September 14, 2018 NOTICE
|
|
- Nelson Flowers
- 5 years ago
- Views:
Transcription
1 September 14, 2018 NOTICE The Board of Directors of the Kaweah Delta Health Care District will meet in a Marketing & Public Affairs Committee meeting at 10:00 A.M. on Friday, September 21, 2018 in the Executive Office Conference Room at the Kaweah Delta Medical Center Acequia Wing Executive Offices {305 Acequia, Visalia, CA}. All Kaweah Delta Health Care District regular board meeting and committee meeting notices and agendas are posted 72 hours prior to meetings in the Kaweah Delta Medical Center, Mineral King Wing entry corridor between the Mineral King lobby and the Emergency Department waiting room {400 W. Mineral King Avenue}. The disclosable public records related to agendas are available for public inspection at the Kaweah Delta Medical Center Acequia Wing, Executive Offices (Administration Department) {1st floor}, 305 Acequia, Visalia, CA and on the Kaweah Delta Health Care District web page KAWEAH DELTA HEALTH CARE DISTRICT Nevin House, Secretary/Treasurer Cindy Moccio Board Clerk, Executive Assistant to CEO DISTRIBUTION: Governing Board Legal Counsel Executive Team Chief of Staff West Mineral King Avenue Visalia, CA (559)
2 KAWEAH DELTA HEALTH CARE DISTRICT BOARD OF DIRECTORS MARKETING & PUBLIC AFFAIRS COMMITTEE Friday, September 21, 2018 Kaweah Delta Medical Center 400 West Mineral King Avenue Acequia Wing Executive Office Conference Room ATTENDING: Directors: Nevin House (Chair) and John Hipskind, M.D.; Gary Herbst, Chief Executive Officer; Marc Mertz, Vice President of Strategic Planning and Business Development; Dru Quesnoy Director of Marketing and Public Relations; Laura Florez-McCusker, Senior Public Relations Specialist; Jennifer Corum, Senior Marketing Specialist; Raymond Macareno, Senior Communication Specialist; and Cheryl Johnson, Recording OPEN MEETING 10:00 AM Call to order Nevin House, Chair Public / Medical Staff participation Members of the public wishing to address the Committee concerning items not on the agenda and within the subject matter jurisdiction of the Committee may step forward and are requested to identify themselves at this time. Members of the public or the medical staff may comment on agenda items after the item has been discussed by the Committee but before a Committee recommendation is decided. In either case, each speaker will be allowed five minutes. 1. Branding Review of corporate logo standardization - Dru Quesnoy, Director of Marketing and Public Relations 2. Strategic Plan Review of 2018 plan and focus on patient experience - Jennifer Corum, Senior Marketing Specialist Commercials Review of new commercials Dru Quesnoy, Director of Marketing and Public Relations 4. Marketing Direction Discussion of marketing evolution, opportunities, and future programs Nevin House, Chair 5. Marketing Board Meeting Frequency Dru Quesnoy, Director of Marketing and Public Relations Adjourn Nevin House, Chair In compliance with the Americans with Disabilities Act, if you need special assistance to participate at this meeting, please contact the Board Clerk (559) Notification 48 hours prior to the meeting will enable the District to make reasonable arrangements to ensure accessibility to the Kaweah Delta Health Care District Board of Directors meeting. Friday, September 21, 2018 Marketing & Public Affairs Committee Page 1 of 2 Herb Hawkins Zone I Lynn Havard Mirviss Zone II John Hipskind, MD Zone III David Francis Zone IV Nevin House Zone V Board Member President Vice President Board Member Secretary/Treasurer
3
4
5 Marketing Plan JULY Cord Blood Awareness Month, Juvenile Arthritis Awareness Month, Minority Mental Health Awareness Month, UV Safety Month, Donate Life ECHO Week (9-22), Hepatitis Day (28th) EVENTS: ADS / PUBLICATIONS: Lifestyle: Cardiac Direct: Ortho Enjoy: Ortho Kaweah Commonwealth: Wellness (Stop the Bleed) Neighbors: Ortho Farm Bureau News: Cancer The Good Life: Neuro Central Valley Medical: Hospice Hospice RADIO: Cardiac Ortho Event: Medicare 101 Wellness: Summer Safety, Trauma Kiss for the Cure: Stop the Bleed Team, Life Vests VIS King: Stroke VIS King Kong: TLC Tulare King: Stroke TCAT: Stroke Dial-A-Ride: Cancer Interior: Urgent Care ED Construct/Valet ED Construct/Valet Transition/onboarding with new vendor SOCIAL MEDIA: HR Recruitment Kaweah Delta Branding Health & Fitness Fair Stroke Cardiac TLC Summer Safety Parking ED Expansion/Nursing Physician Recruitment/GME Update Summer Safety Tips Leapfrog Quality TAVR PR Cancer Tech or Support Groups Website: Landing Page kaweahdelta.org/heart kaweahdelta.org/ortho kaweahdelta.org/stroke kaweahdelta.org/hospice kaweahdelta.org/cancer Website: Carousel Cardiac Ortho Website: HRA HeartAware JointAware StrokeAware CancerAware AUGUST Children's Eye Health and Safety Month, Dental Implant Month, Immunization Awareness Month, Neurosurgical Awareness Month, Psoriasis Awareness Month, Spinal Muscular Atrophy Awareness Month, Health Center Week (13-19), Health Unit Coordinator Day (23) EVENTS: Golf Tournament (3rd), Blood Drive (30th) ADS / PUBLICATIONS: Lifestyle: Cancer Direct: Wellness [Stop the Bleed] Enjoy: Kaweah Common: Ortho Neighbors: Cancer Farm Bureau News: Wellness [Stop the Bleed] Cardiac (Light Campaign) RADIO: Cancer SRCC Neuro Event: Pink Tea Wellness: Screenings, Mammograms Kiss for the Cure: Heat Safe Summer VIS King: Stroke VIS King Kong: TLC Tulare King: Stroke TCAT: Stroke Dial-A-Ride: Cancer Interior: Urgent Care ED Construct/Valet ED Construct/Valet PFAC Recruitment New Urgent Care Now Open Medicare 101 SOCIAL MEDIA: HR Recruitment Kaweah Delta Branding Pink Tea Ortho Family Medicine Center Neuro What is a hospitalist? Kaweah Delta Partnerships Good Catch Award Program NSQUIP Quality New Surgery ERAS Program Website: Landing Page kaweahdelta.org/cancer kaweahdelta.org/neurosurgery kaweahdelta.org/stroke kaweahdelta.org/mammo kaweahdelta.org/ortho Website: Carousel Cancer [Screenings] Neuro Website: HRA Colon CancerAware DiabetesAware BreatCancerAware Bone HealthAware Page 1 of 6
