Fall 2019 Employee Benefits Newsletter for your Welcome fall! Take time for a healthier, happier you with the help of the resources in this newsletter. In this issue » New: Employee assistance program » Tips for UnitedHealthcare® medical plan members » Conroe ISD Health & Wellness Center providers » Know your medical care options » Tips for Aetna Dental® plan members » Wipe out the flu » Making changes to your benefits » Conroe ISD Employee Health & Wellness Center reminders New: Employee assistance program Life can be a juggling act. It takes time and energy to balance your work, family, and personal challenges. To help manage life’s daily challenges, Conroe ISD is pleased to announce the SupportLinc employee assistance program (EAP). SupportLinc offers confidential, professional support and the following resources, at no cost to you and your family:* • Short-term counseling Receive up to three in-person counseling sessions with a licensed clinician to address issues such as depression, stress, relationship problems, grief, substance abuse, anxiety, work-related pressures, anger management, and other emotional health concerns. • Legal services Obtain a 30-minute telephonic or face-to-face consultation with a local attorney. • Expert referrals Knowledgeable specialists provide referrals to resources that help address issues such as child and elder care, adoption, pet care, home repair, education, and housing needs. • Financial services Obtain expert financial planning and consultation through a network of licensed financial counselors. • Web portal Access to thousands of articles, tip sheets, and videos covering a wide array of health, well-being, and work-life balance topics. • eConnect ® Mobile app Talk or chat directly with a SupportLinc counselor or schedule a time for SupportLinc to call you. All requests for information or assistance through the SupportLinc EAP are free of charge and completely confidential. You can contact SupportLinc anytime, 365 days a year. To get started, call 1-800-475-3EAP (3327) or go to www.supportlinc.com. *Eligible family members include any member of your household and your children up to age 26, even if the child does not live with you. The CISD Benefits Office is ready to help Benefits Specialists are here to answer your questions. Hours Monday – Friday 8:00 a.m. to 4:30 p.m. Call 936-709-7808 Email benefitsoffi[email protected]
Transcript
Fall 2019 Employee Benefits Newsletter
for your
Welcome fall!Take time for a healthier, happier you with the help of the resources in this newsletter.
In this issue» New: Employee
assistance program
» Tips for UnitedHealthcare® medical plan members
» Conroe ISD Health & Wellness Center providers
» Know your medical care options
» Tips for Aetna Dental® plan members
» Wipe out the flu
» Making changes to your benefits
» Conroe ISD Employee Health & Wellness Center reminders
For more information and to schedule an appointment, visit ConroeISDClinic.com.
New: Employee assistance programLife can be a juggling act. It takes time and energy to balance your work, family, and personal challenges. To help manage life’s daily challenges, Conroe ISD is pleased to announce the SupportLinc employee assistance program (EAP). SupportLinc offers confidential, professional support and the following resources, at no cost to you and your family:*
• Short-term counseling Receive upto three in-person counseling sessionswith a licensed clinician to address issuessuch as depression, stress, relationshipproblems, grief, substance abuse,anxiety, work-related pressures, angermanagement, and other emotionalhealth concerns.
• Legal services Obtain a 30-minutetelephonic or face-to-face consultationwith a local attorney.
• Expert referrals Knowledgeablespecialists provide referrals to resourcesthat help address issues such as childand elder care, adoption, pet care, homerepair, education, and housing needs.
• Financial services Obtain expert financialplanning and consultation through anetwork of licensed financial counselors.
• Web portal Access to thousands ofarticles, tip sheets, and videos coveringa wide array of health, well-being, andwork-life balance topics.
• eConnect®Mobile app Talk or chatdirectly with a SupportLinc counselor orschedule a time for SupportLinc to call you.
All requests for information or assistance through the SupportLinc EAP are free of charge and completely confidential. You can contact SupportLinc anytime, 365 days a year.
To get started, call 1-800-475-3EAP (3327) or go to www.supportlinc.com.
* Eligible family members include any member ofyour household and your children up to age 26,even if the child does not live with you.
The CISD Benefits Office is ready to help
Benefits Specialists are here to answer your questions.
Tips for UnitedHealthcare medical plan membersYour plan is now active. Use these handy resources to help you get the most out of it.
Access and manage your plan with myuhc.com®
Myuhc.com is a personalized website that helps you:
1. See what your plan covers
2. Find care and compare costs
3. View claims and account balances
See how to get the most out of your benefits
Visit uhc.com/welcome to watch short videos about getting started with your plan, using your benefits, and avoiding cost surprises.
Download the Health4Me app
When you are on the go, Health4Me puts your health plan at your fingertips. Download the free app to access your health plan ID card, find nearby care, and more.
