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Partners in Health t Importan Plan Update!s Inside

Your 2016 Benefits Guide Healthy Ways to Avoid Holiday Blues Adding More Value to Your Plan and Lifestyle

Simple. Affordable. Personal. Your local health plan

A HEALTHY LIFESTYLE MAGAZINE | FALL 2015


contents FALL 2015

2016 BenefitS Guide Member Activities and Programs Page 4 2016 Annual Member Meetings Page 5 Benefits Summary Pages 6-9 Prescription Drug Benefits Pages 10-11 Extra Health and Wellness Services Page 12 New Fitness Program Vendor Coming on January 1 Page 15 Free Diabetes Meters and Test Supplies Available in 2016 Page 15

PREVENTION Healthy Ways to Avoid Holiday Blues Page 13 Get the Health Care You Need Page 14 Stay Healthy This Fall Back page

Refer Your Friend Do you have friends or family members who could benefit from the low monthly premiums and affordable coverage that Soundpath Health provides? If so, tell them about the plan benefits and convenience you enjoy as a Soundpath Health member. Enrolling is quick and easy to do. And now is the time to make the switch just in time for 2016. For more information, visit our website at www.SoundpathHealth.com or call 1-866-789-7747 today.

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Your Partner for Quality Health Care The best health care is based on a true partnership—between you, your doctor and your health plan. We are your partner in healthy living, dedicated to helping you get the most out of your health care so you can live your life to the fullest. Our mission, and our passion, is helping you make sound health care decisions. We take pride in partnering with our members to improve their health.

Your Health Plan Just Got Better Whether you are new to Medicare or an experienced plan member, you need a partner you can count on. At Soundpath Health, we design our benefits around the way you live and offer you simple, clear options along with reasonable, predictable costs. We Appreciate Your Membership We know that as a wise health care consumer, you have many health plan options from which to choose. That’s why we’re so grateful that you’ve chosen Soundpath Health as your Medicare Advantage plan. We’ve been providing affordable, quality medical coverage for Medicare beneficiaries since 2007. Together with our physicians, hospitals and other providers, we work hard to make available a health plan that is not only affordable but offers you more than what you get with Original Medicare. We’re local in Washington We’ve learned that bigger isn’t always better. We built our plan from the ground up with input from area doctors, hospitals and health care experts to provide locally minded health care. As a member-focused, not-for-profit organization, we strive to offer affordable Medicare Advantage services that meet your needs and fit your budget. Your Coverage Just Got Better Be sure to review the Annual Notice of Change and Evidence of Coverage booklets we recently mailed to your home. These documents outline the changes to your benefits in 2016. As we enter the 2016 Annual Enrollment Period (Oct. 15 – Dec. 7), please make sure to take the time to look through your plan materials carefully so that you fully understand any changes to your benefits. Our friendly, knowledgeable Customer Service staff is here to answer any questions you might have or help you find the plan to fit your needs in 2016.


Here are a few highlights from our 2016 plan benefits: • Predictable copays on many services • Preventive dental benefits included on several of our plans* • $1,000 annual per ear hearing aid allowance and routine vision included at no additional cost • No prescription drug coverage deductible

Your Soundpath Health plan will automatically renew at the beginning of the year, so there’s nothing you need to do to continue enjoying your health plan coverage benefits with Soundpath Health. As always, we are here to assist you with any questions you may have. Give us a call at 1-866-789-7747 or visit us online at www.SoundpathHealth.com to learn more. We are so grateful that our members choose to stay with us year in and year out. It tells us that we’re doing things the right way.

