PRSRT STD U.S. Postage PAID

United Health Group

UnitedHealthcare Community Plan6220 Old Dobbin Rd.Columbia, MD 21045

AMC-047-MD-CAID

Health TALKSUMMER 2018

Speaking with you.We speak your language. We provide free services to help you communicate with us. We can send you information in other languages or in large print. You can ask for an interpreter. To ask for help, please call Member Services toll-free at 1-800-318-8821, TTY 711 Monday–Friday, 8 a.m. to 7 p.m. ET.

Just joining us?Make the most of your benefits. Follow these tips to get off to a great start.

1. Carry your member ID card with you at all times. Show your ID card every time you go to a doctor, clinic or pharmacy. If you did not get your card yet, let us know.

2. Visit your primary care provider (PCP). Call your PCP’s office and ask to have a checkup within the next 30 days. The name and phone number are on your ID card.

3. Complete a Health Assessment. It takes less than 15 minutes and helps us support you with the services you need. We will call you to ask questions about your health, or you can call us when it’s a good time for you.

| ¡VOLTEE PARA ESPAÑOL!

2 HEALTH TALK

Breathe easy.Understanding your asthma or COPD medication.There are many different medications for asthma and chronic obstructive pulmonary disease (COPD). Your doctor will prescribe the right ones for you. Be sure to take your medications the way your doctor says you should. Don’t stop taking them without talking to your doctor, even if you are feeling better. You should have a written action plan to help you know what to take and when.

Long-term medications:Most people with asthma and COPD take medicine every day, even when they are feeling well. These long-term medications keep asthma and COPD under control. They can be oral or inhaled. Most help by reducing swelling and opening airways.

Rescue medications:Inhaled rescue medications are for when you are coughing or short of breath. Rescue medications can help you breathe better in minutes. They work for a few hours. Carry rescue medications with you all the time. Keep taking your long-term medication, even when you are also using your rescue inhaler.

We can help. We have disease management programs. They help people with asthma, diabetes and other conditions. Call Member Services toll-free at 1-800-318-8821, TTY 711, Monday through Friday, 8 a.m. to 7 p.m. ET, to learn more.

Now it’s easier to see a specialist. When your primary care provider (PCP) says you need to see a specialist, that is called a referral. In the past, we required the referral before you could see a specialist. We will now accept this referral when it is signed and filled out by your participating PCP within five calendar days of your first visit to the specialist.

This step is being taken to make sure that you have faster access to the specialist care that you need.

If you need to see a specialist, please ask your PCP to review your current condition and request a referral. If you need help finding a specialist or making appointments, please contact Member Services at 1-800-318-8821, TTY 711, Monday-Friday, 8 a.m. to 7 p.m. ET.

Please note: All specialist visits do not require a referral. For more information visit myuhc.com/CommunityPlan.

New benefit noticeEffective July 1, 2018, UnitedHealthcare Community Plan of Maryland will now cover medically necessary audiology services for all members. Audiology coverage previously provided under the EPSDT program for members under 21 will now be coordinated through UnitedHealthcare Community Plan. For help finding participating providers, coverage details and prior authorization, contact Member Services at 1-800-318-8821, TTY 711, Monday through Friday, 8 a.m. to 7 p.m. ET.

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Prescribed an opioid?3 questions to ask your doctor.Drug overdoses are now the leading cause of death in people under 50. The recent rise in overdoses is due to a sharp increase in opioid use. Opioids include prescription drugs such as Vicodin and Oxycontin. They also include heroin and other illegal drugs.

Many people who become addicted to opioids started using them when they were prescribed for pain. Others misused leftover pills from a friend or family member.

If your doctor or dentist prescribes a pain reliever, take charge of your health and find out exactly what you are getting. Here are three questions to ask your provider:

1. Are there other options that can treat my pain? Opioids are not the only option. Other options for treating pain could help you feel better. These include over-the-counter pain relievers or physical therapy.

2. What are my risks for addiction? Some people may be more prone to addiction than others. Taking opioids over a period of time can increase the risk of dependence and addiction.

