INSIDE - SCAN Health Plan
INSIDE - SCAN Health Plan
INSIDE - SCAN Health Plan
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VOLUME 7 • ISSUE 1 • 2009<br />
scanclub<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 />
HEALTH AND<br />
HEALING<br />
THROUGH<br />
GOOD<br />
NUTRITION<br />
According to the National Institutes on <strong>Health</strong>, good<br />
nutrition can help prevent heart disease, type 2<br />
diabetes, stroke, bone loss, some kinds of cancer<br />
and anemia. Eating well can help reduce blood<br />
pressure and cholesterol levels and manage<br />
diabetes and other chronic conditions.<br />
Continued on page 2<br />
I N S I D E<br />
Three Squares for Less than $7 a Day<br />
Some Things Will Never Change<br />
Take Control of Your <strong>Health</strong> – by Taking Control of Your Medications<br />
Medication Dos and Don’ts<br />
<strong>SCAN</strong> — Service Heard ‘Round the World.<br />
Get Ready for “Nana Technology”<br />
2<br />
3<br />
4<br />
5<br />
6<br />
7
Story continued from front page.<br />
So what does good nutrition look like? And how much<br />
does it cost? We’ve put together an example of a day of<br />
healthy eating to the right. As we show – and explain in the<br />
article “Nutrition for Less” on page 6 – buying quality,<br />
nutritious foods can be quite economical.<br />
In general, your daily diet should emphasize fruits,<br />
vegetables, whole grains, and low-fat and nonfat dairy<br />
products. It should also include lean protein in the form of<br />
beans, eggs and nuts, as well as meat, poultry and fish. Stay<br />
away from foods with saturated fats, trans fats, and those that<br />
are high in cholesterol, salt and added sugars.<br />
Here are some other eating-for-good-health guidelines:<br />
Don’t skip meals; it can slow your body’s ability to burn<br />
calories. For some, it may cause you to overeat at the next<br />
meal. For others, it may result in little or no appetite, meaning<br />
you eat even less. (Unfortunately, it’s usually those who can’t<br />
afford to lose weight that are affected this way!)<br />
Eat when you’re hungry. If it’s close to meal-time, go<br />
ahead and make a meal. Otherwise you’re likely to have a<br />
snack and then “not get around to” making a meal. That<br />
means you’ll miss out on important nutrients.<br />
Make your snacks count. Still a few hours before dinner?<br />
Opt for snacks that provide both carbohydrates and protein,<br />
such as low-fat cheese and high-fiber crackers; raw veggies<br />
with bean dip; or some nonfat yogurt sprinkled with nuts.<br />
Read your labels. Nutrition labels on packaged foods<br />
have gotten much more informative and easy-to-read in recent<br />
years. So compare products to find the ones lowest in the<br />
things you don’t want, like fat, sugar and sodium, and higher<br />
in those nutrients you do, like protein and fiber. Many products<br />
are fortified with extra nutrients – calcium is now added to<br />
some orange juice, omega-3 fatty acids added to pasta – so<br />
check labels. In many cases it’s worth choosing these fortified<br />
products, but not at the expense of your food budget.<br />
Three Squares that cost Less than $7 a Day<br />
We came up with an example of a day’s worth of nutritionally sound, easy-to-prepare, low-cost meals. You could bring<br />
these prices down even lower by shopping for sale items.<br />
Breakfast:<br />
Lunch:<br />
Dinner:<br />
2<br />
- quick-cooking oatmeal<br />
- fresh cantaloupe<br />
- orange juice<br />
- coffee<br />
COST: $1.43<br />
- peanut butter and sliced banana<br />
sandwich on whole-wheat bread<br />
- apple<br />
- iced tea<br />
COST: $1.33<br />
- spaghetti with ground turkey<br />
and sauce with mushrooms,<br />
peppers and onions<br />
- tomato and cucumber salad<br />
COST: $4.20<br />
--- prices based on August 8, 2008 store brands.