Soundpath Health is an HMO plan with a Medicare contract. Enrollment in Soundpath Health depends on contract renewal. This information is not a complete description of benefits. Contact the plan for more information. Limitations, copayments, and restrictions may apply. Benefits, premiums and/or copayments/ coinsurance may change on January 1 of each year. You must continue to pay your Medicare Part B premium. Call Customer Service at 1-866-789-7747 (TTY users should call 711). Soundpath Health hours of operation are 8:00 am to 8:00 pm, Monday – Friday and 8:00 am to 8:00 pm, Monday – Sunday, October 1 through February 14. *Available on the Charter+Rx and Sound+Rx plans only. Soundpath Health is licensed as a Health Care Service Contractor in Washington State. Y0113_2016_70MA0815_ALL CMS Accepted

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Opportunities for Fun and Fellowship Members come first at Soundpath Health. Throughout the year, we host regular activities and local events for our members. You have the chance to have fun with friends, and we enjoy meeting with you. This year, we’re excited to again offer many different ways to connect with us and other members.

Member Appreciation Events Our popular member appreciation events bring members together for fun at a local spot. From museum trips to baseball games to theater productions, we’ve sponsored events that show how much we value each and every one of our members. Annual member Meetings Designed with input from members like you, our annual member meetings give you a chance to ask questions about the plan. See the back page of this issue for a list of upcoming meetings. Member Advisory Committee Are you passionate about Soundpath Health? Or do you have suggestions that can help enhance the services that Soundpath Health has to offer? If so, we’d love to hear from you. Every quarter, Soundpath Health representatives meet with a group of volunteers to discuss how to improve your health plan and make sure our members have a positive experience. It’s a great way to learn from members like you about what’s working and what could be improved and to gain other valuable insights you might have. If you’re interested in applying to be a representative on this fun and engaging team, visit the Member Center at www.SoundpathHealth.com and fill out an application today. We look forward to hearing from you soon.

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Don’t Miss the Next Event ! For member event alerts and updates, check out our website, Facebook page, Partners in Health magazine or the e-newsletter Member Connections.


Annual Member Meetings

Join us for an upcoming annual member meeting to learn more about your plan benefits and changes for 2016. Registration is required. Register online at www.SoundpathHealth.com. Auburn Soundpath Health Corporate Office Executive Conference Room October 7, 10:00 a.m. Soundpath Health Corporate Office Executive Conference Room October 19, 2:30 p.m. Bellingham Hampton Inn Bellingham Executive Room 1st Floor October 6, 10:30 a.m. Hampton Inn Bellingham Executive Room 1st Floor October 6, 12:30 p.m. Hampton Inn Bellingham Executive Room 1st Floor October 27, 10:30 a.m. Hampton Inn Bellingham Executive Room 1st Floor November 2, 10:30 a.m. Hampton Inn Bellingham Executive Room 1st Floor November 10, 10:30 a.m. Hampton Inn Bellingham Executive Room 1st Floor November 17, 10:30 a.m. Hampton Inn Bellingham Executive Room 1st Floor November 19, 10:30 a.m. Blaine Blaine Senior Center October 16, 9:30 a.m. Blaine Senior Center November 13, 9:30 a.m. Bothell Riverside Landing October 17, 11:30 a.m. Chehalis Best Western Park Inn October 7, 10:00 a.m. Best Western Park Inn October 15, 3:00 p.m.

Best Western Park Inn October 19, 10:00 a.m. Everett Holiday Inn Express October 20, 12:30 p.m. Federal Way St. Francis Medical Office Building Conference Room B October 14, 11:30 a.m. St. Francis Medical Office Building Conference Room B October 29, 11:30 a.m. Ferndale Ferndale Senior Center October 14, 12:30 p.m. Ferndale Senior Center November 18, 12:30 p.m. Gig Harbor St. Anthony Hospital Conference Room A October 6, 11:00 a.m. St. Anthony Hospital Conference Room A October 28, 11:00 a.m. St. Anthony Hospital Conference Room A November 9, 11:00 a.m. Issaquah Gibson Hall October 29, 12:30 p.m. Kent Kent Senior Activity Center October 16, 11:30 a.m. Kent Senior Activity Center October 28, 11:30 a.m. Kirkland Evergreen Surgery and Physicians Center Tan 134 October 16, 11:30 a.m. Evergreen Surgery and Physicians Center Tan 134 October 28, 12:30 p.m.

