Measure A on November Ballot

Clovis Unified’s Measure A is on the ballot this November. Measure A is a facility bond measure that maintains a stable tax rate and would provide for:

Safety, energy efficiency and technology upgrades for ALL schools.
Modernization and repairs to aging schools.
Completion of our new high school to ease overcrowding.

Learn more about this $400M facility bond measure at cusd.com.

Medical Coverage

CUSD Medical Benefits

The CUSD Health Plan is a self-insured Preferred Provider Organization (PPO) Plan, administered by HealthNow Administrative Services. Within California the plan utilizes the highly regarded medical providers of the Blue Shield Tandem PPO network. Outside of California members can choose from the providers in Blue Shield’s Blue Card network. Members receive the maximum allowance of benefits available for covered services when they are received from contracted providers. The health plan year runs from September 1st through August 31st.

For a detailed explanation of covered services under the plan please refer to the Health Plan Summary Plan Document and Summary of Benefit Coverage.

HealthNow Administrative Services

Because our CUSD health plan has the benefit of being self insured, we utilize HealthNow Administrative Services to assist in administering our health plan. HealthNow provides our members with services including benefit quotes, payment of claims, looking up providers, printing ID cards and more. Inquiring members can utilize the member services number conveniently located on the back of their insurance card for assistance in the future.

Member Cost Share

International Claims

Care for Covered Urgent and Emergency Services Outside the BlueCard Service Area

If you are outside of the BlueCard® Service Area, you may be able to take advantage of Blue Shield Global Core when accessing Out-of-Area Covered Health Care Services. Blue Shield Global Core is unlike the BlueCard Program available within the BlueCard Service Area in certain ways. For instance, although Blue Shield Global Core assists you with accessing a network of inpatient, outpatient, and professional providers, the network is not served by a Host Blue. As such, when you receive care from providers outside the BlueCard Service Area, you will typically have to pay the provider and submit the claim yourself to obtain reimbursement for these services.

If you need assistance locating a doctor or hospital outside the BlueCard Service Area you should call the service center at 1-800-810-BLUE (2583) or call collect at 1-804-673-1177, 24 hours a day, seven days a week.

Provider information is also available online at www.bcbs.com: select “Find a Doctor” and then “Blue Shield Global Core”.

Submitting a Blue Shield Global Core Claim

When you pay directly for services outside the BlueCard Service Area, you must submit a claim to obtain reimbursement. You should complete a Blue Shield Global Core claim form and send the claim form along with the provider’s itemized bill to the service center at the address provided on the form to initiate claims processing. Following the instructions on the

claim form will help ensure timely processing of your claim. The claim form is available from Customer Service, the service center or online at www.bcbsglobalcore.com. It is also available on this web page.

If you need assistance with your claim submission, you should call the service center at 1-800-810-BLUE (2583) or call collect at 1-804-673-1177, 24 hours a day, seven days a week.

Transparency in Coverage

The information available through the below link is provided in good faith to comply with the Machine-Readable Files (MRF) provision of the Transparency in Coverage Final Rule (TCFR). These files are extensive collections of data to be ingested and read by machines and are not intended for consumer/member use.

Access files

To learn more about the TCFR and the MRF provision, refer to this Centers for Medicare & Medicaid Services page.