Takecare products&services booklet 122013

Healthcare that puts you in control.

SM

Prod ucts Services

671.647.3526 | www.takecareasia.com |

Revised 090513

TakeCare Products & Services

Table of Contents FHP One Stop Convenience Urgent Care Hours Urgent vs. Emergent FHP Radiology-MRI FHP Providers Consult A Doctor Patient Advocacy MyTakeCare Well Mommy Well Baby Program Wellness Programs TakeCare+Plus Affinity Rewards

OneStop

Convenience

Quality and professional health care you and your family deserve.

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Medical Care Dental Care Urgent Care Specialty Care Pharmacy OB/GYN Home Health Vision Care Radiology

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Laboratory

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Call today at (671) 646-5825.

Press 2 for appointments.

Discovery* MR750w 3.0T from GE Healthcare * Trademark of General Electric Company

At FHP, you come first.

SM

It’s all in the FHP family: Medical | Dental | Vision | Pharmacy | Radiology | Home Health | Urgent Care | Cancer Center | SurgiCenter | Occupational Health Services | Specialty

Extended Hours Whether your child has aches, flu or minor injuries, getting the non-emergency medical care you need is NOW even more convenient for you and your family.

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Extended hours from 7:00 am to 11:00 pm Every day, 7 Days a Week.* No appointments. Just Walk-in.

Everyone welcome. Most insurances accepted.

FHP Urgent Care provides full service, comprehensive care including laboratory, radiology and pharmacy in a comfortable and convenient location.

At FHP, you come first.

SM

671.646.5825 | www.takecareasia.com |

*Closed Christmas Day and New Year’s Day

TEL: 646-5825 WALK-IN MEDICAL SERVICES

LOCATED AT 548 SOUTH MARINE CORPS DRIVE TAMUNING, GUAM 96913 (AT THE ITC INTERSECTION)

Hours: Everyday 7 a.m. to 11 p.m.

What will you do if you or a loved one needs immediate medical care? Most of us answer, “Go to the nearest emergency room.” However ER wait times and out-of-pocket expenses are at an all-time high. Unless it is a true emergency, you will likely get quicker, quality medical care somewhere else. That is why it is important to know the difference between an Urgent Care and an Emergency Room visit in order for you to maximize your current health care benefit.

Here is a guide to help you decide.

URGENT CARE vs. EMERGENCY ROOM URGENT CARE Minor injuries and illnesses

EMERGENCY ROOM Severe injuries and illnesses

In general: If the illness is something you would normally see your family doctor for –but you cannot get an appointment right away or it is after hours, urgent care is the right choice.

Bring your insurance card & a photo ID.

In general: If the illness or injury seems more critical than something you would see your family doctor for or if you feel the emergency is life threatening, go to the nearest emergency room.

Sprains, strains, or possible broken bones

Complex fractures or bones protruding through the skin

Headache

Sore throats, coughs, ear infections, fever, flu symptoms Minor burns, lacerations requiring a few stitches, animal bites Worker’s compensation injuries

Head injuries or a sudden, very severe headache or loss of vision (could be the sign of a stroke) Chest pain or other heart attack symptoms– call 911 Serious lacerations, severe bleeding, poisoning Intoxication, overdose or attempted suicide

Call 911 immediately if someone is unconscious, having trouble breathing, has suffered a serious injury or may be having a heart attack.

It’s all in the FHP family: Medical | Dental | Vision | Pharmacy | Radiology | Home Health | Urgent Care | Cancer Center | SurgiCenter | Occupational Health Services | Specialty

Introducing the addition of the state-of-the-art Discovery* MR750W 3.0T MRI machine to our FHP Radiology imaging services.

This new MRI 3.0T machine is designed to help maximize patient comfort during MRI examinations.

671.646.5825 | www.takecareasia.com |

FHP Health Center

#548 South Marine Corps Drive, Tamuning, Guam 96913 (671) 646-5825

Medicare Healthcare Provider*

MEDICAL Urgent Care

Family Practice

Rozycki, Thomas, M.D.

Stanley, W. Ed, PA-C

Winter, William J., PA-C

Family Practice

Internal Medicine

Mariano, Maria Chela A., M.D.

Stratton, Walter, PA-C

Oncology

Chaudhry, Aftab A., M.D.

Orthopedics

Thebaut, Jr., Ben R., M.D.

Dulay, Marylou, M.D.

