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How to Transition Your Child from

Pediatric to Adult Care

What are the Most Common Thyroid Issues?

Can You Lower Your Risk of Breast Cancer?

TALK TO A DOCTOR 24/7/365

LIVEHealthy

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TALK TO A DOCTOR 24/7/365With telehealth services from Teladoc®, you can take charge of your and your family’s health and save some money!1 By phone or internet, you get 24/7 access to board-certified doctors. Video consultations can be scheduled from 7 a.m. to 9 p.m., seven days a week.Set up your Teladoc online account in three easy steps.

1. Log on to teladoc.com or download the Teladoc mobile app; choose Apple iOS or Android. You can also call 800-Teladoc to speak with a representative who will assist you in setting up your account.

2. Create a username and password.

3. Welcome! The doctor will see you now.

Register for your online account today.

» Teladoc app

» teladoc.com

» 800-Teladoc (835-2362)

On-call doctors can treat a variety of minor medical conditions, including:

» Allergies and sinus problems

» Arthritic pain

» Asthma and bronchitis

» Colds, flu, and sore throats

» Ear infections

» “Pink eye” (conjunctivitis)

» Skin problems: rashes, infections, and insect bites

» Urinary tract infections (UTIs)

» And more!

Behavioral health and dermatology services are also available for customers with individual or group health plans; these services are not available for customers with the WPS Short-Term Health Plan.

For plans with a telehealth visit copay, the copays are the same for behavioral health and dermatology services as for general medical services.2 For all other plans, the fees billed ($200 or less for behavioral health services, $75 for dermatology services, and $45 for most other services)3 are subject to the plan’s deductible and coinsurance.

1Teladoc services are optional for large and self-funded groups. 2Please see your plan materials for your copay. 3Fees are subject to your plan’s deductible, coinsurance, and out-of-pocket maximum on plans with no office visit copay and HSA-qualified plans and are subject to change. WPS only covers telehealth services available through Teladoc. Teladoc does not guarantee that a prescription will be written. Teladoc does not prescribe DEA-controlled substances, non-therapeutic drugs, and certain other drugs, which may be harmful because of their potential for abuse. Prescriptions are written at the sole discretion and medical judgment of the Teladoc physician.

LIVEHealthyRyan Kanable, Managing Editor

Live Healthy is published by WPS Health Insurance. This material is not intended as medical advice. Talk with your doctor about this or any other subjects pertinent to your health. See your summary of benefits for covered services. Green Bay Packers and Milwaukee Brewers™ partnerships are paid endorsements.

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Can You LOWER YOUR RISK of Breast Cancer?According to the National Breast Cancer Foundation, one in eight women will be diagnosed with breast cancer in her lifetime. Though there is no way to fully prevent it, there are ways to help lower your risk. You can:

» Limit alcohol intake.

» Get physically active.

» Maintain a healthy weight.

» Get regular checkups.

» Do self-exams at least once a month.

Some women have a higher risk of breast cancer due to a variety of factors, including being over 60, family history, inherited genetic mutations, obesity, high breast density,

and a sedentary lifestyle. Depending on your risk level and other factors, your doctor may want to prescribe medicines to lower your risk or, in rare cases, suggest preventive surgery.

To learn more, visit our online Wellness page at wpshealth.com and search breast cancer. You can determine your risk of developing breast cancer by using the Breast Cancer Risk Assessment Tool, available online at bcrisktool.cancer.gov. This online tool uses a woman’s medical, family, and reproductive histories to estimate her probability of developing breast cancer.

SOURCES: National Cancer Institute; Breast Cancer Prevention Partners; American Cancer Society; National Breast Cancer Foundation, Inc.

CONNECT WITH US!Get instant access to health, wellness, and health insurance coverage tips.

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Case Management Program Helps You Get the Services You Need

Are you struggling with a chronic condition or a series of complex health issues? WPS Health Insurance case management can help coordinate your health care and services. You don’t have to go it alone when you have experienced a critical event or have a complex condition that requires a lot of resources.

