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Let me tell you a
little bit about this upcoming show today.

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You know, I'm
going to define the difference

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between the hometown carrier

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and the national carriers that you hear me
use that phrase a lot.

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We're main Street, not Wall Street.

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Well, I'm going to tell you why.

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I'm going to tell you why.

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Blue Cross and Blue Shield of Kansas is
the only carry that services 103 counties.

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I'm going to tell you why.

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Blue Cross and Blue Shield of

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Kansas is the only carry that goes below
five lives on small group.

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I'm going to tell you that and a lot more.

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And my guest is Misty Snodgrass,
and she's going to explain it all.

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And now America's
Healthcare Advocate, Cary Hall.

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Hello, America.

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Welcome to America's Healthcare Advocate
show broadcasting coast

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to coast across the USA here on the HIA
Radio Network.

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You can find out more about us

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by going to the website
AmericasHealthcareAdvocate.com.

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AmericasHealthcareAdvocate.com.

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You have a question or comment?
Send me an email.

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I'm happy to help you.

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We had a young man
the other day who needed a wheelchair.

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He couldn't get it.

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We were able to step in and help them
make that happen.

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With the good folks
over at United Health Care.

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So we're happy to help anytime we can.

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Also, we are on 16 podcast platforms
and our YouTube channel,

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604,000 views.

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Thanks to Mr.

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David Thiessen, my producer that handles
all of our podcast, the YouTube channels

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and also films

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all of these shows and puts them up there

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for all of you
to see and watch and listen to.

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We thank all of you
and the listening audience

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and our audience in general

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for pushing those numbers up,
because they are better than anything

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we've ever seen.

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So we're very happy with what's going on.

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Once again, the website
is AmericasHealthcareAdvocate.com.

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If you have questions in studio with me,

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Misty Snodgrass,
she is the director of ACA Obamacare,

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if you will, and Medicaid
for Blue Cross and Blue Shield of Kansas.

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Back for another show.

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You like it so much the first time
you came back to do another one, I.

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I know it was a great show.
Thank you so much for having me.

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It was a great show and we got a lot.

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We got a lot of response after that show.

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Great,
because I think we explained to people,

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you know, information
that they didn't know and didn't have.

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And that's the whole idea behind this.

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So today's show, you know, you hear me
use this phrase a lot, okay.

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When it you know,
I work with Blue Cross, the Kansas

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City Blue Cross of Kansas,
that blue cross of Nebraska.

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So I work with three different Blue Cross
plans on the radio and marketing, etc.

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and I use that term hometown carrier
with all three of those plans.

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And there's a reason for that.

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You know, one of the things that I learned
in the last show I did with Misty

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was this 103 counties in Kansas.

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You know how many carriers are in all 103
counties.

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How many Misty? Just one.

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That's right,
and who would that be? That would be us.

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That would be Blue Cross of Kansas.

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So when I say hometown carrier, that's
because I'm talking about the carrier

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that's going to service you

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wherever you are, whether you're in Hays,
whether you're in Scott City,

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whether you’re in Emporia,
it doesn't matter.

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Blue Cross of Kansas
is going to have a plan,

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whether it's a individual plan
or small group plan.

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Now we're going to talk a lot
about those today

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or a group health insurance
plan of some kind.

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They're going to have a plan in your area
that they can offer you.

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Unlike a lot of the national carriers
who kind of pick and choose

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where they want to be.

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And then you have carriers

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and pull out of the marketplace
like Aetna did this year.

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1 million people on ACA
lose their coverage as of December 31st.

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So the hometown carrier means
they live here.

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They work here.

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They're in our community
and they cover the entire state.

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And that's, you know, yeah,
I was going to show notes this morning.

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I was looking at some of the things
that you wrote, and I'm like,

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they're really dedicated to this.

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This is a big deal to you guys.

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It’s part of our mission

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it’s to the core of who we are, we want to
serve as many Kansans as we can.

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That is our pure mission.

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And so we are, you know, they we work
here, we play here, we spend our time.

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We we grow our families here.

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And we want to help support the employers
and our communities that are,

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you know, trying to make find their way
in this world right now.

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And so and also any individual members
that are trying to

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find health care coverage.

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It's confusing.

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Oh, yes.

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Yes. She says, oh yes.

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And this year it's really confusing.

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It is.

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And so, you know,
when when we tell you that

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if you want to call and talk to somebody
that's not calling to get a sales pitch,

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that's explained when they call
and you have award winning customer

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service and great people out there
that do a great job.

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So talk a little bit about that,
because if you just want to call up

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and talk to somebody about,
well, what should I do?

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You know,

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that to me is really important.

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So talk a little bit about this. Yeah,
absolutely.

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I mean, this health insurance is complex
for even those of us that work in it.

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You know, it's not even just people
that are trying to figure out in

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they're open enrollment, period,

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whether it be for individual
or their small group plans.

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And so it really is challenging.

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What does co-insurance mean.
What do all these terms mean?

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How does it impact me?

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That's the bottom line is
how does it impact me.

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And so we have great teams
throughout the entire state of Kansas

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that are just focused
to answer those questions for you.

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You're not going to get some, you know,
you have to push one to talk

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to two people, you know,
all of those things or talk to a robot.

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You actually talk to real life
people in Kansas that know

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your health system at Hays Medical Center.

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They know you know Wichita Via Christi.

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They know, what those providers
are in your communities

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to make sure that they're covered

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and they'll stay on the phone call
as long as they can.

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Their goal is not to get you off
like a lot of places is like, what can I

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you know, answer right now and quickly
get you off and move on to my next call.

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Their actual focus
is first call resolution,

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so they will stay on the call with you

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as long as they need to
to answer your questions.

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And they're not

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pitching you, any sort of products
they're asking you.

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You know, what is your concerns?

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What are you concerned about out-of-pocket
costs?

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Are you concerned about prescription
drug co-pays?

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And so they're happy

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to answer those questions and help
walk through kind of the scenarios

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to look and see if your medications
covered on your formulary,

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you know, is your doctor in network.

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And it is a real person that answers.

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And we love our customer service team.

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They are award winning
because they really are focused

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on doing the good work
and very passionate about it as well.

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Yeah.

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And so those are some things
that are really...

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let’s,
kind of dissect that a little bit. Right.

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You see a lot of commercials on television
this time of year on the Medicare side.

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And the rest of it, and most of those are
for call centers, national call centers.

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And yeah, I used to make a joke.

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In fact, I still do,

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especially in Kansas City,
that when you call one of those numbers,

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you asked about the hospital
north of the river and they ask

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you what river?

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You know, you're not talking to somebody
in your own community.

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Okay.

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So you know, when you call and you ask,
well, tell me about Via Christi.

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They go, well, what is Via Christi?

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You probably know
they don't know the hospitals in Wichita

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and Via Christi,
being a large hospital system.

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Wichita. Absolutely.
That's the point. Okay.

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When you're talking to people there
and the people that work for Blue

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Cross of Kansas work
all over the state of Kansas.

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So when you're talking to people
that work at Blue Cross of Kansas,

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they know every one of those communities
and they know they know the providers.

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They know what's available
and all the rest of it.

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And you're talking to people
that live and work in your community.

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And that's really the whole point
of this thing, isn't it? Absolutely.

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Well,
and I think it's just not only, is it

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that we, you know, know
those we live in those communities, right?

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So we know where Hoxie, Kansas is.

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And, you know,
our kids are playing on the soccer fields

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and they may get injured and need to go
to the local health system there.

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And so

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we really are knowing our communities
that we are embedded in our communities

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and we give back to our communities.

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I think that's really important as we are.

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You know,
your tax dollars are staying here.

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Your, premium dollars are staying here.

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And so it's really important
because it helps to reinvest in Kansas.

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It's just like every small business owner.

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My dad's a small business owner,

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and everybody wants to reinvest
in their communities

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because they know
it just helps everything.

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And so it helps to uplift it.

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So we're there. We're volunteering.

