Focus Your Health 5 Information in FOCUS YOUR HEALTH comes from a wide range of medical experts. If you have any concerns or questions about specific content that may affect your health, please contact your health care provider. For more information about services available through your medical plan, consult your benefit booklet or call HPSJ. Models may be used in photos and illustrations. 2022 © Coffey Communications, Inc. All rights reserved. What’s this? Want to learn more about the topics in Focus Your Health? With our HealthReach Audio Health Library, getting the health information you need is as simple as 1-2-3. You can find a list of topics and codes at hpsj.com/ advice-nurse. 1 Call 800.655.8294 anytime, 24 hours a day, 7 days a week. 2 Once you are connected to the call center’s automated menu, press 2 to access the library. 3 Follow the prompts to listen to the topics that interest you. can also find out about: their license, the medical school they went to, and their residencies and board status. You can also call us for help. ● Find how to reach your PCP. ● Choose a hospital by name or place. ● Learn how to get: ➜ Care during office hours ➜ After-hours care ➜ Specialty care ➜ Emergency care and when to use 911 ➜ Mental health care ➜ Hospital services ➜ Out-of-area care and coverage Online tools to handle—and better—your health ● Review your Personal Health Assessment and health risks. ● Track your health goals. ● Learn about preventive health care visits. ● Find tips and tools to keep you healthy. Complaints If you do not agree with a ruling about your care or benefits, or have a problem with a doctor, our website explains how you can file a complaint or appeal by visiting hpsj.com/ grievances-appeals. How HPSJ makes health care decisions ● See our rule: How we do not financially reward a person for Utilization Management decisions. ● Learn about external appeals steps. ● See how you can join our: ➜ Case Management programs: hpsj.com/ case-management ➜ Disease Management programs: hpsj.com/ disease-management ● Learn how your caregiver can guide you. Visit us online at hpsj.com, learn more about these topics in your online EOC or call Member Services toll-free at 888.936.PLAN (7526) or TTY/TDD: 711. Payments and claims ● Learn what to do with fees, bills or other charges. ● Send a claim for a covered service you paid for. Reach out to us ● Find our toll-free number. ● Call us if you have questions. ● Ask about the TDD/TTY line if you have a hearing problem. ● Find out how to reach your doctor. ● Contact staff if you have questions about how we man- age care and services. ● Learn about language help if you do not speak English well. ● Find facts about our Quality Improvement program, what we do, how we do it and our program goals.
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