If you are enrolled in a medical plan administered by Blue Cross of Idaho, you have  access to Care Management and SmartShopper resources at no additional cost.

Care Management

If you are dealing with multiple or complex health problems, Care Management (CM) can help you better understand your conditions, teach you how to take an active role in your health and help with navigation any obstacles you run into. Through this program, you’ll work directly with a care manager who will create a personalized care plan. You also get educational materials and resource support. CM can help you understand your health and make changes that can help you reach your best health.

The program offers extra help to members dealing with multiple or complex health conditions like serious trauma, transplants, spinal injuries, cancer, behavioral health, AIDS or multiple chronic illnesses.

The program includes healthcare planning, care coordination among your providers, advocacy and more. CM is a voluntary program included with your BCI medical coverage at no added cost to you.

Care Management Approach

  • Care management is a continuous care approach that supports members before, during and after a clinical event.
  • It helps members navigate a sometimes complicated healthcare system to make sure you get the services you need.
  • Care managers work with healthcare providers to coordinate care for optimal health outcomes.
  • Care managers educate members and their support network on the particular condition(s), treatment and resources available.

To learn more about the programs, call toll-free at 800-627-6655. You can also email caremanagement@bcidaho.com.

SmartShopper

SmartShopper lets you shop for care and save on out-of-pocket costs when you choose an affordable, effective location and get rewarded for being a smart shopper.

Click here to download a SmartShopper brochure.

How it works

  • Your doctor orders a procedure or test, or you’re due for a preventive screening.
  • Shop for care using the SmartShopper Personal Assistant Team or search online.
  • Go to your appointment for your procedure, test or screening.
  • Get a cash reward in the mail in 4 to 6 weeks. The amount of the cash reward is based on affordability of the procedure at the selected facility.

Get started

Call 866-507-3528 to speak with a SmartShopper Personal Assistant; or

Visit bcidaho.com and do an online search:

  • Select Find a Doctor.
  • Log in to your account and select the person on your plan who needs care.
  • Search for care by selecting Browse by Category.
  • You will be taken to a page that identifies if the procedure is eligible for SmartShopper.
  • Select Next Page.

Your search results will show you:

  • Facility name, location, contact information and a link to get directions.
  • A star rating and a link to facility reviews.
  • Your estimated cost of care.
  • Your SmartShopper cash reward amount, if eligible.*

* Keep in mind that not all facilities are eligible to offer a cash reward amount. Those that are eligible may display different cash reward amounts. These cash reward amounts are based on how affordable a procedure is at a given facility.