WHAT’S INSIDE Well-Visits: What’s In It For ... - Passport · At Passport Health Plan, we care...

WHAT’S INSIDE

7

10EPSDT Cares for Your Child

Well-Visits: What’s In It For Me?

8Your Monthly Health Reminders

2019 ISSUE 1

Visit us online at www.passporthealthplan.com2

MYPASSPORTPLAN MEMBER PORTAL — Sign Up Today!Sign up today for your very own personalized account in our member portal. Visit: https://phkyportal.valence.care and go to “Click Here to Register.”

Once you set up your account, you’ll be able to:• Track your health care• Order and print ID cards• Check your eligibility• Sign up for text and email alerts

Be The First To Know!Once you are on the member portal, you can sign up to have Passport text alerts and emails sent directly to you. Getting these texts and emails is a great way to stay updated on any changes to the benefits and services we offer. We’ll also send you the information you need to get the most out of your Passport benefits.

If you need help setting up your account, please call us at 1-800-578-0603.

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

“Like” Us on Facebook and Win!

If you haven’t already, “like” us on Facebook, and follow us on Twitter, Instagram and Pinterest! Visiting our social media pages is a great way to find cool health tips and other helpful information.

You might even win GIFT CARDS when you like our Facebook page and take part in fun activities, such as our weekly Trivia Tuesday contest! Above all… Have fun and don’t forget to share our posts with your friends and family.

“Like” us on Facebook www.facebook.com/passporthealthplan

Follow us on Twitter @passporthealthp

Follow us on Instagram @passporthealthplan

Follow us on Pinterest @passporthealthplan

Your Opinion MattersWe recently mailed out our Member Satisfaction Survey to a random group of members. This survey asks about the care and service you are getting. If you received a survey, please fill it out and tell us what you think!

We want to know what’s working for you and how we can do better.

We’d like to thank you for choosing Passport as your health plan. You’re one of our valued

members — and we’re so glad to have you! We look forward to hearing from you.

Please place an “X” in only one box for each question.

M120003 – 2012 Version PPAM 34-83

- 2 -CONTINUE TO NEXT PAGE

8. In the last 6 months, how often did you and

a doctor or other health provider talk about

specific things you could do to prevent

illness?

Never

Sometimes

Usually

Always

9. Choices for your treatment or health care

can include choices about medicine,

surgery, or other treatment. In the last 6

months, did a doctor or other health

provider tell you there was more than one

choice for your treatment or health care?

Yes .......Go to Question 10

No.........Go to Question 12

10. In the last 6 months, did a doctor or other

health provider talk with you about the pros

and cons of each choice for your treatment

or health care?

Definitely yes

Somewhat yes

Somewhat no

Definitely no

11. In the last 6 months, when there was more

than one choice for your treatment or health

care, did a doctor or other health provider

ask which choice you thought was best for

you? Definitely yes

Somewhat yes

Somewhat no

Definitely no

12. Using any number from 0 to 10, where 0 is

the worst health care possible and 10 is the

best health care possible, what number

would you use to rate all your health care in

the last 6 months?

13. A personal doctor is the one you would see

if you need a check-up, want advice about a

health problem, or get sick or hurt. Do you

have a personal doctor?

Yes....... Go to Question 14

No ........ Go to Question 22

14. In the last 6 months, how many times did

you visit your personal doctor to get care

for yourself?

None ............Go to Question 21

1....................Go to Question 15

2....................Go to Question 15

3....................Go to Question 15

4....................Go to Question 15

5 to 9.............Go to Question 15

10 or more ....Go to Question 15

15. In the last 6 months, how often did your

personal doctor explain things in a way that

was easy to understand?

Never

Sometimes

Usually

Always


personal doctor listen carefully to you?

Never

Sometimes

Usually

Always


personal doctor show respect for what you

had to say?

Never

Sometimes

Usually

Always

1

2

3

4

1

2

3

4

1

2

1

2

3

4

0

1

2

3

4

5

6

YOUR PERSONAL DOCTOR

1

2

00 01 02 0

3 04 0

5 06 07 0

8 09 10

Worst health care

possible

0 1 2 3 4 5 6 7 8 9 10Best health care

possible

1

2

3

4

1

2

3

4

1

2

3

4

Please place an “X” in only one box for each question.

