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"post_date": "2020-07-27 14:34:08",
"post_date_gmt": "2020-07-27 14:34:08",
"post_content": "<!-- wp:acf\/hero {\"name\":\"acf\/hero\",\"data\":{\"hero_version\":\"v1\",\"_hero_version\":\"field_hero_hero_version\",\"background_image_image\":24285,\"_background_image_image\":\"field_hero_background_image_image\",\"background_image\":\"\",\"_background_image\":\"field_hero_background_image\",\"heading\":\"About Us\",\"_heading\":\"field_hero_heading\",\"subheading\":\"We are a mission-driven health plan from VNS Health providing quality care for New Yorkers.\",\"_subheading\":\"field_hero_subheading\",\"text\":\"\",\"_text\":\"field_hero_text\",\"button\":{\"title\":\"Learn About Our Health Plans\",\"url\":\"\/our-plans\",\"target\":\"\"},\"_button\":\"field_hero_button\",\"disable_left_circle\":\"0\",\"_disable_left_circle\":\"field_hero_disable_left_circle\",\"disable_right_circle\":\"0\",\"_disable_right_circle\":\"field_hero_disable_right_circle\",\"id\":\"block_acf_65fc804a92589\"},\"mode\":\"edit\",\"id\":\"block_acf_65fc804a92589\"} \/-->\n\n<!-- wp:paragraph -->\n<p>For 130 years, VNS Health has led the way as an innovator in home and community health care. We apply our expertise, compassion, and commitment to provide and manage care for millions of individuals who want to live, age, and heal where they feel most comfortable. <\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>Today, our organization provides a full range of easy-to-access health care services that put you in control of your health and help you live your best life \u2014 at home and in your community. That's why we are now known as <a href=\"http:\/\/www.vnshealth.org\"><strong>VNS Health<\/strong><\/a>.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>Our commitment is to your health and well-being, and honoring that commitment includes connecting you with the high-quality care you deserve.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>Our health plans have long-standing relationships with leading physician groups, doctors in private practice, hospital systems, pharmacies, and other providers.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>Our members benefit from our deep experience caring for people at all stages of life and our particular skill in caring for adults, including those with multiple health conditions.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>We understand health care journeys have their ups and downs. Our Care Teams are always ready to help our members navigate life\u2019s surprising health care challenges, whenever they occur.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:buttons {\"layout\":{\"type\":\"flex\",\"justifyContent\":\"center\",\"orientation\":\"horizontal\"}} -->\n<div class=\"wp-block-buttons\"><!-- wp:button {\"className\":\"is-style-outline\"} -->\n<div class=\"wp-block-button is-style-outline\"><a class=\"wp-block-button__link wp-element-button\" href=\"https:\/\/www.vnshealthplans.org\/our-plans\/\">Learn About Our Health Plans<\/a><\/div>\n<!-- \/wp:button --><\/div>\n<!-- \/wp:buttons -->\n\n<!-- wp:acf\/stats {\"name\":\"acf\/stats\",\"data\":{\"heading\":\"Just Some of the Reasons Why We Stand Out\",\"_heading\":\"field_stats_heading\",\"description\":\"\",\"_description\":\"field_stats_description\",\"number_of_columns\":\"3\",\"_number_of_columns\":\"field_stats_number_of_columns\",\"layout\":\"vertical\",\"_layout\":\"field_stats_layout\",\"background_color\":\"gray\",\"_background_color\":\"field_stats_background_color\",\"cards_0_icon\":20337,\"_cards_0_icon\":\"field_stats_cards_icon\",\"cards_0_superheading\":\"Expertise \",\"_cards_0_superheading\":\"field_stats_cards_superheading\",\"cards_0_stat\":\"\\u003cp\\u003eMedicare and Medicaid\\u003c\/p\\u003e\",\"_cards_0_stat\":\"field_stats_cards_stat\",\"cards_0_description\":\"Helping your benefits work for you.\",\"_cards_0_description\":\"field_stats_cards_description\",\"cards_1_icon\":20340,\"_cards_1_icon\":\"field_stats_cards_icon\",\"cards_1_superheading\":\"Excellence\",\"_cards_1_superheading\":\"field_stats_cards_superheading\",\"cards_1_stat\":\"Quality Care\",\"_cards_1_stat\":\"field_stats_cards_stat\",\"cards_1_description\":\"Choice of outstanding doctors and hospitals.\",\"_cards_1_description\":\"field_stats_cards_description\",\"cards_2_icon\":20354,\"_cards_2_icon\":\"field_stats_cards_icon\",\"cards_2_superheading\":\"Advocacy \",\"_cards_2_superheading\":\"field_stats_cards_superheading\",\"cards_2_stat\":\"On Your Side \",\"_cards_2_stat\":\"field_stats_cards_stat\",\"cards_2_description\":\"Champions for you and your loved ones.\",\"_cards_2_description\":\"field_stats_cards_description\",\"cards\":3,\"_cards\":\"field_stats_cards\",\"button\":{\"title\":\"Read More Reasons\",\"url\":\"https:\/\/www.vnshealthplans.org\/why-vnsny-choice\/\",\"target\":\"\"},\"_button\":\"field_stats_button\",\"id\":\"block_acf_65fc804a925fa\"},\"mode\":\"edit\",\"id\":\"block_acf_65fc804a925fa\"} \/-->\n\n<!-- wp:acf\/media-text {\"name\":\"acf\/media-text\",\"data\":{\"align_media_right\":\"0\",\"_align_media_right\":\"field_media-text_align_media_right\",\"bg_color\":\"white\",\"_bg_color\":\"field_media-text_bg_color\",\"is_youtube_video\":\"0\",\"_is_youtube_video\":\"field_media-text_is_youtube_video\",\"heading\":\"Expert, Personal Support \",\"_heading\":\"field_media-text_heading\",\"body\":\"\\u003cp\\u003eWhen you join one of our plans, you can count on us being here for you, whether you need a little help staying healthy\u2014or a lot.\\u003c\/p\\u003e\\r\\n\\u003cp\\u003eLooking to live a little healthier or maybe just maintain good health? We\u2019ll connect you to a health coach who can support you. Have complex care needs? Your care manager, who can be a nurse or a social worker, will advocate for you and coordinate your care and services.\\u003c\/p\\u003e\\r\\n\\u003cp\\u003eEveryone\u2019s health needs are different. Our Care Teams are dedicated to getting you the care that\u2019s right for you.\\u003c\/p\\u003e\\r\\n\\u003c!\\u002d\\u002d \/wp:paragraph \\u002d\\u002d\\u003e\",\"_body\":\"field_media-text_body\",\"image\":20701,\"_image\":\"field_media-text_image\",\"caption\":\"\",\"_caption\":\"field_media-text_caption\",\"link\":\"\",\"_link\":\"field_media-text_link\",\"id\":\"block_acf_65fc804a92635\"},\"mode\":\"edit\",\"id\":\"block_acf_65fc804a92635\"} \/-->\n\n<!-- wp:acf\/media-text {\"name\":\"acf\/media-text\",\"data\":{\"align_media_right\":\"1\",\"_align_media_right\":\"field_media-text_align_media_right\",\"bg_color\":\"white\",\"_bg_color\":\"field_media-text_bg_color\",\"is_youtube_video\":\"0\",\"_is_youtube_video\":\"field_media-text_is_youtube_video\",\"heading\":\"Deep Roots in the Communities We Serve\",\"_heading\":\"field_media-text_heading\",\"body\":\"\\u003cp\\u003eWe are your neighbors. We live and work in the communities we serve. Our team of health care experts reflect the diversity of New York\u2019s cultures, languages, and lifestyles.\\u003c\/p\\u003e\\r\\n\\u003cp\\u003eWe are part of New York\u2019s health care fabric and a trusted champion for our members and their health.\\u003c\/p\\u003e\\r\\n\\u003cp\\u003eWhether you have Medicare alone or Medicare and Medicaid or you need help with daily activities to live safely in the comfort of your own home, we can help you choose the plan that\u2019s right for you.\\u003c\/p\\u003e\",\"_body\":\"field_media-text_body\",\"image\":22157,\"_image\":\"field_media-text_image\",\"caption\":\"\",\"_caption\":\"field_media-text_caption\",\"link\":\"\",\"_link\":\"field_media-text_link\",\"id\":\"block_acf_65fc804a92669\"},\"mode\":\"edit\",\"id\":\"block_acf_65fc804a92669\"} \/-->\n\n<!-- wp:acf\/banner-in-body {\"name\":\"acf\/banner-in-body\",\"data\":{\"background_color\":\"dark-blue-with-brand-accent\",\"_background_color\":\"field_banner-in-body_background_color\",\"heading\":\"Our Pledge to You\",\"_heading\":\"field_banner-in-body_heading\",\"subheading\":\"\",\"_subheading\":\"field_banner-in-body_subheading\",\"description\":\"\\u003cp style=\\u0022text-align: center;\\u0022\\u003eWe are dedicated to \\u003ca href=\\u0022https:\/\/www.vnshealth.org\/about\/mission-vision-and-values\/\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noopener\\u0022\\u003eour mission\\u003c\/a\\u003e and to the members that we serve.\\u003c\/p\\u003e\\r\\n\\u003cp style=\\u0022text-align: center;\\u0022\\u003eWe work with our members\u2019 physicians to extend care into members\u2019 homes and communities.\\u003c\/p\\u003e\\r\\n\\u003cp style=\\u0022text-align: center;\\u0022\\u003eAll that we do, we do for you: for our members\u2019 health and happiness, for our caregivers\u2019 peace of mind, for our providers' and partners\u2019 delivery of the highest quality care.\\u003c\/p\\u003e\",\"_description\":\"field_banner-in-body_description\",\"button_heading\":\"\",\"_button_heading\":\"field_banner-in-body_button_heading\",\"button\":\"\",\"_button\":\"field_banner-in-body_button\",\"id\":\"block_acf_65fc804a92696\"},\"mode\":\"edit\",\"id\":\"block_acf_65fc804a92696\"} \/-->\n\n<!-- wp:acf\/content-feed {\"name\":\"acf\/content-feed\",\"data\":{\"gray_bg\":\"1\",\"_gray_bg\":\"field_content-feed_gray_bg\",\"heading\":\"News and Updates\",\"_heading\":\"field_content-feed_heading\",\"subheading\":\"\",\"_subheading\":\"field_content-feed_subheading\",\"content_type\":\"news\",\"_content_type\":\"field_content-feed_content_type\",\"news_feed_options_feed_type\":\"manual\",\"_news_feed_options_feed_type\":\"field_content-feed_news_feed_options_feed_type\",\"news_feed_options_items_0_selected_item\":36258,\"_news_feed_options_items_0_selected_item\":\"field_content-feed_news_feed_options_items_selected_item\",\"news_feed_options_items_1_selected_item\":32146,\"_news_feed_options_items_1_selected_item\":\"field_content-feed_news_feed_options_items_selected_item\",\"news_feed_options_items\":2,\"_news_feed_options_items\":\"field_content-feed_news_feed_options_items\",\"news_feed_options\":\"\",\"_news_feed_options\":\"field_content-feed_news_feed_options\",\"button\":{\"title\":\"See More Recent News and Updates\",\"url\":\"https:\/\/www.vnshealthplans.org\/news\/\",\"target\":\"\"},\"_button\":\"field_content-feed_button\",\"id\":\"block_acf_65fc804a9483e\"},\"mode\":\"edit\",\"id\":\"block_acf_65fc804a9483e\"} \/-->\n\n<!-- wp:paragraph -->\n<p><\/p>\n<!-- \/wp:paragraph -->",
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"ID": 31384,
"post_author": "24",
"post_date": "2023-03-30 12:17:12",
"post_date_gmt": "2023-03-30 16:17:12",
"post_content": "<!-- wp:acf\/service-area-tabs {\"name\":\"acf\/service-area-tabs\",\"data\":{\"title\":\"\",\"_title\":\"field_service-area-tabs_title\",\"tab_sections_0_title\":\"VNS Health MLTC\",\"_tab_sections_0_title\":\"field_service-area-tabs_tab_sections_title\",\"tab_sections_0_map_image\":36913,\"_tab_sections_0_map_image\":\"field_service-area-tabs_tab_sections_map_image\",\"tab_sections_0_description\":\"The following areas are serviced by VNS Health MLTC.\",\"_tab_sections_0_description\":\"field_service-area-tabs_tab_sections_description\",\"tab_sections_0_counties_0_name\":\"Albany\",\"_tab_sections_0_counties_0_name\":\"field_service-area-tabs_tab_sections_counties_name\",\"tab_sections_0_counties_1_name\":\"The 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County\",\"_tab_sections_1_counties_9_name\":\"field_service-area-tabs_tab_sections_counties_name\",\"tab_sections_1_counties_10_name\":\"Westchester County\",\"_tab_sections_1_counties_10_name\":\"field_service-area-tabs_tab_sections_counties_name\",\"tab_sections_1_counties\":11,\"_tab_sections_1_counties\":\"field_service-area-tabs_tab_sections_counties\",\"tab_sections_1_bottom_links_0_back_button\":\"0\",\"_tab_sections_1_bottom_links_0_back_button\":\"field_service-area-tabs_tab_sections_bottom_links_back_button\",\"tab_sections_1_bottom_links_0_link\":{\"title\":\"Explore 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"post_date": "2023-04-18 11:12:47",
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"post_content": "<!-- wp:paragraph -->\n<p>As a member of VNS Health Medicare (HMO), your pharmacy benefit is managed by MedImpact. MedImpact\u2019s preferred mail-order pharmacy is <strong>Birdi<\/strong>\u2122. They will help you get your medicine in a convenient way.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:heading -->\n<h2 class=\"wp-block-heading\" id=\"h-why-use-birdi\">Why use Birdi?<\/h2>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph {\"className\":\"is-style-default\"} -->\n<p class=\"is-style-default\">With Birdi\u2019s pharmacy mail-order service, you get:<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:acf\/features {\"name\":\"acf\/features\",\"data\":{\"heading\":\"\",\"_heading\":\"field_features_heading\",\"cards_0_image\":20358,\"_cards_0_image\":\"field_features_cards_image\",\"cards_0_heading\":\"\",\"_cards_0_heading\":\"field_features_cards_heading\",\"cards_0_description\":\"\\u003cp\\u003eHome delivery of your maintenance medications. These are drugs you take for conditions like high blood pressure and diabetes.\\u003c\/p\\u003e\",\"_cards_0_description\":\"field_features_cards_description\",\"cards_1_image\":20322,\"_cards_1_image\":\"field_features_cards_image\",\"cards_1_heading\":\"\",\"_cards_1_heading\":\"field_features_cards_heading\",\"cards_1_description\":\"\\u003cp\\u003eAutomatic refill reminders to help you have the right amount of medicine on hand.\\u003c\/p\\u003e\",\"_cards_1_description\":\"field_features_cards_description\",\"cards_2_image\":20346,\"_cards_2_image\":\"field_features_cards_image\",\"cards_2_heading\":\"\",\"_cards_2_heading\":\"field_features_cards_heading\",\"cards_2_description\":\"\\u003cp\\u003eTracking of your prescriptions through your MedImpact digital tools, the pharmacy portal, and mobile app.\\u003c\/p\\u003e\",\"_cards_2_description\":\"field_features_cards_description\",\"cards\":3,\"_cards\":\"field_features_cards\",\"id\":\"block_acf_656795edd8767\"},\"mode\":\"edit\",\"id\":\"block_acf_656795edd8767\"} \/-->\n\n<!-- wp:acf\/faq {\"name\":\"acf\/faq\",\"data\":{\"heading\":\"Getting Started with Birdi\",\"_heading\":\"field_faq_heading\",\"is_modular\":\"0\",\"_is_modular\":\"field_faq_is_modular\",\"items_0_question\":\"Step No. 1: Register\",\"_items_0_question\":\"field_faq_items_question\",\"items_0_answer\":\"\\u003cp\\u003e\\u003cstrong\\u003eYou can register \\u003c\/strong\\u003eonline at \\u003ca href=\\u0022http:\/\/www.medimpact.com\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noopener\\u0022\\u003emedimpact.com\\u003c\/a\\u003e or with the MedImpact mobile app, or call \\u003ca href=\\u0022tel:1-855-873-8739\\u0022\\u003e1-855-873-8739\\u003c\/a\\u003e (TTY: \\u003ca href=\\u0022tel:711\\u0022\\u003e711\\u003c\/a\\u003e). You also may complete the enrollment form and mail it to :\u00a0\u00a0\u00a0\u00a0\\u003c\/p\\u003e\\r\\n\\u003cp\\u003eBirdi\\u003cbr \/\\u003e\\r\\nPO Box 51580\\u003cbr \/\\u003e\\r\\nPhoenix, AZ 85076-1580\\u003c\/p\\u003e\\r\\n\\u003cp\\u003eYou will need to include some information with your registration, including your allergies, medical conditions, contact information, and shipping address. \u00a0\\u003c\/p\\u003e\\r\\n\\u003cp\\u003eOnce you register, you may review details about your medicine, request new prescriptions or refills, and manage your shipping\/payment details online or through the app. You can request phone, email, or text updates about your orders. Orders are processed and shipped within 5 business days from receipt of prescription.\u00a0\\u003c\/p\\u003e\",\"_items_0_answer\":\"field_faq_items_answer\",\"items_1_question\":\"Step No. 2: Set Up New Prescriptions \",\"_items_1_question\":\"field_faq_items_question\",\"items_1_answer\":\"\\u003cp\\u003e\\u003cstrong\\u003e\\u003cem\\u003eOption A: Your Doctor Sends Your Prescription\\u003c\/em\\u003e\\u003c\/strong\\u003e\\u003c\/p\\u003e\\r\\n\\u003cp\\u003eAsk your doctor to send your prescriptions electronically or by fax directly to 1-888-783-1773. Birdi can only accept these prescriptions from your doctor. They will automatically fill and ship most new prescriptions they get from your doctor, except for controlled substances.\\u003c\/p\\u003e\\r\\n\\u003cp\\u003eNote: If you are an unregistered member and your doctor sends a prescription, a Birdi team member will call to register you over the phone.\\u003c\/p\\u003e\\r\\n\\u003cp\\u003e\\u003cem\\u003e\\u003cstrong\\u003eOption B: Sign in to Website\\u003c\/strong\\u003e \\u003c\/em\\u003e\\u003c\/p\\u003e\\r\\n\\u003cp\\u003eSign in to \\u003ca href=\\u0022http:\/\/www.medimpact.com\/\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noopener\\u0022\\u003emedimpact.com\\u003c\/a\\u003e to request a new prescription or transfer from a retail pharmacy. Choose \u201cTransfer\/Request Prescriptions\u201d at the top of the \u201cMy Prescriptions -\\u0026gt; Prescription List\u201d page and follow the instructions.\\u003c\/p\\u003e\",\"_items_1_answer\":\"field_faq_items_answer\",\"items\":2,\"_items\":\"field_faq_items\",\"id\":\"block_acf_656795edd87ee\"},\"mode\":\"edit\",\"id\":\"block_acf_656795edd87ee\"} \/-->\n\n<!-- wp:acf\/faq {\"name\":\"acf\/faq\",\"data\":{\"heading\":\"FAQs\",\"_heading\":\"field_faq_heading\",\"is_modular\":\"0\",\"_is_modular\":\"field_faq_is_modular\",\"items_0_question\":\"How Do I Track My Orders?\",\"_items_0_question\":\"field_faq_items_question\",\"items_0_answer\":\"\\u003cp\\u003eAfter an order has shipped, track your orders by visiting \\u003ca href=\\u0022http:\/\/www.medimpact.com\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noopener\\u0022\\u003emedimpact.com\\u003c\/a\\u003e or checking the mobile app. You can find current tracking information and updates as to when packages will arrive. If you order multiple items, each may have a separate delivery date and tracking status.\\u003c\/p\\u003e\",\"_items_0_answer\":\"field_faq_items_answer\",\"items_1_question\":\"What Can MedImpact's Digital Tools Help Me Do?\",\"_items_1_question\":\"field_faq_items_question\",\"items_1_answer\":\"\\u003cp\\u003eUse the portal or app anytime to:\\u003c\/p\\u003e\\r\\n\\u003cul\\u003e\\r\\n\\t\\u003cli\\u003eOrder new prescriptions or transfer from a retail pharmacy\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eRefill mail-order drugs or renew expired mail-order prescriptions\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eReview estimated copay amount, last order status, and date for next refill\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eGet reminders and alerts via automated phone call, email, or text\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eView and sort your list of mail-order drugs\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eManage account information\\u003c\/li\\u003e\\r\\n\\u003c\/ul\\u003e\\r\\n\\u003cp\\u003e\\u003cstrong\\u003ePlease note\\u003c\/strong\\u003e: Your prescription will be filled by Birdi at 43159 W Nine Mile Rd., Novi, Michigan 48375. If you have questions about Birdi, call \\u003ca href=\\u0022tel:1-855-873-8739\\u0022\\u003e1-855-873-8739\\u003c\/a\\u003e (TTY: \\u003ca href=\\u0022tel:711\\u0022\\u003e711\\u003c\/a\\u003e).\\u003c\/p\\u003e\",\"_items_1_answer\":\"field_faq_items_answer\",\"items\":2,\"_items\":\"field_faq_items\",\"id\":\"block_acf_656795edd8832\"},\"mode\":\"edit\",\"id\":\"block_acf_656795edd8832\"} \/-->\n\n<!-- wp:acf\/banner-in-body {\"name\":\"acf\/banner-in-body\",\"data\":{\"background_color\":\"dark-blue-with-brand-accent\",\"_background_color\":\"field_banner-in-body_background_color\",\"heading\":\"Questions? \",\"_heading\":\"field_banner-in-body_heading\",\"subheading\":\"\",\"_subheading\":\"field_banner-in-body_subheading\",\"description\":\"\\u003cp\\u003eCall Birdi toll-free at \\u003ca href=\\u0022tel:1-855-873-8739\\u0022\\u003e1-855-873-8739\\u003c\/a\\u003e (TTY: \u00a0\\u003ca href=\\u0022tel:711\\u0022\\u003e711\\u003c\/a\\u003e). Or email Birdi at \\u003ca href=\\u0022mailto:[email protected]\\u0022\\[email protected]\\u003c\/a\\u003e. Email messages are replied to within two business days. For security and privacy, do not include personal health information. Birdi customer service hours are Monday \u2013 Friday, 8 am \u2013 8 pm and Saturday, 9 am \u2013 5 pm.\\u003c\/p\\u003e\\r\\n\\u003cp\\u003eIf you have an urgent clinical need after normal business hours, Birdi pharmacists are available 24\/7\/365. Call \\u003ca href=\\u0022tel:1-855-873-8739\\u0022\\u003e1-855-873-8739\\u003c\/a\\u003e, press 4, and you will be routed to Birdi\u2019s answering service. 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"post_date": "2023-10-11 08:04:08",
