PreferredOne Care Advantage SM

Transcription

1 PreferredOne Care Advantage SM Because Life Doesn t Stand Still Staying Healthy & Well Routine Medical & Illness Care Managing Chronic Conditions PreferredOne believes that your health care needs are as individual as you are. PreferredOne Care Advantage SM offers programs and services that help you reach your health goals along the health continuum, from wellness, to routine medical and illness care, to chronic conditions. We are committed to helping you achieve and maintain your health goals so that you can do the things you want in life. STAYING HEALTHY & WELL Eating healthy, managing stress and keeping physically active are important elements in maintaining your personal health. Often, life seems too busy to maintain healthy habits. As a PreferredOne member you have easy online access to information and programs to help you achieve and maintain your personal health goals. Go to PreferredOne.com, register/login and you will find the following tools and information to help you stay healthy: Online Health Risk Assessment - Quick and easy way to evaluate your current health status. Online Interactive Lifestyle Management Programs - Action-oriented programs on healthy eating, fitness, managing stress, childhood immunizations, treatment decisions and much more. Healthwise - Interactive online health resource on over 7500 topics, symptom checker and drug interaction checker. Member Discount Programs - Discounts on fitness equipment, healthy eating programs, LASIK, and hearing aids. (over) CARE ADVANTAGE SM

2 STAYING HEALTHY & WELL (continued) Tobacco Cessation Program Trying to quit a tobacco habit can be a major challenge! PreferredOne offers Quit for Life a Tobacco Cessation Program for our members. This program is a telephonic based self-referral program that helps participants successfully quit their tobacco habit. For more information, please call Quit for Life at ROUTINE MEDICAL & ILLNESS CARE Addressing health issues early when they can best be treated gives you the greatest opportunity for staying healthy. PreferredOne encourages you to visit your medical care providers for preventive screenings, maternity care, health risks such as high blood pressure and high cholesterol and complex medical conditions. If you need help finding a physician, please visit PreferredOne.com, login and go to Search for a Provider or call PreferredOne Customer Service. Healthy Mom & Baby Program Healthy Mom & Baby is a maternity management program for all expectant PreferredOne members. The goal of the program is to educate expectant mothers, reduce and/ or prevent pre-term labor/delivery and screen for postpartum depression. To learn more about this program, please call PreferredOne at , enter #1 then ext MANAGING CHRONIC CONDITIONS Having a chronic condition can be a challenge. Understanding treatments and medication can be overwhelming. PreferredOne s Chronic and Rare Condition Management program provides one-to-one nurse care coordination for members to help them gain the knowledge and skills they need to successfully self-manage their conditions and meet their health goals. It offers support for members with these chronic conditions: Asthma Coronary Artery Disease (CAD) Congestive Heart Failure (CHF) Chronic Obstructive Pulmonary Disease (COPD) Crohn s Disease Diabetes Low Back Pain Multiple Sclerosis Rheumatoid Arthritis Ulcerative Colitis A similar program addressing rare diseases such as: Cystic Fibrosis Hemophilia Parkinson s Disease Plus many other conditions For more information on these programs, call PreferredOne at , enter #1 then ext PREFERREDONE CUSTOMER SERVICE PreferredOne Care Advantage SM programs can assist you in attaining your health goals. We encourage you to take part in keeping yourself healthy. For questions about these programs, please call Customer Service, Monday - Friday, 7 a.m. - 7 p.m. CST, at: Twin Cities Area: Outside the Metro Area: TTY: CustomerService@PreferredOne.com For more information: Call or or visit PreferredOne.com 10/2013

3 Online Member Tools Go To: PreferredOne.com For New Members: Click Register For Registered Members: Enter Username and Password in the upper right-hand corner As a PreferredOne member you have access to a comprehensive range of online tools and information to help simplify and manage your health care coverage, check medical cost information and improve health. My Account. Access your benefits, outof-pocket balances, view Explanation of Benefits (EOBs), or create your own claims history account statement. Find your health care provider. Search for a doctor, clinic or hospital by name, specialty or location. Save with PreferredOne s Medical Cost Tools. Compare cost by clinic for frequently performed services. Cost comparison for MRI, CT & PET/CT scans. Reprice existing claims with other PreferredOne providers. View My Benefits. Access your Certificate of Coverage explaining your benefits in detail. Learn about over 7500 health care topics. Take a health risk assessment, use our interactive calculators and tools that can help you make smart decision about your health and care. Care Advantage SM. Meet your health goals with PreferredOne s wide range of care management and wellness programs. Sign up for Fitness Advantage. Receive $20/month when you work out 12 times a month at participating fitness facilities. MDLIVE. Visit with board certified doctors & pediatricians by online video or phone anytime, practically anywhere. This service is secure and compliant with all medical privacy regulations. For more information: Call or or visit PreferredOne.com Online Member tools 8/2013

