Starting October 1, 2013, you will have a new provider network.

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1 #### STATE OF TENNESSEE DEPARTMENT OF FINANCE AND ADMINISTRATION DIVISION OF HEALTH CARE FINANCE AND ADMINISTRATION COVER TENNESSEE PROGRAMS 310 GREAT CIRCLE ROAD, 2 WEST NASHVILLE, TENNESSEE DATE Dear CoverKids Member: Starting October 1, 2013, you will have a new provider network. On October 1, 2013, CoverKids members will move from the current BlueCross BlueShield of Tennessee (BCBST) Provider Network S to the TennCareSelect Provider Network. Your new provider network will supply your medical health care, as well as your behavioral health, including drug and alcohol treatment. BlueCross and TennCareSelect networks share many of the same health care providers. If your doctor also takes TennCareSelect, you do not have to change doctors. Important: This change will not move you into the TennCare Medicaid program. You will remain in the CoverKids program. Before October 1, 2013: You may keep using the same doctors, clinics, and other facilities where you get care. You will be in Network S until then. Starting October 1, 2013: You must receive care from doctors and other health care providers that participate in the TennCareSelect provider network. Don t wait until the last minute to check on this with your providers. Talk to them now. Ask your medical and behavioral health providers if they are in the TennCareSelect network. If they say yes, you don t have to change doctors. If your health care providers say they are not in the TennCareSelect network, you must find new providers that are in-network. How do you find new health care providers that are in-network? Provider lists are updated daily. The most up-to-date list is available 24/7 through the website, bcbst.com. Go to bcbst.com. Locate Find a Doctor on the right side of the opening page. Click on Begin Your Search. Click on Doctor/Medical Professional. Under What do you want to do, choose Find a provider by specialty (in my network). Under Specialty, go to Family Medicine / Primary Care and choose the type of doctor you want your child to see. For a behavioral health doctor, go to Behavioral / Mental Health. (Continued on next page)

2 #### Enter your City and State or Zip code. Select how many miles you would be willing to travel to find the kind of provider you need. Under ID Prefix, click the box that says I don t have my ID prefix. o Note: It s important that you not enter your current ID prefix. If you do, you will only see doctors in your network today. It will not show your new network providers. Under Or a network, click on the drop down box and select TennCareSelect. Select Get Results. You will receive a list of TennCareSelect providers in your area. You may click on each doctor to see the phone number, office hours and if he or she is accepting new patients. If you don t have Internet access, you can call Member Services for help finding a provider at , toll free, from 8 a.m. to 6 p.m. EST, Monday through Friday. What if you are in the middle of getting care for a medical or behavioral health problem on October 1, 2013, and your provider is not in the new network? You can keep getting that care from the same doctor or other health care provider until you can safely change to one that participated in your new provider network OR until the care is over (BUT no more than 90 days after October 1). Will my CoverKids benefits change? You will keep the same benefits you currently have with CoverKids. In September, you will receive a new CoverKids Identification Card. Keep using your old card through September 30, 2013 On October 1, 2013, start using the new card that shows your new provider network. Do you have questions? Do you need help with this letter? Is it because you have a health, mental health, or learning impairment or a disability? OR, do you need help in another language? If so, you have a right to get help, and we can help you. Call for free. You will receive more information from us and our Administrator, BlueCross BlueShield of Tennessee, concerning your network change. Sincerely, CoverKids Do you need help in these languages: (Arabic); (Bosnian); (Kurdish-Badinani); (Kurdish- Sorani); (Somali); Español (Spanish); (Vietnamese)? CoverKids language and member services are free at , Monday-Friday, 8 a.m. to 6 p.m. ET. For TDD/ TTY help call Federal and State laws protect your rights. They do not allow anyone to be treated in a different way because of: race, language, sex, age, color, birthplace, or disability. Need help? Call the Office of Non-Discrimination Compliance for free at or TTY: (877) The TennCareSelect Provider Network is administered by BlueCare Tennessee. BlueCross BlueShield of Tennessee and BlueCare Tennessee, Independent Licensees of BlueCross BlueShield Association

