healthcare

Blue Cross Blue Shield of MI Returns Money

Posted on by Shield Insurance Agency

Blue Cross Blue Shield of Michigan Returns Money to Customers, Individuals

Blue Cross Blue Shield of Michigan is returning more than $100 million to many fully insured customers this year.

As the COVID-19 pandemic has disrupted what we consider to be a normal life in many ways, it has not left the health care system untouched. People are not receiving medical, dental, and vision care at the same pace that they usually do, as non-emergency services have been slowed – and in some cases, halted. As a result, Blue Cross isn’t paying out as many claims and has resources available to help business customers and individuals in numerous ways as they move through the pandemic crisis.

This week, Blue Cross announced a number of premium refunds along with rate stability measures for fully insured customers. This response joins other efforts we’ve made to help customers, including $37 million back to small group customers for medical plans, $10.5 million shared refund to Blue Dental and Blue Vision employer group customers, $45 million paid directly to individual health plan members from 2019 through rebates and more.

The refunds are in addition to the $494 million that BCBSM has invested in expanding the availability of no-cost benefits for members and to support health providers in response to COVID-19 – bringing the BCBSM enterprise’s commitment in response to the crisis to nearly $600 million.

Throughout the COVID-19 pandemic, Blue Cross has been working to provide customers with information and solutions to help navigate the health care system during an unprecedented time, taking many steps to remove barriers to healthcare for members and to keep care affordable.

Improving Access to Care

For Blue Cross and Blue Care Network members, Covid-19 diagnostic testing and treatment is free through June 30.

And we realize that during the pandemic people are seeing their doctors in different ways, so Blue Cross and Blue Care Network are providing free access to telehealth services for medical and behavioral health through June 30. Most Medicare Advantage members also receive these same benefits through Dec. 31. Additionally, Medicare Advantage members will receive free access to all the services provided in their primary care physician’s office.

To help members safely social distance and protect their health, Blue Cross is also allowing members to receive more of their prescription medications at once to limit trips to the pharmacy.

Helping Seniors

Senior citizens are particularly vulnerable to severe illness from the coronavirus and may be socially isolated from friends and family as a result. Blue Cross has taken extra steps to help senior members through the pandemic by initiating contact to connect them with resources and community services and targeting high-risk seniors with extra help.

Prioritizing Behavioral Health

By working with behavioral health care providers to bring their services into a telehealth platform, Blue Cross doctors are leading a new era in behavioral health treatment. Many low-risk substance use disorder patients can be treated from the safety of their homes. This even includes group therapy situations. These telehealth efforts have helped improve access to mental health and substance use disorder care for members in rural Michigan.

Reaching Out to Communities

Blue Cross has taken an all-hands-on-deck approach to help communities through the pandemic.

For small business owners, there’s a new special support program. For displaced workers, there are new transition services in place.

The pandemic has also placed a glaring spotlight on the racial disparities and inequities in health care. Blue Cross is taking steps to act now and, in the future, to address health disparities and to work with government officials.

That includes contributing funding to a mobile testing unit to bring COVID-19 testing directly to people where they are through a partnership with Wayne State University.

Empowering Health Care Workers

Blue Cross is supporting health care workers as they tackle COVID-19.

Together with 35 hospitals in Michigan, Blue Cross started a COVID-19 data collection effort to help identify best care practices and possible treatments.

More than 30 of Blue Cross’ employees with medical backgrounds volunteered to help on the front lines. Blue Cross has also accelerated payments to providers to help them better respond to their patients’ needs.

Blue Cross Blue Shield of Michigan is committed to continuing to evaluate the impact of COVID-19 across the entirety of the business and will keep customers informed as more information becomes available. Stay up to date with the latest news and information at bcbsm.com/coronavirus or mibluesperspectives.com.

