Your guide to better health Grow healthy. Live well.

Transcription

1 Your guide to better health Grow healthy. Live well. FREDERICK COUNTY PUBLIC SCHOOLS Look Inside Where do I go for health tools and resources? How can I get and stay healthy? What mobile applications are available? What if I get sick or injured?

2 Welcome You might be surprised at how much your health plan can do for you. Not just when you re sick, but every day of the year. Day in. Day out. Year in. Year out. You can make the most of your health plan anytime. Your health plan and all the health-related programs, tools and resources that go with it is designed for your well being. To see what we mean, take a closer look at our programs that give you access to services you ll want to use: mynurseline SM 24/7... p. 2 Private myuhc.com website... p. 2 Personal health and treatment support... p. 3 Wellness programs and tools... p. 4 Discounts for a healthier you... p. 4 Mobile apps... p. 5 What if I get sick or injured?... p. 6 Contact us... p. 7 This guide does not represent all of the programs and services that come with your UnitedHealthcare health plan. It offers you a glimpse of some of the key features and services that we offer to our members. For more details about the programs mentioned in this guide and to learn about other programs, please visit myuhc.com. 1 GROW HEALTHY. LIVE WELL.

3 Where do I go for health tools and resources? Where do I go for health tools and resources? mynurseline mynurseline SM 24/7 SM 24/7 When you have a health concern, it can be difficult and time-consuming to find the information you need. When mynurseline you have can a health help concern, you make it smart can be health difficult care and decisions time-consuming with immediate to find the telephone information and online you access need. mynurseline to experienced can registered help you make nurses smart - at no health additional care decisions cost to you. with immediate telephone and online access to experienced registered nurses - at no additional cost to you. Your health advocate Your health advocate One toll-free number connects you with a registered nurse who will take the time to understand what is going One on toll-free with your number health connects and provide you with personalized a registered information nurse who will that take is right the time for you. to understand what is going on with your health and provide personalized information that is right for you. Experience you can rely on mynurseline Experience nurses have you an can average rely of on 15 years clinical nursing experience. mynurseline nurses have an average of 15 years clinical nursing experience. Your one-stop source Whether Your you have one-stop a baby with source a 102 o temperature at midnight or need help managing your diabetes, Whether mynurseline you have is the a baby one source with a to give 102 temperature you the answers at midnight you need. or need help managing your diabetes, mynurseline is the one source to give you the answers you need. To talk with a mynurseline nurse, call or visit myuhc.com. To talk with a mynurseline nurse, call or visit myuhc.com. Good to know: How to find mental health and substance abuse Good services to know: How to find mental Through health United and Behavioral substance Health, abuse you services will have access to more than 57,000 practitioners Through United for personal, Behavioral confidential Health, you counseling. will have access to more than 57,000 You also can visit practitioners for personal, confidential counseling. for information on mental health You and also substance can visit abuse services. This site also links to for the information United Behavioral on mental Health health Preventive and substance Health abuse Program services. for This exclusive site also links resources and information on to the United Behavioral major depression disorders, Health Preventive Health alcohol abuse and attention Program for exclusive deficit hyperactivity disorder. resources and information on Experienced major depression specialists disorders, are available alcohol who abuse can and talk attention with you deficit about hyperactivity your situation disorder. any time, day or night - just call Experienced specialists are available who can talk with you about your situation any time, day or night - just call myuhc.com myuhc.com Visit our member private website at myuhc.com and register to get the most out of your benefits. See Visit your our benefits member private website at myuhc.com and register to get the most out of your benefits. Track your See your claims benefits and expenses Organize Track your your health claims information and expenses and more Organize your health information and more GROW HEALTHY. LIVE WELL. 2 GROW HEALTHY. LIVE WELL. 2