3 ##### STATE OF TENNESSEE DEPARTMENT OF FINANCE AND ADMINISTRATION DIVISION OF HEALTH CARE FINANCE AND ADMINISTRATION COVER TENNESSEE PROGRAMS 310 GREAT CIRCLE ROAD, 2 WEST NASHVILLE, TENNESSEE DATE Dear HealthyTNBabies Member: Starting October 1, 2013, you will have a new provider network. On October 1, 2013, HealthyTNBabies members will move from the current BlueCross BlueShield of Tennessee (BCBST) Provider Network S to the TennCareSelect Provider Network. Your new provider network will supply all of your health care needs related to your pregnancy. BlueCross and TennCareSelect networks share many of the same health care providers. If your doctor also takes TennCareSelect, you do not have to change doctors. Important: This change will not move you into the TennCare Medicaid program. You will remain in the HealthyTNBabies program. Take the following steps to ensure you have coverage during your pregnancy: 1) Ask your current provider if they are in the TennCareSelect Provider Network. If they are, then you can stay with your current provider throughout your pregnancy. 2) If your current provider is not in the TennCareSelect Provider Network, your next action depends on your stage of pregnancy on October 1, 2013: If you will be less than three months pregnant on October 1, 2013, you will have to pick a new doctor who is in your new provider network. If you will be more than three months pregnant on October 1, 2013, you can keep the same doctor while you re pregnant and for 6 weeks after. How do you find new health care providers that are in-network? Provider lists are updated daily. The most up-to-date list is available 24/7 through the website, bcbst.com. Go to bcbst.com. Locate Find a Doctor on the right side of the opening page. Click on Begin Your Search. Click on Doctor/Medical Professional. Under What do you want to do, choose Find a provider by specialty (in my network). Under Specialty, go to Obstetrics and Gynecology and choose the type of doctor you want to see. (Continued on next page)

4 ##### Enter your City and State or Zip code. Select how many miles you would be willing to travel to find the kind of provider you need. Under ID Prefix, click the box that says I don t have my ID prefix. o Note: It s important that you not enter your current ID prefix. If you do, you will only see doctors in your network today. It will not show your new network providers. Under Or a network, click on the drop down box and select TennCareSelect. Select Get Results. You will receive a list of TennCareSelect providers in your area. You may click on each doctor to see the phone number, office hours and if he or she is taking new patients. If you don t have Internet access, you can call Member Services for help finding a provider at , toll free, 8 a.m. to 6 p.m. EST, Monday through Friday. Will my HealthyTNBabies benefits change? You will keep the same benefits you currently have with HealthyTNBabies. In September, you will receive a new HealthyTNBabies Identification Card. Keep using your old card through September 30, 2013 On October 1, 2013, start using the new card that shows your new provider network. Do you have questions? Do you need help with this letter? Is it because you have a health, mental health, or learning impairment or a disability? OR, do you need help in another language? If so, you have a right to get help, and we can help you. Call for free. You will receive more information from us and our Administrator, BlueCross BlueShield of Tennessee, concerning your network change. Sincerely, HealthyTNBabies Do you need help in these languages: (Arabic); (Bosnian); (Kurdish-Badinani); (Kurdish- Sorani); (Somali); Español (Spanish); (Vietnamese)? CoverKids language and member services are free at , Monday-Friday, 8 a.m. to 6 p.m. ET. For TDD/ TTY help call Federal and State laws protect your rights. They do not allow anyone to be treated in a different way because of: race, language, sex, age, color, birthplace, or disability. Need help? Call the Office of Non-Discrimination Compliance for free at or TTY: (877) The TennCareSelect Provider Network is administered by BlueCare Tennessee. BlueCross BlueShield of Tennessee and BlueCare Tennessee, Independent Licensees of BlueCross BlueShield Association

5 29 de agosto de 2013 Estimado miembro de CoverKids: ESTADO DE TENNESSEE DEPARTAMENTO DE FINANZAS Y ADMINISTRACIÓN DIVISIÓN DE FINANZAS Y ADMINISTRACIÓN DE LA ATENCIÓN MÉDICA COVER TENNESSEE PROGRAMS 310 GREAT CIRCLE ROAD, 2 WEST NASHVILLE, TENNESSEE A partir del 01 de octubre de 2013, usted tendrá una nueva red de proveedores. El 01 de octubre de 2013, los miembros de CoverKids cambiarán de la Red S de Proveedores de BlueCross BlueShield of Tennessee (BCBST) actual a la Red de Proveedores de TennCareSelect. Su nueva red de proveedores le proporcionará su atención médica, así como la atención de su salud mental, incluyendo el tratamiento por el uso de drogas y alcohol. Las redes de BlueCross y TennCareSelect comparten muchos de los mismos proveedores de atención médica. Si su doctor también acepta TennCareSelect, usted no tiene que cambiar de doctor. Importante: Este cambio no lo moverá a usted al programa de Medicaid de TennCare. Usted permanecerá en el programa de CoverKids. Antes del 01 de octubre de 2013: Usted puede continuar usando los mismos doctores, clínicas y otras instalaciones donde recibe atención. Usted pertenecerá a la Red S hasta esta fecha. A partir del 01 de octubre de 2013: Usted tiene que recibir atención médica de los doctores y otros proveedores de atención médica que pertenecen a la red de proveedores de TennCareSelect. No espere hasta el último minuto para verificar esto con sus proveedores. Hable con ellos ahora. Pregunte a sus proveedores de atención médica y salud de comportamiento si pertenecen a la red de TennCareSelect. Si dicen que sí, usted no tiene que cambiar de doctores. Si sus proveedores de atención médica dicen que nopertenecen a la red de TennCareSelect, usted tiene que buscar nuevos proveedores que estén dentro de la red. Cómo buscar nuevos proveedores de atención médica que están dentro de la red? Las listas de proveedores se actualizan diariamente. La lista más actualizada está disponible 24 horas al día, 7 días a la semana, en el sitio web, bcbst.com. Visite bcbst.com. Localice Find a Doctor (Busque un doctor) en la parte derecha de la página principal. Haga clic en Begin Your Search (Comienze su búsqueda). Haga clic en Doctor/Medical Professional (Doctor/Profesional Médico). (Continúa en la página siguiente) Tiene preguntas? Necesita ayuda con esta carta? Llámenos. Estamos disponibles para ayudarle de lunes a viernes, de 8 a.m. a 6 p.m., hora del este.

