Health Talk

Transcription

Karin Dreyer via Getty ImagesHealthTalkSpring 2021Take chargeStrategiesfor copingiStock.com/Nataliia SirobabaLearn ways to bemindful and keep yourstress in check. VisitLiveandWorkWell.com formental health resources.Prepare to see your providerPreparing for your annual wellness visit can helpyou get the most out of it. Here are 3 things youcan do to take charge of your health.1. Think about what you want to get out of thevisit before you go. Focus on the top 3 thingsyou need help with.2. Tell your provider about any drugs orvitamins you take on a regular basis.Bring a written list. Or bring the medicine itself.3. Tell your provider about other providersyou see. Include behavioral health providers.Mention treatments they have prescribed.Bring copies of test results.AMC-061-TN-CHIPCSTN21MC4887853 001UnitedHealthcare Community Plan8 Cadillac Drive, Suite 100Brentwood, TN 37027United Health GroupPAIDPRSRT STD U.S. Postage

You’re not aloneDid you know that more than 17 million American adultshave depression? And women are about twice aslikely to have depression as men. To learn more aboutthe different treatment options for depression, visitLiveandWorkWell.com.The right careShutterstock/LightField StudiosUtilization management (UM)helps make sure you receivethe right care and serviceswhen you need them.Our UM staff reviews theservices that your providerasks for. They comparethe care and services yourprovider requests againstclinical guidelines. Theyalso compare what isbeing asked for against thebenefits you have.Take a walkGoing outside fora walk each dayis an easy way toimprove your overallhealth. Exercisehelps reduce yourrisk for chronicconditions like heartdisease and diabetes.Getting fresh air andbeing out in naturehave been shownto improve mentalhealth, too.Shutterstock/nd3000When the care is not coveredunder your benefits or doesnot meet the guidelines, itmay be denied. We do notpay or reward our providersor staff for denying serviceor approving less care. Ifcare is denied, you andyour provider have a right toappeal. The denial letter willtell you how.2Health TalkQuestions? CallMember Servicestoll-free at thephone number on the backof your member ID card.TDD/TTY services andlanguage assistance areavailable if you need them.

We careVoluntary programs to help manage your healthUnitedHealthcare Community Plan provides programs and services to help keep youwell. We also have services to help better manage illnesses and other care needs.These are part of our programs to help manage your health. They may include:Health education and remindersMaternity support and educationSupport for substance use disordersPrograms to help you with complex health needs (care managers work with yourprovider and other outside agencies)These programs are voluntary. They are offered as covered benefits. You canchoose to stop any program at any time.Take care. Visit myuhc.com/CommunityPlan to find more information about networkproviders and the benefits, programs and services offered to you. If you want to make areferral to our case management program, call Member Services toll-free at the phonenumber on the back of your member ID card.Know your drug benefitsVisit myuhc.com/CommunityPlan to learn about yourprescription drug benefits. There is information about:iStock.com/DNY59What drugs are covered. There is a list of covereddrugs. You may need to use a generic drug in placeof a brand-name drug.Where to get your prescriptions filled. You can finda pharmacy near you that accepts your plan. You mayalso be able to get certain drugs by mail.Rules that may apply. Some drugs may only becovered in certain cases. For example, you mightneed to try a different drug first. (This is calledstep therapy.) Or you might need approval fromUnitedHealthcare to use a drug. (This is called priorauthorization.) There may also be limits to the amountyou can get of certain drugs.Any costs to you. You may have copaymentsfor prescriptions.Look it up. Find information on your drugbenefits at myuhc.com/CommunityPlan. Orcall Member Services toll-free at the phonenumber on the back of your member ID card.Spring 20213

Follow-up careKnow what to do after going home fromthe hospitalMake an appointment with your primary careprovider as soon as you get home from thehospital. Bring your follow-up instructions andmedications with you and share them with yourprovider. Proper follow-up may prevent anothervisit to the hospital or ER.iStock.com/FG TradeIt is important to receive follow-up instructionsbefore you go home from the hospitalor emergency room (ER). Make sure youunderstand what is being asked of you. Askquestions if you do not. You can have someoneyou trust listen to the instructions, so they alsounderstand what you are supposed to do whenyou go home.Your partner in healthYour primary care provider provides orcoordinates your health care. You shouldsee your provider every year for well visits,immunizations and important screenings.You want to feel comfortable talking with yourprovider. You need a provider with an officelocation and hours that work for you. You maywant a provider who speaks your language orunderstands your culture. You might prefer amale or female provider. If your provider isn’tright for you, you can switch at any time.Teens have different health care needs thanchildren. It may be time for your teen to switch toa provider who treats adults. Your daughtermay also need a woman’s health provider suchas an OB/GYN.You can learn more about plan providers onlineor by phone. Information available includes:Address and phone numberQualificationsSpecialtyBoard certificationLanguages they speakMedical school or residency(information available by phone only)Choose your provider. To find a new provider, visit myuhc.com/CommunityPlan. Or callMember Services toll-free at the phone number on the back of your member ID card.4Health Talk

