

card and choose your reward. 3 Mail to: Healthy Blue Rewards

Offer 1100-09 PO Box 752653 El Paso, TX 88575-9917

Or, go online to www.novu.com/go/FloridaBlue to confirm completion and choose your reward.

Health Care Activity | Colon Cancer Screening

< > < > < >

Florida Blue is a PPO, RPPO and Rx (PDP) Plan with a Medicare contract. Florida Blue HMO and Florida Blue Preferred HMO are HMO plans with a Medicare contract. Enrollment in Florida Blue, Florida Blue HMO or Florida Blue Preferred HMO depends on contract renewal.

Y0011_33594 0816 C: 08/2016

Please select one of the rewards below:

Please select one of the rewards below:

Page 7: Welcome/Activation FLB-FRM2016 - Florida Blue · Offer 1100-09 PO Box 752653 El Paso, TX 88575-9917 Phone Call us toll-free at: 1-888-262-1697, TTY/TDD 711 Monday-Friday 8 a.m. to

[$xx]jfii2o3ij324

Overview: Diabetes can cause damage to your eyes. However, it’s possible to catch problems early if you get regular eye exams with an eye doctor. By completing a once-a-year eye exam you’ll be eligible for a reward.

What to expect: Your eye doctor will use eye drops to make your pupils dilate (enlarge). To see the back of your eye, your doctor will look through a special magnifying glass using a bright light. This lets the doctor see areas that may be damaged by diabetes and check the overall health of your eyes.

Health Care Activity | Diabetic Dilated Eye Exam

Health Care Activity | Diabetic Dilated Eye ExamSubmit this information to receive your reward:

This is the only personal information we need. The bar code will take care of the rest. See back for more details.

(mm/dd/yy) (eligible dates: <01/01/16 – 12/31/16)>Appointment date:Optometrist or Ophthalmologist name: Name of clinic or location:Doctor’s phone:

/ /

- -

(mm/dd/yy) (eligible dates: <01/01/16 – 12/31/16)>Appointment date:Doctor’s full name: Name of clinic or location:Doctor’s phone:

/ /

[$xx]jfii2o3ij324

Overview: Diabetes can sometimes damage your kidneys. This damage can lead to kidney disease, which happens when the blood is not being cleaned properly. A test for protein in the urine can help your doctor see if you have the disease. If caught and treated early, diabetic kidney disease can be slowed. By completing one diabetic urine test this year, you’ll be eligible for a reward.

What to expect: Your doctor will ask you for a urine sample, which will be tested for a certain type of protein.

Health Care Activity | Diabetic Urine Test for Protein

Health Care Activity | Diabetic Urine Test for ProteinSubmit this information to receive your reward:

This is the only personal information we need. The bar code will take care of the rest. See back for more details.

- -

Dr.

Page 8: Welcome/Activation FLB-FRM2016 - Florida Blue · Offer 1100-09 PO Box 752653 El Paso, TX 88575-9917 Phone Call us toll-free at: 1-888-262-1697, TTY/TDD 711 Monday-Friday 8 a.m. to

[$xx]

[$xx]Please select one of the rewards below:

Please select one of the rewards below:

(Default)**This card will be sent if no choice is made.

(Default)**This card will be sent if no choice is made.

1 Complete this health care activity. 2 Fill out your information on the back of this

card and choose your reward. 3 Mail to: Healthy Blue Rewards

Offer 1100-09 PO Box 752653 El Paso, TX 88575-9917

Or, go online to www.novu.com/go/FloridaBlue to confirm completion and choose your reward.

Health Care Activity | Diabetic Dilated Eye Exam

< > < > < >

Florida Blue Disclaimer: Florida Blue is a PPO, RPPO and Rx (PDP) Plan with a Medicare contract. Florida Blue HMO and Florida Blue Preferred HMO are HMO plans with a Medicare contract. Enroll-ment in Florida Blue, Florida Blue HMO or Florida Blue Preferred HMO depends on contract renewal.

Y0011_33590 0816 C: 08/2016

1 Complete this health care activity. 2 Fill out your information on the back of this

card and choose your reward. 3 Mail to: Healthy Blue Rewards

Offer 1100-09 PO Box 752653 El Paso, TX 88575-9917

Or, go online to www.novu.com/go/FloridaBlue to confirm completion and choose your reward.

Health Care Activity | Diabetic Urine Test for Protein

< > < > < >

Florida Blue Disclaimer: Florida Blue is a PPO, RPPO and Rx (PDP) Plan with a Medicare contract. Florida Blue HMO and Florida Blue Preferred HMO are HMO plans with a Medicare contract. Enroll-ment in Florida Blue, Florida Blue HMO or Florida Blue Preferred HMO depends on contract renewal.

