Winter 2017 Keep the happy in holidays 8 tips for making them safe CELEBRATIONS make this time of year festive but they also bring hazards. Here s how to keep you and your family out of harm s way: 1. Step up carefully. Use a step stool or ladder to place decorations in high places. 2. Be cautious with candles. Always keep them at least 12 inches away from anything that can burn. Don t forget to blow them out when you leave the room. 3. Check holiday lights. Look for any exposed or frayed wires, loose connections, or broken sockets. 4. Fireproof your tree. Live trees dry out rapidly. So keep the stand filled with water. Turn off all tree lights and decorations when not in use. And keep your tree away from fireplaces, radiators and portable heaters. 5. Watch out for poisonous plants. Keep mistletoe berries, holly berry and Jerusalem cherry out of reach of tots and pets. 6. Match toys to kids ages. Always take the time to check packages for age ranges. Toys above a child s age level may be hazardous. Standard U.S. Postage PAID Walla Walla, WA Permit No. 44 7. Don t forget the helmet. If you re surprising a child with a bike, skateboard or other riding toy, be sure to include a helmet. 8. Protect your family and guests from food poisoning. Reheat holiday leftovers to at least 165 degrees to keep dangerous bacteria from multiplying. University of Maryland Health Advantage 1966 Greenspring Drive, Suite 100 Timonium, MD 21093
Benefit updates for 2018 WE WOULD LIKE to announce some exciting changes to our benefit plans for the 2018 coverage year. Please refer to your Annual Notice of Change (ANOC) or the 2018 Evidence of Coverage (EOC) for details about your plan coverage. Dental coverage Dental exams with cleanings and fluoride are now covered more frequently every six months and x-rays have been added as a covered benefit annually. Comprehensive services for specific restorative, endodontic and prosthetics have increased benefit coverage for both MAPD and D-SNP plan members. See your 2018 EOC for details of coverage for your plan. Hearing exams and hearing aids We now cover routine hearing exams and hearing aid services, including evaluation, fitting, hearing aids, batteries, ear molds, replacements for lost hearing aids, and more. See your 2018 EOC for details of coverage for your plan. Podiatry Podiatry services for routine foot care have been increased to cover 12 one-time visits per calendar year. This is not a complete list of all changes occurring for the 2018 coverage year. You should review your ANOC, Section 2, for a listing of all changes taking place. Your EOC, Chapter 4, provides the details of all benefits for the 2018 coverage year. If you re enrolled in the D-SNP plan, don t forget to use both your Medicaid card and your University of Maryland Health Advantage card at the doctor and pharmacy. Pharmacy news Manage. Manage your prescriptions from your smartphone or computer. Sign up with CVS.com or your pharmacy s website. Flu vaccine. Remember to get your flu shot. They re available now at any in-network vaccine retail pharmacy with no co-pay. 90-day supply. Get a 90-day supply of the medications you take every day at a network retail pharmacy or CVS Mail Order. Ask your provider if a 90-day supply is right for you, and request a prescription. Visit our website or call us for a CVS Mail Order form. Sync. Sync your prescriptions to be filled on the same day every month and make one monthly trip to the pharmacy. You can ask your pharmacist to work with your prescribers for you. MTMP. You will be contacted if you are eligible to receive personal help from a pharmacist working with your prescribers as part of the Medication Therapy Management Program (MTMP). This service is free. Opioids. Your risk for overdose and death increases depending on your dose and other medications you take. Never take more of the medication than prescribed or share your medication. Keep medications locked away. Ask your provider about naloxone for opioid overdose reversal. If you need help with addiction, ask us for a Special Needs Coordinator. MyHealth puts your health at your fingertips Visit ummedicareadvantage.com and sign up for MyHealth Portal today. Get access to claims, order a new ID card, or update your address or phone number. Our website has lots of great information, a calendar of events and any forms you may need. Consider filling out a HIPAA authorization form to give us permission to talk with your loved ones about your health care needs when they call in. Healthy ADVANTAGE
