2009 Member Guidebook
Download the Guidebook
Available in English and Spanish.
Member Facts
Could you be taking too much Tylenol?
Member Programs
Univera Community Health is pleased to offer a range of programs to satisfy our members needs. Please select from the list below to see information about our member programs.
Univera Community Health knows you want to have a healthy pregnancy and a healthy baby. Our Case Management program helps you do this.
What is the program about?
The Birth and Beyond program is a free service you can use during your pregnancy if you have PlusMed, Child Health Plus, or Family Health Plus insurance through Univera Community Health.
Your doctor has a special plan of care for you during your pregnancy. We work with you and with your doctor to answer questions you may have about your pregnancy, your insurance coverage or any other questions.
Getting your baby care right after he or she is born is best. We will help you do this.
How does the program work?
The Case Management team will visit you in your home to discuss your pregnancy and answer your questions. At our first visit we welcome you to our program with a small gift, and explain our services to you.
We can also help you get some services while you are pregnant. You can find out about prenatal classes and review the appointments you have scheduled with your doctor. We will also telephone you during your pregnancy to see how you are doing.
Right after your baby is born, we come for another visit. We can assist you in selecting a doctor and help you make the baby's appointment from your home. At this visit, we take a picture of your baby for you.
Also, if you go to your post partum appointment 21-56 days after the delivery, you can receive a $25 gift certificate from Univera Community Health!
We will phone you several times during your baby's first year of life to find out how your child is doing.
How do I join Univera Community Health Case Management Program?
Any pregnant Univera Community Health member who has PlusMed, Child Health Plus or Family Health Plus can join the Case Management program.
Your doctor may be the one who tells you about our program. He or she will fill out all the papers we need. Then we will call you at home, or
- You can call us yourself as soon as you know you are pregnant, or
- You can talk to your doctor about the program and ask him or her to call us for you, or
- We may call you directly once we find out about your pregnancy.
How do I contact you?
Call us today at 1-800-509-5290 if you or someone you love has either PlusMed, Child Health Plus, or Family Health Plus and are interested in joining our program. Your baby will thank-you!
Coping with Childhood Illnesses
The mission behind CompassionNet
is
that no child should face unnecessary pain.
And all families can hold on to the hope of healing.
When a child has a life-threatening illness, the family is often affected physically and emotionally. CompassionNet provides the support families need during their child's illness. CompassionNet coordinates services for children with serious health conditions and their families.
CompassionNet expands the extent of care for very sick children and provides assistance for their families. Doctors, nurses and other health professionals may make referrals to the program.
Unlike traditional hospice care, CompassionNet accepts children who may experience full recovery.
A CompassionNet case manager develops a plan of care for each child and his/her family. The case manager coordinates social and support services beginning at diagnosis and throughout the course of the child's illness. Those services may not be a benefit under the family's health plan.
Little Things Make All the Difference
Little things seem to make the biggest difference. One child's parents just wanted respite, for an evening out by themselves. For another family, it was having their child's blood drawn at home instead of going to the hospital. And for one mom, it was seeing her daughter, who was in constant pain, receive a massage and then smile.
The CompassionNet case management program is accepting referrals from doctors. Talk to your doctor if you would like more information.
Univera Healthcare’s Fun 2B Fit®
Fun 2B Fit is a school-based, healthy lifestyle initiative designed to encourage students in grades two, three and four and their parents to make healthier lifestyle choices by trying new foods, increase their level of physical activity, shop for healthy foods and prepare meals together.
Second graders participate in a twelve week taste testing program that concludes with their favorite options incorporated onto the school lunch. The children receive mini chef aprons, laminated recipe cards and a parent information booklet. Grade three students engage in a unique physical activity program that teaches them the vital parts of workout, while playing games and dancing to popular music. They also receive a tool kit to take home with a healthy activity planner, stopwatch/wristwatch, grocery pad and much more. Fourth grade students are off to Wegmans for the Eat Well. Live Well. Tour designed to teach students about the health and nutritional importance of eating well. Students receive a free bag of groceries.