3. How does this medicine mix with other medicines I’m taking? Opioids can be deadly when mixed with other drugs, especially those taken for treatment of anxiety, sleeping disorders and seizures. It’s a bad idea to mix alcohol with an opioid pain reliever.

Need help? Treatment for substance use disorders is a covered benefit. Call the Substance Abuse and Mental Health Services Administration’s Treatment Referral Routing Service at 1-800-662-HELP (4357) to begin recovery.

Care is available 24/7. Your primary care provider (PCP) is the person you turn to when you are sick. He or she provides or coordinates your health care. Call your PCP’s office first when you need care. You might get an appointment for later that day. Your PCP could call in a prescription to your drugstore. You have 24/7 access to your PCP, so you can even call at night or on weekends.

Your PCP also wants to see you when you are well. Well visits help you and your provider get to know each other. They are also a good time for you to discuss:

Important screenings and tests. Needed immunizations. Checking on chronic conditions. Medications or supplements you take. Any other providers you see, such as specialists or alternative providers. Counseling about a healthy lifestyle. Discussions about mental health, substance use, safety and other topics.

Well visits are covered at no cost to you. Has it been more than a year since your last well visit? Call your PCP to make an appointment today.

See your PCP.  You should feel comfortable with your PCP. If you are

not, choose a new one. Visit myuhc.com/CommunityPlan or use the Health4Me® app. Or call Member Services toll-free at 1-800-318-8821, TTY 711, Monday through Friday, 8 a.m. to 7 p.m. ET, to learn more.

Fraud and abuse.You can prevent fraud.If you know health care fraud or abuse is taking place, you must contact HealthChoice. Your privacy will be protected because you don’t have to give your name.

Fraud and abuse for HealthChoice members can be things like:

Providing false information or hiding facts to get or keep HealthChoice. Letting someone else use your HealthChoice. ID card selling or giving your prescription medicines to anyone else.

Fraud and abuse for HealthChoice providers can be things like:

Billing UnitedHealthcare for services that were never given. Billing UnitedHealthcare two or more times for the same service.

How to report fraud and abuse:

Call the UnitedHealth Group fraud hotline at 1-866-242-7727. Call the HealthChoice fraud hotline at 1-866-770-7175. Go to health.maryland.gov/oig/pages/report_Fraud.aspx online and then click on “Report Fraud.” Send them a fax at 410-333-7194.

Write to:

The Maryland Department of Health Office of the Inspector General/Program Integrity 201 West Preston Street, Room 520 Baltimore, MD 21201.

Your child’s health.Your child’s provider gives services at no cost from birth to 20 years of age to keep your child healthy. These services are:

Primary care provider (PCP) office visits. Vaccines given at specific ages. Dental and eye visits. Prescription medicines.

Some important screenings that are needed to support your child’s well-being are:

Lead. Anemia. High Cholesterol. Tuberculosis. Depression. Autism screenings. Substance abuse. Behavioral problems.

Ask questions if you are not sure why your child is being screened or given a medicine. Keep all appointments or make an appointment if you see changes in your child. Help your child stay in good health.

4 HEALTH TALK

Did you know? Mom? Dad?Mom, did you know that HPV causes 79 percent of cancers in body parts where HPV is found? Dad, did you know that 40 percent of all head and neck cancer caused by an HPV infection is found in men? Did you know that you can help prevent cancers linked to HPV? There is a vaccination that your children can and should get to protect them.

Human papillomavirus (HPV) is the most common infection passed through sex in the United States. Most types of HPV go away and do not cause health problems. But the types of HPV that cause serious health issues usually show no signs or symptoms. This makes it difficult to know if and when someone was infected.

Doctors recommend pre-teen girls and boys get the HPV vaccination at 11 or 12 years old. Males up to the age of 21 can take the vaccine and be protected. Head and neck cancer is becoming more common. It affects more and more males each year. Help protect your son from head and neck cancer.

Talk to your child’s healthcare provider to get more information. For help with scheduling an appointment, contact Member Services at 1-800-318-8821, TTY 711, Monday through Friday, 8 a.m. to 7 p.m. ET.

