Protect Yourself from Scams - SCAN Health Plan
Protect Yourself from Scams - SCAN Health Plan
Protect Yourself from Scams - SCAN Health Plan
Create successful ePaper yourself
Turn your PDF publications into a flip-book with our unique Google optimized e-Paper software.
VOLUME 8 • ISSUE 1 • January 2010<br />
A N E W S L E T T E R F O R S C A N M E M B E R S<br />
<strong>Protect</strong> <strong>Yourself</strong><br />
<strong>from</strong> <strong>Scams</strong><br />
When you answer the door one<br />
morning, there’s a clean-shaven<br />
middle-aged man standing there with<br />
a smile. He introduces himself, says<br />
he’s a handyman who just finished<br />
some work in the neighborhood and<br />
noticed that your roof gutters were<br />
badly sagging. He quotes you a price<br />
to fix them and you agree. He sets to<br />
work immediately—apparently he has<br />
another job lined up tomorrow, so he<br />
has to do yours today. Next thing you<br />
know, he says a section of your gutter<br />
actually needs to be replaced. He says<br />
he’d be glad to do the necessary work…<br />
if you could just give him the money up<br />
front to go get the materials.<br />
Story continued on Page 2<br />
<strong>Protect</strong> <strong>Yourself</strong> <strong>from</strong> <strong>Scams</strong><br />
CEO Message: Welcome Northern California<br />
High Blood Pressure and Your <strong>Health</strong><br />
Tai Chi: Exercise for Strength and Balance<br />
We’re Taking Our Mission on the Road!<br />
About that March 31 “Deadline”<br />
2<br />
3<br />
4<br />
6<br />
7<br />
8
Story continued <strong>from</strong> front page.<br />
Stop! Don’t do it! This is just one version of the<br />
“handyman scam”—a con that is growing, and whose<br />
number one target is senior homeowners.<br />
Seniors are actually a popular target for any<br />
number of scams and con men. They do their dirty<br />
work in person, by mail, by telephone, even by email.<br />
If you receive an email that claims to be <strong>from</strong><br />
your bank, a reputable business or government<br />
agency that asks you to confirm your account number<br />
or passwords, don’t do it. This is referred to as<br />
“phishing,” and legitimate companies never send<br />
emails asking for such information. Do not reply to<br />
these emails either. You can call the bank or other<br />
company to report the email if you like but be sure to<br />
delete the message.<br />
By phone you are likely to be solicited by a<br />
group that sounds like they’re gathering donations<br />
on behalf of police or firefighter’s organizations or<br />
other charities. Many of these calls are made by<br />
professional fundraising organizations that may or<br />
may not be legitimate. Even if legitimate, often they<br />
only give a small portion of the money they raise to<br />
the charity. Your best bet is to always say no over the<br />
phone. Then, if it’s a cause your want to support, do<br />
your own research. Look the organization up yourself<br />
in the phone book or on the internet. Call your local<br />
police or fire departments, for example, and ask how<br />
to make a donation directly to them.<br />
The number one thing to remember is this: don’t<br />
give out your “numbers.” That would include your<br />
Social Security numbers, bank account, credit card<br />
or PIN. Of course, if you are the one who has called<br />
a reputable company or logged on to their web site<br />
to place an order, then you will need to provide a<br />
credit card number. Many people like to open a credit<br />
card with a low monthly limit and use it only for such<br />
transactions. That way only one credit card number<br />
under your name is “out there” and when you receive<br />
the bill for that card each month you can easily see if<br />
anything is out of order.<br />
Here are some other important things to keep<br />
in mind:<br />
• Don’t be afraid to say no.<br />
• You don’t have to talk to telemarketers. Say<br />
“no thank you” and just hang up. Don’t wait<br />
for them to stop talking—they won’t until they<br />
hear the dial tone!<br />
• Don’t give in to high-pressure sales tactics.<br />
• If an offer is available “one day only,” take a<br />
pass.<br />
• Call the police if you feel threatened or fear<br />
you’ve been conned.<br />
• Get all details in writing and have a friend,<br />
relative or neighbor look it over, if possible.<br />
If someone is promising a big payoff for a<br />
little investment, don’t believe it. (Recent scam:<br />