See a doctor whenever, wherever, and save time and money.When you have a minor medical need such as a cold or sore throat, a Virtual Visit is a convenient way to start feeling better faster. With a Virtual Visit, you can see and talk to a doctor via mobile device or computer 24/7, no appointment needed. The doctor can give you a diagnosis and prescription, if needed. To get started with a Virtual Visit, go to uhc.com/virtualvisits. The cost for Charter Kelsey-Seybold and Nexus ACO R Memorial Hermann members is $15. Choice Plus HDHP members will pay 30% after deductible.
Enrolled in the Charter Kelsey-Seybold plan?Kelsey-Seybold offers 24/7 online appointment scheduling. Use your smartphone, tablet, or computer to go to kelsey-seybold.com. Enter your ZIP code and pick a time to schedule your appointment. 24/7 appointment scheduling is also available by calling 713-442-0427.
Know your medical care optionsWhen you need care, call your primary care provider (PCP) first. Your PCP has easy access to your records and knows the bigger picture of your health, and many offer same-day appointments to meet your needs. When seeing your PCP is not possible, it is important to know your quick care options to find the place that is right for you and help avoid financial surprises. Compare your choices today.
Quick Care Options
Needs or Symptoms
Conroe ISD UnitedHealthcare
Charter Kelsey-Seybold Member Cost
Conroe ISD UnitedHealthcare
Nexus ACO R Memorial Hermann
Member Cost
Conroe ISD UnitedHealthcare Choice Plus HDHP
Member Cost (in-network)
24/7 Nurse LineCall the toll-free member phone number on your health plan ID card for expert advice.
• Choosing where to get medical care• Finding a doctor or hospital• Health and wellness help• Answers to questions about medicines $0 $0 $0
Virtual VisitsAnywhere, anytime online doctor visits. To get started, go to uhc.com/virtualvisits
genital/urinary)• Minor injuries (burns, stitches, sprains,
small fractures)
$75 $75 30% after deductible
Emergency Room (ER)Care for serious needs. In an emergency, including a behavioral/mental health crisis, call 911 or go to the nearest ER.
• Chest pain• Shortness of breath• Severe asthma attack• Major burns• Severe injuries• Kidney stones
20% after deductible plus $200
copay
20% after Tier 1 deductible plus $200
copay
30% after deductible plus $150
copay
Freestanding ERs (FSER)Sometimes referred to as urgency centers, FSERs can be 2x the cost of an ER and 20x the cost of an Urgent Care Center. FSERs are able to treat similar conditions as an ER but cannot admit patients – they are neither located in nor attached to a hospital.
Ask before you enter:1. Is this an ER or Urgent Care Center?2. Is this facility in my health plan’s network?
Tips for Aetna Dental plan membersPlease note that while medical and pharmacy benefits changed to UnitedHealthcare on September 1, 2019, dental benefits are still with Aetna. Additionally, Aetna does not issue physical dental ID cards but would have mailed you a welcome letter when you initially enrolled. If you would like to print a dental ID card, you may do so by logging in to your member account at aetna.com. Aetna also has a handy app compatible with most smartphones and tablets.
If you are enrolled in the DMO plan, please recall this plan requires you to designate a primary care dentist (PCD) to receive care, and each family member
enrolled in the plan can have a different PCD. Aetna can tell you which dentist is designated, or you can look up this information in your member account at aetna.com.
The phone number for Aetna Dental Member Services is 1-877-238-6200 (TTY: 711), and the Conroe ISD group number is 737387. Member Services can help you locate providers, check claims, and more. For information about your plan’s benefits, please refer to the plan documents, which are available on the plan documents page of the CISD Benefits Office website (www.conroeisd.net/department/hr/benefits/).
Wipe out the fluA yearly flu shot is your best way to avoid or weaken the flu. If you are a Conroe ISD medical plan member with UnitedHealthcare, you can receive a free flu shot from a network doctor, convenience care clinic, or retail pharmacy. To find a covered provider, log in to your member account at myuhc.com.
Making changes to your benefitsNormally, you may choose or change benefits only during annual enrollment. However, when certain life events occur (marriage, birth, employment changes, etc.), you can make changes to your benefits.
To make coverage changes, you must contact the CISD Benefits Office no later than 30 calendar days after the event date.
Important to know:
Quick Care Options
Needs or Symptoms
Conroe ISD UnitedHealthcare
Charter Kelsey-Seybold Member Cost
Conroe ISD UnitedHealthcare
Nexus ACO R Memorial Hermann
Member Cost
Conroe ISD UnitedHealthcare Choice Plus HDHP
Member Cost (in-network)
24/7 Nurse LineCall the toll-free member phone number on your health plan ID card for expert advice.
• Choosing where to get medical care• Finding a doctor or hospital• Health and wellness help• Answers to questions about medicines $0 $0 $0
Virtual VisitsAnywhere, anytime online doctor visits. To get started, go to uhc.com/virtualvisits
genital/urinary)• Minor injuries (burns, stitches, sprains,
small fractures)
$75 $75 30% after deductible
Emergency Room (ER)Care for serious needs. In an emergency, including a behavioral/mental health crisis, call 911 or go to the nearest ER.
