Healthline member newsletter

Ask Your Local Member Services Department

Note: This article is over 60 days old, and may contain information that is out of date, or has been superseded by newer information.

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Note: This article is over 60 days old, and may contain information that is out of date, or has been superseded by newer information.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

                                                                                              

 

Congratulations! CHP Members Report Healthy Behavior.

Note: This article is over 60 days old, and may contain information that is out of date, or has been superseded by newer information.

In a recent nationally conducted CAHPS survey only 10.4% of you reported that you smoke and only 6.6% reported they smoke every day. These are the lowest rates ever reported by CHP members. Compare this to the national average of 19.3% as reported in the January 2012 Summary Health Statistics for U.S. Adults by the U.S. Department of Health and Human Services Centers for Disease Control and Prevention.

Applause

Heart Health

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The heart pumps around 2,000 gallons of blood as it expands and deflates 100,000 times a day. That is why keeping the heart healthy is vital.

Based on data from the American Heart Association, heart disease is the number one cause of death for Americans. Heart disease represents a group of diseases including: angina (chest pain caused by too little
blood and oxygen), arrhythmias (abnormal heart rates), congestive heart failure (the heart’s inability to provide blood flow effectively), and heart attack (the blood supply is cut off from a part of the heart).
There are numerous ways to prevent heart disease and lead a healthy lifestyle: monitor your blood pressure regularly, don’t smoke and lower stress. The American Heart Association recommends a blood pressure of less than 120/80 for non-diabetic adults and less than 130/80 for diabetics. To lower chances of heart diseases stop smoking immediately. Finding effective ways to handling stress is also beneficial to healthy living. Stress leads to higher levels of certain hormones, which may result in high blood pressure, and then heart disease.

Eating and exercise go hand in hand when talking about preventing heart disease and keeping your heart healthy. Here are a few simple things that one can do every day:

• Take the stairs instead of the elevator.
• Drive to the end of the parking lot and walk to an entrance
• Turn regular cleaning moments into heart moments by designating one day out of the week to clean your entire house
• If you ride the bus, try getting off a stop before your destination and walk the rest of the way
• Find a hobby outside that requires some level of physical activity

There are also foods that help regulate good heart flow, and lend a hand with good cholesterol and blood pressure:

• Black Beans
• Salmon
• Tuna
• Red Wine
• Extra Virgin Olive Oil
• Walnuts
• Almonds
• Oranges
• Sweet Potatoes
• Carrots

Exercise Is Medicine

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Karl Hempel, M.D. 

Medical schools are now teaching students to prescribe exercise as a powerful form of treatment for most of the diseases that are disabling and killing our society. I recently attended a conference at Stanford University on how technology is changing the practice of medicine. It was amazing how many of the presentations promoted health through regular exercise. 

Approximately 70% of the diseases we die of are preventable and caused by our own behavior, such as obesity, inactivity, smoking, alcoholism, diabetes and hypertension. Regular exercise alone reduces your chance of getting diabetes by 58%. So why is only 30% of the population exercising regularly? The answer may be because it is hard to motivate people to exercise, particularly when they first start. 

So what would it take to get more people to exercise? Several medical problems have persuaded my patients over the years to seriously take up exercise. They are mainly high cholesterol, diabetes, hypertension, having a heart attack or a stroke, gaining weight and anxiety. Exercise is the only thing that has been proven to reduce the onset of dementia. Personally, that bit of information is the only thing I need to know to continue exercising regularly.

I also wonder if we could completely overhaul the health care system by paying people to be healthy. Paying a little for prevention could reduce the health care cost dramatically. A longtime sponsor of the Turkey Trot and other healthy events in this community, Capital Health Plan actually pays a portion of a membership to a gym for their members. Diabetes alone costs more than $100 billion per year just for medical care. What if we reduced this number by 58% just by encouraging regular exercise?  

One of the keynote speakers at the Stanford conference was BJ Fogg, PhD, the director of the Persuasive Tech Lab at the university. He gave an example of how someone should approach a behavior change, such as regular exercise. He suggested it is better to set a goal with a short span of time such as one month as opposed to saying, “I’m going to walk everyday for the rest of my life.” If your goal is to walk everyday for one month, after two weeks you could say, “I am halfway through and another two weeks is easy!” Hopefully, after doing this for one month you would notice how much better you feel and want to set another goal. Behaviormodel.org discusses Fogg’s model of persuasion in more detail. 

Another great resource is the website exerciseismedicine.org. This site, started by the American College of Sports Medicine and the American Medical Association, promotes regular exercise as a treatment for disease.

After years of practice, I have concluded that one of the most important things I can do for my patients is to convince them to exercise regularly. I agree with Thomas Jefferson who once said, “Make time for exercise now or allow time for illness later.”

Managing Your Diabetes

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

Do you have Diabetes? Actively participating in your care will help you control and possibly prevent complications associated with Diabetes. Most people with diabetes need to see their primary care physician (PCP) two to four times per year.

