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OK, so you’re hungry.That’s normal. But before you just raid the refrigerator, consider the following facts and guidelines in choosing a healthier meal. WHAT Should I Eat? UNISON in Working Together for Better Health Pennsylvania Spring 2009 These foods have fewer calories. Choose them more often… These foods have more calories. Choose them less often… Fruits and Vegetables (prepared without added fat) Spinach, broccoli, tomato, carrots, watermelon, berries, apples, citrus fruits Fried foods Eggs fried in butter, fried vegetables, French fries Low-fat and fat-free milk products Low-fat or fat-free milk, low or fat-free yogurt, low-fat or fat-free cottage cheese Full-fat milk products Full-fat cheese, full-fat ice cream, whole and 2% milk Broth-based soup Vegetable-based soups, soups with chicken or beef broth, tomato soups (without cream) Dry snack foods Crackers or pretzels, cookies, chips, dried fruits Whole grains and high fiber Brown rice, whole wheat bread, whole wheat pastas, oatmeal Higher-fat and higher-sugar foods Croissants, margarine, shortening, vegetable oil and butter, doughnuts, candy bars, cakes and pastries Lean meat, poultry and fish Grilled salmon, chicken breast, turkey or fish without skin, ground beef (lean or extra lean) Fatty cuts of meat Bacon, brisket, ground beef (regular) Legumes (beans and peas) Black, red kidney and pinto beans (without added fat), green peas, black- eyed peas 1 Being Overweight Can Cause: • Heart disease • Type 2 Diabetes • Cancer (endometrial, breast, colon) • Hypertension • Stroke • Liver and gall bladder disease • Breathing problems • Arthritis Replace Bad Habits with Healthy Ones: • Eat slowly • Eat only when hungry • Avoid skipping meals • Plan meals ahead of time • Be active • Split a meal or dessert with a friend • Ask for a to-go box when eating out • Choose calorie-free beverages (sparkling water or unsweetened tea) Source: www.cdc.gov
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U in NISON...Uin NISON Working Together for Better Health Pennsylvania•Spring2009 These foods have fewer calories. Choose them more often… These foods have more calories. Choose

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Page 1: U in NISON...Uin NISON Working Together for Better Health Pennsylvania•Spring2009 These foods have fewer calories. Choose them more often… These foods have more calories. Choose

OK, so you’re hungry. That’s normal. But before you just raid the refrigerator,consider the following facts and guidelines in choosing a healthier meal.

WHAT Should I Eat?

UNISONinWorking Together for Better Health Pennsylvania • Spring 2009

TThheessee ffooooddss hhaavvee ffeewweerr ccaalloorriieess..CChhoooossee tthheemm mmoorree oofftteenn……

TThheessee ffooooddss hhaavvee mmoorree ccaalloorriieess..CChhoooossee tthheemm lleessss oofftteenn……

FFrruuiittss aanndd VVeeggeettaabblleess((pprreeppaarreedd wwiitthhoouutt aaddddeedd ffaatt))Spinach, broccoli, tomato, carrots,watermelon, berries, apples, citrus fruits

FFrriieedd ffooooddssEggs fried in butter, fried vegetables,French fries

LLooww--ffaatt aanndd ffaatt--ffrreeee mmiillkk pprroodduuccttssLow-fat or fat-free milk, low or fat-freeyogurt, low-fat or fat-free cottagecheese

FFuullll--ffaatt mmiillkk pprroodduuccttssFull-fat cheese, full-fat ice cream,whole and 2% milk

BBrrootthh--bbaasseedd ssoouuppVegetable-based soups, soups withchicken or beef broth, tomato soups(without cream)

DDrryy ssnnaacckk ffooooddssCrackers or pretzels, cookies, chips,dried fruits

WWhhoollee ggrraaiinnss aanndd hhiigghh fifibbeerrBrown rice, whole wheat bread, wholewheat pastas, oatmeal

HHiigghheerr--ffaatt aanndd hhiigghheerr--ssuuggaarr ffooooddssCroissants, margarine, shortening,vegetable oil and butter, doughnuts,candy bars, cakes and pastries