• Chest pain• Shortness of breath• Severe asthma attack• Major burns• Severe injuries• Kidney stones
20% after deductible plus $200
copay
20% after Tier 1 deductible plus $200
copay
30% after deductible plus $150
copay
Freestanding ERs (FSER)Sometimes referred to as urgency centers, FSERs can be 2x the cost of an ER and 20x the cost of an Urgent Care Center. FSERs are able to treat similar conditions as an ER but cannot admit patients – they are neither located in nor attached to a hospital.
Ask before you enter:1. Is this an ER or Urgent Care Center?2. Is this facility in my health plan’s network?
Calendar days include weekends and holidays.
Newborn
To ensure your newborn is covered, you must submit a change request to the CISD Benefits Office by the 31st day of life, even if you already have family or child coverage.
Email and voice messages sent to the CISD Benefits Office are time- and date-stamped, so be sure to leave a message if no one is available or the office is closed.
Learn more about the Conroe ISD Employee Health & Wellness Center providers
Eric Munchrath MSN, RN, FNP-C, LP
Eric is a family nurse practitioner serving patients of all ages. He is a graduate of The University of Texas at Arlington and the University of Texas Health Science Center in Houston.
Eric worked as a paramedic and an emergency room nurse before becoming a family nurse practitioner. In every role, Eric has enjoyed taking care of people of all ages. He sees patients for chronic disease management, including hypertension and diabetes, as well as acute illnesses such as sore throats, aches, and sprains, among others.
With his experience in emergency medicine, Eric has unique training in treating a variety of conditions. He enjoys creating an individualized plan of care for his patients and walking with them each step of the way. With a warm and personable demeanor, Eric makes sure his patients are comfortable with their plan of care. He takes the time to listen to each concern and wants to see patients feeling their best. For him, the best part of practicing medicine is getting to help people.
In his spare time, Eric enjoys spending time with his family and exploring technology.
Andrea Scace MSN, RN, FNP-BC
Andrea is a family nurse practitioner who received her Bachelor of Science in Nursing at Indiana-Purdue University Indianapolis, and her Master of Science in Nursing at the University of Cincinnati.
Andrea sees patients of all ages with a variety of primary care needs, from acute illnesses such as colds and the flu, to chronic diseases, and physical exams. Some of her clinical interests include health promotion, disease prevention, and disease management. She strives to establish open communication and trust with her patients, and encourage them throughout their wellness plan.
In her spare time, Andrea enjoys spending time with her family and being outdoors.
Claudia Castillo MSN, RN, FNP-C
Claudia received her Bachelor’s degree and Master of Science in Nursing – Family Nurse Practitioner at The University of Texas Health Science Center at Houston (UTHealth) School of Nursing.
Claudia worked as an EMT and an emergency room and ICU nurse before becoming a family nurse practitioner.
Claudia sees patients 6 months of age and older and is fluent in Spanish. She treats patients for a variety of primary care needs, from acute illnesses, to chronic diseases and wellness exams. Some of her clinical interests include diabetes prevention and management as well as preventive care. Claudia takes a holistic approach to patient care and strives to spend as much time as possible educating her patients on how they can improve their overall well-being.
In her spare time, Claudia enjoys spending time with her family, crafting, party planning, and swimming.
Conroe ISD Employee Health & Wellness Center
Office Hours
Monday – Thursday 7:00 a.m. to 6:00 p.m.
Friday 7:00 a.m. to 4:00 p.m.
Saturday 7:30 a.m. to 12:30 p.m.
Sunday – Closed
Location
Located on the Oak Ridge Elementary School Campus
19675 I-45 South, Suite 100 Conroe, TX 77385
Phone: 281–465–2873
Holiday Closings• New Year’s Day• Memorial Day• Independence Day• Labor Day• Thanksgiving Day• Day after Thanksgiving• Christmas Eve• Christmas Day• New Year’s Eve
Employee Health & Wellness Center reminders• Cost is $10 for Conroe ISD medical plan members and $50 for all other
Conroe ISD employees.
• Services provided (all ages): physicals, screenings, and acute episodic care for common illnesses and injuries such as seasonal allergies, coughs, colds, flu, fevers, and infections.
• Services provided (ages 7+): primary care, vaccinations, lab work, and chronic disease management for conditions such as diabetes and high blood pressure.
• Appointments are preferred and should be scheduled in advance for physicals and well-person, follow-up, and chronic care visits.
• Walk-in patients for sick visits and acute care needs will be taken up to 45 minutes prior to closing time, or when the clinic reaches maximum capacity. We encourage patients to call ahead for availability to promote a better experience for all.
• Individuals enrolled in a health savings account (HSA) are not eligible to receive services from the Center.
• The Care Manager Program ended August 31, 2019. Contact the CISD Benefits Office for alternate resources available through your medical plan.
For more information and to schedule an appointment, visit ConroeISDClinic.com.