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You should see how many volunteer hours
we do in our communities.

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We're working at local zoos in Topeka.

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We're putting backpacks together
for kids, for school

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or helping at trunk
or treats all around the state.

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And so we really are wanting to give back
every single day to our communities

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as well as serve them.

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See, and, again
when I talk about hometown carrier,

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you hear me use the phrase a lot of times
we’re Main Street, not Wall Street.

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But that's because they're not for profit.

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They're not looking at what the next
quarterly earnings report is going to say.

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What they're doing

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is they're talking to you
about what's going on in your community.

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They are putting back in your community?

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They're creating an opportunity
to connect with the community

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and support people
that live and work in Kansas.

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They're the same people

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you go to church with, the same people
you go to PTA meetings with.

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I mean, they are the same folks.

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They're there every day
to serve. And again,

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they live and work in your community.

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So that's the difference.

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And so that was the first thing
I wanted to talk about today was this.

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What is this whole idea
of hometown carrier?

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Why does it make a difference?

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When I come back from the break,

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I'm going to talk
about some of those charities

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and the communities that they're involved
in and what they're doing here.

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And let you hear what they're doing.

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And then you might want to ask yourself,
you know, are any of the national carriers

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doing this? Good question.

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We'll be right back after the break.

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You're listening to America's Healthcare
Advocate Broadcasting here on the HIA

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00:09:09,782 --> 00:09:11,183
Radio Network.

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Coast to coast across the USA.

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If you're looking for information
and you want to talk to somebody

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at Blue Cross and Blue Shield,
you can call them at (866) 906 5253.

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That's (866) 906-5253

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or go up on the website bcbsks.com.

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That's the website go up.

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All these plans are up there.
You can explore these.

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And then if you want to pick up the phone
and call,

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they'll be happy to chat with you, walk
you through it. So you know what?

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Maybe
this one's a better fit than this one is.

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Or let's look at your formulary
for your prescription drugs.

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They'll do all that for you.
When we come back from the break.

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We're going to continue the show
with Misty.

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I want to talk about what they're
actually doing in some of the communities.

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Where they actually involved

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and what's happening in the communities
that Blue Cross and Blue

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Shield of Kansas is supporting
right here in the state of Kansas.

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We'll be right back after the break.

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You're listening to America's
Healthcare Advocate

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broadcasting coast
to coast across the USA.

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00:10:04,303 --> 00:10:05,104
Stay right there.

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00:10:15,848 --> 00:10:16,616
Welcome back.

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00:10:16,616 --> 00:10:19,819
You're listening to America's Healthcare
Advocate show broadcasting coast

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00:10:19,819 --> 00:10:23,389
to coast across USA here on the HIA
Radio Network.

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00:10:23,589 --> 00:10:27,793
Shout out to our affiliate up in Salina,
Kansas KSAL

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NewsRadio 1150
a happy to have us as part of the family.

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00:10:31,397 --> 00:10:35,101
They're broadcasting to all the folks in
and around Salina, Kansas.

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In studio with me today, Misty Snodgrass
from Blue Cross and Blue Shield of Kansas.

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We're talking about
the theme of Hometown Carrier.

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What does it mean
to be that hometown carrier?

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Why is that different
than the national carriers?

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We're talking about what they do.

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We're also going to talk about the plans
that they offer, where they service them.

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You know, this is the only carrier

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that services is all 103 counties
in the state of Kansas.

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It's a big deal
if you're out in Hays or Scott City.

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Emporia, you know where maybe
the national carriers don't participate.

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So we're exploring all of that.

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If you want information
on any of their plans,

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bcbsks.com is the website.

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Or you can call their customer
service folks.

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They're happy to talk with you.

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Just explore options
about what you've got or what

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maybe you think you might want to change
to once again, (866) 906-5253.

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A lot of turmoil in the ACA
Obamacare market, right now.

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Open enrollment is here on November 1st.

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Obviously, now's the time to call
and do a consultation.

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This is not a hard sale
or anything like that.

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You heard Misty describe it.

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They're there to help you.

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(866) 906 5253.

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All right.

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00:11:44,336 --> 00:11:47,606
So let's talk a little bit
about community involvement because

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this is something you do that
national carriers just don't do, okay.

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They're not equipped to handle it
frankly across the country.

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So you know to the you folks
that's important.

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So talk a little bit about some of that

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what you do
and how does all that work in the state.

277
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Yeah I think it's really, really important
because like I said,

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we're not only investing in

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and health care, but we're also

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investing in other initiatives
that are important in our community.

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So one great example.

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We actually have a Blue Health
Initiatives team that's dedicated to this.

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00:12:18,137 --> 00:12:21,140
We have an entire team of folks
that are dedicated to working in

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community, helping support community
based organizations, local nonprofits,

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Where can we plug in and not,
you know, take over,

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but be a supplement
to be able to assist them.

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00:12:31,417 --> 00:12:34,520
Sometimes it's financially,
sometimes it's just time and energy,

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sometimes is volunteer work.

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00:12:35,888 --> 00:12:39,291
And so that work is really important to us
as the core

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of who we are
is fundamentally important to our board.

291
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They actually report all the information
activity to our board of directors.

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That's how important
this is a strategic initiative

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for our company.

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And it's a high priority.

295
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And so some of the things that we're doing
in community is we're building

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local fitness courts in areas where
there may not be a local gym or a YMCA.

297
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They're able to, you know, go to a park.

298
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It's an outdoor facility,
and they're able to go lift weights.

299
00:13:06,152 --> 00:13:07,953
They're able to play on tennis courts.

300
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It's just to help encourage fitness and
community and also to create community.

301
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And in some of these communities,
they don't have

302
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a gym in a rural community.

303
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They've got a community park.

304
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If they can go in there and add to that
and make that, you know,

305
00:13:19,698 --> 00:13:21,567
workout stations or walking stations,
what ever it is.

306
00:13:21,567 --> 00:13:24,670
But it doesn't sound like it
but you know what?

307
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It's really important
to people who live in that community.

308
00:13:26,539 --> 00:13:28,774
Absolutely. And it's focused on wellness.

309
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Overall physical wellness.

310
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You know,

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we know physical health and mental
wellness are a key and and tied together.

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And some of the other things

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that we're doing is like I mentioned,

314
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we do some backpack
events around back to school.

315
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We’re
stuffing backpacks with school supplies.

316
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We're doing trunk or treats with,
you know, candy and so forth.

317
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And we're really focused
on being in community.

318
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We support other initiatives.

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One great example in Wichita
is called Baby Talk, and it's to help

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pregnant moms that need resources

321
00:13:59,338 --> 00:14:02,975
while they're pregnant,
they may not have information.

322
00:14:03,542 --> 00:14:06,011
I've been a pregnant mom before
and it's really nerve racking.

323
00:14:06,011 --> 00:14:09,815
And so we support that
initiative in Wichita to help

324
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moms throughout the state.

325
00:14:12,117 --> 00:14:14,620
So it's virtually
and in person in Wichita.

326
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It also provides that people go
through the classes and kind of learn

327
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some tricks of the trade.

328
00:14:20,993 --> 00:14:25,097
You also get a gift card for childcare
or your car seat carrier.

329
00:14:25,331 --> 00:14:28,100
Or you could get a crib,
you know, it's a it's a gift card

330
00:14:28,100 --> 00:14:29,702
that can go towards
those kind of purchases.

331
00:14:29,702 --> 00:14:31,403
And so it's really important

332
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that we invest in various initiatives
that we're doing in local communities.

333
00:14:36,141 --> 00:14:37,009
And I could go on and on.

334
00:14:37,009 --> 00:14:40,112
I could spend days because I'm
so proud of the work that our Blue Health

335
00:14:40,112 --> 00:14:43,115
Initiatives team is
and how intentional they are.

336
00:14:43,182 --> 00:14:44,750
You know, they're very, very focused.