SOME THINGS<br />
WILL NEVER<br />
CHANGE<br />
A message<br />
from David Schmidt<br />
If you are new to <strong>SCAN</strong> with 2009, welcome to<br />
<strong>SCAN</strong> and welcome to <strong>SCAN</strong> Club, your member<br />
newsletter. I have a column in each issue – it’s my<br />
chance to “speak” regularly to all our members,<br />
so please look me up in future issues, too.<br />
Speaking of 2009, it’s certainly going to be<br />
an interesting year – politically speaking, at least.<br />
The administration of “change” is now in place. I<br />
hope it’s reassuring for you to know that one<br />
thing hasn’t changed: our commitment to our<br />
members. As you’re well aware by now, <strong>SCAN</strong><br />
benefits for 2009 had very few changes too,<br />
which is indeed good news.<br />
We met 6,800 <strong>SCAN</strong> members the last few<br />
months of 2008 at our Straight Talk meetings.<br />
And we heard overwhelmingly positive comments<br />
about <strong>SCAN</strong>. In fact, we even got applause when<br />
we talked about benefits for 2009. Our<br />
announcement of $0 Select Generics was quite<br />
popular! Be assured that the suggestions members<br />
shared were appreciated – we know we can<br />
always improve.<br />
or push-button menus. Our Member Services team<br />
can answer questions, provide resources, and<br />
track down information for you. Just let us know<br />
what we can do for you in 2009.<br />
Until then, let me thank you for your<br />
continued membership in our health plan. We<br />
take that as your vote of confidence in us and<br />
want to assure you that you can indeed put your<br />
trust in <strong>SCAN</strong>.<br />
Warm regards,<br />
David Schmidt<br />
CEO<br />
We did, however, hear some concerns<br />
about the economy. There is uncertainty out there<br />
and we understand that some of our members are<br />
concerned about their finances. That’s why <strong>SCAN</strong><br />
is especially valuable right now. Having <strong>SCAN</strong> on<br />
your side gives you control over an important<br />
part of your life: your health care.<br />
Think about it. <strong>SCAN</strong> gives you a choice of<br />
great doctors and comprehensive coverage.<br />
The bottom line is we are here to serve you.<br />
When you call Member Services, you are<br />
connected to a real human being – no recordings<br />
H9104_H5425_<strong>SCAN</strong>_4625_2009F_CMS020109<br />
3
<strong>SCAN</strong><br />
healthcheck<br />
p r e v e n t i o n a n d s c r e e n i n g<br />
Take Control of Your <strong>Health</strong> –<br />
by Taking Control of Your Medications<br />
If you take one or more medications on a regular<br />
basis, they play a key role in your ongoing health.<br />
So take charge of your medications with just a few<br />
easy tips.<br />
medicine for an ongoing condition, you should<br />
receive a “Pocket Prescription Card” from <strong>SCAN</strong><br />
twice a year, so the list is prepared for you. Just<br />
make sure you share your pocket-prescription card<br />
with your doctors.<br />
#1. Keep a list of your drugs and show it to<br />
your doctor(s) at every visit.<br />
Why? This is useful information for your<br />
physician, especially if you see more than one. It’s a<br />
quick reminder, but also lets them know if one of<br />
your other doctors has added anything to your<br />
prescription list. As a <strong>SCAN</strong> member, if you take<br />
#2: Use only one pharmacy to fill your<br />
prescriptions.<br />
Why? Your medication history (a list of all the<br />
medications you have filled) is in the pharmacy’s<br />
system. This allows your pharmacist to easily see if<br />
there might be drug interactions or other concerns<br />
4
with your medications. If needed, the pharmacist can<br />
work with your doctor to avoid them.<br />
Medication Dos<br />
#3: Don’t ask your physician for a drug that is<br />
advertised on television or in a magazine.<br />
Why? Keep in mind the purpose of these ads: to<br />
sell their specific product. If an ad makes it sound like a<br />
medicine may help you, have an open discussion with<br />
your doctor on all the options. Then you can agree on<br />
the most suitable and affordable treatment for you.<br />
#4: Ask how long the drug has been on the<br />
market. (We recommend taking drugs that have been<br />
available in the U.S. for at least two years.)<br />
Why? In the past ten years, sixteen brand name<br />
drugs have been taken off the market for safety<br />
reasons. Half of the time when a drug is removed from<br />
the marketplace, it happens within the first two years<br />
it’s available.<br />
and Don’ts<br />
Do:<br />
◗ Let your doctors know about any other over-thecounter<br />
medications, vitamins, supplements,<br />
and herbs that you use<br />
◗ Refill prescriptions a week or so before you run<br />
out so you don’t miss a dosage<br />
◗ Take all medications as directed: right dose at<br />
the right time, etc. Talk to your doctor or<br />
pharmacist if you are not sure about the<br />
directions<br />
Don’t:<br />
#5: Ask if there are other things you can do<br />
besides taking a drug.<br />
Why? Sometimes just making other changes,<br />
such as changing what you eat or getting regular<br />
exercise, will give you the results you need.<br />
◗ Change your medication dose or schedule<br />
without talking with your doctor<br />
◗ Skip doses<br />
