City Council Administrative Aides 2020-2021
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City Council Administrative Aides
2020-2021
Employee Benefits Guide
An overview of the wide array of benefits provided by Brian Clendening, to
help you enjoy increased well-being and financial security.
City Council Administrative Aides Employee Benefit Guide
As an employee at City Council Administrative Aides enjoying your work and making valuable contributions to business are equally vital. The health, satisfaction and security of you and your family are im portant to your well-being and ultimately, achieving the goals of our organization. For the 2019 - 2020 plan year, City Council Administrative Aides has worked hard to offer a competitive total rewards package that includes valuable and competitive benefits plans. These programs reflect our com m itm ent to keeping our staff healthy and secure. W e understand that your situation is unique, and City Council Administrative Aides is offering an overall benefits package with many possible choices - one that can be shaped and m olded by you, to fit your needs. This enrollment book let is a summary description of your City Council Administrative Aides benefit plans. If there is a discrepancy between these summaries and the written legal plan documents, the plan documents shall prevail. This book let and plan summaries do not constitute a contract of employment. W e hope this enrollment booklet, along with our additional communication and decision-making tools, will help you make the best health care choices for
CONTENT
Virtual Visits 20
Overview of Benefits 04
Medical Benefits 06 Healthy Pregnancy 21
Medical Benefit Details 07 Well On Target 22
Dental Benefits 09 Adult Wellness Guidelines 23
Vision Benefits 11 Contact Page 24
Basic Life/AD&D and Voluntary Life 13
Short-term Disability 14
Voluntary Long-term Disability 15
Accident 16
Health Savings Account (HSA) 17
Blue 365 18
Blue Access for Members 19
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City Council Administrative Aides Benefits Guide
OVERVIEW OF BENEFITS
C H A N G E S A N D Q UA L I F Y I N G E V E N T S
WHEN COVERAGE BEGINS AND ENDS
For all health and welfare benefits ( not including 401K), your coverage would begin
the 1st of the m onth following date of hire. If your date of hire is on the 1st, your
benefits begin that day. Your coverage under the benefits plans will end at the end of
the month if you no longer m eet the eligibility requirements, your contributions are
discontinued, or the Group Insurance Policy is terminated.
Q UA L I F Y I N G E V E N T S
Eligible employees may enroll or make changes to their benefits elections during the
annual open enrollment period. As with most benefits, once you elect an option you
are bound to that choice for the entire plan year unless you experience a “Qualifying
Event”. These may include, but are not limited to:
• Changes in employment status
• Changes in legal marital status
• Changes in number of dependents
• Taking an unpaid leave of absence
• Dependent satisfies or ceases to satisfy eligibility requirement
• Family Medical Leave Act (FMLA) leave
• A COBRA-qualifying event
• Entitlement to Medicare or Medicaid
• A change in the place of residence of the employee, resulting in the
current carrier not being available
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City Council Administrative Aides Benefits Guide
OVERVIEW OF BENEFITS
As a full-time City Council Administrative Aide, you are provided an array of
benefits that can help you enjoy increased well-being, deal with an
unexpected illness or accident, build and protect your financial security,
balance your personal and professional life and meet every day needs. These
benefits are affordable, comprehensive and competitive.
The table below summarizes the benefits available to eligible staff and their
dependents. These benefits are described in greater detail in this booklet.
