Health & Wellness

Members can read quarterly newsletters and review recommended screenings to help maintain a healthy lifestyle. Members also have exclusive access to cost and quality tools through myblue.

  • Preventive Medicine Guidelines: Employees can see what screenings, immunizations and other preventive measures are recommended by the experts for their age group and gender.
  • Newsletters: Employees can access healthy lifestyle articles, heart-healthy news, wellness tips and recipes in our quarterly newsletters.

Maternity Management Program

Blue Cross and Blue Shield of Nebraska's Maternity Management Program encourages our members to “Take A Step Toward A Healthy Pregnancy.” It provides expectant mothers with the education and support they need throughout their pregnancy. The program:
  • Provides education and support during prenatal and post-delivery stages
  • Identifies for case management referral members with potential for a high risk pregnancy 
  • Rewards moms-to-be for participating in the program
  • Helps improve pregnancy outcomes and reduce costs by preventing potential complications and long-term health care needs for mothers and babies

HEALTH INSURANCE TERMS


COINSURANCE

The percentage of the bill you pay after your deductible has been met.

COPAY

A fixed amount you pay when you get a covered health service.

Tiered benefit plan

A health care plan featuring multiple levels of benefits based on the network status of a particular provider. 

DEDUCTIBLE

The annual amount you pay for covered health services before your insurance begins to pay.

emergency care services

Any covered services received in a hospital emergency room setting.

SUBSTANCE ABUSE DISORDER SERVICES

Includes behavioral health treatment, counseling, and psychotherapy


in-network provider

A provider contracted by your insurance company to accept an agreed upon payment for covered services. 

OUT-OF-network provider

A term for providers that aren’t contracting with your insurance company. (Your out-of-pocket costs will tend to be more expensive if you go to an out-of-network provider.)

out-of-pocket

Your expenses for medical care that aren’t reimbursed by insurance, including deductibles, coinsurance and co-payments.

penalty

If you can afford health insurance, but choose not to buy it, you must have a health coverage exemption or pay a tax penalty on your federal income tax return.

premium

The amount you pay to your health insurance company each month. 


Preventive services

Health care services that focus on the prevention of disease and health maintenance.

rehab SERVICES

Services and devices to help you recover if you are injured or have surgery. This includes physical, occupational and speech therapy.

special enrollment period

The time after the Open Enrollment Period when you can still purchase health insurance only if you have a qualifying life event (losing other health coverage, having a baby, getting married, moving).

specialist

A physician who has a majority of his or her practice in fields other than internal or general medicine, obstetrics/gynecology, pediatrics or family practice.