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SmartShopper for Employers

Smart shoppers, brilliant savings

[MUSIC PLAYING] We all know what to do when we don't like the price of something. We want we shop around but it's not that easy. With Health care in one facility an MRI could cost $3,000 but only $300 down the street. While that information is available you don't have time to sift through it all. That's where SmartShopper comes in. SmartShopper makes it easy for you to find the right care at the right place for the right price and on top of your savings you get a cash reward. To start searching for your procedure go to BlueCross nc.com. Smartshopper here you'll search for eligible procedures but if you'd rather call you can always talk to a care concierge team to quickly find what you're looking for. Click browse by category, then medical procedures, then all SmartShopper procedures, select your procedure accept the terms of use and you'll see a list of providers. A green savings box means this provider is eligible for a smart Shopper reward. After your procedure with a SmartShopper eligible provider you'll receive a check right to your door. It's that simple great care at your convenience plus cash in your pocket. What are you waiting for log on or call today to start saving.  [MUSIC PLAYING]

When employees shop for health care, everyone saves

Are you paying higher medical expenses than necessary? Join other employers who have saved millions with SmartShopper®, an innovative and easy way to turn your employees into savvy health care consumers.1 It lets them compare the price of dozens of procedures, from a mammogram to a full hip replacement.

When employees choose a lower-cost provider through SmartShopper, they earn a cash reward – from $15 to $1000 per procedure!2 So not only do you save through lower claims payouts, but also your employees pay less out-of-pocket and get a check in the mailbox – just for shopping. 

It works!

Plan sponsors saved a total of $55 million in medical costs.1

Shopping experience

Integrated for convenience

To make the experience easy, SmartShopper is integrated into Blue Connect online tools. So all shoppers need to do is log in, and go to Find Care.3 SmartShopper results automatically display in cost comparison searches. For those who prefer to shop over the phone or need a little help, the Care Concierge Team4 is just a quick call away. They will help employees shop and even schedule appointments.

Quality, in-network care

Employees can expect quality care across the provider choices. And they won’t need to search for in-network doctors or facilities, since SmartShopper leverages the existing Blue Cross and Blue Shield of North Carolina (Blue Cross NC) local and national network of providers.

94%

of SmartShopper users surveyed think SmartShopper is a valuable program offered by their employer / health plan.1

How it works

Shop

Employees shop for 100+ medical procedures online through Blue Connect, or by calling the Care Concierge Team

Go

They have their procedure at a reward-eligible location of their choice

Earn

SmartShopper mails a reward check directly to the employee’s home once the procedure is complete and the claim is paid

Engagement program

Getting and keeping employees interested in shopping is easy, too. SmartShopper takes a 360-degree approach to member engagement that’s designed to connect with shoppers all along their journey, from enrolling to shopping, to earning and repeating.

Reaching out to employees and their families in the workplace and at home multiple times a year, SmartShopper provides tailored messaging based on actual claims experience and demographics.

Analytics and reporting

Detailed employer reporting is also provided to help you use actual data to optimize engagement and savings.1

Monthly reporting includes:

  • Total amount of savings
  • Average savings / claim
  • Potential savings
  • Number and type of services shopped
  • Number of claims per procedure
  • Number of incentives paid
  • Shopper demographics by age and gender

To learn more, call your authorized Blue Cross NC sales representative

Disclosures:

  1. Zelis. (2023). 2023 SmartShopper Performance and Savings Report. (Accessed October 2023).

  2. Average cash incentive is $219 according to SmartShopper Blue Cross Blue Shield of North Carolina Book of Business through December 2023.
  3. Blue Cross NC offers several decision support tools to aid our members in making decisions around their health care experience. These tools are offered for convenience and should be used only as reference tools. Members should consult their own legal counsel, tax advisor or personal physician as applicable throughout their health care experience.

  4. The Care Concierge Team is provided for member convenience. Blue Cross NC is not liable in any way for the goods or services received; results are not guaranteed. Decisions regarding care should be made with the advice of a doctor.

The SmartShopper program is offered by MDX Medical, LLC, a Zelis company. Reward-eligible options and reward amounts are subject to change. Rewards are available for select procedures only. Rewards may be a taxable form of income. MDX Medical, LLC does not provide tax advice. Rewards may be delivered by check or an alternative form of payment. Members with primary coverage under Medicaid or Medicare are not eligible to receive incentive rewards under the SmartShopper program. MDX Medical, LLC is an independent company responsible for the SmartShopper program services they provide on behalf of Blue Cross NC. MDX Medical, LLC does not offer Blue Cross or Blue Shield products or services.

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