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Alert: Protect your Protected Health Information!

Medical Identity Theft occurs more often as technology advances. A thief may use your name or health insurance identification number to see a physician, fill a prescription, file claims with your insurance provider, or seek additional care. If their health information is mixed with yours, your treatment, insurance records, and credit report may be affected.

You should be wary if someone offers you free health services or products, but requires you to provide your health plan ID number. Medical identity thieves may pretend to be employed at an insurance company, physician office/clinic, or pharmacy to try to trick you into revealing sensitive information.

Do not share your medical or insurance information by phone or email with anyone unless you initiated the contact.

Your Capital Health Plan ID number is valuable to identity thieves. You should protect your ID number just as you would your banking or social security information. Do not reveal your protected health information (such as medical conditions) or your Capital Health Plan ID number to any unsolicited caller offering free medications or supplies.

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Note: This article is over 60 days old, and may contain information that is out of date, or has been superseded by newer information.

Flu season usually falls between October - May, but it can start early every year according to the Centers for Disease Control. Make sure you receive your flu vaccine! Capital Health Plan members can receive their flu vaccine through 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 copayment for flu vaccines and/pr 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:

    - Calhoun County Health Department: 850-674-5645
    - Franklin County Health Department: 850-697-4121
    - Gadsden County Health Department: 850-875-7200
    - Jefferson County Health Department: 850-342-0170
    - Leon County Health Department: 850-606-8150
    - Liberty County Health Department: 850-643-2415
    - Wakulla County Health Department: 850-926-0400

  3. Additionally, for members who have a prescription benefit with Capital Health Plan, 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 when receiving the vaccine. The Retail Pharmacy vaccination program applies only to adults 18 and over. Pediatric patients should see their PCP.

If you have any questions, please call Capital Health Plan Member Services.

HIV/AIDS Awareness

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

Acquired Immunodeficiency Syndrome (AIDS) appeared in the medical community in 1981. In 1984, it was discovered that a certain virus was the cause of AIDS which became known as Human Immunodeficiency Virus (HIV). In August 1988, over 72,000 people were diagnosed with HIV/AIDS and today that number is estimated at 1.2 million people in the United States.

According to the Centers for Disease Control (CDC), patients 55 and older make up at least 26% of the HIV population in the United States. And with this, they are having to deal with other illnesses, such as type 2 diabetes, certain types of cancers, cardiovascular disease, liver disease and much more. Your providers will need to work with you to make sure medications are compatible with one another.

No matter the age, HIV/AIDS patients need a support system. Being engaged with a faith based group, peer support group, or HIV/AIDS service organizations can help patients stay healthy and involved in their HIV/AIDS management.

If you have any questions about testing of HIV/AIDS, make sure to talk to your primary care physician. Remember, early detection and diagnosis is key to living an improved quality of life.

Notice: Capital Health Plan Recorded Phone Calls

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

Call monitoring is an effective method for improving the level of service provided to our customers, our patients and our members.

Part of Capital Health Plan's overall strategy is to provide top-level customer service throughout the organization, including telephone etiquette and accurate information. Incoming and outgoing calls are recorded in departments in which our staff routinely communicates with you. When our staff placed an outbound call to you, they will indicate that the call is recorded, when applicable. You may aso hear beeping during your call, letting you know your conversation is being recorded.

The Savvy Senior: Upcoming Programs

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

Captial Health Plan is pleased to offer our popular Savvy Senior Program which is held on the first and third Friday of each month. These educational programs include a wide range of subjects and are geared towards older adults.

Anna Johnson Riedel hosts the programs which begin at noon and usually last an hour. The same program is repeated twice each month to accomodate the number of attendees. The Physician Group of Capital Health Plan, health care professionals, and a vriety of community organizations are our guest speakers.

Below are upcoming Savvy Senior Programs that will be held at Capital Health Plan's Governor's Square Health Center:

  • Good Carbs vs. Bad Carbs
    Friday, November 6, 2015 and Friday, November 20, 2015
    Noon to 1 p.m.
  • Shared Decision Making
    Friday, December 4, 2015 and Friday, December 18, 2015
    Noon to 1 p.m.
  • Affordable Care Act: Impact on Medicare
    Friday, January 15, 2016 and Friday, January 29, 2016
    Noon to 1 p.m.

Be sure to check the Medicare Event Calendar to find all of our monthly programs. Our programs are open to the publiv and anyone is welcome to attend.

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.

2016 Plan Changes

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

Our Formulary (list of covered prescription drugs) is changing January 1, 2016.

Capital Health Plan has a nationwide pharmacy network available to our members (who receive their pharmacy benefits through Capital Health Plan) with over 50,000 pharmacies.

The 2016 Commercial and Medicare Formulary is available online beginning on October 1, 2015. Please click here to see if the 2016 changes affect your prescription drugs. In addition, mail order prescription services will be available through PrimeMail® for all Capital Health Plan members. For more information on PrimeMail®, please click here.

New health care regulations and decisions of your employer may have affected your group plan. When it's time for your 2016 open enrollment, be sire to ready your policy information thoroughly and work with your group administrator to understand all the changes.

Get In the Fight - It's YOUR Life!

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

Another year has passed and you proudly look back at the accomplishments of last year. Challenges were met, and changes were made, in an effort to have a better life by improving your health. And you did it!

Many have started an exercise program or quit smoking and stuck with it! Many have changed their diet on their own accord, or at their doctor's suggestion.