Write it down. Ask your doctor or hospital for a form to help you create an advance directive. Forms are also available online. Give copies of the form to your providers and someone you trust. Keep one for yourself.

It’s your choice.You have the right to make your own medical decisions. Your provider will explain your treatment choices to you.

You have the right to say “no” to treatment. You may be asked to sign a form saying “yes” to treatment you want. This is called informed consent.

But what if you are too sick to give consent? An advance directive will make sure providers know what kind of treatment you want. Types of advance directives for medical care include:

A living will explains what kind of treatment you want. A durable power of attorney lets someone else make decisions for you. You can also have a durable power of attorney for mental health care.

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Keep your health plan benefits!Have you moved recently or changed your mailing address? Not updating your address with the Maryland Department of Health may cause you to have a lapse in coverage. Call Maryland Health Connection today to update your address information: 1-855-642-8572, TTY 1-855-642-8573. You can also visit marylandhealthconnection.gov and use the “Change My Information” button on your account home page to update your application.

6 HEALTH TALK © 2018 United Healthcare Services, Inc. All rights reserved.

Resource corner.

UnitedHealthcare Member Services:  1-800-318-8821, TTY 711 Monday–Friday, 8 a.m.–7 p.m. ET

24/7 NurseLine: 1-877-440-0251, TTY 711

Public Behavioral Health System:  1-800-888-1965, TTY 711

Transportation: Contact your Local Health Department.

Special Needs Unit:  1-800-460-5689, TTY 711

Special Needs Coordinator:  443-896-9081, TTY 711

UnitedHealthcare Outreach:  1-866-735-5659, TTY 711

UnitedHealthcare Health Education: 1-855-817-5624, TTY 711

Healthy First Steps:  1-800-599-5985, TTY 711

Department of Human Resources:  1-800-332-6347, TTY 711

Maryland Health Connection:  1-855-642-8572, TTY 711 MarylandHealthConnection.gov

Maryland Medical Assistance Help Line:  1-800-284-4510, TTY 711

Maryland Healthy Smiles Dental Program:  1-855-934-9812, TTY 711

UnitedHealth Group Customer Care Fraud Hotline: 1-866-242-7727, TTY 711

HealthChoice Fraud Hotline:  1-866-770-7175, TTY 711

Interpretation Services: Call Member Services to request interpretation services for your medical visits.

Sadness is not an illness.Depression is a series of mood swings that make you extremely tired and affect your sleep. You may even find yourself unable to focus or having thoughts of harming yourself. Depression does not mean that you are sick. Your health care provider knows you and can help you sort through some of these feelings.

Here are a few tips for managing depression:

Learn more. What are the facts about depression? Sleep. Try to get at least 8 hours of sleep each night. Exercise. Get moving! It helps your body feel good and can help change your mood. Eat healthy. Eating the right foods can help change your mood and give you more energy. Try to make fruits, veggies, and whole grains part of your regular nutrition. Change your thoughts. Identify negative thoughts and habits, and turn them into positive ones. Don’t get stuck on “This day can’t get any worse!” Turn it into “How can I make my day better?” Ask for help. Talk things out with someone you trust.

Men are strong. You work hard and you fix what’s broken. You protect and you provide. You keep watch over the emotions of the women and children in your life…because that’s what men do. But who’s keeping watch over yours?

Feeling different emotions is normal. People experience happiness, fear, love, joy, sadness and more regularly. Men do too. If you realize that you’re feeling sadness more than any other emotion, then it is okay to talk to your doctor about it. You may be suffering from depression, and your doctor can help.

We can help. We offer Behavioral Health Services. To learn more, call 1-800-318-8821, TTY 711, Monday through Friday, 8 a.m. to 7 p.m. ET.

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Nondiscrimination Statement

It is the policy of UnitedHealthcare Community Plan not to discriminate on the basis of race, color, national origin, sex, age or disability. UnitedHealthcare Community Plan has adopted an internal grievance procedure providing for prompt and equitable resolution of complaints alleging any action prohibited by Section 1557 of the Affordable Care Act (42 U.S.C. 18116) and its implementing regulations at 45 CFR part 92, issued by the U.S. Department of Health and Human Services. Section 1557 prohibits discrimination on the basis of race, color, national origin, sex, age or disability in certain health programs and activities. Section 1557 and its implementing regulations may be examined in the office of Civil Rights Coordinator who has been designated to coordinate the efforts of UnitedHealthcare Community Plan to comply with Section 1557.

