Carewise Health personal health management

Carewise Health
personal
health
management
Your guide
to a healthier
tomorrow
National Elevator Industry Health Benefit Plan
Live well
Have you tried to improve your health in the past,
yet didn’t achieve your goals? For many, the biggest
obstacle to healthy living is trying to change alone.
No matter where you are today, you can reach a
healthier tomorrow with the Carewise Health*
Personal Health Management program provided to
you, for no additional cost, by the NEI Health Benefit
Plan. Carewise Health offers information, tools and
support focused around a single goal: helping you
live a healthier life. And most of all, you’re not alone!
Confidential—Empowering—Supportive
Carewise Personal Health Management
CHAPTER
2
* Carewise Health is a personal health management program administrator.
What is
Personal Health Management?
Make better choices for better health..........................2
Receive one-on-one help for
long-term conditions...................................................4
Get the best care based on your coverage.................8
To reach the Carewise Personal Health
Management program, call 1-800-634-4832.
1
Make better choices for better health
Personal Health Management is a free,
confidential program provided by Carewise Health.
It’s built around a simple idea: Today’s choices affect
tomorrow’s health. So, we help you make the best
decisions to enjoy a healthier future!
It’s not just major decisions, like having surgery.
Everyday choices matter, too. What do you have
for lunch? Do you go for a walk or watch TV after
dinner? While it can be hard to know which options
are right for you, it can be even harder to break free
of unhealthy habits. That’s why this program can
make a real difference in your life.
You now have direct access to our team of
personal health coaches and health educators.
These specially-trained healthcare experts will work
with you to create—and follow—a personal plan to
better health. With Personal Health Management,
help is always one phone call away!
2
“Health is
not simply
the absence
of sickness.”
[ Hannah Green ]
We protect your privacy
Health is a very personal matter. Carewise Health
understands that, so we fiercely protect your privacy.
We are a fully-accredited, independent, third-party
administrator. You can rest easy knowing that any
health information you share is confidential, protected
by federal law, and cannot be given to anyone
(including the NEI Health Benefit Plan) without your
permission.
Enjoy a healthier tomorrow
Personal Health Management supports, but does
not replace, your doctor’s care. For diagnosis and
treatment, always consult your healthcare provider.
Keep reading to learn about all of the valuable
services available to you. By using them, we can help
you make better choices for better health today.
Personal Health Management offers free,
confidential health improvement services. Each one
can be a piece of your personal plan to better health.
Once you see the “big picture,” you can take action!
* Carewise Health is a personal health management program administrator.
3
Receive one-on-one help for
“I’m a great
believer in luck,
and I find the
It can be confusing, frustrating, and difficult to manage
a long-term condition. That’s why people say that
Carewise Personal Health Programs are a welcome
source of support. These free, confidential programs
are designed to improve your health and quality of life.
harder I work,
the more
I have of it.”
[ Thomas Jefferson ]
Personal Health Programs
Carewise Health may invite you to join if you or an
eligible dependent are living with (or at-risk for):
◾ a
sthma
◾ atrial fibrillation
◾
COPD (emphysema or chronic
bronchitis)
◾
coronary artery disease, high
blood pressure, high cholesterol
◾ diabetes
◾
heart failure
◾ low back pain
Personal Health Programs
empower you to be an active member
of your healthcare team and effectively
manage long-term conditions.
4
long-term conditions
Tailored to your needs
Each Personal Health Program is tailored around your
unique needs. This Program not only helps you manage
a specific condition (such as asthma, COPD, diabetes or
heart disease); it also helps you set and achieve key goals
that are important to your overall health.
You’ll work one-on-one with a personal health coach, a
registered nurse with expertise in your condition. Together,
you’ll develop a care plan to help you:
◾
understand your current health status
◾
set personal goals for improving your health and
quality of life
◾
get the right tests and treatments for your
condition
◾
change your lifestyle to better manage your health
◾
be an active member of your healthcare team to
get the best treatment
◾
avoid potential complications of your condition
Health coach access
Personal health coaches are available Monday through
Friday from 8 a.m. to 8 p.m. Eastern Time. If your personal
health coach can’t take your call during that time, a
team of other health coaches will be happy to assist you.
After-hours calls will be routed to the Carewise Health Line,
where an experienced registered nurse will assist you with
immediate needs.
5
become
Program support
As part of the Carewise
Health program, you
will receive quarterly
newsletters and if working
with a health coach, you
will receive a workbook
and a personal journal
specific to your condition
to help guide you on your
path to healthier living.
Stay healthy and feel
better–even with a
chronic condition
6
When major health problems arise,
Carewise Health helps you achieve the
most important goal of all—the best
health outcome possible.
Accidents happen
No matter how well you care for your health, an accident or
sudden illness can catch you off guard. That’s when it’s nice
to know you can count on Carewise Health.
Our personal health coaches help people get through complex
or major health issues—such as cancer, kidney disease, obesity
or depression. Often, there’s a maze of healthcare providers,
tests, treatments and services to navigate. In such hectic times,
it’s important to take control from the very start. That means
ensuring everyone is working together on a clear and focused
treatment plan that promises the best possible outcome for you.
Carewise Health is on the case
When you need us most, we assign a specially-trained personal
health coach (backed by our team of board-certified physicians)
to see you through. Your health coach will form a personal
relationship with you and your family, helping to:
◾ a
nswer questions about your diagnosis
or treatment options.
◾ keep all healthcare providers on the same
page to avoid unnecessary tests or treatments.
◾ get you the recommended care based on
expert guidelines.
◾ coordinate your benefits so you receive all the
help available to you.
Finally, your Carewise health coach will not only keep you
in control of your care and informed of your progress,
but will also help you stay focused on the most important
objective of all—achieving the best possible health outcome.
“Whether you
think that you
can, or that
you can’t, you
are usually
right.”
[ Henry Ford ]
7
Get the best care based on your coverage
Healthcare is filled with conditions, tests, medicines
and procedures. How can you know that you’re
getting the best care—at the right cost—based on
your health coverage? By working with Carewise
Best Practices.
Carewise personal health coaches work to make
sure you get the best result. And we’re always at-theready to take questions from you or your healthcare
providers.
Our skilled health coaches provide prompt, impartial
evaluations as to whether a planned treatment is
covered under your benefits and follows expert
guidelines. They’ll also refer you to any Personal Health
Management programs that can help with your health
issues.
Plus, we have special expertise in managing lengths
of stay in a hospital or other facility and facilitating
alternative or out-of-network care.
Since Carewise Health is
independent and impartial, we
serve the best interests of your health
and your wallet. That’s maximizing
your health benefits!
8
Carewise Health
Ralph Waldo Emerson once said,
“The world makes way for the man
who knows where he is going.”
With that in mind, where are you heading? If things stay
the same, what could your life look like in the coming
months, years, and even decades?
Today, you have a choice to make. And it could impact
your life for a long time to come. Our hope is that you’ll
choose a healthier future by taking full advantage of the
Carewise Health Personal Health Management program!
9
personal health management
© 2011
NEIHBP30202