Teachers Health Trust Health Traxx: Volume 17 | Issue 3 | Summer 2018

TRAVEL SAFE

VOLUME 17, ISSUE 3

TRAVEL WITH HEALTHCARE IN YOUR HANDS

A HEALTHY SUMMER

LIGHTENED UP BBQ FAVORITES

THE DEL SOL SWANS

BRINGING A SCHOOL TOGETHER THROUGH DANCE

5 good reasons to call Grand Rounds Muscle and joint pains are treatable.

Call 1-800-975-3054 today.

Explore treatments for neck pain. Your Grand Rounds care team is standing by.

Get advice to ease shoulder pain at home.

Talk to a clinician over the phone.

Lower back pain?

Grand Rounds can connect you with the top specialists.

Take steps to ease foot pain. Even complex injuries are treatable.

Knee pain is often from wear and tear.

Get an expert second opinion, free.

Let Grand Rounds help.

Call or go online to start getting better. grandrounds.com/thtrust | 1-800-975-3054 A free health benefit from

contents SUMMER 2018 VOLUME 17, ISSUE 3

10

16

6

in this issue 4

RX SAVINGS SOLUTIONS

5

FREQUENTLY ASKED QUESTIONS

How to save money on your prescriptions

Your questions answered

6 8

DEL SOL SWANS

How dance is changing a school one pep rally at a time

SUMMER BOREDOM BUSTERS

Fill the summer days with fun

9 BACK TO SCHOOL

The third annual health fair is back and bigger than ever

10 A HEALTHY SUMMER

Lightened up BBQ favorites

12 WHO TO CALL

A handy guide on who to call when you need help

13 HOW TO CONNECT WITH YOUR PCP

Tips for how to form a relationship with your doctor

14 ARE YOU READY FOR DISASTER?

Items you need to pack in your emergency go bag now

16 TRAVEL SAFE

How to use your health plan while traveling

18 WELLDYNE RX

Prescription delivery service

19 IN-NETWORK REMINDER A spotlight on VSP

20 CONFLICT RESOLUTION Effective ways to help adolescents navigate the hard times

25 HOW TO: READ YOUR EOB

Understand how to read your explanation of benefits once and for all

FAQ

Looking to Save Money on Prescription?

Check out Rx Savings Solutions. This free benefit for you and your dependents provides transparency into prescription costs and options.

It’s a simpler way to save money at the pharmacy.

How to get started:

1.

2.

3.

ACCESS YOUR PORTAL

REVIEW YOUR SAVINGS

TAKE ACTION

Register for your benefit at myrxss.com or by downloading the Rx Savings Solutions app.

Medications you or your family take will be displayed, along with all options to maximize your savings.

When savings are available, you’ll receive instructions on how to share the options with your prescriber.

Don’t keep it to yourself.

Share the powerful prescription savings potential with your spouse and dependents over 18. All they have to do is register!

Questions? Contact Member Services.

Our Member teamTRAXX is staffed with Certified Pharmacy Technicians available to assist with prescription questions.

SUMMERServices 2018 | HEALTH

20 They can be reached Monday–Friday from 7 a.m.–8 p.m. CT at 1-800-268-4476 or info@rxsavingssolutions.com.

TEACHERSHEALTHTRUST.ORG

FA Q

YOUR QUESTIONS ANSWERED Q: If my assigned primary care provider is not available, what should I do?

A: This is a very good question. Don't freak out; there are a few different things you can do to obtain care. If a different provider in the same group as your assigned primary care provider (PCP) has an opening, take it. You will receive the same benefits as if you saw your assigned PCP, including the $10 copayment. If no other providers have openings, you can always use MDLive, which is the virtual care platform, where you can receive care the same day. You can find the number for MDLive on the Teachers Health Trust website, or on your ID card. You can also go to an in-network urgent care or Minute Clinic. If you are experiencing a true medical emergency, call 911 or go to an emergency room.

Q: How do I know when I need a referral?

A: There are certain specialties that do not require a referral, which can be found on the Teachers Health Trust website in the Plan Document. If you have questions or cannot find the information you need, call a Healthcare Advocate at (855) 404-9355 to walk you through the process.

Q: Can I go to any doctor to get my annual physical done?

A: With your current plan design, you can get an annual physical from any in-network provider. However, it's best to see your assigned primary care provider (PCP) for these services. One annual physical with your PCP is covered at no cost to you - not even a copayment! Any additional services besides the office visit may be subject to additional costs. Call a Healthcare Advocate at (855) 404-9355 for any questions.

More questions?

We’re here to help!

Member Services can answer your questions about benefits, claims, billing and more. Contact the team by email at serviceteam@teachershealthtrust.org, or by phone at (702) 794-0272.

SUMMER 2018 | HEALTH TRAXX TEACHERSHEALTHTRUST.ORG

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F E AT U R E S

Rock the house!

