HealthyFocus Winter 2965 NE Conners Avenue Bend, Oregon 97701

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1 You can get this newsletter in another language, large print, or another way that s best for you. Call tollfree (800) TTY users may call (800) HealthyFocus Winter 2965 NE Conners Avenue Bend, Oregon PRSRT STD US POSTAGE PAID BEND OR PERMIT NO.12 Usted puede recibir este documento en otro idioma, impreso en letra más grande o de cualquier otra manera que sea mejor para usted. Llame al número gratuito (800) Los usuarios del servicio TTY pueden llamar al (800) HealthyFocus Winter 2018

2 HealthyFocus Winter 2018 In this issue: FREE Mobile App...2 Getting Care...3 Learn to Cook Healthy Meals...4 Food Help...5 Stay Safe if You Take an Opioid...6 And more! Customer Service Monday to Friday: 8:00 a.m. to 5:00 p.m. Toll-free: (800) TTY: (800) Check Out Our Website CommunitySolutions.PacificSource.com has lots of useful information, and now has a new mobile-friendly look! You can: Find a doctor Print a temporary member ID card Learn about your insurance See a member handbook And more! MCD15_0218

3 Stay Connected with the FREE mypacificsource Mobile App! Now you can stay connected to your PacificSource Community Solutions (Medicaid health plan) information anywhere with our FREE mobile app. The mypacificsource app is available for both iphone and Android. Use mypacificsource to: Access your member ID card, anytime.* Find a doctor, hospital, or urgent care center. Save your doctor s phone number to your contact list. Contact us. Find PacificSource phone numbers and office locations. Ready to get the mypacificsource app? Visit the Google Play Store, the Apple App Store, or the Amazon App Store. *To see your member ID card in the app, you will need to create an account using your Medicaid ID number. You can do that here: intouch.pacificsource.com/members/account/signup/md. If you need help or can t find your Medicaid ID number, please contact our Customer Service team. 2

4 Getting Care: What If There s a Wait What can you do when your doctor isn t available as soon as you d like? Even five days can feel like a long time when you re feeling miserable but a trip to an urgent care facility can end up costing you a lot more out of pocket. Here are a few ideas. Grab a canceled appointment Call your doctor s office around 10:00 a.m. to see if they ve had any cancelations that morning. They could have an unexpected opening in the afternoon. If not, ask to be put on the cancellation list. Most offices are happy to do this. Ask the clinic if there is another doctor who can see you sooner. Another doctor may have an opening and be able to see you this time. You will still be a patient of your regular doctor. Talk to a nurse Many health plans offer hotlines members can call anytime to speak to a registered nurse. RNs are qualified to answer a variety of health questions and can help you determine the best course of action. Most PacificSource members with medical coverage can call our 24-Hour NurseLine toll-free at (855) Remember: If you start to feel better and no longer need to see the doctor, don t forget to call the office and cancel your appointment. When you cancel your appointment, the office is able to schedule someone else who needs care (like someone on the cancellation list). Change to Getting Prescriptions Beginning in March 2018, only prescriptions written by a doctor in the Oregon Health Authority (OHA) network will be covered by your health insurance plan. (The doctor must have a valid, active Medicaid ID with the state of Oregon.) You can use the provider directory in the For Members area our website to find out if your doctor can write prescriptions for you. Or if you don t have a regular doctor, you can use the directory to find one. Visit PacificSource.com/Member 3