337
00:14:44,750 --> 00:14:48,821
One other thing we're working on is
how can we make our language access better

338
00:14:48,821 --> 00:14:53,192
so individuals that may not have English
as their first language Speaking Spanish.

339
00:14:53,192 --> 00:14:55,194
Yes, absolutely. Absolutely.

340
00:14:55,194 --> 00:14:58,197
And so we're working to make sure
that with our materials

341
00:14:58,731 --> 00:14:59,965
that they know the rights.

342
00:14:59,965 --> 00:15:01,634
Because whenever you go into a health care
provider,

343
00:15:01,634 --> 00:15:04,503
you have rights to have access
to language access.

344
00:15:04,503 --> 00:15:07,306
So we're working on that right now
to improve language access.

345
00:15:07,306 --> 00:15:11,577
And we know that that's important because
if it's not your your first language.

346
00:15:11,577 --> 00:15:14,647
I mean,
we think health insurance is confusing.

347
00:15:14,647 --> 00:15:16,215
Well, you know I'll tell you a story.

348
00:15:16,215 --> 00:15:19,451
I was in Scott City, Kansas doing radio
probably ten years ago.

349
00:15:20,119 --> 00:15:20,786
And I'm like,

350
00:15:21,720 --> 00:15:23,489
what are all these feedlots out here?

351
00:15:23,489 --> 00:15:26,125
Well,
the biggest slaughterhouses in Kansas, JPL

352
00:15:26,125 --> 00:15:28,861
and the rest of them are just outside
of there over toward Dodge.

353
00:15:28,861 --> 00:15:29,662
Yeah.

354
00:15:29,662 --> 00:15:32,865
I heard there were more
Mexican restaurants in that town,

355
00:15:32,865 --> 00:15:36,502
and I love to eat mexican, and I was like,
this is like amazing.

356
00:15:36,902 --> 00:15:39,038
And I'm like, well,
why are there so many Mexican restaurants?

357
00:15:39,038 --> 00:15:42,942
Because our entire population
here, working population is 80% Hispanic.

358
00:15:43,175 --> 00:15:44,076
So absolutely.

359
00:15:44,076 --> 00:15:48,314
You think in Kansas, you know, Dorothy's
going to click her heels and she and Toto

360
00:15:48,514 --> 00:15:49,381
ride off?

361
00:15:49,381 --> 00:15:51,250
It's not quite like that. Yeah.

362
00:15:51,250 --> 00:15:54,787
We have we have a large community
of people here that are

363
00:15:54,787 --> 00:15:57,823
non-English speaking community primarily,
and that's a big difference.

364
00:15:57,823 --> 00:16:00,526
So you guys are moving to help
those folks do what they do?

365
00:16:00,526 --> 00:16:03,429
Absolutely.
And we're partnering with organizations.

366
00:16:03,429 --> 00:16:05,497
And also,
one of the things that we are hoping to do

367
00:16:05,497 --> 00:16:09,601
next year is go into those communities
and help explain what their benefits are,

368
00:16:09,601 --> 00:16:13,138
because we know if people don't know what
their benefits are, they don't use them.

369
00:16:13,138 --> 00:16:16,208
And so we want to make sure
that they're aware that we have telehealth

370
00:16:16,208 --> 00:16:19,578
available in Spanish, that we do have
resources available in Spanish.

371
00:16:19,912 --> 00:16:21,747
And what does health insurance
really mean?

372
00:16:21,747 --> 00:16:23,148
What does a coinsurance mean.

373
00:16:23,148 --> 00:16:26,051
That doesn't always translate very well,

374
00:16:26,051 --> 00:16:30,022
which is very complex for
if it or isn't our first language?

375
00:16:30,022 --> 00:16:33,058
And so we want to be really intentional
and thoughtful

376
00:16:33,058 --> 00:16:36,862
to serve all Kansans
regardless of what language they choose.

377
00:16:36,862 --> 00:16:40,432
And when we go to break,
I have to ask you on the baby talk

378
00:16:41,400 --> 00:16:43,535
plan that you've got those classes.

379
00:16:43,535 --> 00:16:46,372
You do not have to be a Blue Cross
and Blue Shield policy holder?

380
00:16:46,372 --> 00:16:48,540
I want to make that point because

381
00:16:48,540 --> 00:16:51,810
BlueKC offers something similar
to that on the behavioral side.

382
00:16:52,077 --> 00:16:55,447
So those classes are available
for anybody in the state of Kansas.

383
00:16:55,447 --> 00:16:58,851
Any mom that wants to do those classes,
where do they go?

384
00:16:58,851 --> 00:17:00,853
Do they go on your website for this?

385
00:17:00,853 --> 00:17:02,454
We're going to have it on our website.
We don't.

386
00:17:02,454 --> 00:17:05,824
But I will get you the website
and you can put it up and share that out

387
00:17:05,824 --> 00:17:07,426
with your listeners,

388
00:17:07,426 --> 00:17:11,730
because it is a really important program
to help educate on prenatal.

389
00:17:11,730 --> 00:17:14,199
It's really important to make sure
you're getting going to your doctor's

390
00:17:14,199 --> 00:17:17,569
visits, make sure you know kick counts,
all of those important things.

391
00:17:18,037 --> 00:17:20,506
And when it comes to prenatal
and pregnancy.

392
00:17:20,506 --> 00:17:21,640
I've got six grandchildren.

393
00:17:21,640 --> 00:17:23,275
Trust me,
I know what my daughters went through.

394
00:17:23,275 --> 00:17:26,979
So I can assure you this is a
welcome thing to have in the community.

395
00:17:27,012 --> 00:17:29,381
There are a lot of women out there
that will be able to participate in this.

396
00:17:29,381 --> 00:17:33,185
So as soon as we get this information,
we'll put it in the broadcast,

397
00:17:33,185 --> 00:17:36,422
we'll put it up on the podcast
and on the YouTube so you all can see it.

398
00:17:36,989 --> 00:17:38,490
Anywhere in the state of Kansas enrolled.

399
00:17:38,490 --> 00:17:40,025
They don't cost anything.

400
00:17:40,025 --> 00:17:43,195
It's what they're doing to help
folks in Kansas do what they need to do.

401
00:17:43,462 --> 00:17:47,733
If you want help, if you want to,
if you want the policy explained,

402
00:17:47,733 --> 00:17:49,802
if you want to understand
what your benefits are,

403
00:17:49,802 --> 00:17:51,470
if you're looking for a policy

404
00:17:51,470 --> 00:17:54,740
and you don't know what to do, especially
during this turmoil with the ACA.

405
00:17:55,074 --> 00:17:58,077
(866) 906-5253.

406
00:17:58,377 --> 00:18:01,380
(866) 906-5253

407
00:18:01,547 --> 00:18:07,386
or BCBSKS.com, bcbsks.com.

408
00:18:07,386 --> 00:18:11,223
If you want to just go up and explore
but are open and then call them, do

409
00:18:11,223 --> 00:18:14,226
that, they'll be happy to chat with you
and make it work for you.

410
00:18:14,226 --> 00:18:16,695
We'll be right back after a break.
Welcome back to the break.

411
00:18:16,695 --> 00:18:18,263
I'm going to get into some plans now.

412
00:18:18,263 --> 00:18:21,266
I'm going to start talking about what
are they offering on the small group side.

413
00:18:21,300 --> 00:18:22,468
You know it's interesting.

414
00:18:22,468 --> 00:18:24,303
And we'll get into this in a minute.

415
00:18:24,303 --> 00:18:27,873
How many carriers offer plans
to small group below five?

416
00:18:28,474 --> 00:18:31,043
That's the question we're going to answer
when we come back from the break.

417
00:18:31,043 --> 00:18:32,911
Stay tuned. I'll be right back
after the break.

418
00:18:32,911 --> 00:18:36,782
You're listening to America's
Healthcare Advocate broadcasting.

419
00:18:36,815 --> 00:18:41,220
Coast to coast across the USA
here on the HIA radio network.