Y0011_33591 0816 C: 08/2016

Page 9: Welcome/Activation FLB-FRM2016 - Florida Blue · Offer 1100-09 PO Box 752653 El Paso, TX 88575-9917 Phone Call us toll-free at: 1-888-262-1697, TTY/TDD 711 Monday-Friday 8 a.m. to

[$xx]jfii2o3ij324

Overview: A diabetic blood test, also called an A1C test, is a simple way to look at your blood sugar level over the past 3 months. It’s not the same as testing your blood sugar at home. This test will help you and your doctor see if your diabetes treatment plan is working. Your doctor may send you to get an A1C test 2-4 times per year. Provide the details of one of your A1C tests from this year to be eligible for a reward.

What to expect: The A1C test is a simple blood test your doctor performs. You can eat and drink normally before the test.

Health Care Activity | Diabetic Blood Test (A1C)

Health Care Activity | Diabetic Blood Test (A1C)Submit this information to receive your reward:

This is the only personal information we need. The bar code will take care of the rest. See back for more details.

(mm/dd/yy) (eligible dates: <01/01/16 – 12/31/16)>Appointment date:Doctor’s full name: Name of clinic or location:A1C numeric result:Doctor’s phone:

/ /

- -

Dr.

. % (XX.X%)

Page 10: Welcome/Activation FLB-FRM2016 - Florida Blue · Offer 1100-09 PO Box 752653 El Paso, TX 88575-9917 Phone Call us toll-free at: 1-888-262-1697, TTY/TDD 711 Monday-Friday 8 a.m. to

[$xx]Please select one of the rewards below:

(Default)**This card will be sent if no choice is made.

Health Care Activity | Diabetic Blood Test (A1C)

1 Complete this health care activity. 2 Fill out your information on the back of this

card and choose your reward. 3 Mail to: Healthy Blue Rewards

Offer 1100-09 PO Box 752653 El Paso, TX 88575-9917

Or, go online to www.novu.com/go/FloridaBlue to confirm completion and choose your reward.

< > < > < >

Florida Blue is a PPO, RPPO and Rx (PDP) Plan with a Medicare contract. Florida Blue HMO and Florida Blue Preferred HMO are HMO plans with a Medicare contract. Enrollment in Florida Blue, Florida Blue HMO or Florida Blue Preferred HMO depends on contract renewal.

Y0011_33592 0816 C: 08/2016

Page 11: Welcome/Activation FLB-FRM2016 - Florida Blue · Offer 1100-09 PO Box 752653 El Paso, TX 88575-9917 Phone Call us toll-free at: 1-888-262-1697, TTY/TDD 711 Monday-Friday 8 a.m. to

Date of bone density scan:Doctor’s full name: Name of clinic or location:Doctor’s phone:Date of your fracture:Check the box if you were prescribed a medication for osteoporosis and filled it:If you checked the box, at which pharmacy?

[$xx]

Overview: Bone density tests measure how strong your bones are. A low score could mean that your bones have weakened over time and could indicate osteoporosis, a condition that can cause bones to break more easily. Talk to your doctor to see if and when you need this test. Complete a bone density test this year to be eligible for a reward.

What to expect: A bone density test is usually fast and painless, and it measures the strength of your bones with a special X-ray machine. Your doctor will look at the results to see if your bone density is normal or lower than normal.

Health Care Activity | Bone Density Test (Osteoporosis Screening)

Health Care Activity | Bone Density Test (Osteoporosis Screening)Submit this information to receive your reward:

jfii2o3ij324

This is the only personal information we need. The bar code will take care of the rest. See back for more details.

- -

(mm/dd/yy) (eligible dates: <01/01/16 – 12/31/16)>

(mm/dd/yy)

/ /

/ /

Dr.

Page 12: Welcome/Activation FLB-FRM2016 - Florida Blue · Offer 1100-09 PO Box 752653 El Paso, TX 88575-9917 Phone Call us toll-free at: 1-888-262-1697, TTY/TDD 711 Monday-Friday 8 a.m. to

[$xx]Please select one of the rewards below:

(Default)**This card will be sent if no choice is made.

Health Care Activity Bone Density Test (Osteoporosis Screening)

1 Complete this health care activity. 2 Fill out your information on the back of this

card and choose your reward. 3 Mail to: Healthy Blue Rewards

Offer 1100-09 PO Box 752653 El Paso, TX 88575-9917

Or, go online to www.novu.com/go/FloridaBlue to confirm completion and choose your reward.

< > < > < >

✁Florida Blue is a PPO, RPPO and Rx (PDP) Plan with a Medicare contract. Florida Blue HMO and Florida Blue Preferred HMO are HMO plans with a Medicare contract. Enrollment in Florida Blue, Florida Blue HMO or Florida Blue Preferred HMO depends on contract renewal.

Y0011_33595 0816 C: 08/2016


Recommended