"post_date_gmt": "2023-10-11 12:04:08",
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top: -.8em;\">$<\/sup>0<\/span> y copagos de <span class=\"text-magenta\" style=\"font-size: 1.5em;\"><sup class=\"text-dark-blue-500\" style=\"font-size: .5em; top: -.8em;\">$<\/sup>0<\/span>.<\/h1>\n<!-- \/wp:heading -->\n\n<!-- wp:acf\/stats {\"name\":\"acf\/stats\",\"data\":{\"heading\":\"Entre los beneficios se incluyen los siguientes:\",\"_heading\":\"field_stats_heading\",\"description\":\"\",\"_description\":\"field_stats_description\",\"number_of_columns\":\"3\",\"_number_of_columns\":\"field_stats_number_of_columns\",\"layout\":\"horizontal\",\"_layout\":\"field_stats_layout\",\"background_color\":\"none\",\"_background_color\":\"field_stats_background_color\",\"cards_0_icon\":20358,\"_cards_0_icon\":\"field_stats_cards_icon\",\"cards_0_superheading\":\"\",\"_cards_0_superheading\":\"field_stats_cards_superheading\",\"cards_0_stat\":\"\\u003cp\\u003e\\u003cstrong\\u003eHasta $760 al a\u00f1o\\u003c\/strong\\u003e para ayudar a pagar las utilidades del hogar y m\u00e1s.\\u003c\/p\\u003e\",\"_cards_0_stat\":\"field_stats_cards_stat\",\"cards_0_description\":\"\",\"_cards_0_description\":\"field_stats_cards_description\",\"cards_1_icon\":20338,\"_cards_1_icon\":\"field_stats_cards_icon\",\"cards_1_superheading\":\"\",\"_cards_1_superheading\":\"field_stats_cards_superheading\",\"cards_1_stat\":\"\\u003cp\\u003e\\u003cstrong\\u003eHasta $3192 al a\u00f1o ($266 al mes)\\u003c\/strong\\u003e para productos de venta libre (OTC) y comestibles.\\u003c\/p\\u003e\",\"_cards_1_stat\":\"field_stats_cards_stat\",\"cards_1_description\":\"\",\"_cards_1_description\":\"field_stats_cards_description\",\"cards_2_icon\":34240,\"_cards_2_icon\":\"field_stats_cards_icon\",\"cards_2_superheading\":\"\",\"_cards_2_superheading\":\"field_stats_cards_superheading\",\"cards_2_stat\":\"\\u003cp\\u003e\\u003cstrong\\u003eHasta $3000 al a\u00f1o\\u003c\/strong\\u003e para atenci\u00f3n dental.\\u003c\/p\\u003e\",\"_cards_2_stat\":\"field_stats_cards_stat\",\"cards_2_description\":\"\",\"_cards_2_description\":\"field_stats_cards_description\",\"cards_3_icon\":20317,\"_cards_3_icon\":\"field_stats_cards_icon\",\"cards_3_superheading\":\"\",\"_cards_3_superheading\":\"field_stats_cards_superheading\",\"cards_3_stat\":\"\\u003cp\\u003e\\u003cstrong\\u003eTransporte\\u003c\/strong\\u003e a las citas m\u00e9dicas.\\u003c\/p\\u003e\",\"_cards_3_stat\":\"field_stats_cards_stat\",\"cards_3_description\":\"\",\"_cards_3_description\":\"field_stats_cards_description\",\"cards_4_icon\":25441,\"_cards_4_icon\":\"field_stats_cards_icon\",\"cards_4_superheading\":\"\",\"_cards_4_superheading\":\"field_stats_cards_superheading\",\"cards_4_stat\":\"\\u003cp\\u003e\\u003cstrong\\u003e\u00a1Y m\u00e1s!\\u003c\/strong\\u003e\\u003c\/p\\u003e\",\"_cards_4_stat\":\"field_stats_cards_stat\",\"cards_4_description\":\"\",\"_cards_4_description\":\"field_stats_cards_description\",\"cards\":5,\"_cards\":\"field_stats_cards\",\"button\":\"\",\"_button\":\"field_stats_button\",\"id\":\"block_acf_65423db803654\"},\"mode\":\"edit\",\"id\":\"block_acf_65423db803654\"} \/-->\n\n<!-- wp:acf\/divider {\"name\":\"acf\/divider\",\"data\":{\"less_vertical_space\":\"1\",\"_less_vertical_space\":\"field_divider_less_vertical_space\",\"id\":\"block_acf_65423db80367a\"},\"mode\":\"edit\",\"id\":\"block_acf_65423db80367a\"} \/-->\n\n<!-- wp:html -->\n<div id=\"medicare-form\"><\/div>\n<!-- \/wp:html -->\n\n<!-- wp:acf\/form-script {\"name\":\"acf\/form-script\",\"data\":{\"container_id\":\"medicare-form\",\"_container_id\":\"field_form-script_container_id\",\"embed_script\":\"\\u003cscript type=\\u0022text\/javascript\\u0022 id=\\u0022jsFastForms\\u0022 src=\\u0022https:\/\/choice-vnsny.my.salesforce-sites.com\/\/services\/apexrest\/VisualAntidote\/FFNEngine\/v1\/?d=yIs9aY1RKqhOimuKGSb5Lg%3D%3D\\u0022\\u003e\\u003c\/script\\u003e\",\"_embed_script\":\"field_form-script_embed_script\",\"no_script_warning_text\":\"Please enable Javascript to fill out this form.\",\"_no_script_warning_text\":\"field_form-script_no_script_warning_text\",\"background_color\":\"transparent\",\"_background_color\":\"field_form-script_background_color\",\"id\":\"block_acf_65423db803893\"},\"mode\":\"edit\",\"id\":\"block_acf_65423db803893\"} \/-->\n\n<!-- wp:acf\/banner-in-body {\"name\":\"acf\/banner-in-body\",\"data\":{\"background_color\":\"dark-blue-with-brand-accent\",\"_background_color\":\"field_banner-in-body_background_color\",\"heading\":\"\",\"_heading\":\"field_banner-in-body_heading\",\"subheading\":\"\",\"_subheading\":\"field_banner-in-body_subheading\",\"description\":\"\\u003cp style=\\u0022text-align: center;\\u0022\\u003e\\u0022No tengo palabras para describir a la administradora de atenci\u00f3n de mi padre. Ella es parte de la familia.\\u0022\\u003c\/p\\u003e\\r\\n\\u003cp style=\\u0022text-align: center;\\u0022\\u003e\\u003cem\\u003e\u2014Raul, Crown Heights\\u003c\/em\\u003e\\u003c\/p\\u003e\",\"_description\":\"field_banner-in-body_description\",\"button_heading\":\"\",\"_button_heading\":\"field_banner-in-body_button_heading\",\"button\":\"\",\"_button\":\"field_banner-in-body_button\",\"id\":\"block_acf_65423db8038c4\"},\"mode\":\"edit\",\"id\":\"block_acf_65423db8038c4\"} \/-->\n\n<!-- wp:paragraph {\"style\":{\"typography\":{\"fontSize\":\"16px\"}}} -->\n<p style=\"font-size:16px\">Los beneficios y los costos dependen de su nivel de subsidio por bajos ingresos (LIS) o de su elegibilidad para Medicaid y del plan en el que se inscriba. Los beneficios de comestibles y utilidades del hogar son parte de un programa complementario especial para personas con enfermedades cr\u00f3nicas y no todos los miembros califican. Otro tipo de productos y servicios no son elegibles. VNS Health Medicare es una organizaci\u00f3n de Medicare Advantage que tiene contratos con Medicare y Medicaid y ofrece planes HMO D-SNP y HMO. La inscripci\u00f3n en VNS Health Medicare depende de la renovaci\u00f3n del contrato.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph {\"style\":{\"typography\":{\"fontSize\":\"16px\"}}} -->\n<p style=\"font-size:16px\">H5549_24LP1_M 09252023<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph {\"style\":{\"typography\":{\"fontSize\":\"16px\"}}} -->\n<p style=\"font-size:16px\">\u00a92023 VNS Health <a href=\"https:\/\/www.vnshealthplans.org\/\">vnshealthplans.org<\/a><\/p>\n<!-- \/wp:paragraph -->",
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"post_date": "2023-10-11 08:05:34",
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"post_content": "<!-- wp:acf\/link-mantel {\"name\":\"acf\/link-mantel\",\"data\":{\"circle_image\":\"1\",\"_circle_image\":\"field_link-mantel_circle_image\",\"images_0_image\":34619,\"_images_0_image\":\"field_link-mantel_images_image\",\"images\":1,\"_images\":\"field_link-mantel_images\",\"heading\":\"\\u003cp\\u003e\u00bfBusca un plan de salud?\\u003cbr \/\\u003e\\r\\nNuestro plan de \\u003cem style=\\u0022font-size: 1.5em;\\u0022\\u003e\\u003csup style=\\u0022font-size: .5em; top: -.8em;\\u0022\\u003e$\\u003c\/sup\\u003e0\\u003c\/em\\u003e est\u00e1 pensado para nuestros vecinos que tienen \\u003cem\\u003eMedicare \\u0026amp; 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-->\n<div style=\"height:32px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n<!-- \/wp:spacer -->\n\n<!-- wp:columns -->\n<div class=\"wp-block-columns\" id=\"form\"><!-- wp:column {\"width\":\"65%\"} -->\n<div class=\"wp-block-column\" style=\"flex-basis:65%\"><!-- wp:acf\/form-script {\"name\":\"acf\/form-script\",\"data\":{\"container_id\":\"medicare-form\",\"_container_id\":\"field_form-script_container_id\",\"embed_script\":\"\\u003cscript type=\\u0022text\/javascript\\u0022 id=\\u0022jsFastForms\\u0022 src=\\u0022https:\/\/choice-vnsny.my.salesforce-sites.com\/\/services\/apexrest\/VisualAntidote\/FFNEngine\/v1\/?d=6Kc5wGgm24RlOXmgKVeC3A%3D%3D\\u0022\\u003e\\u003c\/script\\u003e\",\"_embed_script\":\"field_form-script_embed_script\",\"no_script_warning_text\":\"Please enable Javascript to fill out this 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"post_date": "2023-12-19 11:32:52",
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"post_content": "<!-- wp:acf\/link-mantel {\"name\":\"acf\/link-mantel\",\"data\":{\"circle_image\":\"1\",\"_circle_image\":\"field_link-mantel_circle_image\",\"images_0_image\":36169,\"_images_0_image\":\"field_link-mantel_images_image\",\"images\":1,\"_images\":\"field_link-mantel_images\",\"heading\":\"\\u003cp\\u003e\\u003csup style=\\u0022font-size: .5em; top: -.8em;\\u0022\\u003e$\\u003c\/sup\\u003e0 \\u003cem\\u003ePOR LAS PRIMAS\\u003c\/em\\u003e\u00a0\\u003cbr \/\\u003e\\r\\n\\u003csup style=\\u0022font-size: .5em; top: -.8em;\\u0022\\u003e$\\u003c\/sup\\u003e0 \\u003cem\\u003ePOR LOS COPAGOS\\u003c\/em\\u003e\\u003c\/p\\u003e\",\"_heading\":\"field_link-mantel_heading\",\"heading_second_line\":\"\",\"_heading_second_line\":\"field_link-mantel_heading_second_line\",\"subheading\":\"Obtenga el plan Medicare-Medicaid que necesita para vivir seguro en la comodidad de su 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src=\\u0022https:\/\/choice-vnsny.my.salesforce-sites.com\/\/services\/apexrest\/VisualAntidote\/FFNEngine\/v1\/?d=G8P%2B%2F2RiR9lvj605az1lMQ%3D%3D\\u0022\\u003e\\u003c\/script\\u003e\",\"_embed_script\":\"field_form-script_embed_script\",\"no_script_warning_text\":\"Please enable Javascript to fill out this form.\",\"_no_script_warning_text\":\"field_form-script_no_script_warning_text\",\"background_color\":\"transparent\",\"_background_color\":\"field_form-script_background_color\",\"id\":\"block_acf_65ef1b804348f\"},\"mode\":\"edit\",\"id\":\"block_acf_65ef1b804348f\"} \/-->\n\n<!-- wp:acf\/testimonial-slider {\"name\":\"acf\/testimonial-slider\",\"data\":{\"slides_0_quote\":\"Puedo decir sinceramente que es el mejor plan de seguros en el que he estado. 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Los beneficios de comestibles y servicios son parte de un programa complementario especial para personas con enfermedades cr\u00f3nicas y no todos los miembros califican. Otro tipo de productos y servicios no son elegibles. VNS Health Medicare es una organizaci\u00f3n de Medicare Advantage que tiene contratos con Medicare y Medicaid y ofrece planes HMO D-SNP y HMO. La inscripci\u00f3n en VNS Health Medicare depende de la renovaci\u00f3n del contrato.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph {\"style\":{\"typography\":{\"fontSize\":\"16px\"}}} -->\n<p style=\"font-size:16px\">H5549_24Tota1LP1v2_M\u00a0Accepted 03112024<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph {\"style\":{\"typography\":{\"fontSize\":\"16px\"}}} -->\n<p style=\"font-size:16px\">\u00a92023 VNS Health <a href=\"https:\/\/www.vnshealthplans.org\/\">vnshealthplans.org<\/a><\/p>\n<!-- \/wp:paragraph -->",
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"post_content": "<!-- wp:acf\/link-mantel {\"name\":\"acf\/link-mantel\",\"data\":{\"circle_image\":\"1\",\"_circle_image\":\"field_link-mantel_circle_image\",\"images_0_image\":36169,\"_images_0_image\":\"field_link-mantel_images_image\",\"images\":1,\"_images\":\"field_link-mantel_images\",\"heading\":\"\\u003cp\\u003e\\u003csup style=\\u0022font-size: .5em; top: -.8em;\\u0022\\u003e$\\u003c\/sup\\u003e0 \\u003cem\\u003ePOR LAS PRIMAS\\u003c\/em\\u003e\u00a0\\u003cbr \/\\u003e\\r\\n\\u003csup style=\\u0022font-size: .5em; top: -.8em;\\u0022\\u003e$\\u003c\/sup\\u003e0 \\u003cem\\u003ePOR LOS COPAGOS\\u003c\/em\\u003e\\u003c\/p\\u003e\",\"_heading\":\"field_link-mantel_heading\",\"heading_second_line\":\"\",\"_heading_second_line\":\"field_link-mantel_heading_second_line\",\"subheading\":\"Obtenga el plan Medicare-Medicaid que necesita para vivir seguro en la comodidad de su 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class=\"wp-block-heading has-text-align-center\" id=\"h-obtenga-ayuda-en-su-casa-con-las-actividades-diarias\"><span class=\"text-magenta\" style=\"font-size: 1.5em;\">Obtenga ayuda en su casa con las actividades diarias.<\/span><\/h3>\n<!-- \/wp:heading -->\n\n<!-- wp:spacer {\"height\":\"10px\"} -->\n<div style=\"height:10px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n<!-- \/wp:spacer -->\n\n<!-- wp:columns -->\n<div class=\"wp-block-columns\" id=\"form\"><!-- wp:column {\"width\":\"65%\"} -->\n<div class=\"wp-block-column\" style=\"flex-basis:65%\"><!-- wp:acf\/form-script {\"name\":\"acf\/form-script\",\"data\":{\"container_id\":\"medicare-form\",\"_container_id\":\"field_form-script_container_id\",\"embed_script\":\"\\u003cscript type=\\u0022text\/javascript\\u0022 id=\\u0022jsFastForms\\u0022 src=\\u0022https:\/\/choice-vnsny.my.salesforce-sites.com\/\/services\/apexrest\/VisualAntidote\/FFNEngine\/v1\/?d=JHy%2BcvjnFngCUbvvn7zRUA%3D%3D\\u0022\\u003e\\u003c\/script\\u003e\",\"_embed_script\":\"field_form-script_embed_script\",\"no_script_warning_text\":\"Please enable Javascript to fill out this form.\",\"_no_script_warning_text\":\"field_form-script_no_script_warning_text\",\"background_color\":\"transparent\",\"_background_color\":\"field_form-script_background_color\",\"id\":\"block_acf_65ef1c1cdd585\"},\"mode\":\"edit\",\"id\":\"block_acf_65ef1c1cdd585\"} \/--><\/div>\n<!-- \/wp:column -->\n\n<!-- wp:column {\"width\":\"50%\"} -->\n<div class=\"wp-block-column\" style=\"flex-basis:50%\"><!-- wp:spacer {\"height\":\"5px\"} -->\n<div style=\"height:5px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n<!-- \/wp:spacer -->\n\n<!-- wp:heading {\"textAlign\":\"center\"} -->\n<h2 class=\"wp-block-heading has-text-align-center\" id=\"h-los-beneficios-incluyen-lo-siguiente\">Los beneficios incluyen lo siguiente:<\/h2>\n<!-- \/wp:heading -->\n\n<!-- wp:acf\/stats {\"name\":\"acf\/stats\",\"data\":{\"heading\":\"\",\"_heading\":\"field_stats_heading\",\"description\":\"\",\"_description\":\"field_stats_description\",\"number_of_columns\":\"2\",\"_number_of_columns\":\"field_stats_number_of_columns\",\"layout\":\"horizontal\",\"_layout\":\"field_stats_layout\",\"background_color\":\"none\",\"_background_color\":\"field_stats_background_color\",\"cards_0_icon\":20358,\"_cards_0_icon\":\"field_stats_cards_icon\",\"cards_0_superheading\":\"\",\"_cards_0_superheading\":\"field_stats_cards_superheading\",\"cards_0_stat\":\"\\u003cp\\u003e\u00a1\\u003cstrong\\u003e$760 al a\u00f1o\\u003c\/strong\\u003e para ayudar a pagar las utilidades del hogar y m\u00e1s!\\u003c\/p\\u003e\",\"_cards_0_stat\":\"field_stats_cards_stat\",\"cards_0_description\":\"\",\"_cards_0_description\":\"field_stats_cards_description\",\"cards_1_icon\":20338,\"_cards_1_icon\":\"field_stats_cards_icon\",\"cards_1_superheading\":\"\",\"_cards_1_superheading\":\"field_stats_cards_superheading\",\"cards_1_stat\":\"\\u003cp\\u003e\\u003cstrong\\u003eHasta $3192 al a\u00f1o \\u003c\/strong\\u003e\\u003cstrong\\u003e($266 al mes)\\u003c\/strong\\u003e para los art\u00edculos de OTC y comestibles.\\u003c\/p\\u003e\",\"_cards_1_stat\":\"field_stats_cards_stat\",\"cards_1_description\":\"\",\"_cards_1_description\":\"field_stats_cards_description\",\"cards_2_icon\":34240,\"_cards_2_icon\":\"field_stats_cards_icon\",\"cards_2_superheading\":\"\",\"_cards_2_superheading\":\"field_stats_cards_superheading\",\"cards_2_stat\":\"\\u003cp\\u003e\\u003cstrong\\u003e$3000 al a\u00f1o\\u003c\/strong\\u003e para la atenci\u00f3n dental.\\u003c\/p\\u003e\",\"_cards_2_stat\":\"field_stats_cards_stat\",\"cards_2_description\":\"\",\"_cards_2_description\":\"field_stats_cards_description\",\"cards_3_icon\":25441,\"_cards_3_icon\":\"field_stats_cards_icon\",\"cards_3_superheading\":\"\",\"_cards_3_superheading\":\"field_stats_cards_superheading\",\"cards_3_stat\":\"\\u003cp\\u003e\\u003cstrong\\u003eServicios de asistencia personal dirigida por el consumidor\\u003c\/strong\\u003e (CDPAS).\\u003c\/p\\u003e\",\"_cards_3_stat\":\"field_stats_cards_stat\",\"cards_3_description\":\"\",\"_cards_3_description\":\"field_stats_cards_description\",\"cards_4_icon\":25442,\"_cards_4_icon\":\"field_stats_cards_icon\",\"cards_4_superheading\":\"\",\"_cards_4_superheading\":\"field_stats_cards_superheading\",\"cards_4_stat\":\"\\u003cp\\u003e\\u003cstrong\\u003eServicios de enfermer\u00eda \\u003c\/strong\\u003e\\u003cstrong\\u003eespecializada,\\u003c\/strong\\u003e atenci\u00f3n personal y tratamientos de 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{\"name\":\"acf\/divider\",\"data\":{\"less_vertical_space\":\"1\",\"_less_vertical_space\":\"field_divider_less_vertical_space\",\"id\":\"block_acf_65ef1c1cdd63e\"},\"mode\":\"edit\",\"id\":\"block_acf_65ef1c1cdd63e\"} \/-->\n\n<!-- wp:acf\/media-text {\"name\":\"acf\/media-text\",\"data\":{\"align_media_right\":\"0\",\"_align_media_right\":\"field_media-text_align_media_right\",\"bg_color\":\"white\",\"_bg_color\":\"field_media-text_bg_color\",\"is_youtube_video\":\"0\",\"_is_youtube_video\":\"field_media-text_is_youtube_video\",\"heading\":\"VNS Health Total (HMO D-SNP) es un plan de atenci\u00f3n a largo plazo de Medicare-Medicaid que cubre m\u00e9dicos, hospitales, medicamentos recetados y m\u00e1s.\",\"_heading\":\"field_media-text_heading\",\"body\":\"\\u003cul\\u003e\\r\\n\\t\\u003cli\\u003eNuestros planes brindan los servicios que necesita para vivir seguro en su hogar.\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eReciba nuestros beneficios de atenci\u00f3n a largo plazo de Medicare y Medicaid en un plan f\u00e1cil de usar.\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eConserve a sus m\u00e9dicos, especialistas y auxiliares de atenci\u00f3n m\u00e9dica a domicilio siempre y cuando formen parte de la red de Total.\\u003c\/li\\u003e\\r\\n\\u003c\/ul\\u003e\",\"_body\":\"field_media-text_body\",\"image\":36170,\"_image\":\"field_media-text_image\",\"caption\":\"\",\"_caption\":\"field_media-text_caption\",\"link\":\"\",\"_link\":\"field_media-text_link\",\"id\":\"block_acf_65ef1c1cdd65a\"},\"mode\":\"edit\",\"id\":\"block_acf_65ef1c1cdd65a\"} \/-->\n\n<!-- wp:acf\/testimonial-slider {\"name\":\"acf\/testimonial-slider\",\"data\":{\"slides_0_quote\":\"Puedo decir sinceramente que es el mejor plan de seguros en el que he estado. 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Los beneficios de comestibles y servicios son parte de un programa complementario especial para personas con enfermedades cr\u00f3nicas y no todos los miembros califican. Otro tipo de productos y servicios no son elegibles. VNS Health Medicare es una organizaci\u00f3n de Medicare Advantage que tiene contratos con Medicare y Medicaid y ofrece planes HMO D-SNP y HMO. La inscripci\u00f3n en VNS Health Medicare depende de la renovaci\u00f3n del contrato.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph {\"style\":{\"typography\":{\"fontSize\":\"16px\"}}} -->\n<p style=\"font-size:16px\">H5549_24TotalLP2v2_M Accepted 03112024<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph {\"style\":{\"typography\":{\"fontSize\":\"16px\"}}} -->\n<p style=\"font-size:16px\">\u00a92023 VNS Health <a href=\"https:\/\/www.vnshealthplans.org\/\">vnshealthplans.org<\/a><\/p>\n<!-- \/wp:paragraph -->",
