Spring 2018 PAID. Permit No. 44. Walla Walla, WA. Timonium, MD Greenspring Drive, Suite 100. U.S. Postage. Health Partners.

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1 Spri 2018 WHEN YOU HAVE DIABETES, Good blood sugar control lowers healthy foods will help. So will controlli your blood sugar is your risk of diabetes complications. stayi active and followi your key to magi the disease. A1C results are reported as a doctor s advice. That s why it s so important to eat percentage. For many people, With good teamwork, you can well, exercise and take medicines the goal is to stay below 7 percent. get your A1C where it needs to be. prescribed by your doctor. But your doctor may set a different It s also why you need to check target for you. Sources: American Diabetes your blood sugar levels regularly. If your A1C isn t where you d like Association; Natiol Diabetes Fier-stick glucose tests can tell it to be, you can chae it. Eati Education Program you your blood sugar level at any given time. And that s good to know. But if you want a clearer picture of your overall diabetes control, A1C tests are also a must. An A1C test is a blood test for people with diabetes orred by your doctor usually at least twice a year. It shows your average blood sugar level over the previous two to three months. That tells you and your doctor how well your treatment plan is worki and if there s room for improvement. Standard U.S. Postage PAID Walla Walla, WA Permit No. 44 University of Maryland Health Partners 1966 Greenspri Drive, Suite 100 Timonium, MD 21093

2 THE ASTHMA-ALLERGY CONNECTION WHAT S THE Asthma control Havi asthma means havi lo-term inflammation in your airways. Symptoms can inclu chest tightness, cough, shortness of breath and wheezi. There are two types of medications to help you mage your asthma. Controller medications are used every day to crease symptoms and prevent attacks. But you have to use it every day as directed. You may not notice a difference when you first begin usi controllers, but don t stop unless your doctor tells you to. We allow a 90-day supply of these controller medications: Qvar inhaler, generic AirDuo, and generic Siulair (montelukast). Relievers, s uch as a Ventolin inhaler (albuterol), are used only when asthma symptoms occur. Carry it with you and use it as soon as you have an attack. Let your provir know how often you need to use it if you need it more than three times a week, your controller medications may need to be adj. Spacers ( like Aerochamber) are covered with a prescription. Peak flow meters can be livered by a durable medical equipment provir if your provir orrs it for you. Healthy PARTNERS LINK? If you have asthma, your airways are swollen and sensitive. Asthma triggers cause the airways to tighten further and make breathi more difficult. There is no cure for asthma, but medicines and avoidi asthma triggers can help you mage the disease. Not everyone who has allergies has asthma, but many people with asthma also have allergies. Allergies can trigger your airways to rrow. It s important to know your allergy triggers, or allergens, so you can avoid them. TESTING FOR ASTHMA Spirometry: This test measures air flow in your lus how much air you can breathe in and how fast you can blow it out. Physical exam: Your doctor will probably ask questions about your symptoms and check your breathi. COMMON ALLERGENS THAT MAKE ASTHMA WORSE: Cockroaches. Animal danr. Dust mites. Indoor mold. Pollen. Outdoor mold. OTHER ASTHMA TRIGGERS