5 Learn to Cook Healthy Meals on a Budget Check out these resources for Healthy Eating in the Columbia Gorge Region bluezonesproject.com oregonstate.edu The High Desert Food and Farm Alliance (HDFFA), together with their partners, is serving up a heaping dose of food as medicine. HDFFA offers Cooking Matters, seven-week long cooking courses aimed at developing the skills and knowledge needed to shop for and prepare healthy meals on a budget. Each week, class participants will learn a new recipe and get free groceries to take home and practice with. Cooking Matters courses are free, open to SNAP-eligible adults, and offered throughout Central Oregon. For more information, visit Spring course schedule If you are interested in a spring cooking class, meiko@hdffa.org. Bend Tuesdays, 6:00 8:00 p.m., April 10 - May 22 La Pine Mondays, 4:00 6:00 p.m., April 23 - June 11 Madras Tuesdays, 5:30 8:30 p.m., April 10 - May 22 Prineville Wednesdays, 5:00 7:00 p.m., April 11 - May 23 Redmond Mondays, 6:00 8:00 p.m., April 2 - May 14 Warm Springs TBD 4

6 You May Qualify for Food and Nutrition Help The Women, Infants, and Children (WIC) Program is a public health nutrition program that helps families with: Electronic benefits transfer (EBT) card benefits to buy healthy foods Help with your questions about nutrition, exercise, feeding your kids, prenatal care, and more Breastfeeding support Information on other services in your community You may qualify if you: Are a PacificSource Community Solutions member (or meet income guidelines), or are a pregnant, postpartum, or breastfeeding woman Have a child under the age of five Dads, grandparents, foster parents, or other guardians may apply for WIC for their child! For questions or to make an appointment, please call your local WIC office today: Crook County (541) Deschutes County (541) Hood River County (541) Jefferson County (541) Warm Springs (541) Wasco County (541) Your Feedback Is Important From now through April, you may receive requests from DataStat, by mail or by phone, to take a healthcare survey. This survey is called the Consumer Assessment of Healthcare Providers and Systems (CAHPS) survey. It asks about your experience with PacificSource Community Solutions, as well as your experience with doctors and other healthcare providers. If you are contacted about the survey, we ask you to take a few minutes to complete it. 5

7 Stay Safe If You Take an Opioid Medication Call 911 if there are overdose signs, including: Small, constricted pinpoint pupils Falling asleep or loss of consciousness Slow, shallow breathing Choking or gurgling sounds Limp body Pale, blue, or cold skin Living with chronic pain can be hard. And pain management is important part of getting your health back. Opioids are prescribed to treat moderate to severe pain, but can also have serious risks and side effects. Talk with your doctor about treatment options. Carefully consider all of the risks and benefits. Be sure to tell your doctor about all other medications you take, including other prescriptions and over-the-counter drugs. The following drugs may cause serious interactions when taken together with opioids: sleep aids, muscle pain and spasm drugs, any illegal drugs (including heroin), and herbal supplements. These drugs may include Ambien (zolpidem), Lunesta (eszopiclone), Sonata (zaleplon), Soma (carisoprodol), Flexeril (cyclobenzaprine), and Robaxin (methocarbamol), as well as Benzodiazepines ( benzos ) such as Valium (diazepam), Xanax (alprazolam), Halcion (triazolam), Ativan (lorazepam), and Klonopin (clonazepam). Also tell your doctor about your alcohol use. Source: drugoverdose/prevention/ 6

8 Risks Side effects: Feeling sleepy or dizzy, nausea, vomiting, and constipation. Tolerance and dependency: Over time, you might need higher doses to relieve your pain, putting you at higher risk for a potentially fatal overdose. You can also develop dependence, which means you can feel sick when the medication is stopped. Overdose: Your risk of overdose increases when you take more than prescribed, take it more often, or take it for a longer time. Drug interactions: Opioids may not mix well with other drugs or supplements. Some combinations can hurt you or even be fatal. Always talk with your doctor or pharmacist before mixing medications. Medication safety tips Read the information that comes with your medication. Ask your doctor if you have questions or concerns. Always take your medication as directed by your doctor never take opioids in higher amounts or more often than prescribed. Only take medications that have been prescribed for you. Don t drive until you know how the medication will affect you. Make sure you and your family and friends know the signs of opioid overdose. What is an opioid? Opioid medications include: morphine, codeine, methadone, oxycodone (OxyContin, Percodan, Percocet ), hydrocodone (Vicodin, Lortab, Norco ), fentanyl (Duragesic, Fentora ), hydromorphone (Dilaudid, Exalgo ), and buprenorphine (Subutex, Suboxone ). The Centers for Disease Control and Prevention (CDC) has found opioid abuse/overdose to be a leading cause of shortened life expectancy in the United States. 7