B E N E F I T S AT - A - G L A N C E
Coverage Carrier
Medical BlueCross BlueShield
Dental Guardian
Vision Avesis
Basic Life Guardian
Voluntary Life Guardian
Short-Term Disability Guardian
Voluntary Long-Term Guardian
Disability
Accident Guardian
P5
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H.S.A H.S.A Bank
MEDICAL PLAN
K E Y T E R M S TO R E M E M B E R
A N N UA L D E D U C T I B L E O U T - O F P O C K E T MAXIMUM
T h e a m o u n t y o u h a v e to p a y e a c h year b efo r e th e This is th e total a m o u n t y o u c a n p a y o u t of p o c k e t
plan star ts p a y i n g a portion of m e d i c a l exp en ses. e a c h c alen d ar year b efo r e th e plan p a y s 100
All family m e m b e r s ’ e x p e n s e s that c o u n t to war d p e r c en t of c o v e r e d e x p e n s e s for th e rest of th e
a health plan d e d u c t i b l e a c c u m u l a t e t o g e t h e r c alen d ar year. M o st e x p e n s e s that m e e t provider
in th e a g g r e g a t e ; h o wever , e a c h p er so n also n etwo r k r eq u ir em en ts c o u n t to war d th e annual
h a s a limit o n their o w n individual a c c u m u l a t e d o u t - o f - p o c k e t m a x i m u m , in c lu d in g e x p e n s e s p aid
e x p e n s e s (the a m o u n t varies b y plan). to th e annual deductible*, c o p a y s a n d
coinsurance.
* E x c e p t for Gr an d fath ered m e d i c a l p lan s
C O PAY S A N D C O I N S U R A N C E PLAN TYPES
T h e s e e x p e n s e s are your sh ar e of c o s t p aid for • E P O / P P O – A network of d o c t o r s , hospitals,
health care service. Copays are fixed dollar a n d other health c a r e providers
am o u n ts, a n d are usually d u e at th e t i m e y o u • H M O – A n e t w o r k that requires y o u to s e l e c t
r ec eive care. C o i n s u r a n c e is your sh ar e of th e a P r i m a r y C a r e Physician ( P C P ) w h o
allo wed a m o u n t c h a r g e d for a ser vic e, a n d is c o o r d i n a t e s your health c a r e
gen er ally billed to y o u after th e health in su r an c e • H D H P – A plan that h a s h i g h e r annual
c o m p a n y r eco n c iles th e bill with th e providers. d e d u c t i b l e s in e x c h a n g e for lower p r e m i u m s ;
a n H S A is an HDHP
• H M O a n d E P O p l a n s d o n o t offer o u t -
network benefits.
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City Council Administrative Aides Benefits Guide
S U M M A RY O F C O V E R A G E
& R AT E S
Plan Features HDHP BASE HMO* BASE PPO BUY-UP PPO
F8DH 581A B57BA 2883
IN NETWORK Blue Choice PPO Blue Essentials Blue Choice PPO Blue Choice PPO
Calendar Year
Deductibles (Indiv / $2800 / $5600 $2500 / $7500 $2500 / $7500 $1000 / $3000
Family)
Calendar Year
Out-of-Pocket Max (Indiv $5600 / $11,200 $7500 / $15,800 $5500 / $14,700 $4000 / $8000
/ Family)
Co-Insurance 20% 20% 30% 20%
Primary Care Visit Deductible & Coins $35 $35 $30
Specialist Visit Deductible & Coins $70 $70 $60
TeleMedicine/Virtual Visit $44 cost $35 $35 $30
Routine Lab & X-Rays Deductible & Coins Deductible & Coins Deductible & Coins included in copay
Complex Images Deductible & Coins Deductible & Coins Deductible & Coins Deductible & Coins
Outpatient Procedure Deductible & Coins Deductible & Coins Deductible & Coins Deductible & Coins
Inpatient Visit Deductible & Coins Deductible & Coins Deductible & Coins Deductible & Coins
$500 copay then $500 copay then $500 copay then
Emergency Room Deductible & Coins
Deductible & Coins deductible then Coins deductible then Coins
Urgent Care Deductible & Coins $75 $75 $75
Preferred Pharmacy $0/$10/$50/$100 $0/$10/$50/$100 $0/$10/$50/$100
After deductible:Tier
Participating Pharmacy $10/$20/$70/$120 $10/$20/$70/$120 $10/$20/$70/$120
1 & 2 90%;Tier 3
Mail Order (90) $0/$30/$150/$300 $0/$30/$150/$300 $0/$30/$150/$300
80%; Tier 4 70%
Speciality Mail Order(30) $150/$250 $150/$250 $150/$250
See Summary of See Summary of See Summary of
OUT OF NETWORK Benefits
Not Covered
Benefits Benefits
*Requires a Primary Care Physician to be selected
MONTHLY COST
Employee $45.00 $85.00 $138.81 $177.00
Employee + Spouse $153.60 $229.48 $319.26 $616.44
Employee + Child(ren) $123.51 $181.84 $249.86 $496.22
Employee + Family $201.75 $305.72 $430.31 $808.79
7 MEDICAL PLAN
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City Council Administrative Aides Benefits Guide
MEDICAL PLAN
Understanding the full value of covered benefits allows you to take responsibility
for maintaining good health and incorporating healthy habits into your lifestyle.