How a group of teachers stepped out of their comfort zone and brought a school together Written by: Meghan Bailey As Told By: Mailyn Montero

J

ust five weeks from the winter pep assembly, Del Sol High School’s student council advisor, Ramirez Martinez, thought outside the box to show the student body that teachers are people too. With the goal to humanize teachers, create memories and stir up some social media buzz, he turned to his colleague, Mailyn Monero. With the vision and purpose in place, Mailyn got to work recruiting teachers. “It was one of the easiest things I’ve ever done,” said Mailyn, “once the word was out, there wasn’t much convincing we had to do.”

After just 48 hours, the first Del Sol Swans dance troupe was formed.

For the next three weeks, three times

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a week for thirty minutes, teachers joined dance teachers, Lindsey Rogers and Sarah Sutter to learn their showcase number. “There were so many teachers out on the dance floor learning the steps,” said Lindsey Rogers, “we would record the routines and email them to all of the teachers, many of them wanted to practice at home too. They were very dedicated."

The morning of the big day proved to be nerve-wracking for the seventeen teachers getting ready to showcase their stuff at the assembly later in the day. “When students started to pack into the auditorium, we all looked at each other knowing that this was it,

the moment we’ve been waiting for,” said Mailyn.

The scene was set. A red carpet was rolled out on the auditorium floor, and seventeen teachers donning their signature black tutus, tights, leotards and mask and made their way out for the big debut.

When the music started to play over the loudspeaker, the student body began clapping trying to figure out what was going on. A one-minute number of spins and transitions ensued as they made their way over to the corner stage. It wasn’t until a little over a minute in that the white swan

joined them for a hip-hop showdown.

The students went crazy. “When we started the hip-hop portion, you would have thought we were a famous singer coming on stage for the first time,” said Sarah Sutter, “the reaction is everything we could have hoped for and more.”

What the Del Sol Swans didn’t realize is how taking part in this unique opportunity would change their lives physically and mentally. “We started to notice our stress starting to subside when we would practice,” Mailyn told us. “To be able to laugh at the end of the days, sometimes laughing so hard we would cry was an incredible stress relief. The added benefit of kickstarting our workout for the evening and showing some of the teachers how fun it can be to workout was the cherry on top.”

Around campus, the Del Sol Swans have become legendary.

The students bragged about their teachers all over social media, which only fueled the friendly competition among other high schools in the Las Vegas Valley. But, beyond the competition and exercise benefit, the original mission to humanize teachers worked. Students started approaching Del Sol teachers more often, asking for help with assignments or advice on things weighing on their minds.

By showcasing themselves and becoming slightly vulnerable, the

teachers at Del Sol raised the bar for their school to become closer knit, and that is something we could all twirl for.

What the teachers have to say: Nicole Pate, U.S. History Teacher Q: What was your first thought when approached to join the Del Sol Swans?

A: Oh man, the kids are going to love this!

Q: What did you think the response would be?

A: I thought they would laugh. I never thought it would go viral and get as much attention as it did.

Emily Boutros, Learning Strategist Q: What are you looking forward to the troupe doing next year the most?

A: I have no idea. I never know most of the dance moves. This year I learned to “stir-fry,” “chicken wing,” “plug walk” and so many others!

Tim Parker, Counselor Q: What health benefit did you notice once you joined the Swans?

A: I got in a lot more steps those days and burned more calories.

Q: What was your first thought when approached to join the Del Sol Swans?

A: It was going to take me out of my comfort zone, but I would do it again.

In fact, I reused my tutu during a 12k run in San Francisco.

Lindsey Rogers, Dance Director & Choreographer Q: Have you ever been on a dance team before?

A: Yes, I have been dancing since the age of six. It comes pretty naturally. I was so excited to share my talent with all who wanted to learn.

Q: How did you think the students would react?

A: I was very nervous about the reaction. You never know how the students will respond, but I was utterly enthralled by the response of the entire school embracing the moment.

Q: What are you looking forward to the troupe doing next year the most?

A: I am looking forward to coming up with something brand new and exciting and having an opportunity to continue friendship and exercise with my colleagues.

SUMMER 2018 | HEALTH TRAXX TEACHERSHEALTHTRUST.ORG

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F E AT U R E S

Summer

Boredom Busters Summer is a time of relaxation from all the hustle and bustle that you have during the normal school year. It's easy to get bored with all of the extra free time. Here are six things you can do this summer to kick boredom to the curb.

1. Find a change in scenery.

There is no better time of year than summer to branch out and head on a vacation. Whether you're heading to the beach or the mountains, it's always a good idea to try a new destination.

2. Head to the pool, lake or ocean.

Many of us prefer to spend time soaking up the rays and lounging around in the pool. Just remember to wear sunscreen to protect your skin from harmful UV rays while outdoors.