Lacey Lacey Community Center October 20, 10:00 a.m. Lacey Community Center October 23, 1:00 p.m. Lakewood St. Clare Hospital Resource Center October 19, 11:00 a.m. St. Clare Hospital Classrooms A & B October 30, 2:00 p.m. St. Clare Hospital Classrooms A & B November 13, 11:00 a.m. Lynden Lynden Senior Center October 12, 1:30 p.m. Lynden Senior Center November 23, 1:30 p.m. Marysville Holiday Inn Express October 27, 12:30 p.m. Olympia Physicians of SW Washington 2nd Floor Board Room October 9, 12:30 p.m. Physicians of SW Washington 2nd Floor Board Room October 14, 10 a.m. Puyallup Puyallup Senior Center October 15, 1:30 p.m. Puyallup Senior Center November 4, 3:00 p.m. Redmond Old Redmond School House Community Center October 21, 12:30 p.m. Renton Renton Community Center October 23, 9:30 a.m.

Seattle Clarion Hotel Seatac Olympic Room October 9, 9:30 a.m. Polyclinic Broadway 1st Floor Conference Room October 12, 10:00 a.m. Virginia Mason Lindeman Pavilion Conference Room D October 14, 1:30 p.m. Senior Center of West Seattle Nucor Room October 15, 2:30 p.m. Highline Medical Center Somers Auditorium October 16, 9:00 a.m. Northgate Community Center October 19, 1:30 p.m. Snohomish Willis Tucker Community Center Vista Conference Room October 22, 12:30 p.m. Tacoma St. Joseph Medical Center Lagerquist Conference Room A October 20, 3:00 p.m. St. Joseph Medical Center Dining Rooms 1 & 2 October 24, 11:00 a.m. Fife Community Center October 26, 2:00 p.m. St. Joseph Medical Center Lagerquist Conference Room A November 4, 3:00 p.m. Wenatchee Red Lion Hotel October 16, 11:00 a.m. Red Lion Hotel October 26, 11:00 a.m. Yelm Yelm Prairie Hotel October 12, 10:00 a.m. Yelm Prairie Hotel November 9, 10:00 a.m. Fall 2015 5


2016 Benefits Summary

This chart shows what our 2016 plans offer members. Turn the page for more benefit details.

Plans

Monthly Premium

Medical Deductible

Out-of-Pocket Maximum

Alpine (HMO) Offered in Chelan, Douglas, Grant, King, Lewis, Pierce, Snohomish, Thurston and Whatcom counties

$43 monthly premium

No medical deductible

$4,700 out-of-pocket limit every year for all Medicare Parts A and B member cost sharing excluding Part D pharmacy

Charter+Rx (HMO) Offered in Chelan, Douglas, Grant, King, Lewis, Pierce, Thurston and Whatcom counties

$140 monthly premium

No medical deductible

$3,900 out-of-pocket limit every year for all Medicare Parts A and B member cost sharing excluding Part D pharmacy

Peak+Rx (HMO) Offered in Chelan, Douglas, Grant, King, Lewis, Pierce, Snohomish, Thurston and Whatcom counties

$0 monthly premium

No medical deductible

$6,700 out-of-pocket limit every year for all Medicare Parts A and B member cost sharing excluding Part D pharmacy

Sound+Rx (HMO) Offered in King, Lewis, Pierce, Snohomish, Thurston and Whatcom counties

$43 monthly premium

No medical deductible

$5,700 out-of-pocket limit every year for all Medicare Parts A and B member cost sharing excluding Part D pharmacy

HEALTH TIP

Your skin makes less vitamin D as you age. So, older adults run the risk of low levels. You may be even more prone to vitamin D deficiency if you: • Are obese • Have Crohn’s disease or celiac disease • Have dark skin Some people with a deficiency have subtle signs, such as bone pain and muscle weakness. Others may develop fractures. But many have no symptoms. If you fall into a high-risk group, talk with your doctor about your vitamin D levels. 6

Y0113_2016_99MA0715_9302 CMS Accepted


Primary Care Office Visits

Specialist Office Visits

$5 copay $0 copay for annual physical

Ambulance Services

Emergency Care

Medically necessary ambulance services

You may go to any emergency room if you reasonably believe you need emergency care