6 SEPTEMBER Baby Safety Month, Blood Cancer Awareness Month, Childhood Cancer Awareness Month, Cholesterol Education Month, Craniofacial Acceptance Month, Food Safety Education Month, Gynecologic Cancer Awareness Month, Healthy Aging Month, Newborn Screening Awareness Month, Pain Awareness Month, Prostate Cancer Awareness Month, Prostate Health Awareness Month, Pulmonary Fibrosis Awareness Month, Reye's Syndrome Awareness Month, Thyroid Cancer Awareness Month, Youth Suicide Prevention Week (4-10), Healthcare Environmental Services Week (10-16), Vascular Nurses Week (10-16), Balance Awareness Week (11-17), Child Passenger Safety Week (17-23), Clean Hands Week (17-23), Farm Safety and Health Week (17-23), Surgical Technologist Week (17-23), Nursing Professional Development Week (24-30), Grandparents Day (10), Youth Suicide Prevention Day (10), Neonatal Nurses Day (15), School Backpack Awareness Day (20), Seat Check Saturday (23), Women's Health and Fitness Day (27), Family Health and Fitness Day (30) EVENTS: Rehab Reunion ADS / PUBLICATIONS: Lifestyle: Pink Tea Direct: Pink Tea Enjoy: Pink Tea Kaweah Commonwealth: Cardiac Neighbors: Pink Tea Farm Bureau News: Pink Tea General Surgery (Light Campaign) RADIO: General Surgery Cardiac Event: Pink Tea Wellness: Flu Season, Stock up at Kiss for the Cure: Ortho Health Pharmacy, Supplies VIS King: Ortho VIS King Kong: Neuro Tulare King: Ortho TCAT: Neuro Dial-A-Ride: Ortho Interior: Urgent Care September Eblast: SOCIAL MEDIA: HR Recruitment Kaweah Delta Branding Pink Tea Mother/Baby General Surgery Suicide Prevention Prostate Cancer Hospice Program for Children Daisy Award Program Total Hip/Knee Top Quality Fall Prevention Sepsis Spotlight Website: Landing Page kaweahdelta.org/prostate kaweahdelta.org/vascular kaweahdelta.org/spine Website: Carousel Prostate Health Awareness Month General Surgery Website: HRA ProstateAware VascularAware DiabetesAware SpineAware OCTOBER Awareness Month, Medical Librarians Month, Medical Ultrasound Awareness Month, Patient-Centered Care Awareness Month, Pharmacists Month, Physical Therapy Month, SIDS, Pregnancy and Infant Loss Awareness Month, Talk About Your Medicines Month, Gerontological Nursing Week (1-7), Healthcare Foodservice Workers Week (1 7), Healthcare Supply Chain Week (1-7), Mental Illness Awareness Week (1-7), Midwifery Week (1-7), Nuclear Medicine and Molecular Imaging Week (1-7), Physician Assistants Week (6-12), Case Management Week (8-14), Central Service Week (8-14), Emergency Nurses Week (8 14), Fire Prevention Week (8 14), Healthcare Security and Safety Week (8 14 ), Nephrology Technicians/Technologists Recognition Week (9 13), Nuclear Science Week (15 19), Infection Prevention Week (15 21), Pastoral Care Week/Spiritual Care Week (15 21), Medical Assistants Recognition Week (16 20), Radon Action Week (16 22), Health Care Facilities and Engineering Week (22 28), Respiratory Care Week (22 28), Red Ribbon Week (23 31), Walk to School Day (4), Healthcare Security and Safety Officer Appreciation Day (11), Stop America s Violence Everywhere (SAVE) Today (11), Arthritis Day (12), Stuttering Awareness Day (22), Lock Your Meds Day (24), Lung Health Day (25), Psoriasis Day (29) EVENTS: Harvest Run, Pink Tea (24th) ADS / PUBLICATIONS: Lifestyle: General Surgery Direct: Wellness [Flu] Enjoy: Kaweah Commonwealth: Clinics [focus on Exeter and Woodlake] Neighbors: Cardiac Farm Bureau News: General Surgery Cancer (Light Campaign) RADIO: Ortho Cancer Event: Pink Tea Wellness: Mental Health Kiss for the Cure: Cancer Awareness and Screenings Tulare County + Mooney Blvd. Rotators: Ortho VIS King: Ortho VIS King Kong: Neuro Tulare King: Ortho TCAT: Neuro Dial-A-Ride: Ortho Interior: Urgent Care October Eblast: SOCIAL MEDIA: HR Recruitment Kaweah Delta Branding Pink Tea TLC Breast Cancer Awareness Rural Clinics Website: Landing Page kaweahdelta.org/???surgery kaweahdelta.org/joint kaweahdelta.org/myheart Website: Carousel Pink Tea Mental Health Website: HRA HeartAware CancerAware JointAware DiabetesAware Page 2 of 6
7 NOVEMBER Alzheimer s Disease Awareness Month, Bladder Health Awareness Month, COPD Awareness Month, Diabetes Month, Diabetic Eye Disease Awareness Month, Family Caregivers Month, Healthy Skin Month, Home Care and Hospice Month, Hospice/Palliative Care Month, Lung Cancer Awareness Month, Pancreatic Cancer Awareness Month, Prematurity Awareness Month, Sexual Health Month, Stomach Cancer Awareness Month, Medical-Surgical Nurses Week (1-7), Allied Health Professions Week (5-11), Diabetes Education Week (5-11), Medical Staff Services Awareness Week (5-11), Patient Transportation Week (5-11), Radiologic Technology Week (5-11), Patient Blood Management Awareness Week (6-10), Pneumonia Day (12), COPD Day (15), Great American Smokeout (16), Prematurity Day (17) EVENTS: Candy Cane Lane Parade ADS / PUBLICATIONS: Lifestyle: Hospice Direct: Neuro Enjoy: Ortho Kaweah Commonwealth: General Surgery Neighbors: Community Engagement [ ] Farm Bureau News: Neuro Ortho (Light Campaign) RADIO: Hospice Neuro Event: Blood Drive Wellness: Brain Health, Dementia, Kiss for the Cure: Brain Health Alzheimers Disease VIS King: Ortho VIS King Kong: Neuro Tulare King: Ortho TCAT: Neuro Dial-A-Ride: Ortho Interior: Urgent Care November Eblast: SOCIAL MEDIA: HR Recruitment Kaweah Delta Branding SPC/Urgent Care Flu Prevention Hospice Diabetes Awareness Pharmacy Website: Landing Page /cancer /diabetes /hospice Website: Carousel Hospice Diabetes Awareness Website: HRA Bone HealthAware DiabetesAware SleepAware DepressionAware DECEMBER Safe Toys and Celebrations Month, Safe Toys and Gifts Month, Handwashing Awareness Week (3-9), Influenza Vaccination Week (3-9), Older Driver Safety Awareness Week (4-8), AIDS Day (1) EVENTS: Holiday Cheer, Blood Drive (14th) ADS / PUBLICATIONS: Lifestyle: Ortho Direct: Cardiac Enjoy: Kaweah Commonwealth: Ortho Neighbors: Hospice Farm Bureau News: Hospice Shawn (New Windsong spot) RADIO: General Surgery Cardiac Event: Wellness: Hand washing, sneeze technique, germ prevention Kiss for the Cure: VIS King: Cardiac VIS King Kong: Neuro Tulare King: Cardiac TCAT: Neuro Dial-A-Ride: General Surgery Interior: Urgent Care December Eblast: SOCIAL MEDIA: HR Recruitment Kaweah Delta Branding Flu Prevention Family Medicine Center SPC/Urgent Care Therapy Specialists Ortho Website: Landing Page /surgery /heart Website: Carousel Flu Season Hospice Website: HRA WeightAware JointAware DiabetesAware VascularAware Page 3 of 6