◗ Take someone else’s medication<br />
◗ Use medication that has passed its expiration<br />
#6: At least once a year review all your<br />
medications with your doctor.<br />
Why? This will help ensure your medication<br />
dosages are still right for you. After all, there may<br />
have been changes since they were originally<br />
prescribed, such as in your weight, health, or other<br />
medicines you’ve started taking. It’s also a good time to<br />
see if there are any medications you can stop taking.<br />
date<br />
◗ Store your medications in locations that are<br />
either too hot or too cold<br />
5
<strong>SCAN</strong> – Service Heard ‘round the World<br />
Eva Schwarz was traveling in Thailand when she was<br />
struck by a pain in her head so severe some were worried<br />
she was having a stroke. Eva herself thought the pain was<br />
similar to an episode she’d had 12 years prior –<br />
something the doctors at the time diagnosed as trigeminal<br />
neuralgia. Her first phone call to the States was to her<br />
son, a physician. Her second call was to <strong>SCAN</strong>. “Really<br />
all they needed to do was point me in the right direction –<br />
and that’s exactly what they did. I was able to go to the<br />
clinic in the hotel and get what I needed,” says Eva.<br />
“I have been happy with <strong>SCAN</strong> – I<br />
think it’s one of the world’s best-kept<br />
secrets.”<br />
You may recognize Eva or her story from the<br />
<strong>SCAN</strong> commercial on television. She says she does<br />
indeed get recognized – a lot! By her pharmacist, at the<br />
doctor’s office, at the YMCA. She’s quick to reassure<br />
people that no, she did not have a stroke and yes, she’s<br />
feeling just fine now. She thinks the more interesting story<br />
is how she happened to just “luck in” to <strong>SCAN</strong>. Eva was<br />
looking for a new doctor. A friend recommended her<br />
doctor, and the doctor suggested Eva join one of the<br />
health plans his office was affiliated with. She did her<br />
research and chose <strong>SCAN</strong>. “It was worth it just for the<br />
doctor,” she says, “but the other benefits are so good,<br />
too.”<br />
Nutrition for Less — Stretching Your Budget<br />
6<br />
Looking to stretch your food budget? Look no further, because<br />
we have a number of ways – both basic and creative – to help<br />
you get the most nutritional bang for your buck.<br />
The overall theme is “back to basics.” Look for foods as<br />
close to their original state as possible. If you tend to buy<br />
boneless, skinless chicken breasts, precut vegetables and foods<br />
packed in single-serving sizes, you’re paying a lot just for the<br />
convenience of those items. Instead of buying individual packs<br />
of oatmeal, for one example, buy the regular box and<br />
measure out the servings as you need them. Buying dried<br />
beans and peas, rice and pasta, is much less expensive than<br />
buying the canned or premade versions. By making your own<br />
soups, stews, sauces, etc., you also have control over the<br />
ingredients, so you can cut back on salt or fat as needed.<br />
Cheaper and healthier – that’s the goal.<br />
Smart Shopping Tips:<br />
◗ Scan the weekly flyers that come in the mail or newspaper<br />
to see where the best deals on your favorite nutritious foods<br />
are each week.<br />
◗ <strong>Plan</strong> enough meals (and snacks) to last at least a few days,<br />
then make a list, and stick to it to avoid expensive<br />
“impulse” buys.<br />
◗ Use coupons only on foods you like.<br />
◗ Sign up for store discount or “loyalty” cards (those that you<br />
“swipe” when you shop). Using these will give you the sale<br />
price on certain items.<br />
◗ Buy in bulk when it makes sense. If the price really is a<br />
bargain and if it’s a product you’ll use or can freeze before<br />
it goes bad, then go for it.<br />
◗ Buy store-brand or generic foods, which are often made by<br />
the name-brand manufacturers.<br />
◗ Look high and low – literally. Brands often pay more for<br />
their products to be displayed at shoppers’ eye level, and<br />
then pass the cost on to you.<br />
◗ Buy produce in season. Focus on what’s grown locally at<br />
any time of year. Farmers’ markets are a great resource for<br />
delicious, seasonal fruit.<br />
◗ Drink tap water. It only costs about 50 cents for a year’s<br />
worth of drinking water from your tap. Our local tap water<br />
quality is very high, so if it’s a matter of taste, it’s cheaper<br />
to buy a simple filtration system than to continue to buy<br />
bottles. (Look into such brands as Brita or Pur.)<br />
◗ Make a full recipe and then freeze leftovers in single-serve<br />
containers. Or plan a swap with friends – everyone makes<br />
a big batch of their favorite soup and then you trade<br />
servings, so you each end up with a variety in your<br />
freezers. (Works with stews, casseroles, breads, etc., too.)<br />
If money is really tight, or you are often unable to cook for<br />
yourself, there are resources available. Your local church or<br />
synagogue may have a food bank or offer free or low-cost<br />
meals. Most senior centers offer a low-cost lunch. And many<br />
people have benefited from Meals on Wheels. You may also<br />
qualify for food stamps or other assistance. To find out more,<br />
contact the Area Agency on Aging at 1-800-510-2020.
