Take Charge of Your Health!

Transcription

1 Take Charge of Your Health! Find your path with ActiveHealth Informed Care Management

2 Set your course with ActiveHealth Management Getting on the path to better health just became a lot easier. ActiveHealth Management, your health management provider, maps the way, providing tools, people and programs to help you better manage your health. Chief among these is your secure, online Personal Health Record (PHR) with an intelligent system at its heart. This powerful new capability can make a real difference in the care you receive and ultimately, your health. That s why the Medical Plan provides these resources at no cost to you. Get started on your Personal Health Record Do you remember the last time you had a tetanus shot? The date of your most recent mammogram? How about your children s immunization records can you put your hands on them quickly? Now you can. When you launch your Personal Health Record (PHR), your recent health history will be close at hand. It will be clear, consistent and sequentially organized. No more file folders of loose papers with annoying gaps. You can share your PHR with your spouse or doctor, if you choose, but no one can gain access without authorization from you. And every enrolled member of your family can have his or her own PHR.* With a PHR, your health history will be: Clear Organized Easy to access Consistent In one place * Dependent children age 17 and younger do not have direct access to their own records, but parents/guardians can maintain a PHR for each.

3 Your PHR makes it easy to keep track of doctor visits, immunizations, medications, and other care. Once you launch it, your PHR does the record-keeping for you. It collects information from Highmark, Express Scripts and Quest Diagnostics. This way, your PHR updates automatically every time you receive services through the Medical Plan. First stop MyActiveHealth.com/pcusa Ready to go? The first stop is MyActiveHealth.com/pcusa. This is where you launch and access your PHR. It s also where you ll find other useful tools and resources for improving your health, the most important of which, when you start, is the online Health Assessment. For more on launching your PHR, go to Pensions.org/HealthManagement. Second your Health Assessment Before you can effectively take charge of your health, you need to take a clear-eyed look at your health status. The ActiveHealth Health Assessment gives you an objective evaluation of your health strengths and any self-reported issues or potential causes for concern. Your answers to the Health Assessment give you a head start on your PHR, as it fills with information you provide during the assessment, among other sources. MyActiveHealth.com/pcusa has: Your Personal Health Record A confidential Health Assessment Your health history record already filled in You ll also go here for: Health alerts General health information Much more

4 Next automatic updates to your health history When you set up a PHR for you or your child, it automatically fills with health history details for the past three years, pulled from your Highmark and Express Scripts claims. You can enter older health history details yourself for instance, immunization information from many years past and you ll have a complete health history that will update automatically going forward. Ready, set, go use your PHR! Now that it s set up, your PHR simplifies the task of managing your health and supports your communications with doctors in these ways: It lets you create reminders about preventive care screenings or other exams and tests You can easily add items that only you would know, like any over-the-counter medications you take You can print out a health summary before traveling or visiting a new doctor And more Remember to check back regularly and add any health information only you would know. Get in the PHR habit starting today! Be alert to opportunities for improved care Do your doctors have the benefit of a complete and accurate health history for you to inform their treatment decisions? Do they have all the answers, every time you see them? Most doctors would admit that s impossible, no matter how skilled and attentive they are. Sometimes patients forget to mention key information. That s why the ActiveHealth system compares your health information to the latest evidence-based medical knowledge and offers Care Considerations, or health alerts suggested ways to improve your care. The ActiveHealth system regularly reviews your medications, doctor visits and laboratory tests and considers any information you provide. If it finds a gap in your care or some other matter to consider, it sends a health alert to you and your doctor suggesting a test or screening, or even a change in your treatment, that might help you. Together, you and your doctor can decide whether your treatment should be changed in any way.