Kaufman, Karyn, PA-C OB/GYN

Supit, Edwin J., M.D.

Walton, Kimberly R., M.D.

Pediatrics

Leon Guerrero, Robert, M.D.

DENTAL General Dentistry

Kowal, Robert, D.D.S.

Duenas, Helena A., PA-C

Lee, Thomas K., D.D.S.

Sullivan, John, D.D.S.

McDonald, Jay, O.D.

San Nicolas, Marlene, O.D.

Sarmiento, Dennis, M.D.

Stadler, James, M.D.

Endodontic Dentistry

RADIOLOGY

Baugh, Dean, D.D.S.

Powell, Douglas A., D.O.

VISION CENTER

Dizon, Joel, O.D.

HEALTH CENTER SERVICES ·Health Education ·Home Health ·Hospice ·Laboratory

·Mammography ·OB/GYN ·Optical ·Oncology

·Pharmacy ·Radiology ·Surgi-Center

*List of Providers, in the TakeCare Network, accepting Medicare. A Medicare provider is a participating/contracted provider who accepts Medicare fees/rates as a basis of payment for their services.

This provider only bills you for any deductible and copayment/coinsurance amounts under your Medicare coverage. TakeCare Network Providers, identified herein as Providers who accept Medicare, are subject to change depending on whether the provider continues to accept Medicare covered members.

Consult A Doctor – 24/7 Access to Physicians by Phone and Online

Consult A Doctor provides 24/7 access to licensed on-island physicians via phone or secure email. Our services provide you with peace of mind, save you time and money, and offer you cutting-edge decision making tools to help you take greater control of your family’s health.

REVOLUTIONARY HEALTHCARE ACCESS. LOWER HEALTH CARE COSTS. 1-800-DOC-CONSULT (1-800-362-2667) www.consultadoctor.com Brought to you by

TakeCare Patient Advocate Team For the first time on Guam, a powerful new program for a higher level of care and service.

What is the TakeCare Patient Advocate Team?

A team of professionals 100% dedicated to delivering more customer-focused attention while at Guam Memorial Hospital.

The program – a first-of-its-kind on Guam – is designed for personalized support with understanding your TakeCare covered benefits. Patient Advocates have an expertise for benefit and billing inquiries and are the bridge between you and TakeCare’s Medical Management Team. Together, we provide exceptional service while ensuring national standardized levels of care.

You will be able to speak with your Patient Advocate to ask questions and feel confident we are documenting and facilitating your GMH inquiries every step of the way. Our Patient Advocates are available to answer your questions 24 hours a day, 7 days a week through our on-call service.

For nearly 40 years, TakeCare and FHP have provided quality health services and access to excellent medical providers and technology locally and off-island. Through the TakeCare Patient Advocate Team, we are raising the bar: working closer than ever with you and GMH to improve your quality of care.

Contact Information: Patient Advocacy Office P.O. Box 6578 Tamuning, Guam 96931 Tel: (671) 300-7248 (PA4U) Fax: (671) 647-3520 patientadvocacy@takecareasia.com 671.647.3526 | www.takecareasia.com |

C O N V E N I E N T

O N L I N E

P O R TA L

Access personal medical to your

and

health plan information.

My TakeCare , a new online portal where our members are able to access their personal medical and health plan information 24 hours a day, 7 days a week.

·Ability to reprint your member card.

With My TakeCare , you will be able to access valuable health and wellness resources through TakeCare’s Healthwise Knowledgebase, as well as manage your own personal health within My TakeCare health calendar.

·Ability to see claims information

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Visit

to register and log on.

·Ability to track your wellness regiment / program.

Well Mommy

Well Baby Program This program* is designed to provide educational support to pregnant women and their families and assist them to have a normal and healthy pregnancy. The program consists of one-on-one telephonic consultation with trained and skilled health care professionals who can provide guidance and support to pregnant women. Trained case managers are readily available to provide: • Phone-based pregnancy screening and education by an RN specialty case manager • Verbal and written educational information • Referrals to specialty care services when risk factors are identified.

Eligible participants can avail of the following services from highly trained perinatal nurse case managers: •A comprehensive risk assessment performed early in the pregnancy. If risk is identified, the nurse will discuss case management services with the member.

•Teaching is provided related to the member's specific diagnoses, warning signs of pregnancy and healthy lifestyles.