$45 copay

$225 copay not waived if admitted

$75 copay waived if admitted within 24 hours for same condition (includes worldwide coverage)

$5 copay $0 copay for annual physical

$35 copay

$215 copay not waived if admitted

$75 copay waived if admitted within 24 hours for same condition (includes worldwide coverage)

$15 copay $0 copay for annual physical

$50 copay

$275 copay not waived if admitted

$75 copay waived if admitted within 24 hours for same condition (includes worldwide coverage)

$10 copay $0 copay for annual physical

$50 copay

$225 copay not waived if admitted

$75 copay waived if admitted within 24 hours for same condition (includes worldwide coverage)

preventive dental coverage

Good dental habits can protect your overall health. Both Charter+Rx and Sound+Rx plans now offer coverage for preventive dental care. You have only a $10 copay per visit for the following: • 1 routine cleaning every six months • 1 fluoride treatment every six months • 1 exam every six months • 1 X-ray every six months Fall 2015 7


2016 Benefits Summary

Continued from previous page. See pages 10 and 11 for prescription drug benefits.

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Plans

Inpatient Hospital Care

Alpine (HMO) Offered in Chelan, Douglas, Grant, King, Lewis, Pierce, Snohomish, Thurston and Whatcom counties

$395 copay per day days 1–4 $0 copay per day days 5–90 $0 copay for additional days

Lab Services: $15 copay per day, per visit X-rays: $20 per day maximum Diagnostic Procedures & Tests: 20% coinsurance per day maximum Diagnostic Radiology Services (not including X-rays): 20% coinsurance Therapeutic Radiology Services: 20% coinsurance

Charter+Rx (HMO) Offered in Chelan, Douglas, Grant, King, Lewis, Pierce, Thurston and Whatcom counties

$325 copay per day days 1–5 $0 copay per day days 6–90 $0 copay for additional days

Lab Services: $7 copay per day, per visit X-rays: $20 per day maximum Diagnostic Procedures & Tests: 20% coinsurance per day maximum Diagnostic Radiology Services (not including X-rays): 20% coinsurance Therapeutic Radiology Services: 20% coinsurance

Peak+Rx (HMO) Offered in Chelan, Douglas, Grant, King, Lewis, Pierce, Snohomish, Thurston and Whatcom counties

$430 copay per day days 1–4 $0 copay per day days 5–90 $0 copay for additional days

Lab Services: $15 copay per day, per visit X-rays: $20 per day maximum Diagnostic Procedures & Tests: 20% coinsurance per day maximum Diagnostic Radiology Services (not including X-rays): 20% coinsurance Therapeutic Radiology Services: 20% coinsurance

Sound+Rx (HMO) Offered in King, Lewis, Pierce, Snohomish, Thurston and Whatcom counties

$395 copay per day days 1–4 $0 copay per day days 5–90 $0 copay for additional days

Lab Services: $15 copay per day, per visit X-rays: $20 per day maximum Diagnostic Procedures & Tests: 20% coinsurance per day maximum Diagnostic Radiology Services (not including X-rays): 20% coinsurance Therapeutic Radiology Services: 20% coinsurance

Diagnostic Tests, X-Rays, Lab & Radiology Services


Outpatient Services/ Surgery

Physical, Occupational, Speech & Language Therapy

Skilled Nursing No prior hospital stay required 100 days per benefit period

Routine Vision Services $120 limit for eyewear every 24 months

$250 copay at ASC* $350 copay at outpatient hospital facility $45 copay for outpatient clinic

$40 copay per visit

$0 copay per day days 1–20 $160 copay per day days 21–50 $0 copay per day days 51–100

$0 copay for 1 routine eye exam per year $25 copay for 1 pair of glasses, contacts or lenses $0 copay for 1 pair of standard eyeglasses or contact lenses after cataract surgery

$190 copay at ASC* $290 copay at outpatient hospital facility $35 copay for outpatient clinic

