PPO/DRP Medical Plan - Advocate Benefits - Advocate Health Care

Keeping Healthy:
A Common Goal, A Shared Commitment
At Advocate, we know the value of good health
and we understand what it takes to be healthy.
After all, it’s our business.
For all of us at Advocate, good health is a
common goal and a shared commitment not
only for our patients, but for our associates and
their families. While it’s up to you to take care of
yourself and your family, Advocate is committed
to helping you keep well. That’s why Advocate’s
plan options:
Offer valuable features designed to encourage
you to take advantage of preventive care services
that can detect conditions that can benefit from
early treatment (before they become more
serious or potentially life threatening), and
Provide valuable benefits to help pay the cost
of the care that’s needed to treat—and cure—
health conditions that do arise.
It’s also why Advocate sponsors Healthe You—a
special benefit program that complements
your coverage under an Advocate medical plan
option—to promote wellness and support healthy
lifestyle choices.
Healthe You: It’s All About a Healthier You
Depending on your individual needs and health
status, Healthe You is designed to help you:
Manage an illness or chronic condition
Maintain a healthy lifestyle, and/or
Improve your health.
Based on these partnerships, there are four types
of support and information you may receive:
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When you complete a Succeed Questionnaire
personal health assessment, you will receive
a personal health action plan to encourage
you to make use of specific online tools,
resources and other programs (see Healthe
You Programs, page 5).
From time-to-time you may receive a
personalized Care Consideration—a patient–
specific clinical alert. This alert—mailed to
your home and to your doctor’s office—will
provide valuable information that can help you
and your doctor make more informed decisions
regarding your health care and improve the
quality of the care you receive overall.
From time-to-time you also may receive a call
from the disease management company. This
call—based on a review of recent health and
pharmacy claims data—will mark the beginning
of Healthe Care, a personal support program
designed to help patients suffering from
coronary artery disease, heart failure, diabetes
or asthma to follow their doctor’s treatment
plan and better manage their chronic health
condition.
All associates, eligible spouses, domestic
partners and civil union partners enrolled
in an Advocate-sponsored medical plan
option—and who complete a Succeed
Questionnaire—will be eligible to participate in
the Healthe Rewards program through which
they can receive valuable credits and points
for participating in healthy activities. Note:
While you don’t need to complete a Succeed
Questionnaire before participating in Healthe
Rewards activities, you will not earn any
Healthe Rewards until you do.