Healthline member newsletter

CHPConnect Gets a Face Lift!

Note: This article is over 60 days old, and may contain information that is out of date, or has been superseded by newer information.

CHPConnect, a secure information portal available to all Capital Health Plan members received a face lift during the Fall 2012. Newly added features include:

Healthy Conversations: Healthy Conversations offers fourteen different multi-media presentations on topics such as Diabetes, Improving Sleep, Smoking Cessation and Healthy Eating and Exercise. Each topic has embedded technology that adapts to your specific answers. The presentations are clear, concise and provide evidence- based information.

Health Trackers: With Health Tracker, you can track your health information while away from your physician’s office. You have the ability to track blood pressure, blood sugar, body mass index, cholesterol, Hemoglobin A1C, peak flow readings, pulse, temperature and weight. A graph or linear reading can be printed and taken to your next physician’s office visit.

Health Risk Appraisal: The Health Risk Appraisal (HRA) is a personal health questionnaire that evaluates your health risks and quality of life. Upon completion, you will receive a wellness score, and suggestions on how to improve your quality of life.

Additional features of CHPConnect that are valuable in helping you take control of your health include:

Healthwise® Knowledgebase: The Healthwise® Knowledgebase uses a searchable medical encyclopedia providing descriptions of symptoms, pictures, and treatment options.

Lab Results: Within 3-4 weeks, certain lab results are available.

ID Cards: Lose your Capital Health Plan ID card? You can easily submit a request through CHPConnect to have a new card mailed to you.

Benefits: Have questions about your benefits? You can view your benefits and copayments from the Benefits and Eligibility tab in the left-hand navigation menu.

Registering as a CHPConnect user offers many advantages. With 24 hour and 7 days a week access, you can quickly retrieve answers to some very common questions. The health modules are evidence- based and provide thorough explanations to many common illnesses and diseases. Searching the Healthwise® Knowledgebase provides you with information so that you will be better informed at your next doctor’s visit.

How do I connect to CHPConnect?

Just follow these simple steps:

1. Go to our homepage.

2. In the top left box, click on the "New User?" link.

3. Fill in the registration form and choose a password (your password must be at least 6 characters; upper and lower case plus a number).

5. Within 3-4 business days, Capital Health Plan will send you an access code by mail.

6. Use your User ID, password, and access code to log in.

2013 Savvy Senior

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Capital Health Plan is proud to present our monthly Savvy Senior programs. These lunch and learn programs are designed to be educational and promote Living Well for older adults. The Physician Group of Capital Health Plan physicians, guest speakers, and other Capital Health Plan health care professionals will be presenting the programs this year.

The Savvy Senior program has become so popular we now hold it twice each month - on the first and third Fridays. We are very fortunate to have Anna Johnson-Riedel host the programs. They start at Noon and usually last an hour.
We invite you to come out, join the group, meet new friends, and become a Savvy Senior. It is open to the public and anyone is welcome to attend.

Upcoming programs:

Date

Presentation

Speaker

April 5 & April 19 Disuse Atrophy: Use It or Lose It Henry Gunter, M.D.
May 3 & May 17 Chronic Kidney Disease Robert Chapman, M.D.
June 7 & June 21 Diabetes Suma Dondapati, M.D.
July 5 & July 19 High Blood Pressure James Thomas, M.D.
August 2 & August 16 Skin/Wound Clinic TBA
September 6 & September 20 Volunteer Leon LeKendra Cunningham
October 4 & October 18 TBA Tara Loucks, ARNP
November 1 & November 15 Eye Care Daniel Lazar, O.D.
December 6 & December 20 Falls & How to Prevent Them Sheetal Deo, M.D.

If you are unable to attend in person you can always view a Podcast of the program on our website by clicking here.

If you plan to attend please be sure to RSVP by calling 850-523-7441 or 1-877-247-6512 (TTY 850-383-3534 or 1-877-870-8943) 8:00 a.m. – 8:00 p.m., seven days a week, October 1 – February 14; 8:00 a.m. – 8:00 p.m., Monday – Friday, February 15 – September 30. State of Florida members call 1-877-392-1532, 7:00 a.m. – 8:00 p.m.

