INSIGHT HOME CARE
WINTER 2014
THE MAGAZINE FOR NORTHWEST HOME CARE AIDES
Home Care Aide Marietta Grunlose’s story. Page 14
INSIDE
FROM TULALIP TO COLVILLE SPOTLIGHT ON NW NATIVE TRIBES
CLOSING THE GAPS
A PARENT PROVIDER’S STORY
PLUS: GUIDE TO OBAMACARE APPRENTICESHIP PROGRAM UNEQUAL HEALTH & MORE WWW.MYSEIUBENEFITS.ORG INSIGHT MAGAZINE
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Catholic Community Services (CCS) is the oldest provider of home care in the state and serves all of Western Washington. We are proud to partner with SEIU for over 20 years in our joint effort to increase caregiver wages and benefits and maintain the highest standards for service. CCS is excited about our long standing partnership with the Training Partnership that includes quality training as well as new innovations in home care.
SEEKING CAREGIVERS CCS is always seeking applications for caregivers, including caregivers who may want additional hours. If you are interested in becoming a CCS caregiver, please contact: www.ccsww.org or call 877-870-1582
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INSIGHT HOME CARE
EXECUTIVE DIRECTOR’S NOTE Welcome to the fourth issue of Home
STAFF
EDITOR Sara McCaslin EDITORIAL DIRECTOR Naomi Ishisaka PUBLISHER SEIU Healthcare NW Training Partnership
& SEIU Healthcare NW Health Benefits Trust GRAPHIC DESIGN Sara McCaslin, Naomi Ishisaka
CONTRIBUTORS
PHOTOGRAPHERS Paul Joseph Brown, Sara McCaslin WRITERS Lora Shinn, Shaun Scott, Eva Gantala, Kari Huus,
Zachary Pullin, Naomi Ishisaka, Sara McCaslin
BOARD OF DIRECTORS David Rolf, Chair TRAINING PARTNERSHIP SEIU 775, President
Nora Gibson, Secretary Full Life Care, Executive Director
Sterling Harders SEIU 775, Vice President
Seth Hemond SEIU 775, Director of Member Programs and Participation
Adam Glickman-Flora SEIU 775, Secretary-Treasurer
Silvia Liang Home Care Aide and Member, SEIU 775
Linda Lee
Care InSight, the magazine for Northwest Home Care Aides. The SEIU Healthcare NW Training Partnership and the Health Benefits Trust care about your work and your health. As Home Care Aides, your work makes a critical impact in the lives of others every day. And while you work to care for others, you must also care for yourself, keeping you and your family healthy. Through Home Care InSight, we want to provide you with skills to improve your health; share best practices from others in the profession; and give you the most updated information about your training and benefits. To this end, in this issue we explore how to care for diverse Consumers, hear stories from Northwest Native HCAs and Consumers, provide the latest updates to training and benefits information – and much more. We hope you will find this magazine useful in your work as a Home Care Aide. Please let us know what you think – to share feedback and ideas, please contact insight@myseiubenefits.org. Charissa Raynor Executive Director
Home Care Aide and Member, SEIU 775
Jesse Magana Home Care Consumer and Disability Advocate
Bill Moss
SEIU Healthcare NW Training Partnership SEIU Healthcare NW Health Benefits Trust
Washington State DSHS, Assistant Secretary
Rich Nafziger Institute for Public Service – Seattle University, Assistant Professor
Franklin Plaistowe Washington State Office of Financial Management, Labor Relations Division
Flanna Perkins
Home Care InSight Magazine is a publication of the SEIU Healthcare NW Training Partnership and Health Benefits Trust to serve Home Care Aides in the Northwest.
ResCare Homecare, Regional Director
Jan Yoshiwara State Board for Community and Technical Colleges, Director Education Services HEALTH BENEFITS TRUST David Rolf, Chair SEIU 775, President
Eric Erickson CDM Services, Executive Director
Sterling Harders SEIU 775, Vice President
Seth Hemond SEIU 775, Director of Member Programs and Participation
Diane Lutz Office of Financial Management, Labor Negotiator
HAVE A STORY, IDEA, OR LETTER TO SHARE? Do you have a story about yourself or someone you know that would make a good topic for the next issue of Home Care InSight Magazine? We want to hear from you! Do you have a letter to the editor, a healthy recipe, or question you want answered? Let us know! Pass on your story ideas to InSight magazine Editor Sara McCaslin at insight@myseiubenefits.org. COVER PHOTO OF MARIETTA GRUNLOSE BY SARA MCCASLIN PHOTO OF CHARISSA RAYNOR ON THIS PAGE BY PAUL JOSEPH BROWN
Mark Robinson Addus Healthcare, Inc., Regional Director NW Region
MaryAnne Lindenblad
The existence of advertising in this publication is not an endorsement of the product, service or individual by anyone except the advertiser.
Health Care Authority, Regional Director
Misha Werschkul SEIU 775 , Legislative & Policy Director
Bill Moss Washington State DSHS, Assistant Secretary
Monique Taylor Swan Home Care Aide
© Copyright 2014 Home Care InSight Magazine. All rights reserved. Contact Home Care InSight at insight@myseiubenefits.org for permission to reprint or republish content from Home Care InSight. Contact Home Care InSight: insight@myseiubenefits.org, 215 Columbia St., Suite 300, Seattle, WA 98104 INSIGHT MAGAZINE
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CONTENTS
Home Care Aide Eva Gantala assists her Consumer and son Mike Gantala between chairs. Page 8
3 EXECUTIVE DIRECTOR’S NOTE WORKER STORIES
5 APPRENTICESHIP SUCCESS 6 HARDEST DAYS ON THE JOB 8 CLOSING THE GAPS 12 SPOTLIGHT ON NW NATIVE TRIBES 14 CARING FOR ELDERS 17 BEYOND ASSUMPTIONS YOUR HEALTH
20 UNEQUAL HEALTH 25 WELCOME TO CARE BEGINS WITH YOU 28 WASHINGTON HEALTHPLANFINDER
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30 HEALTH BENEFITS INFORMATION 32 TRAINING INFORMATION 36 38
36 38
40
40
42 44 46
42 44 46
PHOTO BY PAUL JOSEPH BROWN
FEATURES
BENEFITS
WORKER STORIES
APPRENTICESHIP SUCCESS STORY
Home Care Aide Florence M. Day builds on advanced skills BY LORA SHINN
I
PHOTO BY PAUL JOSEPH BROWN
n 2008, Florence M. Day – she goes by “Flo” for short – retired from her managerial job in the telecommunications industry to fulfill a promise. She wanted to take care of her mother, Orelia M. White, who suffered a stroke and needed triple-bypass heart surgery. “I promised not to put her in a facility, when I was a little girl,” Day says. “It was important to keep my commitment.” So today, at age 65, she’s on a second career as a Home Care Aide (HCA) for her mother, age 86. As part of that process, Day never stops learning, and her eagerness for knowledge is something that comes naturally. At age 50, she earned her bachelor’s degree, quickly followed by two master’s degrees, in organizational leadership and project management. So to improve her caregiving skills, Day jumped at the chance to enroll in the Advanced Home Care Aide Registered Apprenticeship program. The Apprenticeship is a free, 82-hour program, a benefit provided by SEIU Healthcare NW Training Partnership. It includes up to 12 hours of Continuing Education and 12 hours of Peer Mentoring. The program was bargained for HCAs by SEIU 775, and qualifies participants for a $0.25 per hour raise. Even though Day was “grandfathered” in and didn’t have to take Basic Training courses, she still chose to sign up for the Apprenticeship program to provide the best possible care for her mother. Top of the Class: What Classes are Like For 10 weekends on Saturdays and Sundays, around 20 students gathered to hear lectures, watch videos, and do small group work on weekly topics. Day spent about 10 hours a week on extra study, reading, and understanding. “I had to put in a little more time,” she explains, as she didn’t work in healthcare until her new HCA job. In class, Day learned more about what she calls the “mechanics” of the job – the proper way to do everything, from hand washing to operating a wheelchair. Although Day’s mother is still mobile (and using a walker), Day feels like the class gave her a boost of confidence when her mother might need a wheelchair. Day learned new information she could apply to caring for her mother, from proper hand washing to dispensing medication. She even practiced some skills on her mother, such as taking her out of bed with proper, safe body mechanics. The class offered a few light moments, as well. “Trying to change the bed with somebody in it, that was a challenge,” she says. “Some of my patients were maybe worse when we got done than they were before,” she says, laughing. “It was rough to get the concept, but I was determined to figure it out.” In-class group work encouraged HCAs to meet one another, and share experiences and advice, Day says. Classmates could call one another to ask about important things learned in class, or any nagging questions. “I built relationships with people, and we’re still
Florence M. Day, right with her mother Orelia M. White, took the Advanced HCA Apprenticeship program to sharpen her skills and build community with other HCAs. friends, maybe call each other every six months or so, or meet up again at different functions,” Day says. Mentor and Mentee Since Day completed the Apprenticeship program, she’s also passed along the goodwill by becoming a mentor herself. So far, she’s helped eight people graduate from the program. Day and her mentee might discuss how to deal with Consumers’ family members using the kitchen or the bathroom. Who stacked those dishes in the sink? The HCA doesn’t know for sure, but her care plan still says she must clean them up. Day and her mentee might discuss how to approach the situation, acknowledging frustration while following the Consumer’s plan. Day’s mother, a former hospital dietician supervisor, still keeps herself busy crocheting hats and winter scarves. Day’s sisters work in nursing and health care, as well. “It’s in our DNA, maybe,” Day says. Whether or not it’s in her DNA, Day is certainly a great example of learning, growing, and achieving as a result of the Apprenticeship program. “By using proper mechanics with my mother I’ve helped her to reduce her anxiety and fear when I moved her or she was falling,” Day says. “It also increased her confidence in my ability to help her in changing positions, sitting, standing, and walking the correct way.” n
Apply for the 2015 Home Care Aide Apprenticeship Program Classes start in January and will be held in Seattle, Spokane, Vancouver, Lynnwood, and Kennewick. Graduates of the free program receive a $0.25 per hour raise and 82 hours of training. Space is limited. Call 206-254-7186 to register or visit www.myseiubenefits.org/advanced INSIGHT MAGAZINE
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BY SHAUN SCOTT
Glenda Faatoafe, a veteran Home Care Aide, reflects on the hard moments with Consumers at the end of life.
LESSONS FROM THE
HARDEST THE JOB DAYS ON
Home Care Aide Glenda Faatoafe on optimism in end-of-life care
You just can’t take everything that happens personally.”
hard work of caring for Consumers, moments
Faatoafe got her start as an HCA nearly 20 years ago on something of a lark. A former neighbor of hers
and months and years can have a way of
blending into one another. But sometimes, individual
was a nurse who would come over to work in Faa-
days stand out as the worst days on the job.
toafe’s day care. One day – a day Faatoafe says she’ll never forget – the nurse seemed particularly stressed. “She told me she had been really worn down by her situation at home. Her husband had Alzheimer’s, and she was really stressed by the toll of taking care of him, and worried about who else would take care of him.”
Home Care Aide Glenda Faatoafe is on the phone at a hospital. It’s a routine day, a typically dreary November morning in the Pacific Northwest. She’s waiting for one of her Consumers to get out of surgery. Faatoafe apologizes for the sporadic interruptions during the interview. She seems to live her life somewhere in the complicated intersections between intimacy, professionalism, empathy, and perspective. “Everybody gets tired and has bad days,” Faatoafe says. “Sometimes the client may even be tired of you! 6
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Without thinking twice, Faatoafe volunteered her services – and a career that’s lasted 17 years was hatched in a moment. Faatoafe has an easygoing nature, apparent from the way that lessons and stories
PHOTO BY PAUL JOSEPH BROWN
F
or Northwest Home Care Aides engaged in the
WORKER STORIES gleaned from experience flow from her effortlessly. She credits one good man with grounding her during her decades of service: her husband, whose natural optimism and kindness
miss them by the time they’re ready to die. Or their relatives have all left,” Faatoafe says. She’d like to see a “caregivers’ Bill of Rights” that would allow HCAs to have time to mourn the death of a loved one or a consumer.
Faatoafe attributes to his Samoan ancestry. His support was never more needed than on the toughest day of her career. “The first day, she told me she was going to die. The first day. Straight up.”
Faatoafe is in her mini-van now. The sounds of I-5 traffic whizzing by provides a sense of the mundane that complements her matter-of-fact delivery. If a Consumer snaps at her, she doesn’t take it personally; if a representative votes against the interest of HCAs, they can always be voted out next election; if it’s hard to get out of bed to face the day, imagine what it would be like to be physically confined to bed.
Faatoafe recalls a conversation she had with a 77-year-old Consumer in the first 10 minutes of meeting her. “She told me she was being kicked off hospice care and was going to start taking her right-to-die medicine,” Faatoafe says.
ILLUSTRATION BY SARA MCCASLIN
For Glenda Faatoafe, being a great Home Care Aide means juggling Faatoafe describes how she for all of the things that come at her Consumers, like Medicaid, doctor visits, transit, diets, and exercise. Faatoafe has learned the art used her infectious optimism of putting herself and others at to lift up her Consumer’s outease about things that could percent better.” look and assess all the options available to her. That first day was the Faatoafe has worked with three hospice otherwise be embarrassing, a tactic that she says she learned from her husband. hardest, but with the help of a seemingly care patients who requested the prescripEverything from dirty diapers, to treating innate sense of humor and deep-seated tion to end their lives. Only Washington, bedsores, to medicine is a subject of optimism, she made it through. “I cried Montana, Vermont, New Mexico, and humor for her. all the way from Olympia that day,” Oregon have Death With Dignity Laws. She simply doesn’t seem to have the The lethal medication is prescribed by a Faatoafe says. “But then I realized she capacity for negativity or pessimism. doctor to terminally ill adults who have has it harder than me: three hip replacement surgeries in one year, coming back from polio, and being confined to bed for a year.” For Faatoafe, the first step was getting her Consumer to take her first steps in over a year. After the first day, the days go by. The daily reality for HCAs like Faatoafe is a complex juggle of their Consumer’s needs. Faatoafe says HCAs are balancing “everything from Medicaid, dealing with transit, doctors, diets, and exercise schedules. It’s your job to take the burden off the client.” Faatoafe believes that HCAs who take this approach make the day-to-day lives of their Consumers “100
less than six months to live. “Many people don’t have anyone to
Faatoafe is off to start her day, which she says is shaping up to be a good one. n
Death with Dignity Act Information via Washington State Department of Health The Washington Death With Dignity Act allows terminally ill adults seeking to end their life to request lethal doses of medication from medical and osteopathic physicians. These terminally ill patients must be Washington residents who have less than six months to live. For more information, visit www.bit.ly/dignityact
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CLOSING THE GAPS
A parent provider’s journey to hack, rig, fix and modify solutions for her Consumer
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BY EVA GANTALA
FIRST PERSON
PHOTOS BY PAUL JOSEPH BROWN
T
other left for work. In between the work schedules we had doctor oday I decided it was warm enough to take my son and walk appointments, physical therapy appointments, and the once a year outside for a while. He cannot really walk, he uses a wheelneonatal clinics. chair. We started up a road in our town, Monroe, Wash., However, this was only the beginning of the issues we would that takes us to nature trails around recent housing developments. face. The twins’ medical bills were astronomical since they spent I like it because of the gradual incline, all the trees and the quiet the first three months of life in the hospital. Right away the health surroundings. It was lovely with the fallen leaves and the multiple insurance company refused to cover either child’s medical expenses, colors iconic of Northwest autumn. We got lost in the beauty until stating the premature our trail ended and the birth was not a covered sidewalk began again. expense. We had to We stopped and stared quickly learn to naviat the step created gate Medicaid. by the sidewalk curb. As a family we were Unable to find a way isolated a lot from around it, we had to other people and were turn back. Wheelchairs really on our own to do not do steps. manage the twins’ I am a parent procare. Friends and vider for my adult son even family became who is disabled. Being less likely to visit and a parent provider invitations to others’ means becoming a homes for parties or master of modifying, events were rarely fixing, rigging, and extended. Grandmothhacking to make things ers didn’t offer to care work for my son. For Above: As a parent provider, Eva Gantala knows just the right method for positioning her son for the children so we me, it’s simple things and Consumer Mike for trips to the dentist, airplane seats, and restaurant tables. could get away for a few like how to put him in Previous Page: Mike boards accessible transit to get to his volunteer jobs. Because options hours like they did for an airplane seat, the are limited, Eva often has to get creative with getting Mike around town. our older son. Neighbordentist chair, or finding hood baby sitters were not available to us either. I was able to find a table in a restaurant that he can get far enough under so he can a cooperative preschool for the twins to attend, but I had to attend reach his food. Then there is helping the optometrist, the dentist, with them to help Mike. or the imaging technician figure out how to position, manipulate, Parents with children who have disabilities have often been or hold him up to the various machines to screen his vision, X-ray through and sacrificed a lot before public school begins. At age five, his teeth, or get an image. the school district felt Mike was too delayed to begin Kindergarten. But long before I became a parent provider, I was the mom of a There was a special program he could attend with an hour bus ride child with a disability. My child was born 33 years ago, premature in the morning and two hours home. Mike was not potty trained and as a result of complications during birth, with cerebral palsy. and by the time he got home he was soaking wet. A Pull-Up diaper His name is Mike. Mike is a twin and he also has an older brother. can only hold so much. That program didn’t work. Mike’s twin brother has also had many issues to overcome as a When we went out into public many stores and streets were result of his premature birth but he is no longer considered delayed not accessible to us. I noticed most people stared at Mike in his or at-risk. As I said, Mike doesn’t walk. But he does talk. Oh boy, little wheelchair. When people did talk with us, the questions were does he talk! He has very poor vision and is diagnosed as quadalways, “What happened to him?” or “What’s wrong with him?” And riplegic. Although his arms and hands work fairly well, he cannot “Why is he in a wheelchair?” balance or bear weight without help. He cannot perform the activiAs parents of a child with a disability we had to develop suitable ties of daily living, which qualifies him to have a caregiver. That answers. They are the same ones we use today. These answers came caregiver is me, my husband, and his twin brother provide care also. from some very wise 4-year-olds who were in preschool with the Having a baby changes your life, having twins change it more twins. drastically, and having a child with a disability changes it in ways What happened to him? I never thought about before. It became apparent quickly that He was born that way. finding and paying for day care was going to be almost impossible. What’s wrong with him? My husband and I had to work different shifts. Since we didn’t have Nothing! days off together and didn’t work the same hours, we rarely saw Why is he in a wheelchair? each other except to pass off the babies as one came home and the INSIGHT MAGAZINE
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Above: Eva does the laundry for her family. She and her husband found it harder to find help with their twins with disabilities than when raising their older son. excluded in the regular activities of his peers because it is assumed he can’t do them. I remember during the holiday season all the school children participated in a program. Mike was in Kindergarten and knew all the words to the songs. But even though he practiced them every day at home, his music teacher wanted to exclude him from the performance. When I asked why, I was told it would be too hard to get him on stage and all the other children would be standing on risers, which he could not do. The principal sided with me, so Mike was included but the teacher put him off to the far side of the stage and it was hard to see him. Mike did not care. He was so excited to be in the program. He sang along with all the other kids and took a bow at the end. From then on, the music teacher was always unkind to us. It was obvious that including Mike was an inconvenience to her. There were many times throughout his school life that he was left out because of his disability and I realized when I challenged those situations or decisions, many teachers felt it necessary to retaliate.
