General News
Published July 8, 2019
Members who have a primary care provider (PCP) are more likely to complete important screenings and maintain regularly scheduled doctor’s appointments. That’s why Premera Blue Cross is reaching out to some members to help them find a PCP and make an appointment.
What you should know
We want you to know about our member outreach program in case you get questions from one of your Premera clients.
Not all Premera members will be contacted. The outreach is for individual and small group members who have:
- A suspected chronic and/or complex condition such as diabetes, chronic pulmonary disease, or stroke and who have not had a visit with a medical provider in the last 12 months
- Multiple care gaps such as colorectal cancer screenings and breast cancer screenings and who have not had a visit with a medical provider in the last 12 months
How it works
Premera is partnering with Change Healthcare, also known as My Advocate, to run this member outreach program. Here’s what members can expect:
- Members will receive a welcome letter from My Advocate the week of July 9, 2019. This letter will introduce My Advocate as a Premera partner and explain the benefits of the program.
- Seven to 10 days after the mailing, My Advocate will start to call members to provide educational information about the recommended care. If the member does not have a PCP, My Advocate will help them find one.
- Once a PCP is identified, My Advocate will assist in scheduling an appointment. They will even connect the member directly with the provider by conferencing in the doctor’s office.
- After an appointment is scheduled, the member will receive two reminders from My Advocate: a postcard and an automated phone call with the appointment details.
What you can do
If you receive questions or calls from your clients, you can let them know that Premera is committed to helping them connect directly with a primary care doctor.