Some examples include getting regular physical examinations, mammograms and
immunizations. Through the plans offered, all covered individuals and family
members are eligible to receive routine wellness services like these, at no cost; all
copays, coinsurance, and deductibles are waived.
WHICH PREVENTIVE CA RE SERVICES ARE COVERED?
Below is a list of com m on services that
are included in the plans offered this year:
• Routine Physical Exam
• W ell Baby and Child Care
• W ell W oman Visits
• Immunizations
• Routine Bone Density Test
• Routine Breast Exam
• Routine Gynecological Exam
• Screening for Gestational Diabetes
• Routine Digital Rectal Exam
• Routine Colorectal Cancer Screening
• Routine Prostate Test
• Routine Lab Procedures
• Routine Mammograms
• Routine Pap Smear
• Smoking Cessation Programs
• Testing for HPV and HIV
• Routine Colonoscopy
“AN OUNCE OF PREVENTION IS
WORTH A POUND OFCURE”
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- Benjamin Franklin
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City Council Administrative Aides Benefits Guide
D E N TA L P L A N
S U M M A RY O F C O V E R A G E & R AT E S
Plan Features Guardian
DHMO PPO
In Network Managed Care NAP VALUE
Calendar Year Maximum Benefits Unlimited $1,000 $1,000
Annual Deductible (Individual / None $50 / $150 $50 / $150
Family)
Class I – Diagnostic/Preventive Fee Schedule
Services 100% 100%
Class II – Basic Services Fee Schedule 80% 100%
Class III – Major Services Fee Schedule 50% 60%
Lifetime Orthodontic Maximum None $1,000 $1,000
(per person)
Out of Network Reimbursement None UCR 90% Fee Schedule
Reimbursement
Monthly Cost
Employee $12.25 $30.63
Employee + Spouse $21.03 $66.44
Employee + Child(ren) $28.12 $89.27
Employee + Family $32.78 $128.70
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City Council Administrative Aides Benefits GuideD E N TA L P L A N
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City Council Administrative Aides Benefits GuideVISION PLAN
S U M M A RY O F C O V E R A G E & R AT E S
Plan Features Vision Plan
IN NETWORK
Vision Exam $10 copay
Lenses
Single No copay
Bifocal No copay
Trifocal No copay
Progressive $50 allowance, plus 20% off retail
Frames 100% after copay
Elective Contact Lenses Up to $130 allowance / Up to $150 retail value
Medically Necessary Contact Lenses Covered in full
Frequency (Months)
Exam 12 Months
Lenses or Contact Lenses 12 Months
Frames 24 Months
OUT OF NETWORK
Vision Exam Up to $35.00
Lenses
Single Up to $25.00
Bifocal Up to $40.00
Trifocal Up to $50.00
Frames Up to $45.00
Elective Contact Lenses $130.00
Medically Necessary Contact Lenses $250.00
Monthly Cost
Employee $7.58
Employee + Spouse $13.26
Employee + Child(ren) $13.26
Employee + Family $19.71
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City Council Administrative Aides Benefits GuideVISION PLAN
P
AGE
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City Council Administrative Aides Benefits Guide
City Council Administrative Aides Benefits Guide www.thebankofsa.comB A S I C L I F E / AD &D
Plan Features Basic Life AD&D
Employee Benefit Amount $15,000
S U M M A RY O F C O V E R A G E
AD&D Benefit Amount $15,000
The Basic Life/AD&D (Accidental Death
The following shows how much benefits are reduced at certain ages:
& Dismemberment) is a term life policy
Age Band Benefit Reduction that is 100% EMPLOYER-paid. You will
65 35% be automatically enrolled in this benefit.