However, there were also many great educators who worked tirelessly with my son and taught him to read, understand numbers, think critically and speak up for himself. I thank those wonderful educators every day. As a parent provider, I am the person who can make things work for Mike. When he says he wants to do something I feel it is my responsibility to figure out how to make it happen. This morning, after the 2014 elections, Mike reminded me he would be 35 in a couple years and old enough to run for president. I don’t think I have the power to make that happen but for me it feels so good to know he dreams big dreams. Being a parent provider means advocating for your child. When school ended for Mike, so did his social life. He needed activities to fill his day. There are many resources to help find activities, jobs, and volunteer positions for adults with disabilities. As Mike’s advocate I contacted those resources but I had to do most of the initial work to find things for him to do. I went out to various businesses and talked to people, begging them to allow Mike to volunteer.
PHOTO BY PAUL JOSEPH BROWN
Because he can’t walk. We never shied away from going places and we took Mike everywhere we could. We didn’t apologize, ask permission, or beg forgiveness. We just went and expected people to include Mike. We taught Mike to talk to those who stared at him. We told him to say, “Hi, my name is Mike. What is your name?” Many people have responded positively to that approach. Things have changed a great deal over the years as awareness has improved. Now, I watch Mike and others exchange greetings and it seems so normal to me. People say “Hi” to him, shake his hand, ask him how is he doing, laugh with him and listen to him. He has opinions on everything: politics, healthy food choices, strategies to beat the level of the game he plays, the weather, his Facebook page, and his girlfriend. He likes to ask a lot of questions, especially about how things work and why. He talks to his representatives and senators, letting them know what it’s like being a person living with a disability. He thinks it is important for them to know him and how hard it can be. Being a parent provider means the “empty nest” will never be completely empty. Either the child will always live at home or the parent will always take care of the child in some way. I often think since I am no longer tied to a job that requires that I must be in an office every morning, I should be able to travel some. I am blessed that I can do that a little because I have family to help care for Mike for a few days at a time. I need time off to take care of myself or I won’t be able to take care of him. I would like to take him on trips with me so we could explore together but modes of transportation that can accommodate a wheelchair are costly or not always available. I used to be able to pick Mike up and place him into a regular car seat and lift the wheelchair into the back of my van. Now that he is bigger and I am older it is almost impossible to lift him into a car. I can do it if I have to, but it doesn’t feel safe. One time I spent hours in a rental car lot trying to find a car that the wheelchair would fit into. The most heartbreaking of all issues for us as parents to endure is when our child is
PHOTO BY PAUL JOSEPH BROWN
Center: Mike’s volunteer jobs get him working in the community and they also provide respite time for Eva. ACRS Insight SEIU Magazine 2014 Ad [11.25.14].pdf Right: Eva performs a transfer with Mike to another chair. However, instances such as transfering into a car, it is difficult to do safely. We experienced many rejections. Reasons like: he’ll be in the way or it will take too much time to train him. In many cases those were valid reasons. But some were willing to give him a chance especially since he came with a job coach from Work Opportunities. The next step was transportation. Mike qualifies for DART transportation but unless we live within three quarters of a mile from a regularly scheduled bus stop, the bus will not pick up. We live 1.2 miles from a regular stop, so we had to look elsewhere for transportation. We found a program called Transportation Assistance Program (TAP). They connect the rural folks who need special transportation to Community Transit. Our local Senior Center has a bus to transport the Seniors in our community which also accommodates a wheelchair. Both of these methods are very limited in the hours and days they are available. We have to work around their schedules and we have worked that out for now. It only occasionally fails and then I become the transportation for
Mike or he has to stay home. Mike now volunteers at the Monroe Public Library, Sky Valley Food Bank, and Monroe YMCA. He also attends Full Life in Everett, which is a program for seniors and people with disabilities. I use this as my respite and Mike goes seven afternoons a month. As parent providers, we modify, fix, rig, and hack to make things work and we are always on the look-out. Going out in public, I’ve found it better to go without Mike first so I can check out the “lay of the land” and evaluate if it will work for us to visit with Mike. Our choices are often determined by accessibility and I’m most comfortable knowing that in advance so I don’t end up having to turn around and go back. I look at the streets, sidewalks, and entrances to stores and investigate the bathroom situations. Anytime Mike is with me and I find a bathroom that will work I let Mike know this is a good place to use the bathroom before we continue our journey. We remember those good places for next time. Being a parent provider means you can’t ever give up. n
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Hope and Opportunity in 40 Languages & Dialects Asian Counseling and Referral Service (ACRS) has been a proud partner of SEIU Healthcare NW Training Partnership since 2010. Together we bring multilingual and multicultural training to home care aides in Washington State. www.acrs.org 3639 Martin Luther King Jr. Way S Seattle, WA 98144 P 206 695 7600 | F 206 695 7606 WA Relay 800 833 6384
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FEATURE
SPOTLIGHT ON NORTHWEST NATIVE TRIBES BY LORA SHINN & STAFF
I
The Tulalip Tribe The Tulalip (pronounced Tuh’-lay-lup) Indian Reservation is located just north of Everett, Washington, on the Salish Sea. The Tulalip are still surviving and thriving. “Our culture is still here,” says Mary 12
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Matt Remle, a Seattle-based Lakota tribal member, works as a teacher with the Tulalip Tribes in Western Washington. He was the author of Seattle’s Indigenous Peoples’ Day Resolution. Jane Topash, a Tulalip tribal member and group tour specialist. “We still practice our culture, with our first salmon ceremony held in June, with our intertribal canoe journey every summer,” along with weddings, funerals, and other community gatherings. Traditional foods included more than 250 different foods gathered from the surrounding mountains, forests, fields, fresh water and salt water. It was important to eat with the changing seasons, eat a diversity of foods, gather only what was needed, and share with others at family meals. Foods included wild game, wild onions, berries, dandelions, stinging nettles, salmon, and mushrooms. Red cedar was used in very inventive ways: to craft canoes, clothing, baskets, hats, baby diapers and fishing nets. Cedar planks were used to build the 1914 longhouse, still in use on the Tulalip reservation. Cedar was carved into story poles (tall carvings up to 70 feet tall) to share community stories, or teaching poles, which grandparents would use to share tribal stories with youth, Topash says. These are not totem poles, which actually are an art of Alaskan and Northern BC First Nations. “We have a strong sense of community, we’re very close and tight-knit,” Topash
says. “We’re taught to respect our elders, it’s the first thing ingrained in our brain,” she says, and elders come first at everything, whether speaking or being served food. Language is also very important, she says. “We’re one of the few tribes who didn’t lose our language,” she says, and today Lushootseed is spoken from Olympia to the Canadian border. The Tulalip community is proudly self-sustaining today, offering health and dental clinics, a senior center, and tribal court. The community operates Quil Ceda Village, the only municipality within a tribe in the U.S., Topash says. As well, there are two on-site casinos, an outlet mall and a beautiful museum, the Hibulb Cultural Center and Natural History Preserve. The Spokane Tribe The Spokane (pronounced spoh-kan) Tribe belongs to the Interior Salishan community, primarily east of the Washington Cascade mountain range. “Historically, we had an area that covered over 3 million acres where we roamed freely, before reservations,” says Velma Brehm, a Salish language instructor, Spokane Tribe Member, and adjunct professor of Native American studies classes and history at
PHOTO BY PAUL JOSEPH BROWN
n October 2014, Columbus Day was not honored in Seattle. Instead, the Seattle City Council introduced Indigenous Peoples’ Day in remembrance of both the struggles and survival of Native Americans, the first peoples to live in North America. “The Native peoples are probably the least learned about and most misunderstood in this country,” Matt Remle says. A Seattle-based Lakota tribal member, teacher working with Tulalip tribal members, Remle is also the author of the Indigenous Peoples’ Day Resolution. “There are so many myths and misunderstandings,” he says, for example, that all Native Americans live in teepees or still ride horses. Native Americans in the Pacific Northwest are a diverse collection of individuals, both from tribes who were the first people to live in present-day Washington, and tribal members who have moved here from other parts of the United States. Remle points out that Seattle was a designated “relocation city” in the 1940s and 1950s, when the U.S. Government encouraged Native Americans to move to urban areas. Home Care Aides (HCAs) should be careful to try to understand the unique individual: their history, traditions, and preferred methods of care. Varying tribes have different food preferences, traditional housing, art, and manners of traditional dress. Respectful willingness to admit misperceptions and to be openminded will help an HCA understand their Consumer. Let’s take a look at the traditions and cultures of two Washington tribes: The Tulalip, based along the Washington Coast, and The Spokane, in the Washington Interior.
MAP OF FEATURED WASHINGTON TRIBES IN THIS ISSUE Tribal government locations for Makah, Spokane tribes.
Information from DiversityInc
TULALIP
Tulalip, Colville and
MAKAH
There are 29 federally recognized
COLVILLE SEATTLE
MISUSED NATIVE AMERICAN TERMS, SAYINGS
SPOKANE TRIBE SPOKANE
“Pow-wow”: Rick Waters, National Director of Tribal Partnerships for the University of Phoenix describes a powwow as a social gathering for ceremonial
tribes in Washington
purposes, and many tribes still hold
State.
them on a regular basis. Using this
Information via Governor’s
out of context to refer to a meeting or
Office of Indian Affairs.
a quick get-together with an American Indian coworker trivializes this tradition and could be taken as offensive. “Climbing the totem pole” or “Low man
NEW CLASSES IN NEAH BAY
on the totem pole”: The phrase “climb-
Neah Bay sits on the Olympic Peninsula and is home to the Makah Tribe. SEIU Healthcare NW Training Partnership offered the very first Basic Training program in October and will be launching another in January.
ing the totem pole” may be used to refer to someone who is advancing in his or her career. But it’s a myth that there was a specific hierarchy in importance to images carved in totem poles, which were vertical sculptures mainly associated with tribes along the Pacific Northwest.
Spokane Tribal College. Brehm also worked as an HCA for her mother, father, and grandmother. “Our people depended heavily on salmon for our food, and almost 50 percent of our food intake came from salmon,” she says. Other foods that are still eaten today include wild game (such as deer, elk, and moose), small game birds (such as grouse and wild chickens), along with roots and berries. Sweet treats included “Indian Ice Cream,” which Brehm describes as foamberries and sugar whipped into frothy foam. When you first meet a Consumer, ask how the elder would like to be addressed, Brehm says, and whether there are items in the house that are personal or not to be touched. For example, items such as an eagle feather, another sacred item, or traditional medicine can hold spiritual or personal significance, she says. “Most elders will be outspoken about what you can and can’t do in the house,” Brehm says, but listen for important rules around items. Traditionally, only the significant other and family members handle a person’s hair. Elders may ask HCAs for the hairs filling a hairbrush; they will deal with the hair in a respectful way.
Some newcomers make a few common mistakes, Brehm says. For example, don’t ask older Native Consumers to interpret dreams or bestow an “Indian Name.” These requests are based on Hollywood misconceptions, not real life. As well, discussing a “distant Cherokee ancestor” will not help two individuals connect. It’s important for the Spokane Consumers to know they’re able to trust their Home Care Aides, Brehm says. Consumers afflicted by strokes or speech difficulties may rely on HCAs, she says. “The more that the HCA knows their client, knows their needs, wants, and wishes, the better they can speak out on their behalf,” she says. “Don’t come in with any preconceived notions about what it’s like to be a Spokane elder,” she says. “Treat them like a person, and they will quickly start looking at you as a member of extended family. Treat them with the respect that they deserve and they’ve earned, not that they’re going to Shaman up your way of life and give you a mystical Indian name. Treat them with the attitude that, ‘Yeah, you’re my client, and my potential friend too.’” n
“When saying that someone is on the top or bottom of the totem pole, this can be perceived as insensitive because there is no ‘bottom’ in the same sense,” says Waters. “We’re all immigrants”: Rev. John Norwood, Tribal Council member and Principal Justice for the Nanticoke Lenni-Lenape Tribal Nation says it is insulting to hear this phrase in reference to Americans. “This is not true,” he says. “It denies the existence of the indigenous people of this country. My ancestors were here for thousands of years prior to the first Europeans.”
LEARN MORE Hear from Home Care Aides in Native communities, try out recipes from the Spokane Tribe, visit the Hibulb Cultural Center, and more.
GO TO MYSEIU.BE/INSIGHTWINTER
FEATURE
CARING FOR
ELDERS
On the Colville Tribe Reservation, Home Care Aides build trust with elders, find career growth.
BY ZACHARY PULLIN & SARA MCCASLIN
T
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INSIGHT MAGAZINE
family members or close family friends take care of them. It’s difficult establishing trust with non-family members,” Pakootas says. Building trust, requires diverse and accessible training for Home Long-term care coordinator Lucille Pakootas sits in a Consumer’s home. She Care Aides living and her team make a lot of ends meet for the HCAs and Consumers on the reservation. on the Colville Reservation. delicate in the winter, the rural Colville Pakootas says, “For Individual Reservation is ill-equipped to handle Providers, (the reservation) is really far the needs of multiple HCAs who might from training centers. It’s hard to travel to need to register for a class, check their Spokane or Wenatchee,” and having to email, or even complete the necessary “pay for hotel, gas, food, and sometimes online training hours. For Lucille and her a babysitter for two weeks.” The long colleagues, it means they need to get a trips and expensive travel can be a bit more creative. barrier to cultivating a robust community Recently, Pakootas spent a better part of well-trained and trusted Home Care of a week assisting one HCA take online Aides. But, online training is no easier. CE courses on her office computer. With just one computer per library with Starting a career in caregiving a one-hour time limit and inconsistent often begins when taking care of a Internet service that is incredibly family member in need. But the skills,
PHOTOS BY SARA MCCASLIN
here are long-held beliefs of reservations as the middle of nowhere, something to avoid. But they are really heroic places. The Colville Reservation in northcentral Washington, where cascading yellow highlands and meandering rivers exist quietly under a vast, azure sky, is home to over 5,000 residents. Both Colville tribal members and their families and other non-Colville members live across 1.4 million acres in small communities or rural settings. For Lucille Pakootas, of the Colville Indian Area Agency on Aging, bringing value to the long-term care field on the reservation is critical. She is a trusted long-term care coordinator advocating for the many Home Care Aides living and working on the reservation. In the long-term care field, it can be challenging to identify Home Care Aides that Consumers will trust. Many of the common health concerns affecting Consumers on the reservation – diabetes, arthritis, fibromyalgia, and Alzheimer’s – require trustworthy, welltrained, and confident HCAs. “(Consumers) would rather have
Above: HCAs Jackie and Gary Fisher work as a team to provide care for their Consumer Delores George. Right: Carlene Yacinich, sits with her mother, Delores George, an avid hunter and profilic quilt-maker.
PHOTOS BY SARA MCCASLIN
Above: A hand-embroidered quilt Delores George made in memory of her son. Left: For HCA Etta Grunlose, building trust with her Consumer is one of the most rewarding parts of her job. experience, and confidence are just as important when providing long-term care for non-family members. Marietta “Etta” Grunlose, a current HCA living and working on the Colville Reservation, began providing care for her father-in-law in Oregon. “There is no ‘you can’t do it.’ It’s your parent, you have to do it. I took him to the doctor and shopping, bathing, cleaning, cooking,” Grunlose says. Her current Consumer is not a family member. As an HCA on the Colville Reservation, building a trusting relationship with Consumers doesn’t come by chance. Grunlose has to do her job well and care about her Consumer’s quality of life. “I work with him to set goals. One time I got him out for a walk,” she smiles while remembering the story, “I got him to
walk a mile up the hill and back down. Back in his day, he used to run and do marathons.” Grunlose describes the evolution of her relationship to her Consumer,“The most rewarding part is he has become more open to trusting me, doing more things and getting more healthy since I started working with him.” Trust has meant finding new ways to provide high quality care to a Consumer with shortterm memory loss. “I’ll text him everyday to check up on him when I’m not there. They like to tell their stories, too. And, I’m here, I’ll listen.” On the Colville Reservation there are many Consumers that still need caretakers. “I’m working on getting my daughter into training. There are so many young people entering into the
workforce that need the jobs,” Grunlose says. Thinking of becoming a nursing assistant, she hopes that her experience as an HCA will make her better prepared. Trust, the common denominator in the relationship between HCAs and their Consumer, can be difficult to create. But throughout her career, Pakootas has helped cultivate it on the Colville Reservation. She has made it easier for Consumers to find trustworthy, nonfamily HCAs, such as Delores George – an avid hunter, prolific quilt-maker, and ardent gardener – in need of longterm care after a brain surgery caused a stroke. Sitting in their home, a mere five minutes away from Lucille’s office, along a winding road, George’s daughter
INSIGHT MAGAZINE
WINTER 2014 15
Carlene Yacinich reflects on her mother’s story. It wasn’t easy to get to the level of trust she has now with tag-team HCAs Jackie and Gary Fisher. “Before her stroke she lived independently, she lived on her own. From then, you know, she’s needed caregiving 24 hours a day,” Yacinich says, who could no longer stay home full-time with her mom. “I was in search of caregivers and I found Jackie and Gary Fisher. To have them here at home for mom so that she can stay home is a blessing” she says, expressing the importance of not having to put her mom in a nursing home. For the Fishers, married 45 years, providing this type of care works because of their partnership and teamwork. Gary Fisher typically does the morning shift, and Jackie Fisher the afternoon shift. They sometimes cross shifts, so they’ll help each other. This is Jackie Fisher’s first experience,
Free Gloves Available for Home Care Aides
but Gary Fisher has been an HCA for other Consumers prior to working with George. “Well, you just have to want to help people. You have to have it in your heart to do that,” Jackie Fisher says. “It’s just rewarding that we’re helping her stay in her home.” Two years into caregiving for George, the Fishers reflect on the lessons learned from their work. Gary Fisher says, “Until you get to know your Consumer inside and out, they may not really trust you right off the get-go. So you have to be patient.” Jackie Fisher adds, “And you have to be patient, especially with someone with a disability or stroke. It’s going to take them longer to do something that before wouldn’t have taken long at all…not hurry them along and just let them have their life.” It is in allowing George to live her life, in her family home, that has allowed a genuine relationship to develop between
a Consumer and her Home Care Aides. The vulnerability of caregiving has taught them patience; the continued care for George has fostered greater trust. “It makes you grow,” says Gary Fisher, as they smile at each other in a room filled with care, friendship, and the familiar aroma of George’s favorite stew. n
Watch a short video about Delores, Carlene, Jackie and Gary online at myseiu.be/InsightWinter.
Effective immediately, Individual Providers serving Medicaid and stateonly-funded clients will have more access to gloves as part of each client’s health benefit. Gloves must be available for use by Individual Providers (IPs) when providing hands-on personal care services to clients. Wearing protective gloves and washing hands frequently will greatly decrease the risk of spreading infection. Each client is eligible to receive a supply of 200 gloves per month. Additional gloves can be requested if medically necessary. Clients can access glove supplies in the following ways:
Apple Health (Medicaid) managed care program clients: Follow the instructions documented on the “How to obtain non-sterile gloves for your personal caregiver” flyer which will be included in the client’s service packet.
Apple Health (Medicaid) non-managed care program clients: 1.
Find a Durable Medical Equipment Supplier at the Health Care Authority website: www.hca.wa.gov.
2.
Call your primary care physician, OR
3.
Call the number located on the back of his/her Medical Services Card.
State-Only Funded Clients 1.
Check with their health insurance to see if gloves are offered as a benefit.
2.
If gloves are not covered by their insurance, contact their case manager at the Home and Community Service, Area Agency on Aging or Developmental Disabilities Administration office.
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FEATURE
Beyond
Tips for caring for Consumers with diverse identities
Assumptions
BY LORA SHINN
PHOTO BY PAUL JOSEPH BROWN
B
y the year 2060, America’s population will look different than it does today. It will be older, and more racially and ethnically diverse, according to the U.S. Census Office. All in all, the non-white population – now 37 percent of the U.S. population – will become 57 percent of the population in 2060. As Home Care Aides (HCAs) work with an increasing number of diverse Consumer identities, such as race, religion, class, ethnicity, sexual orientation, disability and gender identity, it is important for HCAs to develop skills to better work with Consumers of all backgrounds. Whenever you care for Consumers, it is important to learn about their preferences and needs. For example, grooming is important – smelling nice, looking good – but there can be differences based upon various individual, cultural, or other factors. For example, in some cultures, modesty is important – so how do you bathe a Consumer without offending them? What if the Consumer has a different skin or hair type than you have – how will you learn to care for the Consumer? What if the Consumer uses a grooming tool that you’ve never encountered before? Ninfa Quiroz is the director of the community relations department at Sea Mar Community Health Centers, a Seattlebased organization serving Latino health, housing, and human services needs.