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Free Preventive Medical Services in 2020

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Shield Insurance Blog | Preventive Medical Services | Health Insurance |

With Marketplace coverage, you have access to free preventive services, like flu shots, check-ups, and screening tests. Getting these recommended services is an important step toward good health and well-being.

  • Preventive services are routine health care procedures, like screenings, check-ups, and counseling to prevent illnesses, diseases, and other health problems.
  • Taking advantage of these free services can help detect illness early, when treatment is likely to work best, so talk to your provider about what’s right for you.
  • Note: Preventive services are free only when provided by a doctor or other provider in your plan’s network. (A network is the facilities, providers, and suppliers your health insurer has contracted with to provide health care services. Contact your insurance company to see which providers are “in-network.”)

Where can I learn more about preventive medical services?

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What to Know About Buying a Vacant Home

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Why buy a vacant home? One of the biggest perks is being able to make the home whatever you want it to be. You can make it your new home, create a vacation home, rent it out, or fix it up and sell it to someone else. In some cases, the seller may be willing to sell a vacant home cheaper than an occupied home. This is good news for you because you can save some money, but it could also mean something might be wrong with the house. It may need a little love, attention, and renovation. Before you purchase a vacant home, here are a few things to do and watch out for:

Professional Inspection

Ask for an inspection from a professional and take notes on what they discover. You’ll want to know what’s broken, what needs to be fixed, and what could possibly go wrong. (Note: Be prepared to pay for the home’s electricity to be on for the duration of the inspection).

Critters

Since vacant homes can sit for quite some time, critters may come in and make themselves at home. Although they are usually small animals such as mice or bats, they can cause damage to a vacant house. Those unwanted critters can eat at the floors, carpets, walls, and wiring. Be aware that you may need to hire a pest control service, and this could be costly based on the number of animals and the amount of damage.

Plumbing

There may be plumbing issues that have caused dried and cracked seals, slow faucets, leaks, and other issues. If the heat hasn’t been on and the temperatures dropped, the pipes could be at risk to freeze or burst (if they haven’t already).

Appliances

The previous owner may not have unplugged their indoor appliances, such as refrigerators and freezers, or let them dry out. There may be mold inside from the moisture being trapped. Having appliances plugged in with no one there could result in a fire (if the electricity was on). Appliances in the house may become unusable due to long periods of sitting with no use, which means you will need new ones.

Molds

Remember, molds can grow on more than just appliances! Check for mold in the walls, floors, pipes…everywhere! Some molds may cause health issues, so if mold is found during your inspection, you may want to rethink purchasing the home. Talk with your inspector about the extremity and presence of mold, and evaluate the safety risks.

Unanticipated Repairs

There are other potential sources of damage. For example, break-ins are more likely when a home appears empty, and windows, doors, and other items could be damaged by the intruder. Storms are another danger. Debris could hit the home and cause damage that may have gone undetected. Always thoroughly inspect the home before buying!

There are a lot of things to do and watch out for before purchasing a vacant home, but the possibilities of what the home could be are endless. If you are looking to buy a vacant home but haven’t found one yet, there are a few ways to move forward. Look online, talk to neighbors, get a realtor or simply drive around. There are more vacant homes than you think…happy hunting!

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What To Do After A Flood

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Anyone who’s been through a flood knows that recovering after this kind of disaster isn’t easy. You’re forced to accept that irreplaceable family treasures and memories may be gone forever, your furniture is destroyed, potentially along with your home. It’s a devastating and emotional moment and a lot to take in all at once. But you know the only thing you can do is move forward, and begin the steps needed to restore your home.

As soon as the floodwaters recede, you can return to your home as long as officials give the OK to do so. Before entering your home, however, make sure it is safe!

