Benefits Enrollment & Reference Guide - Harford County Public ...

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Patient-Centered Medical Home Focusing on you and your health After reviewing your current health status, your PCP will determine if you’re eligible for a care plan. If eligible, you’ll receive a higher level of care, beginning with a personalized care plan developed by your PCP. A care plan is an online record that documents your medical needs and specific actions you should take to better manage or improve your health. Your progress will be monitored by a team that includes your PCP, a care coordinator (a registered nurse) and other care professionals with the goal of minimizing your risks and improving your health. If you have a chronic condition, or are at risk for one, your PCP may: Create a care plan based on your health needs with specific follow up activities to help you manage your health. Provide access to a care coordinator, who is a registered nurse (RN), so you have the support you need, answers to your questions and information about your care. If you’re not eligible for a care plan, you’ll continue to see your PCP for regularly scheduled visits and benefit from the increased access to care, preventive care services and engagement with your PCP. It’s Your Choice PCMH is a voluntary program. When you participate: You pay no additional premium. There is no change in your benefits. There is no change to your health plan requirements. You can opt-out at any time without penalty and without changing your PCP. Please note that if you have a high deductible health plan, certain charges may apply until you meet your deductible. How Do I Get Started? Simply sign the Unified Consent form and return it to your PCP. You can get the form from your PCP, or you can download it from the Forms section at www.carefirst.com under the PCMH tab. By signing the consent form, you agree to give your PCP access to your health information on file with CareFirst. This includes data from claims and notes from any CareFirst programs in which you have participated. What is a care coordinator? A care coordinator is a registered nurse who works with your PCP to coordinate your care and help you improve your health. Your care coordinator is expected to: Assist your PCP by coordinating your care and answering your questions. Follow up with you to make sure you’re not having problems following your treatment plan. For example, if you have diabetes, the care coordinator can help you take steps to better understand control your diabetes. Assist you in obtaining services and equipment necessary to manage your health condition. 30 Harford County Public Schools – Benefits Enrollment & Reference Guide
Whether you’re looking for health and wellness tips, discounts on health and wellness services, assistance during your pregnancy or support to manage a health condition, we have the resources to help you get on the path to good health. With our Health + Wellness Program you can: Get healthy with programs that target specific health or lifestyle issues. Deal with unexpected health issues or medical emergencies with help from our case management program. Live with a condition with the help of a coordinated health care team, by participating in our Patient-Centered Medical Home program. Access to online tools and services to help you get healthy and stay healthy. Health and Wellness Tools My Care First Website Take an active role in managing your health by visiting My Care First at www.mycarefirst.com. Find nearly 300 interactive healthrelated tools, a multi-media section with more than 400 podcasts, and recipes to search by food group or dietary restrictions. Plus, there are videos and tutorials on chronic diseases and an encyclopedia with information on more than 3,000 conditions. Vitality Magazine Our member magazine has the tools to help you achieve a healthier lifestyle. Vitality provides information about your health care plan and a variety of health and wellness topics, including nutrition, physical fitness and preventive health. Health and wellness programs and resources help you and your family live a healthy life. Harford County Public Schools – Benefits Enrollment & Reference Guide 31
Page 1 and 2: Benefits Enrollment & Reference Gui
Page 3 and 4: Welcome Vision Harford County is a
Page 5 and 6: Benefits and Eligibility Basic Bene
Page 7 and 8: Medical and Dental Deductions Activ
Page 9 and 10: Be an Informed Healthcare Consumer
Page 11 and 12: Enrollment Instructions Enroll Onli
Page 13 and 14: Preferred Provider Organization A R
Page 15 and 16: Find a Doctor, Hospital, or Urgent
Page 17 and 18: BlueCard ® Wherever You Go, Your H
Page 19 and 20: BlueChoice HMO Coordinated Care wit
Page 21 and 22: How to Find a Doctor or Hospital In
Page 23 and 24: Rx Drug Program - 3 Tiers A Total P
Page 25 and 26: Rx Drug Program - 3 Tiers A Total P
Page 27 and 28: CareFirst Drug Program Summary of B
Page 29 and 30: Rx Drug List - 3 Tiers Manage Your
Page 31: Patient-Centered Medical Home Focus
Page 35 and 36: Health & Wellness Discounts Alterna
Page 37 and 38: My Account Online Access to Your Cl
Page 39 and 40: AB = Allowed Benefit This chart con
Page 41 and 42: AB = Allowed Benefit This chart con
Page 43 and 44: Harford County Public Schools - Hea
Page 51 and 52: Harford County Public Schools - Ben
Page 53 and 54: Flexible Spending Account (FSA) Hig
Page 59 and 60: Basic Life Insurance and Accidental
Page 61 and 62: Employee Assistance Program Conveni
Page 63 and 64: Savings & Retirement Benefits betwe
Page 65 and 66: Savings & Retirement Benefits What
Page 67 and 68: Frequently Asked Questions If I wan
Page 69 and 70: COBRA Continuation Coverage Rights
Page 71 and 72: Health Insurance Portability Accoun
Page 73 and 74: Privacy Notice Your privacy is a hi
Page 75 and 76: Fully-Insured vs. Self-Insured: Wha

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