Exclusively for Health Advocate Members April 2015 @yourservice Help is Here Healthy solutions for your entire family Getting the Right Care Learn about how we can help you inside >> The Right Help When You Need It Leave It to Us When it comes to who is looking after our medical care, we all want to have health professionals who are the “right fit” for us. Whether it’s a primary care physician for our routine care, or a specialist to treat a chronic condition, we want to make sure our health practitioners have both the right expertise and are responsive to our concerns. Bouncing from doctor to doctor to find a suitable fit can be costly and distressful, and may even jeopardize our health in some cases. In this edition, you will learn how Health Advocate can help you get the right care from the start, and help you make the most of your visits with your healthcare providers. Help is Just a Phone Call Away 24/7 Support 866.695.8622 HealthAdvocate.com/members Is Your Doctor the “Right One”? We can help Your doctor should… Having a physician with good credentials is essential to getting quality treatment. But studies show that your doctor’s bedside manner – how he or she interacts with you – can greatly impact your health. This includes aiding your efforts to lose weight, lower blood pressure or manage pain. • Be pleasant. Start your interactions with a handshake, a smile, a sense of courtesy and good eye contact. • Be concerned. Meet your explanation of symptoms with empathy, concern, and good listening skills. • Be patient. Take as much time as needed to answer your questions—allowing you to feel assured and supported. Selecting a doctor who you can trust is one of the most important decisions you can make! Is it time to make a switch? Your Personal Health Advocate can help you find a new doctor in your plan’s network and help schedule the appointment! Massachusetts General Hospital Study, 2014 April 2015 | @yourservice 2 New Diagnosis… Now What? We’ll Find a Second Opinion You just received a serious diagnosis and the doctor recommends surgery. Is this the best course of action for you? Securing a second opinion—and even a third, if needed—can help confirm a diagnosis or may result in a treatment course that is less invasive or costly. Your Personal Health Advocate can help you get a second opinion and guide you through the entire process to help you make the right decisions. Here are the key steps we will take: 1. Conduct in-depth research to identify qualified in-network physicians who can best evaluate your condition 2. Communicate directly with the consulting physician to ensure that your needs will be met 3. Review the providers’ experience with you 4. Inform about any tests and treatments Your Personal Health Advocate: • Unlimited access, 24/7 support • Help with a wide range of healthcare and insurance-related issues • Typically registered nurses, supported by medical directors and benefits and claims specialists • Saves you time, money and worry How we can help: • Find the right providers; secure second opinions 5. Help schedule the consulting appointment, facilitate the transfer of the medical records, discuss pre-visit testing and coverage • Explain conditions; research latest treatments 6. If desired, help facilitate involvement of your doctor in the choice of the consulting physicians • Resolve claims issues; clarify benefits Just Call. We’ll find the right doctors for informed decisions. • Help schedule appointments and tests ...and more Expanded family coverage: Eligible employees, their spouses, dependent children, parents and parents-in-law are all eligible to use the program. Be Prepared for Dr. Visits! Ask the Right Questions Ever left a doctor’s office confused? Next time, come armed with questions! With your FREE online Health Advocate Medical Visit Checklist Builder, you’ll have a customized list of reminder questions to bring with you! To use it is easy as 1-2-3. 24/7 Support 866.695.8622 HealthAdvocate.com/members Simply log on to the Health Advocate member website. 1. Click on the Medical Checklist button 2. Answer a few questions about your upcoming visit 3. Click submit You’ll have a list of questions for a wide range of appointment types that you can print and take with you to your doctor visit. Hours: Health Advocate can be accessed 24/7. Normal business hours are Monday-Friday, between 8 am and 12 am, Eastern Time. Staff is available for assistance after hours and on weekends. April 2015 | @yourservice 3 Relocating? Q&A Take your healthcare with you! Moving to a new vicinity may mean you will have to find all new healthcare providers and services for yourself and family members. And, if it’s because of a job change, it may also mean changes in your health benefits. Your Personal Health Advocate can help you transition your health so you can rest assured you will have the right care at the right time. We can help: My elderly mom now lives with me and her doctor prescribed a hospital bed for our home. Can you find out if it’s covered under Medicare? ine up in-network doctors, dentists and L Yes. In general, hospital beds and other medical equipment are covered by Medicare if medically necessary and the doctor and supplier participate in Medicare. We can explain what’s covered under your mother’s Medicare plan and the out-of-pocket costs. We can also locate a Medicare-approved supplier and coordinate any necessary paperwork between the supplier and Medicare. other specialists Schedule appointments ind in-network hospitals and F pharmacies near your new home acilitate the transfer of medical records F rovide you with a list of urgent care centers in case of emergency P Explain any changes to your benefits ocate eldercare resources or other caregiving services L ind resources for special needs like in-home care, F rehabilitation, counseling, etc. Don’t leave your health behind! We’ll take care of the transition. What’s your coverage question? Call us. Real people, Real stories “The Health Advocate Nurse helped me get the right provider for my injury.” When Jack hurt his lower leg and foot from running, he didn’t know what type of doctor he should see. He called Health Advocate to find a doctor in his network. Based on the description of his symptoms, the Personal Health Advocate, a Registered Nurse, explained that an orthopedist would be the best choice to evaluate and treat him. She found a doctor and set up the appointment. Helping Jack understand the source of his problem and the right doctor for his needs saved him time and money. April 2015 | @yourservice 4 Your Health Advocate website: Expert help 24/7 Your Health Advocate member website is packed with important information about your Health Advocate benefit. Download our “Get Started Guide” to better understand the program Watch our member video Access articles and videos about a variety of health and wellness topics Find Us, Follow Us, Connect with Us For more important health updates and wellness tips, or to share your own thoughts and tips follow us online! Question of the month: What are you or a family member doing to get the right care? Tweet us your answers using #NewYearNewMe Here’s what a member had to say about last month’s question regarding steps taken to protect future health: “I scheduled check-ups for me, my husband, and kids and we also recently splurged for a family membership to the local Y.” Help is Just a Phone Call Away 24/7 Support 866.695.8622 HealthAdvocate.com/members Health Advocate is not affiliated with any insurance or third party provider. Health Advocate complies with all government privacy standards. Health Advocate does not replace health insurance coverage, provide medical care or recommend treatment. ©2015 Health Advocate, Inc. HA-CM-1501003-4NL APR
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