Content is also available in Spanish on the linked site.
http://www.fun2bfit.univerahealthcare.com/parents/index.html
Know Your Numbers, a program aimed to increase awareness about the effects of high blood pressure and cholesterol.
The goals of the program are to:
- Know what your blood pressure and cholesterol numbers are.
- Know what your numbers should be.
- Know how to work with your doctor to reduce your risk factors.
Recommended Goals:
Blood Pressure Levels |
||
| Systolic (top number) | Diastolic (bottom number) | |
| Normal | <120 mm Hg | <80 mm Hg |
| Pre-hypertension | 120-139 mm Hg | 80-89 mm Hg |
| Hypertension Stage 1 | 140-159 mm Hg | 90-99 mm Hg |
| Hypertension Stage 2 | >160 mm Hg | >100 mm Hg |
*If you have diabetes and/or heart disease, discuss your target goals with your Health care provider.
Cholesterol Levels |
|||
| *Goal with or without risk factors |
Goal 0-1 risk factor |
Goal 2+ risk factors |
Goal Heart Disease/Diabetes |
| Total chol. | <200 mg/dL | ||
| LDL (bad chol.) | <160 mg/dL | <130 mg/dL | <100 mg/dL |
| HDL (good chol.) | HDL should be > 40 mg/dL | ||
*Risk factors include things such as: cigarette smoking, high blood pressure, low HDL cholesterol, family history of premature heart disease, and Age (men>45 years; women >55 years). Please note to always discuss your individual risk factors and Target Goals with your Health Care Provider.
What you can do…
At your next doctor’s visit:
- Have your blood pressure taken.
- Ask your doctor what your target blood pressure should be.
- Ask to have a lipid (cholesterol) profile drawn.
- Write your numbers down, on your Know Your Numbers card
Eat a healthy diet.
Don’t smoke. If you do and would like to quit, call Care Calls at 1-800-860-2619 option 1.
Remember to take your medicines.
Learn to manage your stress.
Get Moving!
You should try for at least 30-45 minutes of aerobic activity on most days. Check with your doctor before you start any exercise program.
*Know Your Numbers is a registered trademark of Univera Healthcare.
Ready, Set, Parent!
Offers Assistance to
New Moms, Dads
Are you a new parent or about to become one?
Univera Community Health is pleased to announce its affiliation with Ready, Set, Parent! a collaborative initiative of EPIC~Every Person Influences Children and Baker Victory Services.
Depending on the member’s benefit plan, the program is either free, or may include a small copayment.
Ready, Set, Parent! is a national award-winning, comprehensive program, which starts with a visit by a hospital coordinator to new parents within 48 hours of giving birth. From there, parents are invited to attend a newborn class filled with information about parenting, health and wellness. The class emphasizes the importance of reading to children right from birth, and supplies each family with an appropriate book to get them started.
Ready, Set, Parent! also includes an eight-week workshop for parents of infants and toddlers. Topics are designed to help any parent gain new information and guidance about raising a happy and healthy baby.
A complete schedule of classes is available by calling Ready, Set, Parent! at 332-4153.
For more information, visit http://epicforchildren.org.
Take Steps is a free Web-based program designed to improve your health through physical activity and healthy eating. Take Steps is designed to help you take small steps every day toward reaching your goals like walking a little bit more and eating a little bit smarter.
Take Steps is a simple, Web-based program that helps you set healthy goals and shows you easy ways to achieve them. You can even challenge friends, family or your entire organization to be healthier with our Healthy Competition option. Best of all, we provide everything you need to get started.
When you sign-up, you'll receive:
- A personalized Web page
- Access to tools to help you track progress and goals
- Access to the Take Steps Healthy Competition
- Calculators for caloric needs, body mass and target weight
- Access to the Step Calculator to help you estimate steps for a variety of activities
- Activities that keep you motivated
- Tips on eating smarter
- Access to a library of fitness and nutrition articles
- Delicious, nutritious recipes
- Links to other helpful Web sites and resources
To learn more check out the Take Steps Web site at http://www.takesteps.univerahealthcare.com