By the bookHave you read your Member Handbook? It is a great source ofinformation. It tells you how to use your plan. It explains:iStock.com/RapidEyeYour member rights and responsibilitiesThe benefits and services you haveThe benefits and services you don’t have (exclusions)What costs you may have for health careHow to find out about network providersHow your prescription drug benefits workWhat to do if you need care when you are out of townWhen and how you can get care from an out-of-network providerWhere, when and how to get primary, after-hours, behavioralhealth, specialty, hospital and emergency careOur privacy policyWhat to do if you get a billHow to voice a complaint or appeal a coverage decisionHow to ask for an interpreter or get other help with languageor translationHow the plan decides if new treatments or technologiesare coveredHow to report fraud and abuseQuittingsmokingis hardMost people whosmoke cigarettes saythey want to quit. In fact,more than half of adultsmokers say they triedto quit in the past year.But only 7.5% were ableto quit successfully.Get it all. You can read the Member Handbook online atmyuhc.com/CommunityPlan. To request a print copy,call Member Services toll-free at the phone number onthe back of your member ID card.Don’t be discouraged ifyou weren’t able to quitsmoking the first timeyou tried. Try talkingto your health careprovider. Getting adviceimproves your chancesof quitting smokingfor good. Even a brief3-minute conversationcan make a difference.iStock.com/recep-bgYou can do it.Don’t give upon quittingsmoking. Make anappointment to talkto your provider today.Spring 20215

Health equityHow we use and protect cultural dataWe receive cultural data about you. This data may includeyour race, ethnicity and the language you speak.We do not use this data to deny coverage or limit benefits.We use this information to improve the services we provide.Having access to this data allows us to:iStock.com/alisafarovHelp you in other languagesFind gaps in careCreate programs that meet your needsPleasing pickyeatersUnitedHealthcare protects your cultural data. Access isrestricted to those employees who need to use it. Ourbuildings and computers are secured. Computer passwordsand other system protections keep your data safe. To findout more about how we protect your cultural data, visituhc.com/about-us/rel-collection-and-use.Learn more. Want more information on our healthequity programs? Visit l.You’ve probably heard thateating lots of fruits andvegetables is key to a healthydiet. But some kids don’t likethe taste of vegetables andrefuse to eat them. So, howcan you make sure your child isgetting all of the vitamins andnutrients they need?iStock.com/adamkazTo please picky eaters, tryadding cooked broccoli,carrots, spinach or peas to kidfriendly mac and cheese. Cutthe vegetables into small piecesso they are less noticeable. Thecheese sauce will help hide thetaste of the vegetables.6Health Talk

Shutterstock/hxdbzxyProtect against COVID-19An important message from UnitedHealthcareYour health and well-being are our No. 1 priority.That’s why we want to make sure you stayinformed about the coronavirus (COVID-19).We’re working with and following the latestinformation from the Centers for Disease Controland Prevention (CDC). We’re also in touch withstate and local public health departments.How can I protect myself from COVID-19?The best way to prevent illness is to avoid beingexposed to this virus. As with any potentialillness, like the flu, it is important to follow goodprevention practices, including:Hand-washing with soap and water for 20seconds, or use alcohol-based hand sanitizerwith at least 60% alcohol if soap and water arenot availableDo not touch your eyes, nose or mouth withunwashed handsTry to stay away from people who might be sickDo not share cups or eating utensils withpeople who are sickClean and disinfect surfaces that aretouched oftenCover your nose and mouth with a tissue whenyou cough or sneeze, and then throw the tissuein the trashStay informed. For the mostup-to-date information and resourcesabout COVID-19 prevention,coverage, care and support, please visitUHCCommunityPlan.com/covid-19.Spring 20217