Lamaze Classes

Eligible participants have access to Lamaze classes available through TakeCare’s contracted certified Lamaze instructors. This consists of a well developed series of classes focusing on positioning for labor, breathing and relaxation techniques, as well as other relevant information for expectant mothers and their partners in preparation for labor and childbirth. Class fees are reimbursed when you participate in this program.

TakeCare Customer Service *Some restrictions apply. For more information, please call our customer service department at 647-3526.

Tel: (671) 647-3526 | Fax: (671) 647-3542 customerservice@takecareasia.com

WellnessProgram a. Diabetes c. Hypertension e.Weight Loss g. Anti-OxidantFoods i. Detoxification k. Medications

b. Insulin Resistance d. Cholesterol f. Body Metabolism h.Food Stimulants j. Stress Managment l. Blood Test Goals

Diabetes Management

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Getting Started: Meal Planning, Glucose Monitoring and Prevention Strategies

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Child Birth Class

Lamaze/Prenatal Care ■ Prenatal Care ■ Traditional Lamaze ■ Customized Course ■ Crash Course ■ Sibling Course

For more information please contact Sagua Managu at 647-1417/18.

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Free classes Free nutrition counseling and meal planning Free case management for close monitoring as recommended by primary care physician Free weighing scale for qualified patient Free educational materials to enhance patient’s knowledge on CHF

Cardiac Risk Management Hypertension and Cholesterol Management

To register for the Health Education Classes please call the Wellness Team @ 300-7161 or 300-7224 Monday through Friday from 8am-5pm or via email at wellness@takecareasia.com. *All Heath Education Classes are FREE to TakeCare Members unless otherwise specified. Referral is required from your primary doctor. Fax the form to (671)647-3541 or email to wellness@takecareasia.com.

No referrals necessary for 5 Days of Fitness classes.

671.647.3526 | www.takecareasia.com |

5 Days of Fitness Classes Offered Weekly Circuit Training Cardio Zumba Zumba Toning

Ballroom Dancing

Yoga

Tamure (Tahitian)

Water Aerobics

TRX Fitness

(No referrals needed to participate)

Nutrition Counseling

CHIP

Children’s Health Improvement Program

Experience fun-filled fitness with mom and dad Learn more colorful foods for a healthy tummy Enjoy family-oriented nutrition counseling Motivate other kids in achieving healthy goals

Well Mommy

Well Baby Program This program* is designed to provide educational support to pregnant women and their families and assist them to have a normal and healthy pregnancy. The program consists of one-on-one telephonic consultation with trained and skilled health care professionals who can provide guidance and support to pregnant women. *Some restrictions apply. For more information, please call our customer service department at 647-3526. *Some restrictions apply. For more information, please call our customer service department at 647-3526.

Weight Management Stress Management Meal Planning DASH/TLC Diets Carbohydrate counting Grocery Shopping Tips Food Label Reading Medical Nutrition Therapy

Smoking Cessation Program (3 consecutive class sessions)

Classes are free Referral required

(Primary Care Physician)

A Medicare Supplemental Plan that provides

Senior Citizens with active

Medicare Part A&B the benefit coverage for services *

that Medicare does not cover.

TakeCare Customer Service Department (671) 647-3526 or toll Free(877) 484-2411 Guam/CNMI: (24-hrs/7days a week) *All Active Medicare Part A & B members are eligible to enroll. Applicant must be a Guam or CNMI resident.

671.647.3526 | www.takecareasia.com |

4th quarter

The benefits of being a TakeCare member Simply present your TakeCare card at any of our Affinity Partners to receive a special offer or discount.

Restaurants:

Services/ Entertainment:

California Pizza Kitchen: 10% off all food and beverages

Blakes: receive 10% off any car rental or detail servicing

Restrictions Apply: Excludes alcohol. May not be combines with any other offer, promotion, or discount. Valid only on Guam.

Cappricciosa: $3 OFF on any purchase of $20 or more

KM Universal: 15% off Sundries 5% off STIHL Bushcutters, Chainsaws, and Outdoor Power Equipment East Island Tinting: 10% off all services including special promotions.

JWS: 5% discount off all domestic and commercial equipment.

G4S: Five percent (5%) discount on purchased and installed G4S Security System’s intrusion alarm systems or CCTV Surveillance system with service agent. *Call 646-2307 for FREE assessment. Must mention this promotion at the time of

Restrictions Apply: Excludes alcohol. Not inclusive of service charge. May not be combined with any other offer, promotion, or discount. Dine in only.