3. Make your health a priority.

With our busy lives, it sometimes hard to find time to go to the gym. That's why summer is a great time to jump start your fitness journey. Try working out or being active three to five times a week.

4. Find a new hobby.

Been looking for time to pick up guitar, photography or learn a new skill? Local colleges and craft stores often have workshops during the summer to help you start a new hobby.

5. Volunteer in your community.

Helping out your local community by voluteering is a great way to meet new people, expand your knowlege and make a positive impact in your community.

6. Just relax.

We often forget to just sit back and relax. The summertime is a perfect time to clear your mind and focus on you.

More Ideas to do with your kids 1. Bake cookies or healthy desserts 2. Plant a garden/flowers 3. Head to a waterpark

More Ideas to do with your Teens 1. Go on an outdoor adventure or camping 2. Volunteer at or run in a local 5K 3. Start a new television show or watch a movie

More Ideas to do on your own 1. Clean out your closet 2. Pick up trash at a park 3. Host a dinner party for friends and family

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Bring your family and join us at our annual health and wellness fair.

• • • •

Free health screenings Wellness vendors Kid-friendly activities Raffle prizes for school supplies, gift cards and more

Date: Saturday, July 14, 2018 Time: 9 - 11:30 a.m.

Location: TPC Summerlin 1700 Village Center Circle Las Vegas, NV 89134 *Goodie bags for the first 50 people at the event

By attending the Back to School Health and Wellness Fair you’re entered in Shop With A Teacher to win a $500 school supply shopping spree at Office Depot!

3rd Annual

RSVP for the Back to School Health Fair early on Facebook and earn an extra entry! More than one winner will be chosen.

* Shop with a Teacher is open to current and retired Clark County School District (CCSD) teachers who are Teachers Health Trust participants. Retired CCSD teachers may either choose a school or teacher to shop for during the event.

F E AT U R E S

A Healthy Summer

Delicious and healthy cookout dishes

Broccoli Slaw

Nutrition Info: Calories 80, Fat 3g, Saturated fat 1g, Protein 3g, Carbohydrate 9g, Fiber 3g

Ingredients

Directions Serves 6

4 slices turkey bacon, cooked, drained and chopped

1. Add yogurt, mayonnaise, vinegar, sugar, salt and pepper in large bowl.

1 12-16-ounce bag shredded broccoli or 1 ½ pounds chopped ¼ cup low-fat plain yogurt

2. Add water chestnuts, onion, bacon and broccoli

¼ cup reduced-fat mayonnaise 3 tablespoons cider vinegar

4. Chill until serving time.

1 8-ounce can low sodium sliced water chestnuts, rinsed and

5. Serve and enjoy.

coarsely chopped ½ cup finely diced red onion

From Eatingw

Ground black pepper, to taste

ell.com

3. Toss contents around to cover.

1/2 teaspoon salt

Roasted Potato Salad with Creamy Dijon Vinaigrette Nutrition Info: Calories 145, Fat 5.1g, Saturated fat .7g, Protein 2.9g, Carbohydrate 21.6mg, Fiber 1.5g

Ingredients

Directions Serves 8

2 pounds potatoes, cut into wedges

1. Place large heavy baking sheet in oven. Preheat the oven to 400 degrees (keep the baking sheet in oven as it preheats).

3 tablespoons olive oil, divided 2 tablespoons sliced garlic 1 teaspoon minced fresh thyme ½ teaspoon salt, divided om

From myrecipes.c

¾ teaspoon ground black pepper, divided 1 ½ tablespoons white wine vinegar 2 tablespoons minced shallots 2 teaspoons Dijon mustard 1 ½ teaspoons chopped fresh tarragon

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2. Combine potatoes, 1 ½ tablespoons oil, garlic and thyme in a medium bowl; toss to coat. Arrange the potato mixture on preheated baking sheet, and sprinkle with ¼ teaspoon salt and ½ teaspoon black pepper. Bake at 400 degrees for 30 minutes or until browned and tender, turning after 20 minutes.

3. Combine remaining 1 ½ tablespoons oil, remaining ¼ teaspoon salt, remaining ¼ teaspoon pepper, vinegar, shallots, Dijon mustard and tarragon in a small bowl, stirring well with a whisk. Drizzle dressing over potatoes.

Chipotle Apricot Grilled Chicken Thighs

Nutrition Info: Calories 294, Fat 7g, Saturated fat 2g, Protein 33g, Carbohydrates 26g, Fiber 0

Ingredients

Directions Serves 6-8

3 pounds bone-in chicken thighs 11 ounces apricot preserves

1. In a large bowl, add apricot preserves, chipotle peppers, paprika and water.

1 tablespoon diced chipotle peppers

2. Whisk together until combined and smooth.

in adobo sauce

3. Remove ¼ cup of the mixture and set aside for later.

½ teaspoon paprika ⅛teaspoon salt

4. Add chicken to bowl with sauce and toss to coat. Cover and marinate for 20-30 minutes.

¼ cup water

5. Preheat grill to medium high heat, about 375-400 degrees.

6. Place chicken on grill, skin side down first. Grill 4 minutes, then turn the chicken (still skin side down) 45 degrees and cook an additional 4 minutes. This will give you the nice grill marks.