420
00:18:43,222 --> 00:18:44,089
So the website for

421
00:18:44,089 --> 00:18:47,092
Baby talk is babytalkict.com.

422
00:18:47,092 --> 00:18:50,095
That's babytalkict.com.

423
00:18:58,470 --> 00:18:59,171
Welcome back.

424
00:18:59,171 --> 00:19:00,305
You're listening to America's

425
00:19:00,305 --> 00:19:04,109
Healthcare Advocates Show broadcasting
coast to coast across the USA.

426
00:19:04,109 --> 00:19:07,379
My producers day Mister
Dave Thiessen behind the cameras posting

427
00:19:07,379 --> 00:19:12,551
all these shows up on our podcast
YouTube platform 604,000 views.

428
00:19:12,851 --> 00:19:14,219
Thanks to all of you.

429
00:19:14,219 --> 00:19:17,589
It's kind of amazing and Garner Cowdrey,
he's on the board here working.

430
00:19:18,123 --> 00:19:21,326
All the audio here at Cumulus
at our hometown flagship station

431
00:19:21,660 --> 00:19:24,730
here in Overland Park,
Kansas, in studio with me, Misty Snodgrass

432
00:19:24,730 --> 00:19:28,100
once again here to talk about Blue
Cross and Blue Shield of Kansas.

433
00:19:28,100 --> 00:19:29,468
We're talking about

434
00:19:29,468 --> 00:19:32,137
how unique they are to this state
and what they do in the state

435
00:19:32,137 --> 00:19:34,206
that's very different
than the national carriers.

436
00:19:34,206 --> 00:19:36,875
If you want help, call them.

437
00:19:36,875 --> 00:19:38,677
Just have a discussion.

438
00:19:38,677 --> 00:19:41,580
You know, ACA is upon us open enrollment.

439
00:19:41,580 --> 00:19:43,282
There are a lot of premium increases.

440
00:19:43,282 --> 00:19:46,652
People pulling out of the market like
Aetna did, you know that kind of thing.

441
00:19:46,852 --> 00:19:49,855
(866) 906-5253.

442
00:19:50,155 --> 00:19:54,960
(866)
906-5253 no, high pressure sales tactics.

443
00:19:55,194 --> 00:19:58,997
This isn't some number on television
that you're going to call

444
00:19:58,997 --> 00:20:01,133
some national call center. Okay.

445
00:20:01,133 --> 00:20:02,301
That's not how this works.

446
00:20:02,301 --> 00:20:05,304
These are folks right here
in our community that live and work

447
00:20:05,304 --> 00:20:05,904
in Kansas.

448
00:20:05,904 --> 00:20:11,109
The website BCBSKS.com, BCBSKS.com.

449
00:20:11,343 --> 00:20:14,112
So what I'm going to the show notes
this morning.

450
00:20:14,112 --> 00:20:14,813
I see this

451
00:20:15,781 --> 00:20:17,115
down to one life.

452
00:20:17,115 --> 00:20:20,852
And I remember when I was a broker,
the major carriers,

453
00:20:20,852 --> 00:20:23,855
the national carriers would not go below
five lives.

454
00:20:24,289 --> 00:20:27,859
So you there are more small businesses out

455
00:20:27,960 --> 00:20:31,063
there are one, two, three, four
and five employees

456
00:20:31,430 --> 00:20:35,701
than you can shake a stick at it and
they won't even offer them coverage No.

457
00:20:35,968 --> 00:20:38,870
Well, so why is that first of all?

458
00:20:38,870 --> 00:20:40,872
Well,
I think is it's a lot of work, right.

459
00:20:40,872 --> 00:20:42,307
You know, it is a lot of work.

460
00:20:42,307 --> 00:20:44,509
It's as much work to enroll
five as it is 50.

461
00:20:44,509 --> 00:20:45,410
100%.

462
00:20:45,410 --> 00:20:48,714
And so I think that you know,
we're not focused on margins.

463
00:20:48,714 --> 00:20:49,982
So that's the difference.

464
00:20:49,982 --> 00:20:54,686
And we are focused on really helping
all Kansans be covered.

465
00:20:54,686 --> 00:20:57,956
And so we believe small businesses,
regardless of size,

466
00:20:58,257 --> 00:21:01,159
are the backbone of our economy
and the backbone of Kansas.

467
00:21:01,159 --> 00:21:04,663
And so whether you're a small employer,
a family owned business,

468
00:21:04,830 --> 00:21:09,001
or a company with 50 employees,
we have plans that are designed for you.

469
00:21:09,001 --> 00:21:11,103
And, you know, it's
we believe every job matters.

470
00:21:11,103 --> 00:21:14,840
And we believe if you have one employee,
two employees

471
00:21:14,840 --> 00:21:17,809
to 500, you're just as important
and we'll treat you.

472
00:21:17,809 --> 00:21:20,178
And we have a team
dedicated for those size.

473
00:21:20,178 --> 00:21:21,680
So it's not just like you're going to

474
00:21:21,680 --> 00:21:25,217
you know, we're going to give you
preference to the ones that are 500 and.

475
00:21:25,284 --> 00:21:28,487
You’ve got a whole segment
of your customer service people

476
00:21:28,487 --> 00:21:29,921
and your sales reps.

477
00:21:29,921 --> 00:21:31,890
They represent just ten and below.

478
00:21:31,890 --> 00:21:32,958
That's it.

479
00:21:32,958 --> 00:21:35,127
So they understand that space intimately.

480
00:21:35,127 --> 00:21:35,527
They do.

481
00:21:35,527 --> 00:21:37,362
They do. And the complex needs around it.

482
00:21:37,362 --> 00:21:38,964
Right. Like it's

483
00:21:40,532 --> 00:21:42,768
whenever your employer is deciding what

484
00:21:42,768 --> 00:21:45,537
health coverage to select,it's
a really nerve-Racking thing.

485
00:21:45,537 --> 00:21:47,506
They're wanting to keep their employees
for retention.

486
00:21:47,506 --> 00:21:49,107
They know how important it is.

487
00:21:49,107 --> 00:21:52,210
And every time every employer,
including us, you know,

488
00:21:52,210 --> 00:21:55,247
we went through our open enrollment,
there's questions are related to it.

489
00:21:55,547 --> 00:21:58,050
What does this mean for me?
What does this out-of-pocket cost me?

490
00:21:58,050 --> 00:21:58,750
And for me.

491
00:21:58,750 --> 00:22:01,119
And it's unique
based upon the needs of every employer.

492
00:22:01,119 --> 00:22:03,188
And so it's a lot of work
trying to figure out,

493
00:22:03,188 --> 00:22:05,624
you know,
do you have individuals in your plan

494
00:22:05,624 --> 00:22:09,061
that are going to be high utilizers folks
that are going to have complex

495
00:22:09,061 --> 00:22:11,763
chronic conditions?
And so we work through that.

496
00:22:11,763 --> 00:22:14,966
We listen and then we try to reflect back
and find the plan

497
00:22:14,966 --> 00:22:16,068
that actually works for them.

498
00:22:16,068 --> 00:22:20,372
So it's it's customized
based upon and tailored, our suggestions

499
00:22:20,372 --> 00:22:24,409
and recommendations based upon
the needs of you as an employer versus

500
00:22:24,409 --> 00:22:26,712
you call on a call center
and they say, and here's our plans,

501
00:22:26,712 --> 00:22:28,347
here's what we have to offer here.

502
00:22:28,347 --> 00:22:30,349
And we actually will go out
and meet with you.

503
00:22:30,349 --> 00:22:31,883
We'll go into your offices.

504
00:22:31,883 --> 00:22:34,519
Five lives and they’ll go out to meet with
you less than that. Yeah, absolutely.

505
00:22:34,519 --> 00:22:37,155
And that is, you know, we love what
we call them, our micro groups.

506
00:22:37,155 --> 00:22:38,223
We love our micro groups.

507
00:22:38,223 --> 00:22:42,227
There are the heart of Blue Cross,
Blue Shield of Kansas because we also know

508
00:22:42,361 --> 00:22:43,562
those micro groups.