70 60%
VO LU N TA RY L I F E
The Voluntary Life/AD&D (Accidental Death
and Dismemberment) is also a term life
policy that is 100% EMPLOYEE-paid. Rates
are based on age. Maximum: 5 times annual
salary or $300,000; Guaranteed issue
amount of $150,000 for employee and
$25,000 for spouse.
Plan Features Voluntary Basic Life AD&D
Employees can choose different amounts of coverage
Employee Benefit Amount between the minimum and maximum benefit amount.
See plan documentation for more details.
Minimum Benefit Amount $10,000
$300,000, in increments of $10,000, but not more than
Maximum Benefit Amount 5X’s annual salary
5 X’s annual salary,
Guarantee Issue Amount up t o $150,000
Minimum Benefit $5,000 100% of EE Benefit up t o
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Spouse Benefit $150,000 - Increments of $5,000 GI $25,000
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Minimum Benefit $5,000 Max Benefit $10,000 GI
Dependent Benefit $10,000
City Council Administrative Aides Benefits GuideDISABILITY PL A N
SHORT TERM
S U M M A RY O F C O V E R A G E
The Short-Term Disability is a disability policy that is 100%
EMPLOYER-paid. You have the option to enroll in this benefit
which will equal 70% of your weekly income that starts after
a 14-day elimination period.
Plan Features
70% weekly earnings,
Employee Benefit A m o u n t n o t t o exceed plan m axim um weekly benefit or less other income sources
Maximum Benefit A m o u n t $1,000
Elimination Period 15th day
(Acc ident)
Elimination Period (Sickness) 15th day
Benefit Duration 11 weeks
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City Council Administrative Aides Benefits GuideDISABILITY PLAN
V O L U N TA R Y L O N G T E R M
S U M M A RY O F C O V E R A G E
The Long-Term Disability is a disability policy that is 100%
Employee-paid. You will have the option to enroll in this
benefit which will equal 60% of your monthly income that starts
after 9 0 days. Maximum: $5,000/month
Plan Features
Employee Benefit Am ount 60% m onthly salary
Maximum Benefit Am ount $5,000
Elimination Period 9 0 days
Benefit Duration To SSRD
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City Council Administrative Aides Benefits GuideACCIDENT
SUMMARY OF COVERAGE
The Voluntary Accident is an insurance policy that is 100% EMPLOYER-paid
for employee only. This insurance offers financial protection by paying a cash
benefit if you or an insured dependent are injured as a result of a covered
accident.
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City Council Administrative Aides Benefits GuideH E A LT H S A V I N G S A C C O U N T ( H S A )
For 2020 - 2021, you are offered a policy that includes a health
savings account (HSA).
This is how an HSA works:
A health savings account (HSA) is a health care account and savings
account in one. The main purpose of this account is t o offset the cost of
a qualifying high deductible health plan (HDHP) and provide savings for
your out-of-pocket eligible health care expenses – those you and your
tax dependents may have now, in the future, and during your retirement.
This is a “portable” account. You own your HSA! It’s included in your
employee benefits package, but after you set up your account, it’s yours
t o keep, even if you change jobs or retire.
Once your HSA is established, money is contributed t o your account by
you or friends and family, and you can then use your HSA dollars tax-
free t o pay for eligible health care expenses. You save money on
expenses you’re already paying for, like doctors’ office visits,
prescription drugs, and much more. Best of all, you decide how and
when t o use your HSA dollars.
The 2020 HSA contribution limit is: $3,500 for Individuals, $7,000 for
Family, and an over 50 catch-up addition of $1,000.
W H Y I S IT A G O O D I D E A TO H AV E A N H S A?
