Kathleen Christian, M.D., medical director for the Center for Breast Care, and Heather Christensen, M.D.,

Women’s Health, team captain for Mayo Heartland Express, celebrate the team’s great day of racing.

P.O. Box 188La Crosse WI 54602-0188

healthtradition.comVolume 20, No. 4 » FALL 2014 HealthTradition.com or Customer Service 1-877-832-1823

Healthmate Health Tradition Health PlanA Mayo Clinic Health System Choice in Wisconsin

Health Tradition Health PlanA Mayo Clinic Health System Choice in Wisconsin

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Breast Cancer Awareness Month Have You Scheduled Your Mammogram?

WELCOME MEDICAID & BADGERCARE

MEMBERSto the Healthmate

newsletter!October is National Breast Cancer Awareness Month. Breast cancer is the second most common kind of cancer in women. About 1 in 8 women born today in the United States will get breast cancer at some point. The good news is that many women can survive breast cancer if it’s found and treated early. In fact, when breast cancer is detected early, the five-year survival rate is 98 percent.

« If you are a woman age 40 to 49, talk with your primary care provider about when to start getting mammograms and how often to get them.

« If you are a woman age 50 to 74, be sure to get a mammogram every one to two years. Talk to your primary care provider to schedule your mammogram. If you are between the ages of 50 to 74 and have not had your mammogram in the last two years, please call 608-392-9822 to schedule your appointment today!

Don’t let convenience stop you from getting a mammogram. Mayo Clinic Health System – Franciscan Healthcare offers a mobile mammography unit for appointments close to your home – including some worksites. The modern, deluxe unit is self-contained with everything needed to provide digital mammography right in your community. Of course, permanent site mammography is also offered in many of our locations.

Talk to your primary care provider about your risk for breast cancer, especially if a close family member of yours has had breast or ovarian cancer. Your health care provider can help you decide when and how often to get mammograms and help you create an early detection plan. For more information on early detection and creating a personalized plan visit: earlydetectionplan.org.

State of Wisconsin Members Only: The Mayo Clinic Health System - Northland, Eau Claire, Oakridge, Chippewa Valley and Red Cedar providers and facilities are NOT included in the Health Tradition Health Plan network for the State of WI employees and dependents.

BadgerCarePlus Members: Some of these providers may not be considered “in-network.” Check your plan’s provider directory at healthtradition.com and click on the BadgerCarePlus plan or call your member advocate at 800-545-8499.

Brian W. Rotty, Interim Executive DirectorMartha Binn, MD, Medical Director Tiffany Gulinson, DO, Associate Medical Director Michael Eckstein, Director of Sales & MarketingDavid Weichert, Director of Administration and Clinical Quality

The purpose of Healthmate is to inform and communicate with health plan members. Please submit suggestions or ideas to: 1808 East Main Street / Onalaska, WI 54650

Health Tradition Health PlanA Mayo Clinic Health System Choice in Wisconsin

BOSCOBEL, WIBoscobel Area Health Care» MaryRuth Salazar-Tier, MD Family Medicine» Farhat Khan, MD Internal MedicineCHIPPEWA FALLS, WIMayo Clinic Health System – Chippewa Valley» Taiwo Kanu, MD Internal Medicine» Rick Klein, DO Family MedicineDURAND, WIDurand Clinic South» Enoch Arhinful, MD Internal MedicineEAU CLAIRE, WIMayo Clinic Health System– Luther Campus» Sara Boughton, LCSW Behavioral Health

» Chetna Mangat, MD Pediatrics» Jonathan Thompson, DPM PodiatryMayo Clinic Health System– Clairmont Campus» Christina Miller, OD OphthalmologyHOLMEN, WIMayo Clinic Health System- Franciscan Healthcare» Chad Kritzberger, MD PediatricsLA CROSSE, WIMayo Clinic Health System- Franciscan Healthcare» Sasha Fach, DO Osteopathic Manipulative Medicine» Thomas Bramwell, DO Orthopedic Surgery» Chelsea Ale, PhD Child/Adolescent Psychology