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{\"name\":\"acf\/divider\",\"data\":{\"less_vertical_space\":\"1\",\"_less_vertical_space\":\"field_divider_less_vertical_space\",\"id\":\"block_acf_6607195e4728f\"},\"mode\":\"edit\",\"id\":\"block_acf_6607195e4728f\"} \/-->\n\n<!-- wp:acf\/media-text {\"name\":\"acf\/media-text\",\"data\":{\"align_media_right\":\"0\",\"_align_media_right\":\"field_media-text_align_media_right\",\"bg_color\":\"white\",\"_bg_color\":\"field_media-text_bg_color\",\"is_youtube_video\":\"0\",\"_is_youtube_video\":\"field_media-text_is_youtube_video\",\"heading\":\"VNS Health Total (HMO D-SNP) is a Medicare-Medicaid Long Term Care plan that covers doctors, hospitals, prescription drugs and more.\",\"_heading\":\"field_media-text_heading\",\"body\":\"\\u003cul\\u003e\\r\\n\\t\\u003cli\\u003eOur plan provides the services you need to live safely in your home.\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eGet your Medicare and Medicaid Long-Term Care benefits in one easy-to-use 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src=https:\/\/choice-vnsny.my.salesforce-sites.com\/\/services\/apexrest\/VisualAntidote\/FFNEngine\/v1\/?d=WedcsoTnq68dsDtVadMYIA%3D%3D\\u003e\\u003c\/script\\u003e\",\"_embed_script\":\"field_form-script_embed_script\",\"no_script_warning_text\":\"Please enable Javascript to fill out this form.\",\"_no_script_warning_text\":\"field_form-script_no_script_warning_text\",\"background_color\":\"transparent\",\"_background_color\":\"field_form-script_background_color\",\"id\":\"block_acf_6607195e472f5\"},\"mode\":\"edit\",\"id\":\"block_acf_6607195e472f5\"} \/-->\n\n<!-- wp:acf\/testimonial-slider {\"name\":\"acf\/testimonial-slider\",\"data\":{\"slides_0_quote\":\"I can honestly say this is the best insurance plan that I have been with. 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VNS Health Medicare is a Medicare Advantage organization with Medicare and Medicaid contracts, offering HMO D-SNP and HMO plans. Enrollment in VNS Health Medicare depends on contract renewal.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph {\"style\":{\"typography\":{\"fontSize\":\"16px\"}}} -->\n<p style=\"font-size:16px\">H5549_24Tota1LP1v2_M Accepted 03112024<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph {\"style\":{\"typography\":{\"fontSize\":\"16px\"}}} -->\n<p style=\"font-size:16px\">\u00a92023 VNS Health <a href=\"https:\/\/www.vnshealthplans.org\/\">vnshealthplans.org<\/a><\/p>\n<!-- \/wp:paragraph -->",
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"post_date": "2023-12-19 11:25:01",
"post_date_gmt": "2023-12-19 16:25:01",
"post_content": "<!-- wp:acf\/link-mantel {\"name\":\"acf\/link-mantel\",\"data\":{\"circle_image\":\"1\",\"_circle_image\":\"field_link-mantel_circle_image\",\"images_0_image\":36169,\"_images_0_image\":\"field_link-mantel_images_image\",\"images\":1,\"_images\":\"field_link-mantel_images\",\"heading\":\"\\u003cp\\u003e\\u003csup style=\\u0022font-size: .5em; top: -.8em;\\u0022\\u003e$\\u003c\/sup\\u003e0 \\u003cem\\u003ePREMIUMS\\u003c\/em\\u003e \\u003csup style=\\u0022font-size: .5em; top: -.8em;\\u0022\\u003e$\\u003c\/sup\\u003e0 \\u003cem\\u003eCOPAYS\\u003cbr \/\\u003e\\r\\n\\u003c\/em\\u003eGet the Medicare-Medicaid plan you need to live safely in the comfort of your home.\\u003cem\\u003e\\u003cbr \/\\u003e\\r\\n\\u003c\/em\\u003e\\u003c\/p\\u003e\",\"_heading\":\"field_link-mantel_heading\",\"heading_second_line\":\"\",\"_heading_second_line\":\"field_link-mantel_heading_second_line\",\"subheading\":\"\",\"_subheading\":\"field_link-mantel_subheading\",\"text\":\"\",\"_text\":\"field_link-mantel_text\",\"center_additional_links\":\"0\",\"_center_additional_links\":\"field_link-mantel_center_additional_links\",\"additional_links\":\"\",\"_additional_links\":\"field_link-mantel_additional_links\",\"button\":\"\",\"_button\":\"field_link-mantel_button\",\"disable_left_circle_lg\":\"0\",\"_disable_left_circle_lg\":\"field_link-mantel_disable_left_circle_lg\",\"disable_left_circle\":\"0\",\"_disable_left_circle\":\"field_link-mantel_disable_left_circle\",\"disable_right_circle\":\"0\",\"_disable_right_circle\":\"field_link-mantel_disable_right_circle\",\"id\":\"block_acf_65ef1bf8df09f\"},\"mode\":\"edit\",\"id\":\"block_acf_65ef1bf8df09f\"} \/-->\n\n<!-- wp:spacer {\"height\":\"10px\"} -->\n<div style=\"height:10px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n<!-- \/wp:spacer -->\n\n<!-- wp:heading {\"textAlign\":\"center\",\"level\":3} -->\n<h3 class=\"wp-block-heading has-text-align-center\" id=\"h-get-at-home-help-with-daily-activities\"><span class=\"text-magenta\" style=\"font-size: 1.5em;\">Get at-home help with daily activities.<\/span><\/h3>\n<!-- \/wp:heading -->\n\n<!-- wp:spacer {\"height\":\"10px\"} -->\n<div style=\"height:10px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n<!-- \/wp:spacer -->\n\n<!-- wp:columns -->\n<div class=\"wp-block-columns\" id=\"form\"><!-- wp:column {\"width\":\"65%\"} -->\n<div class=\"wp-block-column\" style=\"flex-basis:65%\"><!-- wp:acf\/form-script {\"name\":\"acf\/form-script\",\"data\":{\"container_id\":\"medicare-form\",\"_container_id\":\"field_form-script_container_id\",\"embed_script\":\"\\u003cscript type=\\u0022text\/javascript\\u0022 id=\\u0022jsFastForms\\u0022 src=\\u0022https:\/\/choice-vnsny.my.salesforce-sites.com\/\/services\/apexrest\/VisualAntidote\/FFNEngine\/v1\/?d=azNnKR9vSOpCy0ptuthMSQ%3D%3D\\u0022\\u003e\\u003c\/script\\u003e\",\"_embed_script\":\"field_form-script_embed_script\",\"no_script_warning_text\":\"Please enable Javascript to fill out this form.\",\"_no_script_warning_text\":\"field_form-script_no_script_warning_text\",\"background_color\":\"transparent\",\"_background_color\":\"field_form-script_background_color\",\"id\":\"block_acf_65ef1bf8df11b\"},\"mode\":\"edit\",\"id\":\"block_acf_65ef1bf8df11b\"} \/--><\/div>\n<!-- \/wp:column -->\n\n<!-- wp:column {\"width\":\"50%\"} -->\n<div class=\"wp-block-column\" style=\"flex-basis:50%\"><!-- wp:spacer {\"height\":\"5px\"} -->\n<div style=\"height:5px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n<!-- \/wp:spacer -->\n\n<!-- wp:heading {\"textAlign\":\"center\"} -->\n<h2 class=\"wp-block-heading has-text-align-center\" id=\"h-benefits-include\">Benefits include:<\/h2>\n<!-- \/wp:heading -->\n\n<!-- wp:acf\/stats {\"name\":\"acf\/stats\",\"data\":{\"heading\":\"\",\"_heading\":\"field_stats_heading\",\"description\":\"\",\"_description\":\"field_stats_description\",\"number_of_columns\":\"2\",\"_number_of_columns\":\"field_stats_number_of_columns\",\"layout\":\"horizontal\",\"_layout\":\"field_stats_layout\",\"background_color\":\"none\",\"_background_color\":\"field_stats_background_color\",\"cards_0_icon\":20358,\"_cards_0_icon\":\"field_stats_cards_icon\",\"cards_0_superheading\":\"\",\"_cards_0_superheading\":\"field_stats_cards_superheading\",\"cards_0_stat\":\"\\u003cp\\u003e\\u003cstrong\\u003e$760 a year\\u003c\/strong\\u003e to help pay for certain utilities \\u0026amp; 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"post_date": "2021-06-28 16:17:09",
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"post_content": "<!-- wp:acf\/form-script {\"name\":\"acf\/form-script\",\"data\":{\"embed_script\":\"\\u003cscript type=\\u0022text\/javascript\\u0022 id=\\u0022jsFastForms\\u0022 src=\\u0022https:\/\/choice-vnsny.my.salesforce-sites.com\/\/services\/apexrest\/VisualAntidote\/FFNEngine\/v1\/?d=iVXelohTKwyOlBqs6XNUtQ%3D%3D\\u0022\\u003e\\u003c\/script\\u003e\",\"_embed_script\":\"field_form-script_embed_script\",\"no_script_warning_text\":\"Please enable Javascript to fill out this form.\",\"_no_script_warning_text\":\"field_form-script_no_script_warning_text\",\"background_color\":\"gray-200\",\"_background_color\":\"field_form-script_background_color\",\"id\":\"block_acf_64188e34de67c\"},\"mode\":\"edit\",\"id\":\"block_acf_64188e34de67c\"} \/-->\n\n<!-- wp:paragraph -->\n<p><\/p>\n<!-- \/wp:paragraph -->",
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"post_content": "<!-- wp:paragraph -->\n<p><strong>As your health changes over time, so does the type of health care you need.<\/strong><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>When you\u2019re sick, you want <strong>curative care<\/strong> \u2014 the kind that cures what ails you. But when your health takes a turn for the worse, you might just want medicine that makes you feel okay. The kind of care that treats pain, nausea, and other kinds of discomfort \u2014 the kind that makes you feel better \u2014 is called <strong>palliative care<\/strong>.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>When no amount of care can cure your condition, you and your family may want another kind of care. You may want help feeling better in body, mind, and spirit, and have as good a quality of life as you can, while you and your family get ready for what\u2019s coming. This kind of care is called <strong>hospice care<\/strong>.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>Hospice and palliative care are available to you as a VNS Health Medicare member. They focus on improving quality of life for people with serious and terminal illnesses and are provided by health professionals who are expert in these types of care.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:buttons {\"layout\":{\"type\":\"flex\",\"justifyContent\":\"center\"}} -->\n<div class=\"wp-block-buttons\"><!-- wp:button {\"className\":\"is-style-outline\"} -->\n<div class=\"wp-block-button is-style-outline\"><a class=\"wp-block-button__link wp-element-button\" href=\"https:\/\/www.vnshealthplans.org\/comfort-care-options-for-vns-health-medicare-members\/#h-palliative-care-frequently-asked-questions\">Learn About Palliative Care<\/a><\/div>\n<!-- \/wp:button --><\/div>\n<!-- \/wp:buttons -->\n\n<!-- wp:buttons -->\n<div class=\"wp-block-buttons\"><!-- wp:button {\"align\":\"center\",\"className\":\"is-style-outline\"} -->\n<div class=\"wp-block-button aligncenter is-style-outline\"><a class=\"wp-block-button__link wp-element-button\" href=\"https:\/\/www.vnshealthplans.org\/comfort-care-options-for-vns-health-medicare-members\/#h-hospice-care-frequently-asked-questions\">Learn About Hospice Care<\/a><\/div>\n<!-- \/wp:button --><\/div>\n<!-- \/wp:buttons -->\n\n<!-- wp:acf\/banner-in-body {\"name\":\"acf\/banner-in-body\",\"data\":{\"background_color\":\"dark-blue-with-brand-accent\",\"_background_color\":\"field_banner-in-body_background_color\",\"heading\":\"Additional Questions? \",\"_heading\":\"field_banner-in-body_heading\",\"subheading\":\"\\u003cp\\u003eContact your Care Team for more information about this benefit.\\u003c\/p\\u003e\",\"_subheading\":\"field_banner-in-body_subheading\",\"description\":\"\\u003cp\\u003e1-866-783-1444\\u003cbr \/\\u003e\\r\\nWeekdays\\u003cbr \/\\u003e\\r\\n8 am\u20138pm\\u003c\/p\\u003e\",\"_description\":\"field_banner-in-body_description\",\"button_heading\":\"\",\"_button_heading\":\"field_banner-in-body_button_heading\",\"button\":\"\",\"_button\":\"field_banner-in-body_button\",\"id\":\"block_acf_645972d3c03ac\"},\"mode\":\"edit\",\"id\":\"block_acf_645972d3c03ac\"} \/-->\n\n<!-- wp:acf\/divider {\"name\":\"acf\/divider\",\"data\":{\"less_vertical_space\":\"1\",\"_less_vertical_space\":\"field_divider_less_vertical_space\",\"id\":\"block_acf_645972d3c0454\"},\"mode\":\"edit\",\"id\":\"block_acf_645972d3c0454\"} \/-->\n\n<!-- wp:heading {\"level\":3} -->\n<h3 id=\"h-palliative-care-frequently-asked-questions\">Palliative Care Frequently Asked Questions<\/h3>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p>You may be worrying about your illness and how to manage it. You\u2019re not feeling well and there are so many things to remember. Palliative care gives you extra support.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:acf\/faq {\"name\":\"acf\/faq\",\"data\":{\"heading\":\"\",\"_heading\":\"field_faq_heading\",\"items_0_question\":\"What is palliative care? \",\"_items_0_question\":\"field_faq_items_question\",\"items_0_answer\":\"\\u003cp\\u003ePalliative care focuses on treating symptoms of serious illness that make you feel unwell so that you don\u2019t feel so unwell.\u00a0\\u003c\/p\\u003e\",\"_items_0_answer\":\"field_faq_items_answer\",\"items_1_question\":\"Do I need to stop trying to find a cure for my condition while I\u2019m enrolled in palliative care?\",\"_items_1_question\":\"field_faq_items_question\",\"items_1_answer\":\"\\u003cp\\u003eNo, you don\u2019t. You can continue getting curative care. Palliative care is just an extra layer of support to help you feel better.\\u003c\/p\\u003e\",\"_items_1_answer\":\"field_faq_items_answer\",\"items_2_question\":\"Do I need to be at the end of my life to get palliative care?\",\"_items_2_question\":\"field_faq_items_question\",\"items_2_answer\":\"\\u003cp\\u003eNo, you do not need a terminal diagnosis to receive palliative care\\u003cstrong\\u003e.\\u003c\/strong\\u003e\\u003c\/p\\u003e\",\"_items_2_answer\":\"field_faq_items_answer\",\"items_3_question\":\"How do I know if I\u2019m eligible for palliative care?\",\"_items_3_question\":\"field_faq_items_question\",\"items_3_answer\":\"\\u003cp\\u003eYour doctors and Care Team will be able to help you decide if palliative care is a good choice for you. Some questions they will consider include:\\u003c\/p\\u003e\\r\\n\\u003cul\\u003e\\r\\n\\t\\u003cli\\u003eHow serious is your condition? Do you have more than one condition harming your health?\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eDo you have symptoms like pain, nausea, or other discomforts that can be treated to make you feel better?\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eHow many times have you been in the Emergency Room or hospital this year?\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eIs your condition causing you and your family emotional or spiritual distress?\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eHave you thought about Advance Care Planning (including Advance Directives) and do you and your family have a clear understanding of your health care goals?\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eAre you eligible for hospice care but don\u2019t feel ready to take that step?\\u003c\/li\\u003e\\r\\n\\u003c\/ul\\u003e\",\"_items_3_answer\":\"field_faq_items_answer\",\"items_4_question\":\"Who provides palliative care? Will I still see my regular doctor? \",\"_items_4_question\":\"field_faq_items_question\",\"items_4_answer\":\"\\u003cp\\u003eYes, you will still be able to see the doctors you have been seeing. Your palliative care is provided by a specially trained team, led by a nurse practitioner. Members can include doctors, nurses, and other health care professionals. They will work together with your regular doctors to provide an extra layer of support, at no additional cost.\\u003cbr \/\\u003e\\r\\n\\u003cbr \/\\u003e\\r\\n\\u003c\/p\\u003e\",\"_items_4_answer\":\"field_faq_items_answer\",\"items_5_question\":\"What services are provided through palliative care?\",\"_items_5_question\":\"field_faq_items_question\",\"items_5_answer\":\"\\u003cul\\u003e\\r\\n\\t\\u003cli\\u003eA diverse team of health care professionals (nurse practitioner, registered nurse, social worker, spiritual counselor, health and wellness coaches, and transitional care associates) providing support in your home\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eManagement and relief of symptoms, pain, and stress\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eEmotional and spiritual support\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eAccess to your regular doctors\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eConnection to community-based organizations\/resources\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eCurative treatment for illnesses\\u003c\/li\\u003e\\r\\n\\u003c\/ul\\u003e\\r\\n\\u003cp\\u003eIf you have any questions about services available to you under the palliative care benefit, please speak with your Care Team.\\u003c\/p\\u003e\",\"_items_5_answer\":\"field_faq_items_answer\",\"items_6_question\":\"What resources are available for me and my family to learn more about palliative care and hospice care?\",\"_items_6_question\":\"field_faq_items_question\",\"items_6_answer\":\"\\u003cp\\u003ePalliative Care Brochure\u00a0\\u003c\/p\\u003e\\r\\n\\u003cul\\u003e\\r\\n\\t\\u003cli\\u003e\\u003ca href=\\u0022\/wp-content\/uploads\/2022\/08\/VNSNY-CHOICE_Medicare-Palliative_Care_Brochure.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noopener\\u0022\\u003eEnglish\\u003c\/a\\u003e\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003e\\u003ca href=\\u0022\/wp-content\/uploads\/2022\/08\/VNSNY-CHOICE_Medicare-Palliative_Care_Brochure_Sp.