Tips for staying safe upon return:

  • Check for structural damage and use extreme caution. One way to do this is to check if the walls are vertical and straight.
  • Turn off the electricity in your home at the main breaker or fuse box. Make sure you stand in a dry spot to do this! If you can’t stand in a dry spot, call an electrician who will take care of the risk.
  • Turn off the gas. If you smell something unusual, leave immediately and call your gas company from another location.
  • Check your sewage system. Repair damaged septic tanks, cesspools, pits, and leaching systems as soon as possible. These are serious health hazards.
  • Take precautions when inspecting your home. Your home may have sagging ceilings and areas that are still flooded. Also beware of critters like snakes, spiders, and rodents that may have taken refuge in your home!

Bring waterproof boots, a first aid kit, cleaning supplies, and a battery-powered flashlight with you before entering the house! You never know what you’ll run into.

Tips for claim reporting:
Another important step to take when recovering from a flood is reporting your loss immediately to your insurance agent or carrier. While flood coverage is typically not provided under most homeowner’s and renter’s policies, flood insurance may be available to you through the federally regulated program known as the National Flood Insurance Program (NFIP). If you need assistance to locate your flood insurance carrier, you can call 1-800-621-FEMA (3362). A claims adjuster should contact you within a day or two after the report of the claim, depending on the severity of the flood event.

When reporting a claim, you should have the following information available:
– Your name and address
– Policy number
– Date the loss happened
– Description of events that led to the loss
– Active phone number
– Confirm what’s covered under your NFIP policy (some policyholders may only have building or personal property items coverage, not both)

Tips for inspections:

The next step, according to the Federal Emergency Management Agency (FEMA), is to prepare for your inspection. After deeming the structure safe for entry, take as many photos or videos of the flood-damaged property on the outside and inside. Take pictures of high-cost items as well like washers and dryers, hot water heaters, televisions, and kitchen appliances. It’s also a good idea to separate the damaged from undamaged items prior to the inspection.

When the adjuster arrives, they will inspect your property including taking measurements and photos, and give you an overview of the NFIP flood claims process. Remember that some flood insurance claims are more complex than others. Some may be opened and closed quickly, while others may take weeks or even months to resolve.

If your vehicle was also damaged in a flood event, it’s best to call your auto insurance provider to see if you’re covered for the loss.

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Safety Tips For Bicyclists

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Cycling has grown significantly in popularity over the past decade. Towns across the country are adding bike lanes to their roads to become more bike-friendly, and more and more people are ditching their cars and using a bike as their primary form of transportation. According to USA Today, larger cities like Portland, Ore., and Minneapolis have more than doubled their rate of bike commuters since 2014 – and as a cyclist, I can’t help but get excited.

Now, with bike riding growing in popularity across the U.S. – it may be a good idea to brush up on some traffic guidelines to avoid any accidents.

When you purchase a bike, you’re likely not required to take a safety class before you ride it. And, for drivers, the instructors touched on bike safety as part of Drivers Ed, but who remembers details from a course they took in their teens?

My point is, adults aren’t given much guidance when it comes to cyclists and cars coexisting on the roads. And as a bicyclist and a driver, I did some research because honestly, I needed a refresher myself.

Safety tips for DRIVERS:

  • Try to be 3 feet or more away from a bike.
  • Try to pass on the left when possible.
  • Blind spots are always lurking, make sure to watch for bikes.
  • Only pass a bicyclist when your passing lane is free and clear.
  • Look in your mirror for cyclists when you’re parking.
  • Always think of cyclists as equals – remember, they have rights on the road too!

Safety tips for BICYCLISTS:

  • Make sure to ride with the flow of traffic.
  • Traffic signs and signals aren’t just for cars. Stop on red to be safe.
  • Use marked bike paths or lanes if they’re available.
  • Use your arm to make turn signals and take advantage of turn lanes so cars are aware of what you’re doing.
  • Consider using a mirror to monitor the cars behind you.
  • If you’re riding at night or in a storm, make sure to use some sort of flashers.
  • Watch for parked cars.
  • And most importantly – stay alert at all times.

If you’re unsure about your city’s or state’s traffic laws, it doesn’t hurt to look them up beforehand. No matter what you drive, be sure to enjoy the roads out there safely!