$35 copay per visit

$0 copay per day days 1–20 $160 copay per day days 21–45 $0 copay per day days 46–100

$0 copay for 1 routine eye exam per year $25 copay for 1 pair of glasses, contacts or lenses $0 copay for 1 pair of standard eyeglasses or contact lenses after cataract surgery

$295 copay at ASC* $395 copay at outpatient hospital facility $50 copay for outpatient clinic

$40 copay per visit

$0 copay per day days 1–20 $160 copay per day days 21–62 $0 copay per day for days 63–100

$0 copay for 1 routine eye exam per year $25 copay for 1 pair of glasses, contacts or lenses $0 copay for 1 pair of standard eyeglasses or contact lenses after cataract surgery

$250 copay at ASC* $350 copay at outpatient hospital facility $50 copay for outpatient clinic

$40 copay per visit

$0 copay per day days 1–20 $160 copay per day days 21–56 $0 copay per day for days 57–100

$0 copay for 1 routine eye exam per year $25 copay for 1 pair of glasses, contacts or lenses $0 copay for 1 pair of standard eyeglasses or contact lenses after cataract surgery

*Ambulatory Surgery Center

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2016 Prescription Drug Benefits

Here’s an overview of costs and coverage with plans that include the Medicare prescription drug benefit.

Plans

Deductible

Initial Coverage Limit

Gap Coverage

Catastrophic Coverage

Charter+Rx (HMO) Offered in Chelan, Douglas, Grant, King, Lewis, Pierce, Thurston and Whatcom counties

No prescription drug deductible

$3,310

$4,850 total out-of-pocket maximum

$2.95 copay for generic (including brand drugs treated as generic) and $7.40 copay for all other drugs, or 5% coinsurance

Peak+Rx (HMO) Offered in Chelan, Douglas, Grant, King, Lewis, Pierce, Snohomish, Thurston and Whatcom counties

No prescription drug deductible

$3,310

$4,850 total out-of-pocket maximum

$2.95 copay for generic (including brand drugs treated as generic) and $7.40 copay for all other drugs, or 5% coinsurance

Sound+Rx (HMO) Offered in King, Lewis, Pierce, Snohomish, Thurston and Whatcom counties

No prescription drug deductible

$3,310

$4,850 total out-of-pocket maximum

$2.95 copay for generic (including brand drugs treated as generic) and $7.40 copay for all other drugs, or 5% coinsurance

Hearing Health Program from Hearing Care Solutions

Loud noises, such as traffic sounds, lawn mowers and power drills, can damage the delicate structures in your ears. Add to this the normal age-related changes that occur in the ear, and you have the recipe for hearing loss. That’s why we’ve created a Hearing Health Program just for you. What you get: • Annual hearing exam at no charge (from a Hearing Care Solutions provider) • Two-year supply of batteries at no charge and three-year comprehensive warranty, including loss and damage • Four levels of technology, priced from $675 to $1,750 • 30-day hearing aid evaluation period • Fixed, discounted pricing on hearing aids from major manufacturers • No-interest, free financing for up to 12 months for qualified applicants To schedule your free hearing exam, call 1-866-344-7756 or for more information, visit www.HearingCareSolutions.com.

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Prescription Drug Tiers and Coverage

Below is what you can expect to pay for prescriptions in each level, or tier, of our formulary at network pharmacies.

