NEW EMPLOYEE HEALTH PLAN BENEFIT. Care When You. Need

Transcription

1 NEW EMPLOYEE HEALTH PLAN BENEFIT Care When You Care When You Want It Need It

2 What is Access Health? WHAT IS ACCESS HEALTH? Access Health offers cost savings worksite solutions by providing a medical clinic (on-site or near-site) that allows employers to provide for their employees easy access to quality healthcare. Access Health s Medical Clinics perform many of the federally mandated preventative functions of the Affordable Care Act services that are invaluable tools for creating a healthy workforce. Employees who visit Access Health are able to take advantage of preventative services without paying a co-pay, co-insurance or deductible, therefore reducing employer premiums and/or claims. 1 Access Health worksite clinics save time, lower costs and improve productivity

3 What are the employer and employee benefits of Access Health? Reduces their medical claims costs Improves employee morale Increases employee productivity Reduces absenteeism Decreases employee turnover Provides access to quality care when the employee needs the care, no appointment necessary Provides a TEAM of medical professionals for employees for care. Employer clinic does not take the place of any employee s current PCP (primary care physician) but does provide referrals if one is needed Tests results performed at the clinic can be sent to the employee s PCP if requested, providing continuity of care NP/PA are the physician extenders at the clinic, if a higher level of care is needed for the employee, a referral is made to a physician. Access Health can facilitate services such as: Routine physical / wellness exams Blood pressure, diabetes and cholesterol tests Education on topics as smoking cessation, weight loss, healthy diets, depression, alcohol abuse Flu shots Other routine primary care ABOUT ACCESS HEALTH 2

4 Treatment Available at Access Health Acute / Episodic Minor Care TREATMENT AVAILABLE AT ACCESS HEALTH 3 Respiratory Conditions Allergies Bronchitis Colds Coughs Flu Sinus Infections Sore Throat Strep Throat Head, Eye & Ear Ear Aches Ear Infections Fluorescein Eye Stain Pink Eye Styes Preventive Health Care Office Visit Annual Exam & Testing (No GYN Exams) Age Specific Lab General Health Panel CBC Glucose & Electrolytes Kidney Function Liver Function Thyroid (TSH) Skin, Hair & Nail Digestive & Urinary Acne Bladder Infection Insect Bites Diarrhea Lice Nausea Cold Sore Urinary Tract Infection Minor Skin Infections Vomiting and Rashes Lacerations & Cuts Poison Ivy Minor Laceration Closure Sunburn Incision & Drainage Wart Removal of Abscess Fractures Orthopaedic Referral for Treatment X-ray On-Site or Near-site Simple Splinting Vaccinations & Shots Flu Shots Injectable Antibiotics Tetanus Hepatitis A Vaccine Cortisone - Steroid Shots Upper Respiratory Infections(URI)

5 Routine Primary Care Routine Physicals Sports, Camp, Basic, College X-ray / Lab Testing Blood Pressure, BMI Referrals Specialty Services Diagnostic Testing Lab & Testing Screening Panels Comprehensive Assessment» Lipid Profile, Glucose, Kidney Function, Liver Function, Electrolytes, CBC, TSH (Thyroid)» Additional Age Specific Wellness Testing» Quick Strep Profile» Quick Flu Profile Access Health does not cover exams such as DOT, Workers Compensation, Police or Fireman physicals. Upon request, we will gladly help employers facilitate a direct contract with our provider should the provider be willing to provide these services. TREATMENT AVAILABLE AT ACCESS HEALTH Tailor your clinic to meet your employees needs 4