Using a phone or computer to show pictures is a great way to communicate with your Consumer, especially if you speak a different language. Body gestures, facial expressions, and sounds also work says says Ninfa Quiroz of Sea Mar Community Health Centers. “Individuals know whether we’re rejecting or embracing them,” Quiroz says. “We are going to be facing such a huge need, and more cross-cultural training is imperative,” Quiroz says. The Beauty of Difference: Cultural Competency What is “cultural competency?” It is a deep respect for cultural differences, and the many ways of viewing the world, says Mikaela Louie, the program manager of cultural competency training at The Cross Cultural Health Care Program (CCHCP). CCHCP is a Seattle nonprofit with 22 years of experience in the field of culturally and linguistically appropriate health services. No one person can act as an expert on cultural groups or beliefs, she points
out. “Every human individual is a cultural being and has their own personal culture, which influences the way we communicate, how we access care, and how we interact with healthcare systems,” Louie says. It can be normal – even human – to jump to conclusions, particularly when we’re short on time and in high demand. “We make shortcuts and unconscious bias can easily seep in,” Louie says. “As humans and cultural beings, we all have biases – understanding that is the freedom of cultural competency. Biases and assumptions are not inherently good or bad, in fact we can have both positive and negative ones.” “You want to do some self INSIGHT MAGAZINE
WINTER 2014 17
Examples of getting to know your Consumer’s preferences
Ask open-ended questions about preferences. Say, “How would you like your hair done today?” vs. “Do you want your hair up?”
Using pictures on your phone is a quick way to communicate with a Consumer who speaks another language than you.
Some Consumers may use grooming tools you are unfamiliar with. For example, a miswak is a special toothbrush sometimes used in Somali communities.
These are just a few examples and every Consumer will have their own unique preference to learn about.
After trust has been established, you may find that a Consumer prefers a different pronoun for themselves, or wishes to dress or groom in a way different than their assigned sex (male or female).
Some Muslim individuals have specific requirements for cleaning the body in preparation for praying. In these cases, it is good to know which body parts the Consumer may want to wash alone.
Learn more at myseiu.be/InsightWinter.
examination,” Louie says. “Figuring out what are my biases, what assumptions do I make, personally and professionally?” These may come from upbringing, training, or professional belief systems. “It’s a lifelong process, not a one-hour training, or one article you read,” she says, but a long-term process of how one thinks, behaves, and communicates. A Consumer may differ from day to day, depending upon the conditions. “People’s realities change,” she says. “A big piece of our work is to help caregivers try to understand the other things happening in the Consumers’ lives that are affecting their behavior.” For example, chronic illness, family matters, and personal factors can influence needs and behavior. To learn more about your Consumer, ask open-ended questions, Louie suggests. For example, asking, “Do you want your hair up?” leads to one of two answers: Yes or No. An open-ended question would be, “How would you like your hair done today?” or “How will you do your hair today?” “By asking those questions, you’ll hear what the client desires,” Louie says, and decrease the chances of making an assumption. Even something that many people take
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for granted – gender identity – can’t be assumed. After comfort and trust has been established, you may find that a Consumer prefers a different pronoun for themselves, or wishes to dress or groom in a way different than their assigned sex (male or female). “Familiarity leads to comfort which leads to trust, and that’s really the critical piece here,” Louie says. Consumers want an HCA they trust and feel comfortable with, as it leads to easier and more effective communications. Communication as the Key So much of that trust and interaction between diverse HCAs and Consumers depends upon communication. Bria Chakofsky-Lewy, a supervisor with Community House Calls/Interpreter Services at Harborview Medical Center, suggests requesting an assignment with a Consumer who speaks the same language from your agency, if possible. Keep in mind that the dialect and word choices may differ. If a medical interpreter is assigned at times, don’t rely on the interpreters to explain cultural or personal nuances. “The medical interpreter should only serve as a direct messenger,” Louie says. If an interpreter is present, speak directly to your Consumer. Even if you don’t share
a language, Quiroz says it’s important to use the “universal language” of human facial expression, body language, gesture, and sounds. Regardless of the ability to speak the Consumer’s language, “Individuals know
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whether we’re rejecting or embracing them,” she says. The Latino community is very diverse in education, culture, income, etiquette and dialect, Quiroz says, and learning Spanish can be a useful skill if working with someone from the Latino community. Otherwise, sign language, gesture – and even pictures on a cell phone – can help increase communication. “We want to train workers on that perspective, but it is also important to learn a greeting or basic language expressions, and even paying attention to how we walk into a client’s home,” Quiroz says. For example, some Consumers don’t want HCAs to wear street-shoes into the home – instead, they prefer taking off shoes or wearing indoor shoes or slippers. “We should never be afraid to ask when we are uncertain, or do not understand,” Quiroz says. “Say, ‘I’m sorry, can you show me what you mean?’ It may require a longer sentence,” but it’s worth the effort, particularly if it means the comfort, health, and well-being of a Consumer. Quiroz shares the story of a Spanishspeaking older adult Consumer assigned to an English-only nursing home. She pointed toward the bathroom, as she needed to use the toilet. However, the staff member misinterpreted her gesture, and instead placed her on a seat near the bathroom. Tears silently rolled down the woman’s face; she was heartbroken and frustrated that such a basic human need was misunderstood. Cultural Quandaries What can go wrong when biases and miscommunication combine, and lead to misunderstandings? Plenty. For example, in cultures from Russia to China, a traditional healing technique called “cupping” or “coining” can cause the skin to look bruised. In the past, some healthcare workers have mistaken the bruises for child or elder abuse. However, it is very important to verify without judging, Louie says. “Approach with humility and a desire to learn more, particularly if you don’t
share a similar cultural background,” Louie says. “You can’t assume anything about an individual until you ask,” Chakofsky-Lewy says. However, if you know you are working in a Somali home, you could learn a few basics about Somali culture, customs, and etiquette. For example, some Somali immigrants use a toothbrush – called a miswak, commonly bought in Somali grocery stores. The brush may be different than the one many North Americans are familiar with, and different than any shown in HCA training. Some Muslim individuals undertake specific requirements for cleaning the body in preparation for praying, she notes. “If you’re taking care of someone who is going to do those prayers, it’s good to know,” Chakofsky-Lewy says, including which body parts the Consumer might want to wash alone or with help. “If I’m working in a community where there have been an influx of Consumers from a particular place and I’m not from that place, I might go to my agency and
request an in-service on customs of this community and surrounding practices,” Chakofsky-Lewy says. In Latino culture, it’s considered polite to be generous with food and many Consumers may consider their HCAs to be guests, Quiroz says. Consumers may keep offering food to an HCA – even if it means that they eat less. Learning polite ways to decline is important – “Oh, I’m so sorry, I just ate, but you are so kind and nice to offer, and it smells good.” You are establishing a professional boundary, without hurting the feelings of the Consumers. People have differences in concepts of care, health, and disease, Louie notes. “There’s so much room, and it’s a beautiful thing to learn and understand that the client may have a different world view.” By doing so, we uncover our unconscious bias and beliefs, and by learning more about Consumers, we may learn more about ourselves, “unweaving and unraveling your own beliefs,” she says. n
We Need Talented and Dedicated Home Care Aides Addus HomeCare has provided a full range of in-home services since 1979. Today, Addus is one of the largest providers of home care services in America. We are looking for passionate individuals to join our team at Addus HomeCare. If you have caregiver experience or are interested in entering the field of home care, call Addus at:
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Serving Families at Home Since 1979
INSIGHT MAGAZINE
WINTER 2014 19
YOUR HEALTH BY NAOMI ISHISAKA
UNEQUAL
HEALTH SUGAR
HOW ENVIRONMENT, POLICY, INDUSTRY IMPACT YOUR HEALTH AND WHAT YOU CAN DO ABOUT IT
20
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INSIGHT MAGAZINE
Every day, we are flooded by messages about our bodies and health. Try this new diet! Take this pill! Lose weight! Buy this gadget! Eat fewer carbs! Eat less fat! It can be overwhelming to sort through the health messages and figure out what is true, what is untrue, and what we are supposed to do about it. Very rarely do the messages we re-
they are also the result of determinants
issue of the American Journal of Preven-
ceive address the underlying social and
of health. The more we can understand
tive Medicine, predominantly Black
economic roots of our health. What if our
those reasons, the better able we are
neighborhoods had 2.4 fast food restau-
health wasn’t totally determined by our
to see the bigger picture and begin to
rants per square mile compared with 1.5
individual decisions? What if there were
address all the causes for poor health in
in White neighborhoods. Study authors
what researchers call “determinants
our families and communities.
concluded that: “The link between fast
of health,” or factors, that shape how healthy we are?
So what are some of the reasons
food restaurants and Black and low-
low-income people and people of color
income neighborhoods may contribute
Low-income people and people of
experience poor health outcomes? The
to the understanding of environmental
color are at greater risk of experiencing
causes are complex and involve the in-
causes of the obesity epidemic in these
a range of health problems, includ-
tersection of genetics, lifestyle, education
populations.” This leads to the reality
ing heart disease, diabetes, high blood
as well as some of the factors addressed
that former King County Executive, Ron
pressure (hypertension), and stroke. This
in this story. Over the next year, we will
Sims, described in a 2008 op-ed, writing:
difference in health between groups,
be looking at some of these topics in-
“A Southeast Seattle resident is four
also known as health disparities, are not
depth, and identifying ways to address
times more likely to die from diabetes
just the result of individual decisions,
them in your daily life:
than a resident of Mercer Island.”
Food deserts, food swamps
The built environment
Low-income people and people of
While people talk a lot about the
color are more likely to live in a food
natural environment, you don’t hear as
desert or a food swamp. A food desert is
often about the built environment. The
an area where fresh food – particularly
term “built environment” refers to sur-
fruits and vegetables – are less likely to
roundings built for people. These include
be found. According to the USDA, food
roads, parks, walkways, buildings, and
deserts are calculated by a combination
other infrastructure. Low-income com-
of factors, including distance to a super-
munities and communities of color often
market plus income and vehicle access.
have built environments that create bar-
Using the USDA’s Food Atlas map, in just
riers to the kinds of physical activity that
King County, there are dozens of areas
lead to healthier lives.
(particularly in South Seattle and South
For example, according to a report by
King County) that fall under the category
the Prevention Institute, “Low-income
of a food desert.
individuals and people of color are less
A food swamp, on the other hand, is
likely to have access to parks and other
an area that is defined as one where high
types of physical activity settings (such
calorie, low nutrition food – such as fast
as bicycle trails and public pools) than
food and processed junk food – is easy
white and more affluent communities.”
to access, inexpensive and most often
As a result, people in the top 25 percent
located in low-income, communities of
of access to open space walked at the
color. According to a study in a 2004
recommended levels, 47 percent more
INSIGHT MAGAZINE
WINTER 2014 21
Grab and Go Snacks We know you don’t have a lot of time, so here are some suggestions for easy snacks you can prepare in advance and take with you. Put these in individual baggies and leave by your door or in your fridge:
1%
of U.S. subsidies go to fruit or vegetable programs
18 %
of children in 2012 ages 6 to 11 are obese
70 %
of 5 to 17-year-olds has cardiovascular disease factor
NUTS Nuts are an excellent source of protein and fiber and help prevent hunger. Try to find ones with low or no salt added.
than those at the lower levels. And in King County, a county-led study
billion to corn over the past 18 years – only a third subsidizes fresh apples, the remain-
on “Land Use, Transportation, Air Quality,
der goes to apple sauce and apple juice,
and Health” found that:
both high in sugar.
Residents of the most pedestrian-friendly
The Harvard School of Public Health
areas of King County were more physically
“Toxic Food Environment” website reports
FRESH FRUIT Cut up fresh fruit
active and less overweight than those in
that the cost of produce rose much faster
and keep in the fridge for munching on the go.
areas with fewer pedestrian-friendly ameni-
than all other consumer goods over the
ties.
past 30 years. The cost of sugar, carbon-
FRESH VEGGIES
Individuals in the most pedestrian-friend-
ated drinks, and other sweets declined
You can snack on cut up carrots as well as snap peas, cauliflower, jicama - any cut veggie works.
ly neighborhoods are 2.4 times more likely
relative to other products. Consumption
to get 30 minutes of exercise a day.
increased to a high of 151 pounds a year in
POPCORN AND NUTS
Food, Inc.
Mix popcorn with nuts for a filling snack.
Suggestions for Easy Activities
1999, from 123 pounds in 1966. The way food is subsidized, marketed
Food marketers work hard to keep it this way. And they start young. Yale’s Rudd
and sold plays a significant role in our
Center for Food Policy and Obesity put it
health. Out of sight of most consumers in
this way:
the United States, the food industry and
“Food marketing to children and adoles-
government are joining forces to create a
cents is a major public health concern. The
system of food subsidies that dramatically
food industry spends $1.8 billion per year
WALK Go out for a
favor commodities such as corn, soy and
in the U.S. on marketing targeted to young
short walk before breakfast, after dinner or both! Start with 5-10 minutes and work up to 30 minutes. Walk or bike to the corner store instead of driving.
wheat over fresh fruits and vegetables.
people. The overwhelming majority of
STAND Stand up while talking on the telephone.
ADD DISTANCE Park farther away at the shopping mall and walk the extra distance. Wear your walking shoes and sneak in an extra lap or two around the mall.
STRETCH Stretch to reach items in high places and squat or bend to look at items at floor level. - The American Heart Association
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WINTER 2014
INSIGHT MAGAZINE
The subsidized commodities then form
these ads are for unhealthy products, high
the foundation of processed, carbohydrate-
in calories, sugar, fat, and/or sodium. On
laden, cheap, junk and snack foods that
television alone the average U.S. child sees
line the aisles of every grocery store and
approximately 13 food commercials every
are the backbone of fast food. A report
day, or 4,700 a year; and teens see more
by the American Journal of Preventive
than 16 per day, or 5,900 in a year. The
Medicine in 2013 found that subsidized
food products advertised most extensively
commodities created artificially cheap food
include high-sugar breakfast cereals, fast
that is low in nutrition and high in calories,
food and other restaurants, candy, and
fat, and sugar. In 2004, 96 percent of U.S.
sugary drinks. In comparison, children see
cropland consisted of eight commodity
about one ad per week for healthy foods
crops – the vast majority being corn, soy,
such as fruits and vegetables, and bottled
and wheat. Meanwhile, a 2013 CALPIRG
water.”
(California Public Interest Research Group)
Why does this matter? According to the
report found that only 1 percent of federal
Centers for Disease Control and Preven-
subsidies went to fruit and vegetable pro-
tion, over the past 30 years, childhood
grams. The only produce crop that does
obesity has more than doubled in children
receive significant federal funding, apples
and quadrupled in adolescents. In 2012,
– still just receiving $689 million vs. $84.4
18 percent of children ages 6 to 11 are
now obese, up from 6 percent
foods, obesity rates kept rising.
in 1980. For adolescents, the
Why? Researchers such as
percentage increased from 5
pediatrician Dr. Robert Lustig
percent to 21 percent over the
believe the cause is sugar.
same time frame. And while
When the food industry began
rates are increasing for all
to make foods to appeal to the
children, children of color fare
demand for less fat, they still
worse than white children.
needed the food to taste good
High rates of obesity in
so consumers would buy it –
children not only lead to higher rates of obesity in adults, but vascular and diabetic disease
in the U.S., and daily fructose Reminders 30 years. Lustig says now half
olds, 70 percent of obese youth
of the sugar consumed in the
had at least one cardiovascular
U.S. comes from foods you
disease factor.
would not expect to have sugar
the country and the public’s
Ungroup
Save as
If your design has more than one shape, make sure to ungroup
Save as .SVG and make sure “Use Artboards” is checked
in them – such as hamburger
Remember to expand strokes before saving as an SVG
buns, salad dressing, etc.
Scale your icon to fill as much of the artboard as possible
of packaged food has added sugar
In draft guidelines by the (WHO) in March, the recom-
the food industry has always
mended amount of added sug-
marketed the alleged benefits
ar for an adult was 25 grams
of their food for consumers,
a day – or about 6 teaspoons.
by the 1980s, the public had
Yet in 2012, the American
heard of the dangers of fat and
Heart Association reported the
obesity. Fat in food became
average adult in the United
the bogeyman that needed to
States ate 108 grams – or 22
be stopped, despite evidence
teaspoons – of added sugars
that low-fat foods do not lead
a day. A “skinny” Starbucks
to weight loss or better health.
blueberry muffin alone, for
Journalist and author Gary
example, has 8.5 teaspoons of
Taubes says that the 1980s
added sugar, 2.5 more than the
marked the start of the low-fat
daily WHO recommendation.
food craze – with the food
So while U.S. Consumers were
industry scrambling to provide
grabbing the closest “light”
low-fat options to Consumers.
“lean” “healthy” product on the shelf, they were also grabbing
the food industry. To illustrate,
foods packed with low-nutrition
the Hudson Institute, a Wash-
carbohydrates and lots of
ington, D.C., think tank, found
added sugar.
DISPARITIES AND RACE
2 to
1
rate of diabetes for Blacks compared with White adults
NUMBER OF FAST FOOD RESTAURANTS PER SQUARE MILE
2.4 White neighborhoods
AfricanAmerican neighborhoods
1.5
AFRICAN AMERICANS HAVE HIGHEST DEATH RATES FOR HEART DISEASE AND STROKE
This trend has a significantly
foods that were perceived to
greater impact on people of
be more nutritious drove 70
color. In 2010, for example, the
percent of the food industry’s
CDC reported African Ameri-
sales growth.
cans had double the rate of
was making profits on low-fat
80 %
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Starbucks Skinny Muffin = 8.5 TSP of added sugar
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dustry has taken notice. While
Yet while the food industry
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World Health Organization
that between 2007 and 2011,
The Noun Project
Strokes
concern about it, the food in-
And the effort worked – for
U.S. Adult Sugar Intake = 22 TSP
intake has doubled in the past
CDC sample of 5 to 17 year
of child and adult obesity in
U.S. Recommended Adult Sugar Intake = 6 TSP
Sugar is now added to 80 percent of the packaged foods
Recognizing the epidemic
U.S. SUGAR CONSUMPTION
enter sugar.
also increase the rate of cardiofactors. In a population based
BY THE NUMBERS
diabetes compared with white adults. African Americans in
SOURCES FROM TOP: DRAFT GUIDELINES FROM WHO AND THE AMERICAN HEART ASSOCIATION; THE GUARDIAN; THE DAILY MAIL; THE CDC; AMERICAN JOURNAL OF PREVENTIVE MEDICINE; CDC
INSIGHT MAGAZINE
WINTER 2014 23
RECOMMENDED PHYSICAL ACTIVITY PER WEEK
30
MIN/DAY
AT LEAST 30 MINUTES OF MODERATE ACTIVITY A DAY
aaaaa aaaaa
MIN/WEEK
AT LEAST 5 DAYS OF MODERATE ACTIVITY A WEEK
A TOTAL OF JUST 15O MIN OF MODERATE ACTIVITY A WEEK
2009 also had the highest death rates
nient and affordable choice. Yet while it
from heart disease and stroke compared
may be affordable and tasty in the short
with all other groups.
term, in the long term it is very costly to our bodies.
Where to go from here?