8 JANUARY Birth Defects Prevention Month, Blood Donor Month, Cervical Cancer Screening Month, Cervical Health Awareness Month, Glaucoma Awareness Month, Radon Awareness Month, Healthy Weight Week (16-20), Drug and Alcohol Facts Week (23-29), Women's Healthy Weight Day (20), IV Nurse Day (25) EVENTS: ADS / PUBLICATIONS: Lifestyle: TLC Direct: TLC Enjoy: TLC Kaweah Common: Wellness [ ] Neighbors: TLC Farm Bureau News: Wellness [] TLC RADIO: TLC Therapy Specialists Event: Wellness: Physical Therapy, Health Kiss for the Cure: Healthy New Year weight in the new year VIS King: Cardiac VIS King Kong: Neuro Tulare King: Cardiac TCAT: Neuro Dial-A-Ride: General Surgery Interior: Urgent Care January Eblast: SOCIAL MEDIA: HR Recruitment Kaweah Delta Branding Flu/Cold Season Rural Clinics TLC Sleep Center Women's Health Website: Landing Page /therapy /flu /tlc Website: Carousel Healthy weightaware TLC Website: HRA SpineAware Pediatric SleepAware SleepAware JointAware FEBRUARY Age-Related Macular Degeneration Awareness Month, Children's Dental Health Month, Condom Month, Heart Month, Kids ENT Health Month, Recreational Therapy Month, Wise Health Care Consumer Month, Burn Awareness Week (5-11), PeriAnesthesia Nurse Awareness Week (6-12), Cardiac Rehabilitation Week (12-18), Cardiovascular Professionals Week (12-18), Alzheimer's Disease and Dementia Care Staff Education Week (14-21), Eating Disorders Awareness Week (19-25), Wear Red Day (3), Black HIV/AIDS Awareness Day (7), Day of the Sick (11), Donor Day (14) EVENTS: Cardiac Event ADS / PUBLICATIONS: Lifestyle: Cardiac Direct: Cardiac Enjoy: Kaweah Common: Cardiac Neighbors: Cardiac Farm Bureau News: Cardiac Cardiac (Light Campaign) RADIO: Cardiac General Surgery Event: Wellness: Know Your Numbers (blood pressure, cholesterol, blood glucose, etc.) Kiss for the Cure: Heart Health Tulare County + Mooney Blvd. Rotators: Cardiac VIS King: Cardiac VIS King Kong: Neuro Tulare King: Cardiac TCAT: Neuro Dial-A-Ride: General Surgery Interior: Urgent Care February Eblast: SOCIAL MEDIA: HR Recruitment Kaweah Delta Branding Cardiac Pharmacy SPC/Urgent Care Rural Clinics Flu Website: Landing Page /heart /knowyournumbers Website: Carousel my Heart (Cardiac) Wear Red Donor Day Website: HRA BladderAware DepressionAware StrokeAware WeightAware Page 4 of 6
9 MARCH Athletic Training Month, Brain Injury Awareness Month, Child Life Month, Colorectal Cancer Awareness Month, Kidney Month, MS Education and Awareness Month, Nutrition Month, Professional Social Work Month, Save Your Vision Month, Workplace Eye Wellness Month, Aplastic Anemia and MDS Awareness Week (1-7), Dental Assistants Recognition Week (5-11), Health Care HR Week (12-18), Patient Safety Awareness Week (12-18), Pulmonary Rehab Week (12-18), Brain Awareness Week (13-19), Poison Prevention Week (19-25), LGBT Health Awareness Week (27-31), Registered Dietician Nutritionist Day (8), Kidney Day (9), Tuberculosis Day (24), Diabetes Association Alert Day (28), Doctors Day (30) EVENTS: Doctor's Day ADS / PUBLICATIONS: Lifestyle: Community Engagement [ ] Direct: Ortho Enjoy: Community Engagement [ ] Kaweah Commonwealth: Clinics Neighbors: General Surgery Farm Bureau News: Ortho General Surgery (Light Campaign) RADIO: Cancer Ortho Event: Doctor's Day Wellness: Prenatal care, postpartum, classes, car seat safety Kiss for the Cure: VIS King: Ortho VIS King Kong: General Surgery Tulare King: Ortho TCAT: Clinics Dial-A-Ride: Neuro Interior: Urgent Care March Eblast: SOCIAL MEDIA: HR Recruitment Kaweah Delta Branding Ortho Neuro Surgery Doctors Day Mother/Baby Men's Health Website: Landing Page /kidney /doctorsday Website: Carousel Colorectal Cancer Kidney Month Website: HRA DiabetesAware Bone HealthAware Colon CancerAware Prostate CancerAware APRIL Alcohol Awareness Month, Autism Awareness Month, Defeat Diabetes Month, Donate Life Month, Facial Protection Month, Foot Health Awareness Month Humor Month, Minority Health Month, Occupational Therapy Month, Rosacea Awareness Month, Sexually Transmitted Infections Awareness Month, Sports Eye Safety Month, Women s Eye Health and Safety Month, March for Babies (through May), Public Health Week (3-9), Cancer Registrars Week (10-14), Oral Head and Neck Cancer Awareness Week (10-16), Neurodiagnostic Week (16-22), Infant Immunization Week (22-29), Medical Laboratory Professionals Week (23-29), Volunteer Week (23-29), Patient Experience Week (24-28), Medical Fitness Week (24-30), Alcohol Screening Day (6-7), Health Day (7), Radiologic and Imaging Nurses Day (12), Healthcare Decisions Day (16), Voice Day (16), Hemophilia Day (17), Transplant Nurses Day (19), Youth Service Day (21-23), Noise Awareness Day (26) EVENTS: Donate Life ADS / PUBLICATIONS: Lifestyle: Neuro Direct: Wellness [ ] Enjoy: Kaweah Commonwealth: Hospice Neighbors: Ortho Farm Bureau News: General Surgery Shawn (New Windsong Spot) RADIO: Neuro Clinics Event: Wellness: Importance of PCP, clinics, regular check ups Kiss for the Cure: VIS King: Ortho VIS King Kong: General Surgery Tulare King: Ortho TCAT: Clinics Dial-A-Ride: Neuro Interior: Urgent Care April Eblast: SOCIAL MEDIA: HR Recruitment Kaweah Delta Branding General Surgery Rural Clinics Donate Life Diabetes Health/ CDMC Website: Landing Page /care /donatelife Website: Carousel Donate Life Month Diabetes Website: HRA BreatheAware JointAware Lung CancerAware DiabetesAware Page 5 of 6