From myrecipes.com

7. Flip the chicken and repeat this process. (4 minutes turn, 45 degrees and grill an additional 4 minutes) 8. Then move the chicken out of the direct heat and grill until the chicken’s internal temperature is 165 degrees, approximately 15-20 minutes.

9. Remove from grill and brush with remaining chipotle apricot glaze.

10. Serve and enjoy.

Broccoli Slaw

Here' how to make it. Serves 6

1 cup plain Greek yogurt

1. In a blender add Greek yogurt, raspberries, lemon juice, lemon zest and honey; blend until smooth.

12 ounce frozen raspberries ⅓ cup fresh lemon juice 2 teaspoons fresh lemon zest

2. Serve immediately or for a more solid consistency place in an air tight container and put in freezer for 1-2 hours and serve!

3 tablespoons honey

Fromjoyfulhealthyea

Ingredients

ts.com

Nutrition Info: Calories 100, Fat 4g, Saturated fat .2g, Protein 2g, Carbohydrates 16g,

Meet the Nutritionist - Mary Dunaway RD, LD, CDE As the sole owner of Anders and Dunaway Nutrition Consultants, Inc., Mary has been in private practice since 1999. Originally from Southern California, she graduated cum laude from Colorado State University with a degree in nutrition and dietetics. Mary has more than 20 years of experience working in a variety of settings, such as hospitals, long-term care, dialysis, community education and private consultation.

SUMMER 2018 | HEALTH TRAXX TEACHERSHEALTHTRUST.ORG

11

WE'RE HERE TO HELP When you have questions involving in-network providers, scheduling appointments, claims status, adding or removing dependents and more, do you know who to call?

At Teachers Health Trust, we have two teams dedicated to getting all of your questions answered quickly and clearly— the Healthcare Advocates and the Service Team. Both teams share a common goal of helping you navigate your healthcare and live your healthiest life.

Contact a

Contact the

HEALTHCARE ADVOCATE

SERVICE TEAM

if you need to...

if you need...

•

Find an in-network provider

•

To ask in-depth benefit questions

•

Confirm your primary care provider

•

Information about eligibility

•

Schedule appointments for complex care medical conditions

•

Answers about prescription refills

•

Get help with referral management and coordination

•

Information about prescription costs or co-pays

•

Find or file a Provider Change Request form

•

To add or remove dependents from a policy

•

Request, obtain or send medical records

•

Policy payment or reimbursement information

•

Discuss or enroll in Here’s to Health programs (diabetes,

•

Answers about claims or details about an explanation

heart health, high risk pregnancy and asthma/COPD) •

Ask questions regarding telemedicine or teletherapy Contact Healthcare Advocates P: (855) 404-9355 | E: WH_Advocates@hcpnv.com

of benefits •

To ask billing questions Contact the Service Team P: (702) 794-0272 | E: serviceteam@teachershealthtrust.org

HOW TO

CONNECT

pcp

WITH YOUR

An integral part of the Patient-Centered Medical Home (PCMH) model is the relationship with your primary care provider (PCP). Just as with any new relationship, it can take time to connect with a new doctor.

Y

our PCP is going to be your partner to better health by helping you coordinate your healthcare needs. It is important to start with a foundation of trust and honesty. Below are three tips to help you start building a great relationship with your PCP.

Bring your whole health history

Many times, people believe their PCP only wants to know about your medical history, your family tree (up to grandparents) and any medications you are currently taking. It is also important to share your whole medical history, including if you're experiencing mental or behavior health issues; have a family history of illness; suffer from high blood pressure; or have panic attacks. Sharing this information with your PCP is key.

Talk about your health goals in detail

For example, many patients believe telling their doctor they want to lose weight is enough, but without proper detail, it can be difficult for a doctor to personalize a care plan for you. Instead of telling your doctor you'd like to lose weight, tell them you want to lose X number of pounds by X date. Let them know what you are doing already, and then start the conversation around how to best meet your goals.

Discuss your lifestyle and ask for alternate ways to be connected

For example, share if you work unique hours or have to travel a lot. The best thing you can do is be honest and ask them if they offer virtual care visits, the ability to be seen after hours, etc. Telling your PCP about your schedule and lifestyle is a good way to set expectations and make sure you're on the same page.

It is important to make sure you schedule a 20-minute well visit for your first time meeting a new doctor. Do not feel rushed, and use that time to take a deep dive into your health and personal goals.