Any person who believes someone has been subjected to discrimination on the basis of race, color, national origin, sex, age or disability may file a grievance under this procedure. It is against the law for UnitedHealthcare Community Plan to retaliate against anyone who opposes discrimination, files a grievance, or participates in the investigation of a grievance.

You can send a complaint to:

Civil Rights Coordinator UnitedHealthcare Civil Rights Grievance P.O. Box 30608 Salt Lake City, UTAH 84130

UHC_Civil_Rights@uhc.com

Procedure:

• Grievances must be submitted to the Section 1557 Coordinator within 60 days of the date the person filing the grievance becomes aware of the alleged discriminatory action.

• A complaint must be in writing, containing the name and address of the person filing it. The complaint must state the problem or action alleged to be discriminatory and the remedy or relief sought.

• The Section 1557 Coordinator (or her/his designee) shall conduct an investigation of the complaint. This investigation may be informal, but it will be thorough, affording all interested persons an opportunity to submit evidence relevant to the complaint. The Section 1557 Coordinator will maintain the files and records of UnitedHealthcare Community Plan relating to such grievances. To the extent possible, and in accordance with applicable law, the Section 1557 Coordinator will take appropriate steps to preserve the confidentiality of files and records relating to grievances and will share them only with those who have a need to know.

• The Section 1557 Coordinator will issue a written decision on the grievance, based on a preponderance of the evidence, no later than 30 days after its filing, including a notice to the complainant of their right to pursue further administrative or legal remedies.

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The availability and use of this grievance procedure does not prevent a person from pursuing other legal or administrative remedies, including filing a complaint of discrimination on the basis of race, color, national origin, sex, age or disability in court or with the U.S. Department of Health and Human Services, Office for Civil Rights. A person can file a complaint of discrimination electronically through the Office for Civil Rights Complaint Portal, which is available at: https://ocrportal.hhs.gov/ocr/portal/lobby.jsf by mail or phone at:

U.S. Department of Health and Human Services 200 Independence Avenue SW Room 509F, HHH Building Washington, D.C. 20201

1-800-868-1019, 1-800-537-7697 (TDD)

Complaint forms are available at: http://www.hhs.gov/ocr/office/file/index.html. Such complaints must be filed within 180 days of the date of the alleged discrimination.

UnitedHealthcare Community Plan will make appropriate arrangements to ensure that individuals with disabilities and individuals with limited English proficiency are provided auxiliary aids and services or language assistance services, respectively, if needed to participate in this grievance process. Such arrangements may include, but are not limited to, providing qualified interpreters, providing taped cassettes of material for individuals with low vision, or assuring a barrier-free location for the proceedings. The Section 1557 Coordinator will be responsible for such arrangements.

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Declaración Antidiscriminatoria

La política de UnitedHealthcare Community Plan es la de no discriminar en base a la raza, color, nacionalidad, sexo, edad o discapacidad. UnitedHealthcare Community Plan ha adoptado un procedimiento interno en casos de agravios para proveer una pronta y justa resolución a reclamaciones en las cuáles se alegue cualquier acción prohibida por la Sección 1557 del Acta de Cuidados Asequibles (Affordable Care Act - 42 U.S.C. 18116) y la implementación de sus regulaciones en 45 CFR parte 92, emitidas por el Departamento de Salud y Recursos Humanos de los Estados Unidos (U.S. Department of Health and Human Services). La Sección 1557 prohíbe la discriminación en bases de la raza, el color, la nacionalidad, el sexo, la edad o la discapacitación en ciertos programas de salud y de actividades. La Sección 1557 y sus regulaciones implementadas pueden ser examinadas en la oficina del Coordinador de los Derechos Civiles, quien es una persona que ha sido designada para coordinar los esfuerzos de UnitedHealthcare Community Plan para cumplir con los requisitos de la Sección 1557.

