Holiday Hints for Managing Diabetes

12.23.2019 —

The holidays can be an especially hard time of year to avoid unhealthy foods. Use the helpful hints below to better manage your diabetes during this time. 

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Diabetes 101: The Basics

12.17.2019 —

Diabetes is a condition that affects the amount of insulin a person’s body produces. Insulin is important because it moves sugar (glucose) from our bloodstreams into our cells after we eat. This is the main source of fuel for our bodies.

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Health Care 101: What’s an ANOC, EOC and Formulary?

11.04.2019 —

If you are enrolled in a Medicare Rx Option, Medicare requires the Health Options Program to send you the additional materials below. Here’s a quick overview on what they are, why they are important and when to expect them.

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How to Check if Your Drugs are Covered

10.28.2019 —

In most cases, a plan does not pay benefits for any drug not listed on the formulary, which is a list of all the medications covered by a plan. The formulary can also indicate if a prior authorization or step therapy is required for certain drugs as well as any quantity or day supply limitations.

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PSERS prescription drug plan gets near-perfect CMS rating

10.23.2019 —

CMS announced the star ratings for 2020.

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Attention Health Options Program Members: Mark Your Calendar

09.23.2019 —

The Option Selection Period—the time when individuals currently enrolled in the Health Options Program can make changes to their coverage for 2020—runs through November 15. If you’re a current enrollee, this is a great time to evaluate your options and decide if you want to make any changes to your Health Options Program coverage for 2020.

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Protect Yourself From Summer Pests

08.26.2019 —

As the days get warmer and sun light lasts longer, most people welcome the idea of enjoying the great outdoors. But we’re not alone out there. Don’t forget to guard yourself from summer’s flying and crawling pests. Tick and mosquito activity peaks in the summer. In most cases, a bite from either is only a mild irritation; however, they both can carry diseases that cause serious health conditions. The more you know, the better you can protect yourself.

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What is an authorized representative?

07.29.2019 —

An authorized representative is someone you’ve designated to represent you and act on your behalf in matters related to your medical claims.

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Health Care 101: Benefit Maximums

07.08.2019 —

As part of an ongoing series about health care terms, below describes plan design components related to how much you and the plan will pay for services.

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Quality Improvement Award

06.24.2019 —

The prescription drug options under the Health Options Program are being recognized by the Pharmacy Quality Alliance for significant improvements in medication quality measures. These categories are part of the overall CMS star rating. The Program received an overall rating of 4.5 stars for 2019.

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