Mandara Spa: 25% off any of our 50 min and 80 min massages.

Beachin Shrimp: FREE iced tea with a purchase of an entrée Nana’s Café: FREE Iced Tea with every lunch entrée Jia Bistro: FREE Iced Tea with daily buffet (excluding Sunday)

Scoops: Buy One Waffle Cone, Get One FREE! Tony Roma’s: FREE side salad with every entrée.

Restrictions Apply: May not be combined with any other offers, promotion or discount. Dine in only.

Sagano Restaurant (at Onward Beach Resort): Affinity members and four (4) guests receive 10% off dinner.

Offer cannot be combined with any other special offers. Excludes special event dinners.

Caravel (at Onward Beach Resort): Affinity members and four (4) guests receive 10% off dinner. Offer cannot be combined with any other special offers. Excludes special event dinners.

Hy's Steak House: 15% discount off food and drink items from ala carte menu only.

Restrictions apply: The promotion is not to be used in conjunction with any other offers, promotion, or discount.

The Beach Bar & Grill: 10% off of food only.

Restrictions Apply: 1. EXCLUSION DATES: a. December 28th through January 5th b. Any scheduled chartered dates c. Promotional holidays (Mother’s/Father’s day) d. Golden week: May 1st through May 5th 2. These discounts cannot be combined with any other promotions

assessment to avail of this offer. Promotion only applies to Guam purchases and installation. *Excludes Couple massage and Mandara four hand massage.

Onward Beach Resort: Membership Club-Receive 5% off Annual Membership Rate.

Reef Magic of Guam: 10% OFF of admission price.

Restrictions Apply: 1. EXCLUSION DATES: a. December 28th through January 5th b. Any scheduled chartered dates c. Promotional holidays (Mother’s/Father’s day) d. Golden week: May 1st through May 5th 2. These discounts cannot be combined with any other promotions 3. No discounts on additional food or drink items

The Sandcastle: 15% OFF of admission price

Restrictions Apply: 1. EXCLUSION DATES: a. December 28th through January 5th b. Any scheduled chartered dates c. Promotional holidays (Mother’s/Father’s day) d. Golden week: May 1st through May 5th 2. These discounts cannot be combined with any other promotions 3. No discounts on additional food or drink items

Cocos Island resort: $3 OFF any adult ticket.

Restrictions apply: May not be combined with any other offer, promotion, discount.

Triple J Quick Lane: 15% OFF parts and service

Infusion: 50¢ off all cold or hot teas

We service all brands, makes, models. No appointment necessary. *Cannot be combined with

Outback: Choice of a free bloomin onion, cheese fries, or wings with the purchase of an entrée.

Sylvan Learning: $25 OFF on a skills assessment.

*Limit one offer per table. Cannot be combined with any other offer.

Truong’s Restaurant: FREE half order of lumpia with the purchase of an entrée.*Limit one offer per table. Cannot be combined with any other offer.

Proa Restaurant: Receive a half platter of Banana Fritters when you spend $25 or more. Restrictions Apply: Limit one per table.

Roasted: 10% off all food and beverages.

any other offer.

PHR Club: Annual membership fee is $350.00. Use promo code TAKECARE2013 and save $50 on your membership.You may apply for membership through PHR's secure website at http://www.phrclubguam.com.

For more information and terms and conditions, please refer to PHR website or email at info@phrclubguam.com.

Tango Theatres: 46 oz. popcorn and a 32 oz drink for $5.50 ( actual price is at $8.50 ) *Will need to present TakeCare Affinity Card to avail of the promo.

One (1) combo deal only per affinity card per day. Cannot be combine with any other promotions.

Island Eye: Receive up to $600.00 OFF LASIK Surgery.

Shopping:

*Please note: LASIK surgery is a cosmetic procedure and is not a covered benefit under your TakeCare medical plan.

Furla: 10% off regular priced items.

Bally: 15% off regular priced items.

FHP Pharmacy: Receive 10% off all over the counter products. *Cannot be combined with any other offer, discounts or specials.

Conditions Apply. For more information regarding the Affinity Rewards Program, please contact us at affinityrewards@takecareasia.com or call 646-6956 ext. 7108.

TakeCare: Healthcare that puts you in control.

SM

671.647.3526 | www.takecareasia.com |

www.takecareasia.com