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noopener\\u0022\\u003eSpanish\\u003c\/a\\u003e\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003e\\u003ca href=\\u0022\/wp-content\/uploads\/2022\/08\/VNSNY-CHOICE_Medicare-Palliative_Care_Brochure_Ch.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noopener\\u0022\\u003eChinese\\u003c\/a\\u003e\u00a0\\u003c\/li\\u003e\\r\\n\\u003c\/ul\\u003e\\r\\n\\u003cp\\u003eHospice Care Brochure - COMING SOON\u00a0\\u003c\/p\\u003e\",\"_items_6_answer\":\"field_faq_items_answer\",\"items\":7,\"_items\":\"field_faq_items\",\"id\":\"block_acf_645972d3c04d5\"},\"mode\":\"edit\",\"id\":\"block_acf_645972d3c04d5\"} \/-->\n\n<!-- wp:acf\/divider {\"name\":\"acf\/divider\",\"data\":{\"less_vertical_space\":\"1\",\"_less_vertical_space\":\"field_divider_less_vertical_space\",\"id\":\"block_acf_645972d3c050a\"},\"mode\":\"edit\",\"id\":\"block_acf_645972d3c050a\"} \/-->\n\n<!-- wp:heading {\"level\":3} -->\n<h3 id=\"h-hospice-care-frequently-asked-questions\">Hospice Care Frequently Asked Questions<\/h3>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p>Your doctors have given you difficult news. Hospice care can help you and your family find much-needed comfort.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:acf\/faq {\"name\":\"acf\/faq\",\"data\":{\"heading\":\"\",\"_heading\":\"field_faq_heading\",\"items_0_question\":\"What is hospice care? \",\"_items_0_question\":\"field_faq_items_question\",\"items_0_answer\":\"\\u003cp\\u003eHospice care focuses on providing you and your family with emotional, spiritual, and physical comfort during one of the most challenging stages of life. It isn\u2019t just for the final days or weeks of life. The sooner you enroll, once you are eligible, the sooner you can begin receiving the benefits of hospice care that can improve your quality of life.\u00a0\\u003c\/p\\u003e\",\"_items_0_answer\":\"field_faq_items_answer\",\"items_1_question\":\"Do I need a terminal diagnosis to receive hospice care?\",\"_items_1_question\":\"field_faq_items_question\",\"items_1_answer\":\"\\u003cp\\u003eYes, you do. In order to be eligible, two of your doctors must conclude that you have six months or less to live. \u00a0\\u003c\/p\\u003e\",\"_items_1_answer\":\"field_faq_items_answer\",\"items_2_question\":\"Do I need to give up looking for a cure for my condition? \",\"_items_2_question\":\"field_faq_items_question\",\"items_2_answer\":\"\\u003cp\\u003eNot at first. If you are in an in-network hospice program, you may continue to get \\u003cstrong\\u003etransitional curative care\\u003c\/strong\\u003e for 30 days from the beginning of your enrollment.\\u003c\/p\\u003e\",\"_items_2_answer\":\"field_faq_items_answer\",\"items_3_question\":\"Who will provide my hospice care? What will they do?\",\"_items_3_question\":\"field_faq_items_question\",\"items_3_answer\":\"\\u003cp\\u003eThe hospice care team is a group of specially trained health care professionals that includes a physician, nurse, hospice aide, social worker, volunteer, chaplain, and bereavement counselor. This team works together to ensure that your needs are met. Among its major responsibilities, the interdisciplinary hospice team:\\u003c\/p\\u003e\\r\\n\\u003cul\\u003e\\r\\n\\t\\u003cli\\u003eManages your pain and symptoms through palliative care\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eProvides you with physical, emotional, and spiritual support\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eProvides medications, medical supplies, and equipment\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eProvides coaching to your caregivers on how to care for you\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eDelivers special services like physical therapy when needed\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eMakes short-term inpatient care available for you if your caregivers need a break\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eProvides bereavement support for you and your family\\u003c\/li\\u003e\\r\\n\\u003c\/ul\\u003e\",\"_items_3_answer\":\"field_faq_items_answer\",\"items_4_question\":\"What services does the Medicare hospice benefit cover?\",\"_items_4_question\":\"field_faq_items_question\",\"items_4_answer\":\"\\u003cul\\u003e\\r\\n\\t\\u003cli\\u003eDoctor services\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eNursing care\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eMedical equipment (such as hospital bed or wheelchair)\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eMedical supplies (such as bandages and catheters)\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eDrugs to control pain and other symptoms\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eHome health aide and homemaker services\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003ePhysical and occupational therapy\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eSpeech therapy (to help with problems such as swallowing)\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eSocial worker services\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eDietary counseling\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eEmotional and spiritual counseling\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eRespite care designed to give your family members a short break from caring for you at home\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eThirty days of transitional concurrent care if you are enrolled in an in-network hospice program\\u003c\/li\\u003e\\r\\n\\u003c\/ul\\u003e\\r\\n\\u003cp\\u003eIf you have any questions about services available to you under the hospice benefit, please speak with your Care Team.\\u003c\/p\\u003e\",\"_items_4_answer\":\"field_faq_items_answer\",\"items_5_question\":\"Can I enroll in any hospice program? How do I know which programs are in-network?\",\"_items_5_question\":\"field_faq_items_question\",\"items_5_answer\":\"\\u003cp\\u003eYou may enroll in an out-of-network hospice program, but be aware that you would not be eligible for 30 days of transitional curative care or the \\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/comfort-care-options-for-vns-health-medicare-members\/#h-vns-health-medicare-hospice-supplemental-allowance\\u0022\\u003e\\u003cstrong\\u003eHospice Benefit Allowance\\u003c\/strong\\u003e\\u003c\/a\\u003e\u00a0of $500 per calendar year for certain items and services in addition to those already covered by the benefit.\\u003c\/p\\u003e\\r\\n\\u003cp\\u003eCurrently three hospice providers are in-network:\\u003c\/p\\u003e\\r\\n\\u003cul\\u003e\\r\\n\\t\\u003cli\\u003e\\u003ca href=\\u0022https:\/\/www.vnshealth.org\/hospice-care\/\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noopener\\u0022\\u003eVNS Health Hospice Care\\u003c\/a\\u003e - For more information, call \\u003ca href=\\u0022tel:212-609-1920\\u0022\\u003e212-609-1920\\u003c\/a\\u003e, 7 days a week, 24 hours a day.\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003e\\u003ca href=\\u0022https:\/\/www.mjhs.org\/our-services\/mjhs-hospice-palliative-care\/hospice-care\/\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noopener\\u0022\\u003eMJHS Hospice Care\\u003c\/a\\u003e - For more information, call \\u003ca href=\\u0022tel:855-921-4057\\u0022\\u003e855-921-4057\\u003c\/a\\u003e, 7 days a week, 8:30 am\u20135:00 pm.\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003e\\u003ca href=\\u0022https:\/\/www.chsli.org\/good-shepherd-hospice\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noopener\\u0022\\u003eGood Shepherd Hospice\\u003c\/a\\u003e - For more information, call \\u003ca href=\\u0022tel:631-465-6363\\u0022\\u003e631-465-6363\\u003c\/a\\u003e, 7 days a week, 8:30 am\u20135:00 pm.\u00a0\\u003c\/li\\u003e\\r\\n\\u003c\/ul\\u003e\",\"_items_5_answer\":\"field_faq_items_answer\",\"items\":6,\"_items\":\"field_faq_items\",\"id\":\"block_acf_645972d3c0551\"},\"mode\":\"edit\",\"id\":\"block_acf_645972d3c0551\"} \/-->\n\n<!-- wp:heading -->\n<h2>VNS Health Medicare Hospice Supplemental Allowance<\/h2>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p>If you are a VNS Health Medicare plan member enrolled in an in-network hospice program, you may receive an allowance of up to $500 for the 2023 calendar year (January 1 - December 31) for approved items or services that improve your quality of life while you\u2019re in hospice.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>Here are answers to some common questions you may have about this allowance. If you have other questions, please call your Care Team.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:acf\/faq {\"name\":\"acf\/faq\",\"data\":{\"heading\":\"\",\"_heading\":\"field_faq_heading\",\"is_modular\":\"0\",\"_is_modular\":\"field_faq_is_modular\",\"items_0_question\":\" What is the allowance for? \",\"_items_0_question\":\"field_faq_items_question\",\"items_0_answer\":\"\\u003cp\\u003eThe allowance can be used to pay for certain goods or services that improve your quality of life and provide more comfort to you during your time in in-network hospice care.\\u003c\/p\\u003e\\r\\n\\u003cp\\u003eEligible goods and services can include:\\u003c\/p\\u003e\\r\\n\\u003cul\\u003e\\r\\n\\t\\u003cli\\u003eHome and bathroom safety devices and installation\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eHousekeeping services*\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eMeal preparation and home delivery\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eTransportation not related to health care\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003ePrivate duty nursing*\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003ePest control*\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eIndoor air quality improvement devices and services, such as air purifiers or humidifiers\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eLegal services\u00a0\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eSupport animal services\\u003c\/li\\u003e\\r\\n\\u003c\/ul\\u003e\\r\\n\\u003cp\\u003eOther needs will be reviewed upon request.\\u003c\/p\\u003e\\r\\n\\u003cp\\u003e*Please note that for VNS Health Total members, some services may be covered under Medicaid (MLTC) benefits.\\u003c\/p\\u003e\",\"_items_0_answer\":\"field_faq_items_answer\",\"items_1_question\":\"How do I benefit from the allowance? How does it work? \",\"_items_1_question\":\"field_faq_items_question\",\"items_1_answer\":\"\\u003cp\\u003eTalk with your family and your doctors about what you might need to make you more comfortable or to make your life easier. You (or an authorized representative) should then contact your Care Team at \\u003ca href=\\u0022tel:1-866-783-1444\\u0022\\u003e1-866-783-1444\\u003c\/a\\u003e, weekdays, 8 am-8 pm, to begin the process. We will determine if your request fits the requirements of the allowance. If it does, we will coordinate paying for it and help you get the goods or services you requested.\\u003c\/p\\u003e\",\"_items_1_answer\":\"field_faq_items_answer\",\"items_2_question\":\"What happens if I leave hospice during the year and then choose to re-enroll later?\",\"_items_2_question\":\"field_faq_items_question\",\"items_2_answer\":\"\\u003cp\\u003eThis benefit is good for the calendar year. We will track how much you have available for the year up to $500, whether you elect hospice once or more than once throughout the year.\\u003c\/p\\u003e\",\"_items_2_answer\":\"field_faq_items_answer\",\"items_3_question\":\" What happens if my health plan already pays for supplies or services available through the allowance?\",\"_items_3_question\":\"field_faq_items_question\",\"items_3_answer\":\"\\u003cp\\u003eYour health plan benefits come first. The allowance is for items that are not already paid for through your plan or other insurance.\\u003c\/p\\u003e\",\"_items_3_answer\":\"field_faq_items_answer\",\"items\":4,\"_items\":\"field_faq_items\",\"id\":\"block_acf_645972d3c0a11\"},\"mode\":\"edit\",\"id\":\"block_acf_645972d3c0a11\"} \/-->",
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"post_date": "2020-09-17 17:56:59",
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"post_content": "<!-- wp:paragraph {\"align\":\"left\"} -->\n<p class=\"has-text-align-left\">Please check back for updates.<\/p>\n<!-- \/wp:paragraph -->",
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"post_date": "2020-07-09 17:19:23",
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"post_content": "<!-- wp:acf\/hero {\"name\":\"acf\/hero\",\"data\":{\"background_image_image\":\"\",\"_background_image_image\":\"field_hero_background_image_image\",\"background_image_caption\":\"\",\"_background_image_caption\":\"field_hero_background_image_caption\",\"background_image\":\"\",\"_background_image\":\"field_hero_background_image\",\"heading\":\"Compliance Program\",\"_heading\":\"field_hero_heading\",\"subheading\":\"\",\"_subheading\":\"field_hero_subheading\",\"text\":\"\",\"_text\":\"field_hero_text\",\"button\":\"\",\"_button\":\"field_hero_button\",\"id\":\"block_acf_65c26dd07eef0\"},\"mode\":\"edit\",\"id\":\"block_acf_65c26dd07eef0\"} \/-->\n\n<h3><strong>Commitment to Compliance<\/strong><\/h3>\n<p>Consistent with the long tradition of ethical and responsible conduct of VNS Health, VNS Health Health Plans is committed to serving its members, providers and everyone with whom it does business pursuant to the highest ethical, business and legal standards.<\/p>\n<p>To that end, VNS Health has implemented a comprehensive <a href=\"https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2022\/09\/VNS-Health_Compliance-Program-Structure-and-Guidelines.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">Compliance Program<\/a>\u00a0to ensure that legal and ethical conduct is an integral part of our organization\u2019s culture and operations.<\/p>\n<p><em>Compliance Program guidelines last updated: June 2022.<\/em><\/p>\n<h3><strong>Code of Conduct<\/strong><\/h3>\n<p>The VNS Health <a href=\"https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2024\/02\/CCD.1-Code-of-Conduct.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">Code of Conduct<\/a> is a statement of ethical and compliance principles that guide the daily operations of VNS Health, its subsidiaries and affiliates, including VNS Health Health Plans. The Code of Conduct establishes key ethical principles that we require all directors, officers, employees, contractors, agents, First Tier, Downstream and Related Entities (\u201cFDRs\u201d) and others associated with VNS Health and its FDRs to follow, as well as standards to help ensure compliance with applicable laws and company policies.<\/p>\n<p>The Code of Conduct requires VNS Health Health Plan's employees, Board members, administrators, physicians, volunteers, and those with whom we do business to report any action(s) that may be unlawful, inappropriate, or in violation of the Code of Conduct, applicable policies and procedures, or applicable laws, rules, and regulations. <strong>Be assured, there will be no intimidation of, or retaliation against, anyone who in good faith reports a compliance concern.<\/strong><\/p>\n<p><em>Code of conduct last updated: June 2022.<\/em><\/p>\n<h3><strong>Compliance Policies and Procedures<\/strong><\/h3>\n<p>VNS Health has adopted and implemented numerous compliance policies and procedures that further support our commitment to compliance, as embodied in the Compliance Program and Code of Conduct, and ensure that the Program is operating effectively and with integrity. These policies and procedures include, without limitation:<\/p>\n<p><a href=\"https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2022\/09\/MA_NND_EN-and-Taglines_4-15-22.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">Nondiscrimination\u00a0Notice<\/a><\/p>\n<p><a href=\"https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2024\/02\/CCD.9-Non-Retaliation-and-Non-Intimidation-Whistleblower-Policy.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">VNS Health Policy on Non-Retaliation and Non-Intimidation<\/a><\/p>\n<p><a href=\"https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2022\/09\/VNS_HEALTH_FRAUD-WASTE-ABUSE-DETECTION-MANUAL.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">VNS Health Plans Fraud, Waste, and Abuse Detection Manual<\/a><\/p>\n<p><a href=\"https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2022\/09\/VNS-Health_Fraud-Wate-Abuse-Policy.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">The Detection and Prevention of Fraud, Waste and Abuse and Applicable Federal and State Laws (DRA Policy)<\/a><strong>\u00a0<\/strong><\/p>\n<p><a href=\"https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2022\/09\/VNS-Health_Sanction-Checks.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">Sanction Checks<\/a><\/p>\n<h3><strong>Policy for How to Report a Compliance Concern<\/strong><\/h3>\n<p>Anonymous Hotlines and Online Reporting Tool<\/p>\n<p>VNS Health Compliance Hotline: (888) 634-1558<\/p>\n<p>VNS Health Online Reporting Tool: <a href=\"http:\/\/www.vnshealth.ethicspoint.com\/\" target=\"_blank\" rel=\"noopener noreferrer\">www.vnshealth.ethicspoint.com<\/a><\/p>\n<p>Through our Hotline and Online Reporting Tool, individuals can report a compliance concern, including fraud, waste and abuse, or seek guidance about compliance questions:<\/p>\n<ul>\n<li>24 hours, 7 days a week<\/li>\n<li>Anonymously, if you choose<\/li>\n<li>Without worry of retaliation or intimidation<\/li>\n<\/ul>\n<p>Any individual may make a report. All reports will be taken seriously and, if warranted, investigated by Compliance or the Special Investigations Unit.<\/p>\n<p>When making a report, please provide as much detail as possible, such as names, dates, and a description of the issue. Unless you prefer to remain anonymous, please include your name and telephone number so that we may contact you if we have any questions during our investigation.<\/p>\n<h3><strong>Fraud, Waste, and Abuse Detection and Prevention<\/strong><\/h3>\n<p>VNS Health has established a comprehensive Fraud, Waste, and Abuse Prevention Program to prevent, detect, and correct fraud, waste, and abuse by employees, members, providers, agents, contractors and FDRs of VNS Health Health Plans. For more information, please see the <a href=\"https:\/\/www.vnshealthplans.org\/prevention-and-detection-fraud-waste-and-abuse\/\">Fraud, Waste and Abuse Detection and Prevention<\/a>\u00a0page.<\/p>\n<h3><strong>Compliance Leadership<\/strong><\/h3>\n<p>Individuals can always contact VNS Health Compliance directly with any compliance concerns or questions.<\/p>\n<p><strong>VNS Health Chief Compliance and Privacy Officer<\/strong><br \/>Annie Miyazaki-Grant <br \/>SVP, Chief Compliance & Privacy Officer<br \/>(212) 609-7470<br \/><a href=\"mailto:[email protected]\">[email protected]<\/a><\/p>\n<p><strong>VNS Health Compliance Officer<\/strong><br \/>Doug Goggin-Callahan<br \/>VP, Compliance & Regulatory Affairs<br \/>(201) 779-2584<br \/><a href=\"mailto:[email protected]\">[email protected]<\/a><\/p>\n<h3><strong>Other Ways to Contact Compliance<\/strong><\/h3>\n<p>Individuals can also send materials to the VNS Health Compliance Department by fax or mail:<\/p>\n<p>Attn: <br \/>VNS Health <br \/>Compliance Department<br \/>220 East 42nd Street, 3rd Floor<br \/>New York, NY 10017<br \/>(646) 459-7730 (fax)<\/p>\n<p>VNS Health Hotline: <a href=\"tel:(888) 634-1558\">(888) 634-1558<\/a><\/p>\n<p>VNS Health Online Reporting Tool: <a href=\"http:\/\/www.vnshealth.ethicspoint.com\/\" target=\"_blank\" rel=\"noopener noreferrer\">www.vnshealth.ethicspoint.com<\/a><\/p>\n<p><strong>Helpful Links:<\/strong><\/p>\n<p><a href=\"https:\/\/www.cms.gov\/Medicare\/Compliance-and-Audits\/Part-C-and-Part-D-Compliance-and-Audits\/ComplianceProgramPolicyandGuidance.html\" target=\"_blank\" rel=\"noopener noreferrer\">CMS Compliance Program Policy and Guidance<\/a>\u00a0\u2013 Information on Centers for Medicare and Medicaid Services (CMS) Compliance Program requirements and links to compliance training.<\/p>\n<p><a href=\"https:\/\/omig.ny.gov\/compliance\/compliance-library\" target=\"_blank\" rel=\"noopener noreferrer\">NYS OMIG Compliance<\/a>\u00a0\u2013 New York State Office of the Medicaid Inspector (NYS OMIG) General Bureau of Compliance page, with links to the Compliance Library.<\/p>\n<p><a href=\"http:\/\/www.hhs.gov\/ocr\/privacy\/index.html\" target=\"_blank\" rel=\"noopener noreferrer\">HHS Office of Civil Rights - HIPAA<\/a>\u00a0\u2013 U.S. Department of Health and Human Service Office of Civil Rights website offers information on health information privacy and security.<\/p>\n<p><a href=\"http:\/\/www.health.ny.gov\/\" target=\"_blank\" rel=\"noopener noreferrer\">New York State Department of Health<\/a> \u2013 Information about New York State Department of Health, as well as Model Contracts for VNS Health Health Plan\u2019s Medicaid Managed Long Term Care (MLTC) and Medicaid Managed Care Special Needs Plan (SNP) can be accessed here.<\/p>",
