EMBRACE
A publication for AvMed Members
Summer/Fall 2016
Behavioral
health:
Know the
Basics
Foods to
Fight the Flu
Healthcare Savings:
A Balancing Act
AvMed Member Frank M.
tABLE OF coNteNtS
in every issue
3 WELCOME
14 YOUR BENEFITS
4 HEALTH SMARTS
15 YOUR PHARMACY
Michael p. Gallagher
President and CEO
corey Miller
features
Director of Communications
and Public relations
Felicia lopez-Walker
Managing Editor
AvMed, one of Florida’s oldest and
largest not-for-profit health plan
companies, provides affordable, quality
health benefits throughout the state.
• Always consult your Primary Care
Physician (PCP) regarding medical
advice. the health information in this
publication is not intended to replace
your doctor’s directives.
• To contact the Public relations
Department, write AvMed, 9400 S.
Dadeland Blvd., Miami, FL 33156; call
1-800-432-6676, ext. 27366; or email
[email protected].
AVMAG-FL16-C002 AvMed, inc.
Coverage provided by or through
AvMed inc., (health benefit plan). Plans
10 Behavioral Health
contain limitations and exclusions.
Get to know your plan benefits
AvMed EMBRACE Magazine is published
exclusively for AvMed by
Wax Custom Communications.
8 One Smart
Shopper
12 Eating
Well
Educator
researches lowcost providers
Stock up on these
flu-fighting foods
hoW hAS AVMed
helped you IMproVe
your heAlth?
We want to hear from you. Email us at
[email protected] to share your
story with us. you could be featured in
2
an upcoming issue of EMBRACE!
EMBRACE | Summer/Fall | July 2016
our commitment to you
Dear Valued Member:
A
s you’ve probably noticed,
we’ve given our magazine
a makeover beginning with
this edition. I’m excited to introduce a
redesign that begins with a new name
– AvMed Embrace – and includes a
cleaner look and content that expands on the features
you enjoy.
Inside Embrace, you’ll find stories focused on physical
health, behavioral health, wellness and prevention, mixed
with ways to make the most of your AvMed benefits.
This summer, you’ll read about the dangers of high blood
pressure, get a rundown on behavioral health benefits and
discover the role of nutrition in flu prevention.
We’re very excited about our new Member tool,
AvMed’s Cost Calculator, which allows all AvMed
Members to compare actual costs for 120 common
procedures. Our main story details one Member’s
experiences with AvMed SmartShopper™, an add-on
program that offers eligible Members cash back on
certain medical procedures. Both tools make sure it
truly “pays” to take charge of your health.
Have a story to tell us? Share your personal health
successes at [email protected]. You could be
featured in a future issue.
As always, thanks for your continued support. We
look forward to hearing from you.
Michael P. Gallagher
President and CEO, AvMed
[email protected]
Questions About AvMed Coverage or Benefits?
Contact AvMed’s Member Engagement Center. Please call the number listed
on your AvMed Member ID card (TTY 711), Monday-Friday, 8 am-8 pm;
Saturday, 9 am-1 pm. Hours may vary according to your policy.
EMBRACE | Summer/Fall | July 2016
3
HEALtH SMArtS
The Dangers of
High Blood Pressure
t
here’s a reason that high blood pressure is known as “the
silent killer.” This sneaky condition often does not present
symptoms until it’s too late. Here are three reasons why you
need to know your numbers and take charge of your health by
eating better and working out:
Stroke: Uncontrolled high blood pressure can cause blood
vessels to leak or rupture, in turn depriving your brain of oxygen.
Kidney failure: One of the most common causes of kidney
failure, high blood pressure can restrict blood flow and affect
kidney function.
Heart attack: High blood pressure can lead to coronary
artery disease, in which arteries narrow, increasing heart attack
risk. Speak to your healthcare provider about getting your blood
pressure under control.
For more information on controlling high blood
pressure, log onto AvMed.org/Wellness
and find “Health resources” under the
Healthyroads® tab.
colorectAl
cANcer
ScreeNINGS:
What Are My Options?