So what’s the alternative? Many nutri-
Physical activity With the limits in our built environments and lack of money and time for fitness centers, it may seem as if there is
tion experts say the solutions are simple,
little we can do to increase our physical
health in addition to food environments
although they might not be as easy. Mi-
activity. Shows such as the Biggest Loser
and food industry practices. Economic
chael Pollan, an author and food journal-
depict physical fitness as something you
and housing factors, health care access,
ist, puts it this simply: “Eat food, not too
have to do for hours a day for it to ben-
education, pollution, all play a significant
much, mostly plants.” Pollan’s definition
efit. But according to many public health
role in how healthy we are.
of food is something with less than five
experts, even moderate improvements
There are many other determinants of
ingredients that you can pronounce. Oth-
to physical activity can have a benefit to
there anything we can do to change our
er nutritionists suggest putting healthy
your health. The CDC’s recommendation
fate and improve our health? The answer
snacks such as cut veggies or fruit into
for activity for adults is 150 minutes of
is a resounding “Yes!”
pre-made baggies in the fridge so they
moderate activity a week or 30 minutes a
So with all that is stacked against us, is
day or 75 minutes a week of vigorous ac-
family. Pre-packaged, processed foods
tivity. That may sound like a lot, but the
that advance public health and public in-
made from cheap commodities are not
activity does not have to be at a gym or a
terest (healthy school lunches, walkable
the best choice for improving or main-
park. You can break the activity up into
communities, access to healthier food
taining health, even if they promise to
10 minute chunks - more easily working
choices, for example) to small everyday
be “Heart Healthy” or have diet brands
them into your regular activities.
decisions.
associated with them.
On a personal and family level, there
Eliminating sweetened beverages
There is no one magic bullet to
are many things you can do to ensure
can also go a long a way to reducing
improved nutrition and health. But by
preventable chronic conditions don’t
sugar in your diet. Even beverages that
understanding the factors that lead to
determine your future.
claim to be healthy pack in extra sugar –
unhealthy environments and by changing
Odwalla’s Superfood drink, for example,
our patterns and behaviors, we can move
contains a whopping 47 grams of sugar –
away from health disparities and chronic
almost double the WHO’s daily recom-
diseases and move toward longer,
mended amount.
healthier lives. n
Food and nutrition What we eat plays a huge role in our health. When we don’t have a lot of money or a lot of time, low cost, low nutrition, calorie dense foods such as fast food and junk food seem like a conve-
WINTER 2014
INSIGHT MAGAZINE
These are small changes but they can make a big impact in your health.
RECOMMENDATIONS FROM THE AMERICAN HEART ASSOCIATION
are easy to grab and go for you and your
the small. From advocating for policies
The solutions range from the large to
24
150
5 DAYS
WELCOME TO
YOUR HEALTH
Care Begins With You is a health initiative of SEIU Healthcare NW Health Benefits Trust to support your personal health improvement.
Often, providing high quality care for Consumers while also taking care of family can make you feel like there’s little or no time to care for yourself. But taking time to care for yourself will benefit you, your Consumer, your family, and your community. Care Begins With You is all about taking care of yourself. Great ways to do this include: visiting your Primary Care Provider (PCP), seeing the dentist, taking time to relieve stress, and using your mental health benefits.
5 great reasons Care Begins With You is important: 1. When you are healthy, you have the energy, confidence, and positive outlook it takes to live a fulfilling life. 2. Your overall health is made up of physical, mental, and emotional health. 3. You can improve your life by accessing your health benefits, which include physical health and, when needed, mental health services. 4. As a Home Care Aide, investing time and energy in your health can also improve the lives of the people you care for. 5. You are the best advocate for your own personal health. INSIGHT MAGAZINE
WINTER 2014 25
Home Care Aides practice ‘Care Begins With You’ Asia Mitchell had trouble finding the time to care for her Consumer, her child, her home, and, most importantly, herself. So, she completed her Health Profile to help create a self-care schedule. Now she exercises with her son and does yoga twice
‘
a week. HCA Asia Mitchell
Working on myself and doing preventive care, re-
ally helps me,’ Asia says. ‘If I don’t keep my body up, then I won’t be able to provide the type of care that I provide for the Consumer.’
Complete your Health Risk Assessment (GH) at
Phil Anderson was experiencing discomfort in his shoulder,
www.MyGroupHealth.org or a Total Health Assesment (KP) at
so he made an appointment with his Primary Care Provider for
www.KP.org.
an office visit. After paying his $15 copay, Anderson’s PCP gave
Schedule your Preventive Care Visit where you identify any
him a stress test because he was concerned about his heart.
health risks with your Primary Care Provider and discuss ways
His PCP determined he needed an angiogram and sent him
to minimize them through healthy habits. How to select a PCP: •
into quadruple bypass surgery. The surgery cost $100,000,
•
Anderson’s out of pocket expense, including his $15 copay,
Group Health: Visit member.ghc.org, click on Provider and Facility Directory or call 1-888-901-4636 .
but because he has insurance through Health Benefits Trust,
Kaiser Permanente: Visit KP.org, click on Find a Doctor or call 1-800-813-2000.
was only $80.
Did you know that choosing the right place for care can save you money? Urgent Care Centers & Primary Care Providers
Emergency Room
$
$
Your Copay
200
Your Copay
When you feel sick or have an injury, do you know where to go? When visiting your Primary Care Provider (PCP), your doctor, or an Urgent Care
15/30
Center, your copay will be $15 at Group Health or $30 at Kaiser Permanente. Emergency Room (ER)
Urgent Care or Primary Care Provider Group Health: $15 copay, Kaiser Permantente: $30 copay (UC) $15 copay (PCP)
$200 copay
(Health examples to seek at an ER)
Headache/ Migraine
Constipation/ Diarrhea
Chest Pain
Seizures
Fracture
Urinary Tract Infection
Viral Infection
Persistent Fever
Severe Asthma Attack
Asthma
Bronchitis
Heart Attack
Cold, Flu, Fever, Sore Throat
Ingestion of Poison
Minor Injury/ Illness
Loss of Limb/ Vision/Function
Sprains Painful Respiration
your copay is $200. Locate your nearest Urgent Care center today:
(Health examples to seek at Urgent Care or Primary Care Provider)
Back/Neck Pain
When visiting an Emergency Room (ER)
•
Group Health: www.myseiu.be/GHLocations
•
Kaiser Permanente: www.myseiu.be/KPLocations
Severe Burns/ Bleeding Stroke Uncontrollable Bleeding
(The list above is provided by Group Health of the typical conditions that are best treated in either Urgent Care Centers or the Emergency Room.)
Watch our new video about how Urgent Care will save you money at myseiu.be/InsightWinter
HCA Ben Gantala, left, used his mental health benefits to treat depression.
Using Mental Health Benefits to Improve Your Life
H
ome Care Aide Ben Gantala was often feeling sad, moody, tired, and hopeless. He heard about depression and knew
HCA Lateena Catten discussed mental health with her doctor on a routine visit.
taking care of it would require time and commitment. He made the decision to help himself by accessing his mental health benefits. Gantala received the care he needed and it turned his life around. “I took important steps: I spoke with my Primary Care Provider, practiced ways to manage my depression, and am making my life better,” he says. “It made the lives of everybody else that’s associated with me better as well.” When you feel overwhelmed, experience sud-
Hear from Lateena and Ben in a video on how they used their mental health benefits to improve their lives at myseiu.be/InsightWinter
den mood swings, or are having trouble concentrating, it can feel difficult to manage all the stresses of caring for others and yourself. Here at SEIU Healthcare NW Health Benefits Trust we know your mental health is part of your overall health. If stress becomes too much to han-
How to use your mental health benefits Your Health Benefits Trust benefits includes mental/behavioral health services. Your co-pay for an individual mental health visit is $15 (both
dle, using your mental health benefits included
GH and KP).
in your health coverage is a meaningful way to
Group Health:
improve your mental health and your life. Common Signs of Depression •
Weight loss and loss of appetite
•
Difficulty sleeping, disrupted sleep or inability to fall asleep
To begin or continue mental health care, or for urgent or crisis care during regular business hours (8 a.m. - 5 p.m.): First-time appointments: Call 1-888-287-2680 or 206-901-6300 Urgent or crisis care: Contact the Consulting Nurse Service
•
Fatigue and low energy
Seattle area: 206-901-2244
•
Inattention
WA State &North Idaho: 1-800-297-6877
•
Inability to concentrate Your Primary Care Provider can coordinate
your care with a mental health professional who can diagnose mental health issues that affect your health and well-being. Treatments include office visits, 1-on-1 therapy, group therapy, medication, or a combination. Group Health and Kaiser Permanente can work with you to find the most effective treatment
*In case of a life-threatening emergency, call 911.
Kaiser Permanente: Call or email your doctor to make an appointment. Make an appointment for therapy and other counseling services: Vancouver: 360-571-3133 Longview: 360-575-4821 Talk to an advice nurse 24/7 at 1-800-813-2000 (toll free).
for you, based on your needs and comfort level. INSIGHT MAGAZINE
WINTER 2014 27
YOUR HEALTH
Get health insurance today Your guide to the Washington Healthplanfinder (Obamacare)
BY KARI HUUS
N
ow is the time of year to sign up for health insurance under the Affordable Care Act (Obamacare).
The Washington Health Benefit Exchange
has opened the Washington Healthplanfinder, which is your one-stop shop for affordable plans. But it is only open until February 15 and if you want insurance coverage by January, you need to sign up by December 23. The Washington Healthplanfinder is one of the most successful in the country. The site has new features, offers about twice as many health care plans as last year, and the cost of some insurance plans has actually gone down. Now just in its second year, you may have heard the system is a little buggy. “We still have things that we need to improve upon,”
On the Washington Healthplanfinder website, enter your ZIP code and county to find plans in your area. Enter your date of birth, gender and estimated household income to get detailed cost information.
says Bethany Frey, senior communications specialist for Washington Health Benefit
with 46 plans sold by eight companies last
about several factors that make up the total
Exchange. “It will take time, especially for
year. Chances are good that you can find a
cost. (See glossary at right.)
people who have not had health insurance,
better deal.
premium, then you will likely pay less out of
to get up to speed.” So, take heart. Just think of enrollment as an important shopping trip. Who can take advantage of “auto-renewal”? If you are returning, it is possible that you
In the first screens (above) you will set up
pocket in the form of co-pays and deductibles when you have medical expenses
your account with your individual and fam-
(silver plans). Plans that charge a lower
ily’s information.
monthly premium may cover fewer services,
This will tell you if you qualify for free insurance through Medicaid (Apple Health). If
required.
you don’t qualify for Medicaid, you will likely
Even so, the experts urge everyone to look
28
Go with the flow
can renew automatically, with no new action
through the insurance plan offerings, even
If you pay a higher monthly fee, or
qualify for low-cost insurance.
and tend to have higher out-of-pocket expenses (Bronze plans.) For most people, the silver plan is the best value.
“Browse” is where, after submit-
“It is important that people look at not
those who can renew automatically, because
ting the above information, you will be
just monthly premium, but also what they
there are many new options – 90 plans of-
able to see the plans available to you. To
normally spend on health care through the
fered by 10 companies this year compared
compare the plans, you need to think
course of the year,” Frey says. n
WINTER 2014
INSIGHT MAGAZINE
FAQs from HCAs about Obamacare What is the Washington Healthplanfinder (Obamacare)? If you are not eligible for Health Benefits Trust health insurance, the Washington Healthplanfinder or the Washington Health Benefit Exchange is a one-stop shop where you can compare and shop for affordable health insurance plans, including Medicaid (Apple Health). It is only open from Saturday, November 15, 2014, through February 15, 2015.
Need help enrolling? Online or over the phone: 1. Find your plan today at www.wahealthplanfinder.org 2. Call 1-855-WAFINDER or 1-855-923-4633. They have support in
To get covered by January, 2015, choose your plan by December 23, 2014.
How much will it cost?
over 175 languages. 3. Within Reach can also answer your questions about plan options and as-
You may qualify for FREE insurance through Medicaid. Medicaid covers
sist with enrolling in a health plan. Call
adults, children, and families with low incomes, certain seniors, and people
their Family Health Hotline at
with disabilities. If you don’t qualify for Medicaid, you may still qualify for LOW-COST insurance. On average, people pay about $82 per month.
Which plan should I choose?
1-800-322-2588.
In person: 1. Search for in-person navigators in your area on WAHealthPlanFinder.org or
Bronze plans will have the lowest monthly costs, but high deductibles. This means you pay more out-of-pocket costs when you seek care. Silver plans are in the mid-range for monthly costs, but you will have lower out-of-
myseiu.be/wanavigators 2. Enrollment events are happening around the state. Find one near you at
pocket costs. This plan saves you money in the long run.
myseiu.be/healthplanevents
For most people, a Silver plan is your best value.
What will my new insurance cover? Whatever plan you choose, at minimum, the following benefits will be available for your spouses and children:
Words to know Premium: The cost of your insurance per
•
Doctor visits
•
Mammograms
month. You pay this amount even when you
•
Prescriptions
•
Pap smears
do not use any services. Think of it as a mem-
•
Urgent Care visits
•
Cholesterol screening
bership fee, like to Costco or Sam’s Club.
•
Maternity & infant care
•
Blood pressure screening
•
Mental health
•
Colorectal cancer screening
•
Vaccinations
•
Hospitalizations
What do I need in order to sign up? •
Social Security numbers of everyone on your plan.(You do not need the actual cards – just the numbers.)
•
Immigration information.
•
Income information. A recent W-2 or pay stub helps.
•
Current health insurance information if you have it.
Do I need to renew if I signed up last year? Your current health insurance will automatically renew. However, you may qualify for more financial assistance this year, or find a better plan on the Washington Healthplanfinder. There are many more plans to choose from this year, so we recommend checking to see if you can find a better deal.
Deductible: The amount you pay for health costs per year BEFORE your insurance begins to pay its share. Copay: The fixed amount (for example, $15) you pay for some medical services or medicine. Does not count toward deductible. Coinsurance: Your share of the costs (for example, 20%) of certain health care services AFTER paying the deductible. Out-of-pocket maximum: The maximum amount you will pay in one year for medical services, not including premium payments. Network / In-Network: Doctors and other medical staff your insurance will pay for you to see.
Get your health insurance today at WAHealthPlanFinder.org INSIGHT MAGAZINE
WINTER 2014 29
HEALTH
BENEFITS INFORMATION
UPDATES FOR HEALTH BENEFITS TRUST MEMBERS 2014-2015 MEDICAL PLAN HIGHLIGHTS New Incentives The 2014-2015 Health Benefits Trust plans include an incentive program. Incentive activities are marked by a in this section. IMPORTANT NOTE: For Group Health, the incentive will come automatically up to 6-8 weeks after you complete all three incentive activities. If you are with Kaiser, please contact the Health Benefits Trust after completing all three steps at 1-866-771-7359. You can earn $100 by doing all three of the following things each year: Complete a Health Profile: Complete the online Health Profile after registering online at www.MyGroupHealth.org or www. KP.org. Complete a Preventive Care Visit: Use the online provider directory at www.ghc.org or www.kp.org to choose a primary care provider who’s a good match for you. Then make a preventive care appointment. Complete a Dental Cleaning/Checkup: Your oral health is an important part of your overall health. Choose a dentist, complete a cleaning - smile!
$100
DID YOU KNOW? YOU CAN EARN JUST FOR USING YOUR HEALTH BENEFITS!
1
COMPLETE A HEALTH PROFILE
2
COMPLETE A PREVENTIVE CARE VISIT
3
COMPLETE A DENTAL CLEANING/CHECKUP
Complete the online Health Profile after registering online at www.MyGroupHealth.org or www.KP.org
Use the online provider directory at www.ghc.org or www.kp.org to choose a primary care provider who’s a good match for you. Then make a preventive care appointment.
Your oral health is an important part of your overall health. Choose a dentist, complete a cleaning - smile!
NEXT STEPS
NEXT STEPS
Go to www.MyGroupHealth.org or www.KP.org to sign up today.
NEXT STEPS
How to choose a primary care provider: Visit www.ghc.org or call 1-888-901-4636 Visit www.kp.org or call 1-800-813-2000
Call to find a dentist: Delta Dental: 1-800-554-1907 Willamette Dental: 1-855-433-6825
WHAT HAPPENS NEXT?
Once you complete these three activities by July 31, 2015, if you are with Group Health, you will receive a check from the Health Benefits Trust for $100 within 6-8 weeks. If you are with Kaiser, contact the Health Benefits Trust at 1-866-771-7359 after completing all incentive activities. 30
WINTER 2014
INSIGHT MAGAZINE
BENEFITS INFORMATION HEALTH BENEFITS QUICK START Check Your Eligibility for Health Benefits You must work at least 86 hours per month for three consecutive months to be eligible to apply for Health Benefits Trust benefits. You do not need to wait until you are eligible to apply, you can complete the application form after you’re hired.
Apply n Individual Providers: You can apply by logging in to www.myseiubenefits.org and filling out the application form.
HEALTH
DID YOU KNOW? Urgent Care is a much more affordable option for Home Care Aides through the Health Benefits Trust.
$$$$$ Emergency Room You pay: $200 (waived if you $$$$$ are admitted to the hospital) $$$$$ $$$$$
$200
n Agency Providers: Talk with your employer about applying.
Look for Your ID Card After you apply, are found eligible, and pay your premium, you should receive an ID card in the mail. You will need the ID card number to access your benefits. If you do not receive the card by the 15th of the month that your coverage starts, call the MRC at 1-866-371-3200. Look for and write down your nearest Urgent Care Center and keep it with your card for reference.
Complete Your Health Profile Complete the online Health Profile after registering online at www.MyGroupHealth.org or www.KP.org.
Complete a Preventive Care Visit Use the online provider directory at www.ghc.org or www.kp.org to choose a primary care provider who’s a good match for you. Then make a preventive care appointment or call to schedule. Group Health 1-800-901-4636 or Kaiser Permanente 1-800-813-2000.
Complete a Dental Cleaning/Checkup Your oral health is an important part of your overall health. Choose a dentist, complete a cleaning - smile! Delta Dental 1-800-554-1907 or Willamette Dental 1-800-359-6019.
Locate Your Nearest Urgent Care Center As soon as possible, you should identify the closest Urgent Care Center to you for when you need Urgent Care treatment. You can find Urgent Care Centers online at www.ghc.org or www.kp.org
$$ Urgent Care
Group Health: $15 copay Kaiser Primary Care Provider: $15 copay Kaiser Urgent Care: $30 copay
$15-$30 Where to Find Urgent Care GROUP HEALTH OPTIONS: Seven Group Health medical clinics have Urgent Care Centers, most with evening, weekend, and holiday hours. Find your nearest at www.myseiu.be/GHLocations KAISER: Find an Urgent Care Center at www.myseiu.be/KPLocations. If you are not sure where to get care, contact the consulting nurse line: Group Health Consulting Nurse 206-901-2244 Kaiser Consulting Nurse 800-813-2000 or 503-813-2000
Manage Your Prescriptions If you have existing prescriptions, have them transferred to Group Health or Kaiser Permanente. Next, set up mail-order prescription refills online or through customer service to save money and time.
Complete Three Starred Activities and Receive $100! If you have 1) Completed your Health Profile; 2) Completed a Preventive Care visit; and 3) Completed a dental cleaning/checkup, you will receive a check for $100. INSIGHT MAGAZINE
WINTER 2014 31
your Benefits Book, which you should have received in July 2012 or at time of hire. If you do not have a Benefits Book and would like one, please contact the Member Resource Center at 1-866-371-3200.
TRAINING
BENEFITS INFORMATION
UPDATED JULY 2014
CONTINUING EDUCATION Q: Do You Know Your Ce Deadline? Follow the Steps for Success a: Your Birthday!
