For members of BMC HealthNet Plan Notice to BMC HealthNet plan members about benefit changes You should have already received a notice from MassHealth to inform you that, effective July 1, 2010, MassHealth made changes to some of the member benefits your receive through BMC HealthNet Plan. This is a summary of those changes. For more information, go to the MassHealth member page at bmchp.org or call our Member Services Department at 1-888-566-0010 (TTY/TDD 1-866-765-0055), Monday through Friday, 8 a.m. to 6 p.m. You can also view an updated version of your Member Handbook containing these changes at bmchp.org or call Member Services to request a printed copy. Pharmacy Copay Changes Effective July 1, 2010, BMC HealthNet Plan co-pays for most covered generic and overthe-counter drugs changed from $2 to $3 for both firsttime prescriptions and refills. The co-pay for certain covered generic and over-the-counter continued on page 2 August 2010 How to Have a Healthy Pregnancy 1) See your doctor The keys to a healthy pregnancy start with a visit to your doctor. The earlier in your pregnancy you see your doctor, the quicker he or she make sure you are on the right track to staying healthy right through the delivery. If you think you might be pregnant, take a home pregnancy test which you can buy at any drug store. If the test says you’re pregnant, call your doctor or midwife right away to make an appointment. 2) Let us know Don’t forget to tell us if you’re pregnant too! We want to help. You can call the Member Services Department at 1-888-566-0010. You can also go to our Web site (bmchp.org) to submit a form letting us know about your pregnancy. Just go to the MassHealth member page and click on “Care Management”. In the “Pregnancy, Prenatal and Postpartum” section, click on the “Let BMC HealthNet Plan continued on page 3 In-Home Therapy When a child’s behavioral health needs make daily life hard for the family, In-Home Therapy may be the right answer for your family In-Home Therapy is one of six new behavioral health services for children and youth under age 21 with MassHealth Standard, CommonHealth, Family Assistance, Basic or Essential who are enrolled in BMC HealthNet Plan. The service offers family therapy at home and in the community. It may help your family support and better understand your child. continued on page 3 BMC HealthNet Plan Member Services Department | 1-888-566-0010 1 Benefit Changes continued from page 1 drugs mainly used for diabetes, high blood pressure, and high cholesterol stays at $1. Your Frequently Asked Questions Does BMC HealthNet Plan have benefits to help me stop smoking? Yes! You’re eligible for medications to help you quit, including nicotine replacement therapy. We also cover one-on-one and group counseling to give you the support you need. To give you even more help to quit, BMC HealthNet Plan partners with QuitWorks, a service of the Massachusetts Department of Public Health. Visit them online at makesmokinghistory.org or call 1-800-TRY-TO-STOP. Your Member Handbook and Provider Directory When you joined BMC HealthNet Plan, we sent you a member handbook. If you ever need another copy of the handbook, call our Member Services department at 1-888-566-0010 and ask that one be sent to you. To find providers in our network, go to bmchp. org and click on “Find a Provider.” If you need a free paper copy of your provider directory, call Member Services to request one. New phone number? Moving? New e-mail address? Let us know. Whenever your address or phone number changes, please contact our Member Services department to let us know. The number is 1-888-566-0010. You should also contact MassHealth and give them your new contact information. That way you won’t risk losing your eligibility due to MassHealth not having your correct address. You can call MassHealth Customer Service at 1-800-841-2900. Also, whenever you speak with one of our Member Services representatives, make sure to give them your e-mail address. That way, we can send you information about your BMC HealthNet Plan membership and benefits faster and with links to more information on the Internet. 2 BMC HealthNet Plan Member Services Department | 1-888-566-0010 Dental Benefits Effective July 1, 2010, MassHealth no longer pays for restorative dental services (including fillings, crowns and root canals) for members age 21 and older. MassHealth still covers preventive dental care (exams, cleanings, X-rays, etc.) If you have questions about your dental coverage, call MassHealth Dental Customer Service at 1-800-207-5019 (TTY: 1-800-466-7566). Transportation Benefits Effective July 1, 2010 MassHealth no longer covers non-emergency transportation for MassHealth Basic and Family Assistance members. For more information on your transportation benefits, call MassHealth Customer Service at 1-800-841-2900 (TTY: 1-800-497-4648). Complex Care Management BMC HealthNet Plan’s Care Management Select program offers help for members at high risk for problems because of health conditions or special health care needs. For more information about our complex care management program, please call 1-866-853-5241 (TTY: 1-866-765-0055). In-Home Therapy continued from page 1 Healthy Pregnancy continued from page 1 Know You’re Pregnant” link. One of our care managers will contact you by phone to help with your care. And if you qualify, the representative can even help you arrange transportation to get to your doctor appointments. 