Plans

Tiers

Retail or Mail Order 31-Day Supply

Retail or Mail Order 62-Day Supply

Retail 93-Day Supply

Mail Order 93-Day Supply

Charter+Rx

Tier 1 Tier 2 Tier 3 Tier 4 Tier 5

$4 $20 $47 35% coinsurance 33% coinsurance

$8 $40 $94 35% coinsurance 33% coinsurance

$10 $50 $117.50 35% coinsurance 33% coinsurance

$12 $60 $141 35% coinsurance 33% coinsurance

Peak+Rx

Tier 1 Tier 2 Tier 3 Tier 4 Tier 5

$4 $20 $47 35% coinsurance 33% coinsurance

$8 $40 $94 35% coinsurance 33% coinsurance

$10 $50 $117.50 35% coinsurance 33% coinsurance

$12 $60 $141 35% coinsurance 33% coinsurance

Sound+Rx

Tier 1 Tier 2 Tier 3 Tier 4 Tier 5

$4 $20 $47 35% coinsurance 33% coinsurance

$8 $40 $94 35% coinsurance 33% coinsurance

$10 $50 $117.50 35% coinsurance 33% coinsurance

$12 $60 $141 35% coinsurance 33% coinsurance

Tiers Explained

Our drug formulary is divided into five levels, or tiers. Each tier is for a different drug type. The amount of coverage for a drug is determined by which tier it’s on.

Tier 1 Tier 2 Tier 3 Preferred Generic Drugs Generic Drugs

Your plan now includes coverage for hearing aids. There’s no copayment required, and we’ll cover up to $1,000 per ear toward the purchase of aids from Hearing Care Solutions.

Tier 4

Preferred Brand Drugs

Hearing Aid Coverage

Non-Preferred Brand Drugs

Tier 5

Specialty Drugs

Soundpath Health is an HMO plan with a Medicare contract. Enrollment in Soundpath Health depends on contract renewal. This information is not a complete description of benefits. Contact the plan for more information. Limitations, copayments, and restrictions may apply. Benefits, premiums and/or copayments/coinsurance may change on January 1 of each year. You must continue to pay your Medicare Part B premium. The formulary and/or pharmacy network may change at any time. You will receive notice when necessary. Soundpath Health is licensed as a Health Care Service Contractor in Washington State. Fall 2015 11


2016 Benefits Guide

Adding More Value to Your Plan and Lifestyle as progressives, are offered at a Soundpath Health wants to give discount of 20 to 25 percent. you all the tools you need to start • Additional pairs of glasses or or maintain a healthy lifestyle. As a sunglasses are offered at a Soundpath Health member, you have 20 percent discount when using a access to additional benefits that are VSP vision provider. included in your plan at no extra cost. • Need Lasik surgery? Use a VSP provider and get an average 15 Vision Care to 20 percent discount on laser Annual routine eye exams are an surgery. important part of your overall health care. With VSP vision coverage, you’ll • No copayment for Medicarecovered glaucoma tests. get personalized care that focuses on your eyes and overall wellness. The coverage also provides great savings, Information about VSP and eye care is available by calling 1-800is simple to use, and offers the latest 877-7195 or visiting www.VSP.com. eyewear styles and brand names. What you get: • No-cost annual routine eye iRx Prescription Drug Discount examination. Program • A $120 hardware allowance toward We’re proud to be able to help the purchase of vision hardware you with your health care costs like eyeglass frames or contact by including the iRx ProgramTM lenses, with a low $25 copay (every inside your Soundpath Health ID 24 months). card at no cost. This program gives • With VSP’s vision coverage, you discounts on brand-name and your basic lenses are covered generic prescription medications not in full. Any lens options, such covered by your insurance*. 12

What you get: • Instant savings with no qualifying • Accepted at more than 60,000 participating pharmacies • Absolutely no enrollment fees and no monthly or ongoing fees • There’s no limit to the number of times the program can be used • And best of all, you already have it! It’s in your Soundpath Health ID card. *Savings average 25 percent, with potential savings of up to 75 percent—based on 2014 national program savings data. DISCOUNT ONLY—NOT INSURANCE. To learn more about these benefits, call 1-866-789-7747 or visit www.SoundpathHealth.com. As your partner in health, Soundpath Health is committed to providing you with the tools, resources and benefits you need to live a healthy, long life.


Healthy Ways to Avoid Holiday Blues During the holidays, does it feel like everyone is celebrating except you? The holidays can be an emotional time for many. Try these tips to navigate the season successfully.