ONLY FOR WORKERS WHO REQUIRE CERTIFICATION
DOH Certification
If You Are Required to Take CE, YouPrior Need 12 Hours By Your Birthday STEP 1: Submit DOH Certification Application The Department of Health (DOH) is reto Providing Care: sponsible for the certification process. Take Safety & Orientation DOH requires that you submit your apFor Home Care Aides who are required to take Youthe can fulfill&your CE requirements by takingto become a Home Care Aide • Watch Safety Orientation DVD plication This the Birthday WA State is agency responsible CE, isyour your deadline for your 12 that classes online or in person. For help determining was provided to you at time of within 14 days of hire. tohours issue of theContinuing Home CareEducation. Aide credential your standards and to find classes that meet hire. NOTE: If you are limited English proficient (HCA). DOH contracts with a testing comyour needs,completion you can call the Member Resource • Call to confirm 1-866(LEP) you must indicate this on your initial Check your training standards chart on pany named Prometric to implement the Center You at 1-866-371-3200. 483-1397. will need your application. This means if your ability to Page 28 to determine your Continuing HCA written and skills test. confirmation number and the last 4 read, write or speak English is limited Education standard. digits of your Social Security number. you may be issued a provisional certificaIn an effort to help workers be successful Complete prior to providing care. tion allowing up to 60 additional days to through the process, partner organizations • All workers are required to complete become a certified HCA. such as the Department of Social and a name and date of birth backHealth Services and the Training Partnerground check before you can begin STEP 2: Register for Training ship are working to help share information work. You will work with the contractabout the DOH exam with workers. ing staff to complete this. Individual Providers: • be After the name and date of birth • Create your username and passIfBeginning you are required become certified, Jan. 1,to2013, students willthe no longer issued ID background check is complete, you word to log in to the portal at Training Partnership is currently recomBadges to check in for class. Instead, students will check in for are required to schedule a fingerwww.myseiubenefits.org mending the following timeline to allow classes using a state issued photo ID. This ID can be a state ID, print appointment. Talk with your • Go to the website ample time to work through the certificaa driver’s license or a passport. Make sure to bring your ID to employer for directions on how to www.myseiubenefits.org to register tion steps. Thecan steps the class so you getbelow creditoutline for your time. complete this. for training or call the Member ReSUGGESTED timeline for the process. source Center at 1-866-371-3200
ID BADGE UPDATE Beginning Jan. 1, 2013, Bring ID to Check In for Classes
For assistance in english If you are a Home Care Aide and need help with registering for classes, finding your training standards or have other questions, you can call the Member Resource Center at 1-866-371-3200 or use the contact form at www.myseiubenefits.org/contact. Pe a e manaomia le fesoasoani mo le toleniina poo 371-3200taunếu quý vịmaloloina, cần được trợ giúp atu trong việc lên lịch faamanuiaga le soifua faafesootai le Ofisa Tutotonu o Faamanuiaga mo Sui (Member ile y tế. đào tạo hoặc tìm hiểu về điều kiệnResource để nhậnCenter) phúc lợi www.myseiubenefits.org/contact poo le 1-866-371-3200.
For Multi-lingual assistance
Comuníquese con el Centro de Recursos para Miembros al 1-866훈련일정을 잡거나 자격tababar 확인을ama 위해 도움이 필요 aad caawimaad ugu건강혜택 baahan tahay dheefaha 371-3200 si necesita asistencia para registrarse en su entrenameintoHaddii caafimaad, kala xiriir Xarunta Macluumaadka Xubinka 하시면 회원지원센터 1-866-371-3200로 전화주세요. o para saber cuál es su elegibilidad para los beneficios de salud. www.myseiubenefits.org/contact ama 1-866-371-3200.
Если у Вас есть вопросы, связанные с определением 如需在安排培训日程或了解您是否有资格获取保健福利方面 Si necesita asistencia sobre capacitación o beneficios de salud, расписания занятий, или относительно получения Вами contáctese con el Centro de recursos para miembros en 获取协助，请致电 1-866-371-3200 联系会员资源中心。 如果您需要訓練或健保福利方面的協助，請造訪 www.myseiubenefits.org/contact o al 1-866-371-3200. пособия по нетрудоспособности, обращайтесь в Учебноwww.myseiubenefits.org/contact 或致電 1-866-371-3200 Hãy gọi Trung Tâm Nguồn Lực Thành Viên theo số 聯絡 1-866Kung kailangan ninyoцентр ng tulong pagsasanay at mga методический по sa телефону 1-866-371-3200. 我們的會員資源中心。 24
FALL 2012
InSIght MagazIne
.
교육 또는 의료 보험 지원이 필요하신 경우 Member Resource Center www.myseiubenefits.org/contact 또는 1-866-371-3200 로 문의하십시오
32
Если Вам нужно содействие в получении пособия на медицинское обслуживание, пожалуйста, обратитесь в Информационно-ресурсный центр по адресу в интернет-сети www.myseiubenefits.org/contact или по телефону 1-866-371-3200.
WINTER 2014
INSIGHT MAGAZINE
benepisyo sa kalusugan, makipag-ugnayan sa Member Resource Center sa www.myseiubenefits.org/contact o 1-866-371-3200.
Якщо Ви потребуєте сприяння в отриманні допомоги на медичне обслуговування, будь ласка, зверніться до Інформаційно-ресурсного центру за адресою в інтернет-мережі www.myseiubenefits.org/contact або за телефоном 1-866-371-3200. Nếu quý vị cần được hỗ trợ về các quyền lợi y tế hoặc đào tạo, hãy liên lạc với Trung Tâm Nguồn Lực Thành Viên tại www.myseiubenefits.org/contact hoặc gọi tới số 1-866-371-3200.
BENEFITS INFORMATION Agency Providers: •
•
Check with your employer on the best way to register.
STEP 3: Submit Candidate Exam Application Immediately upon registering for training, download and read the Candidate Information Booklet and the Sample Candidate Application Form. • Download the Candidate Application Form and submit the application form and fee to Prometric to be scheduled for a Home Care Aide Exam. • On the application form you will attest that you are in training and to the estimated date you will complete the required 75 hours. You should allow four weeks for your application to be processed. Download the forms at www.prometric.com/WADOH
STEP 4: Target Completion of Basic Training Take your training as soon as possible to ensure best access to classes in your area and your preferred language.
STEP 5: Self Study and Prepare for Exam To prepare for the exam, review “Exam Preparation Materials” found on the Prometric website for the HCA Exam.
•
TRAINING
UPCOMING ONLINE CE COURSES
There you will find practice questions, skills checklists and instructions that will help you be successful in the exam. In addition, review the Practice Exam. www.prometric.com/WADOH
Historical Perspectives on People with Developmental Disabilities A course on the history of the treatment of people with developmental disabilities, exploring the sources of discrimination, progress in treating individual with disabilities as “people-first” with equal rights, as well as how far we have yet to go.
STEP 6: Take Exam Report to test location prepared to follow testing guidelines in the Candidate Information Booklet and General Instructions. www.prometric.com/WADOH
STEP 7: Get Certified
LGBTQ Community: Basics for a Better Working Relationship
Your results are reported to DOH and they will send you a letter confirming you are officially certified. • You can check the DOH website listed in Step 2 to see if your certification is Active. • If you are Pending it means that DOH does not have all the information they need to complete certification. • Make sure you have fully completed the application, completed the background check, fully explained any personal history that could affect your ability to get certified and you have successfully passed your written and skills examination through Prometric.
An introduction to working with the LGBTQ Community providing the terminology, history, and understanding necessary for respectful and supportive interactions with Consumers that may identify as LGBTQ.
LGBTQ Community: Unique Needs of Older Adults An introduction to the unique care needs of Consumers that may identify as LGBTQ and how to ensure respectful and supportive interactions with your Consumer.
SUGGESTED TIMELINE FOR TRAINING AND CERTIFICATION 1
14
30
60
120
90
200
PRIOR TO PROVIDING CARE TAKE SAFETY & ORIENTATION STEP 1. SUBMIT DOH CERTIFICATION APPLICATION STEP 2. REGISTER FOR TRAINING STEP 3. SUBMIT CANDIDATE EXAM APPLICATION STEP 4. TARGET COMPLETION OF BASIC TRAINING
DEADLINE FOR COMPLETION
STEP 5. SELF STUDY; PREPARE FOR EXAM
**If you are a limited-English speaker, you may have additional days to receive certification.
STEP 6. TAKE EXAM STEP 7. GET CERTIFIED INSIGHT MAGAZINE
**
DAY 200: STANDARD HOME CARE AIDES ARE REQUIRED TO RECEIVE CERTIFICATION
DAYS
WINTER 2014 33
TRAINING
BENEFITS INFORMATION
FREQUENTLY ASKED QUESTIONS: DOH/PROMETRIC EXAM 1. What happens if I don’t apply to the Department of Health (DOH) / What happens if I don’t send in my applicaiton to DOH? You must submit applications to the Department of Health (DOH) within 14 days of the date approved. This is important because the Department of Health issues the candidate ID number or HM # needed to apply to Prometric. If there is no application with DOH, there is no data to match and payment cannot be confirmed between the Training Partnership and DOH. 2. When can I send my applicatoin to Prometric? Send your application to Prometric as soon as you know your training completion date. This is important because sending applications through the mail can take a couple of weeks to reach Prometric. (Applications submitted online are preferred.) If there is no application with Prometric, there is no data for the automated systems to match between DOH and Prometric.
3. Does my information need to be the same on the DOH application and the Prometric application? You must give the exact same first name, last name, birthdate, and social security number on both the DOH and Prometric application. Make sure you use the exact HM number given to you by the Department of Health to put on the Prometric application. For example, you cannot use Robert on one application and Bob on another application. If your last name has a hyphen, the hyphen needs to appear in all applications. Also, your birthdate must match exactly in all applications. If any of your data doesn’t match, Prometric will not get confirmation of payment and you will not be able to schedule your examination (until the data is corrected.) 4. What happens if I don’t get an examination date with two weeks of completing basic training? If you do not receive notification of an examination date within two weeks from the training completion date, you need to contact Prometric at 1-800-324-4689.
Verification of payment should not take longer than two weeks from the training completion date to reach Prometric. Prometric assigns an exam date and sends the notice out the day they receive verification of your payment. If you submit an email address on your application, you will receive that notice the same day Prometric receives verification of payment. There are some cases where Prometric is working to obtain an interpreter or testing site date. However, if you don’t receive notice of a testing date within two weeks of training completion it may be because there is an error in your data and payment verification did not reach Prometric. If this is the case, call Prometric at 1-800-324-4689. 5. What should I do if Prometric tells me they have not received payment for the exam? If Prometric tells you that they did not receive your payment (and it’s two weeks after the training completion date), contact the Department of Health at (360) 236-2700 immediately. DOH staff will then research the issue and get it corrected as soon as possible. If you do not need an interpreter, you will receive a testing date the day your issue is resolved.
HOME CARE AIDE DEFINITIONS
34
Home Care Aide (HCA)
Provides care to a Consumer living in his or her home. Employed by a private, Medicaid homecare agency or DSHS.
HCA Credentialed
A worker who has successfully passed a test and been credentialed by Department of Health as a Home Care Aide.
Agency Provider (AP)
Home Care Aide (HCA) employed by a private, Medicaid homecare agency.
Individual Provider (IP)
Home Care Aide (HCA) whose employer of record is DSHS.
Standard HCA
Home Care Aide who does not work with their own parent or child. Works more than 20 hours a month or has more than one Consumer.
Parent Individual Provider (HCS/AAA)
This is an IP who provides care to his/her own adult child and is contracted through Home and Community Services (HCS) and/or an Area Agency on Aging (AAA). This is often referred to as a non-DDD Parent Provider.
Parent DD Individual Provider (DDA)
This is an IP who provides care to his/her own adult child with a developmental disability and is contracted through the Developmental Disability Administration.
Limited Service Provider
This is any IP who provides care 20 hours a month or less for one Consumer.
Adult Child Individual Provider
An adult child providing care for his/her biological, step, or adoptive parent.
Respite
This is an IP that provides DDA Respite services at 300 hours or less in a calendar year.
Non-HCA Credentialed
This is an HCA with a current healthcare credential, such as a Registered Nurse (RN), Licensed Practical Nurse (LPN) or Nursing Assistant Certified (NAC).
WINTER 2014
INSIGHT MAGAZINE
BENEFITS INFORMATION TRAINING STANDARDS
UPDATED JULY 2014
ORIENTATION AND SAFETY Orientation 2 Hours
TRAINING
Safety Training 3 Hours
CREDENTIAL
BASIC TRAINING Accelerated Basic Training 30 Hours
Basic Training 70 Hours
Parent Provider (DDD Only) Class 7 Hours
INITIAL CONTINUING EDUCATION (CE)
ONGOING CE
HCA Credential Required?
Continuing Education 12 Hours
Continuing Education 12 Hours
Not required
Yes
If your first renewal period is less than a full year from the date of certification, no CE will be due for the fist renewal period.**
By your birthday
Standard HCA Individual Provider (IP) & Agency Provider (AP) hired after 1/7/2012 in process or Newly Issued HCA credential
Completed prior to providing care
Completed prior to providing care
Not required
Within 120 days of starting to provide care
Standard HCA IP or AP hired after 1/7/2012 renewed certification
Not applicable
Not applicable
Not applicable
Not applicable
Not applicable
Yes
By your birthday following your last HCA credential renewal date
By your birthday
Standard HCA IP or AP hired before 1/7/2012
Not applicable
Not applicable
Not applicable
Not applicable
Not applicable
No
By your birthday in next calendar year after completing Basic Training
By your birthday
Parent Individual Provider (HCS/AAA)*
Completed prior to providing care
Completed prior to providing care
Within 120 days of Not required starting to provide care
Not required
No
Not required, unless you voluntarily obtain your HCA credential
Not required, unless you voluntarily obtain your HCA credential
Parent DD Individual Provider (DDD)*
Completed prior to providing care
Completed prior to providing care
Not required
Within 120 days of starting to provide care
No
Not required, unless you voluntarily obtain your HCA credential
Not required, unless you voluntarily obtain your HCA credential
Limited Service Provider*
Completed prior to providing care
Completed prior to providing care
Within 120 days of Not required starting to provide care
Not required
No
Not required, unless you voluntarily obtain your HCA credential
Not required, unless you voluntarily obtain your HCA credential
Adult Child Individual Provider*
Completed prior to providing care
Completed prior to providing care
Within 120 days of Not required starting to provide care
Not required
No
By your birthday in next calendar year after completing Accelerated Basic Training
By your birthday
Respite
Completed prior to providing care
Completed prior to providing care
Within 120 days of Not required starting to provide care
Not required
No
Not required
Not required
Not required
*NOTE: If you work for multiple employers, have multiple roles, or multiple Consumers, you may have different training standards than the chart indicates below. ** If you are credentialed on your birthday then your CE is due on your first birthday following your Current NAC Credential issuance date.
For Workers Who Have a Current NAC Credential, the Chart Below Applies (Not LPN or RN)*** Providers with a renewed NAC or Special Education Endorsements Providers with an new NAC or Special Education Endorsements
Not required
Not required
Not required
Not required
Not required
Not required
Not required
Not required
Not required
Not required
No
If CE is required in table above, then your CE is due by your first birthday after you start working as an HCA IP or AP.
By your birthday
No
If CE is required in the table above, then your CE is due by your second birthday following you NAC Credential issuance date.**
By your birthday
***If you are currently certified as an LPN or RN, CE is not required for your role as an Individual Provider (IP) or Agency Provider (AP). You must maintain your LPN or RN credential and be in good standing with the state of Washington. Note: A provider may fall into more than one of these definitions. They must meet the higher requirements for training and certification.
NEED SUPPORT? CONTACT THE MEMBER RESOURCE CENTER AT 1-800-371-3200
健康福利信托基金 (HEALTH BENEFITS TRUST)：入门 核查您领取健康福利的资格
请填写健康评估表
您必须在连续三个月内并且每月至少工作86小时后，方有资格申请健
登陆www.MyGroupHealth.org或www.KP.org，注册后请在
康福利信托基金的福利。您无需等至具有申请资格时再申请，您在受
线填写健康评估表。
雇之后即可填写申请表。
请填写预防护理检查表
申请
登陆www.ghc.org或
n 个人提供者：您可登陆
www.kp.org，利用在线护理提供者名册，选择适合您的初
www.myseiubenefits.org 并填写申请表以进行申请。
级护理人员。然后，预约预防护理或打电话安排日期。拨
n 机构提供者：与您的雇主讨论申请事宜。
打1-800-901-4636，联系Group Health或 拨打1-800-813-2000联系Kaiser Permanente。
找出您的ID卡。
完成口腔清洁/检查
在您提出申请、被确认符合申请资格且支付保险费用之
口腔健康是整体健康的重要部分。选择牙医，完成清洁，
后，您应通过邮件收到一张ID卡。您将需要ID卡号以获取
尽情欢笑吧！请拨打1-800-554-1907联系Delta Dental
您的福利。若保险生效后，当月的第15天内您仍未收到ID
，或拨打1-800-359-6019联系Willamette Dental。
卡，请拨打电话1-866-371-3200以联系MRC。找出并记下 距离您最近的紧急护理中心，并将该记录与您的ID卡保存
寻找最近的紧急护理中心 当您需要进行紧急护理时，请尽快确定出距离您最近的紧
在一起以供参考。
急护理中心。您可登录www.ghc.org或www.kp.org，在线
完成三项星级活动即可领取100美元！ 若您已1）填写健康评估表；2）完成预防护理检查；且3） 完成口腔清洁/检查，您将收到价值100美元的支票。
查找紧急护理中心。
管理您的处方 若您已有处方，请将处方转至Group Health或Kaiser Permanente。然后，在线或通过客户服务设置 邮购续配方药，以节约金钱与时间。
培训：如何从培训中获益最多 理解DOH认证要求
态、福利资格等综合资源。首先请登录门户网站，以便获取您所需的 答案。
如果您需要获得认证，请勿拖延，应尽快开始流程。敬请致电会员资 源中心，与代表讨论您的要求。
尽早注册参加培训
请更新您的联系信息 通过向您的雇主更新您的联系信息，确保您获得近期的培训信息。
如果您需要基础培训，我们建议您在受雇后两周内注册课程，以便获 得最佳课程选择方案。如果您希望参加讲师指导式继续教育课程，请
需要语言支持以获得培训或健康福利吗？
在截止日期（您的生日）前尽早注册，以便获得最佳课程选择方案。
敬请致电会员资源中心（联系电话1-866-371-3200）或发送电子邮 件至 www.myseiubenefits.org/contact-us，服务代表将以您所用
参加在线学习，获取继续教育学分
语言 回答您的问题。
通过参加在线继续教育课程，您可简单、方便地获取家庭护工继续教
除英语外，培训、认证测试所用的其他12种语言
育学时。您可以随时在电脑上查看可选课程、参加课程、查阅学分。
阿拉伯语 广东话 柬埔寨语
在网上获取便利服务和支持 www.myseiubenefits.org门户网站为您提供可选课程、当前培训状
36
WINTER 2014
INSIGHT MAGAZINE
韩语 老挝语 萨摩亚语
索马里语 西班牙语 俄语
此外，学生们可致电MRC，按先到先得的原则 获取其他语言的口译译员协助。
菲律宾语 乌克兰语 越南语
今天就办理您的健康保险吧 Washington Healthplanfinder（奥巴马医改）指南
Washington Healthplanfinder（奥巴马医改）是什么？ 若您不具备申请健康福利信托基金健康保险的资格，Washington Healthplanfinder或 Washington Health Benefit Exchange将为您提供一站式服务，您可对比并选择价格实 惠的健康保险计划，包括医疗补助计划（Apple Health）。仅于11月15日星期六至2015 年2月15日开放。 想要在2015年1月之前获得保险，请于2014年12月23日之前选择您的保险计划。
需要帮忙登记吗？ 在线或致电： 1.