A
ccording to the American Cancer Society, colon
cancer is among the top three leading causes
of cancer-related deaths in the United States.
Fortunately, you and your doctor have a number of options
available to help screen for the cancer.
The U.S. Preventive Services Task Force recommends
screening for colon cancer using fecal occult blood testing,
sigmoidoscopy or colonoscopy in adults, starting at age 50
and continuing until age 75.
Here’s a closer look at each one of these screenings:
Fecal occult screening: Doctors test stool samples
for the presence of blood, which can signify growths, polyps
and cancer.
Sigmoidoscopy: This procedure lets doctors look into
the sigmoid colon, the first part of the large intestine.
Colonoscopy: This procedure is similar to a
sigmoidoscopy but examines the entire colon.
These cancer screenings can save your life. The sooner
you get screened, the sooner you can start treatment if
cancer is found.
Some screenings are more invasive than others, so talk to
your doctor to find out which screening is best for you.
Log into your account at AvMed.org to review
your plan benefits.
4
EMBRACE | Summer/Fall | July 2016
BAcK-to-School
VAccINeS: ARE
THEY ENOUGH?
With another school year upon us, it’s time to start
thinking about immunizations. Depending on his or
her age, make sure your child has the following
vaccines, as recommended by the Centers for Disease
Control and Prevention:
•
•
•
•
•
•
•
•
•
•
•
•
DTaP (diphtheria, tetanus and pertussis/whooping cough)
Polio (IPV)
Measles, mumps and rubella (MMR)
Hepatitis A and B
Pneumococcal conjugate
Rotavirus
Influenza
Varicella (chickenpox)
Hib
TDap
Meningococcal (men)
Human papillomavirus (HPV)
Talk to your child’s doctor for more information on
recommended immunizations.
Antibiotics:
The Risks
of Overuse
A
ntibiotics are lifesaving drugs that can help
fend off bacterial infection, but – just like many
other things in life – you can have too much
of a good thing. The use of antibiotics to treat nonbacterial infections like the common cold can expose
you to unwanted risks of complications, such as an
upset stomach or a serious allergic reaction. Overuse
can also cause antibiotic resistance, meaning your body
can become drug-resistant to prescription treatment.
These types of drugs are not always the answer to a
sore throat or ear infection. In fact, most sore throats
don’t need antibiotics. Your doctor will need a throat
culture swab to accurately diagnose you and prescribe
treatment, which may or may not include antibiotics.
EMBRACE | Summer/Fall | July 2016
5
HEALtH SMArtS
diabetic
eye disease
V
ision-related problems are
a common complication
of diabetes, and as many
appear, as damage may already
be occurring. An annual dilated
retinal exam by an optometrist or
as 50 percent of patients do not
opthamologist is recommended if
get their eyes examined or are
you have diabetes.
diagnosed too late for treatment.
Common diabetic eye disease
Because early diagnosis and
symptoms include:
proper treatment can reduce
• Blurred or glared vision
one’s risk of vision issues, it’s
• Eye pain or aches
important to get checked out
• Watery eyes
regularly. Don’t wait until symptoms
• Vision loss
urgent care center (ucc)
vs. emergency room:
WhIch Should I uSe?
W
hen an emergency strikes, the first response is usually to head to
the emergency room. But not every situation requires a trip to the
ER. Here are some symptoms and situations that can be addressed
at an urgent care center:
•
•
•
•
•
Ear pain
Minor injuries and burns
Influenza and colds
Vomiting, diarrhea and stomach pain
Sports injuries
Opting for an urgent care center can save you time, money and headaches.
If you’re unsure of the severity of your emergency, please contact 911.
Have a health concern? talk privately to a
registered nurse by calling our dedicated
24/7 Nurse on Call hotline at 1-888-866-5432
or emailing [email protected].