MAY INCLUDE: Cold air. Exercise. Some illnesses and medicines. Tobacco smoke, air pollution and stro odors. Your doctor may also recommend: Allergy testi to see what allergens might affect you. A test to check how sensitive your airways are. Tests to see if other medical problems, such as sleep apnea, are causi your asthma symptoms. TESTING FOR ALLERGIES Most common and reliable method: Skin testi: Small amounts of specific allergens are placed in the skin to termine if there are any reactions. Breathe easier. Visit our website at umhealthpartners.com for formulary updates, and for tips to help you mage your daily asthma medications. Sources: American Acamy of Allergy, Asthma & Immunology; Natiol Heart, Lu, and Blood Institute

3 Nondiscrimition Notice Take steps to unrstand your health! Choose a provir that meets your cultural needs. Use our online directory to search for a provir by lauage and/ or genr. If your provir does not speak your lauage, it s OK to ask for an interpreter. Interpretation services are offered free of charge. Ask questions duri your appointment: What is my main health issue? What do I need to do? Are there any treatment altertives? Are there any si effects? How will this help me? Ask someone to go to your appointment with you. They can help you unrstand and remember answers to your questions. Take a list of your current medications to every appointment. Take a list of your current conditions, past surgeries and illnesses to every appointment. University of Maryland Health Partners complies with applicable feral civil rights laws and does not discrimite on the basis of race, color, tiol origin, age, disability or sex. University of Maryland Health Partners does not exclu people or treat them differently because of race, color, tiol origin, age, disability or sex. University of Maryland Health Partners: Provis free aids and services to people with disabilities to communicate effectively with us, such as: Qualified sign lauage interpreters. Written information in other formats (large print, audio, accessible electronic formats, other formats). Provis free lauage services to people whose primary lauage is not Elish, such as: Qualified interpreters. Information written in other lauages. discrimited in another way on the basis of race, color, tiol origin, age, disability or sex, you can file a grievance with: University of Maryland Health Partners c/o Appeals and Grievance Department 1966 Greenspri Drive, Suite 100 Timonium, MD Phone: or toll-free at Fax: You can file a grievance in person or by mail, fax or . If you need help fili a grievance, the Appeals and Grievance Department is available to help you. You can also file a civil rights complaint with the U.S. Department of Health and Human Services, Office for Civil Rights, electronically through the Office for Civil Rights Complaint Portal, available at gov/ocr/portal/lobby.jsf or by mail or phone at: If you need these services, contact Member Services at , or toll-free at, 8 a.m. to 5 p.m. EST, Monday through Friday. TTY users should call 711. U.S. Department of Health and Human Services 200 Inpennce Ave., SW Room 509F, HHH Buildi Washiton, DC , (TDD) If you believe that University of Maryland Health Partners has failed to provi these services or Complaint forms are available at file/inx.html.