“Congratulations! You’ve won $100,000 in the<br />
Canadian lottery. We’ll just need you to wire $250 to<br />
cover administration fees to release your winnings.”)<br />
Remember: If the deal sounds too good to be true it<br />
probably is.<br />
The sad truth is that sometimes seniors are conned<br />
out of money by family members. If you are<br />
approached for money by someone you know, ask<br />
what your money will be used for. Ask for time to<br />
think it over and then run it by a third person to get<br />
some objective feedback. Don’t let anyone guilt you<br />
into giving.<br />
2
Welcome<br />
Northern California<br />
A message <strong>from</strong> David Schmidt<br />
As I greet new and returning <strong>SCAN</strong> members to a new year of<br />
<strong>SCAN</strong> Club, your member newsletter, I want to acknowledge a<br />
certain group of members. As of October 1, 2010, <strong>SCAN</strong> now has<br />
members in Northern California. Welcome! You will receive <strong>SCAN</strong><br />
Club several times throughout the year and I always claim this<br />
space on page 3 for a personal message <strong>from</strong> me to you. I hope<br />
you’ll turn to it regularly.<br />
I’m writing this in December, and there have been no decisions yet<br />
on a health care reform package. Of course, that could be totally<br />
different by the time you read this so all I will say is that it has<br />
been a very fluid process. Throughout it all, we have been pleased<br />
to note that none of the legislative proposals have suggested discontinuing the Medicare Advantage<br />
plans like <strong>SCAN</strong>—nor do we expect them to.<br />
In fact, as you can guess <strong>from</strong> our expansion into Northern California, <strong>SCAN</strong> is actually planning<br />
for growth—smart, controlled growth. I feel strongly that we have an important role in the Medicare<br />
market. Our focus on serving members and maintaining benefits is especially welcome when times<br />
get tight.<br />
One thing that becomes even more important in times like these is being as efficient as possible. I’m<br />
happy to let you know about an interesting way you can help us cut costs and, as a bonus, be more<br />
environmentally friendly. You can choose to receive some of your membership information on-line<br />
instead of receiving it in the mail. You can refer to it any time you like on our website. We save money<br />
on postage and printing and you’re spared a big stack of booklets! We talked about this option at the<br />
Straight Talk meetings held last fall and more than 2,500 members signed up immediately. If you’d<br />
like to sign up, just go to our website www.scanhealthplan.com/online. Another option we are offering<br />
is opting out of receiving the provider directory. Just call Member Services and they will send you a<br />
form to complete and return. This will allow you to only receive a directory every three years<br />
As our long-time members know, providing health care coverage to Medicare recipients is our only<br />
business. We pride ourselves on being the senior care specialists and, accordingly, we take that<br />
responsibility very seriously. So thank you for your membership and your loyalty. Please accept our<br />
wishes for a healthy, happy 2010.<br />
Best regards,<br />
David Schmidt<br />
CEO<br />
H9104_H5425_H5811_<strong>SCAN</strong>_5453_2009F_CMS122309<br />
3
scan<br />
healthcheck<br />
High Blood Pressure and Your <strong>Health</strong><br />
Fact: More than half of all <strong>SCAN</strong> members<br />
have high blood pressure, or hypertension. Do<br />
you know your blood pressure levels? You need<br />
to, because you’re not likely to experience any<br />
symptoms until this condition has caused serious<br />
damage.<br />
Stroke, heart disease, eye problems, kidney<br />
failure. Just a few of the devastating health<br />
problems that can be avoided if you keep<br />
your blood pressure under control. That’s why<br />
it’s critical that you find out what your blood<br />
pressure is; understand what it means; then<br />
take steps to lower it if necessary.<br />
See the chart on Page 5 for an explanation<br />
of what the numbers in your blood pressure<br />
reading mean. If either the systolic or diastolic<br />
number is higher than these guidelines, that’s<br />
considered high blood pressure. Check with<br />
your doctor, though, to find out your ideal<br />
blood pressure numbers—he or she may<br />
have different goals depending on your<br />
