Cal MediConnect Plan (Medicare-Medicaid Plan)
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1 SUMMER 2018 HEALTHY LIVING Cal MediConnect Plan (Medicare-Medicaid Plan) CAN YOU READ THIS NEWSLETTER? If not, please call us at We can help. PUEDE LEER ESTE BOLETÍN? Si no puede, llámenos al Le ayudaremos. BẠN ĐỌC ĐƯỢC THÔNG TIN NÀY KHÔNG? Nếu không, xin gọi số Chúng tôi sẽ giúp. 您能否阅读这份简报? 如果不能, 请致电 联系我们 我们能为您提供帮助 NABABASA MO BA ANG NEWSLETTER NA ITO? Kung hindi, pakitawagan kami sa Makakatulong kami. We re moving! Santa Clara Family Health Plan has some exciting news! We have a new logo, new office location, and a new newsletter! We hope you enjoy reading Healthy Living. Our office is moving this summer to: 6201 San Ignacio Ave. San Jose, CA While our look has changed, our mission has not. We will continue to work with providers to deliver high-quality health care to you. As your local community health plan, we welcome your calls and visits. THANK YOU FOR YOUR PATIENCE AS WE MAKE THE MOVE! Watch for your new SCFHP ID card in the mail. Call Us Customer Service 8 a.m. to 8 p.m., Monday through Friday TTY/TDD or 711 ME Standard U.S. Postage PAID Walla Walla, WA Permit No. 44 Health and wellness or prevention information
2 Have you had a dental checkup this year? Everyone should see a dentist every six months. This helps prevent cavities and other dental problems. Dental benefits are provided to Cal MediConnect members through Denti-Cal. To find a provider, visit or call Denti-Cal at , 8 a.m. to 5 p.m., Monday through Friday. Reduce your risk of diabetes As of April 1, 2018, Cal MediConnect offers a diabetes prevention program at no cost to you! The program can help you eat healthier, increase your physical activity, and lose weight. The program can help delay or even prevent the onset of type 2 diabetes. FOR MORE INFORMATION, call Santa Clara Family Health Plan Customer Service and ask for the Health Education Department. You will need a doctor s referral and lab results showing that you have prediabetes in order to participate in the program. 2 HEALTHY LIVING
3 Discrimination is Against the Law Santa Clara Family Health Plan (SCFHP) complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. SCFHP does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex. SCFHP: Provides free aids and services to people with disabilities to communicate effectively with us, such as: o Qualified sign language interpreters o 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: o Qualified interpreters o Information written in other languages If you need these services, contact Customer Service at , Monday through Friday, 8 a.m. to 8 p.m. TTY/TDD users call or E Cal MediConnect
4 If you believe that SCFHP 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: Attn: Appeals and Grievances Department Santa Clara Family Health Plan 6201 San Ignacio Ave San Jose, CA Phone: TTY/TDD: or 711 Fax: CalMediConnectGrievances@scfhp.com You can file a grievance in person or by mail, fax, or . If you need help filing a grievance, a Customer Service representative 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 or by mail or phone at: U.S. Department of Health and Human Services 200 Independence Avenue SW Room 509F, HHH Building Washington, DC Phone: TDD: Complaint forms are available at E Cal MediConnect
