My Health My Life...for children ages 21 and under. EPSDT stands for early, Periodic, screening...

myhealthmylife

What’s InsIde

2014 Issue 2

How to Deal with Low Back Pain 16

Protect Your Baby From Whooping Cough 11

12Health Tests for You and Your Family

Page 2a Gift for You

TM

Hello members and happy summer! Here at Passport Health Plan, we are all smiles. The sun is shining, the kids are out of school, and we have YOU as one of our valued members.

This summer, each time you see a beautiful daisy blooming in your neighborhood, we hope you will think of us.

You may be asking, why the daisy? Well, here's why.

The DAISY is Passport’s official flower because:

It stands for purity, patience, simplicity and beauty.

It’s strongThe daisy can bounce back from any bad condition and still keep growing and growing.

It’s common The daisy is known and loved by everyone equally. It is found nearly everywhere on the earth.

It’s whiteJust like in the flag of the United States, white stands for honesty.

We hope you will take some time to enjoy your summer this year. Look around and admire all the beautiful daisies that keep on growing and growing. Think of the qualities they stand for and the meaning behind them. Your friends at Passport will be doing the same!

We have chosen the daisy as the official Passport flower.

A Note from Your Friends at Passport

Look on page 5 for your very own daisy bookmark!

A Gift for You!MARK-40198 APP_5/16/14

Visit us online at www.passporthealthplan.com2

Taking good care of your teeth and gums can give you a great smile. It can also help

your whole body stay healthy. We know how important dental care is to your health and we

want you to know that you’re covered!

Who’s Covered?

Children and Teens 21 and Under

Adults 21 and Older

What’s Covered?

• Dental cleanings (1 every 6 months)• Other dental services for children

21 and under (as needed)

• Dental cleanings (1 every year)• Other dental services for adults

21 and over (as needed)

My Dental Benefits with Passport

Want a great smile?

Call Today!If you have not visited a dentist, call today to set up a visit. If you need help setting up a visit or finding a dentist in your area, we can help you. We can also help you set up a ride if you do not have a vehicle in your household. Give us a call at 1-877-903-0082.

We Cover Dental Care

Pregnant Women • Plaque removal (1 per pregnancy)

3Member Services 1-800-578-0603, TDD/TTY 1-800-691-5566

*Your child will need an EPSDT well-child checkup at these ages:

1 month 9 months 24 months 5 years 9 years

2 months 12 months 30 months 6 years Every year from age 10 to age

20

4 months 15 months 3 years 7 years

6 months 18 months 4 years 8 years

What

is EPSDT?EPSDT is a special program for children ages 21 and under. EPSDT stands for early, Periodic, screening diagnosis and treatment. Our EPSDT program helps make sure your child gets the care he or she needs.

Through the EPSDT program, your child will receive these benefits at no cost:

• Regular Office Visits (EPSDT Well-Child Checkups)*

• Physical Exams

• Eye Tests

• Hearing Tests

• Dental Checkups

If you have any questions, please call us at 1-877-903-0082.

Source: American Academy of Pediatrics


Across2. What test do you need for your ears?6. Getting these can protect your child from diseases and illness.7. Who do you visit to have your teeth checked?9. What test do you need for your eyes?10.Who do you visit when you need medical care?

Down1. What type of care do you need when it is not an emergency,

but you need to be seen right away? (2 words)3. This is where you can call to

get medical advice 24 hours a day, 7 days a week. (2 words)

4. This is what your child needs before enrolling in school.

5. This is what you get from eating healthy foods.

8. This is a hidden poison that can be found in your house.

*Find the answers on page 17

Source: Global Initiative for Chronic Obstructive Lung Disease (GOLD Standard)

Crossword PuzzleEP

SDT

1

2 3

6

7

8

10

9

4

5

enjoY Your BookMArk!


Staying Out of the HospitalIf you have been to the hospital for a behavioral or mental health problem, we want to help you stay on the right track. Here are some tips that will help you:

Work with your treatment

team.

Help make your treatment

plan.

Be active with your

care and get excited!

• You and your treatment team can work together to make a care plan so you can be at your best.

• You need to know your care plan and be a part of it.

• The more you talk, the more your treatment team will know what’s going on with you and the more they can help you.

• If you are not sure what someone is saying or you do not agree, speak up!

• When you are more active and involved with your care, you can get better faster!

• Do not just think about your symptoms. Think about your recovery and getting back to your normal life.

1

2

3


Involve your family or others,

if possible.