LLeeaann mmeeaatt,, ppoouullttrryy aanndd fifisshhGrilled salmon, chicken breast, turkeyor fish without skin, ground beef (leanor extra lean)

FFaattttyy ccuuttss ooff mmeeaattBacon, brisket, ground beef (regular)

LLeegguummeess ((bbeeaannss aanndd ppeeaass))Black, red kidney and pinto beans(without added fat), green peas, black-eyed peas

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Being Overweight Can Cause:• Heart disease• Type 2 Diabetes• Cancer (endometrial, breast, colon)• Hypertension• Stroke• Liver and gall bladder disease• Breathing problems• Arthritis

Replace Bad Habitswith Healthy Ones:• Eat slowly• Eat only when hungry• Avoid skipping meals• Plan meals ahead of time• Be active• Split a meal or dessert with a friend• Ask for a to-go box when eating out• Choose calorie-free beverages(sparkling water or unsweetened tea)

Source: www.cdc.gov

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inUNISON Spring 2009

Does your PCP have a GOLD STAR?When you have a Gold Star doctor, you don’t need referrals to see aparticipating doctor. That’s right! No referrals! Members who have Gold StarPCPs get ID cards with a gold star. That way all providers know you don’t needreferrals. To find a Gold Star PCP near you, go to our website,www.unisonhealthplan.com, find your state and plan, and check the Gold Starlink in the right column of the Provider welcome page, or call MemberServices at 1.800.414.9025 (hearing impaired call 711).

If someone else uses your healthplan card to receive medicalcare, it is a crime. That person isstealing from your health plan.It could be taking money awayfrom programs you really need.It is called insurance fraud.

Here are a few tips to help stopinsurance fraud:• Keep your Unison ID card in

a safe place • Ask for a review of beneKts

paid for you all year

• Every so often check withyour doctor to see yourmedical records (providersmust keep track of whosees your medicalrecords)

• Tell us if you seesomething wrongon your medicalrecord

If you suspectfraud, waste andabuse, please contactour toll free hotline at1.877.766.3844. Youcan also Kll out aform that isavailable on ourwebsite’s homepage,

http://www.unisonhealthplan.com/Pages/Home.aspx, andclick on the Fraud, Waste andAbuse link along the bottom ofthe page.

Pennsylvania also has a hotlineto report suspected fraud orabuse of services provided bythe Medical Assistance Program.The number is 1-866-DPW-TIPS

(1.866.379.8477).

THIS ISSUEWhat Should I Eat?..........................................1Stop Insurance Fraud!......................................2Does your PCP have a Gold Star?...............2When You Need a Prescription .....................3Remember Your Unison ID Card! ..................3A Healthy You Means A Healthy Baby.......4Get the Lead Out...............................................4Start Smart With Regular Check-Ups .........5Baby’s First Shots.............................................5Never Shake A Baby .......................................6Reminder Unison Kids/aB .............................6Quality Counts....................................................7Coronary Heart Disease ..................................7Member Safety...................................................810 Safety Tips for Hospital Patients ..........9Why You Need A Mammogram......................9Questions for Surgeons....................................9Teen Smoking - the Facts ............................10Pennsylvania Offers Free Quitline .............10Keep Your Finger on Asthma Triggers......10Put the Lid On High Blood Pressure ........11New Treatments...............................................11Utilization Management ................................11We Are Online ..................................................11Unison Health Plan Member Services .....12Language Support ...........................................12

STOP Insurance Fraud!

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inUNISONunisonhealthplan.com

If you are eligible forprescription drugs, you can goto any of our participating drugstores and have yourprescription Klled.

Unison uses a preferred druglist called a formulary. It helpsyour doctor choose whichdrugs to order for you. Someprescription drugs must beapproved before you can getthem Klled.

This approval is called a priorauthorization. Always ask yourdoctor if a prescription requiresprior authorization. If it does,ask if there is a different drugthat doesn’t require approval. Ifthe medicine requires priorauthorization, your doctor mustKll out a request form andreturn it to Unison’s PharmacyDepartment before it can beKlled.

Our Pharmacy Department willreview the request and make adecision. If it is denied, youhave the right to appeal thedecision.