10 MAY Arthritis Awareness Month, Asthma Awareness Month, Better Hearing and Speech Month, Better Sleep Month, Bike Month, Critical Care Awareness and Recognition Month, Employee Health and Fitness Month, Healthy Vision Month, Hepatitis Awareness Month, High Blood Pressure Education Month, Huntington s Disease Awareness Month, Lupus Awareness Month, Melanoma/Skin Cancer Detection and Prevention Month, Mental Health Month, Motorcycle Safety Awareness Month, Neurofibromatosis Awareness Month, Older Americans Month, Oncology Nursing Month, Osteoporosis Month, Run A Mile Days, Stroke Awareness Month, Stroke Month, Teen Pregnancy Prevention Month, Trauma Awareness Month, Nurses Week (6-12), Hospital Week (7-13), Root Canal Awareness Week (7-13), Women s Lung Health Week (7-14), Stuttering Awareness Week (8-14), Food Allergy Awareness Week (14-20), Medical Transcriptionist Week (14-20), Nursing Home Week (14-20), Women s Health Week (14-20), Neuroscience Nurses Week (21-27), Melanoma Monday (1), Asthma Day (2), Bike to School Day (10), Lupus Day (10), School Nurse Day (10), Fibromyalgia Awareness Day (12), Myalgic Encephalomyelitis Awareness Day (12), Employee Health and Fitness Day (15), Trauma Survivors Day (17), Autoimmune Arthritis Day (18-21), Hepatitis Testing Day (19), Gout Awareness Day (22), Missing Children s Day (25), Senior Health & Fitness Day (31) EVENTS: Nurse Week, Hospital Week ADS / PUBLICATIONS: Lifestyle: Stroke Direct: Stroke Enjoy: Stroke Kaweah Commonwealth: Stroke Neighbors: Stroke Farm Bureau News: Stroke Shawn (New Windsong spot) RADIO: Stroke Cardiac Event: Wellness: Stroke, F.A.S.T. Kiss for the Cure: Stroke VIS King: Ortho VIS King Kong: General Surgery Tulare King: Ortho TCAT: Clinics Dial-A-Ride: Neuro Interior: Urgent Care May Eblast: SOCIAL MEDIA: HR Recruitment Kaweah Delta Branding Stroke Hospice/Home Health Therapy Specialists Website: Landing Page /arthritis /nurseweek Website: Carousel Joint Awareness Stroke Awareness Website: HRA StrokeAware Pediatric SleepAware SleepAware Breast CancerAware JUNE Alzheimer s and Brain Awareness Month, Aphasia Awareness Month, Cataract Awareness Month, Fireworks Eye Safety Month, Hernia Awareness Month, Men s Health Month, Migraine and Headache Awareness Month, PTSD Awareness Month, Scleroderma Awareness Month, Men s Health Week (12-18), Nursing Assistants Week (15-22), Healthcare Risk Management Week (19-23), Cancer Survivors Day (4) Health Care Recruiter Day (6) Scleroderma Awareness Day (29) EVENTS: Health Expo, Cancer Survivor Day ADS / PUBLICATIONS: Lifestyle: Wellness [Summer Safety] Direct: Cancer Enjoy: Kaweah Common: Cardiac Neighbors: Cardiac Farm Bureau News: Cancer Cancer (Light Campaign) RADIO: Cancer Ortho Event: Wellness: Cancer screenings Kiss for the Cure: Tulare County + Mooney Blvd. Rotators: General Surgery VIS King: Ortho VIS King Kong: General Surgery Tulare King: Ortho TCAT: Clinics Dial-A-Ride: Neuro Interior: Urgent Care June Eblast: SOCIAL MEDIA: HR Recruitment Kaweah Delta Branding TLC Cardiac Women's Health Summer Safety Website: Landing Page /menshealth /screening /depression /safety Website: Carousel Cancer Survivor Men's Health Website: HRA DepressionAware BladderAware StrokeAware Breast CancerAware Page 6 of 6
2018 Health Observances & Recognition Days
2018 Health Observances & Recognition Days Association Events Jan. 22-23 FHA Hospital Day in the Legislature Tallahassee, FL May 6-9 American Hospital Association Annual Meeting Washington, DC Oct. 3-5
More informationCommunity Health Projects
National Student Nurses Association Guidelines for Planning 2012 2013 Community Health Projects In 2010 2011 the NSNA s Community Health and Disaster Preparedness Committees were combined by the Board
More informationNOTICE. November 3, 2017
November 3, 2017 NOTICE The Board of Directors of the Kaweah Delta Health Care District will meet in an open Quality Council Committee meeting at 7:00AM on Thursday November 9, 2017, in the Kaweah Delta
More informationStaying Healthy Guide Health Education Classes. Many classroom sites. Languages. How to sign up. Customer Service
Staying Healthy Guide Health Education Classes We care about the health of our members. That is why our health plan offers health education classes to help our members stay healthy and learn how to be
More informationBenefits are effective January 01, 2018 through December 31, 2018 PLAN DESIGN AND BENEFITS PROVIDED BY AETNA LIFE INSURANCE COMPANY
PLAN FEATURES Annual Deductible The maximum out-of-pocket limit applies to all covered Medicare Part A and B benefits including deductible. Hearing aid reimbursement does not apply to the out-of-pocket
More informationPatient Name:,, Address: Phones:,, Home Work Cell. Primary Physician: Emergency Contact: Phone#:
Patient Information Patient Name:,, Last First middle initial Address: Phones:,, Home Work Cell Sex: Female Male E-Mail: Date of Birth: / / Mo. Day Year Primary Physician: Marital Status: Single Married
More informationBenefits and Premiums are effective January 01, 2018 through December 31, 2018 PLAN DESIGN AND BENEFITS PROVIDED BY AETNA LIFE INSURANCE COMPANY
Benefits and Premiums are effective January 01, 2018 through December 31, 2018 PLAN FEATURES Network & Out-of- Annual Deductible This is the amount you have to pay out of pocket before the plan will pay
More informationBenefits are effective January 01, 2017 through December 31, 2017
Benefits are effective January 01, 2017 through December 31, 2017 PLAN DESIGN AND BENEFITS PROVIDED BY AETNA LIFE INSURANCE COMPANY PLAN FEATURES Network & Out-of- Annual Deductible $0 This is the amount
More informationSummary of Benefits Advantra Freedom PEBTF
Advantra Freedom is a Medicare Advantage Private Fee-For-Service (PFFS) Plan. This Summary of Benefits tells you some features of our Plan. It doesn't list every service that we cover or list every limitation
More informationBenefits and Premiums are effective January 01, 2018 through December 31, 2018 PLAN DESIGN AND BENEFITS PROVIDED BY AETNA LIFE INSURANCE COMPANY
The maximum out-of-pocket limit applies to all covered Medicare Part A and B benefits including deductible. Primary Care Physician Selection Optional There is no requirement for member pre-certification.