请今天就登录www. wahealthplanfinder.org，确定您 的保险计划。
2.
请致电1-855-WAFINDER或 1-855-923-4633。他们支持175多 种语言。
3.
触手可及(Within Reach)同样可回 答有关计划选择的问题，并协助您 登记健康计划。拨打家庭健康热线 1-800-322-2588。
费用多少？ 通过医疗补助计划(Medicaid)，您可获取免费保险的资格。医疗补助计 划(Medicaid)覆盖低收入的成人、儿童与家庭，特定老年人与残疾人 士。 若您不合乎医疗补助计划(Medicaid)的资格，您可申请低成本保险。您 每月平均支付大约82美元。
现场指导：
我该选择哪项计划呢？ 铜级计划(Bronze plan)的每月费用最低，但是较高免赔额意味着您随后 将支付更多的自费支付费用。银级计划(Silver plan)的每月费用中等， 但是您的自费支付金额也将较低。从长远看来，该项计划可为您省钱。 对大多数人来说，银级计划 (Silver plan)是最佳选择。
我的新保险将涵盖哪些范围？ 无论您选择何种计划，该计划将包括您的配偶与孩子的重要福利： •
就诊
•
乳房X光检查
•
处方
•
子宫颈抹片检查
•
紧急护理检查
•
胆固醇检查
•
妇婴保健
•
血压检查
•
心理健康
•
结肠直肠癌检查
•
预防注射
•
住院治疗
若想报名参与保险计划，我应该做些什么？ •
您的保险计划中所含人员的社保号。（您无需提供社保卡——提 供社保号即可。）
•
移民资料。
•
收入信息。近期税单(W-2)或工资单。
•
任何当前的健康保险资料（若有）。
若我去年已经办理保险登记，那么我需要重新 办理吗？ 您当前的健康保险将自动延续。但是，今年您可能具备更多的经济援助 资格或可在Washington Healthplanfinder发现更好的保险计划。 今年将有更多保险计划供您选择，因此我们建议您进行核查，以便发现 更好的保险计划。
登陆WAHealthPlanFinder.org，现在就获得您的健康保险吧。
1.
请登录WAHealthPlanFinder.org 或者 myseiu.be/wanavigators， 找出您所在区域内的现场指导员
2.
正在全州范围内展开登记。 请登录网站myseiu.be/ healthplanevents，找出距离您最 近的指导员。
名词解释 保险费(Premium)：您每月的保险费 用。即使您并未使用任何服务，您仍 需支付该金额。可将该金额视作会员 费，就像Costco 或 Sam’s Club的会 员费。 免赔额(Deductible)：每一年，在您的 保险开始支付它的支付份额之前您应支 付的健保支出。 挂号费(Copay)：针对一些医疗服务或 药物，您需要支付的固定金额（如，15 美元）。请勿算入免赔额。 共付保险(Coinsurance)：支付免赔额 之后，针对特定医疗服务您需要承担的 费用份额（如20%）。 自费额(Out-of-pocket)的最大值：不 包括支付的保险费。您在一年内针对医 疗服务将支付的最大金额量。 医疗网/网内：您的保险所涵盖的可就 诊医生或其他医疗人员。
INSIGHT MAGAZINE
WINTER 2014 37
의료보험혜택신탁 (HEALTH BENEFITS TRUST): 시작하기 의료보험 혜택 자격 확인 3개월 연속으로 월당 86시간 이상 근무해야 의료보험혜택신탁 혜택을 신청할 자격이 있습니다. 신청 자격이 될 때까지 기다릴 필요 없이 취직 후 바로 신청 양식을 작성할 수 있습니다.
신청 절차 n 개인병원 의사: www.myseiubenefits.org에 로그인한 다음 신청서를 작성하면 신청이 가능합니다.
n 에이전시 의료공급자: 신청에 대해서는 고용주와 상의하십시오.
ID 카드 찾기 신청 후 자격에 부합하여 보험료를 납부하면 ID 카드를 우편으로 수령하게 됩니다. 혜택 이용 시 ID 카드 번호가 필요합니다. 보험 기간이 시작되는 달의 15일까지 카드를 수령하지 못한 경우 MRC(1-866-371-3200)로 전화해 주십시오. 가장 가까운 응급 의료 기관을 찾아 기록한 다음 급할 때 참조할 수 있도록 카드와 함께 보관해 두십시오.
3개의 별표가 있는 활동을 완료하면 $100를 받 으세요! 1) 건강 프로필을 작성하고 2) 예방 진료 방문을
완료하고 3) 치과 세정/진료를 완료하면 100 달러 수표를 받으실 수 있습니다.
건강 프로필 작성 www.MyGroupHealth.org 또는 www.KP.org에서 온라인으로 등록한 다음 온라인 건강 프로필을 작성합니다.
예방진료를 위한 의사방문 www.ghc.org 또는 www.kp.org 에서 온라인 주치의 명부를 참고하여 귀하에게 적합한 주치의를 선택하십시오. 이후 예방진료를 예약하거나 또는 전화 문의하십시오. Group Health 1-800-901-4636 또는 Kaiser Permanente 1-800-813-2000.
치과 세정/검진 구강 건강은 귀하의 전반적인 건강에서 매우 중요한 부분을 차지합니다. 치과 의사를 선택하고 치아 세정을 받은 후 마음껏 미소를 뽐내세요! Delta Dental 1-800554-1907 또는 Willamette Dental 1-800-359-6019.
가장 가까운 응급 의료 기관 찾기 위급 상황 발생 시 이용할 가장 가까운 응급 의료 기관을 조속히 알아 두어야 합니다. www.ghc.org 또는 www. kp.org에서 온라인으로 응급 의료 기관을 찾을 수 있습니다.
처방전 관리하기 기존 처방전이 있으면 Group Health 또는 Kaiser Permanente에 전달하십시오. 그 후 우편 주문 처방전 리필을 온라인이나 고객 서비스를 통해 작성하면 시간과 비용을 절약할 수 있습니다.
교육: 교육 프로그램을 효과적으로 활용하는 방법 DOH 인증 요건 이해하기 의무적으로 인증을 취득해야 하는 경우라면 미루지 말고 가능한 빨리 과정을 시작하십시오. 회원지원센터로 전화해서 담당 직원과 필요한 자격 요건에 대하여 상담하십시오.
교육 프로그램 조기 등록하기 초급 교육 과정을 이수하는 경우라면 입사 후 처음 2주 안에 등록하여 가장 적합한 수업 일정을 선택할 수 있도록 합니다. 강사 주도 CE(평생 교육) 수업을 수강하는 경우 원하는 수업을 수강하려면 귀하의 신청 마감일(출생일) 전에 최대한 빨리 등록하는 것이 좋습니다.
온라인 과정으로 평생 교육 학점 취득하기
www.myseiubenefits.org 웹 포탈에는 참여 가능한 수업, 귀하의 현재 교육 상태, 지원 혜택 신청 요건 등이 종합적으로 마련되어 있습니다. 궁금한 점이 있을 때는 먼저 홈페이지를 확인해 보십시오.
연락처 정보 갱신 고용주가 가지고 있는 귀하의 연락처 정보를 갱신하면 교육에 관한 최신 정보를 받고 있는지 확인할 수 있습니다.
교육 또는 의료보험혜택에 대한 언어 지원이 필요하십니까? 1-866-371-3200으로 회원지원센터에 전화하거나 www.myseiubenefits.org/contact-us의 이메일을 이용하시면 담당자가 귀하의 언어로 질문에 답변해 드립니다.
온라인 평생 교육 과정을 이용하면 간병인 자격 취득에 필요한 CE 시간을 쉽고 편리하게 이수할 수 있습니다. 1년 365일 언제든지 집에 있는 컴퓨터로 접속해 개설된 과정을 열람하고 수업을 들을 수 있으며 학점을 조회할 수 있습니다.
12개국 언어 및 영어로 제공되는 교육, 인증 시험
온라인으로 편리하게 서비스 및 지원 받기
또한 학생들은 MRC에 연락하여 다른 국가의 통역사를 선착순으로 요청할 수 있습니다.
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한국어 아랍어 중국어(광동어) 라오스어 사모아어 캄보디아어
소말리아어 스페인어 러시아어
타갈로그어 우크라이나어 베트남어
지금 의료보험가입하세요 Washington Healthplanfinder(오바마케어)에 대한 안내
Washington Healthplanfinder(오바마케어)란? 의료보험혜택신탁 보험 대상이 아닌 경우 Medicaid(Apple Health)를 비롯한 저렴한 건강 보험 상품을 비교하고 가입할 수 있는 원스톱 쇼핑몰인 Washington Healthplanfinder나 Washington Health Benefit Exchange를 이용하실 수 있습니다. 11 월 15일 토요일부터 2015년 2월 15일까지만 개장합니다. 2015년 1월까지 보험가입완료를 위해서 2014년 12월 23일까지 상품을 선택해 주십시오.
비용은 얼마나 듭니까? Medicaid를 통해 무료 보험의 대상이 되실 수 있습니다. Medicaid 의 대상은 소득이 적은 어른, 아동 및 가족, 그리고 특정 연장자 및 장애인입니다. Medicaid의 대상이 아니더라도 저렴한 보험의 대상이 되실 수도 있습니다. 가입자들은 평균적으로 매달 $82를 지불하고 있습니다.
등록 시 도움이 필요하십니까? 온라인 또는 전화: 1.
www.wahealthplanfinder.org 바로 상품을 찾아보실 수 있습니다.
2.
1-855-WAFINDER 또는 1-855-923-4633으로 전화해 주십시오. 175개 이상 국가의 언어로 고객지원을 제공합니다.
3.
또한 Within Reach는 상품 옵션에 관한 답변 및 건강 계획 등록을 도와 드릴 수 있습니다. 가족 건강 핫라인, 1-800-322-2588으로 전화해 주십시오.
어떤 상품을 선택해야 합니까? 브론즈 상품이 월별 비용이 가장 낮지만 공제 금액이 높다는 것은 상황 발생 시 별도의 비용을 더 많이 부담해야 한다는 것을 의미합니다. 실버 상품은 월별 비용이 중간대이지만 별도의 비용이 보다 낮습니다. 이 상품은 장기적으로 볼 때 비용 절감이 됩니다.
방문문의: 1.
WAHealthPlanFinder.org나 myseiu. be/wanavigators에서 자신의 지역에 있는 방문문의 네비게이터를 찾아보실 수 있습니다.
2.
주 전역에서 등록 행사가 지속적으로 열리고 있습니다. myseiu.be/healthplanevents 에서 귀하에게 가까운 행사를 찾아보십시오.
실버 상품이 대부분의 사람들에게 가격 대비 가장 우수한 가치를 제공합니다.
새 보험은 어떤 것을 보장합니까? 어떤 상품을 선택하든지 간에 다음과 같이 귀하의 배우자와 자녀들에게 중요한 혜택을 제공합니다. • 의사 방문 • 유방조영상 •
처방전
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팹 테스트(자궁암 검사)
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응급 의료 방문
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콜레스테롤 판별
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임신 및 유아 진료
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혈압 판별
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정신 건강
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대장암 판별
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백신
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입원
등록에는 무엇이 필요합니까? •
귀하의 보험 상품 범위에 포함될 모든 사람의 사회 보장 번호( 실제 카드가 아닌 번호만 필요함)
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이민 정보
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소득 정보 최근 W-2 또는 급여 명세서
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현재 의료보험 정보(해당하는 경우)
작년에 등록한 경우 갱신해야 합니까? 현재의 의료보험은 자동으로 갱신됩니다. 단, 올해에 더 많은 재정적 지원 자격에 부합하실 수도 있습니다. 또는 Washington Healthplanfinder에서 더 좋은 상품을 찾아보실 수 있습니다. 올해부터 더욱 더 다양한 상품을 선택하실 수 있으므로 더 좋은 조건이 있는지 찾아보시는 것이 좋습니다.
WAHealthPlanFinder.org에서 지금 건강 보험 가입하기
알아 둘 용어 보험료(프리미엄): 매달 들어가는 보험 비용입니다. 아무 서비스를 받지 않더라도 이 금액을 지불해야 합니다. 코스트코 또는 샘스클럽의 회비와 같은 것입니다. 공제금: 해마다 보험회사가 비용을 부담하게 되기 전에귀하에 의해 지불되어야 하는 의료 비용 금액입니다. 공동부담금: 일부 의료 서비스 또는 제약에 대해 지불하는 고정 금액(예: 15달러)입니다. 공제금에 합산되지 않습니다. 자기부담금: 공제금을 제한 금액 중 특정 건강 진료 서비스에 대한 가입자의 비용 부담(예: 20%)을 나타냅니다. 최대 지불 비용: 의료 서비스에 대해 1 년 동안 가입자가 지불하게 될 최대 금액으로, 보험료 지불금은 포함되지 않습니다. 네트워크/네트워크 포함: 가입자의 방문에 대해 보험회사에서 비용을 부담하는 의사 및 의료진을 말합니다.
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ОРГАНИЗАЦИЯ «HEALTH BENEFITS TRUST»: ПЕРВЫЕ ШАГИ Проверьте, имеет ли Вы право на получение медицинской страховки
Для подачи заявки на предоставление страховки Health Benefits Trust Вы должны работать по меньшей мере 86 часов в месяц в течение трех месяцев подряд. Если Вы не хотите ждать, пока Вы получите право на подачу заявки, Вы можете заполнить форму заявки после поступления на работу.
Подайте заявку
n Индивидуальные поставщики услуг: Вы можете подать заявку, зарегистрировавшись в системе www.myseiubenefits.org и заполнив форму заявки. n Агентства: Поговорите со своим работодателем о подаче заявки.
Найдите свою карточку идентификации
После подачи заявки, предоставления Вам соответствующего права и внесения Вами страхового взноса Вы должны по почте получить карточку идентификации. Номер данной карточки понадобится Вам для получения льгот по страховке. Если Вы не получили карточку по состоянию на 15 число месяца, в котором начинает действовать Ваша страховка, обратитесь в Учебно-методический центр по телефону 1-866-371-3200. Найдите и запишите координаты ближайшего центра неотложной помощи и носите свою карточку при себе.
Выполните три отмеченных звездочкой действия и получите $100! Если Вы 1) заполнили свой профиль пациента; 2) прошли процедуру профилактического ухода; 3) прошли чистку зубов / стоматологический осмотр, Вы получите чек на $100.
Заполните свой профиль пациента
Заполните онлайн-профиль пациента, зарегистрировавшись на сайте www.MyGroupHealth.org или www.KP.org.
Пройдите процедуру профилактического ухода
Воспользуйтесь онлайн-списком врачей на сайте www. ghc.org или www.kp.org , чтобы подобрать подходящего поставщика услуг в сфере первичного медицинского обслуживания. Затем запишитесь на процедуру профилактического ухода или ознакомьтесь с графиком работы. Group Health 1-800-901-4636 или Kaiser Permanente 1-800-813-2000.
Пройдите чистку зубов / стоматологический осмотр Здоровая ротовая полость для нас так же важна, как и общее состояние Вашего здоровья. Выберите стоматолога, пройдите чистку зубов и улыбнитесь! Delta Dental 1-800-5541907 или Willamette Dental 1-800-359-6019.
Установите местонахождение ближайшего центра неотложной помощи
Вы должны знать, где находится ближайший центр неотложной помощи на случай, если Вам понадобится срочное медицинское вмешательство. Вы можете найти список центров неотложной помощи на сайте www.ghc.org или www.kp.org.
Управляйте рецептами
Если у Вас имеются текущие рецепты, отправьте их Group Health или Kaiser Permanente. Далее для экономии времени и денег заказывайте препараты на основании рецепта по почте, установив соответствующую опцию в онлайн-режиме или через службу поддержки клиентов.
ОБУЧЕНИЕ: КАК СДЕЛАТЬ ТАК, ЧТОБЫ ОБУЧЕНИЕ ДАЛО МАКСИМАЛЬНЫЕ РЕЗУЛЬТАТЫ Разберитесь с требованиями к сертификации, установленными Министерством здравоохранения Если Вам необходимо пройти сертификацию, не откладывайте – начните этот процесс как можно скорее. Позвоните в Учебно-методический центр, чтобы поговорить о том, что Вам нужно.
Зарегистрируйтесь на участие в обучении заранее Если Вам необходимо пройти Базовое обучение, мы порекомендовали бы Вам зарегистрироваться на прохождение учебных курсов в течение первых двух недель с момента найма на работу, чтобы иметь возможность выбрать лучшие варианты. Если Вам нужны курсы повышения квалификации, проводимые преподавателем, зарегистрируйтесь как можно скорее, чтобы иметь возможность выбрать лучшие варианты до наступления конечного срока (Вашего дня рождения).
Пройдите дистанционное обучение для получения кредитов в рамках системы повышения квалификации Курсы дистанционного повышения квалификации – это простой и удобный способ заработать часы в рамках системы повышения квалификации, которые необходимы Вам как специалисту по уходу на дому. Вы можете просматривать доступные курсы, выбирать предметы и видеть заработанные Вами кредиты непосредственно со своего компьютера – 24 часа в день, семь дней в неделю.
Зайдите в Интернет для получения услуг и помощи в удобной для Вас форме 40
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Веб-портал www.myseiubenefits.org – это ресурс с исчерпывающей информацией о доступных предметах, Вашем текущем статусе в рамках прохождения обучения, возможности получения Вами каких-либо льгот, а также о многом другом. Чтобы получить ответы на волнующие Вас вопросы, необходимо войти на портал.
Обновите свои контактные данные Обновите свои контактные данные, предоставленные работодателю, для получения самой актуальной информации о ходе Вашего обучения.
Требуется языковая поддержка для прохождения обучения или получения медицинской страховки? Обратитесь в Учебно-методический центр по телефону 1-866-371-3200 или отправьте электронное сообщение через форму на сайте www.myseiubenefits. org/contact-us, и наш представитель ответит на Ваш вопрос на Вашем языке. 12 языков и английский язык для прохождения обучения, сдачи сертификационного экзамена Арабский язык
Корейский язык
Кантонский диалект Лаосский язык китайского языка
Самоанский язык
Сомалийский язык
Тагальский язык
Испанский язык
Украинский язык
Русский язык
Вьетнамский язык
Камбоджийский язык
Кроме того, учащиеся могут обратиться в Учебно-методический центр, чтобы воспользоваться услугами переводчика с/на другие языки. Заявки обрабатываются в порядке живой очереди.
Получите медицинскую страховку сегодня Ваше руководство по работе с Washington Healthplanfinder (Obamacare)
Что такое Washington Healthplanfinder (Obamacare)? Если Вы не имеет права на получение медицинской страховки Health Benefits Trust, воспользуйтесь услугами Washington Healthplanfinder или Washington Health Benefit Exchange – универсального интернет-магазина, где Вы можете сравнить и приобрести доступные страховые программы, включая Medicaid (Apple Health). Магазин работает только с субботы, 15 ноября, по 15 февраля 2015 года. Для получения страховки к началу января 2015 года выберите подходящую страховую программу до 23 декабря 2014 года.
Сколько это будет стоить? Вы можете получить право на получение БЕСПЛАТНОЙ страховки Medicaid. Medicaid – это программа страхования взрослых, детей и семей с низким уровнем дохода, престарелых лиц определенной категории и лиц с ограниченными физическими возможностями. Если Вы не соответствуете критериям Medicaid, Вы можете получить право на регистрацию в ЭКОНОМНОЙ программе страхования. В среднем она обходится в $82 в месяц.
Нужна помощь при регистрации? Онлайн или по телефону: 1. 2.
3.
Подберите программу страхования сегодня на сайте www.wahealthplanfinder.org Звоните по телефонам 1-855-WAFINDER или 1-855-923-4633. Служба поддержки доступна на 175 языках. Специалисты всегда готовы ответить на Ваши вопросы относительно программы страхования и помочь Вам зарегистрироваться в ней. Звоните на горячую линию по вопросам охраны здоровья семьи по телефону 1-800-322-2588.