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- 1 -

CONTINUE TO NEXT PAGE

SURVEY INSTRUCTIONS

Answer all the questions by placing an “X” in the box

to the left of your answer.

You are sometimes told to skip over some questions in this survey. W

hen this happens you will see a

note that tells you what question to answer next, like this:Yes......G

o to Question 3

All information that would let someone identify you or your family will b

e kept private. Morpace will

not share your personal information with anyone without your OK. You may choose to answer this

survey or not. If you choose not to, this will n

ot affect the benefits you get.

You may notice a number on the cover of this survey. This number is ONLY used to let us know if

you returned your survey so we don’t have to send you reminders.

If you want to know more about this study, please call 1-877-328-8176.

1. Our records show that you are now in

Passport Health Plan. Is that rig

ht?

Yes ......

.Go to Question 3

No......

...Go to Question 2

2. What is the name of your health plan?

(please print)

____________________________________

These questions ask about your own health

care. Do not include care you got when you

stayed overnight in a hospital. Do not include

the times you went for dental care visits.

3. In the last 6 months, did you have an

illness, injury, or condition that needed care

right away in a clinic, emergency room, or

doctor’s office?

Yes .....

.Go to Question 4

No......

...Go to Question 5

4. In the last 6 months, when you needed care

right away, how often did you get care as

soon as you thought you needed?

Never

Sometimes

Usually

Always

5. In the last 6 months, not counting the times

you needed care right away, did you make

any appointments for your health care at a

doctor’s office or clinic?

Yes......

. Go to Question 6

No ......

.. Go to Question 7


you needed care right away, how often did

you get an appointment for your health care

at a doctor's office or clinic as soon as you

thought you needed?

Never

Sometimes

Usually

Always


you went to an emergency room, how many

times did you go to a doctor’s office or

clinic to get health care for yourself?

None ......

.......Go to Question 13

1......

............

..Go to Question 8

2......

............

..Go to Question 8

3......

............

..Go to Question 8

4......

............

..Go to Question 8

5 to 9......

.......Go to Question 8

10 or more ....G

o to Question 8

1

2

3

4

YOUR HEALTH CARE IN THE LAST 6

MONTHS

1

2

0

1

2

3

4

5

6

1

2

1

2

1

2

3

4


Your Health and Quality of LifeAt Passport Health Plan, we care about the quality of care you are receiving. We care because we want to help you improve your health and quality of life.

Our Quality Improvement (QI) Program focuses on quality of care. In the program, we:

• Give you the information you need so you can improve your health and your family’s health.

• Look for ways to improve our service to you.

• Use nationally known ways to see how we’re doing and how we can improve.

• Use nationally known clinical practice, preventative health and behavioral health guidelines. We give these guidelines to your doctors. To receive a paper copy of these guidelines, please call us at 1-800-578-0603, press 0, then press 8434. You may also find a copy on our website at www.passporthealthplan.com.

• Encourage a healthy lifestyle through health and wellness, and preventive services.

• Offer you comprehensive care management programs that include asthma and diabetes care.

• Offer your health programs such as Early and Periodic Screenings, Diagnosis, and Treatment (EPSDT) and Mommy Steps.

• Outreach to you and offer health education.

• Do medical and service delivery studies, when we see they’re needed.

• Make sure programs are available for members with special health needs.

• Survey members and doctors and use the answers to improve services.

• Review the QI Program and make sure it is working to improve services.

• Work with all Passport departments and providers to improve our services.

How can you find out more?You may ask for a copy of our QI Program Description or Summary of Annual Evaluation. Just call Member Services or visit www.passporthealthplan.com.


Follow-Up with your PCP After an ER Visit There is a lot to think about when you or a family member has been in the emergency room (ER). You might be worried or maybe you cannot wait to go home. While going home can be a relief, it can also be very confusing.

It’s important to follow-up with your primary care provider (PCP) after a visit to the ER.

