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The Mix - May 2015 - Family Health Plan Edition

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The Mix is a newsletter about health care and health insurance for our Family Health plan, Health Alliance Connect members. This is the May 2015 Issue.
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CONNECTING YOU to Care from start to finish What you think matters Helpful benefits Stay connected HEALTH CARE A Blend of Tips So You Can Be Your Best MAY 2015
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Page 1: The Mix - May 2015 - Family Health Plan Edition

CONNECTING YOU to

Care from start to �nish

What you think matters

Helpful bene�ts

Stay connected

HEALTH CARE

A Blend of Tips So You Can Be Your Best

M AY2015

Page 2: The Mix - May 2015 - Family Health Plan Edition

Have a Question? Call Us. • Hours: Monday through Friday, 8 a.m. to 8 p.m.• ICP-Medicaid: 1-877-933-8480• MMAI-Medicaid and Medicare (Duals): 1-866-951-0264• Both: TTY users call 711 or 1-800-526-0844 (Illinois Relay).

Have a Question? Call Us. • Hours: Monday through Friday, 8 a.m. to 8 p.m.• ICP-Medicaid: 1-877-933-8480• MMAI-Medicaid and Medicare (Duals): 1-866-951-0264• Both: TTY users call 711 or 1-800-526-0844 (Illinois Relay).

Have a Question? • 1-877-633-2526, Monday through Friday, 8:30 a.m. to 5 p.m. TTY: 711• HealthAllianceConnect.org

1

Welcome Back!

We want you to be your best, so we have a lotto share.Keep reading for:

The Mix is our newsletter forHealth Alliance Connect members.It comes out four times a year.

We’re glad you’re here. In case you missed out on the last issue, here’s what you need to know.

Mix in HealthHealth Alliance Connect helps make sure you get the

care you need from start to finish. That means you’ll

have a primary care physician (main doctor, also called

PCP) who focuses on all your health needs. You’ll also

get community services, rides to appointments and other

support to help you meet your goals. Plus, all your health

records stay in one place.

Tips ongetting the

most out of your Health Alliance Connect plan

Other helpful services and tools

you can use

Local events you can take

part in

Page 3: The Mix - May 2015 - Family Health Plan Edition

Have a Question? Call Us. • Hours: Monday through Friday, 8 a.m. to 8 p.m.• ICP-Medicaid: 1-877-933-8480• MMAI-Medicaid and Medicare (Duals): 1-866-951-0264• Both: TTY users call 711 or 1-800-526-0844 (Illinois Relay).

Have a Question? Call Us. • Hours: Monday through Friday, 8 a.m. to 8 p.m.• ICP-Medicaid: 1-877-933-8480• MMAI-Medicaid and Medicare (Duals): 1-866-951-0264• Both: TTY users call 711 or 1-800-526-0844 (Illinois Relay).

Have a Question? • 1-877-633-2526, Monday through Friday, 8:30 a.m. to 5 p.m. TTY: 711• HealthAllianceConnect.org

2

We’re Mixing it up.You Can Help Us.

Health Alliance Connect is looking for members and caregivers to join our advisory

board. If you want to share your ideas and opinions, email [email protected] or give us a call. We want to hear what you think.

Mix in Health

Insurance and health care can be confusing. We want to help make it easy. Our advisory board is how we

find out what questions members like you have. ??

Page 4: The Mix - May 2015 - Family Health Plan Edition

Have a Question? Call Us. • Hours: Monday through Friday, 8 a.m. to 8 p.m.• ICP-Medicaid: 1-877-933-8480• MMAI-Medicaid and Medicare (Duals): 1-866-951-0264• Both: TTY users call 711 or 1-800-526-0844 (Illinois Relay).

Have a Question? Call Us. • Hours: Monday through Friday, 8 a.m. to 8 p.m.• ICP-Medicaid: 1-877-933-8480• MMAI-Medicaid and Medicare (Duals): 1-866-951-0264• Both: TTY users call 711 or 1-800-526-0844 (Illinois Relay).

Have a Question? • 1-877-633-2526, Monday through Friday, 8:30 a.m. to 5 p.m. TTY: 711• HealthAllianceConnect.org

3

Connecting You to CareWhen you join Health Alliance Connect, you don’t just get health insurance. You also get

a team of people who care about you and your health.

Care coordinators are a big part of that

team. They make sure the people on

your care team are talking to each

other, so everyone stays in the loop

about your care.

Care Coordinator

In-Home Caregiver

Claims/Coverage

Specialists

PCP

Member

Pharmacy

Other Support Services

$

Care coordinators help you set goals

and figure out how to reach them.

They also answer your questions and

help you get the care you need.

Nick Quealy-GainerCare coordinator with

Health Alliance Connect since

September 2014

“I really enjoy getting out and working with

our members in their homes and communities,

where they are most comfortable. That lets me

get to know them on a deeper level instead of

always just talking on the phone.”

Page 5: The Mix - May 2015 - Family Health Plan Edition

Have a Question? Call Us. • Hours: Monday through Friday, 8 a.m. to 8 p.m.• ICP-Medicaid: 1-877-933-8480• MMAI-Medicaid and Medicare (Duals): 1-866-951-0264• Both: TTY users call 711 or 1-800-526-0844 (Illinois Relay).

Have a Question? Call Us. • Hours: Monday through Friday, 8 a.m. to 8 p.m.• ICP-Medicaid: 1-877-933-8480• MMAI-Medicaid and Medicare (Duals): 1-866-951-0264• Both: TTY users call 711 or 1-800-526-0844 (Illinois Relay).