More informationADULT PATIENT INFORMATION. Patient Name: Last Name First Name Address: City: State: Zip Code: Phone #: Cell Phone #: Social Security:
716 S. Goldenrod Road n 3315 Orange Blossom Trail Fax (407) 658-2536 Fax (407) 343-1907 ADULT PATIENT INFORMATION Patient Name: Last Name First Name MI Address: City: State: Zip Code: Phone #: Cell Phone
More informationFullerton Physical Therapy and Sports Care, Inc.
Fullerton Physical Therapy and Sports Care, Inc. Patient Information: Title Address Patient Name (Last, First, Middle initial) City/State/Zip Home Phone Work Phone Cell Phone Social Security DOB Gender
More informationBenefits and Premiums are effective January 01, 2018 through December 31, 2018 PLAN DESIGN AND BENEFITS PROVIDED BY AETNA HEALTH PLANS INC.
Benefits and Premiums are effective January 01, 2018 through December 31, 2018 PLAN FEATURES Network Providers Annual Maximum Out-of-Pocket Amount $2,500 The maximum out-of-pocket limit applies to all
More informationY0021_H4754_MRK1427_CMS File and Use PacificSource Community Health Plans, Inc. is a health plan with a Medicare contract
Y0021_H4754_MRK1427_CMS File and Use 08262012 PacificSource Community Health Plans, Inc. is a health plan with a Medicare contract Section I - Introduction to Summary of s Thank you for your interest in.
More informationDescriptions: Provider Type and Specialty
Descriptions: Provider Type and Specialty PROVIDER TYPE/SPECIALTY ADULT PRIMARY CARE Provides care for adults by treating common health problems, performing check-ups and providing prevention services.
More informationCovered (blood, blood components, human blood products, and their administration) Covered (Some restrictions)
Washington Apple Health Medical Benefits Allergy Services (Antigen/Allergy Serum/Allergy Shots) Ambulance Services (Air Transportation) by FFS* Ambulance Services (Emergency Transportation) Ambulatory
More information1. What is your ethnic origin? (Check one) 2. What is your gender? 3. What is your age? Page 1. nmlkj. nmlkj. nmlkj. nmlkj. nmlkj. nmlkj. nmlkj.
1. What is your ethnic origin? (Check one) White Asian/Pacfic Island American Indian Black Hispanic 2. What is your gender? Female Male 3. What is your age? 18 to 24 55 to 64 25 to 34 65 to 74 35 to 44
More informationPatient Registration. City, State & Zip Code Date of Birth Age. Occupation: Family Physician: Married Single Other Spouse's Name
*SHAREDID-42* Date of Birth: Page 1 of 2 Patient Registration Account # Patient Name Home Telephone # Work Telephone # Social Security Number Cell Telephone # Address Patient Sex City, State & Zip Code
More informationLAST NAME: FIRST NAME: MI: STREET ADDRESS: CITY: STATE: ZIP CODE: DOB: AGE: SEX: M F: TELEPHONE#: ( ) CELL PHONE#: ( ) SSN#: MARITAL STATUS: S M W
PATIENT REGISTRATION LAST NAME: FIRST NAME: MI: STREET ADDRESS: CITY: STATE: ZIP CODE: DOB: AGE: SEX: M F: TELEPHONE#: ( ) CELL PHONE#: ( ) SSN#: MARITAL STATUS: S M W D OTHER: SPOUSE S NAME: EMAIL ADDRESS:
More information2016 CHNA Implementation Plan
2016 CHNA Implementation Plan Summary of planned actions to address needs identified in the 2016 Community Health Needs Assessment of Oktibbeha County, MS and the OCH Regional Medical Center Service Area
More informationFLEX RETIREE MAP (Over 65 Flex Retirees) 2018 Benefits PROFESSIONAL SERVICES. Visit to a physician, physician assistant or nurse practitioner at a PPG
PROFESSIONAL SERVICES Visit to a physician, physician assistant or nurse practitioner at a PPG Periodic health evaluations/preventive services - Applies when the only service(s) provided is a Medicare
More informationMedicare Plus Blue SM Group PPO. Summary of Benefits. Michigan Public School Employees Retirement System
2018 Medicare Plus Blue SM Group Summary of Benefits January 1, 2018 December 31, 2018 Michigan Public School Employees Retirement System www.bcbsm.com/mpsers This information is a summary document and
More informationWelcome to our office! Please fill out this form as completely as possible and return it to the desk.
Welcome to our office! Please fill out this form as completely as possible and return it to the desk. Name of Doctor you wish to see: Today's Date Name Email Address Address Home Male Female Cell City
More informationSeasons Women s Care Patient Registration Form
Seasons Women s Care Patient Registration Form Name: of Birth: Address: City: St: Zip Home Phone: Cell: Best Number: Email: Race or Ethnicity: Marital Status: SS# Drivers Lic#: Employer: Work# Occupation:
More informationPatient Information. Date of Birth Sex Marital Status / / Male Female Single Married Other. Address
Patient Information Patient Information Date of Birth Sex Marital Status Male Female Single Married Other Social Security Number - - Why We Ask for Race and Ethnicity Patient Goes By: Email Address In
More informationSchedule of Benefits Harvard Pilgrim Health Care, Inc.