Go to your follow-up

appointment after you get

home.

• Mental health problems can be hard to deal with and can make you feel alone.

• The more support you have, the better you will do.

Source: http://amhocn.org/static/files/assets/11e3b1b0/28day_readmit_final_report_14112008.pdf

• When you leave the hospital, you should be given a follow-up appointment with your primary care provider (PCP) within 7 days.

• This visit is very important even if you feel like you don’t need it. It will help you stay out of the hospital.

4

5

We’re here for YouOne of our case managers will start working with you and your treatment team before you leave the hospital. They will also check-in with you once you are home. If you have any problems or need help figuring out the next step, please call your case manager or the Behavioral Health Hotline at 1-855-834-5651. You may call the hotline 24 hours a day, 7 days a week.


When to follow-up with my oB after delivery

Your oB will:

q Tell you what changes to expect and when to go to the hospital.

q Talk about things that can put you and your baby at risk, such as high blood pressure.

q Check for early signs of problems that could hurt you or your baby, such as gestational diabetes.

q Check to see if your baby is growing as he or she should.

What happens at my oB visits

When to visit my oB during pregnancy

If you had a vaginal delivery:

q Set up 1 postpartum visit 4 to 6 weeks after delivery.

Your OB will check to see if you are healing and staying healthy after the birth of your baby.

Tip: A postpartum visit is when you see your OB after delivery. If you have problems during pregnancy, your OB may see you for a 2nd visit.

If you had a C-section:

q Set up 2 postpartum visits.

First Visit 1 to 2 weeks after delivery. Your OB will check to see if your incision (cut) is healing.

Second Visit 4 to 6 weeks after delivery. Your OB will check to see if you are healing and staying healthy after the birth of your baby.

q Weeks 4 to 28: 1 visit per month

q Weeks 29 to 36: 2 visits per month

q Weeks 37 to birth: 1 visit per week

Moms-to-Be: My Pregnancy

The key to a healthy pregnancy is to take good care of yourself. Babies need healthy moms! Use this page as a checklist to make sure you are getting all of the needed appointments. If you have any questions, we are here for you. Just call us at 1-877-903-0082.

obstetrician (oB) - the doctor who sees you during pregnancy. Your OB will make sure you and your baby get off to a good start.

To-Do List


Source: March of Dimes

My PregnancyMoms-to-Be: You Can Earn Rewards!If you are having a baby, we want to reward you. As a first-time mom, you may not know what to expect. But, your friends at Passport do! Besides covering you and your baby for maternity care and checkups, we can offer you extra rewards just for joining our “Mommy Steps” program and keeping your doctor appointments. Rewards like gift cards for a crib or car seat, and to buy gas and groceries. When we say “we take the time to care,” we really mean it!

To-Do List


It is good to ask questions and find out as much as you can about your medicine. If you take medicine on a daily basis, ask your doctor the following:

• What does this medicine treat?

• What’s the name of the medicine?

• What’s the dosage?

• How do I take the medicine?

• How do I store the medicine?

• What are the side effects?

You can also talk to your pharmacist about your medicine. Your doctor and pharmacist can help you get medicines that can be taken together safely.

Visit Your Doctor!Even if your medicine seems to be working fine, be sure to visit your doctor regularly. Your doctor can do lab work to see if the medicine is working safely in your body.

Medicine Safety Tips

• Read the label on the pill bottle. Make sure you have the right medicine and that your name is on the label.

• Follow all of the orders on the label. The label will tell you how to take the medicine and how to store it.

• Read and keep any information that comes with the prescription.

• If you have a hard time swallowing pills, ask your pharmacist for a liquid or chewable. If they are not available, ask if you can crush your pills.

• Check the expiration date on the pill bottle.

Taking Your Medicine

Safely

Source: http://nihseniorhealth.

gov/takingmedicines/

takingmedicinessafely/01.html


Whooping cough is a lung infection that can cause a bad cough or trouble breathing. When a baby gets whooping cough, it can be deadly.

As a parent, the thought of your baby getting whooping cough may worry you. But you can take comfort in knowing that you can protect your baby, even before he or she is born.

How to keep Your Baby SafeMost babies who catch whooping cough, get it from someone at home. To keep your baby safe, you will need to protect yourself and your family.

Here’s what you need to do:

• If you are pregnant, you need a Tdap shot. This shot will protect you and your baby.

• Ask anyone who is caring for your baby to get a whooping cough shot, too. This may include parents, siblings, grandparents, and childcare workers.