Doctors have heard it all; nothing should be embarrassing. If something is hard for you to talk about, you can write it down so you don't have to say it out loud. Your PCP's main goal is your whole health not to judge you.

SUMMER 2018 | HEALTH TRAXX TEACHERSHEALTHTRUST.ORG

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F E AT U R E S

Are you ready for

disaster?

PACK YO UR B A G

L

arge-scale emergencies happen and devastate entire cities in a matter of hours, as the world witnessed too frequently in 2017. Residents in cities like Houston, Tampa and Key West were flooded out of their homes, schools, businesses and even hospitals.

Fortunately, Southern Nevada has not recently experienced a large-scale disaster. Historically, Southern Nevadans face smaller scale emergencies such as floods, fires, extreme heat and cold exposure, though each can temporarily or permanently displace you and your family.

Although, it may be impossible to be prepared for everything that may occur during an emergency, you can definitely be more prepared to sustain yourself for 48-72 hours until help arrives.

How to Prepare for Disaster •

Have your emergency stash in one area in your home

•

Make sure your whole family knows where your stash is located Pack a backpack containing vital supplies that can last about 48-72 hours

• •

Create a second backpack for your car as well

•

Keep your plan simple and communicate it during family gatherings

•

Designate a primary and alternate meeting place in case of a city-wide emergency

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Cell phone and backup charger Cash Personal identification with copies for each member of your family Extra medications (especially lifesustaining medications such as insulin, with names and doses listed) List of important phone numbers, account numbers and emergency contacts Change of clothes Feminine hygiene products Compact blanket(s) Plastic trash bag (large) First aid kit Rope Flashlight and backup batteries One gallon of water Lightweight, shelve-stable snacks (jerky, honey packs, peanut butter packs, baby food and hard candy) Small Ziploc bag containing irreplaceable family mementos

SPRING 2017 | HEALTH TRAXX TEACHERSHEALTHTRUST.ORG

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F E AT U R E S

TRAVEL SAFE TRAVEL WITH HEALTHCARE IN YOUR HANDS Teachers Health Trust Performance Plus Health Plan participants are able to access medical and behavioral health providers 24 hours a day, seven days a week through our virtual care program powered by MDLive.

Providers can diagnose and treat conditions, such as the cold and flu, fever, strep throat, conjunctivitis (pink-eye), sinus infections, rashes and more. Also, teachers will have access to counselors and therapists to talk through everyday stressors, when the need arises.

You can access your virtual care benefits anywhere within the U.S. (except Arkansas), including three U.S. territories: Guam, Virgin Islands and Puerto Rico.

If you have any questions on how to register or when to use virtual care, you can call (866) 327-4873.

1 2

H OW TO

CREATE AN MDLIVE ACCOUNT

3

Open your web browser

(Safari is NOT compatible with any telemedicine platform. We recommend Chrome, Firefox or Internet Explorer.)

Enter the URL WellHealthOnline.com Click on the red ‘ActivateNow’ button.

Enter your Trust Member ID and date of birth to verify your identity.

Please Note: You have to enter your complete ID (example:00000123400).

The additional 00 after the Trust ID is needed to continue.

Fill out your personal information to register your account.

Once your account is created, you can download the MDLive app in the App Store or through Google.

W HAT IF I AM O U T O F S TAT E , C A N I GO TO AN EM ERGENCY ROOM ?

Yes, in the event of a true emergency, the out-of-network deductible is waived. There will still be a $250 copayment, and you will also be responsible for any amount over the eligible medical expenses (EME). For additional benefits and copayments, please contact Member Services at (702) 794-0272 or (800) 432-5859. If you need care but it is not a true emergency, you may utilize an urgent care with a $75 out-of-network copayment, or telemedicine with a $0 copayment.

I AM O U T O F T H E C OU N T RY, WHAT CAN I DO? If you are out of the country and you have an emergency or urgent issue, you can submit a reimbursement to the Trust.

You will need an itemized bill in English with medical records (if possible). Please also include receipt of payment with foreign currency converted to U.S. dollars.

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SUMMER 2018 | HEALTH TRAXX TEACHERSHEALTHTRUST.ORG

HO W TO

NAVIGATING DEDUCTIBLES, COINSURANCE & COPAYMENTS Understanding how your insurance works will give you the knowledge of when and how much you will need to pay for care.

Deductible A deductible is the amount you pay for healthcare services before your health insurance begins to pay.

The Performance Plus Plan’s deductible is $600 per individual or $1,800 per family per calendar year. That means for the services where your deductible applies (example: surgery), you'll pay 100 percent of your medical bills until the amount you pay reaches the appropriate deductible based on your personal circumstance. After that, you share the cost with your plan by paying coinsurance and copays.