WPS case managers collaborate with you—at no added cost to you—to assess, plan, implement, coordinate, monitor, and evaluate the options and services required to meet your health needs. Our case managers are registered nurses (RNs) who use communication and available resources to promote top-quality, cost-effective outcomes.

WHEN WOULD A CASE MANAGER CALL ME?WPS receives referrals to the case management program in several ways. Direct referrals, self-referrals, employer-based referrals, provider-sponsored referrals, referrals from utilization management, population health referrals, and internal analytics can all prompt our RN case managers to contact customers to start assisting them with their identified needs.

WHAT CAN CASE MANAGEMENT DO FOR ME?Some of the benefits of having a case manager include, but are not limited to:

» Coordinating your health care.

» Assisting you with navigation through a complex health care system.

» Providing education regarding your specific health care needs and concerns.

» Supporting you and acting as an advocate for you to improve your health care experience and outcomes.

» Helping you reach your health care goals.

» Educating members about community resources.

» Understanding your health insurance benefits.

» Helping you become a better health care consumer.

HOW DOES CASE MANAGEMENT WORK?When entering our case management program, our case managers will complete an initial assessment of your care needs.

This includes, but is not limited to, exploring your current health status and history as well as your available health benefits and caregiver resources.

WHO DO I CONTACT?If you are interested in case management services, you or your doctor can call 800-333-5003 or email WPSHI.Case.Management@wpsic.com. You can find more information online at wpshealth.com/case-management.

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» INSIDER TIPS KNOW OUR PRIVACY RULES

Do you know how WPS Health Insurance can collect, use, and disclose your information? You can view our Privacy Policy by visiting wpshealth.com and clicking on the Notice of Privacy Practices link at the bottom of the home page.

If you have any questions, or if you’d like a paper copy sent to you, please call the customer support number listed on your customer ID card.

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» DID YOU KNOW? You’ll find important information in your online account at wpshealth.com. When you are logged in, go to the Customer Resources area and look in the My Coverage section of the page for a link to information about your health plan. You can find:

» Affirmative statement » External review » Your rights and responsibilities

According to the American Association of Clinical Endocrinologists and the American College of Endocrinology, 30 million Americans have thyroid disease, and more than half remain undiagnosed.

Your thyroid is a butterfly-like gland located in the base of your neck and plays a huge role in how the rest of your body functions. If something is wrong with your thyroid, it can influence the performance of other important organs like your heart, brain, liver, kidneys, and skin.

To understand if there’s a problem with your thyroid, it’s important to understand some of the most common thyroid issues and their symptoms.

1. Hypothyroidism–when your thyroid gland is underproducing the amount of hormones needed, which can cause fatigue, dry skin, weight gain, and muscle weakness.

2. Hyperthyroidism–when your thyroid gland produces too many hormones, which can cause inflammation, irregular heartbeat, tremors, and unintentional weight loss.

3. Hashimoto’s Disease–when your immune system attacks the thyroid gland, which typically has a slow progression that can cause chronic thyroid damage. Symptoms can include constipation, joint stiffness, and fatigue.

4. Graves’ Disease–when your thyroid overproduces the hormone responsible for regulating your body’s metabolism. Symptoms include anxiety, excessive sweating, and irritability. This disease is hereditary.

5. Goiter–when your thyroid gland becomes enlarged. While this is often painless, it can cause difficulty for breathing and swallowing.

If you have any concerns about your thyroid or if thyroid issues run in your family, make sure to bring them up with your doctor.

SOURCES: healthline.com; Mayo Clinic.

What Are the Most Common Thyroid Issues?

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How to Transition Your Child from Pediatric to Adult CareYour child’s pediatrician has probably known your son or daughter for a very long time. In fact, he or she may have been your child’s doctor since the day your baby was born. However, as children become young adults, it’s time to start thinking about moving on to an adult doctor. These doctors are also known as family physicians, family doctors, or primary care practitioners. Many experts recommend making this transition between ages 18 and 21. Knowing what you can expect to happen during this transition can help it go more smoothly for everyone.