HSAs benefit everyone who is eligible to have this account – single individuals,
families, and soon-to-be retirees. You save money on taxes in three ways:
Tax - f ree d ep o s i t s
The money you contribute to
1 Tax - f ree ear n i n gs
Your interest and any
2 Tax-free Withdrawls
Money used toward eligible
3
your HSA isn’t taxed (up to investment earnings grow health care expenses isn’t
the IRS annual limit) tax-free taxed – now or in the future
You save money on eligible expenses that you are paying for out of your pocket. The amount you save
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depends on your tax bracket. For example, if you are in the 3 0 percent tax bracket, you can save $30
on every $100 spent on eligible health care expenses.
HSA funds roll over from year to year and accumulate in your account. There is no “use-it-or-lose-it”
P rule with HSAs, and you decide how and when to use your HSA funds, which can be used for eligible
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expenses you have now, in the future, or during retirement. And when you have a certain balance in
your HSA, investment opportunities are available.
Refer to your HSA documentation for more information.
City Council Administrative Aides Benefits Guide www.thebankofsa.comB L U E 36 5
Blue365 is just one more advantage you have by being a Blue Cross and Blue Shield of
Texas (BCBSTX) member. With this program, you may save money on health and
wellness products and services from top retailers that are not covered by insurance.
There are no claims to file and no referrals or preauthorizations.
Once you sign up for Blue365 at blue365deals.com/bcbstx, weekly “Featured Deals” will be emailed to you. These
deals offer special savings for a short period of time.
Below are some of the ongoing deals offered through Blue365.
EyeMed | Davis Vision Dental SolutionsSM
You can save on eye exams, eyeglasses, contact You could get dental savings with Dental Solutions. You
lenses and accessories. You have access to national may receive a dental discount card that provides access to
and regional retail stores and local eye doctors. discounts of up to 50% at more than 70,000 dentists and
You may also get possible savings on laser vision more than 254,000 locations.*
correction.
TruHearing® | Beltone™ | American Hearing Jenny Craig® | Sun Basket | Nutrisystem®
You could get savings on hearing tests, evaluations Help reach your weight loss goals with savings from leading
and hearing aids. Discounts may also be available programs. You may save on healthy meals, membership
for your immediate family members. fees (where applicable), nutritional products and services.
Fitbit® Reebok | SKECHERS®
You can customize your workout routine with Reebok, a trusted brand for more than 100 years, makes
Fitbit’s family of trackers and smartwatches that top athletic equipment for all people, from professional
can be employed seamlessly with your lifestyle, athletes to kids playing soccer. Get 20% off select models.
your budget and your goals. You’ll get a 20% SKECHERS, an award-winning leader in the footwear
discount on Fitbit devices plus free shipping. industry, offers exclusive pricing on select men’s and
women’s styles. You can get 30% off plus free shipping for
InVite® Health your online orders.
InVite Health offers quality vitamins and
Livekick
supplements, educational resources and a team
Livekick is the future of private fitness. Choose from
of healthcare experts for guidance to select the
training or yoga over live video with a private coach. Get fit
correct product at the best value. Get 50% off
and feel healthier with action-packed 30-minute sessions
the retail price of non-genetically modified
that you can do from home, your gym or your hotel while
microorganism (non-GMO) vitamins and
traveling. Get a free two-week trial and 20% off a monthly
supplements and a free Midnight Bright Black
plan on any Live Online Personal Training.
Coconut Charcoal Tooth Polish with a $25
purchase.
eMindful
Get a 25% discount on any of eMindful’s live streaming or
recorded premium courses. Apply mindfulness to your
life including stress reduction, mindful eating, chronic
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pain management, yoga, Qigong movements and more.
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See all the Blue365 deals and learn more at blue365deals.com/bcbstx.
City Council Administrative Aides Benefits GuideBlue Access for Members
Blue Cross and Blue Shield of Texas (BCBSTX) helps you get the
most out of your health care benefits with Blue Access for
Members (BAMSM). You and all covered dependents, age 18
and up, can create a BAM account.