Many took the flu shoe and started taking their prescribed medication regularly, trusting the advice of their doctor. Many kept current with mammograms and thoughts took the initiative to get involved in colon cancer screening. However, several are patting themselves on the back for getting past another year without anybody noticing they didn't make their colon screening appointment. Well, we at the Colon Screening Program of Capital Health Plan noticed.

Everyone age 50 to age 75 should be actively involved in colon cancer screening to help fight colon cancer. Studies have shown that African Americans have a higher incidence of colon cancer and more fatalities if colon cancer develops; prevention should start at age 45. There are some who have family histories that put them at increased risk and, if that is the case, don't hesitate to ask your doctor how early you should get involved in colon cancer screening.

Unlike breast cancer screening, which is intended to detect breast cancers that have already occurred, colon cancer screening has a second benefit. It can prevent most cancers, which is the true benefit of colon screening. Since most cancers are caused from precancerous growths, painlessly removing abnormal growths before they change into cancer cells can prevent colon cancer from occurring. But, if a cancer is found during colon screening, early removal of the cancer before it spreads beyond the colon can be life-saving.

The best part of all, colon cancer screening is easy!

  • At Home Stool Sample: Since growths bleed, the Colon Screening Program can check a small spot of stool for non-visible blood. The test only requires one stool sample and there are no dietary restrictions when collecting the sample. The collection process is incredibly easy and sanitary.
  • Colon Exam: After a bowel cleansing, a slender, lighted tube is used to look at the lining of the large intestine. If the patient prefers to remain alert during the exam, there is only pressure and light cramping felt. Most patients can easily tolerate the exam and even go back to their normal routine the very same day.

It's 2015 and the time is now! Don't reward yourself for missing opportunities to preserve your health. On your list of accomplishments this year be sure to add joined the fight to prevent colon cancer.

If you have questions about colon screening, talk to your primary care physician. Your primary care physician can discuss your risk of colon cancer and if screening is right for you. You may also call the Colon Screening Program at 850-523-7350.

Away From Home Care

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

Away From Home Care®  is a program that Capital Health Plan participated in to cover our members who are out of our service area for 90 consecutive days or more. Members can take advantage of the Away From Home Care® benefit when families are apart such as a child away in college, family members residing in different HMO service areas, and/or long term travelers. This benefit allows our members to seek routine and emergency care while outside our service area for an extended period of time.

There are certain criteria tha tmust be met for you, or your dependents, to be eligible for Away From Home Care®:

  • A member must be out of the service area for at least 90 consecutive days.
  • A policyholder can ONLY be out of the service area for a maximum of 6 months each year.
  • Dependents on the policy can be enrolled for up to one year and renew their guest membership each year.
  • Other retrictions may apply.

It is a very simple process, as easy as 1-2-3-4:

  1. Call Capital Health Plan Member Services. Have the address, phone number, county, and state where you (or your dependent) will be. Member Services will verify that there is a participating HMO in the service area.
  2. Look for an application in the mail (to be completed by the policyholder).
  3. Complete and sign the application; send it back to Capital Health Plan at least 15 days before you would like it to be effective. If the application is for someone over the age of 18, he or she must sign the paperwork as well.
  4. Look for plan information in the mail from the Host HMO.

All family members are eligible for Away From Home Care®. Each family member will need to have his or her own guest membership. Capital Health Plan offers worry free travel, wherever you may go!

National Health Care Decision Day

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

National Health Care Decision Day is Thursday, April 16, 2015. National Health Care Decision Day encourages everyone to communicate their health care wishes to family and medical providers before the need to make medical decisions arises. This is known as an Advance Directive. Capital Health Plan's Advance Directive of choice is Five Wishes. Five Wishes has become America's most popular living will because it is written in everyday language and helps structure important conversations about care in times of serious illness.

The end of life is often treated as a medical moment rather than a process that completes the circle of life. If asked, most will tell you that they want to be allowed to have a natural death. Almost everyone can relate to a story of a loved one experiencing pain or isolation in the end of stages of life. This can all be avoided by completing Five Wishes now before you become ill or incapacitated.

Do you feel uneasy or confused about how to start this vital conversation with your loved ones? The Planning Early About Care at the End (PEACE) Program at Big Bend Hospice provides you with the information you need to get started. The ongoing discussion begins with an assessment of your motivation, your knowledge and your beliefs regarding health care at the end of life. The results from this assessment will help you articulate your preferences. values and goals to your family and loved ones. To reach a PEACE facilitator, please contact Big Bend Hospice at 850-878-5310.

Additional information on advance care planning can be found here. There are videos that offer suggestions on how to get a coversation started with both your health care team and your loved ones regarding end of life care planning. You can also find checklists, books and websites that focus on advance care planning.

The Capital Health Plan Health Promotions Department will be distributing Five Wishes on Thursday, April 16, 2015 at both Capital Health Plan Health Center locations. Please plan to pick up your copy. Life can change in an instant. Please give your family the gift of having completed an Advance Directive today.

If you have questions concerning Five Wishes or you are not able to stop by on Thursday, April 16, 2015, please call the Capital Health Plan Health Information Line at 850-383-3400 or Big Bend Hospice at 850-878-5310.

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 2015 celebration which culminates in a festive awards dinner at the FSU University Center on May 21, 2015.

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 13. 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.

For more information on the Silver Stars Celebration, click here.