• Make sure your baby gets all 5 whooping cough shots on time. Your baby will need a shot at these ages:

o 2 months

o 4 months

o 6 months

o Between 15 to 18 months

o Between 4 to 6 years

Protect Your Baby from Whooping Cough (Pertussis)

You can get a whooping cough shot at

your doctor’s office, local health department or

pharmacy. If you have any questions or need help

setting up an appointment, give us a call at

1-877-903-0082. We’re here to help you!

Source: Centers for Disease Control and Prevention


tests Who Needs to be Tested

What the test does for You key Points

Mammogram Women This test checks for breast cancer.

Start getting mammograms at age 50. If you have a family history of breast cancer or feel a lump, you may need to start before age 50.

Chlamydia Test Women This test checks for a vaginal infection.

Get tested if you are having sex or if you are pregnant.

Pap smear test Women This test checks for cervical cancer.

Start getting tested at age 21 or sooner. Talk with your doctor or OB/GYN about how often you need a Pap test.

Blood Pressure test

Women Men

This test checks the force of blood against the walls of your blood vessels.

Have your blood pressure checked at each doctor visit. High blood pressure can lead to heart and kidney disease.

Cholesterol Test WomenMen

This test checks for fat in the blood.

Ask your primary care provider (PCP) if you need to have your cholesterol checked.

Body Mass Index (BMI) Test

Women Men Children

This test tells you if your overall weight is healthy for your height.

Have your BMI tested at least once a year.

HbA1c Testing People who have diabetes

This test looks at your blood sugar level over the past 3 to 4 months.

If you have diabetes, get an HbA1c test at least 2 times a year.

Dilated Eye Exam(DrE)

People who have diabetes

This test checks for glaucoma and damage to the retina.

Have a complete eye exam that includes a DRE.

Colon Test (Colonoscopy)

Men and womenstarting at age 50(sooner if you have a family history of colon cancer)

This test checks for bleeding, polyps (growths that can become cancer) or cancer in the bowels.

Have your first colon test at age 50 or sooner if you have a family history. Your PCP will tell you how often you need to be tested.

Health Tests for You and Your Family




Lead Test Children This test checks children for lead in the blood.

Your child must be tested for lead before their 2nd birthday.

HPV (Human Papillomavirus) Vaccine

Anyone ages 9 to 26 years old (young girls and women, young boys and men)

This shot protects you from HPV, a virus passed on through sex.

You will need 3 separate doses of the HPV vaccine.

spirometry Anyone who might have a lung disease

This test checks the air that moves in and out of the lungs.

If you have a lung disease, regular spirometry tests can find changes early.



Flu Shot Anyone ages 6 months and older

This shot protects you from the flu.

Get a flu shot every year to protect yourself from the flu.

Pneumonia Shot Women and men starting at age 65 or earlier if you have lung problems

This shot protects you from pneumonia.

Ask your PCP when you need a pneumonia shot.

Well-Child Visits Children and Teens Well-child visits are routine visits to a PCP. The PCP makes sure your child is growing up healthy.

At each well-child visit, the PCP will check your child’s weight, height, eating habits and physical activity.

Immunizations(Shots)

Children and Teens Shots your child may need to avoid disease and illness.

Be sure to keep up with your child’s shots. If you need help, call us at 1-877-903-0082.

Sources: American Diabetes Association, American Heart Association, American Academy for Pediatrics, National Institute for Health,

The Clinical Guide to Preventive Services 2012, DPH Healthy Homes and Lead Poisoning Prevention, American Gastroenterological Association.

Shots and Visits for You and Your Family

Questions?If you have any questions about what you need to do and when, please call us at 1-877-903-0082. Our Care Connectors are ready to help you and your family!


As a Passport member, you should know the following about how we make decisions:

3 We do not reward anyone for denying services to you.

3 We do not give anyone extra money for making decisions that keep you from getting the care you need.

If you have questions about the UM process, please call 1-800-578-0603 between

7:00 a.m. and 7:00 p.m. TDD/TTY users may call

1-800-691-5566.

Our Medical ReviewWe have a special Utilization Management (UM) team that includes nurses and medical staff who want to make sure you get the care you need!

DiD you ChooSE your PCP? We hope you are signed up with the primary care provider (PCP)* of your choice! If you are not, you can choose another PCP by calling our Member Services team at 1-800-578-0603. If you do not know who to choose, we can help you find a PCP in your area and tell you if a PCP is taking new patients.