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Ten Ways to Protect Yourself From the Sun

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Shield Insurance Blog | The Sun | Health Insurance |

When my teenage daughter arrived home the other day with a sunburned face, I asked her why she didn’t use her sunscreen. She answered with, “I did Mom! I put it on this morning.” But since she was out all day and never re-applied it, she still got a sunburn.

According to the American Cancer Society, more than 3.5 million cases of skin cancer are diagnosed each year and those rates are on the rise.

That’s why it’s more important than ever to take precautions like these to protect your skin from the sun:

  1. If you can’t avoid the sun altogether, cover it up with clothing. Hats and clothing made of dark, tightly woven materials are best.
  2. Keep in mind that UV exposure is harmful to your eyes as well as your skin, so put on a pair of sunglasses and be sure your kids do, too.
  3. Wear sunscreen with a sun protection factor (SPF) of at least 30. Spread it on generously and use the waterproof kind if you’ll be swimming.
  4. Watch the expiration dates on sunscreen. Once it expires, discard and get a new bottle.
  5. Apply your sunscreen early, and unlike my daughter, apply it often, every two hours. If you’re sweating or swimming, apply it, even more, frequently.
  6. Remember to cover those sensitive spots like the tops of the ears, hairline, chest, nose, hands, and feet.
  7. Give up sunbathing, especially if you’re fair-skinned. Avoid sun tanning oils which can enhance ultraviolet rays and worsen sunburn.
  8. Protect your skin all year round, no matter what the weather. Clouds don’t keep the damaging rays from burning your skin, and neither does a winter climate.
  9. Use extra precautions if you take medications like tetracycline, diuretics, or St. John’s Wort. They can make your skin even more sensitive to sunlight.
  10. Avoid tanning beds. They produce UVA rays that penetrate deeper into the skin than the UVB rays of the sun.

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It’s hot. Don’t leave your kids in the car!

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Shield Insurance Blog | Don’t leave your kids in the car! | Start a Quote Today!

I wish I were kidding. As an on-the-go mom, I have sympathy for parents trying to multi-task, but there are certain things that we MUST pay attention to. Leaving the kids in the car while grabbing a snack in the gas station may be a time-saver, but with the extreme heat that can take place across the country, saving time is something you don’t want to test. As a mom, I’m going to give you a blunt reminder during this hot weather:

DON’T LEAVE YOUR KIDS IN THE CAR ALONE—EVER!

Yesterday the temperature gauge in my car read 93 degrees. This is the exact temperature that proves your car can become an oven in high temperatures. According to the North Carolina Department of Health and Human Services, when it’s 93 degrees outside:

  • After 20 minutes temperatures inside a car = 125 degrees
  • After 40 minutes temperatures inside a car = 140 degrees

It’s also important to remember that your kids’ little bodies are affected by heat more quickly and severely than us adults, so our judgment of temperature is not accurate to that of a child. The stats above may be based on extremely hot weather, but at any temperature, it’s never a good idea to leave your kids in the car alone. Saving a few minutes is far too big a gamble for the priceless cost it could pay. Don’t let those be the few minutes you regret forever.

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Affordable Care Act Open Enrollment

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Shield Insurance Blog | Affordable Care Act | Health Insurance

Affordable Care Act (ACA) Open Enrollment

OK, so maybe this entry isn’t so much as a blog as it is me just unloading my brain…. and with open enrollment starting tomorrow, it’s about all I can think about (sorry Dawn… I’ll get working on that ‘honey-do list soon!!).

Affordable Care Act: Being able to choose new health insurance plans as early as tomorrow, just makes me think of how much of a disaster it was last year. We are all just hoping like heck that the site works better this year!!! PLEASE!!! We are being told that it’s much more streamlined and shorter than last year’s. We’ll soon see! We did sign someone up yesterday and were told that it would be on the new platform, but it didn’t appear to be very different at all. hmmm…

Last year, buying a plan on the Marketplace was not a very fun event. But we did our best to help folks as best as possible! We’re here to do that again this year and are acquiring quite a bit of expertise, so we feel confident that we can help!