Keep your expectations realistic You may feel pressure to take on more tasks than you have energy for or give more gifts than you can afford. Overextending yourself and not being able to follow through can make you feel worse. Only commit to those things you know you’ll be able to do. If other people ask more of you than you can handle, you can always say no. Make time for exercise When you’re active, your brain releases chemicals that improve your mood and decrease stress. Exercise protects your mind, too. Experts recommend 150 minutes of moderate-intensity exercise, such as brisk walking, each week. Talk to someone You don’t have to go it alone. Talk about your problems with someone close to you, such as a friend or family member. It can help you feel better. They may also help you think of your problems in a new way and recommend solutions you haven’t considered before. Be honest with your doctor, too. Tell him or her what you’re going through. There are treatments for depression that can help. Take care of yourself When you treat your body right, you’re able to deal with problems more easily. Don’t skimp on sleep. Avoid sugar and caffeine. They can cause a dip in your energy level and leave you feeling worse. And fill your diet with health-boosting foods like fruits, vegetables, beans and whole grains.

Switching Primary Care Providers? One of the things you enjoy as a Soundpath Health member is the convenience and flexibility to choose your own primary care provider. We know that, for various reasons, people may change primary care providers. But did you know that if you switch primary care providers, you need a new plan ID card? If you’re looking to switch or have already switched your primary doctor, call 1-866-789-7747 so we can send you a new ID card with your most current information. Medicare requires that your ID card be current so that your benefits are administered properly. For example, if you switched primary care providers and started seeing this new doctor, but your ID card lists another doctor instead, you may be subject to a different copay than the low primary care provider copay you currently pay. At Soundpath Health, we want to make sure that it’s easy to get the care you need, when you need it, and from the doctors you trust. If you have questions about how to switch or would like to switch primary care providers, please call us at 1-866-789-7747.

Now Partnering with Highline Medical Services

Do you live in SW King County? If so, you’ll be pleased to know that Soundpath Health’s network just got bigger! Highline Medical Services Organization (HMSO) is now part of our expanding network of providers. That means you now have even more provider options—for primary care providers, specialists, inpatient and outpatient hospital care, and other comprehensive medical services. For more information, or to find a provider, visit our website at www.SoundpathHealth.com. Fall 2015 13


prevention

Get the Health Care You Need Your doctor may hold the medical degree, but no one knows your health better than you. That’s why it’s important to partner with your doctor and to become involved with your care. Seeing your doctor regularly for routine medical care, asking questions and gaining a better understanding of your health can help you stay well and prevent future problems.

Stay on Top of Preventive Care An easy way to engage in your care and build a partnership with your doctor is to schedule an Annual Wellness Visit with him or her. With Medicare Part B, an Annual Wellness Visit is covered, and you pay nothing for the visit. During this visit, you will work

with your doctor to create a plan that outlines what you can do to improve your overall health. For example, you can talk about ways to increase your physical activity or barriers that are keeping you from being as active as you’d like. You can also discuss your diet and ways you could improve it to meet certain goals. If you need to lose weight, for instance, your doctor may recommend some changes like filling up on a variety of fresh fruits and vegetables or creating lowercalorie versions of favorite meals. Your doctor may also advise you to have certain health screenings as part of your wellness plan. Medicare Part B covers a wide range of preventive screenings, including: • Bone density • Cardiovascular disease

Ze’ev Young, M.D. Medical Director for Soundpath Health • Diabetes • Mammographies • Colorectal cancer • Glaucoma tests • Prostate cancer If you receive a flu shot, hepatitis B vaccine or pneumococcal shot, those are covered, too.

Plan in Advance for Regular Care For conditions like heart failure, your doctor may also advise more frequent visits to check on your health. Making appointments for wellness visits or follow-up care in advance can ensure that you get in to see your doctor when you want to and won’t have to wait. You’ll have the care you need to live a longer, healthier life.