*Your PCP is the doctor who gives you most of your care. He or she will get to know your health history, take care of your basic medical needs, and make referrals when you need them. Your PCP should be a doctor you can trust!

Our Preferred Drug List (PDL) is a list of all the medicines we cover and any limits that may apply. We also cover some over-the-counter medicines when your doctor gives you a prescription.

We make changes to the PDL throughout the year. To find the most up-to-date list, please visit www.passporthealthplan.com. Once you are on our website, click on Find a Medicine:

• To view our PDL, click on Printable Formulary.

• To view our over-the-counter drug list, click on Over-the-Counter Drug Coverage.

If you do not use a computer and would like some help, just call our Member Services team at 1-800-578-0603.


Our Medical Review Know the ABC’s of DiabetesAs a child, your ABC’s helped you read. As a person with diabetes, your ABC’s can help save your life! If you have diabetes, learn the ABC’s listed on this page. It is one of the most important things you can do!

Source: American Diabetes Association

“a” – is for a1c. Have your A1c checked and know your number!

What is A1c? Hemoglobin A1c is a test that shows you what your blood sugar has been over the past 3 months.

When do I get checked? Get an A1c test every 3 to 6 months.

What’s my goal? Less than 7 unless your doctor sets another goal.

If you have any questions or need our help, please call us at 1-877-903-0082. TTY/TDD users may call 1-800-691-5566.

A

B

C

“B” is for Blood Pressure. Have your blood pressure checked and know your numbers!

Why is high blood pressure so risky?

High blood pressure is called the silent killer because you can have it and not see any warning signs. High blood pressure raises your chances of stroke, heart disease and kidney failure.

When do I get checked? Your doctor will check your blood pressure at each visit.

What’s my goal number? Less than 130 over 80.

“C” – is for Cholesterol. Have your cholesterol checked and know your numbers!

Why is high cholesterol so risky?

Cholesterol is a fat-like substance found in foods that come from animals. Bad cholesterol (LDL) can build up and cause a heart attack or stroke.

When do I get checked? Get your cholesterol checked at least once a year.

What’s my goal number? LDL of less than 100.

What are The ABC’s of Diabetes?


4 Self-Care Tips for Low Back Pain

Sources: Web MD Back Pain Health Center | http://www.aafp.org/

afp/1999/1115/p2299.html

If you are feeling pain in your lower back, you are not alone. Most of us will have low back pain at some point in our lives. The good news is that it usually goes away within a few days or weeks. You will need to do some basic self-care to help yourself feel better. Follow the tips on this page and you can get back on your feet in no time!

Ease into your daily activities

3 A day or two of rest is good for low back pain, but then you need to get moving again. Moving around helps your muscles stay strong. Lying in bed too long can cause stiffness and make the problem worse.

Change or avoid activities that cause pain

3 Try not to bend, lift or reach. These movements put extra strain on your back.

3 Use extra pillows or rolled towels for support when lying in bed or sitting in a chair.

Use heat or ice to help calm the pain

3 You can apply heat to your back for 15 to 20 minutes. Use moist heat such as a heating pad, shower or bath.

3 You can apply ice and cold packs for 10 to 15 minutes 3 times per day.

3 You may also apply heat and then cold every few hours.

Take medicine for pain

3 You can take over-the-counter medicines such as Tylenol®, Advil® and Aleve® to help with back pain. Always follow the directions on the bottle.

3 Talk to your pharmacist if you have questions about these medicines.

3 Talk to your doctor before starting a medicine routine.

How to Deal with Low Back Pain

2

3

4

1


4 Self-Care Tips for Low Back Pain

EPSDT Puzzle Answers from page 5Across2. Hearing6. Shots7. Dentist9. Vision10.Doctor

Call your doctor right away if you have any of the following with your back pain:

• Pain that is not getting better with rest.

• Fever.

• Bladder or bowel incontinence (you cannot hold or keep the bowels from leaking).

• Bladder infection.

• IV drug use.

• You cannot move your legs.

• You had a traumatic event that caused the back pain such as a fall, car accident or heavy lifting.

• You have a history of cancer, weight loss that you did not plan, a weak immune system or you have been taking a steroid for some time.

Your doctor can order some testing to find the problem. He or she can also order you different medicines and exercises to get you feeling better and back on your feet!

Down1. Urgent Care3. Nurse Line4. Physical5. Nutrition8. Lead

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To learn more about school requirements, please visit www.kde.state.ky.us. If you need help scheduling appointments or finding doctors, please call one of our Care Connectors at 1-877-903-0082.