4 Your child s mental health Children s mental health is about reachi velopmental and emotiol milestones as well as learni ways to cope when there are problems. Children who are mentally healthy can cope well in school, home and in the community. If you have noticed a serious chae in the way your child learns, behaves or handles their emotions, a good place to start may be their pediatrician. If you are in need of mental health treatment for your child, you can call the state s behavioral health vendor, Beacon, at You can also call University of Maryland Health Partners and ask for the Special Needs Department. ENGLISH ENGLISH ENGLISH ATTENTION: ATTENTION: ATTENTION: IfIfyou Ifyou you speak speak speak Elish, Elish, Elish, lauage lauage lauage assistance assistance assistance services, services, services, free free free ofofof 1-1-1charge, charge, charge, are are are available available available tototo you. you. you. TAGALOG TAGALOG TAGALOG Pansinin: Pansinin: Pansinin: Ku Ku Ku gsasalita gsasalita gsasalita ka kaka Tagalog, Tagalog, Tagalog, mga mga mga serbisyo serbisyo serbisyo tulo tulo tulo sasasa wika, wika, wika, wala wala wala bayad, bayad, bayad, ay ayay magagamit magagamit magagamit sasasa iyo. iyo. iyo. Tawagan Tawagan Tawagan a a a URDU URDU URDU ہجوت : ہجوت : ہجوت : رگا رگا رگا یزیرگنا یزیرگنا یزیرگنا ےتلوب ےتلوب ےتلوب ںیہ ںیہ ںیہ نابز نابز نابز تنواعم تنواعم تنواعم تامدخ تامدخ تامدخ تفم تفم تفم وک وک وک بایتسد بایتسد بایتسد ںیہ ںیہ ںیہ لاک لاک لاک ںیرک ںیرک ںیرک ( یٹ ( یٹ ( یٹ یٹ یٹ یٹ یئاو : یئاو : یئاو : SPANISH SPANISH SPANISH FARSI FARSI FARSI ATENCIÓN: ATENCIÓN: ATENCIÓN: SiSiSi habla habla habla español, español, español, RUSSIAN RUSSIAN RUSSIAN ﮐﻨﯿﺪ ﮐﻨﯿﺪ ﻣﯽ ﻣﯽﻣﯽ ﺻﺤﺒﺖ ﺻﺤﺒﺖ ﺻﺤﺒﺖ ﻓﺎرﺳﯽ ﻓﺎرﺳﯽ ﻓﺎرﺳﯽ زﺑﺎن زﺑﺎن زﺑﺎن ﭼﻨﺎﻧﭽﮫﺑﮫﺑﮫ ﭼﻨﺎﻧﭽﮫﺑﮫ ﭼﻨﺎﻧﭽﮫ : ﺗﻮﺟﮫ : ﺗﻮﺟﮫ : ﺗﻮﺟﮫ ﮐﻨﯿﺪ tenemos tenemos tenemos servicios servicios servicios asistencia asistencia asistencia اﺧﺘﯿﺎر اﺧﺘﯿﺎر دردردر راﯾﮕﺎن راﯾﮕﺎن ﺻﻮرت ﺻﻮرت ﺑﮫﺑﮫ زﺑﺎﻧﯽ ﮐﻤﮏ ﮐﻤﮏ اﺧﺘﯿﺎر راﯾﮕﺎن ﺻﻮرت ﺑﮫ زﺑﺎﻧﯽ زﺑﺎﻧﯽ ﮐﻤﮏ ВНИМАНИЕ: ВНИМАНИЕ: ВНИМАНИЕ: Если Если Если вы вы вы говорите говорите говорите на нана. ﮔﺮﻓﺖ ﺧﻮاھﺪ ﻗﺮار ﺷﻤﺎ. ﮔﺮﻓﺖ ﺧﻮاھﺪ ﺧﻮاھﺪ ﻗﺮار ﻗﺮار ﺷﻤﺎ ﺷﻤﺎ liüística liüística liüística disponibles disponibles disponibles sin sin sin русском русском русском языке, языке, языке, вам вам вам будут будут будут бесплатно бесплатно бесплатно. ﮔﺮﻓﺖ ﺷﻤﺎره ﺑﺎ 1- ﺗﻤﺎس ﺷﻤﺎره ﺑﺎ 1- ﺑﺎ 1- ﺗﻤﺎس ﺗﻤﺎس costo costo costo alguno. alguno. alguno. Llame Llame Llame alalal предоставлены предоставлены предоставлены услуги услуги услуги переводчика. переводчика. переводчика. ﺷﻤﺎره. ﺑﮕﯿﺮﯾﺪ. ﺑﮕﯿﺮﯾﺪ Звоните Звоните Звоните по по по телефону: телефону: телефону: ﺑﮕﯿﺮﯾﺪ (телетайп: (телетайп: (телетайп: CREOLE CREOLE CREOLE CHINESE CHINESE CHINESE ATANSYON: ATANSYON: ATANSYON: SiSiSi www pale pale pale Kreyòl Kreyòl Kreyòl Ayisyen, Ayisyen, Ayisyen, AMHARIC AMHARIC 小贴士 如果您说普通话 欢迎使用 小贴士 如果您说普通话 欢迎使用 小贴士 如果您说普通话 欢迎使用 AMHARIC gen gen sèvis sèvis sèvis èd èd èd la la la kikiki disponib disponib disponib ማስታወሻ: ማስታወሻ: የሚናገሩት የሚናገሩት ቋንቋ ቋንቋ ኣማርኛ ኣማርኛ ከሆነ ከሆነ የትርጉም የትርጉም gen ማስታወሻ: የሚናገሩት ቋንቋ ኣማርኛ ከሆነ የትርጉም 免费语言协助服务 请拨 免费语言协助服务 请拨 免费语言协助服务 请拨 እርዳታ gratis gratis ou. ou. ou. Rele Rele Rele እርዳታ ድርጅቶች ድርጅቶች በነጻ በነጻ ሊያግዝዎት ሊያግዝዎት ተዘጋጀተዋል ተዘጋጀተዋል gratis እርዳታ ድርጅቶች በነጻ ሊያግዝዎት ተዘጋጀተዋል ወደ ወደ ሚከተለው ሚከተለው ቁጥር ቁጥር ይደውሉ ይደውሉ ወደ ሚከተለው ቁጥር ይደውሉ (መስማት (መስማት ለተሳናቸው: ለተሳናቸው: (መስማት ለተሳናቸው: KOREAN KOREAN KOREAN PORTUGUESE PORTUGUESE PORTUGUESE ATENÇÃO: ATENÇÃO: ATENÇÃO: Se Se Se fala fala fala português, português, português, estão estão estão KRU KRU (Bassa) (Bassa) (Bassa) KRU 알림: 알림: 알림: 한국어를 한국어를 한국어를 하시는 하시는 하시는 경우 경우 경우 무료 무료 무료 통역 통역 통역 disponíveis disponíveis disponíveis serviços serviços serviços gratuitos gratuitos gratuitos Dè ɖɛ nìà kɛ dyéɖé gbo: kéké Dè Dè ɖɛ ɖɛ nìà nìà kɛ kɛ dyéɖé dyéɖé gbo: gbo: ƆƆjǔ Ɔjǔjǔ ké m m m 서비스가 서비스가 서비스가 준비되어 준비되어 준비되어 있습니다. 