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SMU Health
and Wellness Plan:
Helping
You Take Care of You
We all have many
work-related responsibilities, as well as numerous
personal responsibilities that consume a lot of our time and
energy when we leave work each day. Whether we are raising
children, are just now thinking about starting a family,
or are trying to help an older parent with health or other
age-related issues, we often lose sight of the need to
address our own healthcare needs. |
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Did You Know?
The SMU Health & Wellness PPO options administered by BCBSTX now
cover 100% of
the cost of routine mammograms, colonoscopies, and PSA (prostrate)
screenings with no deductible and office visit co-pay?
This benefit is in addition to the $500 annual
limit for preventive care benefit.
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The
SMU Health and Wellness Plan is
proud to offer benefits designed to help you better manage your
personal health care needs, as well as the needs of your family.
Regular exams and screenings can help detect cancer and other
diseases in their earliest stages when they are the most
treatable. Regular dental and vision exams can help prevent
diseases of the mouth and eyes. Employees enrolled in the Blue
Cross BlueShield PPOs and the Dental and Vision plans have the
following preventive care benefits:
· Medical:
Annual Routine Physical Exam (ages 2 and up)
The BCBSTX PPO options pay up to $500 per person, per
year for routine annual physicals, medical screenings and
immunizations. The BCBSTX PPOs also cover 100% of the cost of
routine Mammogram, Colonoscopy and PSA (Prostate) screenings, if
administered by an in-network provider. Routine preventive care
services are not subject to your annual deductible or the $25
office visit copa.
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SMU covers preventive tests and
screening in accordance with
BCBSTX Wellness Guidelines. You
can find the SMU Preventive Care Guidelines for Adults, Infants,
Children and Adolescents as well as Prenatal on the Health
and Wellness Program page of Benefits U.
physical.
To be sure that
your preventive care claim is processed correctly,
remind your doctors office staff to report the CPT code
(services provided during the office visit) and ICD-9 code
(reason for visit) for routine physicals, screenings &
immunizations (including Mammogram, Colonoscopy and
PSA screening) when they file your claim with BCBSTX.
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BCBSTX
Condition Management.
If you or
an enrolled family member are living with a chronic
health condition such as heart disease,
high blood pressure,
diabetes or lower back pain,
you may face daily challenges in managing your health and
quality of life. The BCBSTX PPOs provide a comprehensive
condition management program that works with you, your
doctor and your medical plan to help identify ways to manage
your health issues more effectively. For information about
this important resource call 1-800-462-3275 (option 1).
BCBSTX 24/7 Nurseline.
Good health
starts by asking the right questions at the right time and
those questions often come up unexpectedly, like when the
doctor's office is closed. The
BCBSTX 24/7 Nurseline puts you in touch with caring
registered nurses around the clock. Call 1-800-462-3275
(option 2) or the phone number listed on you BCBSTX ID card.
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Dental: For Routine Exams and Cleanings (2 per calendar
year)
The Freedom of Choice Dental Plan,
which is administered by
Aetna,
pays 100%, after the $50
per person life-time deductible. |
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Vision: Annual eye exam
The Vision Plan, which is administered by
Compbenefits, pays 100% for a complete eye exam (once
every 12 or 24 months depending on age), after the $10 copay
and if you use a network provider. |
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