March is National Nutrition Month
How much do your eating habits affect your risk for cancer? Probably more than you think. Along with quitting smoking and exercising regularly, one way to help cut your risk of cancer is to eat well and watch your weight. Your lifestyle habits, including how you choose to eat, are under your control.
Here are some eating tips based on the latest cancer prevention guidelines:
Helping Texans Live Healthier Lives
Check out a presentation that provides a great overview of the coverage offered by HealthSelect and the resources provided to you by UnitedHealthcare to help you get the most out of your HealthSelect benefits. Download the presentation
Designating a PCP (Primary Care Physician)
It is important to choose a PCP, because they help you maintain your overall health and give referrals for specialty care. To designate a PCP, call HealthSelect Customer Care Team toll-free at (866) 336-9371 (TTY 711), 8 a.m. – 7 p.m. CT, Monday – Friday.
If your visit requires a referral, your PCP will need to submit the referral request to UnitedHealthcare prior to your appointment. You can verify with your PCP and/or HealthSelect Customer Care at UnitedHealthcare that you have a referral. Referrals are valid for six months or up to six visits (whichever occurs first). You will need to discuss additional referrals with your PCP, if they are needed. Certain chronic conditions such as cancer or allergy treatment may be eligible for a standing referral that does not limit you to six months or six visits.
Referrals from your PCP are not required for the following services: routine eye exams, OB/GYN visits, behavioral health counseling, outpatient therapies (including chiropractic visits), urgent care centers, and convenience care clinics. If you have an eye exam related to a medical condition, a referral will be required from your PCP to see the specialist.
Certain health services like inpatient hospital stays, skilled nursing services, home health services and durable medical equipment over $1,000 must be pre-authorized. When you use a network provider, that provider will be responsible for obtaining any pre-authorizations required by the plan.
Ongoing treatments including outpatient rehabilitation therapies such as physical therapy or occupational therapy, durable medical equipment and chiropractic treatment must be considered medically necessary, and would require the provider to submit a treatment plan.
These requirements are in addition to any referrals from your PCP to specialists.
5 Tips for Fitting in Fitness
We all know exercise can help us improve our health and lose weight. Yet, 25 percent of adults don't exercise at all, according to the U.S. Surgeon General. Here are five simple tips that could help you get in better shape in just minutes a day:
Fit in Exercise During the Holidays
Don't wait until New Year's to set your fitness goals. There are ways to sneak in exercise while you're busy this holiday season. Here are a few tips to help keep exercise on your holiday "to-do" list.
If you miss a workout or two — don't stress about it. Cherish the time you're spending with the people you care about and enjoy the celebration. When things calm down again, your exercise routine will be waiting for you.
Affordable Care Act (ACA)
There is a lot of information regarding the Affordable Care Act (ACA), commonly referred to as “ObamaCare.” To learn more about the ACA and how it may impact you, check out the FAQs that answer common questions. More information is available at Healthcare.gov or call (800) 318-2596.
Annual Enrollment Health Fairs for Retirees begin October 28
Annual Enrollment for Retirees is here! There will be numerous health fairs held in various locations across Texas, starting October 28 and ending November 21. Stop by a health fair and visit with HealthSelect and UnitedHealthcare representatives. You can also pick up new benefit materials and have your questions answered.
November is American Diabetes Month
Many people have prediabetes – or are headed that way – and don’t know it. For one thing, it has no symptoms. But, knowledge is power. So, protect your health with these steps:
For additional information on diabetes, please read about the Diabetes Management Program or call myNurseLine toll-free at (877) 731-8306.
Important reminder about your vision benefits
An annual routine vision exam is included in your HealthSelect medical benefit plan. In most cases, only a specialist copay of $40 dollars is required when you use a network provider for your annual eye exam.
Glasses, contact lens exams, contact lenses, laser vision correction and eyewear are not part of the benefit plan. You can purchase these items at a discounted price from certain providers. To learn more, click here.
October is Breast Cancer Awareness Month.
Here are some tips to help you make it a valuable and meaningful month.
Learn more about breast cancer at www.Source4Women.com.