Summertime is here! Now is the best time to get your child healthy and ready for the new school year. To get ready, your child will need important checkups and immunizations (shots). Follow the checklist on this page to keep your child on the right track and ready for school.

• Make an appointment with your child’s primary care provider (PCP). At this visit, ask the PCP which shots your child needs. Your child’s school may want a copy of your child’s shot record.

• Teens Need Shots Too! Shots are not just for babies and young children. Your teen may also need a Tdap*, MCV4* and HPV* shot. If your teen has missed a shot, it’s not too late. Set up a visit with your teen’s PCP or your local health department to get him or her caught up on any needed shots.

• Make an appointment with a dentist. Ask the dentist if your child is up-to-date on all of his or her dental care.

• Set up an eye exam. In Kentucky, children ages 3 to 6 going to school for the first time must have an eye exam.

• Go to your child’s back-to-school events and learn about free resources in the community.

Back-To-School Tips

Parent’s Checklist Getting Your Child Ready for School:

Passport covers extra dental care

and eye exams for children, when

medically needed.

for Parents

* A Tdap shot protects you from tetanus, diphtheria (lockjaw) and pertussis (whooping cough).

* An MCV4 shot protects you from meningococcal disease.

* An hPV shot protects you from the human papillomavirus.

Attention Teens!Did you know you can earn a $10 gift card for downloadable music/apps or a $10 movie pass? All you have to do is visit your PCP for a check-up and get any shots you need at that time. To find out more, please call us at 1-877-903-0082.


The next time you are feeling bad, think twice before you ask the doctor for antibiotics. Antibiotics are not always the answer! Sometimes, they can even cause more harm than good.

Source: http://www.cdc.gov/getsmart/antibiotic-use/antibiotic-resistance-faqs.html

Taking Antibiotics Can Cause MOREHARM THAN

GOOD

WHAT To kNoW about Antibiotics:

Antibiotics only treat illnesses caused by bacteria.

Taking antibiotics for a virus will not help you feel better and may cause more harm than good.

What should I do?Now that you know about antibiotic resistance, the question is what should you do? Follow the tips below to be safe and avoid antibiotic resistance.

Tips: 3 Antibiotics only work for illnesses caused by bacteria such as strep throat.

3 If you are sick, ask your doctor what you can do to feel better. Antibiotics are strong drugs and should only be taken when needed. Let your doctor order what he or she thinks is best.

3 If your doctor orders antibiotics, do not skip doses or save some for the next time you get sick. Take all of your pills even if you are feeling better. If you stop too soon, the infection could come back.

What is Antibiotic resistance?

Antibiotic resistance is one of the world’s biggest health problems. It is when some of the bacteria (germs) in your body stop

responding to antibiotics.

In short– if you take antibiotics

when you do not need them, you

could build up a resistance

and antibiotics can stop

working for you.


Marketing and Community Engagement Department5100 Commerce Crossings Dr.Louisville, KY 40229

Passport does not guarantee the availability or quality of care. We are not responsible for any act or omission of any provider.

All providers contracted with Passport are independent contractors and not employees or agents of Passport.

Any information included in this newsletter is not intended to replace medical care or advice from your doctor. Any

references to other companies or internet sites are not an endorsement or guarantee of the services, information or products

provided. Passport does not take responsibility for anything that may result from the use, misuse, interpretation or

application of the information in this newsletter.

Helping Kentuckians

Live Healthier Lives™

Want to have your child’s art displayed on Passport’s Facebook page, website and in the next issue of MyHealthMyLife? Not only will your child be excited to see his or her artwork in print, but you will be helping their health and well-being. The arts allow children to express their feelings, which can help their mental and physical health.

Send us your child’s artwork! • On the back of the art, write down the following:

- Your child’s name and age.- State that “I, [full name], give Passport permission to publish

my child’s artwork.” Please sign your name after this sentence.

• Email it to: [email protected] - or -

• Mail it to: Passport Health PlanAttn: Mission Manager5100 Commerce Crossings DriveLouisville, KY 40229

Keep watching our Facebook page, website and your mail to see your child’s art in print. If you have any questions, give us a call at 1-800-578-0603, press 0, then press 7333. We can’t wait to see your child’s creation! PLAN-14196 APP_6/19/2014

*Once you submit

your child's art, it

will not be returned.

My Health My Life...for children ages 21 and under. EPSDT stands for early, Periodic, screening...

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Transcript of My Health My Life...for children ages 21 and under. EPSDT stands for early, Periodic, screening...