The content provided in this presentation is for informational purposes only. For information regarding specific policy information, including regulations, limitations and exclusions, refer to your contract and/or benefit booklet. Member Role

Initial Sign On

My Benefits Welcome Page

My Benefits Page

Medical - Information Page

Medical – Choose your plan

Coverage level

Add Dependents

Dependent Type

Dependent Gender

Dependent Date of Birth

Dependent Summary

All Dependents – Summary Page

PCP Selector

PCP Summary

Medical - Medicare

Medical – Additional Insurance

Medical – Electronic Signature

Medical Benefits Summary

Life

Do not exceed 100%

Life

Elections Complete

Enrollment Helpful Hints When and employee is enrolled in Blue Medicare or a dependent plan has been selected, follow the steps provided below:  Enroll the employee in the plan selected Be sure to remove all dependents from coverage (If applicable)  Add the Spouse to BluesEnroll as an employee. If there is no Spouse, add the youngest child as the employee. Add all remaining dependents for this contract under this individual’s coverage.

Billing Helpful Hints With the addition of the dependent plans, new coverage level codes may be used on your invoice. These Dependent Division coverage levels will be used for both dependents of BlueMedicare enrollees and for the optional dependent health plan. Below is the list of the coverage level codes you may see. Coverage Levels for Employee and Retiree Divisions: 01 – Employee or Retiree only 02 – Employee and Family 03 – Employee and 1 dependent 06 – Employee and Child/Children 07 – Employee and Spouse/Domestic Partner Coverage Levels for Dependent Divisions: 17 – Children only 18 – Spouse only 19 – Spouse with more than 1 child 20 – Spouse with 1 child