University of Maryland Health Advantage, Inc., complies with applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability or sex. University of Maryland Health Advantage, Inc., does not exclude people or treat them differently because of race, color, national origin, age, disability or sex. University of Maryland Health Advantage, Inc.: Provides free aids and services to people with disabilities to communicate effectively with us, such as: Qualified sign language interpreters. Written information in other formats (large print, audio, accessible electronic formats, other formats). Provides free language services to people whose primary language is not English, such as: Qualified interpreters. Information written in other languages. If you need these services, contact Member Services at 410-779-9932, or toll-free at 844-386 6762, 8 a.m. to 8 p.m. EST, 7 days a week from Oct. 1 through Feb. 14 and 8 a.m. to 8 p.m. EST, Monday through Friday from Feb. 15 through Sept. 30. TTY users should call 711. If you believe that University of Maryland Health Advantage, Inc., has failed to provide these services or discriminated in another way on the basis of race, color, national origin, age, disability or sex, you can file a grievance with: Continued on reverse Member feedback University of Maryland Health Advantage (UMHA) collects feedback from our members through the Consumer Assessment of Healthcare Providers and Systems (CAHPS) survey. The surveys are mailed to a sample of our members each spring. Specific areas of member satisfaction that are measured include: Getting the Care You Need. Getting the Care You Need Quickly. Health Plan Customer Service. Turkey salad with cranberries and pecans Makes 4 servings. Ingredients 2 cups (8 ounces) diced, cooked turkey breast 1 small Granny Smith apple, peeled, cored and diced 3 tablespoons dried cranberries, coarsely chopped 2 tablespoons chopped pecans 1 can (11 ounces) mandarin orange sections, drained and cut into small sections ¼ cup fat-free plain yogurt 1 tablespoon reduced-fat mayonnaise dressing 1½ teaspoons brown mustard ½ teaspoon salt Ground black pepper, to taste 8 Boston lettuce leaves Directions In mixing bowl, combine turkey, apple, cranberries and pecans. Add orange sections. Set aside. In a small bowl, whisk together yogurt, mayonnaise and mustard. Season to taste with How Well Your Doctors Communicate with You. Overall Rating of Doctors, Health Care and Health Plan. We use your feedback in these categories to better understand your needs and improve your experience when accessing health care. Our 2017 CAHPS survey is now complete. Thank you for your feedback! We are working hard to improve our services based on the CAHPS survey results. To view 2017 CAHPS scores, visit our website and click For Members. salt and pepper. Drizzle dressing over turkey mixture while using a fork to gently mix in. Arrange 2 lettuce leaves on each of 4 salad plates. Mound 1 4 of salad on top of lettuce and serve immediately, accompanied by whole-grain crackers, if desired. Nutrition information Amount per serving: 203 calories, 6g total fat (1g saturated fat), 20g carbohydrates, 19g protein, 3g dietary fiber, 391mg sodium. Source: American Institute for Cancer Research
