Quarter 3, MyHealth 2018 Serving Hoosier Healthwise, Healthy Indiana Plan and Hoosier Care Connect Family health and fitness fun Being active as a family can be a fun way to get everyone moving. This can include going to the park, going swimming, bike riding, or even just going for a walk after dinner. How can you and your family get started? The following are some easy tips: Make small changes over time in your family s routines Try to aim for one hour of physical activity each day Limit screen time to two hours or less per day (TV, computer, video games) is recommended www.anthem.com/inmedicaid What fun activity can you and your family do together to stay active? Write it in the space below: HIN-NL-0014-18
Benefit and plan information is just a click away You can find information on our website at any time. Just go to www.anthem.com/inmedicaid. There, you can learn about: Your benefits for the following services Primary and specialty care Behavioral health Hospital Pharmacy Other services How to see your primary medical provider (PMP) and get care Providers in your area What to do when you re out of the plan s service area Emergency care and 911 services How to get care after normal business hours How to voice a complaint or appeal a decision. This includes your right to an independent external appeal. Your rights and responsibilities as a member How to get language/interpreter assistance Our Quality Improvement programs. You can see how we use this information and new technology to review and help improve the quality of benefits and services. How to ask for advance directives (living wills) How can you get information specific to your plan? Register on the member website to: Learn about your copays and the costs you will have to share (if any) Submit a claim for covered services, if applicable View existing claims Change your primary medical provider (if it applies to your health plan) Order a new member ID card You can check your member handbook to learn about the benefits and services covered under your plan. It also has any benefits that are not covered or are limited. These include benefits that may not be covered if you get services outside your plan s service area.
Team up with the Colts for good health Anthem and the Indianapolis Colts have teamed up to help our members age 3 and up stay healthy. Just get a yearly wellness checkup and you ll be automatically entered for a chance to win one of over 500 prizes like Colts game tickets, training camp events, signed memorabilia and more. Visit www.anthem.com/blueticket to find out more. Rewards for staying healthy Great health starts with preventive care. This is the kind of care you get when you re not sick, and it includes wellness checkups, pregnancy care and help quitting smoking. It s so important, we want to reward you for it. Go to www.anthem.com/anthemrewards to find out how much you can earn on your Anthem Rewards card for staying healthy.
Staying healthy during flu season! Influenza (flu) is a viral infection that typically comes on quickly and without prior illness. Some of the symptoms to look for are fever, body aches, headache, sore throat, dry cough and unusual fatigue. It is important to remember that everyone with the flu will not necessarily have a fever. The worst part of the illness tends to last for three to four days, but it can take up to two weeks to feel completely well. Since the flu is a virus, antibiotics won t work because they treat bacterial infections. Mild illness is often treated at home with hydration, over the counter medication and rest. Always consult with your primary medical provider (PMP) before taking any over the counter medications. If symptoms persist or get worse, call your PMP right away. If you re unable to reach your PMP, go to an urgent care or emergency room. If you are diagnosed with the flu you may be prescribed an antiviral medication. What? The Centers for Disease Control and Prevention (CDC) recommends everyone 6 months of age and older get an injectable flu vaccine. If you re an adult 65 years or older, talk with your provider about getting a pneumonia vaccine as well. When? The flu season usually peaks in January so getting a flu shot as soon as the vaccine becomes available in the fall allows your body time to develop the necessary antibodies to protect against the flu before it reaches your community. Where? Your PMP Any of our network pharmacies if you re age 21 or older Your local health department
How can you stay healthy and prepare for the flu season? Here s a fun puzzle to get you started: 4 2 1 3 5 Across 2. Washing these helps minimize the spread of the flu 3. Symptoms similar to the flu but less severe 4. A way for the body to rest and repair 7. These provide vitamins and nutrients to help boost the immune system 8. Drinking more of this helps hydrate the body Down 1. Lowers your risk of getting the flu each year 4. Staying away from people while they are this helps prevent the spread of flu 5. This person can help answer your questions about the flu and vaccine 6. A viral infection of fever, body aches, headache, dry cough and sore throat 6 7 8 Crossword puzzle answers: Across, 2. Hands, 3. Cold, 4. Sleep, 7. Vegetables, 8. Water Down, 1. Vaccine, 4. Sick, 5. Provider, 6. Flu What are some things you can do to help prevent the flu from spreading? You should: Get a flu vaccine at or before the beginning of flu season. Avoid close contact with those who have the flu whenever possible. Wash your hands often with soap and water. Cover your nose and mouth with a tissue when coughing or sneezing. Avoid touching your eyes, nose and mouth. Answer: All the above For more information on the flu and its activity in your area, reach out to your PMP or visit the Centers for Disease Control and Prevention website at https://www.cdc.gov/flu/keyfacts.htm. No internet access? Please call 1-800-CDC-INFO (1-800-232-4636) to request information on the flu.