Какую программу выбрать?
Личная встреча:
«Бронзовые» программы отличаются самыми низкими страховыми взносами, но высокой франшизой. Это значит, что при наступлении страхового случая Вы несете более высокие фактические расходы. «Серебряные» программы требуют средних месячных взносов, однако фактические расходы в данном случае ниже. Данная программа позволяет экономить средства в долгосрочной перспективе. Для большинства людей идеальным выбором является именно «Серебряная» программа.
1.
Что покрывает моя новая страховка? Независимо от того, какую программу Вы выберете, Вашей супруге и Вашим детям будут доступны следующие страховые льготы: • Маммограммы • Посещения врача • Забор цервикальных • Рецепты мазков • Визиты для оказания • Скрининг уровня неотложной помощи холестерина • Уход за матерью и • Скрининг кровяного ребенком давления • Психическое здоровье • Скрининг на выявление • Вакцинация колоректального рака • Госпитализации
Что нужно для регистрации? • • • •
Номера социального страхования всех, кого Вы хотите включить в программу (сами полисы не нужны – только номера). Иммиграционные данные. Данные о доходах. Подойдет последняя форма W-2 или справка о доходах. Любые данные о текущей программе страхования, если таковые имеются.
Требуется ли перерегистрация, если я регистрировался(лась) в прошлом году? Ваша текущая медицинская страховка обновляется автоматически. Однако в этом году Вы можете получить право на получение большей финансовой помощи или найти более интересную программу на Washington Healthplanfinder. С этого года действует гораздо больше программ, поэтому мы рекомендуем Вам ознакомиться с ними, и, возможно, Вы подберете более подходящий вариант.
Зарегистрируйтесь в программе медицинского страхования сегодня на WAHealthPlanFinder.org
2.
Воспользуйтесь сайтом WAHealthPlanFinder.org или myseiu. be/wanavigators для поиска навигаторов в Вашем регионе, которые предоставят Вам помощь при личной встрече. Мероприятия по регистрации проводятся по всему штату. Найдите ближайшее место проведения, воспользовавшись сайтом myseiu.be/healthplanevents
Слова, которые нужно знать Страховой взнос: Ежемесячный взнос по Вашей программе страхования. Вы вносите эту сумму, даже если не пользуетесь никакими услугами. Считайте это страховым взносом, как в Costco или Sam’s Club. Франшиза: Сумма, которую Вы вносите для покрытия затрат на здравоохранение ДО того, как страховая компания начинает выплату свой части. Доплата: Фиксированная сумма (например, $15), которую Вы платите за некоторые медицинские услуги или лекарства. Не идет в счет франшизы. Совместное страхование: Ваша доля в затратах (например, 20%) на определенные медицинские услуги ПОСЛЕ уплаты франшизы. Максимальные фактические расходы: Максимальная сумма, которую Вы платите в год за медицинское обслуживание, без учета страховых взносов. Сеть / внутренняя сеть: Врачи и прочий медицинский персонал, услуги которых покрывает Ваша страховка.
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HEALTH BENEFITS TRUST: BILAABISTA Eeg U-qalmitaankaaga ee loogu talogalay Health Benefits
Waa in aad shaqeysid ugu yaraan 86 saacadood bil kasta seddax bilood oo isku xiga si aad ugu qalantid in aad codsatid dheefaha Health Benefits Trust. Uma baahnid in aad sugtid ilaa aad uga qalantid in aad codsatid, waxaad dhammeystiri kartaa foomka codsiga kadib marka lagu shaqaaleysiiyo.
Codso
n Bixiyeyaasha Shakhsiga Gaarka ah: Waxaad codsan kartaa adiga oo galaya www.myseiubenefits.org kadibna buuxinaya foomka codsiga. n Bixiyeyaasha Hay’adda: Kala hadal loo shaqeeyahaaga wixii ku saabsan codsashada.
Raadso Kaarkaaga Aqoonsiga
Kadib marka aad codsatid, laguuna arko in aad u qalantid oo aadna bixisid lacagta joogtada ah ee caymiskaaga, waa in aad ku heshid Kaar Aqoonsi boostada. Waxaad u baahanaysaa lambarka kaarka Aqoonsiga si aad u heshid dheefahaaga. Haddii aadan helin kaarka marka ay tahay 15ka ee bisha caynsanaantaada ay bilaabanayso, ka wac MRC 1-866-371-3200. Raadi kadibna waxaad qortaa Xurunta Daryeelka Degdega ah ee kuugu dhow waxaadna la haysaa kaarkaaga tixraac ahaan.
Dhammeystir Seddax Waxqabadyo oo Xiddigo Saaran kadina Hel $100! Haddii aad 1) Dhammeystirtay Haybsashada Caafimaadkaaga; 2) Dhammeystirtay booqashada Daryeelka Ka Hortaga ah; ama 3) Dhammeystirtay nadiifinta/baarista ilkaha, waxaad helaysaa jeeg ah $100.
Dhammeystir Haybsashada Caafimaadkaaga
Dhammeystir Haybsashada Caafimaadka ee online-ka ah kadib marka aad online-ka iska diiwaangelisid www. MyGroupHealth.org ama www.KP.org.
Dhammeystir Booqashada Daryeelka Ka Hortaga
Ka adeegso tusiyaha bixiyaha online-ka ah www.ghc. org ama www.kp.org si aad u xulatid bixiyaha daryeelka aasaasiga ah ee sida wanaagsan kuugu habboon. Kadibna samee ballanta daryeelka ka hortaga ama wac si aad waqti u qabsatid. Caafimaadka Kooxda 1-800-901-4636 ama Kaiser Permanente 1-800-813-2000.
Dhammeystir Nadiifinta/Baarista Ilkaha
Caafimaadkaaga afka waa qayb muhiim ah oo kamid ah caafimaadkaaga guud. Xulo takhtarka ilkaha, dhammeystir nadiifin – dhoolla-cadday! Ilkaha Delta 1-800-554-1907 ama Ilkaha Willamette 1-800-359-6019.
Baro Meesha Ay Ku Taalo Xarunta Daryeelka Degdega ah ee Kuugu Dhow
Sida ugu dhaqsiyaha badan ee suurtagalka ah, waa in aad u aqoonsatid Xarunta Daryeelka Degdega ah ee kuugu dhow marka aad u baahan tahay Daaweynta Daryeel Degdeg ah. Waxaad ka heli kartaa Xarumaha Daryeelka Degdega ah online-ka www.ghc.org ama www.kp.org.
Maarey Rijeetooyinkaaga Daawada
Haddii aad haysatid rijeetooyin daawo oo hore u jiray, ha laguugu wareejiyo Caafimaadka Kooxda ama Kaiser Permanente. Kadibna, ka aasaas online-ka dib-u buuxinada rijeetada ee dalabka-boostada ah ama iyada oo loo marayo adeegga macmiilka si aad u badbaadisid lacag iyo waqti.
TABABAR: SIDA LOOGA HELO FAA’IIDADA UGU BADAN TABABARKAAGA Fahan shuruudaha Shahaado Qaadashada DOH
Haddii lagaa doonayo in aad qaadatid shahaado, haka daahin – waxaad u bilaawdaa hanaanka sida ugu dhakhsiyaha badan ee suurtagalka ah. Wac Xarunta Macluumaadka Xubinka si aad ugala hadasho wakiil wixii ku saabsan shuruudahaaga.
Isugu diiwaangeli Xili Hore Tababarka
Haddii aad u baahantahay Tababar Aasaasi ah, waxaan kugu dhiirigelinaynaa in aad isku diiwaangelisid fasaladaada labada toddobaad ee ugu horreeya ee shaqaalaynta saad u heshid doorashooyinka ugu fiican ee ikhtiyaaraadka fasalka. Haddii aad doonaysid in aad qaadatid fasallo Waxbarasho Sii-wadasho ee Macalinka-Horkaca (CE) , isku diiwaangeli xili hore ee suurtagalka ah si aad u heshid doorashada ugu fiican ee ikhtiyaaraadka fasalka kahor wakhtiga kama dambayska (maalintaada dhalashada).
Qaado Barashada Online-ka ee loogu talogalay Darajooyinka Aqoon Qaadashada ee Waxbarasho Sii-wadasho
Koorsooyinka Waxbarasho Sii-wadashada ee Online-ka ah waa hab fudud oo sahal ah ee lagu helayo Saacadaha Waxbarasho Sii-wadasho (CE) ee aad ugu baahantahay sida Kaaliye Daryeel Guri ahaan. Waxaad ka eegi kartaa koorsooyinka la heli karo, ka qaadan kartaa fasallo kana eegi kartaa darajooyinkaaga dhammaan kumbuyuutarkaaga – 24 saacadood maalintii, toddobo maalmood toddobaadkii.
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Ka raadso Online-ka Adeeg iyo Taageero Kugu Habboon
Cinwaanka mareegtada www.myseiubenefits.org waa macluumaadkaaga dhammeystiran ee fasallada la heli karo, xaalkaaga tababarka ee hadda la joogo, u-qalmitaanka dheefaha iyo wax badan. Soo gal mareegtada marka hore si aad u heshid jawaabaha aad u baahan tahay.
Cusboonaysii Macluumaadkaaga Xiriirka
Hubso in aad helaysid macluumaadka hadda la jooga ugu dambeeya ee ku saabsan tababarkaaga adiga oo ka cusboonaysiinaya macluumaadkaaga xiriirka cidda aad u shaqeysid.
Ma u BaahanTahayTaageero Luuqadeed ee Loogu TalogalayTababar ama Dheefo Caafimaad (Health Benefits)? Ka Wac Xarunta Macluumaadka Xubinka 1-866-371-3200 ama iimeyn ugu dir www.myseiubenefits.org/contact-us waxaana su’aalahaaga kaaga jawaabaya wakiil ku hadlaya luuqadaada. 12 Luuqadood Oo Lagu Darey Ingiriis oo loogu talogalay Tababar, Imtixaan Shahaado Qaadashada Carabi Kuuriyaan Soomaali Tagalog Kantoniis Laoshiyaan Isbaanish Yukreeniyaan Kamboodhiyan Samoan Ruushiya Fiitnaamees Waxaa intaa siidheer, in ardayda ay waci karaan MRC si ay turjumaan ugu helaan Luuqadaha ku saleysan imaanshaha-koowaad.
Hel caymis caafimaad maanta Hagahaaga ee Washington Healthplanfinder (Obamacare) Waa maxay Washington Healthplanfinder (Obamacare)? Haddii aadan u-qalmin caymiska caafimaadka Health Benefits Trust, Washington Healthplanfinder ama Washington Health Benefit Exchange waa dukaan hal-meel ku wada yaala halkaas oo aad isku barbar dhigi kartid qorsheyaasha caymiska caafimaadka ee la awoodi karo, oo uu ka mid yahay (Apple Health). Wuxuu kaliya furan yahay laga bilaabo Sabtiga, Nofeembar. 15 ilaa Febraayo. 15, 2015. Si laguu caymiyo marka la gaaro Janaayo 2015, xulo qorshahaaga marka la gaaro Diseembar. 23, 2014.
Ma u baahan tahay caawimaad isqoris? Online-ka ama taleefoonka: 1.
Ka hel qorshahaaga maanta www.wahealthplanfinder.org
2.
Wac 1-855-WAFINDER ama 1-855-923-4633. Waxay hayaan taageerada in ka badan 175 luuqadood.
3.
Marka Ay Suurtagal Tahay waxay sidoo kale kaaga jawaabi karaan su’aalahaaga ee ku saabsan ikhtiyaarada qorshaha waxayna kugu caawin karaan isku qoridda qorshaha caafimaadka. Ka wac Khadkooda Tooska ah ee Caafimaadka Qoyska 1-800-322-2588.
Waa imisa kharashkiisa?
Waxaad u-qalmi kartaa caymis BILAASH AH iyada oo loo marayo Medicaid. Medicaid wuxuu caymiyaa dadka waaweyn, carruurta, iyo qoysaska dakhligooda yar yahay, waayeelada qaarkood iyo dadka naafonimada leh. Haddii aadan u-qalmin Medicaid, waxaad wali u-qalmaysaa caymiska QIIMAHIISA-HOOSEEYA. Celcelis ahaan, dadka waxay bixiyaan ku dhowaad $82 bil kasta.
Waa maxay qorshaha aan xulanayo? Qorshooyinka naxaasta waxay yeelanayaan kharashaadyada bilaha ee ugu hooseeya, balse wax badan laga goyn kara waxaa loola jeedaa in aad bixinaysid kharashaadyo jeebka laga bixiyo oo badan marka aad baxaysid. Qorsheyaasha qalinka waa qiyaasta-dhexe ee kharashaadyada bilaha, balse waxaad yeelanaysaa kharashaadyo jeebka laga bixiyo oo yar. Qorshahan wuxuu kuu badbaadinayaa lacag mustaqbalka fog. Dadka badankooda, qorshaha Qalinka waa qiimahooda ugu fiican.
Waa maxay waxa caymiskeyga cusub uu cayminayo? Qorshe kasta ee aad xulato wuxuu cayminayaa dheefahan muhiimka ah ee loogu talogalay lammaneyaashaada iyo carruurta: • Booqashooyinka takhtarka • Baarista naasaha •
Rijeetooyinka
•
Booqashooyinka Daryeelka • Degdega ah • Daryeelka ilmaha hadda • dhashey & hooyonimada
Baarista kalostaroolka
•
Caafimaadka Dhimirka
Isbitaal dhigisyada
•
Tallaalada
•
•
•
Baarista pap smears Baarista cadaadiska dhiigga Baarista kansarka malawadka
Waa maxay waxa aan u baahanahay si aan isku diiwaangeliyo? •
Lambarada damaannada bulshada ee qof kasta ee ku jiraya qorshahaaga.(Uma baahnid kaararka dhabta ah – kaliya lambarada.)
•
Macluumaadka socdaalka.
•
Macluumaadka dakhliga. W-2 dhowaan ah ama gummudka lacagbixinta ayaa ku caawinaya.
•
Macluumaad caymis caafimaad kasta ee dhowaan ah haddii aad haysatid.
Miyaan u baahanahay in aan dib-u cusboonaysiiyo haddii aan isku diiwaangeliyay sannadkii hore? Caymiskaaga caafimaadka ee hadda si otomaatik ah ayuu dib isu cusboonaysiinayaa. Si kastaba, waxaad u-qalmi kartaa gargaar maaliyadeed oo dheeraad ah sannadkan ama ka raadi qorshe wanaagsan ee ku saabsan Washington Healthplanfinder. Waxaa jira sannadkan qorsheyaal badan oo dheeraad ah ee laga xulanayo, sidaas awgeed waxaan ku talinaynaa in la eego si loo arko haddii aad heli kartid macaamilo wanaagsan.
Qof-ahaan: 1.
Ka raadi saraakiisha dadka hagta oo qof-ahaanta ah ee jooga aagaagga WAHealthPlanFinder.org ama myseiu. be/wanavigators
2.
Dhacdooyin isqoritaanka ayaa ka socda gobolka oo dhan. Ka hel mid adiga kuu dhow myseiu.be/ healthplanevents
Ereyada la oggaanayo Lacagta joogtada ah ee caymiska: Kharashka caymiskaaga ee bil kasta. Waxaad bixinaysaa qaddarkan xataa marka aadan adeegsan wax adeegyo ah. Waxaad ugu fikirtaa sida lacagta ujrada xubinimada, sida Naadiga Costco ama Sam. Laga goyn kara: Qaddarka aad ku bixinaysid kharashaadyada caafimaadka sannad kasta KAHOR inta caymiskaaga uusan bilaabin in uu bixiyo qaybtiisa. Lacag-bixinta la wadaago (Copay): Qaddarka go’an (tusaale ahaan, $15) ee aad ku bixinaysid adeegyada caafimaadka qaarkood ama daawada. Laguma xisaabayo xagga laga goyn karo. Caymiska la wadaago (Coinsurance): Saamigaaga kharashaadyada (tusaale ahaan, 20%) ee adeegyada caafimaadka qaarkood KADIB bixinta laga goyn karo. Qaddarka ugu badan ee jeebka laga bixiyo: Qaddarka ugu badan ee aad ku bixinaysid hal sano adeegyada caafimaadka, oo aan ku jirin lacag-bixinada aan joogtada ahayn ee caymiska. Shabako / Shabakada Ku jira: Takhaatiirka iyo shaqaalaha kale ee caafimaadka ee uu lacagtooda bixinayo caymiska si aad u aragtid.
Ka hel maanta caymiskaaga caafimaadka WAHealthPlanFinder.org INSIGHT MAGAZINE
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HEALTH BENEFITS TRUST: INTRODUCCIÓN Verifique su elegibilidad para Health Benefits Trust Debe trabajar por lo menos 86 horas por mes durante tres meses consecutivos a fin de ser elegible para solicitar los beneficios de Health Benefits Trust. Para solicitar los beneficios, no necesita esperar hasta ser elegible. Puede completar el formulario de solicitud luego de ser contratado.
Solicitar
n Proveedores individuales: Puede hacer la solicitud ingresando a www.myseiubenefits.org y llenando el formulario de solicitud. n Agencias: Consulte a su empleador sobre cómo hacer la solicitud.
Busque su tarjeta de identificación
Luego de hacer su solicitud, ser encontrado elegible y haber pagado su prima, recibirá una tarjeta de identificación por correo. Necesitará el número de su tarjeta de identificación para acceder a sus beneficios. Si no recibe la tarjeta antes del día 15 del mes en que comienza su cobertura, llame al Centro de Recursos para Miembros al 1-866-371-3200. Busque y anote el centro de atención de urgencias más cercano y conserve la anotación junto con su tarjeta de identificación para referencia.
¡Complete tres actividades marcadas con estrellas y reciba $100! Si ha completado 1) su perfil de salud; 2) una visita de atención preventiva; y 3) un chequeo/limpieza dental, recibirá un cheque de $100.
Complete su perfil de salud
Complete su perfil de salud en línea luego de registrarse en www.MyGroupHealth.org o www.KP.org.
Realice una visita de atención preventiva
Use el directorio en línea de proveedoreswww.ghc.org o www.kp.org para elegir un médico de atención primaria adecuado para usted. Luego coordine una cita de atención preventiva o llame para programarla. Group Health 1-800-901-4636 o Kaiser Permanente 1-800-813-2000.
Realice un chequeo/limpieza dental
Su salud oral es una parte importante de su salud en general. ¡Elija un dentista, complete una limpieza, sonría! Delta Dental 1-800-554-1907 o Willamette Dental 1-800-359-6019.
Ubique su centro de atención de urgencias más cercano
Tan pronto como sea posible, identifique el centro de atención de urgencias más cercano a usted para cuando necesite atención de urgencia. Puede encontrar los centros de atención de urgencia en internet en www.ghc.org o www. kp.org.
Administre sus recetas
Si tiene recetas, haga que se las transfieran a Group Health o Kaiser Permanente. Luego, establezca, por internet o a través del servicio al cliente, que sus recetas sean reabastecidas mediante el servicio de pedidos por correo.
CAPACITACIÓN: CÓMO OBTENER EL MÁXIMO DE SU CAPACITACIÓN Entender los requisitos de certificación del Departamento de Salud Si usted tiene la obligación de recibir la certificación, no se demore, inicie el proceso tan pronto como sea posible. Llame al Centro de recursos para miembros para hablar con un representante acerca de sus requisitos.
Regístrese temprano para la capacitación
Si usted necesita Capacitación básica, lo invitamos a inscribirse en sus clases dentro de las primeras dos semanas de contratación para obtener la mejor oferta de opciones de clases. Si usted quiere tomar clases de Educación continua dirigida por un instructor (EC), inscríbase lo antes posible para obtener la mejor selección de las opciones de clase antes de la fecha límite (su cumpleaños).