4 How can I get and stay healthy? When it comes to good health, we have programs to help you live healthier. Personal Health Support If you re dealing with complex health care needs or living with a chronic condition, such as diabetes or hypertension, it can be difficult to sort through all the available information to make informed decisions. Personal Health Support can provide you with access to specialized nurses, as well as other resources that can help you better manage your health care needs and improve your quality of life. Your eligibility for this program is determined by UnitedHealthcare when you experience certain health events that require medical attention, or if the results of your health assessment reveal that you might need assistance. If you are eligible for the program, a Personal Health Support Nurse assigned to you will contact you by phone. A Personal Health Support Nurse will explain the program details to you and help you enroll in the program. A Personal Health Support nurse will: Provide you with one-on-one health care information, guidance and support. Help coordinate your care with physicians and health care professionals. Support you in understanding and following your doctor s treatment plan. Treatment Decision Support If you are considering treatment decisions for a specific condition, Treatment Decision Support (TDS) is available to help you make informed decisions. TDS can help you: Select the treatment option that best meets your needs. Choose a physician and hospital for your treatment. Prepare for your upcoming treatment and for a successful recovery. You can call a nurse at to talk about treatments for these conditions: Heart disease (angina) Musculoskeletal (back pain, hip replacement, knee replacement) Obesity (bariatric surgery) Men s health (benign prostate disease, prostate cancer) Women s health (breast cancer, dysfunctional uterine bleeding, endometriosis, fibroids) How Rally Works: Getting started with Rally Once you register for Rally you will choose an Avatar to participate in online communities or other activities. Take your Health Survey and discover your Rally Health Age The Rally Health Survey will guide you with visual prompts in a clear and easy to follow format. Upon completion of the Health Survey, you will receive your results as a Rally Age a number that provides you with an indicator of how your actual age compares with your health age. Pick your Missions In addition to your Rally Age you will also receive personalized results and recommended Missions, or individual action plans, based on your Health Survey. Missions provide activities to improve or maintain your health. Choose Missions, like getting enough sleep at night or cooking at home. Soon you ll be having fun and feeling great! Earn your rewards As you complete certain activities within Rally you will earn coins when you check in and track your progress on your Missions. You can use these coins to enter sweepstakes for great prizes. The more you take part in Rally, the more chances you ll have to win! 3 GROW HEALTHY. LIVE WELL.

5 Where do I go for wellness programs and tools? When it comes to living well, we can help you stay healthy or get healthy. These services are part of your benefits available to you at no additional cost. HealtheNotes UnitedHealthcare has a new way we want to communicate with you. The messages are called HealtheNotes (pronounced healthy notes ), and we designed them to provide you with personalized care opportunities to improve your health. One of the best things about a HealtheNote is you don t have to do a thing to receive one. We ll send them to you automatically when we have a message or recommendation we think would benefit you. For example, if you are a diabetic and our evidence-based medicine guidelines suggest lab tests twice a year, we may send you a HealtheNote message in the mail to remind you to schedule your tests. Healthy Pregnancy Program Provided at no additional premium cost, this program includes services to help you during a special time in your life. 24-hour toll-free access to experienced nurses Identification of your risks and individual needs Pregnancy and childbirth education materials and resources Access to Online Healthy Pregnancy Owner s Manual Complimentary gifts and money-saving coupons To learn more, call or visit Vision Benefits UnitedHealthcare Vision provides affordable, quality vision care, nationwide. Through our national provider network, you will receive a comprehensive vision examination, as well as eyeglasses (lenses and frames), or contact lenses in lieu of eyeglasses every 12 months. For more information, call or visit Enjoy discounts that could add up to big savings Enjoy a healthy lifestyle for less with our discounted products and services including: fitness club memberships, weight loss programs, teeth whitening and more. Access our health discount program* online at myuhc.com. *The health discount program is not insurance. GROW HEALTHY. LIVE WELL. 4

6 What mobile applications could help me make the most of my health plan? UnitedHealthcare strives to make it easy to get help, wherever our members are. Our mobile applications include: Health care coverage and doctor searches at your fingertips. Health4Me Find doctors, view your ID and check recent claims. DocGPS Find a doctor or hospital wherever you are. OptumizeMe Engage in healthy activities and invite others to participate. UnitedHealth Premium designation program Studies show that people who actively engage in their health care decisions have fewer hospitalizations, fewer emergency visits, higher utilization of preventive care, and overall lower medical costs. You can take an active part in your health by seeking out and choosing quality, cost-efficient care. The UnitedHealth Premium program can help. The Premium designation makes it easy for you to find doctors who meet national standards for quality and local market benchmarks for cost efficiency. That way, you can review your options and choose a doctor with confidence. Learn more at UnitedHealthPremium.com. 5 GROW HEALTHY. LIVE WELL.

