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 2 2 3 3 3 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 2 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 … continues next page 3 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 Graphic Design 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.
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