Get Ready for Technology<br />
Have you played Wii yet? Some of you may be puzzled, but<br />
we know there are others who are already part of a Wii<br />
bowling league. Pronounced “we”, Wii is a video game<br />
system made by Nintendo. Those of you with grandchildren<br />
may be familiar with that name. But while standard video<br />
games are anything but active, the Wii was designed to get<br />
you moving – although you can sit to play.<br />
Based around a hand-held motion-sensor controller,<br />
the Wii has you mimic the action of throwing a bowling ball<br />
– and lets you watch it go down the lane on the TV. In<br />
addition to bowling, Nintendo offers Wii tennis, golf, boxing,<br />
and baseball. Also popular is the new line of Wii Fitness<br />
programs, which let you to use the video game system almost<br />
like an interactive DVD. Many senior centers and living<br />
facilities are getting on board, citing great participation –<br />
and actual results in terms of improved mobility and<br />
rehabilitation.<br />
The Wii is just one example, but there’s a range of<br />
technology you can use to help get and stay active. Higher<br />
up the technology scale, you have the traditional cardio<br />
equipment: stationary bikes, elliptical machines, treadmills,<br />
etc. You can input your weight, age, intensity of exercise and<br />
the machine will give you all sorts of information during and<br />
after your workout. You can track miles walked or ridden,<br />
calories burned, heart rate and more.<br />
Further down the technology ladder is the pedometer.<br />
Even among these you can choose one with lots of bells and<br />
whistles or one with just a basic time and distance tracker.<br />
Just clip it on your waistband and it will count the number of<br />
steps you take while wearing it. One study showed that those<br />
who used pedometers walked almost 2,500 steps more per<br />
day than those who did not. Motivate yourself by setting a<br />
daily “step goal” that’s reasonable for you. First, see where<br />
you’re at, and then gradually increase. It shouldn’t be easy<br />
(one extra trip to the refrigerator does not count), but<br />
something you can do with moderate effort.<br />
Just as important as setting reasonable goals is having<br />
a comfortable pair of shoes. And if you have a wrist watch,<br />
you can set time and distance goals. See if you can make it<br />
around your usual walk route a little bit faster each week – or<br />
increase the distance slightly but try to get home within the<br />
same time.<br />
“People should know that they don’t need to buy or<br />
use the higher tech equipment to get the benefits of exercise,”<br />
says Jennifer Rasmussen, MPH, CHES, <strong>SCAN</strong> <strong>Health</strong><br />
Education Specialist. “For instance stretch bands are an<br />
inexpensive, no-tech way to do strength work without a<br />
gym.”<br />
Many community and senior centers have fitness clubs<br />
on-site, walking groups and exercise classes. In fact, <strong>SCAN</strong><br />
has donated Wii units to several senior centers, who have<br />
gone on to form Wii bowling leagues. Check around and you<br />
may just find one with a Wii sports group that needs you on<br />
their team.<br />
To learn more go to www.scanhealthplan.com/pedometer<br />
and www.scanhealthplan.com/walk<br />
Technology at <strong>SCAN</strong><br />
Our mission is to help seniors remain healthy and<br />
independent. That is why <strong>SCAN</strong> has partnered with Intel<br />
Corporation to test the company's new Intel ® <strong>Health</strong><br />
Guide. The Intel <strong>Health</strong> Guide is a small computer that is<br />
used to help people manage chronic health conditions at<br />
home. It connects to other medical devices such as bloodpressure<br />
monitors, and allows those test results to be<br />
shared with health professionals over the Internet.<br />
"The <strong>Health</strong> Guide is a step forward in offering<br />
more personalized and effective management of chronic<br />
health conditions in the home," said Louis Burns, vice<br />
president and general manager of the Intel Digital <strong>Health</strong><br />
Group.<br />
<strong>SCAN</strong> is proud to be leading the industry in the use<br />
