Hospital Choice Cost Sharing
Launch Timeline Template
Four months prior to Effective Date· Week 1
o Announcement letter from employer on plan choice / Employer downloads letter from
www.bluecrossma/BlueIQ.com and sends to their employees
o Schedule on-site education sessions for Open Enrollment / Sales Representative works with employer to set up schedule
o Request customized Coverage Advisor / Sales Representative works with Christine Profita Orok to set up and launch tool (groups of 100+)
· Week 2
o Follow-up email
What’s The Hospital Choice Cost Share and promotion of upcoming session / Employer downloads email and attachment from
www.bluecrossma/BlueIQ.com and sends to their employees
§ Attachment – Hospital List and member self assessment form
· Week 3
o Follow-up email
Review your hospitals to get the most value from your plan and promotion of upcoming session / Employer downloads email and attachment from
www.bluecrossma/BlueIQ.com and sends to their employees
§ Attachment – Hospital List and member self assessment form
§ Benefit Summary
· Week 4
o Follow-up email
Support for you and your family and promotion of upcoming session / Employer downloads email from
www.bluecrossma/BlueIQ.com and sends to their employees
o Onsite meeting explaining the plan design / Sales Representative attends and leads session
o Order open enrollment kits / Sales Representative orders kits and arranges delivery
§ Medical plan benefit summary
§ Hospital Choice Cost Sharing List
§ Self-assessment form
§ Deductible education sheet
(if applicable)
§ Typical costs fact sheet
(if applicable)
§ Medical application
§ Quick Start Guide
Three months prior to Effective Date
· Week 2
o Letter from employer
Outline open enrollment process and highlight plan choices / Employer drafts and sends letter as part of their open enrollment process
§ Highlight Plan Education Center and Hospital Choice Cost Sharing and/or coverage advisor (if applicable)
o Follow-up email
Benefits presentation schedule reminder / Sales Representative works with client to draft reminder email to employees
· Week 3 - Open Enrollment Begins
o Distribute open enrollment kits / Sales Representative ensures kits are delivered to employer for OE
o Follow-up email
Benefits Presentation Schedule / Sales Representative works with client to draft reminder email to employees
· Week 4
o On-site education sessions / Sales Representative confirms scheduled sessions with employers
Two months prior to Effective Date
· Week 2 - Open enrollment ends
· Week 3
o Follow-up email
Employer sends confirmation of coverage selections / Employer drafts and sends notice as part of normal open enrollment process
One month prior to Effective Date
· ID card mailed to members
· Support reminder email sent to employer / Sales Representative downloads draft email from sales reference center and sends reminder email to client outlining support available to employer
Effective date - January
· Follow-up email
Member Central registration/tools/email signup / Employer downloads email and attachment from www.bluecrossma/BlueIQ.com and sends to their employees
· Welcome Kits
· / Sales Representative orders welcome kits from Alger Street for group.
This health plan option includes a tiered network feature called Hospital Choice Cost Sharing. As a member in this plan, you will pay different levels of cost share* (such as copayments and/or coinsurance) for certain services depending on the network* general hospital you choose to furnish those covered services. For most network* general hospitals, you will pay the lowest cost sharing level*. However, if you receive certain covered services from some network* general hospitals, you pay the highest cost sharing level*. A network* general hospital's cost sharing level may change from time to time. Overall changes to add another network* general hospital to the highest cost sharing level will happen no more than once each calendar year. For help in finding a network* general hospital for which you pay the lowest cost sharing level, check the most current provider directory for your health plan option or visit the online provider search tool at www.bluecrossma.com/hospitalchoice. Then click on the Planning Guide link on the left navigation to download a printable network hospital list or to access the provider search page.
* - For the PPO plan designs, the different levels of cost sharing apply to in-network benefit levels at preferred general hospitals.