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Transparency Has Never LookedSo Good

P. 1

Adolescent Health P. 2

Vaccines for Your Children:Protect Your Child at Every Age

P. 2

Optima Equity Member News P. 3

Pharmacy Changes EffectiveJuly 1, 2017

P. 3

What You Need to Know About EPSDT

P. 4

Drug Safety Tips P. 4

Healthy Living P. 5

Health APP-roved P. 5

Get Active! P. 6

Tips for Your Taste Buds P. 7

Get Social with Optima Health P. 8

Transparency Has Never Looked So Good

At Optima Health, we want to make managing healthcare budgets easier for our members. We are excited to announce the following enhancements to our Treatment Cost Calculator tool:

• streamlined, user-friendly interface to improve shopping experience;

• more flexible search options on the home page, allowing users to begin their estimate search by treatment, physician, or medical facility;

• time-saving "Popular Searches" menu to help quickly guide users to most commonly accessed information;

• at-a-glance plan Deductible and Out-of-Pocket Maximum balances displayed upon sign-in; and

• health savings account (HSA) balances displayed for members with HSA-eligible health plans (*New Feature*).

Sign in at optimahealth.com/members today to start taking control of your healthcare costs. If you have not yet registered for your free MyOptima online account, visit optimahealth.com/members and select Register for Secure Access. The information you provide must match the information on your Optima Health member ID card.

Benefit News2nd Issue 2017 - June

In This Issue:

Important Information for our Readers

Benefit News examines issues affecting the majority of our membership. However, it is important to note that there may be occasional differences in health plan designs among the customers we serve.

If you have any questions about the information in this issue, please contact Member Services at the number located on the back of your member ID card.

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Adolescent Health

Adolescents (ages 12–18) need a well visit with their doctor each year. A school-based sports physical is not the same thing and should not be substituted for an annual doctor’s visit.

These well visits give physicians a chance to do a thorough physical exam and perform scoliosis, vision, and hearing screening tests. Your child’s doctor may also address any behavioral, developmental, or social concerns; topics may include safe driving, substance abuse, sexual behavior, diet, and exercise.

Schedule an annual well visit for your child by calling your doctor or 1-800-736-8272 to find a provider near you. You can also visit optimahealth.com and select Find Doctors, Drugs, and Facilities.

Vaccines for Your Children: Protect Your Child at Every Age

Immunizations have had an enormous impact on improving the health of children in the United States. Most parents today have never seen first-hand the devastating consequences that vaccine-preventable diseases have on a child, family, or community. While these diseases are not common in the U.S., they persist around the world. It is important that we continue to protect our children with vaccines because outbreaks of vaccine-preventable diseases like pertussis, mumps, and measles can and do occur in this country.

Vaccination is one of the best ways parents can protect infants, children, and teens from 16 potentially harmful diseases. Vaccine-preventable diseases can be very serious, may require hospitalization, or even be deadly— especially in infants and young children.

Consult the Easy-to-Read Childhood Immunization Schedule and theEasy-to-Read Teen Immunization Schedule to see which vaccines are recommended based on your child’s age.

Source: "Immunization Schedules." Centers for Disease Control and Prevention, 04 Feb. 2016. Web. 10 May 2017.<https://www.cdc.gov/vaccines/schedules/easy-to-read/index.html>.

Benefit News June 2017

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Optima Equity Member News

For members on an Optima Equity plan, the following online services are now available from our Optima Equity health savings account (HSA) partner HealthEquity.

Dependent Card Ordering

Members can now order HealthEquity Visa® health account cards for their dependents directly from their online member portal.

To order additional debit cards:

• sign in at optimahealth.com/members,

• select Manage My HSA Account from the MyOptima menu to navigate to your secure HealthEquity member portal, then

• select Manage Cards from the My Account tab on the HealthEquity member home page.

To report cards lost or stolen, contact HealthEquity member services by phone at 1-866-346-5800.

Member Services Online Chat

Members can now reach a HealthEquity Member Services Specialist via online chat. The chat feature provides real-time answers at the same level of great customer service that HealthEquity provides by phone.

Online chat is available on all pages within the HealthEquity member portal. To access:

• sign in at optimahealth.com/members,

• select Manage My HSA Account from the MyOptima menu to navigate to your secure HealthEquity member portal, then

• select Let’s Chat from the Contact button in the upper right corner of page.