of this brand new technology. The <strong>Health</strong> Guide is<br />
designed to be used by health care professionals to<br />
manage their patients at home and is not currently<br />
available for general consumer purchase. Thank you to our<br />
members who are participating in this pilot program.<br />
7
Providing assistance and information for<br />
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<br />
services, copayments, and more. Member Services is<br />
available 7 days per week, 7 A.M. to 8 P.M.<br />
1-800-559-3500 TTY Users: 1-800-735-2929<br />
<strong>SCAN</strong> OnCall ® —Talk to a registered nurse any time of<br />
day, 7 days a week. Call <strong>SCAN</strong> OnCall ® when you<br />
have health-related questions, for instance about a<br />
medical condition, a medical test, or a medication and<br />
its side effects. 1-800-793-1717<br />
Transportation—<strong>SCAN</strong> offers a transportation benefit for all<br />
our members. Call this number 24 hours in advance to<br />
arrange a ride to and/or from your doctor appointments or<br />
your pharmacy. We’ll take care of the rest.<br />
Schedule a ride: 1-866-779-0560<br />
Status of ride: 1-866-779-0561<br />
TTY Users—7 A.M. to 8 P.M., 7 days per week<br />
1-800-735-2929<br />
Website—Our website is for members as well as their family<br />
and friends. www.scanhealthplan.com<br />
Open Enrollment Not<br />
Confusing for <strong>SCAN</strong> Members<br />
You’re probably seeing some advertisements now that claim<br />
Medicare Open Enrollment is “confusing.” We disagree. After<br />
all, if you are happy with your <strong>SCAN</strong> health plan, you don’t<br />
have to do a thing.<br />
So what is this March 31 deadline that’s approaching?<br />
This only applies to people who want to switch from one<br />
Medicare Part D health plan to another. So if you know someone<br />
who would like to switch to <strong>SCAN</strong>, they can do so before March<br />
31, 2009. Think about it: you probably do know someone who<br />
would appreciate the low-cost coverage and commitment to<br />
service that <strong>SCAN</strong> provides our members. If so, do them a favor<br />
and tell them about <strong>SCAN</strong> – or give them this newsletter and<br />
suggest they call (by March 31, of course!).<br />
After March 31, everyone is “locked in” to their chosen<br />
coverage for the remainder of 2009 (although exceptions may<br />
apply – moving out of area, for example).<br />
Remember, if you’ve been a <strong>SCAN</strong> member since 2007<br />
or earlier, you still have Independent Living Power benefits. If you<br />
disenroll, these benefits will not be available to you again if you<br />
decide to re-enroll later.<br />
8<br />
Thank you for putting your trust in <strong>SCAN</strong>. We are looking<br />
forward to hearing from you.<br />
Please call <strong>SCAN</strong> Member Services if you have any<br />
questions – the number is on the back page of this and every<br />
issue of <strong>SCAN</strong> Club, as well as on your <strong>SCAN</strong> ID card.<br />
PODEMOS AYUDARLE EN SU IDIOMA<br />
Si usted necesita ayuda para entender esta información en su idioma, por favor llame a <strong>SCAN</strong> ® al 1-800-559-3500.<br />
Cuando utilice los servicios para el cuidado de la salud, usted tiene el derecho a un intérprete sin costo alguno. Pida un<br />
intérprete si el doctor o el 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 TA A N A , C A<br />
P E R M I T N O . 6 1<br />
<strong>SCAN</strong> has a contract with the Federal<br />
Government. <strong>SCAN</strong> is a Medicare<br />
Advantage prescription Drug <strong>Plan</strong><br />
(MAPD) offered by <strong>SCAN</strong> <strong>Health</strong> <strong>Plan</strong>,<br />
which is a Special Needs <strong>Plan</strong> and an<br />
HMO with Medicare Advantage<br />
contracts. <strong>SCAN</strong> also contracts with<br />
the Department of <strong>Health</strong> Care<br />
Services (DHCS) for Medicare/Medi-<br />
Cal eligible beneficiaries and for those<br />
who meet specific eligibility<br />
requirements. Please see the <strong>Plan</strong><br />
Evidence of Coverage for details.<br />
Limitations and Exclusions may apply.<br />
H9104_H5425_<strong>SCAN</strong>_4625_2009F_CMS020109