6
EMBRACE | Summer/Fall | July 2016
Growing Kids =
Growing
Medical Needs
H
elping your children transition into adulthood is all
about preparing them for the responsibilities that
lie ahead. That includes helping them move from a
pediatrician to an adult Primary Care Physician (PCP) once
they turn 18. Here are a few tips for a smooth transition:
Find the right doctor. The AvMed website makes it easy
for you and your children to search for an in-network doctor
that’s a good fit. If you have questions, or require assistance,
contact AvMed’s Member Engagement Center at the number
listed on the back of your AvMed Member ID card.
Transfer relevant records. Your children will need
to transfer their medical history to the new physician,
including immunization and medication files.
Stay informed. Make sure your children understand
that any legal responsibility for their care will fall to them;
if they want a parent to participate after they turn 18, they
will need to sign a consent form.
While some PCPs only accept patients once they reach age
18, others will accept new patients at age 16 or 17. Be sure to
ask about age requirements when calling the new provider.
BMI
VS.
Body
WeIGht:
WhAt'S WhAt?
W
hile the number on the scale is important, it
doesn’t tell the whole story about your body fat.
Body weight is your total weight, including muscle
and fat. Body mass index (BMi), on the other hand, is an
estimation of just body fat, based on your height and weight.
Health professionals use BMi as a basic tool to
determine one’s risk of obesity-related illnesses; the
higher the BMI, the higher the risk. you should know your
BMi and your child’s BMi percentile.
There is one major downside to BMI, however: Since
it doesn’t measure muscle, athletes and other muscular
individuals may have a high BMi, but be perfectly
healthy. That’s why your doctor will take into account
other factors when determining your health status,
including discussing nutrition and physical activity.
For more information on BMi, log onto
AvMed.org/Wellness and find “Health
resources” using the Healthyroads® tab.
EMBRACE | Summer/Fall | July 2016
7
Smart
Savings
AvMed Member does his
heAlthcAre hoMeWorK
8
EMBRACE | Summer/Fall | July 2016
W
ith a considerable career in education,
AvMed Member Frank M. appreciates
the value of learning something new.
In fact, Frank recently learned just
how easy it is to shop for pricing on
common medical procedures.
Both Frank and his wife work for the Columbia
County School District in Lake City – she as an
elementary school music teacher and he as a former
teacher now making his career in human resources.
When the school district switched to AvMed recently,
Frank was excited to learn about two powerful
new tools, AvMed’s Cost Calculator and AvMed
SmartShopperTM.
crAcKING the BooKS
AvMed’s Cost Calculator allows Members to search
for, compare and evaluate healthcare providers across
the AvMed Network using real-time cost estimates.
Information is available on 120 procedure categories,
very intuitive and easy to navigate,” he says. “It was
also very interesting to see the wide range of costs
associated with the different procedures.”
Like so many, Frank tries hard to be a wise
healthcare consumer, but he didn’t always have the
information to make the most informed healthcare
decisions. “We’ve all been encouraged to find the
low-cost provider, but I’ve never really had the tools
before,” he says. “AvMed provides access to the
information and then provides a true incentive where
you, as the consumer, receive a tangible reward for
utilizing the low-cost provider.”
Did SmartShopper work for Frank? “Well, I chose
one of the low-cost providers and, lo and behold, there
was a check in the mail 60 days later!”
As a type 1 diabetic, Frank keeps a close eye on his
health. He watches what he eats and recently worked
with his healthcare provider to transition to a new
treatment plan, which included use of an insulin pump.
Frank also gets plenty of exercise keeping up with
“AvMed provides access to the information and then provides a
true incentive where you receive a tangible reward for utilizing
the low-cost provider.” – Frank M.
and estimates factor in a Member’s specific location,
copay and secondary insurance – as well as each
option’s potential impact on their deductible and outof-pocket limit.