있습니다. 있습니다 assistência assistência assistência liuística liuística liuística sua sua sua líua. líua. líua. [Ɓàsɔ -wùɖù-po-nyɔ ní,ní, nìí, [Ɓàsɔ [Ɓàsɔ ɔɔ -ɔ wùɖù-po-nyɔ -wùɖù-po-nyɔ ] ]jǔ]jǔjǔ ní, nìí, nìí, ààà Telefone Telefone Telefone 로 로 로 연락주시기 연락주시기 연락주시기 wuɖu kàkà kò ɖò po-poɔ ɓɛ gbo wuɖu wuɖu kà kò kò ɖò ɖò po-poɔ po-poɔ ɓɛ ɓɛ ìnìnìm nm m gbo gbo kpáa. Ɖá 1- kpáa. kpáa. Ɖá Ɖá 1-1- 바랍니다. 바랍니다. 바랍니다. IBO IBO IBO VIETNAMESE VIETNAMESE VIETNAMESE Ntị: Ntị: ỌỌbụrụ Ọbụrụ bụrụ asụ asụ Ibo, Ibo, asụsụ asụsụ aka aka ọasụ ọasụ Ntị: asụ Ibo, asụsụ aka ọasụ CHÚ CHÚ CHÚ Ý:Ý:Ý: Nếu Nếu Nếu vi vi vi nói nói nói tiê tiê tiê nn gviệt, gviệt, Việt, thì thì thì có có có n efu, n efu, fu, fu, aka. aka n efu, fu, aka. 1- sẵn sẵn sẵn các các các dịch dịch dịch vụ vụ vụ trợ trợ trợ giúp giúp giúp ôn ôn ôn ữ ữ ữ miễn miễn miễn phí phí phí dành dành dành cho cho cho vi vi.vi.hãy Hãy. Hãy gọi gọi gọi sô sô sô YORUBA YORUBA YORUBA AKIYESI: AKIYESI: BiBiBi ooba oba ba nsọ nsọ Yorùbú Yorùbú ọfé ọ nini AKIYESI: nsọ Yorùbú ọfé iranlọwọ lori wa fun yin iranlọwọ iranlọwọ lori lori wa wa fun fun yin yin o.o.o. ẸẸpe Ẹpe pe vous vous parlez parlez français, français, ATTENTION ATTENTION ATTENTION : :SiSi : Si vous parlez français, ẹrọ-ibanisọrọ 1- ẹrọ-ibanisọrọ ẹrọ-ibanisọrọ yiyiyi s s services services gratuits gratuits d interprétation d interprétation s services gratuits d interprétation sont sont àvotre votre disposition. disposition. Veuillez Veuillez sont ààvotre disposition. Veuillez appeler appeler 1-1- appeler lelele 1- ARABIC ARABIC ARABIC ﺗﺘﻮﻓﺮ ﺗﺘﻮﻓﺮ اﻟﻌﺮﺑﯿﺔ اﻟﻌﺮﺑﯿﺔ ﺗﺘﺤﺪث ﺗﺘﺤﺪث ﻛﻨﺖ ﻛﻨﺖ إذاإذاإذا : ﻣﻼﺣﻈﺔ : ﻣﻼﺣﻈﺔ ﺗﺘﻮﻓﺮ اﻟﻌﺮﺑﯿﺔ ﺗﺘﺤﺪث ﻛﻨﺖ : ﻣﻼﺣﻈﺔ ﻣﺠﺎﻧ ﺑﺎﻟﺮﻗﻢ اﺗﺼﻞ. أﺟﻠﻚ ﻣﺠﺎﻧ ﺎ اﻟﻠﻐﻮﯾﺔ اﻟﻤﺴﺎﻋﺪة ﺑﺎﻟﺮﻗﻢ ﺑﺎﻟﺮﻗﻢ اﺗﺼﻞ اﺗﺼﻞ. أﺟﻠﻚ. أﺟﻠﻚ ﻣﻦﻣﻦﻣﻦ ﻣﺠﺎﺎﻧ ﺎ اﻟﻠﻐﻮﯾﺔ اﻟﻠﻐﻮﯾﺔ اﻟﻤﺴﺎﻋﺪة اﻟﻤﺴﺎﻋﺪة (.(711.( : اﻟﻨﺼﻲ )اﻟﮭﺎﺗﻒ : اﻟﻨﺼﻲ : اﻟﻨﺼﻲ )اﻟﮭﺎﺗﻒ )اﻟﮭﺎﺗﻒ GUJARATI UJARATI UJARATI : :જ જ : જ તમ તમ તમ જર ત જર ત જર ત બ લત બ લત બ લત હ, હ, હ, ત ત ત ન: ન: ન: ભ ષ ભ ષ ભ ષ સહ ય સહ ય સહ ય સ સ વ સ વ ઓ વ ઓ ઓ તમ ર તમ ર તમ ર મ ટ મ ટ મ ટ ઉપલબ ધ ઉપલબ ધ ઉપલબ ધ છ. છ.છ. ફ ન ફ ન ફ ન કર કર કર

5 Heartfelt advice Know your numbers WELL-WOMAN EXAMS are a great opportunity to discuss concerns about your health with your doctor and catch up on preventive screenis before problems happen. What can you expect at your visit? An exam and health history. Blood pressure, weight, and body mass inx (BMI) readis will be taken. A breast exam and a discussion about cancer screenis. You should have mammograms every 2 years after you turn 50. Colorectal cancer screenis should begin after you turn 50 until age 75. A pap smear and cervical cancer screeni. These should occur every 3 years from age 21 to 29, and every 5 years from age 30 to 65. Discuss family planni options if appropriate. A six-month supply of contraceptives is covered with a prescription. Sexually transmitted infection (STI) testi. (Chlamydia has no symptoms, but huge consequences get tested!) Vaccitions, such as flu, pneumonia and HPV. Human papillomavirus (HPV) vaccine prevents an infection that can cause cancer. It is recommend for ages 11 to 13, but can be given up through age 26. TALK WITH YOUR doctor about your persol risk of heart disease. Here are four types of numbers to know and to keep an eye on: Blood pressure: High blood pressure makes your heart and blood vessels work harr. Cholesterol: Unhealthy levels can raise your risk of a heart