The right ancillary services can be as important as the right medication.

Transcription

1 The right ancillary services can be as important as the right medication.

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3 Ancillary Services When a claimant requires ancillary services, turn to the Workers Comp and Auto No-Fault division of Optum. Whether a claimant needs medical supplies like bandages or crutches, transportation to and from medical appointments, help understanding the doctor s orders or another type of support, the logistics associated with these needs vary greatly from a simple one-time request, to more complex, ongoing needs. Our high-quality and cost-effective program is readily available, no matter the complexity or location, expertly delivered by knowledgeable and trustworthy providers and anticipatory so you can be more efficient, lower claim costs and improve the claim experience.

4 Medical equipment and supplies From canes and batteries to CPM machines and bone growth stimulators, a claimant s medical equipment and supply needs can vary greatly. Our extensive product catalog, enabled by a national network of credentialed providers, includes a broad spectrum of quality, cost-effective products. Meanwhile, automated product substitution further enhances our ability to manage costs by providing clinically appropriate generic alternatives for equipment and supplies. And, because we recognize the duration of service is often as variable as the medical equipment and supply need itself, we ve also taken care to ensure each request, whether a one-time or more complex, ongoing need, is handled by experienced professionals with expediency and care. Home health care There are times when a workplace injury or illness prevents a claimant from leaving home to receive treatment. In such situations, whether the claimant requires a nurse, health aide, social worker or in-home therapist, we help ensure necessary care is delivered on schedule, by qualified individuals, at a competitive cost. Discharge planning Upon discharge from a hospital or rehab facility, a claimant may require a variety of services to support their recovery. From medications, physical therapy and medical equipment and supplies, to home health care or another service, working with Optum helps you address all these needs efficiently and comprehensively. As a result, the claimant and their caregivers will gain peace of mind from knowing their various needs are being met by knowledgeable and trustworthy providers while you make sure the right services are provided at the right time and at the right cost.

5 Modification services Following a workplace injury, the use of a lift chair, left foot accelerator pedal or ramp can help make independent daily living possible. Renovations to the home can help mitigate the chance of re-injury. Similarly, workplace adjustments following an ergonomic assessment may be instrumental in facilitating the claimant s return to work. Whatever the modification need, our experienced team and national network of quality providers is ready to assist. We ll help choose the contractor and manage the project, overseeing the work from start to finish making certain the work is performed in a timely, cost-effective manner. Translation services Language and communication barriers can be not only frustrating and disruptive to the claims process, they also have the potential to delay recovery. Administered through a national network using interpreters and translators specifically trained and certified in up to 200 languages, the services we provide help claimants understand medical documents and communicate with their claims professional, case manager and their doctor, eliminating communication as a barrier to therapy adherence and recovery. Transportation services Difficulty with reliable transportation can prevent compliance with the therapy plan, delay recovery and adversely impact claim outcomes. Our national network of transportation providers includes ambulatory, wheelchair, stretcher, basic and advanced life support and airlift services, helping assure claimants have access to reliable, on-time transportation services.

6 About Optum for Workers Compensation and Auto No-Fault Optum Workers Comp and Auto No-fault Solutions collaborates with clients to lower costs while improving health outcomes for the claimants we serve. Our comprehensive pharmacy, ancillary and managed care services, including settlement solutions, combine data, analytics, and extensive clinical expertise with innovative technology to ensure claimants receive safe, efficacious and cost-effective care throughout the lifecycle of a claim. For more information, us at expectmore@optum.com. Optum and its respective marks are trademarks of Optum, Inc. All other brand or product names are trademarks or registered marks of their respective owners. Because we are continuously improving our products and services, Optum reserves the right to change specifications without prior notice. Optum is an equal opportunity employer Optum, Inc. All Rights Reserved. ANC