Your PCP can: • Refill your medicines• Refer you to a specialist (if needed)• Complete any follow-up tests• Look at your current health and needs

What to Do After an ER Visit• Call your PCP’s office and have your Passport ID

card and a pencil and paper close by you.

• Tell your PCP’s office that you visited the ER and need to make a follow-up appointment with your PCP.

• Write down the time and date of your appointment.

• Remember to go to your appointment on time and bring your Passport ID card. If you need to cancel or change your appointment, please call the office at least 24 hours ahead of time.

• If you need help making an appointment, please call us at 1-877-903-0082. We’re happy to help you!


Setting up Your Medical HomeOne of the best ways to take care of your health is to have a primary care provider (PCP). Your PCP is the main doctor who gives you most of your care and makes referrals when you need them. Your PCP gets to know your health history and knows what’s right for you and how to best treat you.

How to Set Up Your Medical Home:• Find the name of your PCP. Your PCP’s

name is listed on your Passport ID card.

» If you don’t want to see this PCP, you can request to change it! It’s important to know that you can see the PCP of your choice.

» To change your PCP, just call our Member Services team at 1-800-578-0603. You can choose any PCP on our list of doctors by visiting www.findapassportdoctor.com. Or, you can call our Member Services team and we’ll help you find one.

• Set up a “well-visit” with your PCP. Don’t wait until you get sick to visit your PCP! Schedule your first visit right away to get set up as a new patient. The purpose of this visit is to meet your new PCP. At this visit, your PCP will get to know you and get an idea of how to treat you.


Well-Visits: What’s In It For Me?It’s easy to think you don’t need the doctor unless you get sick. Many of us grew up this way. But the fact is, the best time to visit your doctor is when you’re NOT sick!

Going to the doctor when you are not sick is called a Well-Visit or an Annual Physical Exam.Well-Visits give you the chance to build a better relationship with your doctor and help you STAY healthy. Your doctor will check for any issues so you can get care before something becomes harder to treat. They will also tell you ways to stay healthy during the next year.

What to Expect at a Well-Visit / Annual Physical Exam:• Your doctor will examine you and ask you health

and well-being questions based on your age and gender.

• Your doctor may ask you to list all the medicines you are taking and make sure you understand why you are taking them.

• Your doctor will check your blood pressure, weight and height, and may do some bloodwork. He or she may have you fill out a form on your lifestyle, your mood, and any stress you are having. This visit is a great time for your doctor to look at the “whole you” and understand all the things that may be affecting your health.

• Your doctor may ask about tobacco, alcohol, and other drugs. Their job is to look for anything that can put you at risk for injury or illness and help you get treatment.

• This visit is the perfect time to ask about any of your own health concerns or to ask questions about what your doctor says during the exam. Be sure to speak up! Your doctor wants to know what you have to say!

• At the end of the visit, your doctor may talk with you about any changes he or she thinks you need to make and refer you to other doctors for any follow-up screenings or care you might need.

• Talk with your doctor about the recommendations he or she makes at the end of your visit. Let your doctor know if you think you will have any problems following the plan you decide upon together.

Source: https://marketplace.cms.gov/outreach-and-education/downloads/c2c-roadmap.pdf, Centers for Disease Control and Prevention (CDC)

CALL TODAY TO SCHEDULE YOUR VISIT!A Well-Visit can be your lifeline to the things you need to be healthy and well! Call today to schedule your visit. Do this for yourself and for those who care about you! Just one quick visit could help you avoid diseases and have a healthy life.


Your Monthly Health RemindersJanuaryWomen’s Health• Schedule a mammogram.

• Schedule a Pap smear.

• Schedule a women’s wellness exam.

February

MayJuneMaternity Health• Keep all of y our

prenatal and postpartum visits.

• Schedule your first prenatal appointment as soon as you know you're pregnant.

• Don't smoke. Talk to your doctor about ways to quit smoking.

SeptemberCold and Flu Season• Get an annual flu shot and ask your doctor about a

pneumonia shot.

• Eat a healthy diet.

• Wash your hands often with soap and water, get plenty of rest, cough or sneeze into your sleeve or elbow, and avoid others who are sick.