To learn more, go towww.unisonhealthplan.com.Click on “Pennsylvania.”Choose your plan. You willKnd:

• participating drug stores• a complete list of ourpreferred drugs (formulary)• information on ourformulary process• how to appeal a decision ifa drug is not approved

If you would like a printed copyof this information, callMember Services at1.800.414.9025 (hearingimpaired call 711).

When You Need a Prescription

REMEMBERyour UnisonID Card!Always take your Unison member IDcard with you when you go to thedoctor. Remember to take your IDcard to the pharmacy or drug store.Your Unison ID card shows you arepart of our plan, and you shouldhave your card with you:• When you visit your health careproviders. • When you get refills or newprescriptions at the drug store orpharmacy. You may have troublegetting your prescription filled orprescription discount if you are aUnison aB member and if youdon’t show your ID card.

If you have not received your Unison ID card or have lost it, please call Member Services at 1.800.414.9025to get a new card.

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If you are expecting a baby, then check out Unison’s MiraclesProgram.

The healthier you are, the healthier your baby will be. Join theMiracles Program, and you get a Pregnancy Coach. Your Coach willhelp you with many things such as tips on eating right and takingcare of yourself. Your Coach will even help set up doctor visits.

A Gift For You - It’s In The CardsKeeping all doctor visits is important when you are pregnant. Moms-to-be can earn gift cards for making andkeeping doctor visits. If you keep alldoctor visits during and afterpregnancy and stay in touch with yourCoach, then you can earn gift cardrewards. Use your gift cards to buythings to help keep you and your babyhealthy.

The program starts as soon as you calland join the Miracles anytime duringpregnancy. The sooner you join theprogram the more rewards you canearn. To join, or get more information,call 1.800.414.6580 (hearing impairedcall 1.800.473.0989)

A HEALTHY You MeansA Healthy Baby

inUNISON Spring 2009

Get theLead OutWhy were millions of toys, toy boxes,books and children’s furniturerecalled last year? They were recalledbecause each contained lead.

Lead is very harmful, especially tosmall children. That’s because youngchildren like to put things in theirmouths. Lead can cause problemswith hearing, behavior, and learning.Lead poisoning can cause braindamage and even death.

Children with lead poisoning don’talways feel or act sick. That’s why itis so important to have them tested.A simple blood test will show if yourchild has been exposed to lead. Thisblood test is usually done duringwell-baby doctor visits at 9-12months and 24 months.

This is a covered benefit for all ourtoddler members. Plus if you getyour baby tested at 9-12 months,you can earn a gift card. Don’t wait.

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Babies, who have regular well-care check-ups, get off to thebest start in life.

After your baby is born, youcan earn gift cards to keep yourchild healthy! Take your babyfor regular preventivecheckups and immunizations(shots). Unison will send you agift card for each visit at:

• 1 month • 12 months• 2 months • 15 months• 4 months • 18 months• 6 months • 24 months• 9 months

You’ll get an extra gift cardafter your baby gets a lead levelblood test at 12 months.

Unison can help you set upthese important doctor visits.We can even get you a ride tothe doctor’s ofKce. All of yourchildren need to have well-carecheck-ups. These check-upsare not just for the new baby.We can help you with thesevisits, too.

To learn more call our EPSDTTeam at 1.800.377.2142.

START SMARTWith Regular Check-Ups

BABY’SFirst ShotsBabies need six vaccines betweenbirth and six months old. Theyprotect your baby from eight seriousdiseases. These diseases haveinjured and killed many childrenthrough the years. These vaccinesmay be given together in the sameshot or separately. Getting severalvaccines at the same time will notharm your baby. Older children needto get at least one “booster” dose ofmost of these vaccines:

• DTaP (Diphtheria, Tetanus &Pertussis) Vaccine: 5 doses – 2months, 4 months, 6 months, 15-18 months, 4-6 years. Somechildren should not get pertussisvaccine. These children can get avaccine called DT, which does notcontain pertussis.

• Hepatitis B Vaccine: 3 doses –Birth, 1-2 months, 6-18 months.