SmartShopper then adds cash incentives when
Members choose one of the best values offered. AvMed
is the first health plan in Florida to offer SmartShopper
and includes this valuable feature with select AvMed
Employer Group Health Plans, such as Frank’s, as well
as with all Individual Health Plans.
a very active 11-year-old daughter, who is involved in
competitive gymnastics and recently made the middle
school cheerleading squad. “She’s reaching that age
where her activities drive what our family activities
are,” Frank says. “As new cheer parents, we’ll be going
to a lot of football games together, too!”
Thanks to Cost Calculator and SmartShopper, Frank
has a new window into his healthcare. His active
family provides plenty of motivation for him to stay
healthy, and now he can shop smart for quality care.
the tIMING WAS perFect
“Shortly after we came onboard with AvMed, I was
given a flyer about SmartShopper to distribute to
all of our employees,” Frank recalls. “I looked at the
information and realized that I was getting ready to
have one of the procedures listed.” Frank cracked the
books and visited the SmartShopper website. “It was
Head to Page 14 to see how AvMed’s
Cost Calculator can help you avoid
unexpected medical costs.
EMBRACE | Summer/Fall | July 2016
9
basics
Behavioral Health:
Know the
A
lthough we know a lot about how to keep
physically healthy, we tend to know less
about behavioral health.
“AvMed’s behavioral health benefit
provides our Members with multiple
options for support, coordination, and facilitation to help
coordinate any mental, emotional, and substance use
issues,” says AvMed Manager of Case Management Veta
Cumbaa, BA, RN, CCM. “Managing behavioral health is
just as important as managing one’s physical health, and
oftentimes the combination of the two coexist. I hope
our Members in need take advantage of our services”.
Here are a few of the conditions covered by AvMed’s
behavioral health benefits:
ADHD affects more males than females, and children
as young as three can have symptoms. In all, 11 percent
of American children have ADHD, according to the
Centers for Disease Control and Prevention.
depreSSIoN
Depression and postpartum depression (experienced
by new mothers) are mood disorders that affect
millions of Americans. Feelings of sadness and loss
of interest are typical. How people feel, act and even
how they think can be affected. An estimated 15.7
million, or 6.7 percent of adults in the United States
experienced depression in 2014, according to the
National Institute of Mental Health.
“Managing behavioral health is just as important as managing
one's own physical health.” – Veta Cumbaa, AvMed Manager of Case Management, BA, RN, CCM
poStpArtuM depreSSIoN
Adhd
Attention deficit hyperactivity disorder (ADHD)
is a common brain disorder in children that also
affects teenagers and may continue into adulthood.
People with ADHD usually have trouble with focus,
attention and controlling their behavior. They
tend to be hyperactive, and they may act without
thinking things through. Common symptoms include
problems concentrating, staying organized and
remembering details.
10
EMBRACE | Summer/Fall | July 2016
Postpartum depression is a type of depression that can
be triggered by childbirth. New mothers may experience
long-lasting symptoms such as depressed mood, mood
swings, crying, insomnia, withdrawing, trouble bonding
with the baby, lack of focus, feelings of guilt and loss of
energy. These postpartum depression symptoms develop
within weeks to months after giving birth – and can last
for several months if they are left untreated. As many as
one in seven women experience postpartum depression,
according to the American Psychological Association.
AutISM
Autism spectrum disorder (ASD) is a group of developmental
disorders that can range from mild to severe. ASD often
involves social problems such as difficulty interacting and
communicating and problems functioning. People with ASD
may repeat behavior or have very focused or intense interests.
ASD is typically diagnosed when children are fairly young. It
is more common in boys, according to the Centers for Disease
Control and Prevention – approximately one in 42 boys and
one in 189 girls have ASD.
SuBStANce ABuSe
Harmful use of psychoactive substances such as alcohol and
illegal drugs are involved in substance abuse. People who
overuse these substances can develop dependency. Changes
in behavior, thinking and psychology can result. Among other
symptoms, people with substance abuse issues can value taking
the substance over their other activities and responsibilities.
According to the World Health Organization, harmful use of
alcohol is responsible for 3.3 million deaths annually, and at least
15.3 million people have drug use disorders.
to find out more about your benefits
through AvMed’s behavioral health
partner Beacon as well as coordinating
care, contact AvMed’s Member
Engagement Center at the number listed
on your AvMed Member ID card (TTy 711).