Schedule of Benefits Harvard Pilgrim Health Care, Inc. THE HARVARD PILGRIM-LAHEY SELECT HMO OOA MASSACHUSETTS 6-SPF, 01/13 MD0000002737 Please Note: In this plan, Member s have access to network benefits
More informationChapter 12 Benefits and Covered Services
12 Benefits and Covered Services Health Choice Generations covers the same benefits covered under Original Medicare. Sometimes Medicare adds coverage for a new service during the year. Health Choice Generations
More informationPATIENT INFORMATION Name: Date of Birth Address: City: State: Zip
PATIENT INFORMATION Name: Date of Birth Address: City: State: Zip Primary Phone ( ) Secondary Phone ( ) Other Phone ( ) SS# - - Race Ethnicity Email address Preferred language Marital Status Minor Single
More informationHealthPartners Freedom Plan (Cost) 2011 Medical Summary of Benefits Wisconsin
HealthPartners Freedom Plan 2011 Medical Summary of Benefits Wisconsin HealthPartners Wisconsin Freedom Plan I HealthPartners Wisconsin Freedom Plan II 420421 (10/10) H2462_SB WI_151 CMS Approved 10/5/10
More informationMEDICAL SERVICES AND HEALTH CARE FACILITIES
MEDICAL SERVICES AND HEALTH CARE FACILITIES 89 Breckinridge Memorial Hospital 1011 Old Highway 60 Hardinsburg, KY 40143 Phone: (270) 756-7000 SERVICES: Breckinridge Memorial Hospital is a Critical Access
More informationPatient: Gender: Male Female. Mailing Address: Ethnicity: Not Hispanic or Latin Hispanic/Latin Home Phone #:
5002 Highway 39 N Bldg. A Meridian, MS 39301 Phone: 601-512-0500 Fax: 601-512-0505 Patient Information Patient: Gender: Male Female First Middle Last Primary Language: English Spanish Other Mailing Address:
More informationSummit Healthcare Regional Medical Center Implementation Strategy Community Health Needs Assessment Updated February 2016
Summit Healthcare Regional Medical Center 2013-2016 Implementation Strategy Community Health Needs Assessment Updated February 2016 Overview Summit Healthcare Regional Medical Center conducted its first
More informationCorporate Partners Program
Mercy Health Foundation St. Louis Mercy Health Foundation 615 S. New Ballas Road St. Louis, MO 63141 Office: 314-251-1800 Fax: 314-251-1801 mercyhealthfoundation.stl@mercy.net Corporate Partners Program
More informationNEARBY CARE POPULATION HEALTH
NEARBY EXPERTISE PEDIATRIC ACTIVE CARE POPULATION HEALTH CREATING NEW VALUE IN HEALTH CARE MILLER CHILDREN S & WOMEN S HOSPITAL LONG BEACH With specialized pediatric care for children and young adults,
More informationSummary of Benefits. New York: Bronx, Kings, New York, Queens and Richmond Counties
Summary of Benefits New York: Bronx, Kings, New York, Queens and Richmond Counties January 1, 2006 - December 31, 2006 You ve earned the right to live life on your own terms. And that includes the right
More informationGLOBAL HEALTH ADVANTAGE 2 to 20
GLOBAL HEALTH ADVANTAGE 2 to 20 Benefits Proposal Prepared specially for Marathon Petroleum Effective Date: 01/01/2018 112336 8/17 Offered by: Cigna Health and Life Insurance Company, Connecticut General
More informationGIC Employees/Retirees without Medicare
GIC Active Employees & Retirees without Medicare 7/1/18 GIC Employees/Retirees without Medicare HMO Summary of Benefits Chart This chart provides a summary of key services offered by your Health New England
More informationHMO Basic (HMO) / HMO 40 (HMO) / HMO 20 (HMO) Summary of Benefits
/ / Summary of Benefits January 1, 2015 December 31, 2015 Call toll-free 1-800-965-4022 8 a.m. to 8 p.m. daily October 1 to February 15 and 8 a.m. to 8 p.m. weekdays the rest of the year. TTY/TDD 711 HealthAllianceMedicare.org
More informationName DOB / / SS# / / Street Address City/State/Zip. Home ( ) - Cell( ) - Work( ) - Emergency Contact Day Phone( ) -
Wellesley Women s Care, P.C. PPG Thank you for taking the time to complete this form. We ask that you complete this entire form once a year or when you have any NEW information. PATIENT INFORMATION (Please
More informationSummary of Benefits 2018
SM Summary of Benefits 2018 bluecareplus.bcbst.com H3259_18_SB Accepted 08282017 This is a summary of drug and health services covered by BlueCare Plus (HMO SNP) SM health plan January 1, 2018 - December
More informationDear New Patient, Once again, we would like to thank you for choosing us as your primary health care provider. We look forward to working with you.
307 West Central Street Wendy J. Parker, M.D. Natick, MA 01760 Deborah J. Riester, M.D. Telephone: 508-820-8383 Jo-Ann Suna,M.D. Fax: 508-820-0250 Hadia F. Tirmizi, M.D. Natalia Sedo, N.P. Christine Chang,
More informationServices Covered by Molina Healthcare
Services Covered by Molina Healthcare As a Molina Healthcare member, you will continue to receive all medically-necessary Medicaid-covered services at no cost to you. The following list of covered services
More informationPATIENT'INFORMATION'!
PATIENT'INFORMATION'! ' Referred By: Date: PharmacyName,PhoneLocation: LastName: FirstName: MiddleName: DateofBirth: Gender: SSN: MaritalStatus: DriversLicense: PrimaryLanguage: Race: _ AmericanIndian/AlaskaNative
More informationABOUT THE CONE HEALTH NETWORK OF SERVICES
THE MOSES H. CONE MEMORIAL HOSPITAL (536 beds) Critical Care Services All system ICU patients are monitored with the help an electronic ICU monitoring system (VISICU ). Emergency Services Medical Intensive
More informationINTRODUCTION TO SUMMARY OF BENEFITS SECTION 1 SUMMARY OF BENEFITS
INTRODUCTION TO SUMMARY OF BENEFITS SECTION 1 SUMMARY OF BENEFITS January 1, 2015 - December 31, 2015 CARE1ST HEALTH PLAN California: Fresno, Merced, Stanislaus and San Joaquin Counties H5928_15_029_SB_CTCA_2
More informationSummary of benefits Health Net. seniority plus green. Benefits effective January 1, 2009 H0562 Medicare Advantage HMO
2009 Health Net Summary of benefits Los Angeles, Orange, Riverside and San Bernardino counties s effective January 1, 2009 H0562 Medicare Advantage HMO Material ID H0562-09-0041 CMS Approval 9/08 Section
More informationPlease complete all pages of this form. Your physician will review the form with you during your appointment. Last Name: First Name: Middle Initial:
Please complete all pages of this form. Your physician will review the form with you during your appointment. Patient Information Last Name: First Name: Middle Initial: Date of Birth: / / Age: SSN: - -
More informationJanuary 1, 2015 December 31, Maintenance Organization (HMO) offered by HEALTHNOW NEW YORK INC. with a Medicare contract)
BLUECROSS BLUESHIELD SENIOR BLUE 601 (HMO), BLUECROSS BLUESHIELD SENIOR BLUE HMO SELECT (HMO) AND BLUECROSS BLUESHIELD SENIOR BLUE HMO 651 PARTD (HMO) (a Medicare Advantage Health Maintenance Organization
More informationClassic Plan (HMO-POS) Value Plan (HMO) Rewards Plan (HMO)
January 1, 2016 December 31, 2016 Classic Plan Value Plan Rewards Plan SECTION I INTRODUCTION This booklet gives you a summary of what we cover and what you pay. It doesn't list every service that we cover
More informationCITY OF SLIDELL S2630 NON-GRANDFATHERED BENEFIT SHEET
CITY OF SLIDELL S2630 BENEFIT SHEET GENERAL PLAN INFORMATION Coordination of Benefits Standard COB Dependents Children birth to 26 No later than 365 days after the Filing Limit date expenses are incurred
More informationThe process has been designed to be user friendly and involves a few simple steps.