We speak your languageWe provide free services to help you communicate with us.We can send you information in languages other than Englishor in large print. You can ask for an interpreter. To ask forhelp, please call Member Services toll-free at the phonenumber on the back of your member ID card.Ofrecemos servicios gratuitos paraayudarle a comunicarse con nosotros.Podemos enviarle informaciónen otros idiomas aparte deespañol o en letra grande.Usted puede pedir unintérprete. Para pedirayuda, llame gratis aServicios al Miembroal número de teléfonoindicado al dorso de sutarjeta de identificaciónde miembro.Resource cornerUnitedHealthcareResourcesMember Services1-866-600-4985, TTY 711Find a provider, ask benefitquestions or get helpscheduling an appointment,in any language (toll-free).8TennCare taQuest providesdental care for membersunder age 21.NurseLine1-866-600-4985, TTY 711NurseLine is available toll-free,24 hours, every day. You’llreach a nurse who can helpyou with health problems.Civil Rights -rights-compliance.htmlReport potentialdiscrimination.Healthy First Steps 1-800-599-5985, TTY 711UHCHealthyFirstSteps.comGet support throughout yourpregnancy (toll-free).TennCare1-800-342-3145TTY 1-877-779-3103Learn more aboutTennCare.Health Talk 2021 United HealthCare Services, Inc. All Rights Reserved.TennCare Advocacy Program1-800-758-1638TTY 1-877-779-3103Free advocacy for TennCaremembers to help youunderstand your planand get treatment.TennCare Connect1-855-259-0701Get help with TennCare orreport changes.Tennessee Statewide24/7 Crisis Line1-855-CRISIS-1(1-855-274-7471)Get immediate helpfor behavioral healthemergencies.

Do you need free help with this letter?If you speak a language other than English, help in your language is available for free. This page tellsyou how to help in a language other than English. It also tells you about other help that’s available.Spanish:EspañolATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencialingüística. Llame al 1-866-600-4985, TTY: 711.Kurdish: کوردی پەیوەندی بکە . بەخۆڕایی بۆ تۆ بەردەستە ، خزمەتگوزاریەکانی یارمەتی زمان ، ئەگەر بە زمانی کوردی قسە دەکەیت : گاداری .)TTY 711( 1-866-600-4985 بە Arabic: العربية الهاتف 1-866-600-4985 اتصل برقم . فإن خدمات المساعدة اللغویة تتوافر لك بالمجان ، إذا كنت تتحدث اذكر اللغة : ملحوظة .711 النصي 66-600-4985,TTY: 711Vietnamese:Tiếng ViệtCHÚ Ý: Nếu bạn nói Tiếng Việt, có các dịch vụ hỗ trợ ngôn ngữ miễn phí dành cho bạn.Gọi số 1-866-600-4985, TTY: 711.Korean:한국어주의: 한국어를 사용하시는 경우, 언어 지원 서비스를 무료로 이용하실 수 있습니다.1-866-600-4985, TTY: 711번으로 전화해 주십시오French:FrançaisATTENTION : Si vous parlez français, des services d’aide linguistique vous sont proposésgratuitement. Appelez le 1-866-600-4985 )TTY 711(.Amharic:አማርኛማስታወሻ፡ የሚናገሩት ቋንቋ አማርኛ ከሆነ የትርጉም እርዳታ ድርጅቶች፣ በነጻ ሊያግዝዎት ተዘጋጅተዋል፡ ወደሚከተለው ቁጥር ይደውሉ። 1-866-600-4985, TTY: ન આપશો: જો તમે અંગ્ેજી નયા બોલતયા હો તો, ભયાષયા સહયા્તયા સેવયાઓ, મફતમયાં, તમને ઉપલબ્ધ રહે છે . કૉલકરો 1-866-600-4985 નંબર પર, TTY: �: ຖ້້າວ່່າ ທ່່ານເວ່້ າພາສາ ລາວ່, �ຼືື ອດ້ານພາສາ, ໂດຍບໍ ເສັຽຄ່່າ, �້ທ່່ານ. ໂທ່ຣ 1-866-600-4985, TTY: 711German:DeutschACHTUNG: Wenn Sie Deutsch sprechen, stehen Ihnen kostenlos sprachlicheHilfedienstleistungen zur Verfügung. Rufnummer: 1-866-600-4985, TTY: 711.Tagalog:TagalogPAUNAWA: Kung nagsasalita ka ng Tagalog, maaari kang gumamit ng mga serbisyo ngtulong sa wika nang walang bayad. Tumawag sa 1-866-600-4985, TTY: 711.Hindi:हिंदीध्यान दें: यदद आप हिंदी बोलते िैं तो आपके ललए मुफ्त में भयाषया सियायतया सेवयाएं उपलब्ध िैं।1-866-600-4985, TTY: 711 पर कॉल EŠTENJE: Ako govorite srpsko-hrvatski, usluge jezičke pomoći dostupne su vambesplatno. Nazovite 1-866-600-4985, TTY: 711.CSTN20MC4836374 000CSTN20MC4836374 000