6 Bajo What do you want to do (Qué quiere hacer), elija Find a provider by specialty (in my network) Busque un proveedor por especialidad (dentro de mi red). Bajo Specialty (Especialidad), busque Family Medicine / Primary Care (Medicina Familiar / Atención Primaria) y elija el tipo de doctor que usted quiere que atienda a su niño. Para buscar un doctor de salud de comportamiento, elija Behavioral / Mental Health (Salud de Comportamiento / Salud Mental). Ingrese su City and State (Ciudad y Estado) o Zip code (Código postal). Seleccione how many miles (cuántas millas) usted está dispuesto a viajar para encontrar los tipos de proveedores que necesita. Bajo ID Prefix (Prefijo de identificación), haga clic en la caja que dice I don't have my ID prefix (No tengo mi prefijo de identificación). o Nota: Es importante que usted no ingrese el prefijo de identificación que usted tiene ahora. Si lo hace, usted solamente verá los doctores que están en su red hoy. No le mostrará los proveedores de su nueva red. Bajo Or a network (O una red), haga clic en la caja desplegable y seleccione TennCareSelect. Seleccione Get Results (Ver Resultados). Usted recibirá una lista de los proveedores de TennCareSelect que se encuentran en su área. Usted puede hacer clic en el nombre de cada doctor para ver su número de teléfono, horas de oficina y si él o ella está aceptando nuevos pacientes. Si no tiene acceso al Internet, usted puede llamar a los Servicios de Atención al Cliente para recibir ayuda para buscar un proveedor al , número gratis, de 8 a.m. a 6 p.m. hora del este, de lunes a viernes. Qué pasa si el 01 de octubre de 2013, usted está a mitad de recibir atención por un problema médico o por un problema de salud de comportamiento y su proveedor no pertenece a la nueva red? Usted puede continuar recibiendo esta atención médica del mismo doctor u otro proveedor de atención médica hasta que pueda cambiar sin riesgo, a otro proveedor que pertenezca a su nueva red de proveedores O hasta el fin de la atención médica (PERO, no más de 90 días después del 01 de octubre de 2013.) Cambiarán mis beneficios de CoverKids? Usted continuará recibiendo los mismos beneficios que actualmente tiene con CoverKids. En septiembre, usted recibirá una nueva Tarjeta de Identificación de CoverKids. Continúe usando su antigua tarjeta hasta el 30 de septiembre de El 01 de octubre de 2013, comience a usar la nueva tarjeta que muestra su nueva red de proveedores. Tiene usted alguna pregunta? Necesita ayuda con esta carta? Usted necesita ayuda por causa de un impedimento de salud, de salud mental, de aprendizaje o porque tiene una incapacidad? O tal vez, necesita ayuda en otro idioma? Si es así, usted tiene derecho a recibir ayuda, y nosotros le podemos ayudar. Llame gratis al Usted recibirá más información de nuestra parte y de nuestro Administrador, BlueCross BlueShield of Tennessee, sobre el cambio de su red. (Continúa en la página siguiente) Tiene preguntas? Necesita ayuda con esta carta? Llámenos. Estamos disponibles para ayudarle de lunes a viernes, de 8 a.m. a 6 p.m., hora del este.

7 Atentamente, CoverKids Necesita usted ayuda en estos idiomas: (Árabe); (Bosnio); (Kurdo-Badinani); (Kurdo- Sorani); (Somalí); Español (Spanish); (Vietnamice)? Para obtener servicios en diferentes idiomas y para los servicios de atención al cliente de CoverKids puede llamar gratis al de lunes a viernes, de 8 a.m. a 6 p.m., hora del este. Para recibir ayuda con TDD/TTY llame al Las leyes Federales y Estatales protegen sus derechos. Dichas leyes no permiten que nadie reciba un trato diferente debido a su: raza, idioma, sexo, edad, color de la piel, lugar de nacimiento o discapacidad. Necesita ayuda? Llame gratis a la Oficina de Cumplimiento de Prevención de Discriminación al o TTY: (877) La Red de Proveedores de TennCareSelect está administrado por BlueCare Tennessee. BlueCross BlueShield of Tennessee y BlueCare Tennessee, son Licenciatarios Independientes de BlueCross BlueShield Association Tiene preguntas? Necesita ayuda con esta carta? Llámenos. Estamos disponibles para ayudarle de lunes a viernes, de 8 a.m. a 6 p.m., hora del este.