Optima Equity Members:

Access your HealthEquity account directly from optimahealth.com.

Simply sign in* to MyOptima and select Manage My HSA Account.

* If you have not yet registered for your free MyOptima online account,visit optimahealth.com/members and select Register for Secure Access. The information you provide must match the information on your Optima Health member ID card.

Pharmacy Changes Effective July 1, 2017

For members with pharmacy benefits administered by Optima Health, the pharmacy changes effective July 1, 2017 are now available at optimahealth.com/members: select the Manage My Plan drop down menu, select Forms and Drug Lists, scroll down to Drug Lists, and find the Quarterly Pharmacy Changes list.

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Drug Safety Tips

Protect your health and the health of loved ones by following these tips for safe medication use:

• Get instructions on how to administer your drug. Ask your pharmacist how to properly take your drug. For example, insulin pen cartridges are different from insulin vials. Some drugs such as Tanzeum® require special handling and preparation prior to administration.

• Know why you are taking your drug. Do you know the purpose of the drug you are taking? Ask your doctor and include the purpose on your personal medication list. It can help prevent mistakes when your doctor prescribes new drugs or if you are admitted to the hospital.

• Get educated about your drugs. Your doctor may prescribe a combination product to reduce the number of pills you have to take. If your prescription is for a combination product, ask your doctor if you need to stop taking other medications.

• Read labels on over-the-counter products. Drug names can be deceiving. ClariSpray® is made by the same company that makes Claritin®. Both products are used for allergies, but they are different drugs.

Source: Institute for Safe Medication Practices. ISMP Ambulatory Care Action Agenda. Community/Ambulatory Care ISMP Medication Safety Alert! 2017; 16(1).

What You Need to Know About EPSDT

Mental Health and EPSDT

Federal law requires complete well-child examinations with screening services through EPSDT, including screening for potential developmental, mental, behavioral, and/or substance use disorders. EPSDT also finances diagnostic and treatment services, if medically necessary, for these conditions.

EPSDT stands for: EPSDT is made up of the following screening, diagnostic, and treatment services:

• Early: identify problems early, starting at birth.

• Periodic: check children's health at periodic, age-appropriate intervals.

• Screening: provide physical, mental, developmental, hearing, vision, and other screening tests to detect potential problems.

• Diagnosis: perform diagnostic tests when a risk is identified.

• Treatment: treat problems that are found.

• comprehensive health and developmental (physical and mental) history;

• comprehensive unclothed physical exam;

• appropriate immunizations (according to the Advisory Committee on Immunization Practices);

• laboratory tests (including lead toxicity screening); and

• health education (anticipatory guidance including child development, healthy lifestyles, and accident and disease prevention).

Benefit News June 2017

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Healthy Living

The key to achieving and maintaining a healthy weight is not short-term dietary changes; it is choosing a lifestyle that includes healthy eating and regular physical activity. Fortunately, there are plenty of resources that can help. Visit each site linked below to learn more:

• Assessing Your Weight. Body Mass Index (BMI) and waist circumference are two screening tools to estimate weight status and potential disease risk.

• Healthy Weight. A high BMI can be an indicator of high body fatness. Learn about balancing calories, losing weight, and maintaining a healthy weight.

• ChooseMyPlate. Healthy eating habits are a key factor for a healthy weight. Look up nutritional information of foods, track your calorie intake, plan meals, and find healthy recipes.

• Physical Activity Basics. Physical activity is important for health and a healthy weight. Learn about different kinds of physical activity and the guidelines for the amount needed each day.

• Tips for Parents. Learn about the seriousness of childhood obesity and how to help your child establish healthy behaviors.

Sources:

"Assessing Your Weight." Centers for Disease Control and Prevention, 15 May 2015. Web. 10 May 2017.<https://www.cdc.gov/healthyweight/assessing/index.html>.

"Healthy Weight." Centers for Disease Control and Prevention, 03 Nov. 2016. Web. 10 May 2017.<https://www.cdc.gov/healthyweight/index.html>.

Choose MyPlate. N.p., n.d. Web. 10 May 2017. <https://www.choosemyplate.gov/>.