Nominate a Senior in Our Community!

Note: This article is over 60 days old, and may contain information that is out of date, or has been superseded by newer information.

The Silver Stars Celebration is one of Tallahassee’s premier senior recognition events, honoring a select group of people for their special contributions. The Tallahassee Senior Center, which spearheads the event, invites the community to nominate a senior for a Silver Star. Capital Health Plan is proud to be a major sponsor for the 2013 celebration which culminates in a festive awards dinner at the FSU University Center on May 19, 2013.

We bet you know some shining women and men who reach age 60 and just keep bringing more brightness into the world. Who can be a star? Your friends, neighbors, relatives who…

  • Since age 60 have accomplished outstanding achievements
  • Demonstrated exemplary service to others and our community
  • Are inspiring models of active aging

From athletes to caregivers, Silver Stars illuminate many paths in life. Past honorees include athletes, executive directors, community advocates, caregivers, volunteers, and entrepreneurs. If you know someone 60 or older whose life of service you admire, whatever the arena, share your appreciation! Nominate a senior star and let the whole community know.

Nominations are sought from the community and must be received by February 8. Send a nomination form or a letter of nomination - not to exceed 100 words - to: Silver Stars Nomination, Tallahassee Senior Center, 1400 N. Monroe St., Tallahassee, Florida, 32303. Be sure to describe the individual's outstanding achievements or contributions since reaching age 60. Include the nominee's and nominator's contact names and information, and be sure to get permission from the nominee. Nomination forms can be downloaded here.

Ask Dr. Nancy: Are You Young Inside? Your Blood Pressure is One Way to Know!

Note: This article is over 60 days old, and may contain information that is out of date, or has been superseded by newer information.

Aging happens. You can see it in your face and in the wobble on your arms. But where aging matters most is inside your body because that is where disease quietly begins. Every cell in your body depends on blood flow to survive so your blood vessels are key to keeping all your cells healthy.

If the pressure in your blood vessels is higher than it should be, that causes damage. First to your heart which is working harder than it should, and down the line to the blood vessels which become stiff to counteract the increased pressure. This is what ages your blood vessels and causes "hardening of the arteries". Silently, you are set up for heart failure, heart attack, kidney failure and stroke. The best defense is to take action to know if you are at risk and to do something about it.

It’s easy. Adults should have their blood pressure measured every two years because blood pressure increases with age. Just visit your primary care physician. If your blood pressure is high at the beginning of the visit, have it retaken at the end of the visit.

The top number, called the systolic pressure, is over the bottom number, called the diastolic pressure. The result will be something like this: 120/80. These numbers are a reflection of the condition of your heart and blood vessels. If that top number is 100 to 120 and the bottom number is 60 to 80, then jump around your kitchen and give yourself a big "Yoo Hoo" because you have just ticked off a significant health risk. But get it checked again in two years because time marches on and you need to keep track of how you are doing.

If the systolic pressure is greater than 140 and the diastolic pressure is greater than 90, then you are in the danger zone. It is time to change your lifestyle. You have heard this before: weight reduction, physical activity, cutting down on alcohol consumption to 2 drinks a day or less for men and 1 drink a day or less for women, healthy diet, and limiting sodium all work to reduce blood pressure. They work together to reduce the speed of aging.

Treatment with medication is also important if your blood pressure stays elevated. There are numerous choices and the right choice for any individual depends on the characteristics of that individual. For instance, a diabetic person would typically be treated with a drug in the ACE inhibitor class.

The most common reason for poor control of hypertension is not taking the prescribed medication. If you are not taking your medication, tell your primary care physician the truth. The situation will become impossibly snarled if you don’t fess up and get on a higher dose of a medication that you weren’t taking correctly to begin with. Another reason is sleep apnea. If your oxygen level is falling when you sleep, your blood vessels react to that stress. The main thing to do is to take medication as prescribed and follow up with your physician.  