6 Frequently Asked Questions 1. What is Access Health? A high quality employer sponsored medical clinic (on-site or near-site) staffed by physician extenders, who are clinicians trained and licensed to treat common conditions, provide preventive services and give health advice. 2. Who are the Access Health Clinicians? Physician extenders who are licensed Nurse Practitioners or Physician s Assistants. All physician extenders are supported by primary physicians who provide oversight and are on-site in the clinics. 3. Does it matter where my insurance coverage is? No. Access Health Clinics are an enhancement to your insurance. Just present the insurance card you presently have. 4. Who can be treated at Access Health? Please see clinic locations. 5. Which conditions are treated at Access Health? Access Health s clinicians treat 25 to 30 common conditions such as strep throat, ear infections, urinary tract infections, skin rashes, and minor stitches. Clinicians are able to order prescriptions for these conditions when appropriate. See Treatment Available list. FREQUENTLY ASKED QUESTIONS 6. What preventive services are provided? Access Health s clinicians provide a broad range of preventive services, including blood screening tests, immunizations, and basic physical exams. 7. Which tests or screenings are available at Access Health? You can receive most common blood tests. Our tests include, but are not limited to, screenings for high cholesterol, diabetes, heart disease, liver and kidney function, thyroid disease, allergies, prostatic specific antigen (PSA), and osteoporosis. The clinic also offers basic lab and x-ray services. 8. When is Access Health open? Hours will vary and is dependent on the clinic location. 9. Do I need an appointment? You do NOT need an appointment; patients are seen on a first come, first served basis. However, scheduled appointments can be made if you desire. 10. Can Access Health clinicians give prescriptions for routine or minor conditions? Yes, the Physician s Assistant or Nurse Practitioner can prescribe medications for your condition they treated in the Access Health clinic How much will I have to pay for services at Access Health? You will have no out of pocket expense for services provided at Access Health. The clinic provides quality healthcare for minor and common conditions, plus basic preventive and wellness services. Access Health is an employee benefit provided by your employer.

7 12. Can I go to Access Health for any health issue? Access Health treats many common problems for primary, preventative, and wellness care. A primary care physician is immediately available if your problem is complex, or requires a higher more comprehensive level of service. After your provider assessment, if a higher level of care is required you will be referred to a Primary Care (if you do not have one, we can offer this service) or Specialty Physician for a more comprehensive level of services that may include more extensive labs and x-rays. At that time, your insurance will be filed for these services and you will be responsible for payment of any deductible or co payment required by your policy. 13. What is the role of Access Health s physician coverage? Access Health clinicians operate under the supervision of local physicians. This medical supervision ensures that you receive high quality, professional care. For more complex or chronic medical conditions, a physician is available. 14. Who sponsors Access Health? Your Employer through a partnership with Access Health. 15. Can I use any Access Health Clinic or just the one near my Employer? You will have access to all Access Health Clinic locations. 16. What is a Chronic Disease and is it covered? A Chronic Disease is any medical issue that may require continuous evaluation and monitoring. Common examples are cancer, diabetes, heart failure, and use of blood thinners. Once a medical assessment is done at Access Health, your diagnosis may require a higher level of care for your chronic disease. If a higher level of care is needed, it is not covered at Access Health. Your health benefits (insurance) and all applicable deductibles and co-pays will then apply. Your Provider will discuss with you when and why a higher level of care is necessary. An employee can certainly use the Access Health clinic for acute primary, preventative and wellness care at any time. Some lab and x-ray services may be covered for chronic disease treatment in the Access Health clinic. 17. Can I bring in a lab and/or x-ray order from an outside physician? No. The Provider in the Access Health clinic will order labs and x-rays based on their independent assessment of the patient s needs. Access Health is not an independent or reference lab. 18. Can I fill my prescriptions at Access Health? No, Access Health is not a pharmacy, and does not fill or dispense prescriptions. Some of our clinic locations provide provider owned on-site pharmacies for your convenience. After your Access Health assessment, the provider can write prescriptions, if required for your diagnosis, that can be filled at your pharmacy. 19. Can I get my prescriptions that were given by another physician reordered in Access Health without being evaluated? The Provider in the Access Health clinics will order medications based on their independent assessment of the patient s needs. FREQUENTLY ASKED QUESTIONS 6

8 Access Health, Inc. develops benefit solutions to mitigate risk and improve efficiency beginning with a strategic review of a company s benefit needs and objectives. Access Health, Inc. s methods and models result in peace of mind health and welfare coverage for employers, their employees and families. Access Health, Inc., through innovative population health improvement services and programs, makes it possible for employers to improve benefit value through member health improvement and the reduction of costly member health risks. Built upon the Access Health, Inc. promise of complete relationship and transaction transparency, Access Health, Inc. services deliver a new standard of fiscal and health accountability, ensuring reliable, affordable and sound benefit performance year after year. Access Health, Inc. does not use vendors. Our model keeps hometown money at home. Curious? Looking to move in a healthier direction? Contact us today. 375 Riverchase Parkway East Birmingham, AL PHONE: