university of kentucky k-144 kentucky clinic lexington ky ...beth miller, md james temprano, md...

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First Class U.S. Postage Paid Lexington KY Permit Number 51 University of Kentucky Health Care Plans K-144 Kentucky Clinic Lexington KY 40536-0284 An Equal Opportunity University NEWS for MEMBERS of UK-HMO Summer 2005 There are a number of corrections and additions for the 2005-2006 Lexington Service Area Directory. Below are page numbers from the LSA Provider Directory along with the corrected information from that page. If you have questions or concerns about the LSA, please call the UK-HMO office at (859) 257-8251. Page 4, Dr. Stephen Kraman should be listed under Pulmonary Medicine on page 10. Additional corrections on page 4 include the following. Asthma, Allergy & Sinus (859) 323-5365 Allergy Leslie Branch, MD Jody Holl, ARNP Beth Miller, MD James Temprano, MD Immunology Leslie Branch, MD Beth Miller, MD James Temprano, MD John Thompson, MD The phone number for Family Practice, under Primary Care Physicians, should be (859) 323-6371. Corrections to the LSA and RSA Provider Directories On Page 10, the phone number for Pulmonary Medicine should be (859) 323-5365. The following doctors should be added under Pulmonary Medicine. Bensadoun, Eric, MD Buch, Ketan, MD Kraman, Stephen, MD Mannino, David, MD Under Specialty Providers, there should be a listing for the Center for the Advancement of Women’s Health with the following information. Center for the Advancement of Women’s Health Kentucky Clinic (859) 323-3900 Women’s Health Deidra Beshear, MD Lynne Jensen, ARNP Jan Gross, ARNP Sharon Locke, ARNP Robin Meek, MD Hatim Omar, MD Kittye Roberts, ARNP Lisbeth Selby, MD Rheumatology Leslie Crofford, MD Robert Lightfoot, MD Julia Popham, MD Katherine Temprano, MD Corrections to the RSA Directory appear on the following page. The Kentucky Women’s Health Research Registry was created to help women and medical professionals learn why diseases affect women differently than men. By volunteering, women make a crucial and powerful contribution to women’s health care, improving the health of future generations through advanced, focused research. In addition to providing an epidemio- logic data base to evaluate associations between exposures and disease, the registry will facilitate inclusion for women who are interested in partici- pating in research. For more information, visit our website at www.mc.uky.edu/womenshealth or call (859) 323-5709. A Powerful Contribution to Women’s Health Care

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Page 1: University of Kentucky K-144 Kentucky Clinic Lexington KY ...Beth Miller, MD James Temprano, MD Immunology Leslie Branch, MD Beth Miller, MD James Temprano, MD John Thompson, MD •

First ClassU.S. Postage Paid

Lexington KYPermit Number 51

University of Kentucky Health Care Plans K-144 Kentucky ClinicLexington KY 40536-0284

An Equal Opportunity University

NEWS for MEMBERS of UK-HMO Summer 2005

There are a number of corrections and additions for the 2005-2006 Lexington Service Area Directory. Below are page numbers from the LSA Provider Directory along with the corrected information from that page.

If you have questions or concerns about the LSA, please call the UK-HMO office at (859) 257-8251.

• Page 4, Dr. Stephen Kraman should be listed under Pulmonary Medicine on page 10. Additional corrections on page 4 include the following.

Asthma, Allergy & Sinus(859) 323-5365

Allergy Leslie Branch, MD Jody Holl, ARNP Beth Miller, MD James Temprano, MD

Immunology Leslie Branch, MD Beth Miller, MD James Temprano, MD John Thompson, MD

• The phone number for Family Practice, under Primary Care Physicians, should be (859) 323-6371.

Corrections to the LSA and RSA Provider Directories• On Page 10, the phone number for Pulmonary Medicine

should be (859) 323-5365. The following doctors should be added under Pulmonary Medicine.

Bensadoun, Eric, MDBuch, Ketan, MDKraman, Stephen, MDMannino, David, MD

• Under Specialty Providers, there should be a listing for the Center for the Advancement of Women’s Health with the following information.

Center for the Advancement of Women’s HealthKentucky Clinic(859) 323-3900

Women’s Health Deidra Beshear, MD Lynne Jensen, ARNP Jan Gross, ARNP Sharon Locke, ARNP Robin Meek, MD Hatim Omar, MD Kittye Roberts, ARNP Lisbeth Selby, MD

Rheumatology Leslie Crofford, MD Robert Lightfoot, MD Julia Popham, MD Katherine Temprano, MD

Corrections to the RSA Directory appear on the following page.

The Kentucky Women’s Health Research Registry was created to help women and medical professionals learn why diseases affect women differently than men. By volunteering, women make a crucial and powerful contribution to women’s health care, improving the health of future generations through advanced, focused research. In addition to providing an epidemio-logic data base to evaluate associations between exposures and disease, the registry will facilitate inclusion for women who are interested in partici-pating in research. For more information, visit our website at www.mc.uky.edu/womenshealth or call (859) 323-5709.

A Powerful Contribution to Women’s Health Care

Page 2: University of Kentucky K-144 Kentucky Clinic Lexington KY ...Beth Miller, MD James Temprano, MD Immunology Leslie Branch, MD Beth Miller, MD James Temprano, MD John Thompson, MD •

HealthBeat is published by the UK Health Care Plans office. The information is intended to educate members of UK-HMO about subjects pertinent to their health and health coverage, not as a substitute for consultation with a personal physician.