4 Online Health Information PreferredOne has partnered with Healthwise to provide you with consumer health education content to help you make informed yet personal health decisions that are right for you. The Healthwise Knowledge Base offers a variety of comprehensive information on over 7500 topics. Register/Login as a member and a variety of Health Education and Resources, including Healthwise, is available. See Healthwise for Yourself: Visit PreferredOne.com Register/Login as a member View the Health Education and Resources Option Browse the many interactive tools, health topics and learning centers Healthwise Knowledgebase Health Topics by Category, Decision Points, Medical Tests, Support Groups and more... Symptom Checker Drug Interaction Checker Interactive Lifestyle Management Programs For more information: Call or or visit PreferredOne.com Online Health Information

5 Member Discount Programs PreferredOne has partnered with a variety of organizations to provide discount programs and services* to help you on the road to better health. Visit PreferredOne.com to view details for each program below. If you carry a PreferredOne ID card, you have access to the following discount programs and services: Curves Weight Loss Centers are offering 100% discount on the one-time registration fee for new members. Present your PreferredOne member ID card when you enroll at Curves to receive the discount. For more information about Curves and to find a location near you visit their website at Curves.com. Seattle Sutton's Healthy Eating program prepares meals for pickup/delivery to help you achieve and maintain weight loss without planning, shopping or cooking. Order online and receive $10 off a weekly order for a first-time customer, and $25 off a 5-week order thereafter using promo code 25PreferredOne. 2nd Wind Exercise Equipment s Corporate Wellness Partnership program offers a variety of benefits, including discounts on exercise equipment and accessories, along with other special offers. Register with 2 nd Wind and receive a Personal Savings Certificate via to print and redeem at any 2 nd Wind store. Get choice, quality and savings from QualSight LASIK. With 20 locations in Minnesota and more than 700 locations nationwide, QualSight can offer you the choice of providers in your area. Call to find out if you are a potential candidate for this procedure. Jazzercise fitness classes combine dance-based cardio with strength training and stretching to sculpt, tone and lengthen muscles for maximum fat burn. A coupon for 50% off the joining fee and $20 off the first month s visit will be provided for you to present at a Jazzercise facility. HearPO offers discounts on over 1,000 brand-name hearing aids and 40% off hearing services. Call HearPO at to talk to a Client Service Representative who will assist you in finding a hearing care provider near you. Corporate Fitness Products offers a wide range of strength, cardio, rehabilitation and performance tools and equipment (including exercise bands, yoga mats, etc.) to help you achieve your fitness goals. Use promo code P1DISC for discounts on orders placed with Corporate Fitness Products. *These discounts and services are being offered as a courtesy to members carrying a PreferredOne ID card and are not an extension of, or connected to your medical benefits. Discounts subject to change. MEMBER DISCOUNT PROGRAMS 12/13

6 On the Go PreferredOne s Mobile Website Now you can get valuable PreferredOne benefit information on your mobile device. Information that allows you to make good health benefit decisions that can save you money and make your health care more convenient. Simply use your mobile device, visit PreferredOne.com or scan the QR code. No need to download an application. And you can be assured your information is secure with password protection. Find a Provider Locate the nearest in-network urgent care, clinic, doctor, or hospital. The search function will locate the closest PreferredOne in-network providers. Address, phone numbers and maps are available. View Covered Members Forgot your member ID card? Go online and access your member ID # for you and any covered dependents. How handy is that! Deductible and Out-of-Pocket Balances Want to know if you have met your deductible or the balance remaining? Same goes for reaching your out-of-pocket maximums. Now you can go online and keep track of your PreferredOne claims for you and your covered dependents. Our handy barometer gives you a quick visual check on where you stand on: Individual and Family Deductibles by member (in-network and out-of-network) Out-of-Pocket Expenses by member (in-network, out-of-network, and combined) For those with a Health Reimbursement Arrangement (HRA) you can view your HRA balance summary and paid amount by member including, carryover amount, employer contribution, paid amount and remaining balance. Contact Us Have a question about your benefits or provider? Simply go to your mobile device and select Contact Us. Mobile Website