With BAM, you can:
Use our Provider Finder® tool to search for a health care provider, hospital or pharmacy
Check the status or history of a claim
View or print Explanation of Benefits statements
Request or print your ID card
Sign up for text or email alerts
Use our Cost Estimator tool to find the price of hundreds of tests, treatments and procedures
It’s Easy to Get Started!
1 Go to bcbstx.com/member
2 Click Log Into My Account
3 Use the information on your BCBSTX ID card to sign up
The BCBSTX App!
Stay connected with Blue Cross and Blue Shield of Texas (BCBSTX) and access important health benefit
information wherever you are.
Find an in-network doctor, hospital or urgent care facility Access your claims, coverage and deductible information
View and email your member ID card Log in securely with your fingerprint
Access Health Care Accounts and Health Savings Accounts
Download and share your Explanation of Benefits*
Get Push Notifications and access to Message Center*
Text** BCBSTXAPP to 33633 to get the app.
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Currently only available on iPhone®. iPhone is a registered trademark of Apple Inc.
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** Message and data rates may apply. Terms and conditions and privacy policy
at bcbstx.com/mobile/text-messaging.
City Council Administrative Aides Benefits GuideVir tua l
Vis its
Getting sick after hours or on weekends used to mean a lengthy, costly trip to the emergency room or urgent care center.
But with your virtual visits benefit, provided by Blue Cross and Blue Shield of Texas (BCBSTX) and powered by MDLIVE,
the doctor is in 24/7/365. And you don’t have to leave the comfort of your own home.
Virtual visits allow you to consult a doctor for non-emergency situations by phone, mobile app or online video
anytime, anywhere. Speak to a doctor or schedule an appointment at a time that works best for you.
With virtual visits, you get: 24/7 access to an independently contracted, board-certified doctor
Access via online video, mobile app or telephone
If necessary, e-prescription sent to your local pharmacy
Virtual visits doctors can treat a variety of health conditions, including:
Allergies Asthma Cold/flu Ear problems (age 12+) Fever (age 3+)
Nausea Pink eye Rash Sinus infections
Talk Therapy
Speak with a licensed counselor, therapist or psychiatrist for support with virtual visits, available by appointment. You
can choose who you want to work with for issues such as anxiety, depression, trauma and loss or relationship problems.
Activate your account or schedule a virtual visit
Go to Blue Access for Download the MDLIVE app Text BCBSTX to 635-483.
MembersSM or from Apple’s App StoreSM or Call MDLIVE at (888) 680-8646. (MDLIVE’s online assistant Sophie
MDLIVE.com/bcbstx. Google PlayTM. will help you activate your account.)
Get connected today!
To register, you’ll need to provide your BCBSTX member ID number.
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City Council Administrative Aides Benefits GuideHealthy Pregnancy
Perinatal Wellness Guidelines
Routine recommendations for a healthy pregnancy
First Prenatal Visit
Your health care provider* will evaluate your personal health and family history to plan the best care for
Before Pregnancy: you and your new baby. The first visit is usually the longest, so be prepared. You may be asked about:
It is important to
The date of your last menstrual period to help predict when your baby will be born
make healthy choices.
Health problems like diabetes, high blood pressure or sexually transmitted disease
Keep an ideal weight Past pregnancies and any complications
and a healthy lifestyle. Previous hospital admissions
Current medicines, allergies to medicines and foods
Visit your health care Vaccination history
provider for a checkup Whether you drink alcohol, use tobacco, or recreational drugs
before becoming Your diet and eating habits and how much you exercise
pregnant. Stress in your life
How safe you feel in your current living arrangements
Health history of the baby’s father and your family history
Your health care provider will also examine you, do some tests and offer advice. He or she may:
Check your height, weight and blood pressure
Perform a physical exam, including a pelvic exam
Take a urine and blood sample for analysis
Prescribe prenatal vitamins
Give recommended vaccinations including, but not limited, to Tdap and influenza
Provide education about what to expect during your pregnancy
Later Prenatal Visits:
Follow-up visits usually take less time. Your health care provider may also:
Check your blood pressure Check your hands, feet and face for swelling Listen to the baby’s heartbeat (beginning as early as week nine)
Perform an ultrasound (usually at weeks 18 to 20) Measure the size of your uterus Ask about the baby’s movement
Normally, you will see your health care provider every four weeks for the first 28 weeks of pregnancy, then every two weeks until 36 weeks of
pregnancy, and then weekly until your baby is born. Talk with your health care provider and bring a list of questions to every visit.