» Rebecca Scarseth, DO OB/GYN» David Valencia, MD Otolaryngology (ENT)ONALASKA, WIStein Counseling and Consulting Services, LTD» Valerie Kokott-Rebhahn, LPC, Professional CounselorOSSEO, WIMayo Clinic Health System – Oakridge» Stacy Ayres, FNP Family MedicineRED WING, MNMayo Clinic Health System» Stacie Darke, LMFT Marriage and Family TherapyREEDSBURG, WIReedsburg Area Medical Center» Gerry Chrabaszcz, MD Orthopedic Surgery

» Eric Klingbeil, MD General Surgery» Alan Ramsey, MD Family Medicine» Todd Schad, MD OB/GYN» Linnea Smith, MD Internal Medicine» Dean Fochios, MD Orthopedic Surgery» Kevin Hibbett, MD General Surgery» Amy Bernards, PA-C Physician Assistant

RICHLAND CENTER, WIRichland Medical Center, Ltd» Nicole Grossen, PA-C Physician AssistantTOMAH, WITomah Memorial Hospital» Robert Hulburt, DO Family Medicine» Jessica Schield, PA-C Physician Assistant

WINONA, MNWinona Health Services» Kathryn Frie, RN, CNP Adult Nurse Practitioner» Katie Halder, RN, CNP Family Nurse Practitioner

New Providers

IMPORTANT:

HTHM097 © 2014, Health Tradition, Inc.

healthtradition.com or Customer Service at 1-877-832-1823

NOTE: The providers in Hillsboro (St. Joseph’s Hospital and Clinics) can only be accessed at a St. Joseph’s Hospital or Clinic location.

Health Tradition may not provide coverage by these providers at other locations.

For a current list of provider updates, visit: healthtradition.com and click on the mmsiservices.com link.

ARCADIA, WIMayo Clinic Health System- Franciscan Healthcare» Hans Von Weiss, DO Dermatology» Timothy Cox, MD Family Medicine» Joseph Behn, MD Family Medicine» Cindy Glennie, RN, CNP Gerontologic Nurse Practitioner» Cynthia Dooley Pehler, DPM, PodiatryBLOOMER, WIMayo Clinic Health SystemChippewa Valley» Mohammed Aminu, MD Family MedicineBOSCOBEL, WIBoscobel Area Health Care» Tomislav Lakic, MD Family MedicineEAU CLAIRE, WIMayo Clinic Health System» Cynthia Chapek, NP Family Medicine

» Kim Edson, NP Pulmonology» Janie Rhody, NP Palliative CareLA CROSSE, WIMayo Clinic Health System- Franciscan Healthcare» Aaron Butler, MD Orthopedic Surgery» Molly Ness, MD Pediatrics» Mario Skobic, MD Internal Medicine» Tamara Schwalbe, OD OptometryFamily and Children’s Center» Elizabeth Bierly, LCSW Clinical Social WorkMENOMONIE, WIMayo Clinic Health System – Red Cedar» James Scott Persing, MD Behavioral HealthOSSEO, WIMayo Clinic Health System– Oakridge» Carleen Sterner, MD Family Medicine

PRAIRIE DU CHIEN, WIPrairie du Chien Memorial Hospital» Susan Ipsen, RN, CNP Family Nurse PractitionerMayo Clinic Health System» Martin Oates, MD Family MedicineWESTBY, WIBland Clinic» Duane Koons, MD Family Medicine» Erin Uhe, RN, CNP Family Nurse Practitioner» Lisa Schnepper, RN, CNP Family Medicine» Sherry Harris, RN, CNP Family Medicine» Brian Woody, MD Family MedicineWINONA, MNWinona Health Services» Judith McElhiney, MD Internal Medicine» Robert Giese, PA-C