specific situation. In general, however, both<br />
prehypertension and hypertension need<br />
attention.<br />
Prehypertension means your blood pressure<br />
could become a problem. That’s your cue to<br />
make changes now to what you eat and drink,<br />
your activity level, and to lose extra weight.<br />
This is even more important if you also have<br />
diabetes, because that puts you at greater risk<br />
for stroke and other serious health problems.<br />
Hypertension means you already have high<br />
blood pressure, so it’s time to get it under<br />
control. Ask your doctor what your goal should<br />
be—it may not be the same for everyone. Have<br />
your blood pressure checked often. It’s easy<br />
to measure, but your doctor may not check it<br />
each time you visit, so ask for it if needed. If<br />
you are being treated for high blood pressure,<br />
it is especially good to test your blood pressure<br />
regularly so you can watch your progress. You<br />
can buy a simple, automatic blood pressure<br />
machine <strong>from</strong> most drug stores to use at home.<br />
There is a lot you can do to bring your blood<br />
pressure under control. Lifestyle changes are<br />
sometimes enough. Even if you do need blood<br />
pressure medicine, making the changes noted<br />
below can make a difference—your doctor<br />
may be able to lower the dose. Besides, these<br />
changes will improve your overall health. You’ll<br />
have more energy in the day, sleep better at<br />
night, and just plain feel better.<br />
Lose weight if you are overweight. Losing<br />
just 5 or 10 pounds can lower your blood<br />
pressure. And the steps you take to lose<br />
weight—eating well and exercising—will also<br />
help control your blood pressure.<br />
4
Boost your activity level. If you’re not currently<br />
active, build up to 30 minutes of exercise most<br />
days of the week. You can break those 30<br />
minutes up into whatever works best for you: a<br />
10 minute walk before or after each meal is fine.<br />
Already active? Add more time and/or increase<br />
your intensity. Check with your doctor first—and<br />
remember, even if mobility is a challenge, you<br />
can still benefit <strong>from</strong> chair exercises.<br />
Cut back on the salt. Read labels so you can<br />
avoid foods high in sodium. Many now come<br />
in low-sodium versions—but it can still add<br />
up if you eat a lot of processed foods (soups,<br />
crackers, sauces, etc.). Choose foods with less<br />
than 5 percent of the Daily Value of sodium;<br />
avoid foods with 20 percent or more Daily Value<br />
of sodium. When cooking at home, use sodiumfree<br />
seasonings such as pepper, herbs, and spice<br />
blends such as Mrs. Dash. Low-sodium doesn’t<br />
have to mean bland.<br />
Eat an all-around healthy diet. That means<br />
more fruits, vegetables, whole-grains and lean<br />
proteins like chicken breasts, fish and dried<br />
beans.<br />
Stop smoking. It’s just not good for any part of<br />
your body—especially your heart and lungs.<br />
Limit your alcohol intake. No more than 2<br />
drinks per day for men; one for women. Alcohol<br />
raises blood pressure and also has a lot of<br />
calories.<br />
Lower your stress levels. Living with stress can<br />
cause increased blood pressure in some people.<br />
Exercising and getting enough sleep can help.<br />
Consider medications. There are several<br />
common types of medicines used to treat<br />
blood pressure. Your doctor will decide whether<br />
medicine is right, and if so, which type would<br />
be best for you. Be sure to take these important<br />
prescription drugs as prescribed. Taken the wrong<br />
way, they may not work. If you experience any<br />
side effects, let your doctor know right away.<br />
Never stop taking them on your own.<br />
If you are taking blood pressure medication and<br />
it brings your blood pressure into normal levels—<br />
that’s great! But that does not mean you do not<br />
have hypertension. That’s important to remember<br />
should another doctor or pharmacist ask if you<br />
have high blood pressure. The correct answer in<br />
such as case is “Yes, but it is under control with<br />
medication.”<br />
What do the Numbers Mean?<br />
Blood pressure is the force of blood pushing<br />
against the walls of the arteries. When the doctor<br />
measures your blood pressure the results are<br />
given in two numbers. The first number, called<br />
systolic pressure, measures the pressure when<br />
your heart beats. The second number, called<br />