5 Language Assistance Services English: ATTENTION: If you speak another language, language assistance services, free of charge, are available to you. Call Customer Service at , Monday through Friday, 8 a.m. to 8 p.m. TTY/TDD users should call or 711. The call is free. Español (Spanish): ATENCIÓN: Si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame a Servicio al Cliente al , de lunes a viernes, de 8 a.m. a 8 p.m. Los usuarios de TTY/TDD deben llamar al o al 711. La llamada es gratuita. Tiếng Việt (Vietnamese): CHÚ Ý: Nếu bạn nói Tiếng Việt, có các dịch vụ hỗ trợ ngôn ngữ miễn phí dành cho bạn. Hãy gọi Dịch Vụ Khách Hàng theo số , từ thứ Hai đến thứ Sáu, 8 giờ sáng đến 8 giờ tối. Những người sử dụng TTY/TDD gọi đến số hoặc 711. Cuộc gọi được miễn phí. 中文 (Chinese): 注意 : 如果您说中文, 将为您提供免费的语言服务 请致电 联系客户服务部, 工作时间是周一至周五早上 8:00 至晚上 8:00 TTY/TDD 用户请致电 或 711 这是免费电话 Tagalog Filipino (Tagalog): PAUNAWA: Kung nagsasalita ka ng Tagalog, maaari kang gumamit ng mga serbisyo ng tulong sa wika nang walang bayad. Tumawag sa Serbisyo para sa Customer sa , Lunes hanggang Biyernes, mula 8 a.m. hanggang 8 p.m. Dapat tumawag ang mga TTY/TDD user sa o 711. Libre ang tawag. 한국어 (Korean): 주의 : 한국어를사용하시는경우, 언어지원서비스를무료로이용하실수있습니다. 월요일부터금요일까지오전 8 시부터오후 8 시사이에 번으로고객서비스부서에전화해주십시오. TTY/TDD 사용자는 번또는 711 번으로전화해주시면됩니다. 통화료는무료입니다. Հայերեն (Armenian): ՈՒՇԱԴՐՈՒԹՅՈՒՆ Եթե խոսում եք հայերեն, ապա լեզվական օգնության ծառայությունները Ձեզ կտրամադրվեն անվճար: Զանգահարեք Հաճախորդների սպասարկման կենտրոն հեռախոսահամարով երկուշաբթիից ուրբաթ 8 a.m.-ից 8 p.m.-ը: TTY/TDD օգտվողները պետք է զանգահարեն կամ 711: Զանգն անվճար է: Русский (Russian): ВНИМАНИЕ: Если Вы говорите по-русски, Вы можете бесплатно воспользоваться услугами переводчика. Звоните в службу поддержки клиентов по номеру с понедельника по пятницу с 8:00 до 20:00. Лица, пользующиеся телетайпом / телекоммуникационными устройствами для глухих (TTY/TDD), могут связаться по номерам или 711. Звонки бесплатные. Farsi): (Persian, فارسی توجھ: اگر بھ زبان فارسی صحبت می کنید سرویس ھ یا دستیار زبان بھ صورت رایگان در دسترستان ھستند. از طریق شماره روزھای دوشنبھ تا جمعھ از ساعت 8 صبح تا 8 عصر با سرویس مشتری تماس بگیرید. کاربران TTY/TDD م ی توانند از طریق شماره یا 711 تماس بگیرند. این تماس رایگان است Cal MediConnect
6 日本語 (Japanese): 注意事項 : 日本語を話される場合 無料の言語サービスをご利用いただけます 月曜日から金曜日 午前 8 時 ~ 午後 8 時に対応のカスタマーサービス ( ) までご連絡ください TTY/TDD ご利用の方は または 711 に電話してください 通話料金は無料です Hmoob (Hmong): LUS CEEV:Yog koj hais lus Hmoob, peb muaj kev pab txhais lus pub dawb rau koj. Hu Rau Lub Chaw Pab Cuam Neeg Qhua rau ntawm , hnub Monday txog Friday, 8 teev sawv ntxov txog 8 teev tsaus ntuj. Tus xov tooj rau cov neeg TTY/TDD hu rau lossis 711. Yog tus xov tooj hu dawb. ਪ ਜ ਬ (Punjabi): ਧਆਨ ਦਓ: ਜ ਤ ਸ ਪ ਜ ਬ ਬ ਲਦ ਹ, ਤ ਭ ਸ਼ ਸਹ ਇਤ ਸ ਵ ਤ ਹ ਡ ਲਈ ਮ ਫ਼ਤ ਉਪਲਬਧ ਹ ਗ ਹਕ ਸ ਵ ਨ ਸ ਮਵ ਰ ਤ ਸ਼ ਕਰਵ ਰ, ਸਵ ਰ 8 ਤ ਰ ਤ 8 ਵਜ ਤ ਕ ਤ, 'ਤ ਕ ਲ ਕਰ TTY/TDD ਵਰਤਣ ਵ ਲਆ ਨ ਜ 711 'ਤ ਕ ਲ ਕਰਨ ਚ ਹ ਦ ਹ ਇਹ ਕ ਲ ਮ ਫ਼ਤ ਹ ਦ ਹ :( Arabic )العربیة ملحوظة:إذا كنت تتحدث اللغة العربیة فا ن خدمات المساعدة اللغویة متاحة لك مجان ا. اتصل بخدمة العملاء على الرقم من الا ثنین إلى الجمعة 8 ص إلى 8 م. مستخدمي الھاتف النصي/جھاز الاتصال لضعاف السمع یمكنھم الاتصال على الرقم أو 711.