• Polio Vaccine: 4 doses – 2 months,4 months, 6-18 months, 4-6 years.

• Hib (Haemophilus influenza type b)Vaccine: 4 doses – 2 months, 4months, 6 months, 12-15 months.Several Hib vaccines are available.With one type, the 6-month doseis not needed.

• Pneumococcal Vaccine: 4 doses –2 months, 4 months, 6 months,12-15 months. Older children withcertain diseases may also needthis vaccine.

• Rotavirus Vaccine: 3 doses – 2months, 4 months, 6 months.Rotavirus is an oral (swallowed)vaccine, not a shot.

Source: US Centers for Disease Control

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UNISONKids/aB

Unison CHIP and aB (adultBasic)memberships are renewed everyyear. It is very important that youlook for this renewal information inthe mail.

Fill it out as soon as you receive it.For more information or help fillingout your renewal form, call MemberServices at 1.800.414.9025(hearing impaired call 711),Monday-Friday, from 8 a.m. to 5p.m.

REMINDER:

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inUNISON Spring 2009

Digital communication is acentral part of teens’ lives. A newcampaign has been launched tohelp them recognize digitaldating abuse and take steps toprevent it. ThatsNotCool.com isdesigned to help teensunderstand that their cellphones, instant messaging andonline accounts are a part ofthem. If someone they aredating is controlling, beingdisrespectful or pressuring themin those spaces, that’s not cool.The website provides onlineforums for teens to talk aboutbeing harassed by text, constantinstant messaging, andspreading rumors on the web.The forums also address sharingpictures that should be private.They also tackle someonelooking at cell phone or onlineinformation without the teens’OK.

The campaign helps teens toidentify when they need help.When does caring becomecontrolling? When doesaffection becomes obsession?When does talking becomestalking? The site hosts guestvideos from YouTube. It alsoprovides info on how to get helpfor themselves and friends.

A second campaign offersinformation on knowing thewarning signs of dating violence.Designed by teens,

SeeItandStopIt.org gives themtools for how to stop it. It alsohas ideas about making adifference in their schools andwhere they live. Research showsmost teens are clear aboutdating abuse but many are lessclear about the gray areas ofactions that indicate warningsigns, such as harassment oremotional abuse. Most teens saythey are less comfortable aboutintervening when the abuse isless clear. Their instincts tellthem it is wrong but they needtools and resources to intervene.

If you or someone you knowneeds help, call: National Domestic ViolenceHotline1-800-799-7233 (SAFE) 1-800-787-3224 (TTY for theDeaf) Or visit: www.ndvh.org

National Teen Dating AbuseHelpline1-866-331-94741-866-331-8453 (TTY for theDeaf)

Teens can also join online chatsat www.loveisrespect.orgHelp is available 24 hours a dayin English and Spanish andmany other languages. All contact with the hotlines isfree and conKdential.

Si desea recibir una copia deesta informacion en espanol,por favor llame al numero1.800.414.9025 . TTY 711

DIGITAL EDGE GIVES

TEENS SOLUTIONS TO VIOLENCE, ABUSE

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unisonhealthplan.com inUNISON

We work hard to improve ourservice to you. We want you toreceive the best possible care.Unison Quality Improvementwatches over and measures howwell we are doing. Then theylook for ways to make ourprograms better.

Please write to us if you want tolearn more about:

• How the Unison QualityImprovement program works

• How we are meeting our goals• How our practice guidelines help

to manage the health of ourmembers

UNISON HEALTH PLANQuality ImprovementUnison Plaza, 1001 Brinton RoadPittsburgh, PA 15221

QUALITYCOUNTS

Heart disease is caused bynarrowing of the coronaryarteries that take blood to theheart. Like any muscle, theheart needs a constant supply ofoxygen and nutrients, which arecarried to it by the blood in thecoronary arteries. When the

coronary arteries becomenarrowed or clogged by fat andcholesterol deposits and cannotsupply enough blood to theheart, the result is coronaryheart disease (CHD). If notenough oxygen-carrying bloodreaches the heart, you mayexperience chest pain calledangina. If the blood supply to aportion of the heart iscompletely cut off by a blockage

of a coronary artery, theresult is a heart

attack.