diastolic pressure, measures the pressure while<br />
your heart relaxes between beats. Normal blood<br />
pressure is a systolic pressure of less than 120<br />
and a diastolic pressure of less than 80, or<br />
120/80.<br />
Systolic (1 st #) Diastolic (2 nd #)<br />
Normal Blood Pressure less than 120 less than 80<br />
High Blood Pressure 140 or more 90 or more<br />
Prehypertension between 120–139 between 80–89<br />
Isolated Systolic<br />
Hypertension<br />
140 or more less than 90<br />
From the National Institutes on Aging Age Page: High Blood Pressure<br />
5
Tai Chi: Exercise for Strength and Balance<br />
Exercise and physical activity can be a challenge<br />
for some seniors. One activity worth a look is tai<br />
chi, an ancient Chinese practice based on slow,<br />
gentle, flowing movements. It’s non-competitive<br />
and requires no special clothing or equipment.<br />
Even those who are physically fit can get a good,<br />
whole body workout <strong>from</strong> it.<br />
Recent studies have shown that older adults who<br />
practice tai chi regularly can:<br />
• Reduce anxiety and depression<br />
• Improve balance and coordination<br />
• Improve quality of sleep<br />
• Slow bone loss in women<br />
• Reduce high blood pressure<br />
• Improve cardiovascular fitness<br />
• Relieve chronic pain<br />
• Improve everyday physical functioning<br />
<strong>SCAN</strong> member Eva Schmidler is very familiar with<br />
the benefits of tai chi. She started taking a class<br />
in 1992 and hasn’t stopped since. “My back had<br />
gone out and I wasn’t able to do anything for<br />
eight months,” she says. “I’d heard about tai chi<br />
before but when I read about a class near me I<br />
went as soon as I physically could. And I could<br />
do it without any pain. There’s no twisting and it<br />
just felt good for my body.<br />
“It’s really improved my overall health,” Eva says.<br />
“I’ve had maybe two colds since I started tai<br />
chi—that’s it!”<br />
Eva progressed rapidly in the class, and was<br />
soon serving as the teacher’s assistant. The<br />
teacher then encouraged her to strike out on her<br />
own and she’s been teaching now for almost 15<br />
years. As a teacher she’s witnessed the benefits<br />
her students have experienced.<br />
“The movements are gentle, continuous and<br />
circular. It exercises every part of your body<br />
equally, including your joints—which is why it’s<br />
so good for people with arthritis,” she says. “We<br />
work on strengthening the ankle and feet, too,<br />
which is key for good balance.”<br />
In tai chi, balance is also achieved between body<br />
and mind. “It requires your active participation<br />
and also your mental concentration,” Eva<br />
explains. “It really does bring a sense of balance<br />
and harmony. I feel secure, peaceful and<br />
optimistic and I’ve seen my students become<br />
confident and empowered too.”<br />
Eva encourages those new to tai chi to give it<br />
a try. She also notes that every teacher has a<br />
different style of teaching, so if you have a hard<br />
time following one class, try a different instructor.<br />
“The movements are not difficult, but it takes time<br />
to learn the ‘art’ of tai chi,” she says. “If you put<br />
forth the effort, you will reap the benefits.”<br />
Tai Chi Class in Ventura<br />
The <strong>SCAN</strong> Senior Resource Center in Ventura offers<br />
Tai Chi—Sun Style every Friday <strong>from</strong> 10:00 a.m. to<br />
11:30 a.m. Steve Lehman, Manager of the Center,<br />
says the Sun Style is especially good for seniors<br />
since it doesn’t involve any deep knee bends and is<br />
adapted for people with arthritis—you can even do<br />
a modified version of it sitting down. “Tai chi was<br />
the first regular class we offered at the Resource<br />
Center here in Ventura. We have about 18 students<br />
who attend every week and they are very enthusiastic<br />
about the class and love the teacher.”<br />
If you live in or near Ventura County, Steve<br />
encourages you to call 1-805-658-0365 for class<br />
information and directions to the Resource Center.<br />
He points out that the Center is open to the public—<br />
so invite your non-<strong>SCAN</strong> member friends to join you<br />
for tai chi or one of the other classes offered at the<br />
<strong>SCAN</strong> Senior Resource Center in Ventura.<br />
6<br />
For a tai chi class near you, contact your nearby<br />
senior center, city recreation department or YMCA.