Visit the Wellness Resources section of our website for information to help you live healthy, including recipes, disease management tips, videos and more! 14


New Fitness Program Vendor Coming on January 1 Keeping fit is an important part of one’s overall health. Beginning January 1, all Soundpath Health members will have access to the Silver&Fit program. Did you know that as a Silver&Fit member you can go to a fitness club or exercise center and not pay a thing? It’s true. Some have classes designed for older adults that you might like. You can also enroll in the Home Fitness program and choose up to two Home Fitness Kits per year. These kits may include DVDs, guides and other items to help you get fit. If you participated in the Silver Sneakers program, you will receive a letter and an enrollment flier/ fitness card from Silver&Fit in November or December. You will also be able to print a fitness card at www.SilverandFit.com, or you can call the Silver&Fit program at 1-877-427-4788 (TTY/TDD 1-877-710-2746) to request one. You need to show this fitness card at your gym and let them know you’re now a Silver&Fit member. You can ask any

participating fitness facility to enroll you in the Silver&Fit program at no cost to you. As a Soundpath Health member, you have access to the Silver&Fit website where you can track your exercise through many wearable fitness devices using the Silver&Fit Connected!™ tool. Members also have access to the Challenges website tool and the ability to earn rewards by exercising. Once you have enrolled in Silver&Fit, you may review Healthy Aging educational materials available online or, if requested, by mail, as well as the Silver Slate® newsletter. It provides useful information about health and fitness. Silver&Fit is a federally registered trademark of American Specialty Health Incorporated.

To find out if your current fitness facility participates, or to register for the new program, call Silver&Fit at 1-877-427-4788 or visit www.SilverandFit.com.

!

Free Diabetes Meters and Test Supplies Available in 2016 Starting January 1, Soundpath Health will only cover Abbott blood glucose meters and test strips. Abbott makes both the FreeStyle and the Precision Xtra. All other products will NOT be covered. Soundpath Health will replace your current blood glucose meter at no cost. By using one of the meters and test strips from Abbott, you will have no-cost sharing. Getting a new meter is quick and easy when you do one of the following. Simply ask your doctor for a new prescription and bring it to your local network pharmacy or your pharmacist. Or call Abbott Diabetes Care at 1-866-224-8892 or visit them online at www.ChooseFreeStyle.com to get a free meter. Fall 2015 15


Learn about your benefits, get health tips and more!

Soundpath Health PO Box 27510 Federal Way, WA 98093

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Visit us online: www.SoundpathHealth.com

Health and wellness or prevention information

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Stay Healthy This Fall There are many ways to celebrate the fall season. Perhaps you like to walk or jog along local paths or have friends and family over for a special meal. Taking a few precautions may help ensure you feel your best for every moment.

Protect Against Colds and Flu Many holidays are celebrated in the fall and winter—right at the height of cold and flu season. Getting immunized is the best way to reduce your risk for the flu. While there’s no guaranteed way to keep from catching a cold-causing virus, you can make it less likely by washing your hands frequently. Also, eat a balanced diet, don’t smoke and get plenty of sleep and exercise. You’ll be less likely to get sick if your resistance is up.

Did You Know? ! Medicare covers the cost of annual flu shots and other preventive services to keep you healthy.

Manage Chronic Conditions When life gets hectic, it can be trickier to care of yourself when you have a long-term condition such as diabetes or a respiratory condition. Your doctor can help you plan ahead for specific challenges. Here are other things to keep in mind: • If you’re traveling, pack medicines in a bag that you can carry with

you. Make sure you check and comply with Transportation Security Administration guidelines. Don’t forget to pack extra medicine and supplies in case they aren’t available at your destination or you’re away longer than planned. • Before staying with family or friends, ask about smoking habits if you have asthma or chronic obstructive pulmonary disease (COPD). Tell your hosts about anything else that may affect your condition. At a hotel, request a nonsmoking room. • Cold air may trigger an asthma attack or angina. Be prepared if you’re spending time outside by having easy access to your asthma or heart medicine. • Watching what you eat and drink may be an important part of your treatment plan, especially if you have high blood pressure or diabetes. To help you stick with your plan, try taking slivers of your favorite foods instead of full servings if there’s a buffet. When you mingle, avoid standing near the food tables. If you have diabetes and are drinking alcohol, keep your intake in a safe range.

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Partners in Health Fall 2015 final  

Partners in Health Fall Edition 2015, from Soundpath Health

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