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"post_content": "<!-- wp:paragraph -->\n<p>Effective 7\/1\/2021: To reach the SelectHealth Foster Care Liaison about a SelectHealth member who is a child in foster care, please use our secure encryption portal. If you are unable to use the secure portal, you can also call <a href=\"tel:1-866-469-7774\"><strong>1-866-469-7774<\/strong><\/a> (TTY: <a href=\"tel:711\"><strong>711<\/strong><\/a>), Monday\u2013Friday, 9 am\u20135 pm, excluding <a href=\"https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2023\/02\/2023-VNS-Health-Holiday-Schedule.pdf\">holidays<\/a>.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p><strong>IMPORTANT: Do not include information about the member in your initial request for access to the portal.<\/strong><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph {\"className\":\"is-style-default\"} -->\n<p class=\"is-style-default\">For access to the portal: <\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:list {\"ordered\":true} -->\n<ol><!-- wp:list-item -->\n<li>When\u00a0requesting secure communication with the SelectHealth Foster Care Liaison, you will be asked to provide your agency's name, your name, your email address, and your phone number.<br><br>Requests for communication are monitored Monday\u2013Friday, 9 am\u20135 pm, excluding <a href=\"https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2023\/02\/2023-VNS-Health-Holiday-Schedule.pdf\">holidays<\/a>. All\u00a0requests will be responded to within 2 hours. Any request received within 2 hours of the close of business will be responded to the following morning. Any request received on a weekend or holiday will be responded to the morning of the next business day.<br><br><strong>Note: You should NOT use this form for urgent issues or emergencies<\/strong>. For urgent issues, call the SelectHealth Foster Care Liaison at <a href=\"tel:1-866-469-7774\"><strong>1-866-469-7774<\/strong><\/a>. If you need to report an emergency, please call 911 immediately.<br><br><a class=\"noExitNotifier\" href=\"https:\/\/forms.office.com\/Pages\/ResponsePage.aspx?id=AL-L0-142E2gZbphh3tPUOt8otVzq3VLg7UbckWGZwBUMDM2UFNMTjkyQ1lWSFlLV0RXV1YyVkUyNS4u\" target=\"_blank\" rel=\"noreferrer noopener\"><u><strong>Use this <\/strong><\/u><\/a><strong><a class=\"noExitNotifier\" href=\"https:\/\/forms.office.com\/Pages\/ResponsePage.aspx?id=AL-L0-142E2gZbphh3tPUOt8otVzq3VLg7UbckWGZwBUMDM2UFNMTjkyQ1lWSFlLV0RXV1YyVkUyNS4u\" target=\"_blank\" rel=\"noreferrer noopener\"><u>form<\/u><\/a>\u00a0<\/strong>to request secure communication with the SelectHealth Foster Care Liaison.<br>\u00a0<\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li>Once we've received your initial request, you'll receive an email with an attachment. Open the attachment, and click on the link for Office 365 Message Encryption Portal (OME Portal). You will be asked to create an account, if you don't already have one.<br> <\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li>Once your OME Portal account has been created, you will be able to communicate with the SelectHealth Foster Care Liaison by hitting \"Reply\" or \"Reply All\" to your response email. All communications through the OME Portal are confidential and are safe for messages that include Protected Health Information about the member.<\/li>\n<!-- \/wp:list-item --><\/ol>\n<!-- \/wp:list -->\n\n<!-- wp:paragraph -->\n<p>If you have questions or require assistance setting up your portal account, please call <a href=\"tel:1-866-469-7774\"><strong>1-866-469-7774<\/strong><\/a>.<\/p>\n<!-- \/wp:paragraph -->",
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"post_content": "<!-- wp:paragraph -->\n<p>In order to ensure the cultural competence of our provider network, the New York State Department of Health (DOH) requires all SelectHealth from VNS Health providers to take an annual cultural competency training. The training is online, free, and offers several provider-specific programs. <\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:acf\/faq {\"name\":\"acf\/faq\",\"data\":{\"heading\":\"\\u003cu\\u003e\\u003ca href=\\u0022https:\/\/thinkculturalhealth.hhs.gov\/education\\u0022\\u003eClick Here to Complete the Training\\u003c\/a\\u003e.\\u003c\/u\\u003e\",\"_heading\":\"field_faq_heading\",\"items_0_question\":\"About the Training \",\"_items_0_question\":\"field_faq_items_question\",\"items_0_answer\":\"\\u003cp\\u003eThe \\u003cem\\u003eThink Cultural Health \\u003c\/em\\u003etraining, created for the United States Department of Health and Human Services (HHS), Office of Minority Health education program, offers several provider-specific programs:\\u003cbr \/\\u003e\\r\\n\\u003cbr \/\\u003e\\r\\n\\u003c\/p\\u003e\\r\\n\\u003cul\\u003e\\r\\n\\t\\u003cli\\u003eLicensed Alcohol and Drug Counselors, Nurses, Psychiatrists, Psychologists, and Social Workers \u2013 four courses\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eHealth Care Administrators and Providers \u2013 one course\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eMaternal Health Providers \u2013 one course\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eNurses \u2013 three courses\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eOral Health Professionals \u2013 three courses\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003ePhysicians, Nurse Practitioners, and Physician Assistants \u2013 three courses\\u003cbr \/\\u003e\\r\\n\\u003cbr \/\\u003e\\r\\n\\u003c\/li\\u003e\\r\\n\\u003c\/ul\\u003e\\r\\n\\u003cp\\u003eDOH suggests providers complete the required training that corresponds with their scope of practice. You are only required to take one of the courses if there are multiple courses within the provider training program. Providers can alternate year-to-year between the various courses within the training program.\\u003c\/p\\u003e\",\"_items_0_answer\":\"field_faq_items_answer\",\"items\":1,\"_items\":\"field_faq_items\",\"id\":\"block_acf_64138f6f18c91\"},\"mode\":\"edit\",\"id\":\"block_acf_64138f6f18c91\"} \/-->\n\n<!-- wp:heading {\"level\":3} -->\n<h3 id=\"h-attest-to-completing-the-training\">Attest to Completing the Training<\/h3>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p>Once you have completed the training, please use the form below to attest that you have completed the training. You may also use the form to attest on behalf of a provider group. <strong>Please note that you must attest to completing the training for SelectHealth, even if you have already attested to it for another plan.<\/strong><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:acf\/form-script {\"name\":\"acf\/form-script\",\"data\":{\"embed_script\":\"\\u003cscript type=\\u0022text\/javascript\\u0022 id=\\u0022jsFastForms\\u0022 src=\\u0022https:\/\/choice-vnsny.my.salesforce-sites.com\/\/services\/apexrest\/VisualAntidote\/FFNEngine\/v1\/?d=PVBL1gdeN%2BHVibZZvb4N5A%3D%3D\\u0022\\u003e\\u003c\/script\\u003e\",\"_embed_script\":\"field_form-script_embed_script\",\"no_script_warning_text\":\"Please enable Javascript to fill out this form.\",\"_no_script_warning_text\":\"field_form-script_no_script_warning_text\",\"background_color\":\"gray-200\",\"_background_color\":\"field_form-script_background_color\",\"id\":\"block_acf_64138f6f18e41\"},\"mode\":\"edit\",\"id\":\"block_acf_64138f6f18e41\"} \/-->",
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"post_content": "<!-- wp:heading -->\n<h2 class=\"wp-block-heading\">We reward you, so <em>you<\/em> can reward yourself!<\/h2>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p>As a member of a VNS Health Medicare plan, you\u2019re automatically enrolled in our Member Rewards program. You can earn rewards for completing certain health activities, like seeing your doctor or getting recommended screenings. Earn up to $30 for each health activity you complete.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>You can earn rewards by completing the qualifying activities listed below.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:acf\/three-column-table {\"name\":\"acf\/three-column-table\",\"data\":{\"three_column_table_show_table_heading\":\"0\",\"_three_column_table_show_table_heading\":\"field_three-column-table_three_column_table_show_table_heading\",\"three_column_table_alternate_row_colors\":\"1\",\"_three_column_table_alternate_row_colors\":\"field_three-column-table_three_column_table_alternate_row_colors\",\"three_column_table_use_custom_row_colors\":\"0\",\"_three_column_table_use_custom_row_colors\":\"field_three-column-table_three_column_table_use_custom_row_colors\",\"three_column_table_column_headings_col_1\":\"Health 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year\\u003c\/p\\u003e\",\"_three_column_table_rows_6_table_col_3\":\"field_three-column-table_three_column_table_rows_table_col_3\",\"three_column_table_rows_7_icon\":20341,\"_three_column_table_rows_7_icon\":\"field_three-column-table_three_column_table_rows_icon\",\"three_column_table_rows_7_table_col_1\":\"\\u003cp\\u003eRetinal eye exam for diabetes\\u003c\/p\\u003e\",\"_three_column_table_rows_7_table_col_1\":\"field_three-column-table_three_column_table_rows_table_col_1\",\"three_column_table_rows_7_table_col_2\":\"\\u003cp\\u003e$25\\u003c\/p\\u003e\",\"_three_column_table_rows_7_table_col_2\":\"field_three-column-table_three_column_table_rows_table_col_2\",\"three_column_table_rows_7_table_col_3\":\"\\u003cp\\u003eOnce per year\\u003c\/p\\u003e\",\"_three_column_table_rows_7_table_col_3\":\"field_three-column-table_three_column_table_rows_table_col_3\",\"three_column_table_rows_8_icon\":20360,\"_three_column_table_rows_8_icon\":\"field_three-column-table_three_column_table_rows_icon\",\"three_column_table_rows_8_table_col_1\":\"\\u003cp\\u003eBlood pressure reading for hypertension\\u003cbr \/\\u003e\\r\\n\\u003cbr \/\\u003e\\r\\n\\u003cem\\u003eReward will be based on the final reading of the year.\\u003c\/em\\u003e\\u003c\/p\\u003e\",\"_three_column_table_rows_8_table_col_1\":\"field_three-column-table_three_column_table_rows_table_col_1\",\"three_column_table_rows_8_table_col_2\":\"\\u003cp\\u003e$25\\u003c\/p\\u003e\",\"_three_column_table_rows_8_table_col_2\":\"field_three-column-table_three_column_table_rows_table_col_2\",\"three_column_table_rows_8_table_col_3\":\"\\u003cp\\u003eOnce per year\\u003c\/p\\u003e\",\"_three_column_table_rows_8_table_col_3\":\"field_three-column-table_three_column_table_rows_table_col_3\",\"three_column_table_rows_9_icon\":36214,\"_three_column_table_rows_9_icon\":\"field_three-column-table_three_column_table_rows_icon\",\"three_column_table_rows_9_table_col_1\":\"\\u003cp\\u003eMember Advisory Committee (MAC) Meeting\\u003c\/p\\u003e\\r\\n\\u003cp\\u003e\\u003cem\\u003eReward will be based on each MAC meeting attended.\\u003c\/em\\u003e\\u003c\/p\\u003e\",\"_three_column_table_rows_9_table_col_1\":\"field_three-column-table_three_column_table_rows_table_col_1\",\"three_column_table_rows_9_table_col_2\":\"\\u003cp\\u003e$10\\u003c\/p\\u003e\",\"_three_column_table_rows_9_table_col_2\":\"field_three-column-table_three_column_table_rows_table_col_2\",\"three_column_table_rows_9_table_col_3\":\"\\u003cp\\u003eAt least once per year\\u003c\/p\\u003e\",\"_three_column_table_rows_9_table_col_3\":\"field_three-column-table_three_column_table_rows_table_col_3\",\"three_column_table_rows\":10,\"_three_column_table_rows\":\"field_three-column-table_three_column_table_rows\",\"three_column_table\":\"\",\"_three_column_table\":\"field_three-column-table_three_column_table\",\"id\":\"block_acf_65a6b290a653f\"},\"mode\":\"edit\",\"id\":\"block_acf_65a6b290a653f\"} \/-->\n\n<!-- wp:paragraph -->\n<p><br>Additional eligibility exclusions may apply. All services must be medically necessary to earn rewards.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:heading {\"level\":3} -->\n<h3 class=\"wp-block-heading\" id=\"h-how-will-i-get-my-rewards\"><strong>How Will I Get My Rewards?<\/strong><\/h3>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p>You must be an active member of the plan to receive rewards. We\u2019ll track your progress using claims your doctor submits to verify that you completed the health activity. The first time you complete an eligible activity during a given year, we\u2019ll send you a reward certificate showing the total dollar amount you earned for completing qualified health activities. Then during the remainder of the year, you\u2019ll receive a new reward certificate for each quarter (3 months) in which you complete at least one eligible activity. See the schedule below for when you might expect to receive your rewards.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>The card cannot be used for gambling or to purchase alcohol, firearms, or tobacco, and it cannot be converted to cash.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>Below is a schedule of when rewards will be issued.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:table -->\n<figure class=\"wp-block-table\"><table><thead><tr><th>Period of time to complete eligible activities<\/th><th>When eligible rewards will be awarded<\/th><\/tr><\/thead><tbody><tr><td>January 1, 2024 \u2013 March 31, 2024<\/td><td>June 2024<\/td><\/tr><tr><td>April 1, 2024 \u2013 June 30, 2024<\/td><td>September 2024<\/td><\/tr><tr><td>July 1, 2024 \u2013 September 30, 2024<\/td><td>December 2024<\/td><\/tr><tr><td>October 1, 2024 \u2013 December 31, 2024<\/td><td>March 2025<\/td><\/tr><\/tbody><\/table><\/figure>\n<!-- \/wp:table -->\n\n<!-- wp:heading {\"level\":3} -->\n<h3 class=\"wp-block-heading\" id=\"h-what-s-next\">What's Next?<\/h3>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p>Going to the doctor and taking your medications can help you stay healthy. So schedule your annual wellness visit, and follow these tips to make the most of the visit:<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:list -->\n<ul><!-- wp:list-item -->\n<li>Write your questions down at home, before your appointment.<\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li>Make a list of medications, and check to see if you need any refills.<\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li>Ask your doctor what screenings you are eligible for, so you can start earning rewards!<\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li>Before you leave your doctor's office, make sure you schedule your next visit.<\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list -->\n\n<!-- wp:paragraph -->\n<p>If you have any questions, please call us at <a href=\"tel:1-866-783-1444\"><strong>1-866-783-1444<\/strong><\/a> (TTY:<a href=\"tel:711\"> <strong>711<\/strong><\/a>), weekdays, 8 am\u20138 pm.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:acf\/faq {\"name\":\"acf\/faq\",\"data\":{\"heading\":\"Frequently Asked Questions \",\"_heading\":\"field_faq_heading\",\"is_modular\":\"0\",\"_is_modular\":\"field_faq_is_modular\",\"items_0_question\":\"How do I earn a reward? \",\"_items_0_question\":\"field_faq_items_question\",\"items_0_answer\":\"\\u003cp\\u003eComplete qualifying health activities as shown in the chart above. Speak to your provider about which health activities are right for you.\\u003c\/p\\u003e\",\"_items_0_answer\":\"field_faq_items_answer\",\"items_1_question\":\"How will I be notified about the rewards? \",\"_items_1_question\":\"field_faq_items_question\",\"items_1_answer\":\"\\u003cp\\u003eYou will receive a reward certificate in the mail showing the award value or total dollar amount you earned for completing qualified health activities. Call us, if you have any questions or need to update your address.\\u003c\/p\\u003e\",\"_items_1_answer\":\"field_faq_items_answer\",\"items_2_question\":\"How do I claim my gift card(s)?\",\"_items_2_question\":\"field_faq_items_question\",\"items_2_answer\":\"\\u003cp\\u003eFill out the mail-in redemption form at the bottom of your reward certificate or follow the instructions noted at the top of the certificate to redeem online. Note: you can split your rewards in up to (2) different retailer gift cards.\\u003c\/p\\u003e\",\"_items_2_answer\":\"field_faq_items_answer\",\"items_3_question\":\"When will I receive my reward(s)? \",\"_items_3_question\":\"field_faq_items_question\",\"items_3_answer\":\"\\u003cp\\u003eRewards will be awarded during specific timeframes. See schedule outline of when rewards will be issued, above.\\u003c\/p\\u003e\",\"_items_3_answer\":\"field_faq_items_answer\",\"items_4_question\":\"When will I receive my gift card(s)?\",\"_items_4_question\":\"field_faq_items_question\",\"items_4_answer\":\"\\u003cp\\u003ePhysical gift card(s) will be shipped within two to four weeks after selections are made. In most cases, if selected, digital gift cards will be available for use right away.\\u003c\/p\\u003e\",\"_items_4_answer\":\"field_faq_items_answer\",\"items_5_question\":\"I think I earned a reward this year, but have not received a reward certificate?\",\"_items_5_question\":\"field_faq_items_question\",\"items_5_answer\":\"\\u003cp\\u003eTo double check if you\u2019ve earned a reward or if you have any other questions, please call \\u003ca href=\\u0022tel:1-866-601-5927\\u0022\\u003e\\u003cstrong\\u003e1-866-601-5927\\u003c\/strong\\u003e\\u003c\/a\\u003e.\\u003c\/p\\u003e\",\"_items_5_answer\":\"field_faq_items_answer\",\"items_6_question\":\"Do gift cards have an expiration date?\",\"_items_6_question\":\"field_faq_items_question\",\"items_6_answer\":\"\\u003cp\\u003eYes. Gift cards will expire within thirteen months from the date card is issued. Be sure to use your card(s) before then.\\u003c\/p\\u003e\",\"_items_6_answer\":\"field_faq_items_answer\",\"items_7_question\":\"What about any remaining funds on my Mastercard\u00ae reloadable gift card?\",\"_items_7_question\":\"field_faq_items_question\",\"items_7_answer\":\"\\u003cp\\u003eFunds for rewards earned in 2022 are available to be used through December 2023. Any unused portions beyond December 31, 2023 will not be available for use.\\u003c\/p\\u003e\",\"_items_7_answer\":\"field_faq_items_answer\",\"items\":8,\"_items\":\"field_faq_items\",\"id\":\"block_acf_65a6b290a65a2\"},\"mode\":\"edit\",\"id\":\"block_acf_65a6b290a65a2\"} \/-->",
