Assistance. Improving. Consumer Health. Strategies for
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1 Assistance Strategies for Improving Consumer Health A resource to help educate consumers about available preventive health incentives and eliminating barriers to receiving care
2 Using this resource to improve consumer outcomes is as easy as Identify The appropriate health plan for each consumer you work with and review the related pages in this guide. 2. Inform Various incentives are available to health plan members for taking steps toward better health. Let the consumer know that by taking these actions, they can receive incentives such as gift cards. The Incentives pages are a guide to the incentives currently available. Next, use the Assistance pages of this guide to help eliminate the barriers that keep consumers from visiting physicians for primary care. 3. Initiate If consumer has difficulty, assist them in making an appointment with their physician. If they don t have a ride, use the numbers provided on the Assistance pages to schedule transportation for them. These actions don t take much time, but they can make a great deal of difference for our consumers. Why should we facilitate these visits? for the health of it!
3 BHPI is making integrated healthcare a reality Assistance with our new Health:SHARE solutions. Our goal is to use data to drive better outcomes for the consumers in our networks. Or process focuses on three key areas: 1) Getting consumers to visit primary care providers for annual physicals. 2) Getting consumers to have annual blood pressure tests to identify the risk of hypertension early. 3) Making consumers aware of tools available to aid them with smoking cessation. Learn more at:
4 Incentives Gift Cards Aetna will reduce co-pays or give a gift card if a Health Risk Assessment is scheduled within 60 days of enrolling in the plan. Members may also be eligible for a gift card for participating in health behaviors related to: Breast Cancer Screening Cervical Cancer Screening Diabetes Prenatal & Postnatal Care Smoking Cessation Weight Management for Adults Call Member Services Aetna Better Health of Michigan
5 Assistance Transportation Aetna provides free transportation to and from doctor visits, behavioral health providers, pharmacies, and other medically necessary appointments Call MTM to schedule transportation. Please call (3) business days prior to scheduled appointment. Reimbursement Members can also get paid for gas to get to and from medically necessary appointments. Call Member Services for details Aetna Better Health of Michigan
6 Incentives Gift Cards Blue Cross Complete members can get rewarded for making healthy choices. Members may qualify for rewards by completing a Health Risk Assessment form with their physician and committing to make healthy choices. These choices include: Quitting smoking Losing weight Lowering blood pressure Controlling cholesterol Getting a flu shot Rewards may be a $50 gift card or a 50% reduction in cost-sharing contribution, depending on income. Call Customer Service Blue Cross Complete
7 Assistance Transportation Blue Cross provides free transportation to get to ongoing or regular doctor visits, sick visits, or other medical care. Blue Cross also provides free transportation to pharmacies to pick up prescriptions and durable medical equipment suppliers to pick up medical supplies. Call /7 for details. Blue Cross Complete
8 Incentives Gift Cards Harbor offers many gift card incentive opportunities to members. Examples include: $25 gift card available for new members age 18 and above who get a Health Risk Assessment. $25 gift card for Body Mass Index (BMI) Measurementadult (ages 18-24) child (ages 3-17). $25.00 Target gift card for Members who quit smoking according to the National Jewish Health smoking program to quit smoking criteria. Call the National Jewish Health Quitline to quit tobacco use ( ). $25.00 Target gift card for participation in Diabetes Program: Sweet Rewards which provides diabetic members assistance and encouragement. Harbor s Diabetic Program participants are given assistance toward attaining the goal of diabetic self-maintenance. Opportunities also exist in several other key areas: Well Child Services, Women s Health Services, Pregnancy Services, and Asthma Services. Call Harbor Health Member Services to learn about gift card programs. Harbor Health Plan
9 Assistance Transportation Harbor offers free transportation for medically necessary care visits. Call Member Services M-F, 8:30a.m.-5p.m., Please call (3) business days prior to scheduled appointment. Harbor Health Plan
10 Incentives Gift Cards $5 gift card for Postpartum Visits, Lead Screening, Ticket to Good Health Program, Diabetic Screenings*, Healthy Michigan 4x4 Screenings* $10 gift card for Diabetic Eye Exam, Children s Access to Care (ages 0-17), Adult Access (ages 45 & older) Quartely ipad, ipod, or LeapPad drawings for Adolescent Well Visits, Well Visits (age3-6), Mammograms, Cervical Cancer Screening *gift cards available for each measure/test performed McLaren periodically offer incentives to members to encourage visits to primary care physicians or for routine screenings. These incentives are available on McLaren website and in the Member Newsletter. Visit for more information. Call Customer Service McLaren Health Plan