If you answeryes to any of these

questions, you most probablyhave CHD: • Have you ever had a heart

attack?• Do you suffer from chest pain that

has been diagnosed as angina?

• Have you had heart surgerysuch as a bypass operation or aballoon or angioplasty procedure?

• Have you ever had an angiogram(a special x-ray picture of theheart) that showed a blockage inyour coronary arteries?

Be sure to talk to your doctorabout cholesterol if you haveanswered yes to any of thesequestions.

Even if you don’t have heartdisease, having diabetes or acombination of several riskfactors may put you at high riskfor developing heart disease inthe future. Check with yourdoctor about cholesterol andhow to lower your risk.

Source: National Institutes of Health

Coronary Heart Disease

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inUNISON Spring 2009

We want you and your family toreceive safe and effective healthcare. That is why we check onour providers each year. We arepleased to say that ourproviders scored high marks forsafety in 2008.

Doctors’ OfBcesWe visited 418 doctors’ ofKces tosee if the patient area was safe.We made sure all medicines weresafely out of reach. The resultsshow a strong commitment tosafety.

HospitalsWe sent a survey to ourhospitals. Fifty- Kve hospitalsresponded and the results wereexcellent. • 100% use two different ways to

identify patients when providingcare.

• 96.2% have programs toprevent infections.

• 100% check the patient’sregular medications with themedications ordered in thehospital.

Nursing HomesWe also checked patient safety atparticipating nursing homes.The 49 nursing homes thatresponded follow the Centersfor Disease Control handwashing guidelines; have aprogram to reduce falls andmake sure patients receiveneeded immunizations (shots).

Other AreasBehind the scenes, we work toprotect members’ safety withprescription drugs. Ourpharmacies help to Knd drug-to-drug interactions before youpick up the medicine. We alsoshare safety tips with you in ournewsletters.

Your health and safety are veryimportant to us. We will keepworking to improve your healthcare services.

MEMBER SAFETY

Provider OfBce Site Survey % Yes

Oxygen tank available . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .95.20%Current CPR certiKcation . . . . . . . . . . . . . . . . . . . . . . . . . . .96.17%Drugs are out of reach . . . . . . . . . . . . . . . . . . . . . . . . . . . . .99.76%Emergency drugs on hand . . . . . . . . . . . . . . . . . . . . . . . . . .90.38%Prescription pads are controlled . . . . . . . . . . . . . . . . . . . . .99.28%Refrigerated area for medications . . . . . . . . . . . . . . . . . . . .96.14%

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A mammogram can save yourlife. A mammogram, an x-raypicture of your breast, is one ofthe best ways to spot breastcancer early. It can Knd breastcancer when a tumor is still toosmall for you to feel.

Women age 40 and older shouldhave a screening mammogramevery one to two years. You mayneed your Krst mammogrambefore age 40 if you are at extrarisk of breast cancer. You are atgreater risk if:

• you had breast cancer.• your mother, sister or daughter

had breast cancer.• you are very overweight.

A mammogram takes about 15minutes. You don’t need areferral for a mammogram. Yourdoctor will give you aprescription for it. Call andschedule the test. There is nocost to you. So don’t wait. Takingaction can change your life.

Source: National Cancer Institute

QUESTIONS for SurgeonsIf you’re about to have surgery, thereare many things you should know.When discussing the procedure withyour doctor, ask the following: • What is the operation (procedure)that is recommended?

• What is the surgeon’s experiencewith this procedure?

• Why is this procedure necessary atthis time?

• What are the options if thisprocedure is not done?

• What is the anticipated outcome ofthe procedure?

• What kind of anesthesia is requiredfor the procedure?

• What are the specific risks that thisprocedure involves?

• What about a second opinion? • What is the recovery process afterthis procedure?

• Is this procedure covered by myinsurance plan?

Source: Medicinenet.com

Why You Need AMAMMOGRAM

No one wants to go to the hospital, butsometimes it is necessary. Here are 10easy things you can do to make yourhospital stay safer:

1. Tell the hospital staff who you are.Your caregivers need to know yourname and what you like to becalled.

2. Be sure you understand what issaid, and be sure hospital staffunderstands what you say. If youhave trouble understanding orspeaking English, ask for atranslator.

