HEALTHIER YOU Continuing your health care services with Molina

H EA LTHI ER YO U
A N E W S L E T T E R P U B L I S H E D BY H E A LT H P L U S PA R T N E R S
August 2015
Continuing your health care services
with Molina Healthcare of Michigan
What’s happening?
Molina Healthcare of Michigan
will begin providing health care
services for HealthPlus Partners
and MIChild members. You may
change to another Medicaid or
MIChild plan if you wish.
What this means to you
If you do nothing, you will
become a member of Molina
Healthcare of Michigan on
Sept. 1. You keep your Medicaid,
Healthy Michigan Plan or MIChild
health care benefits. Now your
services will be provided to you
by Molina, instead of HealthPlus.
HealthPlus Partners members may
For now, keep using your
The list of approved drugs for
change health plans within the
HealthPlus ID card. Keep your
your health plan is available at
first 90 days after Sept. 1, 2015,
appointments, too. Look for new
molinahealthcare.com.
by contacting Michigan Enrolls.
Molina ID cards the first week of
MIChild members may change
September.
plans by contacting MIChild.
Inside
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A tradition of caring
Information is just a click away
Important phone numbers
Will I keep my primary care physician?
Using your pharmacy benefits
n If your doctor has approved a
drug for you, Molina will honor
the approval beginning Sept. 1.
What you should do
HealthPlus and Molina are
working together to make this
change seamless for you. You can
help by:
n If you take prescription drugs,
check Molina’s drug list to make
sure your medication is covered.
n If you have a medical
appointment or procedure
scheduled before or after Sept.
1, keep it. Your continued care
is a priority. HealthPlus and
Molina are working together to
make sure you experience no
care disruptions.
Molina At-a-Glance
A tradition of caring
The Molina Healthcare story is about the belief that
Information is just a click away
Molina’s website, molinahealthcare.com, offers
when it comes to health care everyone should be
many resources to get the most out of your health
treated like family.
benefits. From finding a doctor to managing illness,
In 1980, emergency room physician C. David
Molina, M.D., noticed that underserved or uninsured
the site is your one-stop shop for health plan
resources.
patients were coming to the emergency room for
general health care services. Without family doctors,
they were not always getting care in the right setting.
Dr. Molina opened a clinic in Long Beach, Calif., to
give patients a place to get personalized health care.
Today, Molina Healthcare provides health benefits
to members
across
the country.
To access this page, select I’m a Molina Member
then select your plan type
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Disease management programs
Just like HealthPlus, Molina Healthcare has disease
management programs at no cost to you!
• Molina Breathe with Ease® Program for asthma
or other medical care. For information call Molina
Healthcare 888-898-7969.
Using your pharmacy benefit
Molina Healthcare members have a pharmacy
• Molina Healthy Living with Diabetes® Program
benefit for medications that are on the company’s
• Chronic Obstructive Pulmonary Disease Program
drug list. Some medications may need to be approved
• Heart Healthy Living Program
before you go to the pharmacy.
The programs include learning materials, advice
Q.If my doctor and HealthPlus Partners have
and care tips. Call Molina’s health management team
already approved my prescription(s), will
at 866-891-2320 for more information.
Molina honor the approvals?
Case management
Molina offers special services and programs for
A. Yes. All prescription coverage benefits continue
for those who become new Molina Medicaid,
adult and child members who need extra help with
Healthy Michigan Plan or MIChild members.
health issues. The programs are free and voluntary
Molina honors existing prescription drug prior
but a member must meet certain requirements. Call
authorizations for HealthPlus Partners and
Molina’s health management team at 888-560-2043
MIChild members, as well. If any changes are
for details.
needed after 90 days, you will be notified.
Important phone numbers
HealthPlus
Customer service: 800-332-9161
Pharmacy team: 877-710-0993
Disease management: 800-345-9956, ext. 8050
Case management: 866-813-6748
Molina Healthcare
Member services: 888-898-7969
Health management: 866-891-2320
Nurse advice line (24 hours a day, 365 days a year):
(English) 888-275-8750
(Spanish) 866-648-3537
Will I get to keep my primary care physician?
A great deal of Molina primary care physicians
are in network for HealthPlus. If your PCP is in the
Molina network, the answer is yes. If he or she is not
in Molina’s network, your doctor visits are covered at
that doctor until at least Nov. 30.
Non-emergency transportation
Molina Healthcare will provide transportation
IMPORTANT – Please know, Walgreens decided
not to participate in the CVS Care Choices
Pharmacy Network. This means if you get your
prescriptions at Walgreens, you will need to move
your prescriptions to a pharmacy in the CVS Care
Choices Pharmacy Network. HealthPlus and Molina
are working together to allow some members to
continue receiving drugs from Walgreens for a limited
time. Those members have been notified by mail.
You can move your prescriptions by going to
another pharmacy and asking the pharmacist to call
your Walgreens and transfer your prescription. There
are many pharmacies in the network that will be able
to fill your prescriptions. Some of the pharmacies are:
• CVS Pharmacy
• Costco Pharmacy
• Kroger Pharmacy
• Rite Aid Pharmacy
• Sam’s Club Pharmacy
• Target Pharmacy
• Meijer Pharmacy
• Wal-Mart Pharmacy
For a full list of CVS Care Choices Pharmacy
Network pharmacies, please visit www.
to services covered by Medicaid and the Healthy
MolinaHealthcare.com and select Find a Pharmacy at
Michigan Plan. A ride is provided when you have no
the top of the page. You may also call Molina Member
other means to get to your appointment for x-rays,
Services at 888-898-7969 for help with finding a
lab tests, pharmacy, medical supplies, your doctor
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H E A LT H I ER YO U
HealthPlus Partners
2050 South Linden Road
Flint, MI 48532
Shawn Boeneman
Editor
PartnersPlus is published by
HealthPlus Partners.
[email protected] The information provided
is intended to inform and
Kathy Bilitzke
educate about subjects
Managing Editor
pertinent to health, not as a
[email protected]
substitute for consultation
with a personal physician.
Jim Bakken
Printed in the U.S.A.
PRSRT STD
U.S. Postage
PAID
Flint, MI
Permit No. 383
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Source: HealthPlus.org
… continued from previous page
pharmacy or with other questions about your drug
coverage.
Preventive care for women
Molina offers a variety of health programs and
benefits especially for women, such as the Molina
MOMs program, which is designed to help you
prepare for the newest family member.
Find out more at molinahealthcare.com.
Enjoy the great
outdoors!
The end of summer may be nearing, but
nice weather will be around for a while.
Here are some healthy ways to help you take
advantage of it:
1. Get fresh air
Take time to go outside and breathe in the fresh air.
2. Go for a walk
Go for walks to help combat health risks.
3. Pack your lunch
Since summer is here, take your lunch outdoors to
a nearby park or bench.
4. Turn off devices
Give yourself a break from other devices like your
phone or tablet.
5. Read a book
Instead of surfing the Internet, find a comfortable
spot outdoors and enjoy a favorite read.
To access this page, select Women’s Wellness
6. Explore nature
Take a stroll in natural spaces.
To report fraud, waste or abuse call HealthPlus hotline at 888-706-1504, visit healthplushotline.ethicspoint.com,
or write to our compliance official at 2050 South Linden Road, Flint, MI 48532. You do not need to
leave your name. For Medicaid fraud, waste or abuse, you may contact the Office of Health Services
Inspector General, at 855-MI-FRAUD (643-7283) or write to them at P.O. Box 30062, Lansing, MI 48909.
Visit their website at michigan.gov/fraud.