5 Talk with a nurse any time, day or night Through ActiveHealth, you continue to have access to a Nurse Line 24 hours a day, 7 days a week. Use it whenever you want to speak with a health professional for information and guidance. Call the 24-Hour Nurse Line at and select option 5. Get advance approval when it s required Under the Medical Plan, you must get approval before having certain tests or procedures performed that is, you must get them pre-certified or you may be responsible for their cost. You must also pre-certify non-urgent hospital admissions. To pre-certify a test, procedure or non-urgent hospital admission, call ActiveHealth at To pre-certify mental health and substance abuse treatment, call CIGNA Behavioral Health at Allow at least 7 to 10 days for pre-certification of a non-emergency service. Refer to Your Healthcare Benefits in Brief booklet, visit Pensions.org or check the back of your medical ID card for the services that require pre-certification. For more information about pre-certification procedures, refer to Guide to Your Healthcare Benefits, available on Pensions.org or by calling the Board. Mary Smith had been hypertensive for several years when she was invited to enroll in ActiveHealth s Informed Care Management (ICM) program. After just a few months of working with her health coach, Mary began to see results. My health coach truly motivated me to exercise and monitor my blood pressure on a regular basis, she said, and that s made a real difference in my health. Six months later, Mary s blood pressure readings are much improved, and she has significantly lowered her risk of heart attack or stroke. A successful graduate of the ICM program, Mary knows how to take good care of herself and she acts on that knowledge every day.

6 With parents still going strong in their 80s, the Reverend Douglas Smith, at age 56, thought he had plenty of time before he had to get serious about his health. Then he received an telling him to check his private and secure MyActiveHealth account for a health alert. There he found a reminder to make an appointment for a preventive checkup, something he had been putting off doing. I finally scheduled it, and that visit may have saved my life, he said. Tests detected prostate cancer which was still treatable. Rev. Smith says he s cancer-free today thanks largely to the health management services provided through ActiveHealth. Get extra help managing your condition Living with an ongoing health condition can be difficult. ActiveHealth makes it easier for you through its Informed Care Management program. If you have an ongoing condition diabetes, for instance you can work over the phone with a registered nurse who serves as your personal health coach. Working with a health coach can help you take control of your health. It can show you how to get the most out of your doctor visits. And you can learn what steps you need to take to avoid future complications. More than 30 conditions are supported, including: Asthma Diabetes High blood pressure Heart disease Kidney conditions Cancer To get started, call Monday Friday, 8:30 a.m. 11 p.m., or Saturdays, 9 a.m. 2 p.m. Eastern Time, and choose Informed Care Management. ActiveHealth may also contact you.

7 Receive extra support for serious health issues When a serious illness or health crisis occurs, you need the caring support and assistance of health professionals. ActiveHealth provides a key element of this support through its Case Management program. A Case Management nurse is available to help you if you are in the hospital for a long time, are hospitalized frequently or need home healthcare or other specialized services for a long period. Your nurse will work with you, your doctor and the Medical Plan to: Coordinate and help arrange medical services for you Facilitate approval for all medically necessary services Find your path forward Generally, you choose the help you get from ActiveHealth. (You must qualify for the Informed Care and Case Management programs to participate in them.) The tools, people and programs ActiveHealth offers on behalf of the Board of Pensions are provided to support your efforts to manage and improve your health. It s up to you to find your path. If you have questions or need help getting started with your Personal Health Record, contact either ActiveHealth Management or the Board of Pensions. Or check out Pensions.org/HealthManagement. Find your path forward, starting today. Do it for yourself, your family and your church community. And enjoy the benefits of better health for all! Provide education and support for you and your family In most cases, ActiveHealth will contact you if you qualify for Case Management. Take charge of your health! Call , toll-free, to Talk to a nurse 24 hours a day, 7 days a week Pre-certify a healthcare service Get started with Informed Care Management Visit MyActiveHealth.com/pcusa Start your Personal Health Record Take your Health Assessment And much more! Private and confidential ActiveHealth and the Board of Pensions comply with all federal and state privacy laws to keep your personal health information confidential. You control who views your PHR; the Board of Pensions and your employing organization cannot access it.

8 Call or visit MyActiveHealth.com/pcusa Informed Care Management