HOW DO I ENROLL A PATIENT WITH HOUSECALL MD? The process has been designed to be user friendly and involves a few simple steps. It is the patient s/family s/dpoa s/guardian s decision, if they want to
More informationPlease complete all pages of this form. Your physician will review the form with you during your appointment. Last Name: First Name: Middle Initial:
Please complete all pages of this form. Your physician will review the form with you during your appointment. Patient Information Last Name: First Name: Middle Initial: Date of Birth: / / Age: SSN: - -
More informationBenefits. Benefits Covered by UnitedHealthcare Community Plan
Benefits Covered by UnitedHealthcare Community Plan As a member of UnitedHealthcare Community Plan, you are covered for the following MO HealthNet Managed Care services. (Remember to always show your current
More informationSchedule of Benefits - HMO Group - MEDFORD AREA SCHOOL DISTRICT Benefit Year: January 1st through December 31st Effective Date: 01/01/2016
Security Health Plan certifies that you and any covered dependents have coverage as described in your Certificate and Schedule of Benefits as of the effective date shown on the letter you received with
More informationFLORIDA MEDICAL CLINIC, P.A. Your Life, Our Specialty
FLORIDA MEDICAL CLINIC, P.A. Your Life, Our Specialty Consent for Purposes of Treatment, Payment and Health Care Operations I consent to the use or disclosure of my protected health information by Florida
More informationMassage Therapists Association Of British Columbia
Massage Therapists Association Of British Columbia Our BC Conversation on Health Presentation As your government continues to improve patient care, it will devote new energy and new resources to prevention.
More informationSummary of Benefits for Anthem MediBlue Dual Advantage (HMO SNP)
Summary of Benefits for Available in: Select Counties* in Maine *See Page 2 for a list of counties. Plan year: January 1, 2018 December 31, 2018 In this section, you ll learn about some of the benefits
More informationFreedom Blue PPO SM Summary of Benefits
Freedom Blue PPO SM Summary of Benefits R9943-206-CO-308 10/05 Introduction to the Summary of Benefits for Freedom Blue PPO Plan January 1, 2006 - December 31, 2006 California YOU HAVE CHOICES IN YOUR
More informationSummary of Benefits Report SENIOR CARE PLUS: VALUE BASIC PLAN (HMO)-009 January 1, 2015 December 31, 2015 WASHOE COUNTY, NEVADA
SECTION I - INTRODUCTION TO SUMMARY OF BENEFITS You have choices about how to get your Medicare benefits One choice is to get your Medicare benefits through Original Medicare (fee-for-service Medicare).
More information2016 Summary of Benefits
2016 Summary of Benefits Health Net Jade (HMO SNP) Kern, Los Angeles and Orange counties, CA Benefits effective January 1, 2016 H0562 Health Net of California, Inc. H0562_2016_0175 CMS Accepted 09082015
More informationNURSING STUDENT HEALTH & IMMUNIZATION RECORDS
NURSING STUDENT HEALTH & IMMUNIZATION RECORDS *********************************** COMPLETE THE ATTACHED HEALTH PACKET AND SUBMIT TO THE NURSING DEPARTMENT NO LATER THAN THE ASN ORIENTATION. **************************************
More informationSmartSaver. A Medicare Advantage Medical Savings Account Plan. Summary of Benefits and Other-Value Added Services. From Blue Cross of California
SmartSaver From Blue Cross of California A Medicare Advantage Medical Savings Account Plan Service Area C Summary of Benefits and Other-Value Added Services H5769 2007 CO 415 09/22/06 Introduction to the
More informationOffice Hours Our office hours are Monday through Friday 7:30 am to 5:30pm. Our office is closed on all major Holidays.
Dear New Patient: We would like to welcome you to our practice. Our goal is to make your experience with us as pleasant as possible. In order to help us meet this goal we have listed some helpful hints
More informationBenefits at a Glance. Vectrus Systems Corporation Policy Number: 04804A. OAP Global Plan
Benefits at a Glance Vectrus Systems Corporation Policy Number: 04804A OAP Global Plan Vectrus Systems Corporation Long Benefits at a Glance Policy # 04804A Effective Date January 1, 2016 Vectrus Systems
More informationSchedule of Benefits - Indemnity Group - MEDFORD AREA SCHOOL DISTRICT Benefit Year: January 1st through December 31st Effective Date: 01/01/2016
Security Health Plan certifies that you and any covered dependents have coverage as described in your Certificate and Schedule of Benefits as of the effective date shown on the letter you received with
More informationSERVICES COVERAGE LIMITS/ EXCLUSIONS Alcohol, Drug, and Substance Abuse Services
SERVICES COVERAGE LIMITS/ EXCLUSIONS Alcohol, Drug, and Substance Abuse Services Alcohol, drug, and substance abuse treatment services are provided by the Department of Alcohol and Other Drug Abuse Services
More informationThe Home Doctor. Registration Checklist
The Home Doctor Registration Checklist All enrollees: ( ) Enrollment Form ( ) Copy of Insurance card(s) ( ) Medication List ( ) POA/Guardianship documents NOTICE Please allow two weeks for processing this
More informationSelect Summary YOU HAVE CHOICES ABOUT HOW TO GET YOUR MEDICARE BENEFITS TIPS FOR COMPARING YOUR MEDICARE CHOICES
INTRODUCTION TO THE SUMMARY OF BENEFITS FOR January 1, 2015 - December 31, 2015 Central Alabama and Mobile Area SECTION I INTRODUCTION TO THE SUMMARY OF BENEFITS This booklet gives you a summary of what
More informationTHANK YOU FOR JOINING
WELCOME KIT THANK YOU FOR JOINING Priority Private Care is New York s leading healthcare curator and urgent medical service provider. From our 24/7 facility on the Upper East Side, we provide our members
More informationKY Medicaid Co-pays. Acute admissions medical Per admission diagnoses $0 Acute health care related to. Per admission substance abuse and/or for
This is a list of current covered services and co-pays. Except for the Pharmacy Non-Preferred co-pay, co-pays do not apply to the following: Non-KCHIP children Children under 19 in foster care Pregnant
More informationBody Basics Physical Therapy Medical History
Body Basics Physical Therapy Medical History Name Date Age Height Weight Hand Dominance: Right/Left Primary Language Do you require an interpreter? Yes/No How did you hear about us? Doctor s First and
More informationSignal Advantage HMO (HMO) Summary of Benefits
Signal Advantage HMO (HMO) Summary of Benefits January 1, 2016 December 31, 2016 The provider network may change at any time. You will receive notice when necessary. This information is available for free
More informationSchedule of Benefits - Point of Service MOSINEE SCHOOL DISTRICT Benefit Year: January 1st Through December 31st Effective Date: 07/01/2016
Security Health Plan certifies that you and any covered dependents have coverage as described in your Certificate and Schedule of Benefits as of the effective date shown on the letter you received with
More informationServices Covered by Molina Healthcare
Services Covered by Molina Healthcare Because you are covered by Medicaid, you pay nothing for covered services. As a Molina Healthcare member, you will continue to receive all medically necessary Medicaid-covered
More informationKaiser Permanente Group Plan 301 Benefit and Payment Chart
301 Kaiser Permanente Group Plan 301 Benefit and Payment Chart 10119 CITY AND COUNTY OF SAN FRANCISCO About this chart This benefit and payment chart: Is a summary of covered services and other benefits.