EMBRACE | Summer/Fall | July 2016
11
Eating
Well
Flu-Fighting Foods
12
EMBRACE | Summer/Fall | July 2016
We’ve taken poetic license here, calling this dish a
risotto. Aside from barley instead of rice, it has all the
components of a risotto therefore making it a wonderful
accompaniment for hearty stews and roasted poultry.
W
ith flu season around
the cor ner, a little
preparation can go a
long way. Getting your
free, annual flu shot is the best way
to keep influenza at bay, but there
are other precautions you can take
to complement your body’s defenses.
Improving your diet with immunity-boosting
foods can help fend off not only the flu but also
other ailments like the common cold. The key is
looking for high-antioxidant foods. Antioxidants
are powerful nutrients that have been shown to
boost immune response.
“Increasing your nutrient intake can have
positive effects on your immune system,” says
AvMed Director of Wellness Elizabeth SanchezBrana. “You really are what you eat.”
The next time you’re at your local grocery store,
consider the following foods:
Berries: These flavorful fruits are loaded
with vitamin C, arguably the most famous
antioxidant. Strawberries, blackberries,
blueberries … there’s no shortage of colors to
choose from. Use them to top off yogurt, eat them
on their own or use AvMed’s recipe tool to find
other uses.
Yogurt: Speaking of yogurt, the dairy product
is home to beneficial bacteria known as
probiotics, which can help your gut as well as
fend off respiratory infections. For those with dairy
sensitivity, there are dairy-free options available.
Cottage cheese is another alternative if you can’t
stomach yogurt. Just watch out for anything with
excess sugar.
Green tea: Tea is touted for its many benefits,
one of which is strengthening your immune
system with antioxidants known as catechins.
These cancer-fighting substances have also been
shown to have antiviral properties, shortening the
length of flu symptoms when present.
Barley
Risotto
With Kale
INGREDIENTS
• 1 teaspoon olive oil
• 1 small onion, finely chopped
• 1 cup pearled barley
• 2¾ cups water
• 1 teaspoon salt
• ½ teaspoon turmeric (optional)
• 1 package (10 ounces) frozen
chopped kale or spinach, thawed
• ½ cup grated Parmesan cheese
• ½ teaspoon pepper
• 2 teaspoons unsalted butter, cut up
INSTRUCTIONS
GOOD SOURCE OF
1. in a medium saucepan, heat oil
Beta-carotene, copper, fiber,
over low heat. Add onion and
indoles, iron, lutein, magnesium,
sauté five minutes until golden
niacin, potassium, quercetin,
brown. Add barley, stirring to
riboflavin, selenium, thiamin, vitamin
coat.
B6, vitamin C, vitamin K, zinc
2. Stir in water, salt, and turmeric,
PREP TIME
and bring to a boil. reduce to a
50 minutes
simmer, cover and cook, stirring
NUTRITIONAL INFORMATION
PER SERVING
occasionally, for 25 minutes or
until barley is almost tender.
289 calories; 7.8 g total fat;
3.9 g saturated fat; 2.6 g
3. Stir in kale (or spinach) and
cook 10 minutes or until barley is
monounsaturated fat; 0.7 g
tender. remove from heat; stir in
polyunsaturated fat; 9.7 g
Parmesan, pepper and butter.
dietary fiber; 12 g protein; 45 g
carbohydrate; 15 mg cholesterol;
830 mg sodium
More recipes are available through AvMed’s
Wellness Program. Just visit AvMed.org.
EMBRACE | Summer/Fall | July 2016
13
your BeNeFItS
What to Do After
an Admission
t
here are several steps you need to take to ensure a smooth
recovery after admission. The first step is being proactive about
your discharge planning.
Waiting until after admission to make your discharge preparations is often
too late. While you can’t plan for emergencies, you can plan ahead for certain
medical situations like knee surgery and other elective procedures.