509
00:22:43,562 --> 00:22:46,565
Sometimes they grow to be 100 employees,

510
00:22:46,698 --> 00:22:48,834
and we were there for them
when no one else was.

511
00:22:48,834 --> 00:22:51,870
And also sometimes they just want to be
at five employees and four employees.

512
00:22:52,170 --> 00:22:53,205
And we are okay with that.

513
00:22:53,205 --> 00:22:56,975
We want them to grow and thrive in the way
that's best for them and support them

514
00:22:56,975 --> 00:22:57,943
for their health care needs.

515
00:22:57,943 --> 00:23:00,011
So when I'm going to show notes

516
00:23:00,011 --> 00:23:03,682
this morning and I see down to one life
and it triggers in my mind,

517
00:23:04,082 --> 00:23:07,052
a question I used to see, but
why would they offer a plan to one life?

518
00:23:07,586 --> 00:23:11,223
Well, the answer is
you got a mom and pop shop, okay?

519
00:23:11,356 --> 00:23:14,526
And one of them is going to retire
because they're turning 65.

520
00:23:15,227 --> 00:23:17,295
What happens to the other person?

521
00:23:17,295 --> 00:23:19,097
Well, they lose her coverage, right?

522
00:23:19,097 --> 00:23:21,733
No, they don't explain that. Yeah.

523
00:23:21,733 --> 00:23:24,336
So they're they're able to stay on
as a group.

524
00:23:24,336 --> 00:23:28,273
There are certain qualifying criteria,
but they're able to stay on

525
00:23:28,273 --> 00:23:29,808
as part of our groups.

526
00:23:29,808 --> 00:23:30,809
And you know they're not going

527
00:23:30,809 --> 00:23:34,746
to go get priced astronomically
because they're in the metallic plans.

528
00:23:34,746 --> 00:23:37,749
And so they're able to go
get that coverage for them

529
00:23:37,783 --> 00:23:40,652
if they want to be a part of a group,
because sometimes it's more affordable

530
00:23:40,652 --> 00:23:42,654
than for them
being in the individual market,

531
00:23:42,654 --> 00:23:45,390
or the plans
may be more advantageous to them.

532
00:23:45,390 --> 00:23:48,393
And so we look at it
is we want to cover every

533
00:23:49,127 --> 00:23:52,464
Kansan and every small employer matters
regardless of size.

534
00:23:52,564 --> 00:23:55,834
So let's talk
a little bit about EPO and PPO.

535
00:23:55,901 --> 00:23:58,570
So this is how we kind of get in the weeds
a little bit here.

536
00:23:58,570 --> 00:24:01,473
So these are two separate group plans.

537
00:24:01,473 --> 00:24:03,875
I think most people out there
know what a PPO is.

538
00:24:03,875 --> 00:24:06,411
That's the network the largest network.

539
00:24:06,411 --> 00:24:09,448
But let's talk about difference
between that and EPO.

540
00:24:09,614 --> 00:24:10,582
And there is a difference.

541
00:24:10,582 --> 00:24:11,783
And there's a cost saving.

542
00:24:11,783 --> 00:24:14,286
Absolutely.
And I think it's really important.

543
00:24:14,286 --> 00:24:18,156
And I know when I first started learning
about EPO because they came on kind of

544
00:24:18,723 --> 00:24:21,993
out of right after the ACA passed,

545
00:24:21,993 --> 00:24:24,529
it was kind of where
they started to rise to prominence.

546
00:24:24,529 --> 00:24:27,899
And an EPO is called an Exclusive Provider
Organization,

547
00:24:28,166 --> 00:24:30,869
you know,
and it's typically a lower premium.

548
00:24:30,869 --> 00:24:32,904
And it's a real simple network design.

549
00:24:32,904 --> 00:24:36,475
And so it's perfect for businesses
that are centered primarily in Kansas,

550
00:24:36,475 --> 00:24:37,809
that they're not going to have

551
00:24:37,809 --> 00:24:40,912
a lot of people traveling or employees
outside of the region.

552
00:24:41,146 --> 00:24:42,848
So in other states,

553
00:24:42,848 --> 00:24:47,052
because it is more affordable
to not have a national wide network.

554
00:24:47,085 --> 00:24:50,722
Now, that doesn't mean if you're traveling
and you have an emergency,

555
00:24:50,889 --> 00:24:52,491
that you’re not going to be In-Network,
you're not going to get

556
00:24:52,491 --> 00:24:53,658
some out of network costs.

557
00:24:53,658 --> 00:24:55,560
It's a lot of confusion around that.

558
00:24:55,560 --> 00:24:57,329
They think, oh, I can't leave the state.

559
00:24:57,329 --> 00:24:58,330
Oh my gosh, I'm in Oklahoma.

560
00:24:58,330 --> 00:25:00,966
I got to go drive back to Kansas
and I have a medical emergency.

561
00:25:00,966 --> 00:25:03,668
No, we want you to go to the hospital.

562
00:25:03,668 --> 00:25:04,903
It’s Covered just like anything is.

563
00:25:04,903 --> 00:25:06,471
It is.

564
00:25:06,471 --> 00:25:09,474
We have that focus.

565
00:25:09,474 --> 00:25:14,346
And so it's really advantageous
for kind of your local regional employers

566
00:25:14,479 --> 00:25:15,514
that are in the state.

567
00:25:15,514 --> 00:25:17,382
We also have a PPO design.

568
00:25:17,382 --> 00:25:20,852
And you know, as a remote work kind
of blew up during Covid in the pandemic.

569
00:25:21,186 --> 00:25:23,688
We have employees
that are in multiple states, right.

570
00:25:23,688 --> 00:25:26,791
There's employers that have people

571
00:25:26,791 --> 00:25:30,729
that are close to the Kansas border
that are actually living in Missouri.

572
00:25:30,729 --> 00:25:34,599
We have people that are
on the southern border of our state

573
00:25:34,599 --> 00:25:37,636
that live in Oklahoma,
but they work in Kansas.

574
00:25:37,636 --> 00:25:40,472
And so and vice versa
around all of our surrounding states.

575
00:25:40,472 --> 00:25:43,942
And so we have what's called a PPO
so that they're able to leverage

576
00:25:43,942 --> 00:25:45,510
what's called our blue card network.

577
00:25:45,510 --> 00:25:48,980
So you basically are
a host member on a different,

578
00:25:52,183 --> 00:25:53,118
so you'd be on,

579
00:25:53,118 --> 00:25:55,053
you know, Blue
Cross Blue shield in Nebraska's network

580
00:25:55,053 --> 00:25:56,821
when you're still a Blue Cross Blue
Shield of Kansas member.

581
00:25:56,821 --> 00:25:58,757
And so it gets a little bit complicated,

582
00:25:58,757 --> 00:26:01,760
but you're able to access
all the local providers in your community.

583
00:26:01,760 --> 00:26:04,429
And so you're able to leverage
that nationwide network

584
00:26:04,429 --> 00:26:05,730
as part of your In-Network.

585
00:26:05,730 --> 00:26:07,432
So I want to go back to the EPO thing
for you

586
00:26:07,432 --> 00:26:10,168
and just kind of drill home
something here.

587
00:26:10,168 --> 00:26:13,171
So let's say you're in Wichita
and you're listening to this.

588
00:26:13,338 --> 00:26:13,972
You know what?

589
00:26:13,972 --> 00:26:18,476
I need to find out about that EPO,
I'll bet you that 90% of your care

590
00:26:18,710 --> 00:26:21,813
would be at Via
Christi hospital or Via Christi providers.

591
00:26:21,813 --> 00:26:23,582
Because that’s Wichita.

592
00:26:23,582 --> 00:26:25,116
I used to do a lot of work in Wichita.

593
00:26:25,116 --> 00:26:27,552
We’re on the radio down there on KNSS.

594
00:26:27,552 --> 00:26:29,220
I know it very, very well.