"Physical Activity Basics." Centers for Disease Control and Prevention, 04 June 2015. Web. 10 May 2017.<https://www.cdc.gov/physicalactivity/basics/index.htm>.

"Tips for Parents – Ideas to Help Children Maintain a Healthy Weight." Centers for Disease Control and Prevention, 06 July 2016. Web. 10 May 2017. <https://www.cdc.gov/healthyweight/children/index.html>.

Health APP-roved

If you are finally ready for an exercise habit that will still be around in a year—or 10—the Daily Victory mobile app from WebMD Health Services will help you get there. Forming a great habit is a different skill than exercising and eating right, and that is why Daily Victory works.

Download instructions for Optima Health members:

• Sign in at optimahealth.com/members.

• Select Wellness Tools from your MyOptima menu to navigate to your personal health and wellness portal, powered by WebMD Health Services.

• Information about downloading the Daily Victory app can be accessed from the Healthy Living tab on the wellness portal home page.

NOTE: Optima Health offers information about available Health and Fitness Apps. We do not endorse the content or profit from any apps purchased. No app should replace the advice of your doctor.

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Get Active!

Physical activity is anything that gets our bodies moving.

According to the 2008 Physical Activity Guidelines for Americans, we need to do both aerobic and muscle-strengthening activities each week to improve our health. But, how much of these activities should we do?

To reap the health benefits of being physically active, adults need at least:

• 2 hours and 30 minutes (150 minutes) of moderate-intensity aerobic activity (i.e., brisk walking) every week; and

• muscle-strengthening activities on 2 or more days a week that work all major muscle groups (legs, hips, back, abdomen, chest, shoulders, and arms).

OR

• 1 hour and 15 minutes (75 minutes) of vigorous-intensity aerobic activity (i.e., jogging or running) every week; and

• muscle-strengthening activities on 2 or more days a week that work all major muscle groups (legs, hips, back, abdomen, chest, shoulders, and arms).

OR

• an equivalent mix of moderate- and vigorous-intensity aerobic activity; and

• muscle-strengthening activities on 2 or more days a week that work all major muscle groups (legs, hips, back, abdomen, chest, shoulders, and arms).

Find activities you enjoy, and spread them throughout your week so that you are physically active at a moderate or vigorous effort for at least 10 minutes at a time.

NOTE: This information does not replace the advice of a doctor. You should always consult your doctor before starting or becoming more physically active.

Source: "How Much Physical Activity Do Adults Need?" Centers for Disease Control and Prevention, 04 June 2015. Web. 10 May 2017. <https://www.cdc.gov/physicalactivity/basics/adults/index.htm>.

Benefit News June 2017

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Nutritional Information

Recipe makes 4 servings

Amount per Serving: Calories—397, Fat—13g, Cholesterol—86mg, Carbohydrates—34.5g, Protein—35.5g, Sodium—767mg

Tips for Your Taste Buds: Cheeseburger

Grill a healthier burger this summer. Your taste buds—and waistline—will thank you.

Ingredients

• 1 pound very lean ground beef, or fresh ground sirloin

• ½ teaspoon garlic salt

• 4 slices reduced-fat cheese

• 4 whole-wheat hamburger buns

• canola cooking spray

• freshly ground pepper

• optional toppings: lettuce leaves, sliced tomato, sliced onion, mustard, ketchup, barbecue sauce

Directions

1. Divide the beef into 4 equal portions. Use a patty press (or your hands) to make 4 burgers. Sprinkle them with pepper and garlic salt.

2. Pan-fry, broil, or grill the burgers, using canola cooking spray to keep them from sticking to the pan or grill. When the burgers are almost cooked through, place the cheese slices on top and finish cooking (30–60 seconds). Remove the burgers to the serving plate. If desired, cover the plate with foil to keep burgers warm and moist.

3. Dress your burger on the bun with lettuce, sliced tomato and onion, mustard, barbecue sauce, and ketchup as desired.

Source: "Cheeseburger Recipe: Burger Recipes on WebMD." WebMD, n.d. Web. 10 May 2017.<http://www.webmd.com/food-recipes/perfect-cheeseburger>.

Important Plan Information

Nonprofit Org.U.S. Postage

PAIDNorfolk, VA

Permit No. 427

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Benefit News June 2017