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Clarification: Modifiers for PT/OT Services - March 2010
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Announcing New Wellness Initiatives for Federal Employees

Beginning Jan. 1, 2010, the BlueCross and BlueShield Service Benefit Plan for the Federal Employee Program (FEP) will reward members when they complete either the adult Health Risk Assessment or a child’s Body Mass Index (BMI) assessment. Adult members will receive a certificate that entitles them to a preventive visit at no charge. Children, ages five through seventeen whose BMI falls in the 85th percentile or higher, will receive a certificate that entitles them to up to four nutritional counseling visits at no charge.

If a FEP member presents a certificate of completion, please do NOT collect the copayment amount from the member at the time of the visit. Your reimbursement from BCBSIL for these visits will be 100 percent of the plan allowance, including payment of the copayment amount.

Below is a complete explanation of the New Wellness Initiatives Program, along with samples of the certificates. Please ensure that your office staff, especially those that normally collect member copayments and arrange appointments, are aware of these programs and the process.


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