7 What if I get sick or injured? Where you go for your care matters. You get the best care when you see your regular health care provider. They know you and your medical history. For most medical problems, you should try to go to your regular health care provider first. But if your doctor is not available, you can consider urgent care clinics, convenience care clinics and hospital emergency rooms. Take a look below at the chart that could help you choose the right care center for your situation. Care center Why would I use this care center? What type of care would they provide?* What are the cost and time considerations?** Often requires a copayment and/or coinsurance Normally requires an appointment Little wait time with scheduled appointment Doctor s Office You need routine care or treatment for a current health issue. Your primary doctor knows you and your health history, can access your medical records, provide preventive and routine care, manage your medications and refer you to a specialist, if necessary. Routine checkups Immunizations Preventive services Manage your general health Convenience Care Clinic You can t get to your doctor s office and your condition is not urgent or an emergency. Convenience care clinics are typically located in many retail stores offering services for minor health conditions.*** Staffed by nurse practitioners and physician assistants. Common infections (e.g. strep throat) Minor skin conditions (e.g. poison ivy) Flu shots Pregnancy tests Minor cuts Ear aches Often requires a copayment and/or coinsurance similar to office visit Walk in patients welcome with no appointment necessary, but wait times can vary Urgent Care Center You may need care quickly, but it is not an emergency and your primary physician may not be available. Urgent care centers offer treatment for non-life threatening injuries or illnesses. Staffed by qualified physicians. Sprains Strains Minor broken bones (e.g. finger) Minor infections Minor burns Often a less costly alternative to the Emergency Room Walk in patients welcome, but waiting periods may be longer as patients with more urgent needs will be treated first Emergency Room You need immediate treatment of a very serious or critical condition. The ER is for the treatment of life-threatening or very serious conditions that require immediate medical attention. Do not ignore an emergency. If a situation seems life threatening, take action. Call 911 or your local emergency right away. Heavy bleeding Large open wounds Sudden change in vision Chest pain Sudden weakness or trouble talking Major burns Spinal injuries Severe head injury Difficulty breathing Major broken bones Often requires a much higher copayment and/or coinsurance Open 24/7, but waiting periods may be longer because patients with life-threatening emergencies will be treated first * This is a sample list of services and may not be all-inclusive. ** Costs and time information represents averages only and is not tied to a specific condition or treatment. Your out-of-pocket costs will vary based on plan design. *** Convenience care clinics may not be available in all locations. Questions? Speak with a registered nurse at anytime by calling GROW HEALTHY. LIVE WELL. 6

8 Key contact information Customer Care mynurseline Vision Benefits Mental Health Benefits Treatment Decision Support Healthy Pregnancy Member website... United Behavioral Health... Healthy Pregnancy... Vision Benefits... Mobile apps: Health4Me DocGPS OptumizeMe The UnitedHealth Premium designation program is a resource for informational purposes only. Designations are displayed in UnitedHealthcare online physician directories at myuhc.com. You should always visit myuhc.com for the most current information. Premium designations are a guide to choosing a physician and may be used as one of many factors you consider when choosing a physician. If you already have a physician, you may also wish to confer with him or her for advice on selecting other physicians. Physician evaluations have a risk of error and should not be the sole basis for selecting a physician. Please visit myuhc.com for detailed program information and methodologies. Only individual physicians that meet UnitedHealth Premium designation criteria, or physicians in designated specialties who are part of medical groups that meet UnitedHealth Premium criteria for group practices and who have sufficient claims data for analysis, may be designated. All physicians that contract with UnitedHealthcare have met credentialing requirements. Regardless of designation, plan enrollees have access to physicians in the UnitedHealthcare network as described in their benefit plan. Specialties for which there are no quality guidelines currently established in the program are excluded from evaluation and are noted as such. Administrative services provided by United HealthCare Services, Inc. or their affiliates. For informational purposes only. UnitedHealthcare does not diagnose problems or recommend specific treatment. The information provided in this document is not a substitute for your physician s care. Services and medical technologies referenced herein may not be covered under your plan or be available in all states or for all groups. M / United HealthCare Services, Inc.