 

Capital Health Plan has a goal for its members to have the best blood pressure control in the nation which means that 90% of people with hypertension (high blood pressure) have their blood pressure controlled to a level which reduces health risk, <140/90. Currently that measure is at 70% which means we have a way to go and we won’t get there without your help. Mostly, however, do it for yourself because you are the primary beneficiary of aging well and avoiding disease.

 

Dr. Nancy Van Vessem is board certified in internal medicine. She has developed innovative disease management and quality improvement programs promoting the use of best evidence medicine, propelling Capital Health Plan to national recognition for quality of care.

New Name, Same Quality of Care

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Physician Group of Capital Health Plan Logo

Capital Health Plan is pleased to introduce the Physician Group of Capital Health Plan at our Governors Square and Centerville locations. This group of Capital Health Plan primary care physicians is exclusive to Capital Health Plan members. Their new name will better assist members in distinguishing Capital Health Plan’s staff physicians from the Capital Health Plan affiliate physicians.

Why all the excitement?

The Physician Group of Capital Health Plan is currently designing a website where members can learn about the staff physicians and convenient services available at our Governors Square and Centerville locations. Members will also have access to the Patient Portal (NextMD) from this website. With the Patient Portal, members may send secure messages to their physician or nurse, make routine appointments online, and request prescription refills.

- COMING SOON -

physiciangroupchp.org

Primetime Advantage: Coverage Outside of Service Area

Note: This article is over 60 days old, and may contain information that is out of date, or has been superseded by newer information.

Members often ask about coverage if they should become ill or have an injury while temporarily away or traveling outside the Capital Health Plan service area. If you are a Capital Health Plan Medicare Advantage (HMO) plan member

and you are outside the service area on vacation, visiting family, at your mountain or beach house, on a cruise or outside the service area for any reason, you are covered for emergencies anywhere in the world and urgently needed care anywhere in the United States.

If you have an emergency get help as quickly as possible. Call 911 or go to the nearest emergency room or hospital. Call for an ambulance if you need it. You do not need to get approval or a referral first from your Primary Care Physician. We do ask that you or someone else call Member Services to let us know about your emergency within 48 hours, if possible. Urgently needed care is also covered and is for a non-emergency, unforeseen medical illness, injury, or condition, that requires immediate medical care. Our plan covers urgently needed care that you get from any provider when you are outside our service area.

Follow up care does need to be coordinated through your Capital Health Plan network of providers. If you are given a prescription or need a refill while out of the area but in the United States, you may use one of over 62,000 network pharmacies nationwide to fill the prescription using your Capital Health Plan identification card. You can register at www.caremark.com to locate a participating pharmacy in the area you are in or call Member Services to assist you in locating a pharmacy. Members may also use any LabCorp facility in the country. To locate a LabCorp facility in the area you are in go to www.labcorp.com or call Member Services.

If you are traveling outside of the country for an extended length of time, call Member Services and ask them about the Blue Card World Wide program.

Enjoy worry free travel wherever you are going! 

The Flu Season Has Started Early This Year. Make Sure You Have Received Your Flu Vaccine.

Note: This article is over 60 days old, and may contain information that is out of date, or has been superseded by newer information.

Capital Health Plan members can get their flu vaccine thru the following methods:

1. The flu vaccine is a covered benefit through your primary care physician's (PCP) office. Call your PCP to verify if an appointment is needed. There is a $0 copay for flu vaccines and/or a pneumococcal vaccine if the office visit is only for the vaccine. Other services may require a copayment.

2. Flu vaccines can be obtained from the local health departments listed below. You should contact the facility directly for scheduling.

  • Leon County Health Department (850-606-8000)
  • Wakulla County Health Department (850-926-0400)
  • Liberty County Health Department (850-643-2292)
  • Calhoun County Health Department (850-674-5645)

3. Additionally, for members who have a prescription drug benefit with Capital Health Plan, 28,000 retail pharmacies in Capital Health Plan's network can administer the flu vaccine. You will need to work with your pharmacy regarding their specific appointment processes and you should have your Capital Health Plan ID card available to present when receiving the vaccine. The CVS/Caremark vaccination program applies only to adults 18 and over. Pediatric patients should see their PCP.