attack. Body mass inx (BMI): BMI is an estimate of your body fat based on your weight and height. Blood sugar: When your blood sugar is high, it can lead to diabetes, which is a major risk factor for heart attack. Sources: American Heart Association; Natiol Heart, Lu, and Blood Institute Make your health a priority. your OB-GYN or PCP and make an appointment for your annual well-woman exam today. HIV: How much do you know about testi? Nearly 1.2 million Americans are infected with HIV, but up to 25 percent don t know they have it. That s because some people with HIV don t look or feel sick for as many as 10 years after becomi infected. This means the only way to know for sure if you have HIV is to get tested. Talk with your PCP or visit a free HIV test site to get your test. Need a doctor? Search for a provir online at umhealthpartners.com or call Spri 2018

6 OUR KIDDOS It s our job to protect them Don t forget to schedule your child s wellness visit! Between birth and 18 years old, children and teens should receive a variety of vaccines, includi those for: Chickenpox. Diphtheria. Hepatitis A and B. Hib (Haemophilus influenzae type b). HPV (human papillomavirus). Influenza (yearly flu shots). Measles. Meniococcal disease. Mumps. Pneumococcal disease. Polio. Rotavirus. Why does my Rx need a prior authorization (PA)? ALL INSURANCES HAVE some medications that require review before they are covered and paid for. Here are some of the reasons: Brand-me drugs are prescribed when a generic is available. Drugs are intend for certain age groups or conditions only. Drugs may have adverse health effects, includi higher than standard doses. Drugs are not covered by your insurance (non-formulary), but emed medically necessary by your provir Prior authorizations (PAs) are intend to ensure drug use is appropriate and the most cost-effective therapy is bei used. A cision is ma within 24 hours of receivi all the need clinical information from your prescriber. We have to wait for your doctor to provi this before we make a cision. You will receive a letter about the cision. If approved, the letter will inclu how lo the medication is covered. If nied, it will tell you the next steps you can take. Always make sure we have your current address. To check the status of a PA, call the number on the back of your card and choose the option for Pharmacy. Rubella. Tetanus. Whoopi cough. Not sure if your child is up-to-date? Ask your pediatrician. Need a family doctor or pediatrician? : Source: Centers for Disease Control and Prevention Lead testi Keep your child safe There s no safe level of lead in a child s blood. Even low amounts can affect your child s IQ and ability to pay attention. Have your child tested for lead at 1 and 2 years old. CONTACT US TTY: 711 us: members@ umhealthpartners.com 8 a.m. to 5 p.m. Monday Friday After hours, listen to our voic for information on how to access urgent or emergency care. You will also hear information on how to access our 24/7 nurse advice line, pharmacy benefits, vision and ntal care, behavioral health and substance abuse care, and prior authorization. You can also leave us a secured voic . We will return your call the next business day. STAY CONNECTED umhealthpartners.com Visit MyHealth Portal to view eligibility, check claims status, view authorizations, see updates to the formulary, request a new ID card or update your information. Facebook f Logo C MYK /.ai Find us on social media 2018 Coffey Communications, Inc. All rights reserved.