Russian:PусскийВНИМАНИЕ: Если вы говорите на русском языке, то вам доступны бесплатныеуслуги перевода. Звоните 1-866-600-4985, TTY: 711Nepali:नेपालीध्यान ददनुिोस्: तपयाईं नेपयाली भयाषया बोल्ुहुन्छ भने तपयाईंको दनदति भयाषया सियायतया सेवयािरू दन:शुल्कउपलब्ध छैन। 1-866-600-4985 )TTY 711( मया फोन गनुिनु ोस्।Persian:1-866-600-4985 با . تسهیالت زبانی بصورت رایگان برای شما فراهم میباشد ، اگر به زبان فارسی گفتگو میکنید : توجه تماس بگیرید ،TTY: 711 Do you need help help talkingtalking withwith ususororreadingreadingwhatwhatwewesendsendyou?you? Do you have a disability and need Doneed helphelpgettinggettingcarecareorortakingtakingpart in oneone ofof ourourprogramsprogramsororservices?services? Or do you you havehave moremore questionsquestions aboutabout youryour healthhealthcare?care?CallCall usus forfor freefree atat nectyouyouwithwiththethefree help or service you need (for TTY call: 711).free help or service you need )for TTY call: 711(.We obey federal and state civil rights laws. We do not treat people in a different way because of theirWe obey federal and state civil rights laws. We do not treat people in a different way because ofrace, color, birth place, language, age, disability, religion, or sex. Do you think we did not help you ortheir race, color, birth place, language, age, disability, religion, or sex. Do you think we did notyou were treated differently because of your race, color, birth place, language, age, disability,help you or you were treated differently because of your race, color, birth place, language, age,religion, or sex? You can file a complaint by mail, by email, or by phone.disability, religion, or sex? You can file a complaint by mail, by email, or by phone.Here are threethree placesplaces t:UnitedHealthcareUnitedHealthcareCommunity PlanCommunity PlanAttn: Appeals and GrievancesAttn: Appeals andP.O. Box 5220310 Great Circle Road, 3W310 Great Circle Road, 3WGrievancesKingston, NY 12402-5220Nashville, Tennessee 37243Nashville, Tennessee 37243P.O. Box 5220Email:Phone:1-866-600-4985Kingston,NY 12402-5220Email:HCFA.Fairtreatment@tn.gov TTY: 711HCFA.Fairtreatment@tn.govPhone: 1-866-600-4985Youcanget a complaint formPhone: 855-857-1673TTY:711Phone:855-857-1673online at:TRS: 711TRS: 711You can get a complaint formhttp://www.tn.gov/hcfa/You can get a complaint formonline at:You canonlineat: get a complaint form article/civil-rights-complianceonline CareTennCareOffice of Civil RightsOffice of Civil RightsComplianceComplianceU.S. Department ofU.S. Department ofHealth & Human ServicesHealth & Human ServicesOffice for Civil RightsOffice for Civil Rights200 Independence Ave SW200 Independence Ave SWRm 509F, HHH BldgRm 509F, HHH BldgWashington, DC 20201Washington, DC 20201Phone: 800-368-1019Phone: 800-368-1019TDD: 800-537-7697TDD: 800-537-7697You can get a complaint formYou canonlineat: get a complaint formonline ffice/file/index.htmloffice/file/index.htmlOr you can file a complaintOr youat:can file a complaintonlineonline .gov/ocr/portal/lobby.jsfocr/portal/lobby.jsf

DentaQuest 1-855-418-1622 DentaQuest.com DentaQuest provides dental care for members under age 21. Civil Rights Compliance tn.gov/tenncare/ members-applicants/ civil-rights-compliance. html Report potential discrimination. TennCare 1-800-342-3145 TTY 1-877-779-3103 Learn more about TennCare.