After Giving Birth:
If you have had a C-section, you may have two follow-up visits at two and six weeks. It is important to follow up with your
health care provider about six weeks after the delivery at which time he or she:
Will do an examination May do follow-up testing, if needed
May give vaccinations, as needed May ask about breastfeeding
You may also be asked if you are feeling low, have lost interest in usual activities, have
difficulty caring for your baby, or have difficulty concentrating, focusing or making decisions.
Depending on your health and the health of your unborn baby, your health care provider may wish to see you more often
and do additional testing.
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The recommendations are based on information from The American College of Obstetricians and Gynecologists. The
recommendations are not intended as medical advice nor meant to be a substitute for the individual medical judgment
of a health care provider. Please check with your health care provider for individualized advice on the
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recommendations provided.
Source: Guidelines for Perinatal Care, Seventh Edition, American Academy of Pediatrics and The American
College of Obstetricians and Gynecologists
City Council Administrative Aides Benefits GuideA He a lthie r Yo u Well On Target
Make Your Fitness Program Membership Work for You!
Fitness can be easy, fun and affordable. Well On Target makes it possible with the Fitness Program.
Since you are a Blue Cross and Blue Shield of Texas member, the Fitness Program is available exclusively to you and your
covered dependents (age 18 and older). The program gives you unlimited access to a nationwide network of more than 10,000
fitness locations. If you want, you can choose one location close to home and one near work. You can visit locations while you’re
on vacation or traveling for work.
Other program perks include:
No long-term contract: Membership is month to month. Monthly fees are $25 per month per member, with a one-time
enrollment fee of $25 per member.*
Blue PointsSM: Get 2,500 points for joining the Fitness Program. Earn additional points for weekly visits. You can redeem
points for apparel, books, electronics, health and personal care items, music and sporting goods.**
Complementary and Alternative Medicine (CAM) discounts: Save money through a nationwide network of 40,000 health and
well-being providers, such as acupuncturists, massage therapists and personal trainers.
Web resources: You can go online to find fitness locations and track your visits.
Convenient payment: Monthly fees are paid via automatic credit card or bank account withdrawals.
ARE YOU READY FOR FITNESS? It’s easy to sign up:
1. Go to bcbstx.com and log in to Blue Access for MembersSM.
2. Under “Quick Links,” choose “Fitness Program.” On this page, you can enroll, search for nearby fitness locations and
learn more about the program.
3. Click “Enroll Now.” Then search and select the fitness location that is best for you. Remember, you can visit any
participating fitness location after you sign up.
4. Verify your personal information and method of payment. Print or download your Fitness Program membership
ID card. You may also request to receive the ID card in the mail.
5. Visit a fitness location today!
Prefer to sign up by phone or have questions about the Fitness Program? Just call the toll-free number
888-762-BLUE (2583) Monday through Friday, between
7 a.m. and 7 p.m. CT (6 a.m. and 6 p.m. MT).
The Fitness Program is provided by Tivity HealthTM, an independent contractor that administers the Prime Network of fitness
locations. The Prime Network is made up of independently owned and operated fitness locations.
Taxes may apply. Individuals must be at least 18 years old to purchase a membership.
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** Member agrees to comply with all applicable federal, state and local
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laws, including making all disclosures and paying all taxes with respect to their receipt of any reward.
Blue Points Program Rules are subject to change without prior notice. See the Program Rules on the Well onTarget
Member Wellness Portal for more information.