When developing your discharge plan, make sure you have the
answers to these questions:
• Why was I admitted?
• What do I need to do to prevent readmission?
• What services do I need after my discharge and have they
been arranged? Are family and friends available to assist at
home if needed?
• What is the contact information for all the services I will need?
• What doctor(s) should I see after my discharge? What should I
do if they cannot see me within a week of discharge?
• What new medications will I be taking? What previous
medications should I keep taking?
• Do I understand the treatment I was given and the
care I need?
Keep your scheduled appointments, fill your prescriptions
and take your medicine according to the instructions you’re
given. Be aware of the equipment and services you should
receive upon discharge and know who to call if you don’t
receive them as planned. Contact your physician to set up
a follow-up visit right away, as it’s recommended to see a
physician again within seven days of your discharge.
Have more questions, or need assistance?
Contact AvMed nurse on Call at 1-888-866-5432
24 hours a day, seven days a week, or call
AvMed's Member Engagement Center at the
number listed on your AvMed Member iD card.
Q:
how can A: Medical billing can get complicated
quickly, especially if multiple care providers
I Avoid
are seeing you. Aside from checking your
Summary of Benefits to better understand
unexpected
medical charges and your plan, you should take
of AvMed’s Cost Calculator tool.
Medical costs? advantage
Available to all AvMed Members at no
cost, the tool can help you estimate costs for
specific medical procedures and compare
those costs among providers in the AvMed
Network. You’ll be able to find the best price
for a certain procedure and make a more
informed medical decision. Simply log into
AvMed.org, click “My Account” and look for
the Cost Calculator link to get started.
– Joyce Krajnovich, director,
Member Engagement
14
EMBRACE | Summer/Fall | July 2016
your pharmacy
Signing Up for Pharmacy Mail Order
I
nstead of picking up their prescription at a local pharmacy,
AvMed Members can enjoy the convenience of having their
medications mailed directly to their home or office. This
pharmacy mail-order option makes it easier than ever to stay
on top of your prescriptions, whether they’re for 30 days or
for 90 days. Just fill out the necessary forms to get started.
Depending on your plan, mail-order prices may vary
from regular retail copay prices and may provide a cost
savings. Check your plan documents or call AvMed’s Member
Engagement Center to learn more about your mail-order
pharmacy benefits and related costs.
Formulary Update
The Preferred Medication List includes specific coverage
information on copayment levels, medications that require prior
authorization or have quantity limits, and therapeutic alternatives.
The most recent listing can be viewed online at AvMed’s
website, AvMed.org. Click on Preferred Medication Lists,
located under the Quick Links on the left side of the page.
Medications are added to the AvMed Preferred Medication
List (formulary) after careful review by a committee of
practicing doctors and pharmacists called the Pharmacy and
Therapeutics Committee.
The committee meets quarterly and decides which
medications provide quality treatment at the best value. The
medications on this page have been added to the formulary.
Formularies are updated on the AvMed website by the fifth of
each month.
New Generics
New Drugs
Brand Name
Generic Name
Narcan nasal spray
Genvoya
Use
Brand Name
Generic Name
Use
Actonel 75 mg
Risedronate
Postmenopausal
osteoporosis.