Coinsurance Coinsurance is a participant’s share of the costs of a healthcare service. It's usually figured as a percentage of the amount the Trust has contracted to allow to be charged for services.

Copayment A copayment is a fixed amount you pay for a healthcare service, usually when you receive the service. The amount can vary by the type of service. You also have a copay when you get a prescription filled.

FOR EXAMPLE

Coinsurance Terry has been scheduled for outpatient surgery that's in-network. Once she meets her deductible, the plan will cover 80 percent of the surgeon's cost, and Terry will pay the other 20 percent – that's her coinsurance. So if the surgeon's bill is $10,000, Terry will first pay her $600 deductible, and then the plan will pay $7,520 (80 percent of the remaining amount) and Terry will pay $1,880 (20 percent of the remaining amount) coinsurance. This means Terry's grand total to have the surgery is $2,480.

If Terry goes to an out-of-network surgeon, her plan will still share the cost, but her deductible will be much higher and the percentage of coinsurance will be higher. With the same $10,000 bill, Terry will have to pay a $2,500 deductible, plus a 40 percent coinsurance of $3,000 and any amount over eligible medical expenses, meaning she will pay at least $5,500 total to have the same surgery.

Copayment Let’s say a doctor’s office visit has a copay of $20. The copay for an emergency room visit will cost more than a traditional office visit, $250 for an emergency and $400 for a non-emergency. For some services, you may have both a copayment and coinsurance.

SUMMER 2018 | HEALTH TRAXX TEACHERSHEALTHTRUST.ORG

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Member Materials

PRESCRIPTION DELIVERY SERVICE Prescription Delivery Service offers free delivery of medications to a convenient place – home, work, or doctor’s office. We recommend this service if you take a medication on an ongoing basis. Here’s what you need to know: Registering: Get started by registering for Prescription Delivery Service. You’ll need to provide insurance, contact, payment, and health information for you and your covered dependents.

Online: For 24/7 access to your benefit and prescription information, go to www.WellDyneRx.com and click “Members.” Select “Member Registration” to set up your account profile.

Sending Prescriptions: Your doctor must write your prescription for a 90-day supply (or the number of days your plan allows for mail service). There may be limitations on some medications, such as controlled medications, due to state and federal laws. Send your prescriptions to WellDyneRx: Electronically: This is the quickest way to fill your prescription. Ask your doctor to electronically send your prescription to WellDyneRx Prescription Delivery Service.

By Fax: 1-888-830-3608 or 1-877-221-1259.

Onlyprescribers may fax prescriptions to a pharmacy.

By Mail: Write your Member ID and date of birth on the prescriptions and mail them to WellDyneRx. Ordering Prescriptions: WellDyneRx offers several easy ways to order your prescriptions. We will send a reminder when it’s time to refill your prescription. The best time to order refills is when you have a 14-day supply of your medicine left.

Online: Order refills by going to www.WellDyneRx.com, click on the “Members” link, and then sign into your member portal.

By Mail: Mail your original prescriptions, with your Member ID and date of birth written on them, to WellDyneRx.

By Phone: Order through the WellDyneRx automated phone system at 1-888-635-7351, press 2. To access your account, you will be prompted to enter your date of birth, zip code and phone number.

By Mobile App: Order refills from the WellDyneRx mobile application. Go to mobileapp.welldynerx.com, or search for “WellDyneRx” in the iTunes App Store or Google Play Store.

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SUMMER 2018 | HEALTH TRAXX TEACHERSHEALTHTRUST.ORG

Payment: Payment is required with every prescription order. WellDyneRx accepts Visa, MasterCard, American Express, Discover, check, check by phone, or money order. We also accept payment cards for flexible spending and health savings accounts. Once you have registered, you can add or update your payment cards online or through our automated phone system.

Medication Preference: WellDyneRx substitutes FDA-approved generic equivalent drugs for any brand name medications ordered, if available and permitted by your doctor. A generic drug is a variation of a brand name that has the same effectiveness, quality, safety, and strength, as confirmed by the FDA. If you prefer to receive only brand medications and pay the additional cost, please contact Member Services.

Prescription Order Status: Check the status of your prescription order online or through the WellDyneRx automated phone system. We also send email alerts that include order information, refill reminders, and shipment notifications. Automated phone messages are available for select order statuses and refill reminders.

Member Services: Member Services representatives are available 24 hours a day, 7 days a week to answer questions and help with prescription orders.

Pharmacists are available for consultations 24 hours a day, 7 days a week if you have questions about your medication, including how to take it, what to do if you miss a dose, side effects or drug interactions. For medical emergencies, please call 911.

By Phone: 1-844-635-7351 1-800-900-6570 TT

Mailing Address: WellDyneRx P.O. Box 90369 Lakeland, FL 33804

F E AT U R E S

IN-NETWORK SPOTLIGHT ABOUT YOUR VISION BENEFIT In-network services are available from Vision Service Plan (VSP). Out-of-network services are also available, but your personal expense may be much greater if you receive services from an out-of-network provider.

