Healthline member newsletter

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Note: This article is over 60 days old, and may contain information that is out of date, or has been superseded by newer information.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 at the Capital Health Plan web site, capitalhealth.com on 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 CHP’s secure web site
  • Advance Directives and Living Wills
  • Capital Health Plan’s Case Management Program
  • Disease Management Services
  • Utilization Management: Understanding CHP’s Health Care Decision-Making:
    • CHP’s affirmation statement about incentives
    • Explanation of appeal rights, including the availability of external appeals by independent review organizations
    • How CHP evaluates new technology
    • How to reach CHP with specific questions about coverage issues

In “About Your Medications

  • Pharmaceutical procedures

In “Customer Service:”

  • How to obtain language assistance
  • How to obtain care after normal office hours

In “Live Healthy:”

  • Preventive Health Guidelines

For printed copies of these documents, please contact Capital Health Plan Member Services.

Making It Easy to Get the Care You Need

Note: This article is over 60 days old, and may contain information that is out of date, or has been superseded by newer information.

At Capital Health Plan, we strive to make it easy for you to get the care, tests and treatments you need. We continually look for new ways to improve the quality and accessibility of our services. Here are some of the ways that we have worked to make it easy for you to get care:

 

  • Capital Health Plan’s large network now includes over 125 Primary Care Physicians and over 300 Specialists.
  • Most local participating specialists do not require prior authorization for an appointment.
  • Preventive screenings such as mammograms and colon screenings do not require an authorization prior to the services.
  • Two CHP Eye Care Centers provide vision services when you need it.
  • CHP has a network of over 62,000 participating pharmacies nationwide to make it easy and convenient to fill your prescriptions.
  • When you need immediate care, CHP’s Urgent Care is available by appointment, Monday through Friday from 11am to 10pm, and weekends from 9am to 8pm.
  • CHPConnect allows you access to your medical information and test results 24/7.
  • While traveling outside the service area, CHP provides coverage for emergency services through Blue Cross Blue Shield providers nationwide.
  • Our local Member Services Staff is Available to Assist you and answer your questions.

 

Telephone Line available to Floridians for Information on Flu

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

We always want to keep our members informed on all health issues. As a service to you, here is some information released today by the State of Florida Department of Health on the flu pandemic:

THE STATE OF FLORIDA OPENS TOLL FREE SERVICE FOR RESIDENTS TO RECEIVE INFORMATION ON SWINE FLU

As of 11:00 a.m. today, the State of Florida has opened a toll-free telephone service where residents can call to receive health information about swine flu.

The number for Florida residents to call is 1-800-342-3557.

The line will be staffed from 8 a.m. to 8 p.m. daily until further notice. After hours calls will be handled by an automated service.

As Florida responds to swine flu, the Florida Department of Health offers the following recommendations:

  • People with respiratory illness or fever should stay home from work or school to avoid spreading infections, including influenza, to others in the community. .
  • Avoid close contact with people who are coughing or otherwise appear ill.
  • Avoid touching your eyes, nose and mouth.
  • Wash hands frequently to lessen the spread of respiratory illness.
  • Symptoms of swine flu are rapid onset fever, cough fatigue and in some cases vomiting and diarrhea.
  • If you think you have the flu, please call your health care provider and discuss whether you need to be seen in their office or an emergency department, or stay home.

Swine flu is not transmitted by food and you cannot get swine flu from eating pork products.

The State of Florida is receiving frequent updates from the CDC, and working with local health departments to monitor the situation and immediately follow up on suspected cases. The Florida Department of Health has created a webpage with information at www.doh.state.fl.us, and the CDC has a webpage at www.cdc.gov/swineflu.