prevention/Paget’s disease
Gleevec
Imatinib
Leukemia/antineoplastic
Jalyn
Dutasteride/
tamsulosin
Benign prostatic
hyperplasia
Moban
Molindone
Schizophrenia disorder
Opioid antagonist
Cobicistat/
elvitegravir/
emtricitabine/
tenofovir
Antiretroviral
Ninlaro
Ixazomib
Multiple myeloma
Lonsurf
Trifluridine/
tipiracil
Metastatic colorectal
cancer
Ortho-Tricyclen Lo
Norgestimate/
ethinyl estradiol
Contraceptive
Odomzo
Sonidegib
Advanced basal cell
carcinoma
Patanol 1% eye
drops
Olopatadine
Allergic conjunctivitis
Opdivo
Nivolumab
Metastatic melanoma
Prandimet
Diabetes
Alecensa
Alectinib
Metastatic non-small
cell lung cancer
Metformin/
repaglinide
Nevirapine XR
Antiretroviral
Tagrisso
Osimertinib
Non-small cell lung
cancer
Viramune XR 100
mg
Zyvox suspension
Linezolid
Antibacterial
Cotellic
Cobimetinib
Metastatic melanoma
Rosuvastatin
Anti-hyperlipidemia
Strensiq
Asfotase alfa
Hypophosphatasia (HPP)
Crestor (effective
7/1/16)
Uptravi
Selexipag
Pulmonary arterial
hypertension (PAH)
Enablex
Darifenacin ER
Overactive bladder
Migraine
Patiromer
Hyperkalemia
Frova 2.5 mg
tablets
Frovatriptan
Veltassa
Tresiba
Insulin
Diabetes mellitus
Nasonex
Allergic rhinitis
Coagadex
Factor X
Hemophilia
Mometasone
spray
Idelvion
Factor IX
Hemophilia
Tegretol XR
100 mg
Carbamazepine
ER 100 mg
Anti-convulsant
Kanuma
Sebelipase alfa
Lysosomal acid lipase
deficiency
Voltaren Gel
Diclofenac 1% gel
Nonsteroidal antiinflammatory
See latest Formulary List on our website for copay levels and other pertinent pharmacy benefits.
EMBRACE | Summer/Fall | July 2016
15
P.o. Box 569004
Miami, FL
33256-9942
Important contact Information
AvMed's Member Engagement Center*:
Please call the number listed on your AvMed
Member ID card (TTy 711), Monday–Friday,
8 am–8 pm; Saturday, 9 am–1 pm
*Hours may vary according to your policy.
AvMed Nurse On Call: 1-888-866-5432
(TTY 711) 24 hours a day, 7 days a week
Member Link Line: 1-800-806-3623
Fraud and Abuse Hotline: 1-877-286-3889
AvMed website: AvMed.org
AvMed’s Care
Management Programs
cAN We
help you?
We SpeAK your lANGuAGe
if you have specific language needs, please
call AvMed’s Member Engagement Center
at the number listed on your AvMed Member
iD card.
AvMed … Hablamos su idioma!
Si usted tiene necesidades específicas
relacionadas con el idioma, comuníquese
con el Centro de Atención para Afiliados
de AvMed en el número que aparece en su
tarjeta de afiliado de AvMed.
AvMed … a votre service! toute la journée.
tous les jours. Et nous parlons votre langue.
Si vous ne pouvez pas lire les articles dans
ce magazine, veuillez composer la ligne
d’assistance imprimée au votre carte de
member pour un représentant bilingue qui
peut répondre à vos questions.
AvMed’s Healthy Living:
1-855-81-AVMed (28633)
AvMed’s Care Management:
1-800-972-8633
Do you face chronic illness? talk to your doctor about our
Care Management Programs that can offer you support for
the following conditions:
•
•
•
•
•
Asthma
CAD – coronary artery disease
Diabetes
COPD – chronic obstructive pulmonary disease
Congestive heart failure
An acute condition, injury or illness can require complex
therapy. our Care Management Team can work closely
with you to address complex health issues. We offer a
variety of Care Management Programs, including:
• Complex Care – for Members who are experiencing a
catastrophic event or diagnosis or who have multiple
diagnoses requiring coordination and support
• Short-Term Care – for Members who could benefit
from extra support following a health issue
• Transitional Care – for Members who have been
discharged from a hospital and are transitioning back
home or to a skilled nursing facility
• Specialty Care – for Members who have specialized
health issues such as high-risk pregnancy and transplant
TTY Assistance: 1-800-955-8771 (711)
8 am–8 pm, 7 days a week
if you think you can benefit from one of our
programs, please call AvMed’s Member
Engagement Center at the number listed
MP-5712 (07/16)
on your AvMed Member iD card.