9 Banana Bread Baked Oatmeal Got ripe bananas? Rather than make a sugary, high-fat, eat-in-onesitting banana bread (aka dessert), try this recipe and you ll have six quick, nourishing, and tasty grab-and-go breakfasts for the week! Note: Use old-fashioned rolled oats in this recipe. Nutrition Info Per Serving Calories: 280 Fat: 4.5 grams Sodium: 330 mg Carbohydrate: 51 grams Fiber: 6 grams Protein: 11 grams Ingredients 1½ cups mashed bananas (3 to 4 medium ripe bananas) ¼ cup packed brown sugar 2 large eggs ½ teaspoon salt ¼ teaspoon ground cinnamon ¹ 8 teaspoon ground nutmeg ½ teaspoon vanilla extract 1 teaspoon baking powder 1½ cups fat-free milk 2½ cups old-fashioned rolled oats* ½ cup chopped walnuts Instructions 1. Preheat the oven to 375ºF. Coat an 8-by-8-inch casserole dish with nonstick cooking spray. 2. In a large bowl, combine the bananas, brown sugar, eggs, salt, cinnamon, nutmeg, vanilla, and baking powder. Whisk until smooth. Add the milk and whisk again until smooth. 3. Stir the oats into the banana mixture. Pour the mixture into the prepared casserole dish. 4. Bake the oatmeal for 45 minutes, or until the top is golden brown and no longer sticky in the center. 5. Divide the oatmeal into 6 portions and refrigerate or freeze in resealable containers until ready to eat. To reheat, microwave until warmed through. *Be sure to use old-fashioned rolled oats rather than quick-cooking oats. Quick cooking lack the texture needed to stand up to the other ingredients in this recipe. Source: Adapted from Budget Bytes by Beth Moncel. 8

10 Strengthen Your Funny Bone and Health Our silly health riddles can help you learn more about staying healthy: 1. Why did the ranch hand keep falling asleep on the job? His job was counting sheep. Quality sleep is linked to almost every area of health. But, many of us still struggle to get the rest we need even counting sheep may not help. Try these three tips: Nap with caution. Late-afternoon napping can prevent you from falling asleep or staying asleep through the night. If you feel the need to nap, keep it to less than 30 minutes. Create a restful environment. Make the room dark, quiet, and comfortably cool. Make sleep the main focus of the bedroom by removing TV, work, food, and other activities that may stimulate the brain. Get into a routine. Having a consistent bedtime routine helps set your internal clock. 2. What was the robber wearing when he tried to break open the safe? SAFEty glasses. At least he was smart about protecting his eyes. Follow some basic steps to protect your eyes and keep seeing clearly: Wear sunglasses labeled UV protection to help protect your eyes from ultraviolet light exposure, which can damage your eyes. Wear safety glasses or protective goggles while playing sports or working with hazardous materials. Get an eye exam on a regular basis, even if you don t wear glasses. 3. What health screening is usually the butt of jokes? Colonoscopy. It s one of the ways to screen for colorectal cancer, which is really no joke. Get screened regularly, starting at age 50 (or sooner if you have a family history). Here are a few prevention tips: Eat plenty of fiber. Limit red meats, and avoid processed meats. Avoid or limit alcohol. If you drink, do so in moderation. 9