Have a Question? • 1-877-633-2526, Monday through Friday, 8:30 a.m. to 5 p.m. TTY: 711• HealthAllianceConnect.org

4

Sarah HarbinSenior case manager with

Health Alliance Connect since June 2013

“We help members call their doctors to

set up visits, go over their coverage with

them, set up rides and talk about treatment

options. It’s our personal mission to help

make the lives of our members easier.”

“The care coordinators are here to help you on

your journey to better health. We understand

health care can be confusing, and it’s our job

to answer your questions, so you don’t get lost

in the shuffle. We also want to know what’s

important to you, so we can connect you to the

services you need.”

Page 6: The Mix - May 2015 - Family Health Plan Edition

Have a Question? Call Us. • Hours: Monday through Friday, 8 a.m. to 8 p.m.• ICP-Medicaid: 1-877-933-8480• MMAI-Medicaid and Medicare (Duals): 1-866-951-0264• Both: TTY users call 711 or 1-800-526-0844 (Illinois Relay).

Have a Question? Call Us. • Hours: Monday through Friday, 8 a.m. to 8 p.m.• ICP-Medicaid: 1-877-933-8480• MMAI-Medicaid and Medicare (Duals): 1-866-951-0264• Both: TTY users call 711 or 1-800-526-0844 (Illinois Relay).

Have a Question? • 1-877-633-2526, Monday through Friday, 8:30 a.m. to 5 p.m. TTY: 711• HealthAllianceConnect.org

Know Where to Go for CareYour main doctor plays a key role on your care team and knows a lot about your

health. When you need care and it’s not an emergency or urgent problem, call your

doctor first.

You might be used to going to the emergency room for most of your health care, but

now that you’re on a Connect plan, seeing your own doctor helps you in the long run.

He or she knows your health history and can help figure out how this problem fits in

with other issues you have. Emergency rooms and

urgent-care centers don’t know the full picture of

your health, so they just treat the problem you’re

having now.

If you’re not sure if you need to get care

now or set up a visit with your doctor,

call the Anytime Nurse Line at

1-855-802-4612 for help. But in an

emergency, always go to the closest

hospital right away or call 911.

You might have to wait to see your doctor.

But if you call as soon as you know you

need care, you can usually get the next

open appointment.

If you have trouble getting an

appointment with your doctor, call

Member Services at 1-877-633-2526.

TTY users call 711.

What is an emergency?

• Serious accident

• Eye damage

• Heavy bleeding

• Bad cuts or burns

• Broken bone

• Trouble breathing or chest pain

• Blacked out

• No heartbeat or pulse

• Overdose

• Sexual assault

• Fever of 100.4 degrees or higher in babies younger than 3 months

When do I need urgent care?

• Bad coughing

• Vomiting, diarrhea or

dehydration

• Pink eye

• Rashes

• Muscle sprains or strains

• Fever of 102 degrees or higher in people older than 3 months

5

Page 7: The Mix - May 2015 - Family Health Plan Edition

Have a Question? Call Us. • Hours: Monday through Friday, 8 a.m. to 8 p.m.• ICP-Medicaid: 1-877-933-8480• MMAI-Medicaid and Medicare (Duals): 1-866-951-0264• Both: TTY users call 711 or 1-800-526-0844 (Illinois Relay).

Have a Question? Call Us. • Hours: Monday through Friday, 8 a.m. to 8 p.m.• ICP-Medicaid: 1-877-933-8480• MMAI-Medicaid and Medicare (Duals): 1-866-951-0264• Both: TTY users call 711 or 1-800-526-0844 (Illinois Relay).

Have a Question? • 1-877-633-2526, Monday through Friday, 8:30 a.m. to 5 p.m. TTY: 711• HealthAllianceConnect.org

6

The visit won’t affect your coverage and doesn’t

replace care or advice from your doctor. It’s just

another way we help you stay healthy.

Check

your blood

pressure, oxygen levels,

the feeling in your feet

and more

Complete

a health check

Go over ways to talk t

o your

doctor about controlling pain

Talk with you about

ways to prevent or treat

diseases

meds, sleep, diet and more

Answer questions about

your

Healthy Can Start at HomeWe care about you and want you to see your doctor at least once a year. If you can’t

make it to the doctor’s office, we may see you as a good fit for a home visit

with a Health Alliance Connect provider, and we may call you to set up a visit.

During a home visit, one ofour healthcare providers can:

Page 8: The Mix - May 2015 - Family Health Plan Edition

301 S. Vine St.Urbana, IL 61801

Facebook.com/HealthAlliance

Twitter: @Health_Alliance

Pinterest.com/HealthAlliance

VEE NTCALENDAR

2015

For more community events, visit our website, HealthAllianceConnect.org.

Strawberry JamMeadowbrook Park | 2808 S. Race St. Urbana, IL | June 20 | 4 p.m. to 8:30 p.m.

Mattoon BagelfestPeterson Park | Mattoon, IL | July 14–18

Keep us in the Loop!Just like your friends and family, we need to know if you move or get a new phone number. That way we can keep in touch and send you important info about your plan.

You can also connect with us on social media. We’ll keep you in the loop on news and events, plus give you healthy living tips and info.

caid-themixFHPmay-0315

Please call 1-877-633-2526 and tell us what changed (TTY users call 711). Or send an email with your name, member number, address and phone number to [email protected].

Have you had a great experience with somebody at Health Alliance Connect? If so, you can give that person a Gold Star as a special way to say thanks. We’ll share your story with that person and his or her manager and peers. You can thank someone today at HealthAlliance.org/GoldStar.

Give aGold Star

Celebrating Generations ExpoEmbassy Suites Conference Center100 Conference Center Dr. | East Peoria, ILMay 20 | 10 a.m. to 2 p.m.


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