3. Ask questions! Patients that askquestions about their care have farfewer mistakes made and betteroutcomes in the hospital.

4. Check that youare receiving theright medicine.

5. Know how often you will receiveyour medicine.

6. Know what dose to take,particularly if it can be split.

7. Have a family member or friendhelp you get to and from thehospital.

8. Give your complete medicalhistory. That means everymedicine you take, any allergiesyou have and any prior illnesses orsurgeries.

9. Follow the rules. For example, nosmoking means no smoking.

10.Be considerate to other patientsand hospital staff.

10 SAFETY TIPSfor Hospital Patients

Source: The Joint Commission of Accreditation of Health Organizations (JCAHO)

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inUNISON Spring 2009

Keep Your Fingeron ASTHMATRIGGERSSpring can mean trouble for peoplewith asthma. If you have asthma, it isimportant to know what triggers it. Atrigger is anything that can lead to anasthma attack. Allergies to grass andpollen can trigger asthma. Weatherchanges, dust, cigarette smoke, andexercise can also be triggers.

Everyone has their own triggers. Ifyou have asthma you can reduce yoursymptoms by avoiding those thingsthat trigger your symptoms. Workwith your doctor to develop a helpfulmanagement and treatment plan.That way you’ll keep your finger onthose triggers and have a great spring!

Unison has health programs to helpmembers with on-going conditionslike asthma. To learn how they canhelp you, call 1.800.508.2581.

Source: American Academy ofAsthma, Allergy and Immunology

• Approximately 3,000 kids underthe age of 18 start smokingeveryday in this country.

• Teen smokers get sick more oftenthan those who don’t smoke.

• Teen smokers have smaller lungsand weaker hearts than thosewho don’t smoke.

• Spit tobacco, pipes and cigarsare not safe alternatives tocigarettes.

• Parents have the most in9uenceover their kids. Let your kidsknow smoking is bad news.

Need Help to Quit?

Go to www.health.state.pa.us.Click on “Quit Smoking Now”from the list on the left. Thenclick on “CounselingAssistance.” You’ll Kndcounseling programs in yourarea that can help you quitsmoking. You can also call Pennsylvania’sFree Quitline at1.800.QUITNOW(1.800.784.8669).

Teen Smoking - THE FACTS

Pennsylvania Offers Free QuitlinePennsylvania’s Free Quitline, 1.800 QUIT NOW (1.800.784.8669) is offered asa partnership between the Pennsylvania Department of Health and theAmerican Cancer Society. Based on state-of-the art techniques in smokingcessation, the service provides counseling and structured assistance forindividuals who are committed to quitting. The Free Quitline can be accessed24 hours a day, 7 days a week.

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unisonhealthplan.com inUNISON

We Are OnlineLearn more about your health planon our website.

• Authorization Inquiry

• What benefits and services arecovered and what’s not

• A list for doctors, dentists,specialists, drug stores, hospitalsand vision services

• Pharmacy Services

• How to get care - primary care,specialty care, after-hours care,behavioral health services andhospital services, and care whenyou are out of your service area

• What to do in an emergency

• Preventive health guidelines

• Your rights and responsibilities

• How to make a complaint

• How to appeal a decision

• What to do if your appeal is denied

• How we study and evaluate newtreatments and services.

• Our privacy policy

Go to www.unisonhealthplan.com.Select Pennsylvania from the pulldown bar. Select your plan(MedPlus, Kids, or aB). Click onMembers. You will find thisinformation and more. Call MemberServices to get a printed copy ofinformation on our website.

Put the Lid OnHIGH BLOOD PRESSUREFollow these simple tips, andkeep your blood pressure undercontrol:1. Check your blood pressure

or get it checked regularly.2. Lose weight. Ask your doctor

what your weight should be.Try to get to that level.

3. Avoid salt. Stay away fromsalty food. Cut back on saltwhen cooking.

4. Read the label. Look forfoods low in saturated fats.

5. Limit alcohol. Keep it to onedrink a day for women, two

drinks a day for men.6. Take your medicine. Take all

medicines as directed andreKll them on time.

