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29 Nov 22 63 0 0

Blue Shield of California supports members through life changing health journeys

Cool Story - Blue Shield of California supports members through life changing health journeys

Members of Blue Shield of California Greg and Kathy were in Colorado visiting their daughter's college when Greg had a medical emergency and had to be taken to a local hospital. Kathy dialed the number on the back of her member identification card while out of the country and away from their usual providers.

Kathy proclaimed, "Blue Shield was great." "They handled everything,"

This is merely the most recent illustration of the nonprofit health plan's ongoing efforts to give its members access to inexpensive, family- and friend-worthy care. In J.D. Power's 2022 U.S. Commercial Member Health Plan Study, Blue Shield was placed No. 2 in California, demonstrating the success of its efforts.

While it's an honor to achieve such excellent grades, Will Martin-Gill, vice president of product and customer strategy at Blue Shield of California, stated that the members' positive comments and testimonies have been even more heartwarming. "Our continued efforts to provide our members with an amazing experience is paying off,"

These initiatives include giving customer service representatives access to tools that quickly bring member information to their fingertips, cutting down on call volume, facilitating online benefit plan management for members, and engaging members to ensure they comprehend their benefits and the value of their plans.

Greg and Kathy's vacation was upended.

Overwhelmed and concerned for her husband, Kathy worked with a Blue Shield agent to swiftly select a facility that fit Greg's requirements, giving Kathy more time to focus on herself.

In the months that followed, Blue Shield staff members obediently responded to Kathy's inquiries about operations, hospital admittance, authorizations, scheduling, and invoicing. Blue Shield aided Kathy in locating a new medical practice and primary care physician more suited to Greg's medical requirements when they, at last, made it back to California.

The couple is still hopeful that one day they will be able to travel to Colorado with their daughter as they had planned, even though Greg still has a long road of treatments and operations ahead of him.

"Members have a better experience" when they are more informed about the benefits that are accessible to them, according to Martin-Gill. "It's our responsibility to make sure they know that information from the start, and we've worked very hard to improve our member orientation."

Burt: Overcoming obstacles to attain health objectives

Burt has several ongoing medical issues and is depressed. It was difficult for him to get to and from his medical visits at several Southern California facilities, especially following his bilateral knee operations. But after he signed up for Blue Shield's home-based care service through Landmark, that changed.

A Landmark care navigator made a plan for Burt to reach his health objectives of losing weight and visiting an oncologist about the cancerous lesion in his jaw during his initial home visit.

There were still obstacles even with these objectives in mind. Burt was unsure of how to handle the tumor and resisted going to the oncologist out of concern for the cost and the distance involved in getting there.

His care navigator persisted in urging him to get medical attention, and it was effective. When Burt was finally persuaded, Blue Shield provided transportation assistance, and he started radiation therapy.

The best things that ever occurred to me were Blue Shield of California and Landmark, Burt claimed.

Burt's cancer is currently in remission. While there is still some discomfort, he has much greater mobility in his jaw and neck. His motivation is great, and he is anxious to get back to work and find a new position.

Martin-Gill added, "Our objective is to develop a healthcare system worthy of our family and friends and sustainably affordable. Our continuous focus on offering a high-quality member experience is a key element of that mission.”

The above article is selected by CoolDeeds.org. The information and the assets belong to their respective owners (original link).


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