More informationSage Medical Center New Patient Forms
Sage Medical Center New Patient Forms Patient Name: DOB: Providers and Suppliers of Your Medical Care: Please list all providers and suppliers of your medical care such as primary care physicians, specialty
More informationPatient Name: First Middle Last Address: City: State: Zip Code: Date of Birth: Social Security: Marital Status: S M D W
Date: Sex: M or F Patient Name: First Middle Last Address: City: State: Zip Code: Date of Birth: Social Security: Marital Status: S M D W Home Phone: Work Phone: Cell Phone: Email Address: Employment Status:
More informationMARATHON HEALTH CENTER a benefit of CHG Health and Wellness
Health & Wellness MARATHON HEALTH CENTER a benefit of CHG Health and Wellness WE ARE A DIFFERENT KIND OF HEALTHCARE COMPANY. OUR MISSION IS TO INSPIRE PEOPLE TO LEAD HEALTHIER LIVES. CHG Healthcare Services
More informationPediatric Patient History
Pediatric Patient History Childs Name: Today s Date: Primary Doctor: Date of Birth: Age: Reason for visit: List all chronic medical problems: List all medication dosages and frequency taken (including
More informationExplorer Plan (HMO-POS) SunSaver Plan (HMO-POS)
January 1, 2016 December 31, 2016 Explorer Plan SunSaver Plan SECTION I INTRODUCTION This booklet gives you a summary of what we cover and what you pay. It doesn't list every service that we cover or list
More informationAssistance. Improving. Consumer Health. Strategies for
Assistance Strategies for Improving Consumer Health A resource to help educate consumers about available preventive health incentives and eliminating barriers to receiving care www.bhpi.org www.healthsharesolutions.org
More informationNew Patient Registration Form NJR_NP_F100
New Patient Registration Form NJR_NP_F100 Patient Last Name First Name Middle Name Maiden Name Address (Street or Box) City State Zip Code Home Phone Number Cell Phone Number Work Phone Number E-Mail Patient
More informationMedical Management. G.2 At a Glance. G.3 Procedures Requiring Prior Authorization. G.5 How to Contact or Notify Medical Management
G.2 At a Glance G.3 Procedures Requiring Prior Authorization G.5 How to Contact or Notify Medical Management G.6 When to Notify Medical Management G.11 Case Management Services G.14 Special Needs Services
More informationMedical Management. G.2 At a Glance. G.2 Procedures Requiring Prior Authorization. G.3 How to Contact or Notify Medical Management
G.2 At a Glance G.2 Procedures Requiring Prior Authorization G.3 How to Contact or Notify G.4 When to Notify G.7 Case Management Services G.10 Special Needs Services G.12 Health Management Programs G.14
More informationIllustrative Benefits, Value Added Services and Premiums are effective January 1, 2016 through December 31, 2016
PLAN FEATURES Combined In and Out of Network Deductible (Plan Level/includes Network Deductible) Network & Out-of-Network Providers $0 Member Coinsurance N/A Applies to all expenses unless otherwise stated.
More informationMAIN STREET MEDICAL NEW PATIENT QUESTIONNAIRE
NEW PATIENT QUESTIONNAIRE Patient Name: Date: Date of Birth: SSN: Male Female Guarantor Name: SSN: DOB: Home Phone: Cell Phone: Street Address: Apt#: City: State: Zip: Billing Address (if different): Email
More informationTALK. Health. The right dose. May is Mental Health Month. 4 tips for people who use antidepressants
VOLTEE PARA ESPAÑOL! SPRING 2016 Health THE KEY TO A GOOD LIFE TALK IS A GREAT PLAN May is Mental Health Month. Everyone deserves good mental health. Whether you have a minor mental health condition that
More informationExplorer Plan (HMO-POS) SunSaver Plan (HMO-POS)
January 1, 2015 December 31, 2015 Explorer Plan SunSaver Plan SECTION I INTRODUCTION This booklet gives you a summary of what we cover and what you pay. It doesn't list every service that we cover or list
More informationHigh Deductible Health Plan (HDHP)
High Deductible Health Plan (HDHP) BeneFIts Summary Effective July 1, 2012 or October 1, 2012 Benefit Highlights How The Plan Works...1 Summary Of Benefits...4 Special Programs...7 Approval Of Care At
More informationKY Medicaid Co-pays Except for the Pharmacy Non-Preferred co-pay, co-pays do not apply to the following:
This is a list of current covered services and co-pays. Except for the Pharmacy Non-Preferred co-pay, co-pays do not apply to the following: Non-KCHIP children Children under 19 in foster care Pregnant
More informationEarly and Periodic Screening, Diagnosis and Treatment
Early and Periodic Screening, Diagnosis and Treatment 1 Healthchek Ohio Medicaid EPSDT Services Early Periodic Screening Diagnosis Treatment Identify problems early, starting at birth Check children s
More informationInformation for Dual-Eligible Members with Secondary Coverage through California Regular Medi-Cal (Fee-for-Service)
Information for Dual-Eligible Members with Secondary Coverage through California January 1, 2011 December 31, 2011 Los Angeles County This publication is a supplement to the 2011 Positive (HMO SNP) Evidence
More informationWest Allis Health Department
Have a Safe and Healthy Day! West Allis Health Department Get 6-8 hours of sleep each day Eat lots of fruits and vegetables Drink fluids Be physically active Use seat belts / car seats Be tobacco free
More informationFlossmoor: (708) Harvey: (708) Tinley Park: (708) ICOR: (708) Crestwood: (708) Patient Signature:
Patient Information Guidelines Department of Outpatient Therapy Services Physical, Speech and Occupational Therapy The staff at Ingalls Outpatient Therapy Services Department is dedicated to providing
More informationA WORD TO OUR PATIENTS ABOUT MEDICARE AND WELLNESS CARE
A WORD TO OUR PATIENTS ABOUT MEDICARE AND WELLNESS CARE Dear Patient, We want you to receive wellness care health care that may lower your risk of illness or injury. Medicare pays for some wellness care,
More informationHealthy Happenings September 2010
FOR IMMEDIATE RELEASE Rachel C. Peine August 12, 2010 Specialist CONTACT: Communications Office: (314) 344-6691 Pager: (314) 908-0463 Rachel_C_Peine@ssmhc.com Healthy Happenings September 2010 Kidney Early
More information2017 Summary of Benefits
H5209 004_DSB9 23 16 File & Use 10/14/2016 DHS Approved 10 7 2016 This is a summary of drug and health services covered by Care Wisconsin Medicare Dual Advantage Plan (HMO SNP) January 1, 2017 to December
More information2007 Community Service Plan
2007 Community Service Plan 169 Riverside Drive Binghamton, NY 607-798-5111 www.lourdes.com MESSAGE from the CEO Dear Friends, Providing community benefit is an important part of our Mission. It represents
More informationStatement of Purpose
Statement of Purpose Contents as set out in Schedule 3, The Care Quality Commission (Registration) Regulations 2009. Guy's and St Thomas' NHS Foundation Trust provides integrated hospital and community
More informationFloyd Healthcare Management Inc. Community Benefits Summary
Floyd Healthcare Management Inc. Community Benefits Summary FY 2013 Floyd Healthcare Management Inc. Community Benefits Summary for FY 2013 The Floyd healthcare system, which, for the purposes of this
More information