Who is the client? Graham Packaging is a global leader in the design, manufacture, and sale of custom and sustainable plastic containers for food, beverage, household, and automotive products.
Announcements: NA
Enrollment - Vida.com/BCBSIL - Select “Graham Packaging”
Transitions:
-
Vendor Transitions:
-
Prior Health and Wellness Vendor? Omada & EncircleRx
-
-
Anti-Obesity medication transitions (AOM, member currently on GLP-1):
- What coverage does Vida provide?
- Use Case 3 (Vida sole prescriber, COM - Center of Obesity Management)
- When does a member have to transition by? Preliminary Info:
- At launch, members whose prior authorization (PA) for GLP-1 prescriptions is expiring between 8/1 and 11/30 will be extended to 11/30/25. This will enable members adequate time to enroll in Vida and go through the process until they meet with a provider.
- Members with PAs that expire after 11/30 will be honored until their expiration date. After that point, members will need to enroll in Vida.
- Does Vida have Prior Authorization bypass enabled (goldcarded)? YES, VIDA is goldcarded because we are sole prescriber
- What program will the AOM transition member go into?
- MWL Group
- How does an AOM transition member get to a Vida Medical Provider?
- Submit Lab requirements
- Submit Medical record requirements
- Complete Contact Form
- RD session is bypassed in group MWL
- What coverage does Vida provide?
-
See below or Vidapedia for more information on:
-
Account Eligibility:
- Who is eligible? Employees, spouses, dependents who are 18+ and carry BCBSIL medical coverage
- Is Cobra or retirees eligible? It would apply to members on a PPO plan, they may or may not be eligible, check B2B.
- How do I look up eligibility? B2B
- How often does it update? Daily
- Where should non-eligible members be referred? Please refer them to the number on the back of their insurance card.
-
Devices:
- Vendor Transition members DO NOT automatically receive a device form
- Standard Device Criteria
- Clinical Device FAQs
- Programs
- Medication Management
-
External Account Resources
- To find Pharmacy Benefits information
-
Prescribing Overview: Use Case 3 (Vida sole prescriber, COM - Center of Obesity Management)
- Drug Coverage and formulary
- GLP-1 coverage information
-
Account Eligibility:
Population Details
- Employees: 2,774
- Spouses + Dependents: 1,654
- Total: 4,428
- Is there VSC calling? YES
- Bilingual Population? NA
- Translation Services? YES
Additional Info
- TBD
Comments
0 comments
Please sign in to leave a comment.