Ask Your Local Member Services Department

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Question: My address and/or phone number has changed. How do I update them with Capital Health Plan?

It is very important that Capital Health Plan has a correct address and phone number on file for you and your family. During the year we send out several important pieces of literature to explain changes to your benefits, to announce changes to our physician and provider network, or to assist you in optimizing your overall health. How to correctly update your address:

  1. Notify Your Employer.

    Notify your employer’s HR office of your change in address. Your employer will forward this information to us to update our records.

  2. Notify Capital Health Plan.

    Mail or fax in a notice to Capital Health Plan’s Enrollment department (fax # 850-523-7369).

The notice must be signed by the subscriber of the policy. You may also notify us through a secure message on CHPConnect Since CHPConnect includes a secure messaging system, information received through this application allows us to accept and complete your request to change your address. You can register for CHPConnect by clicking here. Address changes cannot be taken over the phone by your Member Services Representatives. However, you may request changes to your phone number by contacting Capital Health Plan Member Services.

Member Services: Five Days a Week, 8 a.m. - 5 p.m. 850-383-3311 or 877-247-6512 SOF Members: 877-392-1532; 7 a.m. - 7 p.m.

Medicare Member Services: Seven Days a Week October 1 - February 14 8:00 a.m. - 8:00 p.m. Monday - Friday February 15 - September 30 8:00 a.m. - 8:00 p.m. 850-523-7441 or 1-877-247-6512 TTY 850-383-3534 or 1-877-870-8943.

Information Central

Note: This article is over 60 days old, and may contain information that is out of date, or has been superseded by newer information.

Here are just a few topics you can find on the Capital Health Plan website, www.capitalhealth.com.

Under the Members Tab:

In "About Your Care:"

  • Understanding Quality: Improving Services for Members
  • Your Rights and Privacy:
    • Member Rights & Responsibilities
    • Use and disclosure of personal health information
    • Types and use of information members can enter on Capital Health Plan’s secure web site
  • Advance Directives and Living Wills
  • Capital Health Plan Case Management Program
  • Disease Management Services 
  • Utilization Management: Understanding Capital Health Plan’s Health Care Decision-Making: 
    • Capital Health Plan’s affirmative statement about incentives 
    • Explanation of appeal rights, including the availability of external appeals by independent review organizations 
    • How Capital Health Plan evaluates new Information Central technology 
    • How to reach Capital Health Plan with specific questions about coverage issues
  • Pharmaceutical procedures: About Your Medications

In "Live Healthy:"

  • Preventive Health Guidelines

In "Customer Service:" 

  • How to obtain language assistance
  • How to obtain care after normal office hours, when outside the service area, and in case of emergency

Under the Capital Health Plan Tab: In "About Capital Health Plan:" 

  • FAQs (Frequently Asked Questions)

For printed copies of these documents, please contact Member Services at 850-383-3311.

Capital Health Plan Shows Our Support

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Join Capital Health Plan in supporting upcoming walks in our community!

 

Big Bend Heart Walk

American Heart Association
Tom Brown Park
Saturday, October 6, 2012
Registration: 8:00 a.m.
Walk Begins: 9:00 a.m.

Making Strides Against Breast Cancer

American Cancer Society
Southwood Town Center
Sunday, October 21, 2012
Registration: 12:00pm
Walk Begins: 2:00pm

Light The Night

Leukemia and Lymphoma Society
Langford Green/FSU Campus
Thursday, November 15, 2012
Registration: 6:30pm
Walk Begins: 7:00pm

 

 

Cystic Fibrosis Team 2011

Capital Health Plan's Walk Team for Cystic Fibrosis

Capital Health Plan at March of Dimes 2011

Capital Health Plan at March of Dimes 2011

Capital Health Plan's Fight For Air Walk Team

Capital Health Plan's Fight For Air Walk Team