Continued from front University of Maryland Health Advantage c/o Appeals and Grievance Department 1966 Greenspring Drive, Suite 100 Timonium, MD 21093 Phone: 410-779-9932 or toll-free at 844-386-6762 Fax: 844-329-0831 You can file a grievance in person or by mail, fax or email. If you need help filing 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 ocrportal.hhs.gov/ ocr/portal/lobby.jsf or by mail or phone at: U.S. Department of Health and Human Services 200 Independence Ave., SW Room 509F, HHH Building Washington, DC 20201 800-368-1019, 800-537-7697 (TDD) Complaint forms are available at hhs.gov/ocr/office/file/index.html. ENGLISH ATTENTION: If you speak English, language assistance services, free of charge, are available to you. Call 1-844-386-6762 SPANISH ATENCIÓN: Si usted habla español, tenemos servicios de asistencia lingüística disponibles para usted sin costo alguno. Llame al 1-844-386-6762 CHINESE 小贴士 : 如果您说普通话, 欢迎使用 免费语言协助服务 请拨 1-844-386-6762 KOREAN 알림 : 한국어를하시는경우무료통역 서비스가준비되어있습니다. 1-844- 386-6762 (TTY: 711) 로연락주시기 바랍니다. VIETNAMESE CHÚ Ý: Nếu quy vi nói tiêńg Việt, thì có sẵn các dịch vụ trợ giúp ngôn ngữ miễn phí dành cho quy vi. Hãy gọi sô 1-844-386-6762 FRENCH ATTENTION: Si vous parlez français, des services gratuits d interprétation sont à votre disposition. Veuillez appeler le 1-844-386-6762 TAGALOG Pansinin: Kung nagsasalita ka ng Tagalog, mga serbisyo ng tulong sa wika, nang walang bayad, ay magagamit sa iyo. Tawagan ang 1-844- 386-6762 RUSSIAN ВНИМАНИЕ: Если вы говорите на русском языке, вам будут бесплатно предоставлены услуги переводчика. Звоните по телефону: 1-844-386-6762 (телетайп: 711). AMHARIC ማስታወሻ: የሚናገሩት ቋንቋ ኣማርኛ ከሆነ የትርጉም እርዳታ ድርጅቶች በነጻ ሊያግዝዎት ተዘጋጀተዋል ወደ ሚከተለው ቁጥር ይደውሉ 1-844-386-6762 (መስማት ለተሳናቸው: 711). KRU (BASSA) Dè ɖɛ nìà kɛ dyéɖé gbo: Ɔ jǔ ké m [Ɓàsɔ ɔ -wùɖù-po-nyɔ ] jǔ ní, nìí, à wuɖu kà kò ɖò po-poɔ ɓɛ ìn m gbo kpáa. Ɖá 1-844-386-6762 (TTY:711) IBO Ntị: Ọ bụrụ na asụ Ibo, asụsụ aka ọasụ n efu, defu, aka. Call 1-844-386-6762 YORUBA AKIYESI: Bi o ba nsọ èdè Yorùbú ọfé ni iranlọwọ lori èdè wa fun yin o. Ẹ pe ẹrọ-ibanisọrọ yi 1-844-386-6762 (TTY: 711). URDU ںیہ ےتلوب یزیرگنا پآ رگا :ہجوت وک پآ تفم تامدخ تنواعم نابز لاک 1-844-386-6762 ںیہ بایتسد (711 :یئاو یٹ یٹ) ںیرک FARSI توجھ: چنانچھ بھ زبان فارسی صحبت میکنید خدمات کمک زبانی بھ صورت رایگان در اختیار شما قرار خواھد گرفت. تماس (711 (TTY: 1-844-386-6762 با شماره بگیرید. FRENCH CREOLE ATANSYON: Si w pale Kreyòl Ayisyen, gen sèvis èd pou lang ki disponib gratis pou ou. Rele 1-844-386-6762 PORTUGUESE ATENÇÃO: Se fala português, estão disponíveis serviços gratuitos de assistência linguística na sua língua. Telefone para 1-844-386-6762 (TTY: 711). ARABIC ملاحظة: إذا كنت تتحدث العربیة تتوفر خدمات -1 المساعدة اللغویة مجان ا من أجلك. اتصل بالرقم (الھاتف النصي: 711) 844-386-6762 GUJARATI ન : જ તમ જર ત બ લત હ, ત ન: ભ ષ સહ ય સ વ ઓ તમ ર મ ટ ઉપલબ ધ છ. ફ ન કર 1-844-386-6762
Eat smart for better blood pressure THIS HOLIDAY SEASON, how can you keep your blood pressure from creeping up? One of the best ways is to take your blood pressure medication every day and watch what you eat. Eating enough of some foods and cutting back on others can help you keep your blood pressure in a healthy range. Make your holiday dishes and all of your meals with more: fruits and veggies, especially potassium-rich ones. They include: Leafy greens, such as spinach and collards. Fruit from vines, such as grapes and blackberries. Root vegetables, such as carrots and potatoes. Citrus fruits, such as oranges and grapefruit. Whole grains, such as 100 percent whole-wheat pasta, cereal and bread. Enjoy brown rice and oatmeal too. Low-fat or fat-free dairy products, such as milk and cheese. Nuts and legumes, such as peas, beans and lentils. Nontropical vegetable oils, such as canola, olive and peanut oil. Skinless poultry and fish. Eat less: Solid fats, such as butter and lard. Red meat, such as beef and lamb. Salty foods, such as pizza, cold cuts, and olives and pickles. Sugary foods, such as sugary drinks, cakes, cookies and candy. One last tip Finally, if your blood pressure is high, ask your doctor about the DASH diet. It s an eating plan that s been shown to bring blood pressure down over time. Sources: Academy of Nutrition