• Call our Nurse Advice Line 24 hours a day, 7 days a week at 1-800-606-9880.

OctoberBreast Cancer• Schedule a

mammogram.

Respiratory Health If you have asthma or COPD:• Know your triggers.• Follow your asthma action plan.• If you don’t have an asthma action plan, talk to

your provider about starting one.• Take your breathing medicines as directed.• Keep your doctor appointments.

Heart Health• Make an appointment to have

your blood pressure, cholesterol, and Body Mass Index (BMI) checked.

• Talk to your provider about how you can keep your blood pressure under control.

Sources: https://www.cancer.org, https://www.cdc.gov, www.diabetes.org, https://www.aap.org, www.heart.org, https://www.ada.org, www.acog.org


Have Questions?If you have any questions or need medical help, please call us at 1-877-903-0082.

MarchOral Health• Schedule a

dental visit.

AprilMental Health• Take your medicines as directed.• If you are feeling sad

or not yourself, call your primary care provider (PCP).

JulyBack Health and Adult Well-Visit

• Schedule a well-visit or physical exam with your PCP.

• Get regular exercise, stretch often, and use proper lifting motion.

AugustWell-Child and Teen Care • Schedule back-to-school

screenings, immunizations, and sports physicals.

NovemberDiabetes • If you have diabetes:• Schedule an appointment for an

A1c, nephropathy, and blood pressure check.

• Schedule a retinal eye exam.

December

Healthy Habits• Schedule a PCP visit

to check your BMI and blood pressure before end of year.

• Stay on track with your weight and exercise program.


Early and Periodic Screening, Diagnosis and Treatment is a free program that covers preventative care for your child. EPSDT covers important physicals and check-ups that help your children grow up to be healthy and happy.

What happens at a check-up?Your child’s doctor will:• Check your child’s growth and development.• Record your child’s height and weight.• Check your child’s vision and hearing.• Tell you what to do to keep your child’s teeth healthy.• Give you advice on how to keep your child safe.• Talk to you about things like healthy eating

and exercise habits, school, family, relationships, community services.

How much are EPSDT check-ups?FREE. No cost to you!

Cares for Your Child

A routine check-up is also good time to ask the doctor about your child’s health. Make a list of the questions that you want to ask your child’s doctor. Take the list with you to the appointment so you don’t forget!

If you’re not sure if your child needs to see a doctor, you can call our Care for You Nurse Advice Line at 1-800-606-9880. Our nurses can give you medical advice 24 hours a day, 7 days a week.

EPSDT

Source: https://www.aap.org/en-us/Documents/periodicity_schedule.pdf

Parent Tip: Make health a

priority for yourself and your child.

Remember, healthy kids make healthy

adults!

When does my child need check-ups?

1 month 9 months 2 years

2 months 12 months 2 1/2 years

4 months 15 months 3 years and every year

until age 216 months 18 months


All of us at Passport are here to support you and to give you the tools you need to raise healthy children. We know how important it is for kids to build positive self-esteem. That’s why we’ve created Happy to Be Me, a coloring and activity book that teaches kids how to bounce back from stressful situations and how to have good overall health.

Now Available –Coloring and Activity Book for Kids!

Get Your Copy Today!To receive a free copy of this book, please call us at 1-877-903-0082. We know your kids will have so much fun with this book. After completing all of the activities in the book, they will even get their very own Happy Award that they can hang with pride on the wall or fridge!


We want you to know your rights and responsibilities as a Passport member. Yo

ur R

ight

s an

d Re

spon

sibili

ties YOU HAVE THE RIGHT TO:

1. Be treated with respect, dignity, privacy, confidentiality, accessibility, and nondiscrimination.

2. Choose a primary care provider (PCP) and request a change to another PCP.

3. Join your providers in making decisions about your health care. You may discuss treatment options, regardless of cost or benefit coverage. You may also refuse treatment.

4. Ask questions and receive complete information about your medical condition and treatment options. This may include specialty care.