Here are some important topics to discuss with your doctor: 

  • Obtaining or maintaining a healthy weight
  • Quitting smoking (if you smoke)
  • Exercise appropriate for you
  • Laboratory tests: Discuss with your PCP the appropriate frequency for these tests:
    • Hemoglobin A1C:  your report card for blood sugar control over three months. A Hemoglobin A1C level less than 7% demonstrates good control. 
    • Lipid levels:  your risk for heart disease and stroke. Strive to achieve a level of <100mg/dl if you do not have heart disease and <70mg/dl if you do have heart disease.
    • Creatinine/BUN/eGFR:  to check your kidneys 
    • Microalbumin:  a urine test that can show early kidney damage
  • Blood Pressure: Maintain your blood pressure at 130/80 or below.
  • An eye exam, including having your eyes dilated to check your retinas
  • Feet and toenail health: You may need to visit a specialist for some issues.
  • Your medications (including all over-the-counter medications and supplements) 

Taking your medications as prescribed every day is one of the most important aspects of maintaining control of your Diabetes. Medications in the class of Angiotensin-converting enzyme inhibitors (ACE Inhibitors) or Angiotensin II Receptor Blockers (ARBs) have shown in studies to be the best at helping prevent kidney and heart complications in diabetics.  Generic formulations are available for both of these categories of medications. Ask your doctor to prescribe a 90-day supply when appropriate and in accordance with your pharmacy benefit (Medicare members with a CHP pharmacy benefit have access to 90-day supplies of both generic and brand medications [excluding Specialty drugs]. Commercial members with a CHP pharmacy benefit have access to a 90 day supply of generic drugs).  Less trips to the pharmacy means less opportunities to “forget” refilling your medications. Not taking your medications as prescribed increases your chances of complications from diabetes such as amputation, stroke, blindness and heart attack. 

For more information on the Diabetes Disease Management Program offered by CHP call (850) 523-7442- option 1.

Remember to get care from your doctor.  If you don’t have a scheduled appointment with your primary care physician in 2012, call today.  If you do not have a PCP assigned to you, call CHP Member Services at (850)383-3311.

Happy Birthday Capital Health Plan

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In June of 2012, Capital Health Plan will celebrate 30 years of serving this community. In 1982, a handful of Tallahassee civic leaders came together with the common vision of creating a quality, affordable health care system that responded to the needs of the community. Now 30 years later, Capital Health Plan has not only met these goals but surpassed them by becoming a national leader in health care.

We started small. We began with a network of 75 doctors and proudly served 5,000 members. Now CHP serves more than 125,000 members and provides a network of more than 550 doctors and specialists in the Capital City area. 

You are the reason we’re still going strong. Everything we do at Capital Health Plan is driven by our commitment to focus on the health of the community, improve the patient experience and reduce the cost of health care. That means that with each decision we make, we keep our members in mind. We thank you for your membership and look forward to 30 more years! 

Celebrate with us. 

We invite you to join us in celebrating this important milestone by visiting www.happybirthdaychp.com.

This special site is an online community where CHP members can share stories about what CHP has meant to them.  You can read testimonials from members like you who have played a part in Capital Health Plan’s 30-year history, and then share your own story. 

I’m a CHP Baby

We want to hear from babies born under Capital Health Plan. Whether you have a newborn, or you are a grown up CHP baby yourself, visit the “I’m a CHP Baby” page on the anniversary website to submit a story and a photo.

Member Services Message: Log on to CHPConnect

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Connect to Your Health Care with CHPConnect. 

Capital Health Plan Member Services Department is pleased to announce that we will offer CHPConnect training classes so that you can get the most out of this helpful, online, secure, health resource. 

Using CHPConnect, you can:

  • Maintain a personal history of your doctor visits, procedures, and diagnoses
  • Track claims, referrals, and medications (for members with CHP prescription drug benefits)
  • View some lab results
  • Manage children’s immunizations and visit dates 
  • Review your benefits, including copays
  • Learn about allergies and common health issues in the HealthWise reference library
  • Request ID cards 
  • Change your primary care physician and demographic information

And, you have access to CHPConnect 24 hours a day, right at home. Register online at capitalhealth.com.

The CHPConnect training will help you register, and introduce you to all the elements of the system. 

Trainings will be held on: 

  • Wednesday, May 9, 2012 at 10:00 a.m.
  • Wednesday, September 5, 2012 at 3:30 p.m. 

At the Capital Health Plan Administrative Office:1545 Raymond Diehl Rd, Suite 300, Tallahassee, FL 32317

Please call Member Services to reserve a space at one of these training sessions. Space is limited. We look forward getting you connected with CHPConnect. 

Member Services - Five days a week 8 a.m. -7 p.m.850-383-3311 or 1-877-247-6512

Medicare Member Services - Five days a week 8 a.m. - 8 p.m. 850-523-7441 or 877-247-6512

TTY - 850-383-3534 or 1-877-870-8943

Where does my CHP dollar go?

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At Capital Health Plan, we aim to keep coverage affordable and focused on hospital, physician, drug and other health care services.  

Administrative costs represent less than 4% of our total revenues, one of the lowest levels in the nation. CHP’s overhead has been below 5% of revenues for the past 25 years. 

This means that over $0.96 of your dollar goes directly toward providing the health care services you need.