and Dietetics; American Heart Association; National Institutes of Health Diabetes How s your A1C? Controlling your blood sugar is key to managing diabetes. That s why it s so important to eat well, exercise and take medicines prescribed by your doctor. It s also why you need to check your blood sugar levels regularly. Home tests can tell you your blood sugar level at any given time. But if you want a clearer picture of your overall diabetes control, A1C tests are a must. An A1C test is ordered 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 working. It s worth taking note of because good blood sugar control lowers your risk of diabetes complications. A1C results are reported as a percentage. For many people, the goal is to stay below 7 percent. But your doctor may set a different target for you. If your A1C isn t where you d like it to be, you can change it. Eating healthy foods will help. So will staying active and following your doctor s advice. With teamwork, you can get your A1C where it needs to be. Get your test strips delivered from an innetwork DME supplier. Winter 2017
Mental health Key to your well-being WELLNESS is more than not being sick. Yes, your body s health is important. But so is the health of your mind. How s your mental health? Some signs can point to a problem that could get better with medical help. Examples of these signs are: Finding little joy in life or feeling worthless or guilty. Crying without knowing why. Intense worries or fears. Low energy or anger flare-ups. Mood swings feeling very high, then very low. Seeing or hearing things that aren t there. If you have symptoms like these, let your provider know. He or she will help you get care that can help you feel better. That might include talking with a mental health expert and taking medicine. Some people think they should be able to handle these types of issues on University of Maryland Health Advantage is an HMO and HMO-SNP plan with a Medicare contract and a State of Maryland Department of Health Medicaid program contract. Enrollment in University of Maryland Health Advantage depends on contract renewal. This information is not a complete description of benefits. Contact the plan for more information. Limitations, co-payments, and restrictions may apply. Benefits may change on January 1 of each year. The Formulary and pharmacy network may change at any time. You will receive notice when necessary. H8854_18_4009-03_003_OE CMS accepted 10/28/2017 Sometimes people need emergency help. If you or someone you are with feels the need to do harm to anyone, including himor herself, call 911 or the Maryland Crisis Hotline at 800-422-0009. their own and that it s a sign of weakness if they don t. But thinking that way only makes it harder to get healthy. Sources: American Psychological Association; Mental Health America Stay on track with preventive care Take care of your health and talk to your doctor about what screenings you should have. Did you know that the following preventive services are covered at no charge to you? Abdominal aortic aneurysm. Annual wellness visit. Bone mass measurements. Cardiovascular disease screenings. Colorectal cancer screening. Depression screening. Diabetes screenings. Glaucoma screening. Lung cancer screening. Mammograms. Prostate cancer screenings. Vaccines: flu, pneumococcal. MEMBER SERVICES DEPARTMENT 410-779-9932, 844-386-6762 TTY: 711 ummedicare advantage.com Oct. 1 Feb. 14, 8 a.m. to 8 p.m. ET, 7 days a week Feb. 15 Sept. 30, 8 a.m. to 8 p.m. ET, Monday Friday After hours, listen to our voicemail 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 dental care, behavioral health and substance abuse care, and prior authorization. You can also leave us a secured voicemail. We will return your call the next business day. Visit MyHealth Portal at ummedicare advantage.com to view eligibility, check claims status, view authorizations, request a new ID card or update your information. 2017 Coffey Communications, Inc. All rights reserved.