5. Voice grievances or file an appeal about Passport decisions that affect you. If you do not agree with Passport’s appeal decision, you may file a state hearing with the Department for Medicaid Services (DMS).

6. Receive timely access to care that does not have any communication or physical barriers.

7. Make an advance directive, like a living will.

8. Look at and get a free copy of your medical records, as permitted by law.

9. Receive timely referrals and access to medically needed specialty care.

10. Be free from any form of restraint or seclusion used as a means of coercion, discipline, convenience or retaliation.

11. Receive easy-to-read information in your preferred language. This may include information about Passport, your benefits, services, providers and your rights and responsibilities.

12. Make suggestions about your rights and responsibilities.

13. Get services from I/T/U providers (Indian Health Services, Tribally operated facility/program, and Urban Indian clinics) signed up with Passport (for Native American (Indian) members only).

YOU HAVE THE RESPONSIBILITY TO:1. Learn about your rights.

2. Follow the policies and procedures of DMS and Passport.

3. Learn about health services and treatment options.

4. Take part in personal health care decisions and practice a healthy lifestyle.

5. Keep appointments with providers and call to cancel appointments when you cannot be there.

6. Provide, to the best of your ability, information that your providers need to give you care.

7. Follow the orders and plans for care that you have agreed on with your providers.

8. Learn about your health problems and follow the orders and care plans that you and your providers have agreed upon.

9. Tell us if you suspect fraud or misuse of Passport ID card or benefits by a member or provider. To report fraud or misuse, please call Passport’s Compliance Hotline at 1-855-512-8500 or the Office of the Inspector General (OIG) at 1-800-372-2970.


GETTING SERVICES DURING AN APPEAL OR STATE HEARING

If you want to get services that have just been denied or denied on appeal, you must send in a written request during the appeal. If the final appeal decision is to uphold (not change) the denial, you may have to pay for any services received during the appeal.

EXPEDITED (FASTER) APPEALS

• You or your doctor may ask for a faster decision if your health is in danger.

• If your appeal qualifies as “expedited,” we will give you a decision within 72 hours of the request. You will have a limited amount of time to send us related records.

• If your request doesn't qualify as “expedited,” it will become a regular appeal.

We hope you are happy with your Passport benefits. If for some reason you are not, we want to know right away. If you disagree with a Passport decision, you or your representative may file an appeal within 60 days of the decision.

HOW TO FILE AN APPEAL• You may file an appeal by phone or in writing.

• If you file your appeal by phone, you must follow-up in writing within 10 days of the call.

• If a representative files your appeal, you must give him or her written approval.

• To send your appeal in writing, please send your request and any related records to:

Passport Health Plan Appeal Coordinator 5100 Commerce Crossings Drive Louisville, KY 40229

• Your related records may include written comments or any other information about your appeal.

YOUR RIGHT TO A STATE HEARING

If you are not happy with Passport’s appeal decision, you may ask for a State Fair Hearing. Your written request must be postmarked within 120 days from the date of your decision letter.

Send your written request for a State Fair Hearing to:

Kentucky Department of Medicaid Services Division of Program Quality & Outcomes 275 East Main Street- 6C-C Frankfort, KY 40621

NEED HELP?Please call 1-800-578-0603, press 0, and then press 7307. TDD/TTY users may call 711. We can help you file an appeal.

Filing an Appeal


Nondiscrimination NoticePassport Health Plan DOES: • Follow federal civil rights laws

• Provide free aids and services to people with disabilities such as:- Qualified sign language interpreters- Written information in other formats

(large print, audio, accessible electronic formats)

• Provide free language services to people whose primary language is not English such as: - Qualified interpreters - Information written in other

languages

Si habla español, tenemos servicios de asistencia lingüística de forma gratuita. Ofrecemos también, sin costo, servicios de interpretación de documentos en su idioma. Por favor, llame al 1-800-578-0603. Los usuarios de TTY pueden llamar al 711.