Big Blue Dragon Boat Supports Breast CareThe Rise of the Dragon: Bigger and Better!Despite a change in venue because of high water levels this spring, the 2nd annual Big Blue Dragon Boat Race was a huge success. As sunshine broke through the clouds on Saturday morning, July 5, Copeland Park in La Crosse was flooded with more than 2,000 people, including 1,100 paddlers showing their pride and team spirit in support of breast cancer awareness and survivorship. Excitement was in the air as 52 teams – 29 community, 19 corporate, and four breast cancer survivors teams – joined in the fun, teamwork, and competition of the 270-meter races on the Black River. The community’s collective paddle power raised more than $50,000 to benefit the Center for Breast Care at Mayo Clinic Health System-Franciscan Healthcare. Area women served by programs for breast cancer prevention, diagnosis, treatment and survivorship will benefit from the funds raised.

By Tiffany Gulinson, DO Associate Medical Director

Health Tradition Health Plan

Financial Resource for Women with Breast CancerIf you live in La Crosse County and have been diagnosed with breast cancer, you could be eligible to receive financial assistance. The La Crosse County Health Department has a program that is designed to help women pay for personal items such as wigs, mastectomy bras, lymphedema sleeves, post-surgery cami tops, and fuel to drive to medical appointments. The items that are funded through the assistance program are determined on an individual basis. If you, a family member or friend has been diagnosed with breast cancer and needs some financial assistance – call the La Crosse County Health Department at (608) 785-9723.

Providers Leaving our Network

healthtradition.com or Customer Service at 1-877-832-1823 | pg. 3pg. 2

If you are diagnosed with an ongoing health condition, you will receive a letter and a call from the CARE Enhance Program, offered as part of your Health Tradition benefit. We know that living with a chronic health condition can be difficult. Part of Health Tradition Health Plan’s mission is to improve the health of our members. To help you reach that goal, we offer the CARE Enhance health management program. It is completely voluntary, and is available to all eligible Premier, Premier Plus, Premier One and BadgerCare Plus members at no additional cost.

» Added Support – The Care Enhance Program offers added support to members living with the daily challenges of a chronic health condition, such as asthma, diabetes, congestive heart failure, coronary artery disease, chronic obstructive pulmonary disease or back pain. You’ll be able to work with a specially trained registered nurse who will provide one-on-one counseling, education and information designed to help you manage and improve your health.

» Access to Nurse Advice Line – Once enrolled in the Care Enhance Program, you have 24/7 access to a nurse advice line. This valuable service is available when-ever you need it to answer any health care questions you may have. The nurse advice line is offered at no cost to Care Enhance members and is a reliable, conve-nient resource any time you are sick, hurt, or have urgent health questions.

» Your Nurse Liaison – The helpful nurses at the Care Enhance Program will help you collaborate with your doctor and will work with you to help you understand your doctor’s prescribed treatment plan. The Care Enhance Program nurses will also keep your doctor informed about your progress in the program.

If you are eligible for the Care Enhance Program, you will receive a letter and a phone call from a friendly agent who will tell you more about the program and answer your questions. You can also call toll-free 866-365-8079. Health Tradition Health Plan is here to help you feel your best! Please remember, the Care Enhance Program is for chronic health condi-tions only. If you have any questions about the program, call our customer service representatives at 1-877-832-1823.

CARE Enhance ProgramSupport for Those Living with Chronic Health Conditions

Health Tradition’s focus on wellness in the workplace just expanded with WellMe, a quarterly email-based update exploring ways to stay healthy on the job.

WellMe will include articles about how organizations promote wellness, from raising awareness about available Health Tradition wellness benefits to promoting CSA (Community Supported Agriculture) farms. It will also include topics based on Mayo Clinic research and insights from local Mayo Clinic Health System workplace health specialists. Articles will be archived on Health Tradition’s website.

Each Wellness at Work employee group challenge will be highlighted, with tips on running a successful challenge and seeing how area companies implement the program. Wellness at Work is a self-directed health initiative that promotes lifestyle change through peer-to-peer motivation. It was introduced by Health Tradition earlier this year and is now used by more than 40 companies.