7. See your doctor. Make andkeep regular check-up visits.

8. Stop smoking. 9. Stay active. Regular physical

activity can lower bloodpressure. Talk with your doctorbefore starting any exercise.

10.Protect your loved ones.Make sure your family andfriends check their bloodpressure regularly.

NEW TREATMENTSUnison always looks for new medical treatments, behavioral health proceduresand services to improve your health and well-being. If your doctor requestssomething new to treat you, we study it and make a coverage decision. Anytreatment, drug, or device that is not experimental is reviewed. Then we tellyou and your doctor what the decision is. When new services and treatmentsbecome covered benefits you’ll get the news in a special mailing.

UtilizationManagementYour doctor must get approvalbefore you can receive certaintypes of services or care. OurUtilization Management team(UM) looks over your doctor’srequest. If it is an emergency,your doctor can reach a memberof the UM team anytime day ornight. There are three thingsyou need to know about UM:• UM doctors and nurses make

their decisions based on what youneed for your medical condition.

• Unison network doctors do notreceive extra money or rewards tolimit your care.

• We don’t pay our employeesextra for limiting your care.

Unison wants to help you staywell. If you’re sick, we want tohelp you get better. We makecoverage decisions based onwhat you need. We are here for you.

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Pennsylvania Member Newsletter

Presorted StandardU.S. Postage

PAIDPittsburgh, PA

Permit No. 4503

Unison Health Plan Member ServicesFor more information, we are availableMonday, Tuesday, Thursday and Friday from 8 a.m. to 5 p.m. and Wednesday 8 a.m. to 8 p.m.You can reach us at 1.800.414.9025 orhearing impaired at 711

Interpretation and translation services are freeto members. Please call Member Services formore information.Please refer to your member handbook for bene8tcoverage.

Language SupportUnison helps members who need special services to understand their beneKts. These services includeTTY access, language line help for members who do not speak English and translated materials.If you or your family needs this kind of help, please call the Special Needs Unit at 1.877.844.8844 or theSpecial Needs Unit TTY at 1.800.473.0989.No person on the grounds of race, color, national origin, sex, age, religion or disability shall beexcluded from participation in, be denied the beneKts of or be subject to discrimination under anyprogram or service provided by Unison Health Plan.

Unison Administrative ServicesUnison Plaza, 1001 Brinton Road

Pittsburgh, PA 15221

www.unisonhealthplan.com

If you need help reading this information, please call Unison MedPLUS at 1.800.414.9025.The information in this notice is available in other languages and formats by calling Member Services at

1.800.414.9025 or 1.888.616.0021 (TTY).Esta información también se ofrece en otros idiomas y formatos. Llame a Servicios para Miembros al

1.800.414.9025 o al 1.888.616.0021 (TTY).Bt(manenAkñúgesckþICUndMNwgenH KWmanCaPasanigTMrg'epSg>eT[t

edayTUrs&BÞeTARksYgbMerIsmaCik elx 1.800.414.9025 ß 1.888.616.0021 (TTY) sMrab'Gñkzøg'此此通通知知里里的的信信息息有有其其它它种种语语言言及及格格式式,,请请致致电电1.800.414.9025或或1.888.616.0021联联系系会会员员服服务务处处索索取取。。

Сведения, приведенные в данном уведомлении, существуют также в других форматах и на других языках. Чтобы получить их, звоните в Отдел обслуживания потелефонам 1.800.414.9025 или 1.888.616.0021 (для лиц с нарушениями слуха).

Muốn có thông tin trong thông báo này dưới hình thức và ngôn ngữ khác, xin gọi Ban Dịch Vụ Hội Viên số 1.800.414.9025 hay số 1.888.616.0021 (TTY).Sí necesita ayuda para traducir esta información, por favor comuníquese con el departamento de Servicios a miembros del Unison Kids al 1.800.414.9025. Usuarios del sistema TTY

deberán llamar al 1.888.616.0021.

Commonwealth of PennsylvaniaEdward G. Rendell, Governor