若您的慣用語言是中文，我們提供免費的語言協助服務。您也可以享受免費的口譯

服務；我們可以將任何文件翻譯成您的

慣用語言並唸給您聽。請致電 1-800-578-0603。TTY 使用者請撥打 711。

Wenn Sie Deutsch sprechen, stehen für Sie kostenlos Sprachassistenzdienste zur Verfügung. Sie können sich auch jedes Dokument in Ihrer Sprache vorlesen lassen, ohne dass für Sie Kosten entstehen. Bitte wählen Sie die Rufnummer 1-800-578-0603. Schreibtelefon (TTY/TDD): 711.

Nếu quý vị nói tiếng Việt, dịch vụ hỗ trợ ngôn ngữ miễn phí có sẵn dành cho quý vị. Quý vị cũng có thể nhận được hỗ trợ phiên dịch bằng lời miễn phí; chúng tôi có thể đọc bất kỳ tài liệu nào cho quý vị bằng ngôn ngữ của quý vị. Vui lòng gọi 1-800-578-0603. Người dùng TTY hãy gọi 711.

FREE Smartphone for MembersYour Passport friends are happy to be working with SAFELINK WIRELESS to offer you the LifeLine Program— at NO cost to YOU!

The LifeLine Program can offer you:

• A free SMARTPHONE — 1GB of data and 350 monthly minutes.

• UNLIMITED text messages.

• FREE CALLS to Passport’s Member Services line that will not count towards your minutes.

• Text messages with Health Tips and REMINDERS!

THERE ARE NO BILLS… and NO SURPRISES!

If you already own your phone, you can apply today and select the KEEP YOUR OWN SMARTPHONE program.

2 WAYS TO ENROLL: 1. Visit SafeLink.com to apply online.

2. Call Safelink at 1-877-631-2550.

Please make at least one call or send a text message each month to keep your Lifeline benefits. You can only select one plan or phone option. You can keep your Smartphone or use a Safelink Smartphone.


Nondiscrimination NoticeIf you need any of these services listed to the right, you may contact:

Passport’s Member Services Team 1-800-578-0603

Passport’s Care Connectors Team 1-877-903-0082

If you believe Passport has not provided these services or has discriminated against you, you may file a grievance. You can file a grievance by contacting:

Director of Compliance5100 Commerce Crossings DriveLouisville, KY 40229(502) 212-6767 | Fax: (502) [email protected]

You may file in person or by mail, fax or email. If you need help filing a grievance, the Director of Compliance can help you.

إذا كنت تتحدث العربية، فإن خدمات المساعدة اللغوية متاحة لك مجاًنا. وقد تتلقى أيًضا ترجمة

فورية شفهية مجانية؛ يمكننا أن نقرأ لك أي وثيقة بلغتك. ُيرجى االتصال على الرقم -1-800-5780603. يمكن لمستخدمي الهاتف النصي االتصال

على الرقم 711.

Ukoliko govorite srpski jezik, usluge jezičke pomoći su vam dostupne besplatno. Pružamo i usluge besplatnog usmenog prevoda; možemo da vam pročitamo bilo koji dokument na vašem jeziku. Pozovite 1-800-578-0603. Korisnici koji upotrebljavaju tekstualni telefon mogu da pozovu broj 711.

日本語を話される場合、無料の言語支援サービスをご利用いただけます。また、無料の読み上げサービスをご利用いただけます。あなたの言語で文書を読み上げます。1-800-578-0603までお電話ください。TTYユーザーは711に電話できます。

Si vous parlez français, vous pouvez bénéficier gratuitement de services d’assistance linguistique. Vous pouvez également recevoir une interprétation orale gratuite ; nous pouvons vous lire n’importe quel document dans votre langue. Veuillez appeler le 1 800 578 0603. Les utilisateurs d’un ATS (TTY) peuvent appeler le 711.

한국어 사용자는 무료로 언어 지원 서비스를 이용할 수 있습니다. 아울러, 어떤 서류든 모국어로 읽어주는 무료 구두 통역도 받을 수 있습니다. 1-800-578-0603번으로 전화하십시오. TTY 사용자는 711번으로 전화하실 수 있습니다.Wann du Deitsch schwetzscht un Hilf mit Englisch brauchscht, kenne mer dich helfe fer nix. Du darfscht aa en Interpreter/Translator griege fer nix; mir kenne ennicher Text lese zu dich in dei Schprooch. Ruf 1-800-578-0603 uff. Leit as TTY yuse darfe 711 uffrufe.