William H. Mitchell, M.D.Medical Director, CHA Health

Bobby Rogers Director of Alternative Delivery Systems

Gina GreeneAdministrator

Heather RussellEditor

Check out the myCHAinfo Web site, 24 hours a day, seven days a week, to access your health care information at your conve-nience. Using the site, you may order replace-ment ID cards; update personal information such as name, address and phone numbers; and view claims status, referrals, and prior plan approvals. You can also participate in the UK Healthtrac Rewards program.

To start using this feature, simply go to the UK-HMO Web site at www.mc.uky.edu/ukhmo, then move your cursor to your plan (LSA or RSA), and choose myCHAinfo. On this page you will find further information regarding what is available on this site and links to take you there.

LSA member services:

Local: (859) 232-8711 Toll free: (800) 955-8547 Fax: (859) 232-8795

To register for a KY Clinic appointment:

(859) 257-9805

The PharmacistCARE team is made up of clinical phar-macists who work as part of the patient’s overall health care team to ensure the best use of medications in the treatment of illness. The diabetes program is offered free of charge to all adult UK-HMO members who have been diagnosed with diabetes. PharmacistCARE programs offer a range of services, including:

• an initial health assessment;• a comprehensive review of the patient’s medications;• an individualized medication treatment plan;• education and training to enhance the patient’s under-

standing of medication use; and • coordination of the medication therapy management

services with the patient’s other health care providers.

To schedule an initial assessment, call (859) 323-4742.

Health Care Information at Your Convenience

UK-HMO

Regional Service

Area Plan

This program is available to you exclusively through UK Healthcare. This comprehensive managed health care program offers you:

• freedom from claims filing; • preventive and stay-well services; • full range of specialty care; and • more than 500 UK HealthCare physicians.

You and any dependents you intend to cover must live in the following counties to participate in UK-HMO: Adair, Ballard, Barren, Bath, Bell, Boone, Boyd, Boyle, Bracken, Breathitt, Bullitt, Butler, Caldwell, Calloway, Campbell, Carlisle, Carroll, Carter, Casey, Christian, Clay, Clinton, Crittenden, Cumberland, Edmonson, Elliott, Estill, Fleming, Floyd, Fulton, Gallatin, Garrard, Grant, Graves, Green, Greenup, Harlan, Harrison, Hart, Henry, Hickman, Hopkins, Jackson, Jefferson, Johnson, Kenton, Knott, Knox, Laurel, Lawrence, Lee, Leslie, Letcher, Lewis, Lincoln, Livingston, Logan, Lyon, Magoffin, Marion, Marshall, Martin, Mason, McCracken, Menifee, Metcalfe, Monroe, Montgomery, Morgan, Nicholas, Oldham, Owen, Owsley, Pendleton, Perry, Pike, Powell, Robertson, Rockcastle, Rowan, Russell, Shelby, Spencer, Taylor, Trigg, Trimble, Warren, Washington, Whitley or Wolfe. For more information, please call (800) 955-8547 or (859) 232-8711.

If you live in a Kentucky county not listed above, you may be eligible for the UK-HMO Regional Service Area Benefit Plan. Please call toll free (877) 855-9700 for more information.

This brochure is not a contract. It is a partial listing and summary of benefits and services. For complete details on covered services, exclusions and benefit limitations, refer to the Certificate of Coverage Booklet. All services, with exception of life-threatening, emergent care, must be provided within the UK-HMO network. Please refer to “How to Use the Plan” section of this brochure.

You may enroll your eligible dependents who live in the UK-HMO Lexington Service Area (outlined above). Eligible dependents include:

• your spouse; and • your unmarried children up to age 25 who are not employed full time and

who are dependent on you for support.

Dependent Eligibility

Monthly Cost

EmployeesOnly

Coverage Levels

Regular Full-time EmployeeEligible for University Contribution

Employee NOT Eligible forUniversity Contribution

Retirees Under Age 65 Eligible forUniversity Contribution

Employee+

Child (ren)

Employee+

Spouse

Employee+ Family

[Spouse & Child (ren)]

Employee+ Family with

combined credit

$23 $118 $230 $339 $142

$355 $531 $709 $887 $887

$23 $119* $377* $555*

* The UK credit for eligible retirees is $332 no matter which coverage level retirees choose.

You may have noticed the wrong counties listed on the front page of the 2005-2006 Regional Service Area Directory. Below is a corrected version of that front page with the correct counties and costs for coverage levels.

If you have questions or concerns about the RSA, please call the UK-HMO office at (859) 257-8251.

Corrections to the RSA Provider Directory Pharmacy Program Helps Control Diabetes

Surgery so advanced, it’s not even surgery. The Leksell Gamma Knife® Model C is a non-invasive form of treatment that uses 3-D computer planning from a CT scan, MRI or angiogram to concentrate beams of radiation to target the affected area. Individually, the beams are harmless; together they destroy target cells to treat tumors and disorders. Although some patients may stay overnight, the procedure usually lasts 30 to 60 minutes and almost all patients resume normal activity within a day or two. For more information on the Gamma Knife, call (859) 257-1000.

Non-invasive Treatment with Gamma Knife