Tome sesiones de aprendizaje en línea para obtener créditos de Educación continua
Los cursos de Educación continua en línea son una manera fácil y conveniente de obtener las horas de Educación continua (CE, por sus siglas en inglés) que usted necesita como ayudante de atención domiciliaria. Usted puede ver los cursos disponibles, tomar clases y ver los créditos, todo desde su computadora, 24 horas al día, siete días a la semana.
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El portal web www.myseiubenefits.org es su recurso completo para las clases disponibles, su nivel de capacitación actual, los beneficios de elegibilidad y mucho más. Inicie sesión en el portal primero para obtener las respuestas que necesita.
Actualice su información de contacto
Actualice su información de contacto con su empleador, para continuar recibiendo la última información sobre su capacitación.
¿Necesita apoyo de idioma para la capacitación o los beneficios de Health Benefits? Llame al Centro de Recursos para Miembros al 1-866-371-3200 o vaya a www.myseiubenefits.org/contact-us y un representante contestará su pregunta en su idioma. 12 idiomas adicionales, además del inglés, para la capacitación y el examen de certificación Árabe Coreano Somalí Tagalog Cantonés Laosiano Español Ucranio Camboyano Samoano Ruso Vietnamita Además, los estudiantes pueden llamar al Centro de Recursos para Miembros para solicitar los servicios de un intérprete de otros idiomas. Este servicio se otorgará en orden de solicitud.
Obtenga ya su seguro de salud Su guía del Washington Healthplanfinder (Obamacare)
¿Qué es el Washington Healthplanfinder (Obamacare)? Si usted no es elegible para el seguro de salud Health Benefits Trust, el Washington Healthplanfinder o el Washington Health Benefit Exchange es una tienda de ventanilla única donde puede comparar y adquirir planes de salud accesibles, incluyendo Medicaid (Apple Health). Está abierta solamente desde el sábado 15 de noviembre al 15 de febrero de 2015. Para tener cobertura desde enero de 2015, elija su plan antes del 23 de diciembre de 2014.
¿Necesita ayuda para inscribirse?
En internet o por teléfono: 1.
Encuentre ya su plan en www.wahealthplanfinder.org
2.
Llame al 1-855-WAFINDER o al 1-855-923-4633. Cuentan con apoyo de idioma en más de 175 idiomas.
3.
Within Reach también pueden contestar sus preguntas sobre opciones de planes y ayudarlo a inscribirse en un plan de salud. Llame a su línea de asistencia para la salud familiar al 1-800-322-2588.
¿Cuánto costará? Puede ser elegible para un seguro GRATUITO a través de Medicaid. Medicaid cubre a adultos, niños y familias con bajos ingresos, algunas personas mayores y personas con discapacidad. Si no califica para Medicaid, igual puede calificar para un seguro de BAJO COSTO. En promedio, las personas pagan alrededor de $82 por mes.
¿Qué plan debo elegir? Los planes de Bronce tendrán los menores costos mensuales, pero los deducibles altos significan que usted tendrá que pagar más gastos de bolsillo. Los planes de Plata tienen costos mensuales intermedios, pero tendrá menos gastos de bolsillo. Este plan le ahorra dinero a largo plazo. Para la mayoría de la gente, un plan de Plata es lo más conveniente.
¿Qué cubrirá mi nuevo seguro? Cualquiera sea el plan que elija, cubrirá estos beneficios importantes para su cónyuge e hijos: •
Consultas a médicos
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Mamografías
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Medicamentos
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Pruebas de Papanicolaou
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Visitas de atención urgente
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Examen de colesterol
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Medición de la presión arterial
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Atención materno infantil • Salud mental •
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Vacunas
Prueba de cáncer colorrectal Hospitalizaciones
¿Qué necesito para inscribirme? •
Los números de seguro social de todas las personas que estarán en su plan. (No necesita las tarjetas, solo los números.)
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Información migratoria.
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Información de ingresos. Un formulario W-2 o comprobante de ingresos puede ser útil.
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Cualquier información actual del seguro de salud, si la tiene.
¿Necesito hacer la renovación si me inscribí el año pasado? Su seguro de salud actual se renovará automáticamente. Sin embargo, puede calificar para recibir más ayuda financiera este año o encontrar un plan mejor en el Washington Healthplanfinder. Hay muchos planes más para elegir este año, por lo que le recomendamos que verifique si puede encontrar un plan mejor.
Obtenga ya su seguro de salud en WAHealthPlanFinder.org
En persona: 1.
Busque navegadores en persona en su área en WAHealthPlanFinder.org o myseiu.be/wanavigators
2.
Hay eventos de inscripción en todo el estado. Encuentre uno cerca de usted en myseiu.be/ healthplanevents
Palabras a saber Prima: El costo mensual de su seguro. Debe pagar este monto mensual aunque no use ningún servicio. Haga de cuenta que es una cuota de socio, como la de Costco o la de Sam’s Club. Deducible: El monto que paga anualmente por costos de salud ANTES que su seguro comience a pagar su porción del costo. Copago: El monto fijo (por ejemplo, $15) que usted paga por algunos servicios médicos o medicamentos. No cuenta a efectos del deducible. Coseguro: Su porción de los costos (for ejemplo, 20%) de ciertos servicios de atención médica DESPUÉS de pagar el deducible. Gastos máximos de bolsillo: El monto máximo que usted pagará en un año por servicios médicos, sin incluir los pagos de la prima. Red / Dentro de la red: Médicos y otro personal médico que su seguro pagará para usted.
INSIGHT MAGAZINE
WINTER 2014 45
HEALTH BENEFITS TRUST: BẮT ĐẦU Kiểm Tra Tư Cách nhận các Phúc Lợi Y Tế của Quý Vị
Quý vị phải làm việc ít nhất là 86 giờ mỗi tháng trong 3 tháng liên tiếp để đủ điều kiện nộp đơn đăng ký các phúc lợi của Health Benefits Trust. Quý vị không cần đợi cho đến khi quý vị đủ điều kiện để nộp đơn đăng ký, quý vị có thể điền mẫu đơn đăng ký sau khi quý vị đã được tuyển dụng.
Nộp đơn đăng ký
n Nhà Cung Cấp Dịch Vụ Cá Nhân: Quý vị có thể nộp đơn
đăng ký bằng cách đăng nhập www.myseiubenefits.org và điền vào mẫu đơn đăng ký. n Nhà Cung Cấp Dịch Vụ Cơ Quan: Thảo luận với nhà tuyển dụng của quý vị về việc nộp đơn đăng ký.
Tìm Kiếm Thẻ Căn Cước của Quý Vị
Sau khi quý vị nộp đơn đăng ký, được phát hiện đủ điều kiện và nộp phí bảo hiểm của mình, quý vị sẽ nhận được một thẻ căn cước qua đường bưu điện. Quý vị sẽ cần số thẻ căn cước để tiếp cận được các phúc lợi của mình. Nếu quý vị không nhận được thẻ trước ngày 15 của tháng mà khoản bao trả của quý vị bắt đầu, vui lòng gọi đến MRC theo số 1-866-3713200. Tìm kiếm và viết ra Trung Tâm Chăm Sóc Khẩn Cấp gần quý vị nhất và mang theo cùng thẻ của quý vị để tham khảo.
Hoàn Thành Ba Hoạt Động Được Đánh Dấu Sao và Nhận $100! Nếu quý vị đã 1) Hoàn Thành Hồ Sơ Y Tế của quý vị; 2) Hoàn thành lần thăm khám Chăm Sóc Phòng Ngừa; và 3) Hoàn thành vệ sinh/khám răng miệng, quý vị sẽ nhận được một ngân phiếu trị giá $100.
Hoàn Thành Hồ Sơ Y Tế của Quý Vị
Hoàn thành Hồ Sơ Y Tế trực tuyến sau khi đăng ký trực tuyến tại www.MyGroupHealth.org hoặc www.KP.org.
Hoàn thành Lần Thăm Khám Chăm Sóc Phòng Ngừa Sử dụng danh bạ nhà cung cấp trực tuyến tại www.ghc.org hoặc www.kp.org để chọn nhà cung cấp dịch vụ chăm sóc chính phù hợp với quý vị. Sau đó lập cuộc hẹn chăm sóc phòng ngừa. Group Health 1-800-901-4636 hoặc Kaiser Permanente 1-800-813-2000.
Hoàn thành Khám/Vệ Sinh Răng Miệng
Sức khỏe răng miệng là một phần quan trọng của sức khỏe tổng quát của quý vị. Chọn một nha sĩ, hoàn thành vệ sinh răng – mỉm cười! Delta Dental 1-800-554-1907 hoặc Willamette Dental 1-800-359-6019.
Tìm Địa Điểm của Trung Tâm Chăm Sóc Khẩn Cấp Gần Nhất
Ngay khi có thể, quý vị cần xác định Trung Chăm Sóc Khẩn Cấp gần nhất phòng trường hợp quý vị cần điều trị Chăm Sóc Khẩn Cấp. Quý vị có thể tìm thấy các Trung Tâm Chăm Sóc Khẩn Cấp trực tuyến tại www.ghc.org hoặc www.kp.org.
Quản Lý Toa Thuốc của Quý Vị
Nếu hiện quý vị đã có toa thuốc, chuyển các toa thuốc này đến Group Health hoặc Kaiser Permanente. Tiếp theo, đặt mua theo toa thêm qua đường bưu điện trực tuyến hoặc tại bộ phận dịch vụ khách hàng để tiết kiệm thời gian và tiền bạc.
ĐÀO TẠO: CÁCH TẬN DỤNG TỐT NHẤT KHÓA HUẤN LUYỆN CỦA QUÝ VỊ Hiểu Được các Yêu Cầu về Chứng Nhận DOH
Nếu quý vị bắt buộc phải nhận được chứng nhận, đừng trì hoãn – bắt đầu quy trình càng sớm càng tốt. Gọi đến Trung Tâm Nguồn Lực Thành Viên để thảo luận với đại diện về các yêu cầu của quý vị.
Đăng Ký Sớm để Tham Gia Khóa Huấn Luyện Nếu quý vị cần Huấn Luyện Cơ Bản, chúng tôi khuyến khích quý vị đăng ký tham gia lớp học của mình trong vòng hai tuần đầu tiên kể từ khi được tuyển dụng để chọn lựa tốt nhất các tùy chọn lớp học. Nếu quý vị muốn tham gia các lớp học Giáo Dục Thường Xuyên (CE) có Giảng Viên Hướng Dẫn, hãy đăng ký càng sớm càng tốt để chọn lựa tốt nhất các tùy chọn của lớp học trước thời hạn của quý vị (ngày sinh nhật của quý vị).
Tham Gia các Khóa Học Trực Tuyến để Nhận Tín Chỉ Giáo Dục Thường Xuyên
dành cho quý vị về các lớp học sẵn có, trạng thái huấn luyện hiện tại của quý vị, tình trạng đủ điều kiện nhận các phúc lợi và nhiều hơn nữa. Đăng nhập cổng thông tin trước tiên để nhận được câu trả lời mà quý vị cần.
Cập Nhật Thông Tin Liên Lạc của Quý Vị Bảo đảm quý vị đang nhận được thông tin mới nhất về khóa huấn luyện đào tạo mình bằng cách cập nhật thông tin liên lạc của quý vị với nhà tuyển dụng của quý vị.
Cần Hỗ Trợ Ngôn Ngữ cho Huấn Luyện hoặc các Phúc Lợi Y Tế? Gọi đến Trung Tâm Nguồn Lực Thành Viên theo số 1-866-371-3200 hoặc gửi email www.myseiubenefits.org/contact-us và đại diện sẽ trả lời câu hỏi của quý vị bằng tiếng Việt.
Các khóa học Giáo Dục Thường Xuyên trực tuyến là cách thức dễ dàng và thuận tiện để đạt được số giờ CE mà quý vị cần khi là Hộ Lý Chăm Sóc Tại Nhà. Quý vị có thể xem các khóa học sẵn có, tham gia các lớp học và xem các tín chỉ của quý vị, tất cả từ máy tính của quý vị – 24 giờ một ngày, bảy ngày một tuần.
12 Ngôn Ngữ Ngoài Tiếng Anh cho Huấn Luyện và Kiểm Tra Chứng Nhận
Truy Cập Trực Tuyến để nhận Dịch Vụ và Hỗ Trợ Thuận Tiện
Ngoài ra, các học viên có thể gọi đến MRC để có được thông dịch viên các ngôn ngữ khác, người nào gọi trước thì được phục vụ trước.
Cổng thông tin web www.myseiubenefits.org là nguồn lực toàn diện 46
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Tiếng Hàn Quốc Tiếng Ả Rập Tiếng Lào Tiếng Quảng Tiếng Samoa Đông Tiếng Campuchia Tiếng Somali
Tiếng Tây Ban Nha Tiếng Nga Tiếng Tagalog
Tiếng Ukraina Tiếng Việt
Mua bảo hiểm y tế ngay hôm nay Hướng dẫn về Washington Healthplanfinder (Obamacare) dành cho quý vị
Washington Healthplanfinder (Obamacare) là gì? Nếu quý vị không đủ điều kiện nhận bảo hiểm y tế của Health Benefits Trust, Washington Healthplanfinder hoặc Washington Health Benefit Exchange là sàn giao dịch một điểm dừng nơi quý vị có thể so sánh và mua các chương trình bảo hiểm y tế hợp túi tiền, trong đó có cả Medicaid (Apple Health). Sàn này chỉ mở từ thứ Bảy, ngày 15 tháng 11 năm 2014 đến hết ngày 15 tháng 2 năm 2015. Để được bao trả chậm nhất vào tháng 1 năm 2015, hãy chọn chương trình của quý vị chậm nhất vào ngày 23 tháng 12 năm 2014.
Quý vị cần trợ giúp ghi danh? Trực tuyến hoặc qua điện thoại: 1.
Hãy tìm kiếm chương trình của quý vị ngay hôm nay tại www. wahealthplanfinder.org
2.
Hãy gọi số 1-855-WAFINDER hoặc 1-855-923-4633. Họ hỗ trợ với hơn 175 ngôn ngữ.
3.
Within Reach cũng có thể trả lời các câu hỏi của quý vị về các tùy chọn chương trình và trợ giúp ghi danh vào chương trình bảo hiểm y tế. Hãy gọi cho Đường Dây Nóng của Family Health theo số 1-800-3222588.
Sẽ mất bao nhiêu tiền? Quý vị có thể đủ tiêu chuẩn nhận bảo hiểm MIỄN PHÍ qua Medicaid. Medicaid bao trả cho người lớn, trẻ em và các gia đình có thu nhập thấp, một số người cao tuổi và người khuyết tật. Nếu quý vị không đủ tiêu chuẩn nhận Medicaid, quý vị vẫn có thể đủ tiêu chuẩn nhận bảo hiểm CHI PHÍ THẤP. Trung bình, mọi người trả khoảng $82 mỗi tháng.
Tôi nên chọn chương trình nào? Các chương trình hạng đồng sẽ có chi phí hàng tháng thấp nhất nhưng các khoản khấu trừ cao có nghĩa là quý vị trả nhiều chi phí tự túc hơn khi sử dụng dịch vụ. Các chương trình hạng bạc có mức chi phí hàng tháng trung bình, nhưng quý vị sẽ có các chi phí tự túc thấp hơn. Về lâu dài, chương trình này tiết kiệm tiền cho quý vị. Đối với hầu hết mọi người, chương trình hạng Bạc mang lại giá trị cao nhất.
Bảo hiểm mới của tôi sẽ bao trả những gì? Bất kỳ chương trình nào quý vị chọn đều sẽ bao trả các phúc lợi quan trọng này cho vợ/chồng và con cái của quý vị: Chụp quang tuyến vú • Các lần thăm khám bác sĩ • •
Toa thuốc
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Các Lần Thăm Khám Chăm Sóc Khẩn Cấp
Xét nghiệm ung thư cổ tử cung (xét nghiệm Pap)
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Khám sàng lọc cholesterol
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Chăm sóc thai sản & trẻ sơ sinh
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Khám sàng lọc huyết áp
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Sức Khỏe Tâm Thần
Khám sàng lọc ung thư đại trực tràng
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Chủng ngừa
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Nhập viện
Tôi cần đăng ký gì? •
Số An Sinh Xã Hội của mọi người sẽ có tên trong chương trình của quý vị.(Quý vị không cần thẻ thực – chỉ cần số.)
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Thông tin nhập cư.
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Thông tin thu nhập. Mẫu W-2 hoặc cuống phiếu lương gần đây có thể giúp ích.
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Bất kỳ thông tin bảo hiểm y tế nào hiện tại nếu quý vị có.
Tôi có cần gia hạn nếu tôi đã đăng ký vào năm ngoái? Bảo hiểm y tế hiện tại của quý vị sẽ tự động gia hạn. Tuy nhiên, quý vị có thể đủ tiêu chuẩn nhận thêm trợ giúp tài chính năm nay hoặc tìm được chương trình tốt hơn tại Washington Healthplanfinder. Có nhiều chương trình hơn để lựa chọn từ năm nay, vì thế chúng tôi khuyến nghị kiểm tra để xem quý vị có thể tìm thấy giao dịch nào tốt hơn không.
Hãy mua bảo hiểm y tế của quý vị ngay hôm nay tại WAHealthPlanFinder.org
Đích thân: 1.
Tìm kiếm điều phối viên đích thân trong khu vực của quý vị tại WAHealthPlanFinder.org hoặc myseiu.be/wanavigators
2.
Các sự kiện ghi danh đang diễn ra trên toàn tiểu bang. Tìm kiếm một sự kiện gần quý vị tại myseiu.be/ healthplanevents
Các thuật ngữ cần biết Phí bảo hiểm: Chi phí bảo hiểm hàng tháng của quý vị. Quý vị trả số tiền này ngay cả khi quý vị không sử dụng bất kỳ dịch vụ nào. Hãy coi nó như phí thành viên như Costco hoặc Sam’s Club. Khoản khấu trừ: Số tiền quý vị trả cho các chi phí y tế hàng năm TRƯỚC KHI bảo hiểm của quý vị bắt đầu thanh toán phần chi phí của bảo hiểm. Khoản đồng thanh toán: Số tiền cố định (ví dụ: $15) quý vị trả cho một số dịch vụ y tế hoặc thuốc. Không tính vào khoản khấu trừ. Khoản đồng bảo hiểm: Phần chi phí của quý vị (ví dụ: 20%) cho một số dịch vụ y tế SAU KHI thanh toán khoản khấu trừ của quý vị. Chi phí tự túc tối đa: Số tiền tối đa quý vị sẽ trả trong một năm cho các dịch vụ y tế của quý vị, không bao gồm các khoản nộp phí bảo hiểm. Trong Mạng Lưới / Ngoài Mạng Lưới: Các bác sĩ và nhân viên y tế mà bảo hiểm của quý vị sẽ trả tiền để quý vị đến thăm khám. INSIGHT MAGAZINE
WINTER 2014 47
215 COLUMBIA, SUITE 300, SEATTLE, WA 98104
WWW.MYSEIUBENEFITS.ORG
New foR SeIu 775 memBeRS! UIP offers lower rates on home, auto & more from superior insurance companies. You win, twice!
SEIU Members who call UIP for a FREE quote can receive 2 Movie Tickets or a Starbucks Gift Card.*
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cAll (800) 707-2360 • www.go2uIp.com/SeIu
*You must provide a copy of your current coverage to UIP to be eligible. Limited to two movie tickets/one gift card per household. Promotion is subject to change at anytime. Insurance products offered by United Agencies and its affiliates including United Insurance Partners Insurance Services, LLC. Certain restrictions apply. WA Lic. #014665.
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Auto • Home • RV • motoRcycle • BoAt
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