3) Eat right, get rest, don't smoke In the early part of your pregnancy, your doctor or midwife will talk to you about the importance of eating right and getting rest. He or she will also prescribe vitamins to make sure you’re getting the right nutrients. If you smoke, and you want to stop, talk to your doctor for a referral for a smoking cessation program or medication. 4) After the baby arrives – see your doctor again Once you’ve delivered your baby, it’s important to follow up with the doctor. Just as your baby needs to see his or her doctor, you need to see your doctor about four to six weeks after the delivery. Your doctor will make sure you’re recovering well from the delivery. He or she can also talk to you about how you’re doing at home. Having a baby can add stress to your life. Your doctor can help make sure you’re able to cope with your new responsibilities…and help you. Want more information about having a healthy pregnancy? Go to the MassHealth member page at bmchp.org, click on “Care Management” and then go to the “Pregnancy, Prenatal and Postpartum” section. Get text messages that help your pregnancy There’s a new FREE service to help pregnant moms. Text4baby provides totally free text messages three times a week with information to help you through your pregnancy and baby’s first year. It’s easy to join. Just text BABY (or BEBE for Spanish) to 511411 to sign up. Go to text4baby.org for more information. In this service, counselors help your child and family create and carry out a treatment plan. The treatment plan can center on setting limits, improving family communication or helping prevent behavioral crises. It can also focus on changing problem patterns that can get in the way of your child’s school performance or family life. Who is likely to need In-Home Therapy? IHT may be the right service for a youth who needs more help than outpatient therapy. Outpatient therapy usually happens in an office. IHT can happen anywhere the youth is located. It can take place in the youth’s home, school, or other community setting. Unlike outpatient therapy, IHT allows families to try out new skills in the places where problems occur, such as in the home or school. No Referral Needed No referral is needed for IHT. Families take the first step by contacting an IHT provider who works with the family to decide if the service is right for their child’s needs. If it is not, the IHT provider will direct the family to another service that might better fit the youth’s needs. Families can learn more about In-Home Therapy and other services for MassHealth members by calling BMC HealthNet Plan’s Behavioral Health line at 1-888-217-3501. Note: In-Home Therapy replaces Family Stabilization Team (FST) services as a MassHealth service for youth under age 21. This article was supplied by MassHealth. BMC HealthNet Plan Member Services Department | 1-888-566-0010 3 NONPROFIT ORG. U.S. POSTAGE PAID DENVER, CO PERMIT NO. 5064 Two Copley Place Suite 600 Boston, MA 02116 Take STEPS to Get Your FREE Pedometer How to Have a Healthy Pregnancy page 1 Boston Area Main Office: Two Copley Place Suite 600 Boston, MA 02116 Western Massachusetts Regional Office: 354 Birnie Avenue, 3rd Floor Springfield, MA 01107 Southeastern Massachusetts Regional Office: Bourne Counting House One Merrill's Wharf New Bedford, MA 02740 BMC HealthNet Plan is dedicated to helping our members maintain healthy lifestyles and prevent disease. That’s why we’ve created the Your Healthiest You online Wellness Center at bmchp. org for our members. As an extra incentive to visit our Wellness Center, members can get a free pedometer to track the steps you walk. Go to the home page of the Wellness Center at bmchp.org to find out how you can request your free pedometer while supplies last. We hope you’ll take advantage of our online Wellness Center to become Your Healthiest You! Berkshire Regional Office: 66 West Street, Suite 205 Pittsfield, MA 01201 Este boletín de noticias esta disponible en español. Si usted quisiera una copia de la traduccion en español, llame el Centro de Llamada de Servicio de Miembros al 1-888-566-0012. BMC HealthNet Plan Member Services Department | 1-888-566-0010 08/10 www.bmchp.org