Cualquier persona que crea que alguien ha sido discriminado en base a su raza, color, nacionalidad, sexo, edad o discapacidad puede presentar una reclamación siguiendo este procedimiento. Es contra la ley que UnitedHealthcare Community Plan tome represalias en contra de cualquier persona que se oponga a la discriminación, presente una reclamación o participe en una investigación acerca de una acción discriminatoria.

Usted puede enviar una queja a:

Civil Rights Coordinator UnitedHealthcare Civil Rights Grievance P.O. Box 30608 Salt Lake City, UTAH 84130

UHC_Civil_Rights@uhc.com

Procedimiento:

• Las reclamaciones deben presentarse ante el Coordinador de la Sección 1557 dentro de los primeros 60 días, a partir de la fecha en que la persona que presenta la reclamación tomó consciencia de ser objeto de una posible acción discriminatoria.

• Una reclamación debe presentarse por escrito y contener el nombre y la dirección de la persona que la presenta. La reclamación debe declarar cual es el problema o la posible acción discriminatoria y cuál es la solución o asistencia que se desea obtener.

• El Coordinador de la Sección 1557 (o la persona que se designe) podrá conducir una investigación acerca de esta reclamación. Esta investigación puede ser informal, pero será exhaustiva, ofreciendo a todas las personas interesadas una oportunidad para presentar evidencias relevantes a la reclamación. El Coordinador de la Sección 1557 conservará en su poder todos los expedientes y records de UnitedHealthcare Community Plan relativos a tales reclamaciones. En la medida posible y de acuerdo a las leyes vigentes aplicables,

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el Coordinador de la Sección 1557 tomará todas las acciones necesarias para preservar la confidencialidad de los expedientes y records relativos a las reclamaciones y compartirá la información solamente con aquellas personas que tengan la necesidad de conocer esa información.

• El Coordinador de la Sección 1557 emitirá una decisión acerca de la reclamación, basándose en la preponderancia de la evidencia, no más tarde de 30 días a partir de la fecha en que se presentó esta reclamación y se incluirá una notificación para el demandante acerca de su derecho para proseguir con esta reclamación por medio de otras resoluciones legales o administrativas.

La disponibilidad y el uso de este procedimiento de reclamaciones no le impide a la persona que la presenta, proseguir con otras reclamaciones legales o administrativas, incluyendo la presentación de una reclamación por discriminación basada en la raza, color, nacionalidad, sexo, edad o discapacidad en la corte o ante el Departamento de Salud y Recursos Humanos de los Estados Unidos, Oficina de los Derechos Civiles (U.S. Department of Health and Human Services, Office for Civil Rights). Una persona puede presentar una reclamación por discriminación electrónicamente a través del portal de la Oficina de Reclamaciones para los Derechos Civiles (Office for Civil Rights Complaint Portal), disponible en: https://ocrportal.hhs.gov/ocr/portal/lobby.jsf o hacerlo por correo a la dirección:

U.S. Department of Health and Human Services 200 Independence Avenue SW Room 509F, HHH Building Washington, D.C. 20201

1-800-868-1019, 1-800-537-7697 (TDD)

Las formas para las reclamaciones se encuentran disponibles en: http://www.hhs.gov/ocr/office/file/index.html. Estas reclamaciones deben presentarse dentro de los primeros 180 días a partir de la fecha en que esta posible acción discriminatoria tuvo lugar.

UnitedHealthcare Community Plan llevará a cabo todos los arreglos necesarios para asegurar que a las personas con discapacidades o aquellas personas con un limitado dominio del idioma inglés se les provea con apoyos auxiliares y servicios o asistencia en el lenguaje, respectivamente, si existe la necesidad de que estas personas tengan que participar en este procedimiento de reclamación. Tales arreglos pueden incluir, pero no estar limitados a, proveer intérpretes calificados, proveer casetes conteniendo el material para aquellos individuos con problemas de visión o asegurando localidades existentes para los procedimientos que sean libres de barreras que impidan el acceso a los procedimientos. El Coordinador de la Sección 1557 será la parte responsable para esos arreglos.

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