595
00:26:29,220 --> 00:26:32,591
Well, then, how much of a need are you
going to have to go outside of network?

596
00:26:32,591 --> 00:26:36,661
Well, if you're going to go to KU
for cancer treatment or heart or whatever

597
00:26:36,661 --> 00:26:37,362
it is.

598
00:26:37,362 --> 00:26:41,399
That's in-network, if you're going to go
to Via Christie, that's in-network.I mean,

599
00:26:41,900 --> 00:26:44,135
what was the name of the hospital? Hayes,
you mentioned.

600
00:26:44,135 --> 00:26:45,604
Hayes
Medical Center. Hayes Medical Center.

601
00:26:45,604 --> 00:26:47,372
They’re in-network.

602
00:26:47,372 --> 00:26:51,209
So when I'm
when I ask you to look at this EPO thing,

603
00:26:51,209 --> 00:26:54,446
and if you look at the value
that's being offered

604
00:26:54,946 --> 00:26:58,249
and the value is it,
you're in the whole Blue Cross of Kansas

605
00:26:58,316 --> 00:27:03,488
network in all 103 counties
and you can save money.

606
00:27:04,155 --> 00:27:06,257
It would make a lot of sense
to take a look at that

607
00:27:06,257 --> 00:27:08,960
and go to your employees and say, here's
what we're going to do.

608
00:27:08,960 --> 00:27:10,862
We're going to cut costs by X

609
00:27:10,862 --> 00:27:13,064
because we're going to go on this new plan
with this EPO.

610
00:27:13,064 --> 00:27:17,535
You've got all the hospitals in Kansas,
but you're not going to go to MD Anderson.

611
00:27:17,535 --> 00:27:20,138
Okay? I mean, there you go. Okay.

612
00:27:20,138 --> 00:27:21,740
You know, you're going to go to KU.

613
00:27:21,740 --> 00:27:25,110
Well, interestingly enough,
KU has a partnership with MD Anderson.

614
00:27:25,410 --> 00:27:28,713
So you can get a lot of those treatments
at KU that you can get it M.D.

615
00:27:28,713 --> 00:27:30,482
Anderson, because they're already there.

616
00:27:30,482 --> 00:27:33,852
My point in telling you
that is it's worth exploring.

617
00:27:33,918 --> 00:27:34,719
That's okay.

618
00:27:34,719 --> 00:27:38,790
So that's why when she talks about that
dedicated team of ten and below,

619
00:27:39,824 --> 00:27:41,493
give them a call.

620
00:27:41,493 --> 00:27:44,829
Now we have 90 over
90% of the providers in Kansas in-network.

621
00:27:44,829 --> 00:27:48,800
So it's a broad network even for an EPO.

622
00:27:48,800 --> 00:27:51,569
So it's fantastic coverage.

623
00:27:51,569 --> 00:27:53,672
So if you're even traveling the state
you're able to access

624
00:27:53,672 --> 00:27:56,041
that which is not like other EPO’s out
there. It's not.

625
00:27:56,041 --> 00:27:58,510
And it's very, very different
because they're offering coverage

626
00:27:58,510 --> 00:27:59,911
across the state near where we go.

627
00:27:59,911 --> 00:28:01,913
This is what I'm talking about when I say,

628
00:28:01,913 --> 00:28:05,116
you know, pick up the phone
and call one of their folks at that team.

629
00:28:05,350 --> 00:28:06,351
It's dedicated.

630
00:28:06,351 --> 00:28:08,286
All they do is ten and below.

631
00:28:08,286 --> 00:28:09,888
They know what it means to have a three
life.

632
00:28:09,888 --> 00:28:12,023
Four life, six life case. All right.

633
00:28:12,023 --> 00:28:15,794
And they're happy to talk with you and
show you this is what the plan looks like.

634
00:28:15,794 --> 00:28:17,062
Here's what we can do.

635
00:28:17,062 --> 00:28:19,664
And, oh yeah, all you people have access.

636
00:28:19,664 --> 00:28:21,833
All hospitals and doctors
throughout the state.

637
00:28:21,833 --> 00:28:23,068
They're inside that network.

638
00:28:23,068 --> 00:28:24,202
So do it.

639
00:28:24,202 --> 00:28:27,138
(866) 906-5253.

640
00:28:27,138 --> 00:28:30,942
(866) 906-5253 their website.

641
00:28:30,942 --> 00:28:32,944
You can go
look at the plans on the website.

642
00:28:32,944 --> 00:28:34,713
bcbsks.com.

643
00:28:34,713 --> 00:28:36,448
bcbsks.com.

644
00:28:36,448 --> 00:28:39,150
When come back from the break.

645
00:28:39,150 --> 00:28:42,620
We're going to talk about what's going
to happen in the marketplace this year.

646
00:28:42,787 --> 00:28:46,291
How many national carriers are
coming in here with aggressive new plans?

647
00:28:46,858 --> 00:28:50,028
How does that compare with what Blue
Cross and Blue Shield of Kansas is doing,

648
00:28:50,295 --> 00:28:53,098
and how does that compare
for what you're looking for?

649
00:28:53,098 --> 00:28:54,432
What's the stability of that?

650
00:28:54,432 --> 00:28:56,401
We'll talk about all that
when I come back from the break.

651
00:28:56,401 --> 00:28:59,671
You're listening to America's
Healthcare Advocate broadcasting

652
00:28:59,671 --> 00:29:03,875
here on the HIA
Radio Network coast to coast across USA.

653
00:29:03,875 --> 00:29:05,343
We've got more. Don't go anywhere.

654
00:29:11,649 --> 00:29:12,317
Welcome back.

655
00:29:12,317 --> 00:29:14,252
You're listening to America's
Healthcare Advocate

656
00:29:14,252 --> 00:29:17,021
broadcasting here on the HIA
Radio Network.

657
00:29:17,021 --> 00:29:19,023
Coast to coast across the USA.

658
00:29:19,023 --> 00:29:19,424
The show

659
00:29:19,424 --> 00:29:23,561
today is focused on Blue Cross and Blue
Shield of Kansas, the hometown carrier.

660
00:29:23,561 --> 00:29:24,996
And you know, I did that on purpose

661
00:29:24,996 --> 00:29:28,266
because I really wanted to get you
to understand the difference

662
00:29:28,266 --> 00:29:32,437
between what they do in this state,
where I live, where you all live.

663
00:29:32,437 --> 00:29:33,104
Okay.

664
00:29:33,104 --> 00:29:36,040
And what how that contrasts
with the national carriers do.

665
00:29:36,040 --> 00:29:37,742
We're going to dive
a little more into that.

666
00:29:37,742 --> 00:29:40,745
But once again
we talked about that EPO, PPO.

667
00:29:40,812 --> 00:29:42,781
There are a lot of different plan
designs out there

668
00:29:42,781 --> 00:29:45,116
they can help you with,
if you want information.

669
00:29:45,116 --> 00:29:48,419
(866) 906-5253.

670
00:29:48,820 --> 00:29:50,822
You're not going to get high
pressure sales tactics.

671
00:29:50,822 --> 00:29:53,825
You're going to get somebody who wants
to talk to you, explain their options.

672
00:29:53,825 --> 00:29:56,694
They've got a whole team of people
on ten and below.

673
00:29:56,694 --> 00:30:00,398
So employers with ten or fewer lives,
national carriers

674
00:30:00,532 --> 00:30:03,401
don't even go below five lives. They do.

675
00:30:03,401 --> 00:30:06,137
Blue Cross and Blue Shield of Kansas
goes down to one life.

676
00:30:06,137 --> 00:30:06,838
Okay.

677
00:30:06,838 --> 00:30:12,210
Also, the website BCBSKS.com, bcbsks.com.

678
00:30:12,577 --> 00:30:12,811
All right.

679
00:30:12,811 --> 00:30:15,280
So let's talk about this
because this kind of this is

680
00:30:15,280 --> 00:30:18,917
what actually triggered me doing this show
today was you and I were having

681
00:30:18,917 --> 00:30:22,086
a conversation after the last show,
and I knew this was coming.