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"post_content": "<!-- wp:table -->\n<figure class=\"wp-block-table\"><table><tbody><tr><td>Bronx<\/td><td>Queens <\/td><\/tr><tr><td>Kings (Brooklyn)<\/td><td>Richmond (Staten Island)<\/td><\/tr><tr><td>Nassau<\/td><td>Suffolk<\/td><\/tr><tr><td>New York (Manhattan)<\/td><td>Westchester<\/td><\/tr><\/tbody><\/table><\/figure>\n<!-- \/wp:table -->",
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"post_content": "<!-- wp:paragraph -->\n<p><strong>Thank you for being a member!<\/strong><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>We\u2019re happy to have you! EasyCare (HMO) is a Medicare Advantage plan that offers more than regular Medicare, including extra benefits that can make healthy living easier.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:heading -->\n<h2 class=\"wp-block-heading\" id=\"h-latest-news\">Latest News<\/h2>\n<!-- \/wp:heading -->\n\n<!-- wp:acf\/banner-in-body {\"name\":\"acf\/banner-in-body\",\"data\":{\"background_color\":\"gray-200\",\"_background_color\":\"field_banner-in-body_background_color\",\"heading\":\"EasyCare Member Newsletter - Spring 2024 Edition\",\"_heading\":\"field_banner-in-body_heading\",\"subheading\":\"\",\"_subheading\":\"field_banner-in-body_subheading\",\"description\":\"\\u003cp\\u003eRead the latest newsletter for VNS Health EasyCare members!\\u003c\/p\\u003e\\r\\n\\u003cp\\u003e\\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2024\/04\/2024-Spring-ECECP-Newsletter_EN.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noopener\\u0022\\u003eEnglish\\u003c\/a\\u003e\u00a0\\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2024\/04\/2024-Spring-ECECP-Newsletter_SP.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noopener\\u0022\\u003eSpanish\\u003c\/a\\u003e \\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2024\/04\/2024-Spring-ECECP-Newsletter_CH.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noopener\\u0022\\u003eChinese\\u003c\/a\\u003e\\u003c\/p\\u003e\",\"_description\":\"field_banner-in-body_description\",\"button_heading\":\"\",\"_button_heading\":\"field_banner-in-body_button_heading\",\"button\":\"\",\"_button\":\"field_banner-in-body_button\",\"id\":\"block_acf_66182bed833b3\"},\"mode\":\"edit\",\"id\":\"block_acf_66182bed833b3\"} \/-->\n\n<!-- wp:acf\/banner-in-body {\"name\":\"acf\/banner-in-body\",\"data\":{\"background_color\":\"gray-200\",\"_background_color\":\"field_banner-in-body_background_color\",\"heading\":\"New for 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"post_date": "2021-11-30 19:43:30",
"post_date_gmt": "2021-12-01 00:43:30",
"post_content": "<!-- wp:heading {\"level\":3} -->\n<h3 class=\"wp-block-heading\">We reward you, so <em>you<\/em> can reward yourself!<\/h3>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p>As a member of VNS Health EasyCare (HMO), you\u2019re automatically enrolled in our Member Rewards program. You can earn rewards for completing certain health activities, like seeing your doctor or getting recommended screenings. Earn up to $30 for each health activity you complete.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>You can earn rewards by completing the qualifying activities listed below.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:acf\/three-column-table {\"name\":\"acf\/three-column-table\",\"data\":{\"three_column_table_show_table_heading\":\"0\",\"_three_column_table_show_table_heading\":\"field_three-column-table_three_column_table_show_table_heading\",\"three_column_table_alternate_row_colors\":\"1\",\"_three_column_table_alternate_row_colors\":\"field_three-column-table_three_column_table_alternate_row_colors\",\"three_column_table_use_custom_row_colors\":\"0\",\"_three_column_table_use_custom_row_colors\":\"field_three-column-table_three_column_table_use_custom_row_colors\",\"three_column_table_column_headings_col_1\":\"Health 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year\\u003c\/p\\u003e\",\"_three_column_table_rows_7_table_col_3\":\"field_three-column-table_three_column_table_rows_table_col_3\",\"three_column_table_rows_8_icon\":20360,\"_three_column_table_rows_8_icon\":\"field_three-column-table_three_column_table_rows_icon\",\"three_column_table_rows_8_table_col_1\":\"\\u003cp\\u003eBlood pressure reading for hypertension\\u003cbr \/\\u003e\\r\\n\\u003cbr \/\\u003e\\r\\n\\u003cem\\u003eReward will be based on the final reading of the year.\\u003c\/em\\u003e\\u003c\/p\\u003e\",\"_three_column_table_rows_8_table_col_1\":\"field_three-column-table_three_column_table_rows_table_col_1\",\"three_column_table_rows_8_table_col_2\":\"\\u003cp\\u003e$25\\u003c\/p\\u003e\",\"_three_column_table_rows_8_table_col_2\":\"field_three-column-table_three_column_table_rows_table_col_2\",\"three_column_table_rows_8_table_col_3\":\"\\u003cp\\u003eOnce per year\\u003c\/p\\u003e\",\"_three_column_table_rows_8_table_col_3\":\"field_three-column-table_three_column_table_rows_table_col_3\",\"three_column_table_rows_9_icon\":36214,\"_three_column_table_rows_9_icon\":\"field_three-column-table_three_column_table_rows_icon\",\"three_column_table_rows_9_table_col_1\":\"\\u003cp\\u003eMember Advisory Committee (MAC) Meeting\\u003c\/p\\u003e\\r\\n\\u003cp\\u003e\\u003cbr \/\\u003e\\r\\n\\u003cem\\u003eReward will be based on each MAC meeting attended.\\u003c\/em\\u003e\\u003c\/p\\u003e\",\"_three_column_table_rows_9_table_col_1\":\"field_three-column-table_three_column_table_rows_table_col_1\",\"three_column_table_rows_9_table_col_2\":\"\\u003cp\\u003e$10\\u003c\/p\\u003e\",\"_three_column_table_rows_9_table_col_2\":\"field_three-column-table_three_column_table_rows_table_col_2\",\"three_column_table_rows_9_table_col_3\":\"\\u003cp\\u003eAt least once per year\\u003c\/p\\u003e\",\"_three_column_table_rows_9_table_col_3\":\"field_three-column-table_three_column_table_rows_table_col_3\",\"three_column_table_rows\":10,\"_three_column_table_rows\":\"field_three-column-table_three_column_table_rows\",\"three_column_table\":\"\",\"_three_column_table\":\"field_three-column-table_three_column_table\",\"id\":\"block_acf_658c8c1794a69\"},\"mode\":\"edit\",\"id\":\"block_acf_658c8c1794a69\"} \/-->\n\n<!-- wp:paragraph -->\n<p><br>Additional eligibility exclusions may apply. All services must be medically necessary to earn rewards.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:heading {\"level\":3} -->\n<h3 class=\"wp-block-heading\" id=\"h-how-will-i-get-my-rewards\"><strong>How Will I Get My Rewards?<\/strong><\/h3>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p>You must be an active member of the plan to receive rewards. We\u2019ll track your progress using claims your doctor submits to verify that you completed the health activity. The first time you complete an eligible activity during a given year, we\u2019ll send you a reward certificate showing the total dollar amount you earned for completing qualified health activities. Then during the remainder of the year, you\u2019ll receive a new reward certificate for each quarter (3 months) in which you complete at least one eligible activity. A redeem by mail form will also be included so you can choose your gift card(s) or redeem online. See the schedule below for when you might expect to receive your rewards.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>The gift card cannot be used for gambling or to purchase alcohol, firearms, or tobacco, and it cannot be converted to cash.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>Below is a schedule of when rewards will be issued.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:table -->\n<figure class=\"wp-block-table\"><table><thead><tr><th>Period of time to complete eligible activities<\/th><th>When eligible rewards will be awarded<\/th><\/tr><\/thead><tbody><tr><td>January 1 \u2013 March 31, 2024<\/td><td>June 2024<\/td><\/tr><tr><td>April 1 \u2013 June 30, 2024<\/td><td>September 2024<\/td><\/tr><tr><td>July 1 \u2013 September 30, 2024<\/td><td>December 2024<\/td><\/tr><tr><td>October 1 \u2013 December 31, 2024<\/td><td>March 2025<\/td><\/tr><\/tbody><\/table><\/figure>\n<!-- \/wp:table -->\n\n<!-- wp:heading {\"level\":3} -->\n<h3 class=\"wp-block-heading\" id=\"h-what-s-next\">What's Next?<\/h3>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p>Going to the doctor and taking your medications can help you stay healthy. So schedule your annual wellness visit, and follow these tips to make the most of the visit:<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:list -->\n<ul><!-- wp:list-item -->\n<li><span style=\"color: initial;\">Write your questions down at home, before your appointment.<\/span><\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li>Make a list of medications, and check to see if you need any refills.<\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li>Ask your doctor what screenings you are eligible for, so you can start earning rewards.<\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li>Before you leave your doctor's office, make sure you schedule your next visit.<\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list -->\n\n<!-- wp:paragraph -->\n<p>If you have any questions, please call us at <a href=\"tel:1-866-783-1444\"><strong>1-866-783-1444<\/strong><\/a> (TTY:<a href=\"tel:711\"> <strong>711<\/strong><\/a>), 7 days a week, 8 am\u20138 pm.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:acf\/faq {\"name\":\"acf\/faq\",\"data\":{\"heading\":\"Frequently Asked Questions \",\"_heading\":\"field_faq_heading\",\"is_modular\":\"0\",\"_is_modular\":\"field_faq_is_modular\",\"items_0_question\":\"How do I earn a reward? \",\"_items_0_question\":\"field_faq_items_question\",\"items_0_answer\":\"\\u003cp\\u003eComplete qualifying health activities as shown in the chart above. Speak to your provider about which health activities are right for you.\\u003c\/p\\u003e\",\"_items_0_answer\":\"field_faq_items_answer\",\"items_1_question\":\"How will I be notified about the rewards? \",\"_items_1_question\":\"field_faq_items_question\",\"items_1_answer\":\"\\u003cp\\u003eYou will receive a reward certificate in the mail showing the award value or total dollar amount you earned for completing qualified health activities. Call us, if you have any questions or need to update your address.\\u003c\/p\\u003e\",\"_items_1_answer\":\"field_faq_items_answer\",\"items_2_question\":\"How do I claim my gift card(s)?\",\"_items_2_question\":\"field_faq_items_question\",\"items_2_answer\":\"\\u003cp\\u003eFill out the mail-in redemption form at the bottom of your reward certificate or follow the instructions noted at the top of the certificate to redeem online. Note: you can split your rewards in up to (2) different retailer gift cards.\\u003c\/p\\u003e\",\"_items_2_answer\":\"field_faq_items_answer\",\"items_3_question\":\"When will I receive my reward(s)? \",\"_items_3_question\":\"field_faq_items_question\",\"items_3_answer\":\"\\u003cp\\u003eRewards will be awarded during specific timeframes. See schedule outline of when rewards will be issued, above.\\u003c\/p\\u003e\",\"_items_3_answer\":\"field_faq_items_answer\",\"items_4_question\":\"When will I receive my gift card(s)?\",\"_items_4_question\":\"field_faq_items_question\",\"items_4_answer\":\"\\u003cp\\u003ePhysical gift card(s) will be shipped within two to four weeks after selections are made. In most cases, if selected, digital gift cards will be available for use right away.\\u003c\/p\\u003e\",\"_items_4_answer\":\"field_faq_items_answer\",\"items_5_question\":\"I think I earned a reward this year, but have not received a reward certificate?\",\"_items_5_question\":\"field_faq_items_question\",\"items_5_answer\":\"\\u003cp\\u003eTo double check if you\u2019ve earned a reward or if you have any other questions, please call \\u003ca href=\\u0022tel:1-866-601-5927\\u0022\\u003e\\u003cstrong\\u003e1-866-601-5927\\u003c\/strong\\u003e\\u003c\/a\\u003e.\\u003c\/p\\u003e\",\"_items_5_answer\":\"field_faq_items_answer\",\"items_6_question\":\"Do gift cards have an expiration date?\",\"_items_6_question\":\"field_faq_items_question\",\"items_6_answer\":\"\\u003cp\\u003eYes. Gift cards will expire within thirteen months from the date card is issued. Be sure to use your card(s) before then.\\u003c\/p\\u003e\",\"_items_6_answer\":\"field_faq_items_answer\",\"items\":7,\"_items\":\"field_faq_items\",\"id\":\"block_acf_658c8c1794b30\"},\"mode\":\"edit\",\"id\":\"block_acf_658c8c1794b30\"} \/-->\n\n<!-- wp:paragraph -->\n<p><em><br><\/em><\/p>\n<!-- \/wp:paragraph -->",
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"post_modified": "2023-12-27 15:42:00",
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"post_date": "2021-12-01 19:11:11",
"post_date_gmt": "2021-12-02 00:11:11",
"post_content": "<!-- wp:paragraph -->\n<p>If you have questions or want a printed copy of any of the VNS Health EasyCare (HMO) materials on this page, please call us at <a href=\"tel:1-888-783-1444\">1-888-783-1444<\/a>, 7 days a week, 8 am - 8 pm (TTY users, call: <a href=\"tel:711\">711<\/a>).<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:acf\/resources {\"name\":\"acf\/resources\",\"data\":{\"resource_groups_0_heading\":\"Forms and Personal Health Materials\",\"_resource_groups_0_heading\":\"field_resources_resource_groups_heading\",\"resource_groups_0_resources_0_show_update\":\"1\",\"_resource_groups_0_resources_0_show_update\":\"field_resources_resource_groups_resources_show_update\",\"resource_groups_0_resources_0_update_date\":\"Automatic\",\"_resource_groups_0_resources_0_update_date\":\"field_resources_resource_groups_resources_update_date\",\"resource_groups_0_resources_0_is_external_resource\":\"0\",\"_resource_groups_0_resources_0_is_external_resource\":\"field_resources_resource_groups_resources_is_external_resource\",\"resource_groups_0_resources_0_heading\":\"Health Care Proxy\",\"_resource_groups_0_resources_0_heading\":\"field_resources_resource_groups_resources_heading\",\"resource_groups_0_resources_0_description\":\"\",\"_resource_groups_0_resources_0_description\":\"field_resources_resource_groups_resources_description\",\"resource_groups_0_resources_0_files_0_file\":158,\"_resource_groups_0_resources_0_files_0_file\":\"field_resources_resource_groups_resources_files_file\",\"resource_groups_0_resources_0_files_0_label\":\"English\",\"_resource_groups_0_resources_0_files_0_label\":\"field_resources_resource_groups_resources_files_label\",\"resource_groups_0_resources_0_files_1_file\":14890,\"_resource_groups_0_resources_0_files_1_file\":\"field_resources_resource_groups_resources_files_file\",\"resource_groups_0_resources_0_files_1_label\":\"Spanish\",\"_resource_groups_0_resources_0_files_1_label\":\"field_resources_resource_groups_resources_files_label\",\"resource_groups_0_resources_0_files_2_file\":156,\"_resource_groups_0_resources_0_files_2_file\":\"field_resources_resource_groups_resources_files_file\",\"resource_groups_0_resources_0_files_2_label\":\"Chinese\",\"_resource_groups_0_resources_0_files_2_label\":\"field_resources_resource_groups_resources_files_label\",\"resource_groups_0_resources_0_files\":3,\"_resource_groups_0_resources_0_files\":\"field_resources_resource_groups_resources_files\",\"resource_groups_0_resources_0_file_display_block\":\"0\",\"_resource_groups_0_resources_0_file_display_block\":\"field_resources_resource_groups_resources_file_display_block\",\"resource_groups_0_resources_1_show_update\":\"1\",\"_resource_groups_0_resources_1_show_update\":\"field_resources_resource_groups_resources_show_update\",\"resource_groups_0_resources_1_update_date\":\"Automatic\",\"_resource_groups_0_resources_1_update_date\":\"field_resources_resource_groups_resources_update_date\",\"resource_groups_0_resources_1_is_external_resource\":\"0\",\"_resource_groups_0_resources_1_is_external_resource\":\"field_resources_resource_groups_resources_is_external_resource\",\"resource_groups_0_resources_1_heading\":\"Appointment of Representative Form\",\"_resource_groups_0_resources_1_heading\":\"field_resources_resource_groups_resources_heading\",\"resource_groups_0_resources_1_description\":\"\\u003cp\\u003eYou may appoint a relative, friend, attorney, or anyone else whom you trust to act on your behalf. 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"post_date": "2021-12-01 19:33:32",
"post_date_gmt": "2021-12-02 00:33:32",