Service estimate for HIP members What is a POWER account and how can a service estimate for HIP members benefit you? Healthy Indiana Plan (HIP) members are now getting a POWER Account service estimate when they visit their providers. The estimate will let you know a rough cost of the services you receive. Since it s an estimate, it may not be the exact final cost. The final cost may be slightly different, but it will give you a good idea of how you re spending your POWER Account dollars. You can find the final cost and your POWER Account balance in your POWER Account Statement or Explanation of Benefits (EOB). You can see these by logging in to the secure member website at www.anthem.com/inmedicaid. Our Notice of Privacy Practices This type of notice explains how medical information about you may be used and disclosed by Anthem Blue Cross and Blue Shield. It also tells you how to access this information. The notice follows the privacy regulations set by the Health Insurance Portability and Accountability Act (HIPAA). If you would like a copy of our Notice of Privacy Practices, please call Member Services at the phone number listed on your ID card or go online to www.anthem.com/inmedicaid. The information in this newsletter is meant to educate. It is not meant to be medical advice. Please check with your provider for any advice about your health. Your health plan may not cover some types of care. Check your member handbook for details about what benefits your health plan covers and what it does not cover.
Making decisions on care and services Sometimes we need to make decisions about how we cover care and services. This is called Utilization Management (UM). Our UM process is based on the standards of the National Committee for Quality Assurance (NCQA). All UM decisions are based on medical needs and current benefits only. We do this for the best possible health outcomes for our members. We also don t tell or encourage providers to underuse services. And we don t create barriers to getting healthcare. Providers and others involved in UM decisions do not get any reward for limiting or denying care. When we hire, promote or fire providers or staff, it isn t based on their likelihood to deny benefits. To learn more about UM or an authorization request, call us toll free from 8 a.m. to 5 p.m. weekdays, except holidays, at the customer service number on your member ID card. If you would like to talk to someone in a language other than English, ask for an interpreter in your language. If you have speech or hearing loss, call the TTY line. If you call at any other time, you can leave a private message. Our staff will return your call the next business day. Or you can ask that someone call you back at a different time. Any staff member who calls you about a UM issue will give you his or her name, title, and the name of the company. With the exception of www.anthem.com/inmedicaid, the websites referred to in this newsletter are websites of independent entities and not affiliated with Anthem Blue Cross and Blue Shield. Copies of any type of member information are made available (at no cost) upon request for translation, braille, large print or audio format. Just call Member Services at 1-866-408-6131 for Hoosier Healthwise and Healthy Indiana Plan or 1-844-284-1797 for Hoosier Care Connect. We can answer any of your questions about your plan. If you have a hearing or speech loss, call the TTY line at 711. Call for free translation/llame para una traducción sin costo: 1-866-408-6131 (Hoosier Healthwise, Healthy Indiana Plan); 1-844-284-1797 (Hoosier Care Connect); TTY 711. Anthem Blue Cross and Blue Shield is the trade name of Anthem Insurance Companies, Inc., independent licensee of the Blue Cross and Blue Shield Association. ANTHEM is a registered trademark of Anthem Insurance Companies, Inc.
P.O. Box 62509 Virginia Beach, VA 23466-2509 MyHealth Quarter 3, 2018 If you need a copy of the information on the web or in your Member Handbook, call Member Services at 1-866-408-6131 (TTY 711) for Hoosier Healthwise and Healthy Indiana Plan or 1-844-284-1797 (TTY 711) for Hoosier Care Connect. IN-Q3 2018 NL-1018 E CMAP HIN-NL-0014-18 2018