This year, the Blue Cross and Priority rates are closer! They still appear to have a lower price overall. And if you’re eligible for a subsidy, don’t forget that you MUST sign up on the Marketplace, meaning that you can’t purchase a plan from United Health Care, for example, since they are not “playing” ON the Marketplace this year in the counties that we work within Michigan.

Our office is doing the actual process of signing everyone up on the website. She can whip through those pages pretty proficiently now! And she knows many of the stopper/pitfall answers to some of the quirkier questions asked so make sure you call us to get signed up!

FYI, ACA means the Affordable Care Act and it applies to all Americans. Some plans are grandfathered and do not need to comply. I don’t dare claim to know ALL there is about this, but it’s interesting to note that some companies are ditching all pre-ACA plans now and some are going on until at least the end of 2017. that goes for Group AND Individual. Oh, and when I say “individual”, I just mean non-group… so that means that it’s not offered through an employer. The individual does not mean ‘just one person’… it can… but it means ‘families’ too.

Have a great day! Andy

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Google Takes on Auto Insurance

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Is Google taking over auto insurance???

Big in the news is that you can now get auto insurance quotes from Google (CA only so far). They’ll shop a bunch of different companies and show you all the rates, then you can choose a policy and buy it. Pretty cool, eh? Many experts are kind of freaking out about how this will affect the independent agent and if it is the beginning of our demise! I absolutely beg to differ!!

Here’s (partly) why: When google asks a question “What liability limits do you want” and you see options of ‘state minimum’, ‘100/300’, or ‘500CSL’, do you know what to choose? And more importantly, WHY you should make a certain choice? An independent agent can help you answer that question. An independent agent can also help you make strategic decisions on deciding whether to decline a specific coverage. We are your partner in helping you get a policy that doesn’t over or under-insure you. Google also has tons of analytical data, such as speed limits, crash statistics, traffic stats, etc, which should help make it be able to estimate a price for insurance if they ever actually decided to sell auto insurance themselves.

But another great thing about independent agencies is that we can sell many other products along with auto insurance! Such as home, health, life, or business insurance. So, it makes sense for a person to keep all their insurance in one place, to take advantage of “multi-policy” discounts, and even just for simple ease of doing business. So, the customer doesn’t have to keep track of lots of phone numbers of places to call for insurance!! This is just the tip of the iceberg on this topic! But it’s definitely an interesting topic to see how certain groups are responding. Have a great day!


Thanks, Andy

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Springtime in West Michigan means tulip time!

Posted on by Shield Insurance Agency

Spring is here despite the snow and cold which means Holland’s Tulip Time is right around the corner! A long-established tradition for not only West Michigan but the world, Tulip Time helps Hollanders and others alike remember the area’s Dutch roots.  This year’s celebration is set for the second week of May from the 7th through the 14th. Starting with a 5k/10k run and ending with fireworks Tulip time has something for the whole family.

Did you know??

  • Tulip time started in 1928 to celebrate the area’s Dutch heritage. Only during WW2 did they discontinue the major festivities and only held a small flower show and music.
  • They first purchased 100,000 tulip bulbs from the Netherlands to plant around the city. They now have 4.5 million planted around the greater Holland area.
  • The festival activity of Klompen dancing started with just 12 dancers and has grown over the years to 1,000.

If you want to track the progress of the Holland Tulips you can visit the tulip tracker at http://www.cityofholland.com/parksandcemeteries/tulip-tracker-centennial-park 

Windmill Island is a special place during Tulip Time. The island is 36 acres with 150,000 tulips and a working 250-year-old windmill.

For more information on the parades, dancing, food, and tulips visit: http://www.tuliptime.com/

submitted by Autumn

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