"post_content": "<!-- wp:paragraph -->\n<p>VNS Health EasyCare (HMO) members often ask these questions about benefits and services. If you don\u2019t see an answer to your question here, please call us at <a href=\"tel:1-866-783-1444\"><strong>1-866-783-1444<\/strong><\/a> (TTY: <a href=\"tel:711\"><strong>711<\/strong><\/a>), weekdays, 8 am\u20138 pm. We\u2019re here to help! <\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:acf\/faq {\"name\":\"acf\/faq\",\"data\":{\"heading\":\"Contacting Us\",\"_heading\":\"field_faq_heading\",\"is_modular\":\"0\",\"_is_modular\":\"field_faq_is_modular\",\"items_0_question\":\"What information will I need when I call my Care Team?\",\"_items_0_question\":\"field_faq_items_question\",\"items_0_answer\":\"\\u003cp\\u003eTo protect your privacy, we will always ask you to provide three pieces of information to identify yourself. You can use any three of the following:\\u003c\/p\\u003e\\r\\n\\u003cul\\u003e\\r\\n\\t\\u003cli\\u003eEasyCare member ID number\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eFirst and last name\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eDate of birth\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eFull address\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003ePhone number\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eMedicare ID number\u00a0\\u003c\/li\\u003e\\r\\n\\u003c\/ul\\u003e\",\"_items_0_answer\":\"field_faq_items_answer\",\"items_1_question\":\"How can I appoint someone to act on my behalf?\",\"_items_1_question\":\"field_faq_items_question\",\"items_1_answer\":\"\\u003cp\\u003eYou may appoint a relative, friend, attorney, or anyone else whom you trust to act on your behalf. A representative who is appointed by the court or who is active in accordance with state law may also file an appeal or a grievance for you. To appoint a representative, you must complete an \\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2022\/01\/Appointment-of-Representative-form_CMS-1696-English.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noopener\\u0022\\u003eAppointment of Representative\\u003c\/a\\u003e form.\\u003c\/p\\u003e\",\"_items_1_answer\":\"field_faq_items_answer\",\"items_2_question\":\"How can I give others access to my health information?\",\"_items_2_question\":\"field_faq_items_question\",\"items_2_answer\":\"\\u003cp\\u003eTo protect your privacy, we need your permission before we allow anyone else access to your health information. There are three ways that you can authorize a family member or friend to serve as your representative with access to information about your care and services.\\u003c\/p\\u003e\\r\\n\\u003col\\u003e\\r\\n\\t\\u003cli\\u003eCheck your online account anytime at \\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/account\/\\u0022\\u003evnshealthplans.org\/account\\u003c\/a\\u003e or call us toll free at: \\u003cstrong\\u003e\\u003ca href=\\u0022tel:1-866-783-1444\\u0022\\u003e1-866-783-1444\\u003c\/a\\u003e\\u003c\/strong\\u003e (TTY: \\u003cstrong\\u003e\\u003ca href=\\u0022tel:711\\u0022\\u003e711\\u003c\/a\\u003e\\u003c\/strong\\u003e) with your authorized representative, and give verbal authorization. Your authorization will be valid for 14 days from the date of the call.\u00a0\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eIf you want someone to see all your information, you can download this Authorization for Release of Health Information Pursuant to HIPAA form (\\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2020\/07\/Auth-Release-Health-Info-HIPAA_Eng.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noopener\\u0022\\u003eEnglish\\u003c\/a\\u003e, \\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2020\/07\/Auth-Release-Health-Info-HIPAA_Sp.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noopener\\u0022\\u003eSpanish\\u003c\/a\\u003e, or \\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2020\/07\/Auth-ReleaseHealth-Info-HIPAA_Ch.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noopener\\u0022\\u003eChinese\\u003c\/a\\u003e). Fill out the form, and send it to us for processing. Or call us, and we will mail you a form to fill out and return.\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eIf you want to allow someone to see just some of your information, write a letter saying that you give your permission to that person to speak on your behalf. Tell us their name, their relationship to you, and the sort of information you are allowing them to see. Send the letter to us for processing at this address:\\u003cbr \/\\u003e\\r\\n\\u003cbr \/\\u003e\\r\\nVNS Health\u00a0\\u003cbr \/\\u003e\\r\\nHealth Plans - Care Team\\u003cbr \/\\u003e\\r\\n220 East 42nd Street\\u003cbr \/\\u003e\\r\\nNew York, NY 10017\\u003c\/li\\u003e\\r\\n\\u003c\/ol\\u003e\",\"_items_2_answer\":\"field_faq_items_answer\",\"items_3_question\":\"What if my address or telephone number changes? Can I keep my plan if I move?\",\"_items_3_question\":\"field_faq_items_question\",\"items_3_answer\":\"\\u003cp\\u003eIf your home address or other contact information changes, please call us. You will also need to notify your local department of social services of your new contact information. To find the number for your local office, visit the \\u003ca href=\\u0022https:\/\/www.health.ny.gov\/health_care\/medicaid\/ldss.htm\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noopener\\u0022\\u003eNew York State Department of Social Services\\u003c\/a\\u003e website.\\u003c\/p\\u003e\\r\\n\\u003cp\\u003eIf your new address is within the EasyCare service area, your coverage will not be affected. Our service area covers the following counties:\\u003c\/p\\u003e\\r\\n\\u003cul\\u003e\\r\\n\\t\\u003cli\\u003eAlbany\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eThe Bronx\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eKings (Brooklyn)\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eNassau\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eNew York (Manhattan)\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eQueens\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eRensselaer\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eRichmond (Staten Island)\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eSchenectady\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eSuffolk\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eWestchester\\u003c\/li\\u003e\\r\\n\\u003c\/ul\\u003e\\r\\n\\u003cp\\u003eIf you move outside of this service area, you may no longer be eligible for our plan, in which case you would be disenrolled.\\u003c\/p\\u003e\",\"_items_3_answer\":\"field_faq_items_answer\",\"items\":4,\"_items\":\"field_faq_items\",\"id\":\"block_acf_658f08d37dd3b\"},\"mode\":\"edit\",\"id\":\"block_acf_658f08d37dd3b\"} \/-->\n\n<!-- wp:acf\/faq {\"name\":\"acf\/faq\",\"data\":{\"heading\":\"My Coverage\",\"_heading\":\"field_faq_heading\",\"is_modular\":\"0\",\"_is_modular\":\"field_faq_is_modular\",\"items_0_question\":\"How can I find a provider (doctor, specialist, or pharmacy) in the plan network?\",\"_items_0_question\":\"field_faq_items_question\",\"items_0_answer\":\"\\u003cp\\u003eUse our online \\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/find-a-doctor\/\\u0022\\u003eProvider Search tool\\u003c\/a\\u003e. Or you can find a list of providers in the EasyCare Provider \\u0026amp; Pharmacy Directory. If you need help identifying a provider who meets your needs, you can also contact your EasyCare Care Team.\\u003c\/p\\u003e\",\"_items_0_answer\":\"field_faq_items_answer\",\"items_1_question\":\"Which insurance card do I show when I get care?\",\"_items_1_question\":\"field_faq_items_question\",\"items_1_answer\":\"\\u003cp\\u003eYou should show your EasyCare member ID card to your provider. You do not need to show your red, white, and blue Medicare card. If you have Medicaid, show your Medicaid card so that you aren\u2019t billed. Be sure to take both your member ID card and your Medicaid card with you whenever you see a provider.\\u003c\/p\\u003e\",\"_items_1_answer\":\"field_faq_items_answer\",\"items_2_question\":\"How can I change my primary care physician (my doctor)?\",\"_items_2_question\":\"field_faq_items_question\",\"items_2_answer\":\"\\u003cp\\u003eCheck your online account anytime at \\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/account\/\\u0022\\u003evnshealthplans.org\/account\\u003c\/a\\u003e or call us toll free at: \\u003ca href=\\u0022tel:18667831444\\u0022\\u003e\\u003cstrong\\u003e1-866-783-1444\\u003c\/strong\\u003e\\u003c\/a\\u003e (TTY: \\u003cstrong\\u003e\\u003ca href=\\u0022tel:711\\u0022\\u003e711\\u003c\/a\\u003e\\u003c\/strong\\u003e). If you have already chosen a new doctor, give our representative the doctor's name. Once they confirm that the doctor is in our network, we\u2019ll send you a new member ID card.\\u003c\/p\\u003e\\r\\n\\u003cp\\u003eIf you have not chosen a new doctor, you can find one using our online \\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/find-a-doctor\/\\u0022\\u003eProvider Search tool\\u003c\/a\\u003e.\\u003c\/p\\u003e\",\"_items_2_answer\":\"field_faq_items_answer\",\"items_3_question\":\"How can I check to see if a service has been authorized?\",\"_items_3_question\":\"field_faq_items_question\",\"items_3_answer\":\"\\u003cp\\u003eIf you have any questions or concerns about getting authorizations for medical services, check your online account anytime at \\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/account\/\\u0022\\u003evnshealthplans.org\/account\\u003c\/a\\u003e or call us toll free at: \\u003ca href=\\u0022tel:1-866-783-1444\\u0022\\u003e\\u003cstrong\\u003e1-866-783-1444\\u003c\/strong\\u003e\\u003c\/a\\u003e (TTY: \\u003cstrong\\u003e\\u003ca href=\\u0022tel:711\\u0022\\u003e711\\u003c\/a\\u003e\\u003c\/strong\\u003e)\\u003c\/p\\u003e\",\"_items_3_answer\":\"field_faq_items_answer\",\"items_4_question\":\"I got a bill for something I thought you would cover. What should I do?\",\"_items_4_question\":\"field_faq_items_question\",\"items_4_answer\":\"\\u003cp\\u003eContact us. Please have the bill with you when you call, because we will ask for specific information found on the bill. We will work with you and your doctor to clarify the bill and determine whether you may be responsible for any charges.\\u003c\/p\\u003e\",\"_items_4_answer\":\"field_faq_items_answer\",\"items_5_question\":\"Why am I getting an Explanation of Benefits?\",\"_items_5_question\":\"field_faq_items_question\",\"items_5_answer\":\"\\u003cp\\u003eFrom time to time, you may receive in the mail something from us called an \\u003cstrong\\u003eExplanation of Benefits (EOB)\\u003c\/strong\\u003e. This is a report for your records about the medical services and prescription medications your plan has paid for you. The EOB will also note whether you paid out of your own pocket or whether you owe anything for any services or medications.\\u003cbr \/\\u003e\\r\\n\\u003cbr \/\\u003e\\r\\n\\u003cstrong\\u003eThe EOB is not a bill\\u003c\/strong\\u003e. It is purely for your information to help you understand how your medical costs are being covered during the year. \\u003cbr \/\\u003e\\r\\n\\u003cbr \/\\u003e\\r\\nIf you notice any inaccuracies, or if you have other questions about your EOB, please talk to your Care Team.\\u003c\/p\\u003e\",\"_items_5_answer\":\"field_faq_items_answer\",\"items_6_question\":\"Where can I find out more about the hospice and palliative care services that are available to me? \",\"_items_6_question\":\"field_faq_items_question\",\"items_6_answer\":\"\\u003cp\\u003eHospice and palliative care focus on improving quality of life for people with serious and terminal illnesses and are provided by health professionals who are expert in these types of care. \\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/comfort-care-options-for-vns-health-medicare-members\/\\u0022\\u003eLearn about how hospice and palliative care can help you and your family get the support and comfort you need\\u003c\/a\\u003e.\\u003c\/p\\u003e\",\"_items_6_answer\":\"field_faq_items_answer\",\"items_7_question\":\"What should I do if I need help with applying for Low Income Subsidy?\",\"_items_7_question\":\"field_faq_items_question\",\"items_7_answer\":\"\\u003cp\\u003eIf you have limited income and resources that don't automatically qualify you for Low Income Subsidy (also known as Extra Help), you will need to apply for this subsidy and have your eligibility determined by either the Social Security Administration or the New York State Department of Health.\\u003c\/p\\u003e\\r\\n\\u003cp\\u003eFor questions about Extra Help with your prescription drug costs, or if you need assistance completing the application:\\u003c\/p\\u003e\\r\\n\\u003cul\\u003e\\r\\n\\t\\u003cli\\u003eCall the Social Security Administration at \\u003cstrong\\u003e\\u003ca href=\\u0022tel:1-800-772-1213\\u0022\\u003e1-800-772-1213\\u003c\/a\\u003e\\u003c\/strong\\u003e (TTY: \\u003cstrong\\u003e\\u003ca href=\\u0022tel:1-800-325-0778\\u0022\\u003e1-800-325-0778\\u003c\/a\\u003e\\u003c\/strong\\u003e), 7 days a week, 8 am\u20138 pm.\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eYou can also fill out the application on the\u00a0\\u003ca class=\\u0022exitNotifierLink\\u0022 href=\\u0022https:\/\/www.ssa.gov\/\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noopener\\u0022\\u003eSocial Security Administration\\u003c\/a\\u003e\u00a0website.\\u003c\/li\\u003e\\r\\n\\u003c\/ul\\u003e\\r\\n\\u003cp\\u003eTo get another copy of the application by mail, call \\u003ca href=\\u0022tel:1-800-633-4227\\u0022\\u003e\\u003cstrong\\u003e1-800-MEDICARE\\u003c\/strong\\u003e\\u003c\/a\\u003e (\\u003cstrong\\u003e\\u003ca href=\\u0022tel:1-800-633-4227\\u0022\\u003e1-800-633-4227\\u003c\/a\\u003e\\u003c\/strong\\u003e), 7 days a week, 24 hours a day. 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On the next screen, you will be asked to enter your \\u003c\/span\\u003e\\u003cspan data-contrast=\\u0022none\\u0022\\u003eEasyCare\\u003c\/span\\u003e m\\u003cspan data-contrast=\\u0022none\\u0022\\u003eember ID \\u003c\/span\\u003e\\u003cspan data-contrast=\\u0022none\\u0022\\u003en\\u003c\/span\\u003e\\u003cspan data-contrast=\\u0022none\\u0022\\u003eumber to log in and check your balance.\\u003c\/span\\u003e\\u003cspan data-contrast=\\u0022none\\u0022\\u003e\u202f\\u003c\/span\\u003e\\u003cspan data-ccp-props=\\u0022{\\u0026quot;134233117\\u0026quot;:false,\\u0026quot;134233118\\u0026quot;:false,\\u0026quot;335559685\\u0026quot;:585,\\u0026quot;335559738\\u0026quot;:0,\\u0026quot;335559739\\u0026quot;:0}\\u0022\\u003e\u00a0\\u003c\/span\\u003e\\u003c\/p\\u003e\\r\\n\\u003cp\\u003e\\u003cspan data-contrast=\\u0022none\\u0022\\u003eYou can also check your balance by calling our partner, Convey at \\u003ca href=\\u0022tel:18558585937\\u0022\\u003e\\u003cstrong\\u003e1-855-858-5937\\u003c\/strong\\u003e\\u003c\/a\\u003e (TTY: 711) Monday \u2013 Friday, 8 am \u2013 11 pm.\\u003c\/span\\u003e\\u003c\/p\\u003e\",\"_items_0_answer\":\"field_faq_items_answer\",\"items_1_question\":\"Can I order OTC items for home delivery? \",\"_items_1_question\":\"field_faq_items_question\",\"items_1_answer\":\"\\u003cp\\u003eYes. There are two ways you can order OTC items for home delivery:\\u003c\/p\\u003e\\r\\n\\u003cul\\u003e\\r\\n\\t\\u003cli\\u003eOrder by phone \u2014 If you would like to place your order over the phone, call our partner Convey at \\u003ca href=\\u0022tel:1-855-858-5937\\u0022\\u003e\\u003cstrong\\u003e1-855-858-5937\\u003c\/strong\\u003e\\u003c\/a\\u003e (TTY: \\u003cstrong\\u003e\\u003ca href=\\u0022tel:711\\u0022\\u003e711\\u003c\/a\\u003e\\u003c\/strong\\u003e), Monday\u2013Friday, 8 am\u201311 pm EST. 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TTY users, call: \\u003ca href=\\u0022tel:711\\u0022\\u003e\\u003cstrong\\u003e711\\u003c\/strong\\u003e.\\u003c\/a\\u003e\u00a0\\u003c\/p\\u003e\",\"_items_0_answer\":\"field_faq_items_answer\",\"items\":1,\"_items\":\"field_faq_items\",\"id\":\"block_acf_658f08d37f904\"},\"mode\":\"edit\",\"id\":\"block_acf_658f08d37f904\"} \/-->\n\n<!-- wp:paragraph -->\n<p><\/p>\n<!-- \/wp:paragraph -->",
"post_title": "Frequently Asked Questions",
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"post_content": "<!-- wp:paragraph -->\n<p>Use your secure <a href=\"https:\/\/www.vnshealthplans.org\/account\/\">online account<\/a> 24\/7 to check health plan details, request a new ID card, and much more. You can also communicate with your Care Team at any time. Just like an email, you can send and receive messages that are saved all in one place.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>If you have specific questions about your plan, scroll down to see who to contact. For other questions, call your Care Team <strong><a href=\"tel:18667831444\">1-866-783-1444<\/a><\/strong> (TTY: 711), 7 days a week, 8 am \u2013 8 pm.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p><strong>IMPORTANT: If you have an emergency and need to visit the emergency room, always call 911.<br><br><\/strong>We understand that you may need someone else to call on your behalf. To learn more about how to allow someone to represent you, visit our <a href=\"https:\/\/www.vnshealthplans.org\/easycare-member-resources\/frequently-asked-questions\/#how-can-i-appoint-someone-to-act-on-my-behalf\">FAQs<\/a> page. <\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:acf\/faq {\"name\":\"acf\/faq\",\"data\":{\"heading\":\"\",\"_heading\":\"field_faq_heading\",\"is_modular\":\"0\",\"_is_modular\":\"field_faq_is_modular\",\"items_0_question\":\"Important information to have when calling us\",\"_items_0_question\":\"field_faq_items_question\",\"items_0_answer\":\"\\u003cp\\u003eTo protect your privacy, we will always ask you to provide three pieces of information to identify yourself. You can use any three of the following:\\u003c\/p\\u003e\\r\\n\\u003cul\\u003e\\r\\n\\t\\u003cli\\u003eEasyCare member ID number\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eFirst and last name\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eDate of birth\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eFull address\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003ePhone number\\u003c\/li\\u003e\\r\\n\\u003c\/ul\\u003e\",\"_items_0_answer\":\"field_faq_items_answer\",\"items_1_question\":\"Questions about your pharmacy benefits\",\"_items_1_question\":\"field_faq_items_question\",\"items_1_answer\":\"\\u003cp\\u003eTo see if a medication is on the EasyCare drug list, use this online \\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/find-a-medication\/\\u0022\\u003eFormulary Search tool\\u003c\/a\\u003e. To get answers to questions about pharmacy benefits, please call MedImpact at\u00a0\\u003cstrong\\u003e\\u003ca href=\\u0022tel:1-888-672-7205\\u0022\\u003e1-888-672-7205\\u003c\/a\\u003e\\u003c\/strong\\u003e\u00a0(TTY:\u00a0\\u003cstrong\\u003e\\u003ca href=\\u0022tel:711\\u0022\\u003e711\\u003c\/a\\u003e\\u003c\/strong\\u003e), 7 days a week, 24 hours a day. For more information about your pharmacy benefits, follow this link to our \\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/easycare-member-resources\/your-prescription-drug-benefits\/\\u0022\\u003eDrug Benefits and Resources\\u003c\/a\\u003e page.