682
00:30:22,086 --> 00:30:26,257
I didn't know was already here
that a certain national carriers

683
00:30:26,257 --> 00:30:29,260
are coming in here this year,
and they do this from time to time.

684
00:30:29,427 --> 00:30:32,430
They'll come in with very aggressive
pricing in the marketplace.

685
00:30:32,997 --> 00:30:37,035
And then two years later,
when the claims numbers start going up

686
00:30:37,035 --> 00:30:40,038
and they're catching up
with where they are, they pull out.

687
00:30:40,238 --> 00:30:43,274
Now as an example of
that was what happened with Aetna.

688
00:30:43,641 --> 00:30:47,245
They lost $2 billion on ACA.

689
00:30:47,545 --> 00:30:49,080
And they finally said we've had enough.

690
00:30:49,080 --> 00:30:51,216
And they pulled, not,
they didn’t just pull out of Kansas.

691
00:30:51,216 --> 00:30:53,852
They pulled out of every state
that they were in okay.

692
00:30:53,852 --> 00:30:55,353
So it does happen.

693
00:30:55,353 --> 00:30:59,691
So the point there is
you guys are always here.

694
00:30:59,691 --> 00:31:00,058
Yeah.

695
00:31:00,058 --> 00:31:03,027
It's steady okay. Let's talk about. That.

696
00:31:03,027 --> 00:31:04,262
Yeah I think it's a great comment.

697
00:31:04,262 --> 00:31:04,696
And you know

698
00:31:04,696 --> 00:31:08,099
and Cary if you remember this a few years
back, this happened again right?

699
00:31:08,099 --> 00:31:11,903
When things didn't get as profitable,
when there was kind of the, the you know

700
00:31:11,903 --> 00:31:14,906
claims got a little bit tumultuous.

701
00:31:14,973 --> 00:31:17,942
Other carriers pulled out of the market
and it just kind of happens

702
00:31:17,942 --> 00:31:18,776
over and over again.

703
00:31:18,776 --> 00:31:20,945
If they're not hitting their margins,
they have shareholders.

704
00:31:20,945 --> 00:31:23,514
We don't. And we have

705
00:31:24,749 --> 00:31:26,284
our members that we're focused on.

706
00:31:26,284 --> 00:31:30,955
And so I think that we're always here,
we want to serve this market forever.

707
00:31:30,955 --> 00:31:34,459
It is a passion of ours, is our CEO.

708
00:31:34,459 --> 00:31:37,262
It's probably one of his favorite markets,
actually.

709
00:31:37,262 --> 00:31:39,430
If he said he had a favorite child, he’d
probably say It was.

710
00:31:39,430 --> 00:31:40,865
I don't know
that, you know, I'm just kidding.

711
00:31:40,865 --> 00:31:44,469
But he he really is passionate
about serving small employers.

712
00:31:44,769 --> 00:31:48,373
And individuals as well
and making sure they have access to care,

713
00:31:48,373 --> 00:31:51,276
because a lot of folks
will go after the big,

714
00:31:51,276 --> 00:31:53,444
the national careers
will go after the big employers,

715
00:31:53,444 --> 00:31:55,947
but a lot of them won't stick around
for the smaller

716
00:31:55,947 --> 00:31:58,216
or the individuals
and So they won't even offer coverage.

717
00:31:58,216 --> 00:31:59,651
Absolutely, absolutely.

718
00:31:59,651 --> 00:32:01,719
And so we
we want to be the stable carrier.

719
00:32:01,719 --> 00:32:04,455
We have been the stable carrier.
We've never left.

720
00:32:04,455 --> 00:32:05,790
We've been around for 80 years.

721
00:32:05,790 --> 00:32:07,592
We've been here since the ACA began.

722
00:32:07,592 --> 00:32:09,394
We have no intention of leaving.

723
00:32:09,394 --> 00:32:14,032
We're actually a part of my role is what
can we do to even enhance our ACA market?

724
00:32:14,032 --> 00:32:17,869
What can we do to actually serve our
members and our employers more and better

725
00:32:17,869 --> 00:32:18,736
and provide,

726
00:32:18,736 --> 00:32:22,473
you know, help improve the total cost of
care, and our affordability, but also help

727
00:32:22,707 --> 00:32:25,310
what other tools can we bring
that are innovative to help,

728
00:32:25,310 --> 00:32:28,513
you know, both impact the individual
from a quality of life perspective.

729
00:32:28,513 --> 00:32:31,683
So we're having conversations
about mindfulness tools

730
00:32:31,683 --> 00:32:34,686
for employers because we know
behavioral health is a major concern.

731
00:32:34,686 --> 00:32:39,457
And so what can we do to help improve
and reduce.

732
00:32:39,457 --> 00:32:42,093
Employee productivity help improve that.

733
00:32:42,093 --> 00:32:45,396
Missed days because of whether it be
physical or mental illness.

734
00:32:45,396 --> 00:32:47,732
And so it is a high priority.
We're here to stay.

735
00:32:47,732 --> 00:32:50,902
And we're very passionate about the work
and serving all 103 counties

736
00:32:50,902 --> 00:32:51,469
that we're in.

737
00:32:51,469 --> 00:32:53,905
Yeah. It's not a come and go situation.

738
00:32:53,905 --> 00:32:56,641
We're here this year and two years to now.

739
00:32:56,641 --> 00:33:01,179
And it's believe me, we've got multiple
examples of this that happens okay.

740
00:33:01,446 --> 00:33:04,449
You know these folks at Blue Cross
and Blue Shield of Kansas,

741
00:33:04,682 --> 00:33:06,751
there's no quarterly earnings report. No.

742
00:33:06,751 --> 00:33:08,252
It's all a little different.

743
00:33:08,252 --> 00:33:10,321
You know when I say main street,
not Wall Street.

744
00:33:10,321 --> 00:33:12,690
That's what I'm talking about okay.

745
00:33:12,690 --> 00:33:14,258
And that's what's important.

746
00:33:14,258 --> 00:33:17,261
And when you talk about your CEO

747
00:33:17,528 --> 00:33:21,599
actually focusing and acknowledging that,
that's pretty significant.

748
00:33:21,632 --> 00:33:22,266
Absolutely.

749
00:33:22,266 --> 00:33:25,269
That means he understands as you said,

750
00:33:25,903 --> 00:33:28,406
how many small businesses out there

751
00:33:28,406 --> 00:33:31,442
have five employees or ten employees.

752
00:33:31,442 --> 00:33:33,811
It's the cornerstone of our economy
and our communities.

753
00:33:33,811 --> 00:33:38,883
Small businesses are donating
to the local high school football teams

754
00:33:38,883 --> 00:33:39,784
and it just trickles down.

755
00:33:39,784 --> 00:33:42,153
And so we understand how important.

756
00:33:42,153 --> 00:33:44,122
And it's a cornerstone
and we're here to stay.

757
00:33:44,122 --> 00:33:46,024
So talk a little bit
about some of the product lines

758
00:33:46,024 --> 00:33:47,492
that are going to be offered this year

759
00:33:47,492 --> 00:33:50,461
on the group side both small group
and the larger group side.

760
00:33:50,595 --> 00:33:51,696
Yeah absolutely.

761
00:33:51,696 --> 00:33:53,598
So we have small group.

762
00:33:53,598 --> 00:33:57,068
We have EPOs and PPOs available.

763
00:33:57,068 --> 00:33:59,037
We have various metal tiers.

764
00:33:59,037 --> 00:34:01,472
So I think I talked about that
in our last program.

765
00:34:01,472 --> 00:34:05,910
We have in small group
a platinum, gold, silver and bronze.

766
00:34:05,910 --> 00:34:09,180
And we're the only one in market
with a bronze plan.

767
00:34:09,180 --> 00:34:12,450
And I think there is going to be
a new entrant on the platinum plan.