WHAT TO EXPECTOne of the biggest changes that occurs when young adults start seeing a family physician is they’ll be expected to start taking much more responsibility for their health and medical care than before. They’ll be more involved in making decisions about their health. They’ll also be expected to take a more active role in their care. This may mean following their doctor’s instructions, taking their medications, making appointments for screenings or follow-up appointments, and other health-related tasks you may have done for them in the past.

Another big change is the fact that they’ll start seeing a new doctor altogether. Even if your teen is in perfect health, it’s still important to make sure he or she finds a new doctor. Family doctors don’t just treat health problems—they’re trained to prevent them in the first place.

GETTING TO KNOW YOUOne of the best places to start when helping your child find a new doctor is to ask family and friends if they have any recommendations. Once you have a few suggestions, call the office to gather some information. Important questions to ask:

» Does the doctor take your insurance? » What are the office hours? Make sure they

fit with your child’s school or work schedule. » Which hospital does the doctor use? Is it

in-network? » How many doctors are in the practice?

Are all doctors in-network?

You may be surprised to learn that your teen or young adult can schedule an appointment to meet and talk with a doctor.

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How to Transition Your Child from Pediatric to Adult CareThis way, he or she can make sure there’s a level of comfort with the new provider. Beforehand, discuss with your child important things to look for during the appointment. For example, make sure the doctor takes the time to answer all questions posed and there isn’t a feeling of being rushed. Also, the doctor should explain things in a way that a teen or young adult can understand.

It’s important to let your child know that it’s OK if he or she doesn’t feel exactly the same way about the new doctor as he or she did about the pediatrician. However, if it’s someone your child trusts and feels comfortable with, then over time they can build a relationship that’s just as strong.

SOURCES: American Academy of Family Physicians (2016); American Academy of Pediatrics (2011).

Don’t Miss Our Blog!Each month, you can find new blog posts on health insurance and wellness topics to help boost your knowledge. You’ll find answers to common questions, tips for healthy living, some interesting stories, and more. Take a look today!

Active&Fit Direct™ Program Helps You Stay Healthier

The Active&Fit Direct program allows you ac-cess to a fitness center for a low monthly rate. You can get started with a low $25 enroll-ment fee, $25 for current month, $25 for next month, and any applicable taxes. After that, it’s just $25 a month!

» Choose from more than 9,000 participat-ing locations nationwide

» Access more than 800 on-demand work-out videos, giving enrolled customers the flexibility to participate in a fitness class or perform exercises at home or on the go

» To register, log in to your WPS customer account and click on the Active&Fit link

» After you have registered, you can log in at activeandfitdirect.com

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Did You Know?You’ll find important information in your online account at wpshealth.com. When you are logged in, go to the Customer Resources area and look in the My Coverage section of the page for a link to information about your health plan. You can find:

· Affirmative statement· External review· Your rights and responsibilities

wpshealthblog.com

Your WPS ID card is your ticket to health care

Page 2: Talk to a Doctor 24/7/365

Page 3: Can You Lower Your Risk of Breast Cancer?

Page 4: Case Management Program Helps You Get the Services You Need

Page 5: What Are the Most Common Thyroid Issues?

Page 6: How to Transition Your Child from Pediatric to Adult Care

LIVEHealthyS P R I N G 2020wpshealth.com

When you sign up for a health plan from WPS Health Insurance, we send you a new customer ID card. Each year when you renew, you get a new card. Please be sure you are using your current ID card and you have destroyed any old ID cards.

Your current customer ID card must be shown to your health care providers whenever you receive care to ensure they submit your claims properly and you don’t have any hassles with the billing. Old cards may have incorrect information on them and should not be used. Also, do not let anyone who is not specified on your health plan use your ID card, as that’s illegal!

If you have any questions about your ID card, please call the customer support number printed on it and we’ll be happy to get you answers. If you lose your ID card, please let us know right away. You can request a new or additional ID card either online using your customer account or by calling 800-332-6421.

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