We’re Taking Our Mission on the Road!<br />
Check Out the New <strong>SCAN</strong> Van<br />
It may look like it’s ready for a cross-country tour,<br />
but this impressive recreational vehicle is the new<br />
<strong>SCAN</strong> Van. Ready to hit the road in Southern<br />
California the <strong>SCAN</strong> van is a multi-purpose mobile<br />
resource center on wheels.<br />
Designed to deliver support, services, activities and<br />
information to seniors and caregivers, the van can<br />
do a number of things—often at the same time.<br />
The van itself has areas inside and out for classes,<br />
<strong>from</strong> health education and disease prevention<br />
to computer basics. You can use one of the four<br />
computers to do research in our health resource<br />
library or to play a <strong>SCAN</strong> Brain Gym memory<br />
enhancing game. There’s a Wii gaming console to<br />
get you moving. There’s even a consultation area<br />
for one-on-one health screenings or discussions.<br />
And there are always specially trained <strong>SCAN</strong> staffers<br />
standing by to help in any way.<br />
<strong>SCAN</strong> started as a community health plan in<br />
Long Beach, CA, and we remain committed to the<br />
communities we serve. The van enables us to give<br />
back to the seniors who live in those areas. It’s a<br />
great way to promote the health and independence<br />
we talk so much about. So if you see the <strong>SCAN</strong> van,<br />
be sure to stop by and take advantage of having<br />
<strong>SCAN</strong> in your neighborhood.<br />
Custom-designed to our specifications, the new van (really a 36' RV coach) is senior-friendly, with easy<br />
access low slope stairs, grab handles, low-glare surfaces and more. It’s environmentally friendly, too,<br />
with solar panels on the roof and running on a hybrid fuel system.<br />
Coming Soon: New and Improved <strong>SCAN</strong> Website<br />
Starting in early 2010 the <strong>SCAN</strong> website will be even more user-friendly than before. Of course<br />
we are keeping the vibrant colors, high contrast and large text that our readers appreciate. But<br />
it’s easier now to do things like search for doctors and hospitals. You can also:<br />
• Request a new membership ID card<br />
• Ask a question of Member Services and get the answer back by email<br />
• Access the <strong>Health</strong>wise ® knowledge base to get quick medical information<br />
• Refer to your member materials (As mentioned in the message <strong>from</strong> Dave Schmidt<br />
on page 3, you can choose not to receive member materials in the mail. Just provide<br />
us your email address and we will alert you anytime new information specific to your<br />
benefits has been posted on the web site.)<br />
• Let non-<strong>SCAN</strong> friends know that they can enroll online<br />
• Generics are presented as alternatives when checking the formulary<br />
• Access wellness information, check lists, and screening logs<br />
It’s interesting to us that of all the people who use the <strong>SCAN</strong> web site, our members use it the<br />
least! We think once you visit the new website you’ll see just how easy it is to navigate and find<br />
what you’re looking for. It truly is a wealth of information.<br />
Of course, we know that even a great website doesn’t replace person-to-person contact. We<br />
clearly post the phone numbers for both Member Services and the <strong>SCAN</strong> OnCall ® nurse<br />
helpline if you need to—or just prefer to—talk to a real person.<br />
Recent studies show that spending time<br />
online has health benefits—it reduces<br />
depression and enhances brain function.<br />
Both good reasons to log on to<br />
www.scanhealthplan.com!<br />
7
Providing assistance and information<br />
for our valued members.<br />
Need Assistance? <strong>SCAN</strong> is Here to Help.<br />
Member Services—Call Member Services for answers to<br />
questions about your <strong>SCAN</strong> coverage, eligibility for services,<br />
copayments, and more. Member Services is available<br />
between the hours of 7 a.m. to 8 p.m., seven days a week.<br />
1-800-559-3500 TTY Users call: 1-800-735-2929<br />
<strong>SCAN</strong> OnCall ® —Talk to a registered nurse 24 hours a<br />
day, 7 days a week. Call <strong>SCAN</strong> OnCall ®<br />
when you have<br />
health-related questions, for instance about a medical<br />
condition, a medical test, or a medication and its side<br />
effects. 1-800-793-1717<br />