اتصل مجان ا. ह द (Hindi): ध य न द : अगर आप ह द ब लत ह, त आपक लए भ ष सह यत स व ए न श ल क उपलब ध ह आप स मव र स श क रव र, स बह 8 बज स र त क 8 बज तक ग र हक स व क पर क ल कर सकत ह TTY/TDD उपय गकत र ओ क य 711 पर क ल करन च हए क ल न श ल क ह ภาษาไทย (Thai): เร ยน: หากท านพ ดภาษาไทย เราม บร การความช วยเหล อทางด านภาษาโดยไม ม ค าใช จ าย โทรต ดต อฝ ายบร การล กค าท ได ต งแต ว นจ นทร ถ งว นศ กร เวลา น. ถ ง น. ผ ใช TTY/TDD สามารถโทรต ดต อได ท หร อ 711โดยไม ม ค าใช จ าย ខ រ (Mon-Khmer, Cambodian): របមយកច ត ទ កដ ក របស ន ប ល កអ កន យ យភ ស ខ រ សវ ជ ន យ ផ ក ភ ស ម នផ ល ជ ន ល កអ ក ដ យឥតគ ត ថ សវ ផ កទ ន ក ទ នងអត ថ ជនត ម លខ អ ចរកប ន ព ថ ច ន ដល ស រក ម ង 8 រព ក ដល 8ល ច អ ក រប TTY/TDD គ រ តទ រស ព មក លខ ឬ 711 ក រ ហ ទ រស ព គ ឥតគ ត ថ ພາສາລາວ (Lao): ເຊ ນຊາບ: ຖ າທ ານເວ າພາສາລາວ, ມ ບ ລ ການຊ ວຍເຫ ອດ ານພາສາບ ເສຍຄ າໃຫ ແກ ທ ານ. ໃຫ ໂທຫາ ຝ າຍບ ລ ການລ ກຄ າທ ເບ , ເຊ ງເປ ດໃຫ ບ ລ ການ 7 ວ ນຕ ອາທ ດ, ຕ ງແຕ 8 ໂມງເຊ າຫາ 8 ໂມງ ແລງ. ຜ ທ ໃຊ TTY/TDD ແມ ນໃຫ ໂທຫາເບ ຫ 711. ການໂທແມ ນໂທຟຣ Cal MediConnect
7 Need a ride? We can help! If you need a ride to a medical appointment, contact Customer Service ahead of time to arrange transportation. Make your request: Three days before your appointment for nonmedical transportation Five days before your appointment for nonemergency medical transportation To request a ride, log in to myscfhp at or call Customer Service at TTY/TDD users should call or 711. Quality improvement: Get the details SANTA CLARA FAMILY HEALTH PLAN Santa Clara Family Health Plan (SCFHP) publishes its quality Utilization Management distributes improvement program details an affirmative statement on our website each year. Visit regarding financial incentives. Visit quality-improvement to scfhpaffirmativestatement to download a copy of the program learn more. If you would like the details. You can learn how statement mailed to you, call SCFHP finds areas that need Customer Service. improvement and addresses them. Please call Customer Service if you would like a copy mailed to you. HEALTHY LIVING 3
8 You can make a difference Join our advisory board! Do you want to make Cal MediConnect a better health plan for you and your community? Join the Cal MediConnect Consumer Advisory Board (CAB)! The CAB is a group of members like you and can include a family member or other people who help take care of you. The CAB meets with health plan staff to provide feedback on services and benefits provided in Cal MediConnect. As a member of the CAB, you ll get to: Be the voice for Cal MediConnect plan members like you. Work with our plan representatives and members of your community. Tell us about your experiences. We can give you and your caregiver a ride, if needed. Food is served. IF YOU ARE interested in serving on the CAB, call SCFHP Customer Service at SUMMER 2018 HEALTHY LIVING Cal MediConnect Plan (Medicare-Medicaid Plan) Information in HEALTHY LIVING comes from a wide range of medical experts. If you have any concerns or questions about specific content that may affect your health, please contact your health care provider. Models may be used in photos and illustrations Coffey Communications, Inc. All rights reserved. H7890_13079E Accepted Santa Clara Family Health Plan Cal MediConnect Plan (Medicare-Medicaid Plan) is a health plan that contracts with both Medicare and Medi-Cal to provide benefits of both programs to enrollees. SANTA CLARA FAMILY HEALTH PLAN P.O. Box 18880, San Jose, CA TTY/TDD: or 711
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