11 Nondiscrimination Statement PacificSource and network providers must treat you fairly. Our providers and we must follow state and federal civil rights laws. We cannot treat people unfairly in any of our services or programs because of a person s: Age Color Disability Gender Identity Marital Status National Origin Race Religion Sex Sexual Orientation Everyone has a right to know about and use our programs and services. We give free help when you need it. Some examples of the free help we can give are: Sign language interpreters Spoken language interpreters for other languages Written materials in other languages Braille Large print Audio and other formats If You Need Help If you need help or have a concern, please contact our Customer Service department or our Civil Rights manager toll-free Monday Friday, 8:00 a.m. 5:00 p.m. at: Customer Service Department (800) Central Oregon (855) Columbia Gorge (800) TTY Civil Rights Manager Kristi Kernutt (541) , (800) TTY Kristi.Kernutt@pacificsource.com PO Box 7068, Springfield, OR To File a Complaint To file a civil rights complaint with the U.S. Department of Health and Human Services Office for Civil Rights (OCR): HHS.gov/Civil-Rights/For-individuals/ Section-1557/Translated-resources OCRComplaint@hhs.gov (800) , (800) (TDD) OCR, 200 Independence Avenue SW, Room 509F, HHH Bldg., Washington, DC

12 English: ATTENTION: If you speak English, language assistance services, free of charge, are available to you. Call toll-free (800) , (800) TTY. Español (Spanish): ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al (800) , (800) TTY. Tiếng Việt (Vietnamese): CHÚ Ý: Nếu bạn nói Tiếng Việt, có các dịch vụ hỗ trợ ngôn ngữ miễn phí dành cho bạn. Gọi số (800) , (800) TTY. 繁體中文 (Chinese): 注意 : 如果您使用繁體中文, 您可以免費獲得語言援助服務 請致電 (800) , (800) TTY. Русский (Russian): ВНИМАНИЕ: Если вы говорите на русском языке, то вам доступны бесплатные услуги перевода. Звоните (800) , (800) TTY. 한국어 (Korean): 주의 : 한국어를사용하시는경우, 언어지원서비스를무료로이용하실수있습니다. (800) , (800) TTY. Українська (Ukrainian): УВАГА! Якщо ви розмовляєте українською мовою, ви можете звернутися до безкоштовної служби мовної підтримки. Телефонуйте за номером (800) , (800) TTY. 日本語 (Japanese): 注意事項 : 日本語を話される場合 無料の言語支援をご利用いただけます ((800) , (800) TTY. まで お電話にてご連絡ください مقرب لصتا.ناجملاب كل رفاوتت ةیوغللا ةدعاسملا تامدخ نإف ةغللا ركذا ثدحتت تنك اذإ :ةظوحلم (Arabic): ةيبرعلا ھ مصلا مكبلاو TTY: (008) ,(008)-134 ภาษาไทย (Thai): เร ยน: ถ าค ณพ ดภาษาไทยค ณสามารถใช บร การช วยเหล อทางภาษาได ฟร โทร (800) , (800) TTY. Română (Romanian): ATENȚIE: Dacă vorbiți limba română, vă stau la dispoziție servicii de asistență lingvistică, gratuit. Sunați la (800) , (800) TTY. ខ ម រ (Cambodian): ប រយ ត ន ប ស នជ អ នកន យ យ ភ ស ខ ម រ, ស វ ជ ន យផ ន កភ ស ដ យម នគ តឈ ន ល គ អ ចម នស រ ប ប រ អ នក ច រ ទ រស ព ទ (800) , (800) TTY. Cushite: XIYYEEFFANNAA: Afaan dubbattu Oroomiffa, tajaajila gargaarsa afaanii, kanfaltiidhaan ala, ni argama. Bilbilaa (800) , (800) TTY. Deutsch (German): ACHTUNG: Wenn Sie Deutsch sprechen, stehen Ihnen kostenlos sprachliche Hilfsdienstleistungen zur Verfügung. Rufnummer: (800) , (800) TTY. (800) امش یارب ناگیار تروصب ینابز تالیھست دینک یم وگتفگ یسراف نابز ھب رگا :ھجوت (Farsi): فارسی , (800) TTY. Français (French): ATTENTION: Si vous parlez français, des services d aide linguistique vous sont proposés gratuitement. Appelez (800) , (800) TTY. 11