तपाईंले नेपाली बोल्नुहुन्छ भने भाषा सहायता सेवाहरू तपाईंको लागि नि:शुल्क रूपमा उपलब्ध हुन्छन्। तपाईंले नि:शुल्क मौखिक दोभाषे पनि प्राप्त गर्न सक्नुहुन्छ; हामी तपाईंको लागि तपाईंकै भाषामा कुनैपनि कागजात पढ्न सक्छौं। कृपया 1-800-578-0603 मा फोन गर्नुहोस्। TTY प्रयोगकर्ताहरूले 711 मा फोन गर्न सक्नुहुन्छ।

Kan dubbattu Afaan Oromo yoo ta’e, tajaajilliwwan gargaarsa afaanii kanfaltii malee siif jira. Akkasumas turjumaana afaanii bilisaan argachuus ni dandeessa; afaan keetiin galmee kamiyyuu siif dubbisu ni dandeenya. Maaloo 1-800-578-0603 irratti bilbili. Fayyadamtoonni TTY 711 irratti bilbilu.

Если вы говорите на русском языке, вам могут быть предоставлены бесплатные услуги переводчика. Также вам может быть бесплатно предоставлен устный переводчик; любой документ может быть зачитан вам на вашем языке. Звоните по телефону 1-800-578-0603. Телетайп (TTY): 711.

Haddii aad ku hadasho Af Soomaali, adeegyada caawimada luqadda waxaa laguugu heli karaa adiga bilaash. Sidoo kale waxaad heli kartaa turjumaad hadalka ah oo bilaasha ah; waxaanu kuugu akhriyi karnaa adiga warqad kasta luqaddaada. Fadlan soo wac 1-800-578-0603. TTY isticmaalayaashu waxay soo waci karaan 711.

Kung nagsasalita ka ng Tagalog, makakagamit ka ng mga serbisyo ng tulong sa wika nang walang bayad. Maaari ka ring makatanggap ng libreng oral interpretation; maaari naming basahin para sa iyo ang anumang dokumento sa sarili mong wika. Mangyaring tumawag sa 1-800-578-0603. Ang mga gumagamit ng TTY ay maaaring tumawag sa 711.

Passport Health Plan DOES NOT:• Discriminate on the basis of race,

color, national origin, age, disability, sex, health status, need for health services, religion, sexual orientation, or gender identity.

• Exclude people or treat them differently because of race, color, national origin, age, disability, sex, health status, need for health services, religion, sexual orientation, or gender identity.

You can also file a civil rights complaint with the U.S. Department of Health and Human Services Office for Civil Rights. You can:

• Visit the Office for Civil Rights Complaint Portal at ocrportal.hhs.gov/ocr/portal/lobby.jsf

• Mail to: U.S. Department of Health and Human Services 200 Independence Avenue, SW Room 509F, HHH Building Washington, D.C. 20201

• Call 1-800-368-1019 (TDD 1-800-537-7697)

If you need a complaint form, please visit http://www.hhs.gov/ocr/office/file/index.html

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

MARK02945 APP_2/19/2019

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.

Better Health Together

?Want to get a copy of our Preferred Drug List (PDL)?

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

We make changes to our PDL from time to time. To find the most up-to-date list, please visit www.passporthealthplan.com and click on Pharmacy and then Drug Formulary from the drop down.

• To view or print our PDL, use the click here link next to Printable Preferred Drug List.

• To view or print our Over-the-Counter drug list, use the click here link next to Over-the-Counter (OTC) \Drug List.

• To see if a drug is covered using our online formulary, use the click here link next to Searchable Drug Formulary.

If you don’t use a computer and would like some help, just call Member Services at 1-800-578-0603.

WHAT’S INSIDE Well-Visits: What’s In It For ... - Passport · At Passport Health Plan, we care...

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Transcript of WHAT’S INSIDE Well-Visits: What’s In It For ... - Passport · At Passport Health Plan, we care...