Website—Our website is for members as well as their<br />
family and friends. www.scanhealthplan.com<br />
Thank you for putting your trust in <strong>SCAN</strong>.<br />
We are looking forward to hearing <strong>from</strong> you.<br />
About that March 31 “Deadline”<br />
From now until the end of March, you will be seeing<br />
advertisements that talk about an “open enrollment” deadline.<br />
During this period you have the option of making one change to<br />
the way you receive Medicare benefits, but as a <strong>SCAN</strong> member<br />
we hope you will remain with us.<br />
If you know someone who would like to switch to <strong>SCAN</strong>, they<br />
can do so before March 31, 2010. And if you think about it, you<br />
probably do know someone who would appreciate the coverage<br />
and commitment to service that <strong>SCAN</strong> provides our members. So<br />
do them a favor and tell them about <strong>SCAN</strong>—or give them this<br />
newsletter and suggest they call or visit our website (by March<br />
31, of course!). Remember, we’re now in Northern California—<br />
specifically in San Francisco, Contra Costa, San Joaquin and<br />
Santa Clara counties, as well as Maricopa County Arizona. If<br />
friends or relatives live in those areas, encourage them to see<br />
what <strong>SCAN</strong> can offer them.<br />
After March 31, everyone is “locked in” to their chosen coverage<br />
for the remainder of 2010 (although exceptions may apply—<br />
moving out of area, for example). Please call <strong>SCAN</strong> Member<br />
Services if you have any questions at<br />
1-800-559-3500. We are available to help you 7 a.m. to 8 p.m., 7<br />
days a week. TTY users may call 1-800-735-2929.<br />
How do I get started with mail-order prescriptions?<br />
It’s really very easy—and home delivery makes so much sense if you take maintenance medications. Not only do you save<br />
money, but you only have to order once every three months. To get started, just call Member Services at 1-800-559-3500. We<br />
are available to help you 7 a.m. to 8 p.m., 7 days a week. TTY users may call 1-800-735-2929. Ask them to send you a Mail<br />
Order pharmacy form. Fill it out with your name, the prescribing doctor’s name and information, and the medication name,<br />
quantity and day supply. Put the order form in the mail with the original prescription signed by your doctor and you’re done.<br />
You do not need to fill out a separate order form for each prescription. But do note that the Mail Order pharmacy will fill all<br />
the medications listed on the prescription signed by your doctor (sometimes doctors will write them all on the same sheet). If you<br />
do not want all the medications filled by mail, ask, your doctor to write separate prescription forms. One form should have the<br />
medications you will fill by mail order and one should list the medications you will fill at a local retail pharmacy. Remember, only<br />
maintenance medications can be ordered by mail.<br />
Please allow 10 to 14 days <strong>from</strong> the time the pharmacy receives your prescription until you receive your medication, so be sure<br />
you have enough medication on hand to hold you through that period. Refills can then be ordered through the mail or online. If<br />
you have any questions or want to request a Mail Order pharmacy form, just call Member Services.<br />
8<br />
PODEMOS AYUDARLE EN SU IDIOMA<br />
Si necesita ayuda para entender esta información en su idioma, por favor llame a <strong>SCAN</strong> al 1-800-559-3500, 7 días a la semana<br />
de 7:00 a.m. a 8:00 p.m. Usuarios de TTY deben llamar al 1-800-735-2929, 7:00 a.m. a 8:00 p.m., 7 días a la semana. Cuando<br />
utilice los servicios de atención médica, usted tiene derecho a un intérprete sin costo alguno. Pida un intérprete si el doctor o el<br />
personal no hablan su idioma.<br />
3800 Kilroy Airport Way<br />
Suite 100, P.O. Box 22616<br />
Long Beach, CA 90806-5616<br />
www.scanhealthplan.com<br />
N o n P r o f i t<br />
O r g a n i z a t i o n<br />
U . S . P O S T A G E<br />
P A I D<br />
s a n t a a n a , C A<br />
P e r m i t N o . 5 2 2<br />
<strong>SCAN</strong> <strong>Health</strong> <strong>Plan</strong> is a Medicare<br />
Advantage organization with a<br />
Medicare contract. <strong>SCAN</strong> also<br />
contracts with the Department of<br />
<strong>Health</strong> Care Services. For more<br />
information please visit us at<br />
www.scanhealthplan.com<br />
H9104_H5425_H5811_<strong>SCAN</strong>_5453_2009F_CMS122309