11 Assistance Transportation McLaren offers free transportation to medically necessary care visits. Call Customer Service McLaren Health Plan
12 Incentives Gift Cards $5 gift card is available to Meridian s Healthy Michigan participants when visiting primary care physicians. Call Meridian Health Plan
13 Assistance Transportation Meridian offers free transportation to and from doctor visits, behavioral health visits, pharmacies, durable medical equipment vendors and health departments. Call Reimbursement Members can also be reimbursed for gas for driving to and from office visits. Call Meridian Health Plan
14 Incentives Gift Cards Midwest Health Plan members who have had the following services are eligible to receive a gift card: Child Vaccines Adolescent Vaccines Lead Screening Adolescent Well Visits Postpartum Depression Screening Health Risk Assessment Breast Cancer Screening Cervical Cancer Ccreening Diabetes Services (dilated eye exam, HbA1c, urine testing for nephropathy, LDL) Call Customer Service Midwest Healthplan
15 Assistance Transportation Midwest offers free transportation to doctor visits. A bus ticket or car transportation can be provided for members who need them. Call M-F, 7:30a.m.-5:30 p.m., Please call (4) business days prior to scheduled appointment. Midwest Healthplan
16 Incentives Gift Cards $50 gift card available to members when they get a Health Risk Assessment. $15 gift card available to members when they have an annual physical (comprehensive exam). Call Molina also has a new Rewards Point System that allows members to earn points for preventative care such as prenatal and well visits. Points can be redeemed online for items valuing up to $200 per calendar year. Visit the Member Portal for more information. Molina Healthcare
17 Assistance Transportation Molina offers free transportation to covered services. Transportation is provided when member has no other means to get to doctor appointments, x-rays, lab tests, pharmacy, medical supplies, or other medical care. Call Please call (3) business days prior to scheduled appointment. Molina Healthcare
18 Incentives Gift Cards $25 gift card available when children ages 1-21 complete their physical. $50 gift card or 50% reduction (depending on income) for Healthy Michigan consumers who complete their annual physical. Call Physicians Health Plan
19 Transportation Assistance Free non-emergency transportation for covered services provided by Sparrow PHP. Contact Sparrow PHP s Customer Service Department Please call (5) business days prior to scheduled appointment. Physicians Health Plan
20 Incentives Gift Cards $50 gift card or reduction in monthly contribution, (depending on income) available to Healthy Michigan HRA (required by SOM) members who complete standardized HRA form with provider. Generic $10 gift card available to Priority members who take their child (enrolled with Medicaid, <2 years age) for a lead screening test. Call Customer Service at Priority Health
21 Assistance Transportation Free transportation provided for members who do not have a way to get to medical appointments. Call or for more information or help to arrange a ride. Consumers may also be able to obtain transportation through the Community Mental Health Service Program when not eligible to use Priority s transportation. For example, rides are available for persons with development disabilities to speech, language and occupational therapies when the therapies are billed through the Community Mental Health Service Program. Call Priority s Behavioral Health department at or Priority Health
22 Incentives Gift Cards Total Health Care offers several annual member incentive programs for preventive services including: $20 gift card for Well Child visits $20 gift card for Childhood Immunizations $20 gift card for Lead screening $20 gift card for Mammograms $20 gift card for Pap Smears Various prenatal & postpartum visits eligible for $30 gift card & a case of diapers Call Total Health Care
23 Assistance Transportation Total Health Care offers free transportation for members who do not have a way to pick up prescriptions or medical items, get to medically necessary appointments or other covered services. Call Please call (4) business days prior to scheduled appointment. Total Health Care
24 Incentives Gift Cards Members who complete a Health Risk Assessment are eligible for a $50 gift card. Call Customer Service UnitedHealthcare
25 Assistance Transportation United offers free transportation to get members to medical care and services such as: doctor visits, medical supply companies, health departments, etc. Call Please call (4) business days prior to scheduled appointment. Reimbursement Members can also get reimbursed for gas to get to and from medically necessary appointments. Call Please call (4) business days prior to scheduled appointment. UnitedHealthcare
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