To receive WellMe in your inbox, go to HealthTradition.com/go/wellme to sign up.

A New Wellness in the Workplace ResourceJust for You!Sign up to Receive the WellMe e-Newsletter

CAREIf you are enrolled in a Medicare Part D plan, each year you have a chance to review your Medicare Part D coverage and make changes. Between October 15 and December 7, 2014 anyone can join, switch, or drop a Medicare drug plan. This annual election period is a time for you to review your current prescription drug coverage and make a change for January 1, 2015.If you feel overwhelmed, there are resources to help you. Medicare representa-tives or County Elderly Benefit Specialists provide you with an unbiased view of all available Medicare Part D plans in your area.You can contact Medicare directly at 1-800-633-4227 to speak with a Medicare Agent. Once connected, you can explain your situation to a Medicare representa-tive and ask them to help you find a Medicare Part D plan that most economically covers your medication needs. The Medicare representative can process your enrollment into your chosen Medicare Part D plan directly over the phone.You may also contact an Elderly Benefit Specialist in your county for assistance in reviewing your prescription drug coverage:

65Plus Members: Understanding Medicare Prescription Drug Coverage (Part D)

» Buffalo County Branch Office 407 S. Second Street Alma, WI 54610-0517 (866) 578-2372

» Crawford County Branch Office 225 N. Beaumont Road, Suite 118 Prairie du Chien, WI 53821 (608) 326-0235 | (877) 794-2372

» Jackson County Branch Office 420 Highway 54 West Black River Falls, WI 54615 (800) 500-3910

» Juneau County Branch Office 220 E. La Crosse Street Mauston, WI 53948 (877) 794-2372

» La Crosse County Aging Unit 400 4th Street North La Crosse, WI 54601 (608) 785-9710 | (800) 500-3910

» Monroe County Branch Office Building B, 14305 County Hwy B Sparta, WI 54656 (800) 500-3910

» Trempealeau County Branch Office 36245 Main Street Whitehall, WI 54773-0067 (715) 538-1938 | (800) 273-2001

» Vernon County Branch Office Banta Building, 402 Courthouse Square Viroqua, WI 54665 (800) 500-3910

Open Enrollment 2015Helping You Understand Your Insurance OptionsOpen Enrollment 2015 is right around the corner! Individuals seeking insurance cover-age can begin signing up on November 15. If this is your first time signing up, or if you are a renewing member, there are a few important things that you need to know:

» For new enrollees – between November 15, 2014 you can visit healthcare.gov to get a quote and fill out an application for coverage that begins on January 1, 2015. The deadline to enroll for January 1, 2015 coverage is December 15, 2014. The last day to sign up for coverage during open enrollment is February 15, 2015 for a start date of March 1, 2015. Please do not wait to enroll.

» For renewing members – be on the look-out for your 2015 eligibility letter that will be mailed to you from the marketplace. Between November 15 and December 15, you will need to log into your online account, or call healthcare.gov to update your profile with 2015 information. At this time you can also verify that you want to renew your current plan, or select a different plan option for 2015. For more information, visit healthtradition.com.

Need help enrolling?

» Ask your current insurance agent if he or she can help you get signed up for a plan at healthcare.gov. (it’s usually free of charge). » If you do not currently have an insurance agent, contact our Health Tradition Sales and Marketing Department at 1-608-781-9692. Our agents and certified application counselors are a great resource for

any questions you may have in regards to your application or renewal.

Health Tradition: Helping you find the answers you need!We understand that it can sometimes be a bit challenging to find the right person to speak with when it comes to needing answers about your medical care or coverage. We want to help! If you have questions about:

» Insurance coverage or where to obtain care, call the Customer Service Department at (877)-832-1823.

» Medical questions or concerns relating to your health, call the Nurse Line at (855)-392-4050. Nurses at this number are unable to provide information about your insurance coverage or where to obtain medical care.

» Upcoming appointments or referrals, call your primary care provider during regular clinic hours.

We hope this information will help you find the proper person to address your concerns or questions as quickly as possible.