City Council Administrative Aides Benefits GuideAdult Wellness Guidelines
Making Preventive Care a Priority
Adult Health – for Screenings
Weight Every visit or at least annually
ages 18 and over
Body Mass Index (BMI) Every visit or at least annually
Preventive care is very
important for adults. Blood Pressure (BP) Every visit or at least annually
By making some good Adults age 50-75 for colorectal cancer using: • Guaiac Fecal Occult
basic health choices, Blood Test (gFOBT) annually or; • Fecal Immunochemical Testing
women and men can (FIT) annually or; • Fecal Immunochemical Testing (FIT)-DNA
boost their own health every 1-3 years or; • Flexible sigmoidoscopy every 5 years or;
and well-being. Some Colon Cancer Screening Flexible sigmoidoscopy every 10 years with FIT annually or;
of these positive Colonoscopy every 10 years or; • CT Colonography every 5 years**
choices include: Ages 45 to 49 should discuss the risks and benefits of screening with
Eat a healthy diet your health care provider*
Get regular exercise Those with high blood pressure should be screened. Those who are
Don’t use tobacco Diabetes Screening overweight or have cardiovascular risk factors should be screened.
Limit alcohol use All others should be screened starting at age 45.**
Strive for a healthy weight Once for adults born between 1945 and 1965 and persons at high
Hepatitis C (HCV) Screening
risk for infection
HIV Screening Adults ages 18 to 65, older adults at increased risk and all pregnant
Men’s women should be screened
Recommendations Immunizations (Vaccines)
Cholesterol Tetanus Diphtheria Pertussis (Td/Tdap) Get Tdap vaccine once, then a Td booster every 10 years
Men age 35 and older should be Influenza (Flu) Herpes Zoster Yearly
screened. Men age 20-35 should (Shingles) Two doses of RZV starting at age 50, or one dose of ZVL at age 60
be screened if they are at or over. Discuss your options with your health care provider.*
increased risk for coronary heart Varicella (Chicken Pox) 2 doses if no evidence of immunity
disease. Talk with your health Ages 65 and over, one dose of PCV 13 and one dose of PCV 23 at
care provider about the starting Pneumococcal (Pneumonia) Measles, least one year after PCV 13**
and frequency of screening that
Mumps, Rubella (MMR) 1 or 2 doses for adults born in 1957 or later who have no evidence of
is best for you.
immunity
Prostate Cancer Screening
Discuss the benefits and risks Women’s Recommendations
of screening with your health
At least every 2 years for women ages 50 to 74 Ages 40 to 49 should
care provider. Mammogram discuss the risks and benefits of screening with their health care
Abdominal Aortic Aneurysm
provider
Have an ultrasound once Women age 45 and older. Women age 20-45 should be screened if
between ages 65 to 75 if theyare at increased risk for coronary heart disease. Talk with your
you have ever smoked. Cholesterol
health care provider about the starting and frequency of screening
Low-dose Aspirin Use that is best for you.
Ages 50-59 talk with your
health care provider about Women ages 21 to 65: Pap test every 3 years
low-dose aspirin use for the Cervical Cancer Screening Another option for ages 30 to 65: Pap test with HPV test every 5
years. Women who have had a hysterectomy or are over age 65 may
prevention of cardiovascular not need a Pap test*
disease and colorectal cancer. Beginning at age 65, at age 60 if risk factors are present or
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Osteoporosis Screening postmenopausal women younger than 65 years who are at increased
risk of osteoporosis*
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Ages 50-59 talk with your health care provider about low-dose
Low-dose Aspirin Use aspirin use for the prevention of cardiovascular disease and
colorectal cancer.
City Council Administrative Aides Benefits GuideCONTACTS
I
Carrier Name Website Phone Number
www.bcbstx.com (800) 521-2227
www.Guardian.com (800) 541-7846
www.Avesis.com (855) 214-6777
Broker Contact Position Email Phone Number
Brian Clendening Broker / Agent jbclendening@gmail.com (210) 365-3162
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