This plan is designed to provide benefits for routine eye examinations, eyeglasses and/or contact lenses and primary eye care treated by a VSP optometrist. Primary eye care services (other than routine eye examinations for eyeglasses or contact lenses) rendered by a physician other than an optometrist or by an optometrist that is not in the VSP network will be processed under the medical plan.

BENEFIT

COPAYMENT DESCRIPTION & FREQUENCY

WELLVISION EXAM $20 Every calendar year Focuses on your eyes and overall wellness PRESCRIPTION GLASSES Frame $0 Every other calendar year $130 allowance for wide selection of frames $150 allowance for featured frame brands

20 percent savings on the amount over your allowance Lenses $0 Every calendar year

Single vision, lined bifocal and lined trifocal lenses Polycarbonate lenses for dependent children Lens Enhancements Every calendar year Standard Progressive Lenses $55 Premium Progressive Lenses $95-$105 Custom Progressive Lenses $150-$175 CONTACTS $0 Every calendar year (INSTEAD OF GLASSE S) $120 allowance for contacts and contact lens exam (fitting and evaluation)

15 percent savings on 20-25 percent on other lens exam

(fitting and evaluation) PRIMARY EYECARE $20 As needed; Treatment and diagnosis of eye conditions

like pink eye, vision loss and monitoring of cataracts, glaucoma and diabetic retinopathy. Limitations and coordination with medical coverage may apply.

FIND A VSP PROVIDER Access VSP’s website at vsp.com

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F E AT U R E S

Conflict Resolutions Approaches to Support Adolescents in Dealing with Relationships

P

arents have the unique opportunity to walk their child through adolescents. In the nearly two decades I have practiced therapy, many people have described this transition as being one of the toughest parts of their lives. Before I had children of my own, my uncle would tell me, “when your kids become teens, they fire you as a parent and you WANT them to hire you as a consultant.” I have found this to be true, both personally and professionally.

Adolescents as a stage of development, is marked by rapid physiological, as well as psychological growth. As such, it is a time when young people are learning about themselves by negotiating the boundaries and the value of relationships with peers and the adults around them. This includes parents. This period of development can certainly be tricky for the parent-child relationship. However, it can also be an amazing time to deepen that relationship by providing parental guidance, while allowing your child to make their own choices and possible mistakes. Making a mistake or experiencing failure is all a part of life, as it can be one potential outcome of trying or doing. Mistakes and failures help us grow and learn, for both children and parents. The question then becomes, when is the appropriate time to intervene and help out your adolescent with regard to one of their primary tasks – relationship building?

Conflict resolution is one very helpful skill to help your adolescent develop. For middle school and high school adolescents, there are some similarities and some differences. Since you know your child better than anyone, you can determine which ideas would work best for them.

In fact, many of these ideas can be useful for adults, adolescents and children to practice as well.

Conflict Resolution Skills

The “I” Statement - First and probably foremost of any conflict resolution skill set is using “I” statements. “I” statements are key in conflict resolution and productive communication in general. You, as the parent, express how you feel about the situation by using an “I” statement. You are now expressing your concern without putting blame on the adolescent. This also allows the adolescent to hear what you are saying without them becoming defensive. If you use the “I” statements and listen to your adolescent, they are more inclined to do the same technique, which will resolve or at least come to a shared agreement about the situation.

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Examples include: • I feel...when I see you do...hear you say...

• I am not understanding…what was said…what the need is...

• I would like to...

• I like…when I see…when I hear...when this is completed...

Restarting - Restating what your adolescent has said can help determine where the message may have been misinterpreted. This shows your adolescent you are actively listening to them, but may not understand what they are saying or asking. This will allow the adolescent to reframe what they were saying to help you understand it better.

Examples include: • I am sorry for blaming you for...

• I should not have yelled at you, and I’m sorry for doing that.

• You were right, I shouldn’t have assumed...

Times to Provide Guidance or Intervene

These are a few areas where you get to wear your consultant hat (or glasses, depending) and find out if your adolescent needs some guidance. Below are some areas that are common concerns that young people report while in counseling or treatment. You as a parent might be the

first person to see these concerns for your child and want to provide guidance or need to intervene: Dating Violence - Adolescent dating violence is serious and can look the same as adult domestic violence. It is a concern that has increased in the adolescent population in recent years. If you suspect your adolescent is experiencing dating violence with a partner, visit www.cdc.gov/features/ datingviolence and/or www.thehotline.org/2013/02/25/ dating-abuse-resources-for-teens, call 1-866-331-9474 (domestic violence hotline), or text “loveis” to 22522.