768
00:34:12,450 --> 00:34:15,153
But we have most of our small
groups are in gold

769
00:34:15,153 --> 00:34:18,623
because they want to have
a richer benefit, lower predictable

770
00:34:18,890 --> 00:34:22,393
out-of-pocket costs from deductibles
and maximum out-of-pocket.

771
00:34:23,127 --> 00:34:25,830
And we also offer a predictable co-pays.

772
00:34:25,830 --> 00:34:29,167
A lot of carriers will have co-insurance,
and that's

773
00:34:29,167 --> 00:34:30,535
when it gets really messy, right?

774
00:34:30,535 --> 00:34:32,203
Like people are like,
what is this going to cost me

775
00:34:32,203 --> 00:34:35,606
when I go to the pharmacy counter
on this particular drug I'm on?

776
00:34:35,606 --> 00:34:39,510
And so co-insurance is,
I always say it's kind of fuzzy math.

777
00:34:39,510 --> 00:34:42,046
It's very it's very hard to predict.

778
00:34:42,046 --> 00:34:43,347
We have a predictable copay.

779
00:34:43,347 --> 00:34:45,783
You know, if this is your medication,
you're going to go pay this amount.

780
00:34:45,783 --> 00:34:48,619
Tier 1, tier
2, tier 3 or whatever it is, that’s it.

781
00:34:49,987 --> 00:34:52,990
So here's what she’s saying, it's
not that plus 20%.

782
00:34:53,157 --> 00:34:55,993
Well,
you take Jardiance, and my wife takes it.

783
00:34:55,993 --> 00:34:57,395
I've actually paid for it.

784
00:34:57,395 --> 00:34:59,197
It's $700.

785
00:34:59,197 --> 00:35:01,099
Okay. Now you got your copay.

786
00:35:01,099 --> 00:35:04,802
Let's say your co-pay is tier three
or tier four, it’s $75 or a 100 bucks.

787
00:35:05,069 --> 00:35:08,439
Oh, and you owe
20% of the total cost of that med.

788
00:35:09,073 --> 00:35:10,741
That's a little different deal. Yes.

789
00:35:10,741 --> 00:35:13,711
And we do have caps on our high costs
specialty drugs as well because

790
00:35:13,978 --> 00:35:16,247
on what you have to pay out of pocket
so that you'll know what you're paying.

791
00:35:16,247 --> 00:35:18,116
Because we do want people
to take their medications.

792
00:35:18,116 --> 00:35:19,784
We know when people
are on their medications...

793
00:35:19,784 --> 00:35:20,451
It kinda helps, doesn’t it?

794
00:35:20,451 --> 00:35:21,853
They’re
staying out of the hospital. Right.

795
00:35:21,853 --> 00:35:24,989
And in the emergency rooms, which are
higher cost of care alternatives.

796
00:35:24,989 --> 00:35:29,894
And so we do have a priority
on prescription drugs predictability,

797
00:35:30,461 --> 00:35:33,764
your co-pays for your doctor, we actually
incentivize you to go to the doctor.

798
00:35:33,764 --> 00:35:39,704
So we have your first five visits are like
basically in some of our plans free.

799
00:35:39,704 --> 00:35:43,207
Or they may be a $35 copay,
depending on what metal tier you're on.

800
00:35:43,441 --> 00:35:45,443
And so we want folks to go to the doctor.

801
00:35:45,443 --> 00:35:46,911
We're not wanting you not to get care

802
00:35:46,911 --> 00:35:49,914
because we know you're going
to stay with us for a while.

803
00:35:49,914 --> 00:35:53,651
Usually, most of our employers
have stayed with us for 40 plus years.

804
00:35:53,951 --> 00:35:56,521
And so we want to make sure
we're taking care of folks,

805
00:35:56,521 --> 00:35:59,590
because those that national carriers
will come in and have aggressive pricing

806
00:35:59,824 --> 00:36:01,792
and then two years,
they'll they'll increase it.

807
00:36:01,792 --> 00:36:03,494
And then all of a sudden they're gone.

808
00:36:03,494 --> 00:36:04,996
They're gone. And you're no longer in it.

809
00:36:04,996 --> 00:36:06,430
And you come back to us usually.

810
00:36:06,430 --> 00:36:10,968
And then you know that we want to focus on
making sure you're well both physically

811
00:36:10,968 --> 00:36:11,569
and mentally.

812
00:36:11,569 --> 00:36:12,870
We got about 45 seconds

813
00:36:12,870 --> 00:36:15,873
left talking very quickly about virtual
because all the rural counties.

814
00:36:16,007 --> 00:36:17,875
Yeah. The big deal. Absolutely.

815
00:36:17,875 --> 00:36:19,243
And we think that's a big deal.

816
00:36:19,243 --> 00:36:22,113
So we have telehealth for physical
and mental health.

817
00:36:22,113 --> 00:36:25,349
So instead of going to,
you have an ear infection.

818
00:36:25,349 --> 00:36:26,484
You know it's an ear infection, right?

819
00:36:26,484 --> 00:36:28,252
You don't want to go
sit in a waiting room at

820
00:36:28,252 --> 00:36:30,421
or I don't for sure
an emergency department.

821
00:36:30,421 --> 00:36:32,256
You don't want to go pay for that copay.

822
00:36:32,256 --> 00:36:33,658
We provide.

823
00:36:33,658 --> 00:36:35,226
Typically some of our plans

824
00:36:35,226 --> 00:36:38,129
there is some variability
but usually free telehealth services.

825
00:36:38,129 --> 00:36:41,065
And so you're able to go in and access

826
00:36:41,065 --> 00:36:43,901
it's Amwell is our current vendor
that we use.

827
00:36:43,901 --> 00:36:46,137
And you're able to go access that 24/7.

828
00:36:46,137 --> 00:36:48,439
Be able to go get that,
get your prescription.

829
00:36:48,439 --> 00:36:49,907
You don't have to go
sit in a waiting room.

830
00:36:49,907 --> 00:36:51,242
And so you're able to have that.

831
00:36:51,242 --> 00:36:54,178
And so that helps especially in areas
when there aren't providers.

832
00:36:54,178 --> 00:36:56,480
Or you're in a rural community,
you have to drive 45 minutes

833
00:36:56,480 --> 00:36:58,649
to get to an urgent care center or
something.

834
00:36:58,649 --> 00:36:59,483
This is great.

835
00:36:59,483 --> 00:37:00,585
It's the online.

836
00:37:00,585 --> 00:37:03,821
You go on, you're on the screen, you're
talking to the doctor, nurse practitioner.

837
00:37:04,021 --> 00:37:06,691
You get what you need
is one of the many things that they do.

838
00:37:06,691 --> 00:37:07,592
Thank you.

839
00:37:07,592 --> 00:37:09,160
This is a wealth of information.

840
00:37:09,160 --> 00:37:10,761
It's like drinking from a firehose.

841
00:37:10,761 --> 00:37:13,864
But I'm telling you,
I think a lot of you learned a lot today

842
00:37:14,098 --> 00:37:17,068
about what
Blue Cross and Blue Shield of Kansas does.

843
00:37:17,068 --> 00:37:19,904
Now, you know why
I say the hometown carrier?

844
00:37:19,904 --> 00:37:21,606
Because that's really what they are.

845
00:37:21,606 --> 00:37:24,609
And now I leave you with this thought
from Doctor Martin Luther King.

846
00:37:24,909 --> 00:37:28,412
Americans must learn to live together
or they are surely going

847
00:37:28,412 --> 00:37:30,481
to perish together as fools.

848
00:37:30,481 --> 00:37:32,750
I don't think truer words
were ever spoken.

849
00:37:32,750 --> 00:37:35,686
Thank you for listening to America's
Healthcare Advocate show,

850
00:37:35,686 --> 00:37:40,858
broadcasting coast to coast across the USA
here on the HIA Radio Network.

851
00:37:41,192 --> 00:37:42,526
Goodbye America.
