If you are enrolled in short-term disability, you can participate in the integrated medical/disability program.
The program is available to you at no cost through your Blue Cross Blue Shield of Texas coverage. It combines the knowledge and personalized service of the health advocacy team on the medical side with the disability team whose focus is on getting you healthy and back to work.
If you are experiencing a health issue, you can work with a health advocate to get answers to your health questions. A health advocate provides support and guidance on health and wellness issues.
In the case of a potential disability, your health advocate can work with a clinical case manager to:
When you opt-in to sharing your medical information between the health advocacy and disability teams, you can eliminate the time it takes to send your doctor paperwork, have them fill out information related to your condition and return it. The claims team will work directly with your health advocate to get information needed to evaluate your claim. That information could include diagnosis, test results and treatment your doctor recommends.
Working with a health advocate and sharing information across teams, you should:
You can trust that it is your health advocate's goal to get and keep you well and healthy. With their ability to identify a potential disability, to guide you through the claim process, and to pass along important medical information to the disability team, you will receive the most integrated and comprehensive care. In fact, once you've been on disability leave, if a disability team member believes you could benefit from additional support, they can refer you back to your health advocate for follow up.
The medical/disability program takes a holistic approach to meeting your individual needs including:
If you are enrolled for short-term disability coverage, are losing time from work, and would like to speak with a clinical case manager, please call* 1-800-882-2034. They are available Monday - Friday, 7am to 7pm (CST). The clinical case manager is a registered nurse who will be happy to answer your questions.
If you would like to opt-in to sharing your medical information as part of the claim process sign the Authorization to Exchange Medical Information for Claim Administration and return it to the claim intake specialist. The intake specialist can answer any questions you have about the sharing of medical information and they can also provide you the form via email.
* For medical emergencies, call 911. Health advocates do not provide medical advice and do not take the place of a doctor's care. Talk to your health care professional about any health questions or concerns.
** Medical information sharing as part of the medical/disability program my not apply to every claim.