Examples include: • Stalking via phone calls, text messages and/or social media • Unnecessary jealousy • Name calling and/or placing blame on the adolescent • Physical violence • Sexual coercion/violence Bullying - Bullying is another area where your adolescent may need you to provide guidance or intervene. Social media’s presence has increased bullying behavior in our young people. Also, bullies can be teachers, coaches or other adults. If this is the case, it could be even more difficult for your adolescent to come forward about what they are experiencing. If you suspect your adolescent is being bullied, you should talk to your teen in a non-judgmental manner. Listen first to what they have to say. Watch their body language. If they deny any issues, but you continue to suspect, continue to ask at different times, until they feel comfortable trusting you with the information. Once your child can share this information with you openly, you will be in the best position to guide them on what to do. Listen and hear first, act and intervene after.

Signs your adolescent may be bullied: • Disinterested in clubs and/or sports they normally enjoy • Isolating themselves • Increased irritability • Talk down about themselves

Academics and Future - Many of their classwork and homework assignments may be beyond what you remember in school. While you might not be sitting with them side by side helping with school work, this does not mean you cannot help them prepare for their future.

Discuss different options with them about their life post high school. Some examples you can discuss include: • Universities or community college • Vocational training • Joining the Armed Forces/Peace Corp.

• Technical training may be a better fit for your adolescent than a traditional academic route.

• Look into in state tuition vs. out of state tuition, different scholarships and grants available through the state. Some of these cover vocational training as well. Journeyman or apprenticeship programs are still available through various unions.

Get them thinking about what kind of lifestyle they are looking to experience.

• Travel • What kinds of people they want to work with • Creating a family of their own • Having a pet • Service to the community • How they see themselves spending their time and/or their money • Their overall values

Conclusion

Think of the role you have now as a parent as something that is akin to a life guide. Those past tough all-nighters with your infant have slowly given way to the now tough conversations with your adolescent. Just as you developed closeness with your child by caring for them so intently when they were little, you are now developing closeness by deepening your understanding of who your adolescent is trying to become. This helps them understand who they are becoming too. Ultimately, the process is a gift to you both.

Meet The Writers Sasha DeCania: Program Director Sascha is a licensed Marriage and Family Therapist with a Masters of Science in Marriage and Family Therapy. She has practiced since 2002 with substantial work with families and children. Her specialty is abuse and trauma cases for ages 3 and up with extensive training in mindfulness. Sasha was named the Destinations for Teen Clinician of The Year Award Recipient 2017 and Women of Distinction Award in Medical and Healthcare Services 2018. She is a member of National Association of Women Business Owners and American Association of Marriage and Family Therapy Clinical member 2010. sdecania@destinationsforteens.com

Jennifer Lively-Pagliuca: Lead Counselor Jennifer has a masters and bachelors degree in social work and is a certified alcohol and drug abuse counselor. She is certified in trauma therapy; Prolonged Exposure Therapy (PET), Cognitive Processing Therapy (CPT) and Cognitive Behavioral Therapy-Trauma Focused (CBT-TF). She is also trained in Cognitive Behavioral Therapy (CBT) and Rational Emotive Behavioral Therapy (REBT). In the past, Jennifer has worked primarily with adults in the military for 12 years, where eight years were spent treating substance abuse. Jennifer has experience working with people struggling with domestic violence, human trafficking and homelessness in Clark County. She is CPR, First Aid and Pro-Act Certified. jlivelypagliuca@destinationsforteens.com

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Our passion for this profession reaches far beyond simply practicing good medicine. We find affirmation in a patient’s smile, a warm handshake, a jovial conversation. We believe in order to provide life-changing care for our patients, they first need to know how much we care about them. For us, it’s more than just a rewarding career— it’s a labor of love.

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❹ Employee: John Doe Member ID: XXXXX1234 Group Number: THT20660 Group: TEACHERS HEALTH TRUST Processing Date: August 18, 2017 Page 1 of 1 ❺ Monthly Explanation of Benefits

This is not a Bill ❻

A. Patients Name C. Service B. Type of Service Date(s) A. John Doe

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D. 300.00

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300.00

180.00

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M.

110.00

Patient Responsibility

10.00

Legend Explanation of Benefits ❶ TRISTAR (THT Third Party Administrator) ❷ Subscribers Name and Address ❸ THT’s Member Services ❹ Subscriber Information and processing date ❺ Explanation of Benefits ❻ Detail on how your claim (provider bill) is paid A. Patient’s name B. Type of Service ( Office Service, Specialist, Hospital, Surgeon) C. Service Date (Date of Service) D. Billed Charges (Total Amount the provider billed) E. Discount Amount (The Amount an Innetwork Provider discounts) F. Other adjustments ( When there is other insurance payments) G. Ineligible (The amount that is not covered and is member’s responsibility) H. Co-Pay (The fixed amount that you pay for a particular service)

I.

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