Quality of Care Programs Flier
Transcription
Quality of Care Programs Flier
Quality of Care Programs healthyliving.pepsico.com Questions? 1-855-PEP-1117 Improve Call health outcomes. 8am–9pm ETManage Monday–Friday costs. 2015 Quality of Care Programs PepsiCo provides a variety of programs that give you access to expert medical advice and the best quality of care. By focusing on the quality of care delivered, we aim to improve health outcomes while managing costs. The following programs are available at no additional cost (except where indicated) to those enrolled in the Healthy Advantage and Core Plus Medical Options. Remember, you can always call Health ACE (1-877-224-0030 for Anthem BCBS members or 1-888-761-0113 for UHC members) if you need assistance with any of these programs. call Teladoc: Health Care Made Simple Teladoc® gives you 24/7 access to U.S. board-certified doctors and pediatricians 365 days a year by phone or secured online video. Teladoc doctors can diagnose, treat and prescribe medication* for many types of medical conditions at a cost much lower than an urgent care facility or emergency room. You can contact Teladoc to receive treatment for non-emergency medical conditions, such as bronchitis, sore throat, allergies, ear infections, sinus problems, pink eye, cold and flu symptoms and more. So if you need care when your primary care physician isn’t available, such as on nights or weekends or while you’re on vacation, Teladoc is here to help. Visit Teladoc.com/pepsico or call 1-800-Teladoc (835-2362) to get started. go Best Doctors: Expert Medical Advice at No Cost If you are dealing with a complex medical condition, call Best Doctors to access the expert medical advice of more than 53,000 specialists worldwide. Best Doctors will collect your medical records and send them for review to an expert specializing in your condition. You’ll get a comprehensive report with the expert’s diagnosis and treatment recommendations. If you need to see a physician in person, Best Doctors will find you a leading in-network doctor. They also provide treatment decision support to help you actively engage in treatment decisions for your condition. They’ll provide you with As appropriate and as limited by state law * When it comes to your health care, quality counts. information on possible treatments to discuss with your doctor, and the clinical and cost ramifications of your choices. With Best Doctors, you have the tools to avoid inappropriate treatments, access more appropriate care, and get better health outcomes. Best Doctors is free and confidential, and the entire process takes place from the comfort of your home. To get started, call 1-866-904-0910, or visit bestdoctors.com/members. Care Management: Helping You Manage an Ongoing Health Condition When it comes to your health, there are times when you may need a little extra help and professional support. Maybe you have a chronic condition like diabetes or high blood pressure, or you’ve recently had a health crisis such as a heart attack—or both. Maybe you’re pregnant, or you just got out of the hospital following surgery. Whatever the case, the PepsiCo Care Management Program is here to help you. Your medical plan carrier—Anthem Blue Cross and Blue Shield (BCBS)or UnitedHealthcare (UHC)— administers the Care Management Program. Your carrier is in the best position to identify any potential need for special attention, because they process and track your medical and prescription drug claims. Your carrier also has records of your Wellness Screening results. Healthy Pregnancy: Delivering Support for Moms-to-Be Expectant mothers should expect the best in health care—before, during and after pregnancy. That’s why we offer the Healthy Pregnancy Program, a specialized program within Care Management (also administered by your medical plan carrier) designed for all mothers-to-be. Your Health ACE nurse will provide help and guidance on how to work with your doctor every step of the way—from prenatal care through delivery and recovery. Don’t forget to download the free mobile app to track pregnancy milestones. And when you complete the program, you’ll receive a $100 gift card! Let Healthy Pregnancy help you give your baby a healthy start. Cardiac and Joint Surgery Benefit With Johns Hopkins: Surgical Excellence Wherever You Live If you or a family member needs a certain type of cardiac surgery or a revision to a previous joint replacement, you can travel to one of the best medical systems in the country, Johns Hopkins Medicine in Baltimore, Maryland. Benefits include travel for the patient and a companion, plus accommodations and a meal allowance. You’ll pay no deductible or coinsurance if enrolled in the Core Plus Medical Option; if you’re in the Healthy Advantage Option, you must meet your deductible first. Call 1-877-230-7041. NurseLine Health problems can occur any time of the day or night. The 24/7 NurseLine is designed to give you information to help you with health care decision-making. Nurses on this toll-free telephone hotline will talk confidentially with you about your symptoms, medications and side effects, when to go to the doctor or emergency room, and other health-related issues. • Anthem BCBS: 1-877-224-0030 e • UnitedHealthcare: 1-888-761-0113 Bariatric Surgery Centers of Excellence (COE) Obesity is the root cause of many chronic conditions, including cardiovascular disease, heart disease, diabetes, hypertension, arthritis and asthma, and increases the likelihood of various types of cancers. If you and your doctor are discussing bariatric surgery to treat your obesity, this program offers information and support both before and after surgery. Contact Health ACE at 1-877-224-0030 (Anthem BCBS) or 1-888-761-0113 (UHC) to learn more about benefits coverage requirements and to locate a COE near you. » Advanced Radiology and Sleep Condition Programs These programs are designed to improve the quality and determine the appropriateness of radiology and sleep apnea diagnostic services for Anthem BCBS members. Please contact Health ACE at 1-877-224-0030 to learn more about available support, precertification rules and more.