It’s time to start thinking about getting a flu shot
Flu season may begin as early as October. The flu is a contagious illness caused by influenza viruses that infect the lungs, throat and nose. The flu affects millions of people each year and can lead to serious illness or even death. According to the Centers for Disease Control and Prevention (CDC), the best way to prevent the flu is by getting vaccinated each year. The first lots of the flu vaccine for 2013-2014 were just released by the Food and Drug Administration (FDA), and are being shipped to clinics, doctor’s offices, pharmacies and other sites. Your HealthSelect medical benefits cover annual flu shots at 100% with no cost sharing (copays, coinsurance or deductibles) when you use a contracted network provider. To learn more, click here.
Effective 9/1/2013, the following updates have been made to HealthSelect benefits:
Durable Medical Equipment:
Out-of-Pocket Amounts for In-Area participants:
You can access additional information about your plan benefits under the Benefits section of this website.
Annual Enrollment Health Fairs begin July 2!
Annual Enrollment is here! There will be numerous health fairs held in various locations across Texas, starting July 2 and ending August 9. Stop by a health fair and visit with HealthSelect and UnitedHealthcare representatives. You can also pick up new benefit materials and have your questions answered.
Be safe in the sun.
Summer is a great time to be outdoors and enjoy fun in the sun. But remember to use sunscreen daily. Choose a broad spectrum sunscreen that protects from both UVA (ultraviolet A) and UVB (ultraviolet B) rays, with an SPF (Sun Protection Factor) of 15 or higher, and use it correctly. For best results, apply sunscreen about 20 minutes before going outside to allow it time to bond with your skin, and reapply after swimming, perspiring heavily or drying your skin with a towel. Learn more about sun safety at www.uhc.com/source4women.
June is National Men’s Health Month – Weight Loss Tips for Men
Women may dominate the dieting world, but obesity is an issue for men, as well. The number of obese men in the U.S. has doubled over the past 25 years. There are many benefits of losing weight, including decreased risk of diabetes, hypertension or heart attack. To get started, experts recommend changing how you fuel your body. Here are some tips:
To learn more about healthy eating and weight management, log into your online HealthSelect member account at myuhc.com/hs and go to Health and Wellness tab.
Are you looking for a network specialist?
To help you find network anesthesiologists, radiologists, pathologists or ER physicians, we put together hospital-based provider lists for specialists across the state. To learn more, click here.
Have you received a call from UnitedHealthcare?
If you have a chronic health condition, there are free programs and resources available to you through your HealthSelect plan. Unfortunately, many HealthSelect members don’t know these programs exist and are missing some great resources. UnitedHealthcare nurses are calling members to make sure they know of the services that could help them. We ask that you answer the call or call us toll-free at (866) 336-9371 (TTY users call 711) to get more information on these resources. To learn more about these calls click here.
HealthSelect network of physicians is growing
In the last six months, 910 primary care physicians (PCP) and 2,289 specialists have joined the UnitedHealthcare HealthSelect network. It’s important to have a network PCP, as he or she can help manage your care and issue referrals to see a specialist. Also, when you see network physicians and specialists, you receive network benefits, which can help minimize your out-of-pocket costs that may be incurred. To search for a network physician near you, click here.
Diabetic Supplies are covered under the HealthSelect plan and can be obtained through mail order when using one of the following providers:
If diabetic supplies are purchased from a retail pharmacy, the participant will need to submit a paper claim form along with the bill or receipt to UnitedHealthcare. Please be sure that the diagnosis code, procedure code, date of service and cost are included to ensure timely processing of the claim. The claim form can be obtained here or by logging into your online personal account here. Once logged in, you can then access the Claims & Accounts tab.
The HealthSelect plan requires that you get a referral from your PCP (Primary Care Physician) to a Specialist for network benefits to apply. You are able to view referrals submitted by your PCP by logging into your online account. The PCP must use the online referral process in order for the referral to show in your account. Any referrals submitted by paper or transferred from the prior carrier cannot be viewed through your online account. Please contact HealthSelect Customer Care toll-free at (866) 336-9371 to inquire about any referrals that are not showing on the personal online account.
An explanation of benefits (EOB) statement is a resource that gives you information on the cost of your healthcare office visit, procedures, and items purchased (like durable medical equipment). The EOB provides the total charge, the amount HealthSelect paid, the amount not applicable to a HealthSelect member, and the amount you may be responsible for paying. The EOB also contains other helpful information, like out-of-pocket balances. We’ve developed a quick EOB training to help better explain this resource.
You will receive your EOB by mail, unless you created your online account and choose to receive electronic statements. EOBs for preventive care are not mailed, but are accessible through your HealthSelect online account or by calling HealthSelect Customer Care.