AIM Specialty Shopper

Will AIM contact all BCBSNC members?

• YES, of course
• NO, they only talk with providers
• Only Commercial (Individual and Group plans) and ASO (if elected)
• Only FEP and State Health Plans

When will AIM contact members? 

• AIM will call the member if there are other options available that are more cost effective and may be of equal or better quality. 
•  AIM will call the member if the provider does not know the testing center they want to use

For which situations will AIM contact members?
AIM offers direction to similar or higher quality, lower-cost sites when:

• Emergency room services, Oncology cases
• Inpatient hospitalization, Urgent Care Centers
• Pediatric cases, Outpatient Surgery, 23-hour Observations
• The service is being performed at a physician’s office, the outpatient department of a hospital, or a freestanding imaging center

How does this program benefit members?  True/False
AIM gives the member an opportunity to make informed choices about where to access his or her imaging testing services. The same quality procedure for less out-of-pocket expense by receiving their care from a different facility than the one initially recommended by their doctor. 

• False
• True

Why did my doctor not suggest the same service site as AIM?

• They Don't care where it's done at.
• The Dr. only suggests the highest price facilities.
• AIM only suggests the Highest price facilities.
•  AIM can review a member’s health care benefits and can determine which locations can best help manage that member’s out-of-pocket expenses.

What happens if a member chooses not to use the lower-cost provider provided by AIM? 

• They have to pay the OON Benefit level
• The Procedure will not be covered
• AIM will deny the Authorization
• This is a voluntary program and members may receive services from whichever provider they wish to see. 

How do I contact AIM?  

• The toll-free number is 866-455-8414. 
• Use the Bat signal
• BCBSNC.AIM.gov
• You don't contact them they only talk with providers.

What movie is this picture from?

• Finding Nemo
• Finding Math
• Finding Dory
• Finding Mrs. Nagy

Tags

CCSS.RI.1.6

CCSS.RI.1.7

CCSS.RI.K.7

CCSS.RL.1.7

CCSS.RL.K.7

In what year was Dumbo made?

• 2016
• 1990
• 1952
• 1941

Tags

CCSS.RI.1.6

CCSS.RI.1.7

CCSS.RI.K.7

CCSS.RL.1.7

CCSS.RL.K.7

What is the snowman's name?

• Frosty
• Sven
• Olaf
• Hans

Tags

CCSS.2.MD.B.6