\\u003c\/p\\u003e\",\"_items_1_answer\":\"field_faq_items_answer\",\"items_2_question\":\"Making a dental appointment\",\"_items_2_question\":\"field_faq_items_question\",\"items_2_answer\":\"\\u003cp\\u003eUse our online \\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/find-a-doctor\/\\u0022\\u003eProvider Search tool\\u003c\/a\\u003e to find an in-network dentist near you. If you have a question about dental benefits, please call Healthplex at \\u003ca href=\\u0022tel:1-800-468-9868\\u0022\\u003e\\u003cstrong\\u003e1-800-468-9868\\u003c\/strong\\u003e\\u003c\/a\\u003e (TTY: \\u003cstrong\\u003e\\u003ca href=\\u0022tel:1-800-662-1220\\u0022\\u003e1-800-662-1220\\u003c\/a\\u003e\\u003c\/strong\\u003e), Monday\u2013Friday, 8 am\u20136 pm.\\u003c\/p\\u003e\",\"_items_2_answer\":\"field_faq_items_answer\",\"items_3_question\":\"Getting vision care\",\"_items_3_question\":\"field_faq_items_question\",\"items_3_answer\":\"\\u003cp\\u003eTo get in-network vision care, please use our online \\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/find-a-doctor\/\\u0022\\u003eProvider Search tool\\u003c\/a\\u003e. For questions about vision benefits, please call Superior Vision at\u00a0\\u003cstrong\\u003e\\u003ca href=\\u0022tel:1-800-507-3800\\u0022\\u003e1-800-507-3800\\u003c\/a\\u003e\\u003c\/strong\\u003e\u00a0(TTY:\u00a0\\u003cstrong\\u003e\\u003ca href=\\u0022tel:1-800-201-7165\\u0022\\u003e1-800-201-7165\\u003c\/a\\u003e\\u003c\/strong\\u003e), Monday\u2013Friday, 8 am\u20139 pm,\u00a0 and Saturday, 11 am\u20134:30 pm.\\u003c\/p\\u003e\",\"_items_3_answer\":\"field_faq_items_answer\",\"items_4_question\":\"Help with behavioral health\",\"_items_4_question\":\"field_faq_items_question\",\"items_4_answer\":\"\\u003cp\\u003eIf you need help with an emotional or behavioral issue, please call Carelon Behavioral Health (formerly called Beacon Health Options) at \\u003cstrong\\u003e\\u003ca href=\\u0022tel:1-866-317-7773\\u0022\\u003e1-866-317-7773\\u003c\/a\\u003e\\u003c\/strong\\u003e\u00a0(TTY:\u00a0\\u003cstrong\\u003e\\u003ca href=\\u0022tel:1-866-835-2755\\u0022\\u003e1-866-835-2755\\u003c\/a\\u003e\\u003c\/strong\\u003e), Monday\u2013Friday, 8:30 am\u20135 pm. You can also look for a mental health provider by using our online \\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/find-a-doctor\/\\u0022\\u003eProvider Search tool\\u003c\/a\\u003e. In an emergency, always call 911.\\u003c\/p\\u003e\",\"_items_4_answer\":\"field_faq_items_answer\",\"items_5_question\":\"Calling about transportation\",\"_items_5_question\":\"field_faq_items_question\",\"items_5_answer\":\"\\u003cp\\u003eTo take advantage of your EasyCare transportation benefits, call our medical transportation service at \\u003cstrong\\u003e\\u003ca href=\\u0022tel:1-877-718-4219\\u0022\\u003e1-877-718-4219\\u003c\/a\\u003e\\u003c\/strong\\u003e\u00a0(TTY:\u00a0\\u003cstrong\\u003e\\u003ca href=\\u0022tel:711\\u0022\\u003e711\\u003c\/a\\u003e\\u003c\/strong\\u003e), Monday\u2013Friday, 8 am\u20138 pm. For more information about arranging transportation to and from a medical appointment, visit our \\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/easycare-member-resources\/getting-to-and-from-medical-appointments\/\\u0022\\u003eTransportation\\u003c\/a\\u003e\u00a0page.\\u003c\/p\\u003e\",\"_items_5_answer\":\"field_faq_items_answer\",\"items_6_question\":\"Questions about your Over-the-Counter Card \",\"_items_6_question\":\"field_faq_items_question\",\"items_6_answer\":\"\\u003cp\\u003eIf you have a question about your Over-the-Counter (OTC) Card and you can\u2019t find the answer on the \\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/easycare-member-resources\/your-over-the-counter-otc-card\/\\u0022\\u003eOTC Benefits\\u003c\/a\\u003e page, please call your Care Team.\\u003c\/p\\u003e\",\"_items_6_answer\":\"field_faq_items_answer\",\"items_7_question\":\"Refer a friend \",\"_items_7_question\":\"field_faq_items_question\",\"items_7_answer\":\"\\u003cp\\u003eHave a friend who could use the benefits of EasyCare? Tell them to give us a call at \\u003cstrong\\u003e\\u003ca href=\\u0022tel:1-866-414-6715\\u0022\\u003e1-866-414-6715\\u003c\/a\\u003e \\u003c\/strong\\u003e(TTY: \\u003cstrong\\u003e\\u003ca href=\\u0022tel:711\\u0022\\u003e711\\u003c\/a\\u003e\\u003c\/strong\\u003e\\u003cstrong\\u003e)\\u003c\/strong\\u003e, weekdays, 8 am\u20138 pm. We can answer their questions and explain how to enroll.\\u003c\/p\\u003e\",\"_items_7_answer\":\"field_faq_items_answer\",\"items\":8,\"_items\":\"field_faq_items\",\"id\":\"block_acf_650c5a06e566f\"},\"mode\":\"edit\",\"id\":\"block_acf_650c5a06e566f\"} \/-->",
"post_title": "Getting Help from Your EasyCare Plan",
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"post_date": "2021-12-01 18:50:52",
"post_date_gmt": "2021-12-01 23:50:52",
"post_content": "<!-- wp:paragraph -->\n<p>Because seeing your doctors is so important to your health, we want to help make doing so as easy for you as possible. That's why VNS Health EasyCare (HMO) covers <strong>up to 11 round trips<\/strong> to and from approved health care facilities, or up to 22 one-way trips, during the year. <\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p><strong>In an emergency, always call 911.<\/strong><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p><strong>To arrange for your rides, please call our medical transportation service directly. <\/strong>This reduces the number of steps it takes to arrange a ride. <\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:heading {\"level\":3} -->\n<h3 class=\"wp-block-heading\" id=\"h-scheduling-transportation\"><strong>Scheduling Transportation<\/strong><\/h3>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p>Please call <a href=\"tel:1-877-718-4219\"><strong>1-877-718-4219<\/strong><\/a> (TTY: <a href=\"tel:711\"><strong>711<\/strong><\/a>), Monday\u2013Friday, 8 am\u20138 pm, and have the following information ready: <\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:list -->\n<ul><!-- wp:list-item -->\n<li>Date of trip <\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li>Pick-up time <\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li>Medical office\u2019s full street address and telephone number <\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li>Any special needs (for example, if you use a wheelchair)<\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list -->\n\n<!-- wp:paragraph -->\n<p>You must arrange your trip at least 48 hours (two days) before your appointment. You can book up to 30 days ahead of time.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:heading {\"level\":3} -->\n<h3 class=\"wp-block-heading\" id=\"h-returning-home\"><strong>Returning Home<\/strong><\/h3>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p>Because it's hard to predict how long your doctor's visit will last, you must wait until the visit is over to schedule your trip home. At that time, call <a href=\"tel:1-877-718-4219\"><strong>1-877-718-4219<\/strong><\/a> (TTY: <a href=\"tel:711\"><strong>711<\/strong><\/a>), weekdays 8 am\u20138 pm, and a representative will arrange the return trip for you. Most likely it will be a different driver. Please expect to wait as your driver makes their way to the medical office.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p><strong>IMPORTANT: If you have an emergency and need to visit the emergency room, always call 911.<\/strong><\/p>\n<!-- \/wp:paragraph -->",
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"post_date": "2021-12-01 19:06:26",
"post_date_gmt": "2021-12-02 00:06:26",
"post_content": "<!-- wp:paragraph -->\n<p>Check below for important information about the Part D Transition Process, Prior Authorizations, the Step Therapy Criteria for Part-D Medicare, and the coverage determination and redetermination processes.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p> <a href=\"https:\/\/www.vnshealthplans.org\/easycare-member-resources\/frequently-asked-questions\/#what-should-i-do-if-i-need-help-with-applying-for-low-income-subsidies-lis\">You can also find out more about Getting Extra Help with Your Prescription Drug Coverage<\/a>. <\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:group -->\n<div class=\"wp-block-group\"><!-- wp:acf\/resources {\"id\":\"block_5f52c5e567d8d\",\"name\":\"acf\/resources\",\"data\":{\"resource_groups_0_heading\":\"Prescription Drug Resources \",\"_resource_groups_0_heading\":\"field_resources_resource_groups_heading\",\"resource_groups_0_resources_0_is_external_resource\":\"1\",\"_resource_groups_0_resources_0_is_external_resource\":\"field_resources_resource_groups_resources_is_external_resource\",\"resource_groups_0_resources_0_external_resource\":{\"title\":\"Find a Medication\",\"url\":\"https:\/\/www.vnshealthplans.org\/find-a-medication\/\",\"target\":\"\"},\"_resource_groups_0_resources_0_external_resource\":\"field_resources_resource_groups_resources_external_resource\",\"resource_groups_0_resources_0_disable_exit_notifier\":\"0\",\"_resource_groups_0_resources_0_disable_exit_notifier\":\"field_resources_resource_groups_resources_disable_exit_notifier\",\"resource_groups_0_resources_0_heading\":\"Online Drug Formulary \",\"_resource_groups_0_resources_0_heading\":\"field_resources_resource_groups_resources_heading\",\"resource_groups_0_resources_0_description\":\"\",\"_resource_groups_0_resources_0_description\":\"field_resources_resource_groups_resources_description\",\"resource_groups_0_resources_1_is_external_resource\":\"0\",\"_resource_groups_0_resources_1_is_external_resource\":\"field_resources_resource_groups_resources_is_external_resource\",\"resource_groups_0_resources_1_heading\":\"Drug Formulary PDF \",\"_resource_groups_0_resources_1_heading\":\"field_resources_resource_groups_resources_heading\",\"resource_groups_0_resources_1_description\":\"\",\"_resource_groups_0_resources_1_description\":\"field_resources_resource_groups_resources_description\",\"resource_groups_0_resources_1_files_0_file\":12842,\"_resource_groups_0_resources_1_files_0_file\":\"field_resources_resource_groups_resources_files_file\",\"resource_groups_0_resources_1_files_0_label\":\"\\u003c\/br\\u003e2022 Plan Formulary - 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"post_date": "2021-11-30 21:14:00",
"post_date_gmt": "2021-12-01 02:14:00",
"post_content": "<!-- wp:paragraph -->\n<p>Check below for important information about the Part D Transition Process, Prior Authorizations, the Step Therapy Criteria for Part D Medicare, and the coverage determination and redetermination processes.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p><a href=\"https:\/\/www.vnshealthplans.org\/vnsny-choice-easycare-plus-member-resources\/frequently-asked-questions\/#what-should-i-do-if-i-need-assistance-with-applying-for-low-income-subsidies-lis\">You can also find out more about getting Extra Help with your prescription drug coverage<\/a>.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:acf\/resources {\"name\":\"acf\/resources\",\"data\":{\"resource_groups_0_heading\":\"Prescription Drug 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"post_date": "2022-08-17 14:36:13",
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"post_content": "<!-- wp:paragraph -->\n<p>Looking for more in-depth information about the VNS Health EasyCare (HMO) health plan? You\u2019ll find it here. 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"post_date": "2023-08-17 10:31:34",
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"post_content": "<!-- wp:paragraph -->\n<p>Looking for more in-depth information about the VNS Health EasyCare (HMO) health plan? You\u2019ll find it here. 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"post_content": "<!-- wp:paragraph -->\n<p>Read the latest newsletters catered towards VNS Health EasyCare members.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:acf\/resources {\"name\":\"acf\/resources\",\"data\":{\"resource_groups_0_heading\":\"2024 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{
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"post_date": "2021-12-01 18:09:38",
"post_date_gmt": "2021-12-01 23:09:38",
"post_content": "<!-- wp:columns -->\n<div class=\"wp-block-columns\"><!-- wp:column {\"width\":\"66.66%\"} -->\n<div class=\"wp-block-column\" style=\"flex-basis:66.66%\"><!-- wp:paragraph -->\n<p>As a member of VNSNY CHOICE EasyCare (HMO), you'll have up to $45 per quarter (every three months) for OTC items. For a complete list of eligible items, please see <a href=\"https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2022\/03\/2022-VNSNY-CHOICE-EasyCare_OTC-Catalog.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">2022 OTC Program Catalog<\/a> or call us.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>Download the OTC app for your smartphone to easily find local stores where you can use your card, check items in-store to see if they\u2019re eligible, and keep track of your OTC Card balance. <a href=\"https:\/\/www.otcnetwork.com\/Member\/\">Find out how to get the app here.<\/a><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>Here are some common questions members ask about the OTC Program benefit. If you don\u2019t find the answer to your question here, please call us.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:acf\/divider {\"id\":\"block_61b0ed9726b75\",\"name\":\"acf\/divider\",\"data\":{\"less_vertical_space\":\"1\",\"_less_vertical_space\":\"field_divider_less_vertical_space\"},\"align\":\"\",\"mode\":\"edit\"} \/--><\/div>\n<!-- \/wp:column -->\n\n<!-- wp:column {\"width\":\"33.33%\"} -->\n<div class=\"wp-block-column\" style=\"flex-basis:33.33%\"><!-- wp:image {\"id\":12495,\"width\":259,\"sizeSlug\":\"medium\",\"linkDestination\":\"none\",\"className\":\"is-style-default\"} -->\n<figure class=\"wp-block-image size-medium is-resized is-style-default\"><img src=\"https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2021\/09\/EasyCare_OTC-Card-Art-300x180.png\" alt=\"EasyCare_OTC-Card-Art\" class=\"wp-image-12495\" width=\"259\"\/><\/figure>\n<!-- \/wp:image --><\/div>\n<!-- \/wp:column --><\/div>\n<!-- \/wp:columns -->\n\n<!-- wp:acf\/faq {\"id\":\"block_5f720b677bc6a\",\"name\":\"acf\/faq\",\"data\":{\"heading\":\"\",\"_heading\":\"field_faq_heading\",\"items_0_question\":\"How much is my benefit? \",\"_items_0_question\":\"field_faq_items_question\",\"items_0_answer\":\"\\u003cp\\u003eYou get up to $45 per quarter for OTC items. Be sure to use it, because the benefit does not carry over to the next quarter. The card is to buy items for your use and health and should not be used for anyone else.\u00a0\\u003c\/p\\u003e\",\"_items_0_answer\":\"field_faq_items_answer\",\"items_1_question\":\"How do I activate the OTC Card?\",\"_items_1_question\":\"field_faq_items_question\",\"items_1_answer\":\"\\u003cp\\u003eBefore you use your OTC card, you need to activate it by visiting \\u003ca href=\\u0022http:\/\/www.otcnetwork.com\/Member\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noreferrer noopener\\u0022\\u003eotcnetwork.com\/Member\\u003c\/a\\u003e or calling us. Once activated, you can use your OTC Card for eligible purchases at participating stores and bodegas. No PIN or signature is required for in-store purchases \u2014 it works just like a pre-paid card. Go to the checkout lanes, and simply swipe the card for payment. This card is for eligible OTC item purchases only. If you need to pay for prescriptions, you\u2019ll need to use a different card.\\u003c\/p\\u003e\",\"_items_1_answer\":\"field_faq_items_answer\",\"items_2_question\":\"How do I find out which items are eligible? \",\"_items_2_question\":\"field_faq_items_question\",\"items_2_answer\":\"\\u003cp\\u003eTo see the full range of eligible items, please take a look at the \\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2022\/03\/2022-VNSNY-CHOICE-EasyCare_OTC-Catalog.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noreferrer noopener\\u0022\\u003e2022 OTC Program Catalog\\u003c\/a\\u003e.\\u003c\/p\\u003e\",\"_items_2_answer\":\"field_faq_items_answer\",\"items_3_question\":\"Where do I buy items? \",\"_items_3_question\":\"field_faq_items_question\",\"items_3_answer\":\"\\u003cul\\u003e\\r\\n\\t\\u003cli\\u003eOTC items can be bought at stores that are part of our network. This network includes many local stores and bodegas, as well as CVS, Duane Reade, Walgreens, and Family Dollar stores. For a complete list of participating stores and pharmacies, visit \\u003ca href=\\u0022http:\/\/www.otcnetwork.com\/member\\u0022\\u003e\\u003cspan style=\\u0022text-decoration: underline;\\u0022\\u003eotcnetwork.com\/member\\u003c\/span\\u003e\\u003c\/a\\u003e\u00a0or call us and we can help you find one.\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eOrder items online or by phone from participating stores or by calling us, and your items will be delivered to your door. See how to place a home-delivery phone order below.\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eBuy items at another store (not participating in the network) and ask VNSNY CHOICE to reimburse you.\\u003c\/li\\u003e\\r\\n\\u003c\/ul\\u003e\",\"_items_3_answer\":\"field_faq_items_answer\",\"items_4_question\":\"Can I get reimbursed for OTC items that I buy on my own?\",\"_items_4_question\":\"field_faq_items_question\",\"items_4_answer\":\"\\u003cp\\u003eYes. If it\u2019s more convenient for you, you can also buy OTC products at a non-participating store and ask CHOICE to reimburse you.\\u003c\/p\\u003e\\r\\n\\u003cp\\u003eTo request reimbursement, please follow these steps:\\u003c\/p\\u003e\\r\\n\\u003cul\\u003e\\r\\n\\t\\u003cli\\u003eSubmit an original itemized receipt showing the items you bought. The receipt must include the store, the city or town where you bought the item, the date of purchase, the specific name of the product(s) that were bought, and the price paid.\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eYour request must include information about you, so we know where to send your payment. Please be sure to include:\\u003c\/li\\u003e\\r\\n\\u003c\/ul\\u003e\\r\\n\\u003col\\u003e\\r\\n\\t\\u003cli style=\\u0022list-style-type: none;\\u0022\\u003e\\r\\n\\u003col\\u003e\\r\\n\\t\\u003cli style=\\u0022list-style-type: none;\\u0022\\u003e\\r\\n\\u003col\\u003e\\r\\n\\t\\u003cli\\u003eYour name and member ID number.\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eThe complete address where your reimbursement should be sent.\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eYour phone number, so we can contact you if there are any questions about the information you submitted.\\u003c\/li\\u003e\\r\\n\\u003c\/ol\\u003e\\r\\n\\u003c\/li\\u003e\\r\\n\\u003c\/ol\\u003e\\r\\n\\u003c\/li\\u003e\\r\\n\\u003c\/ol\\u003e\\r\\n\\u003cp\\u003eAll requests for reimbursement should be sent to the following address:\\u003c\/p\\u003e\\r\\n\\u003cp\\u003eVNSNY CHOICE Care Team\\u003cbr \/\\u003e\\r\\nATTN: OTC Reimbursement\\u003cbr \/\\u003e\\r\\n220 East 42nd St, 3rd Floor\\u003cbr \/\\u003e\\r\\nNew York, NY 10017\\u003c\/p\\u003e\\r\\n\\u003cp\\u003eOr faxed to: 1-646-524-8338.\\u003c\/p\\u003e\\r\\n\\u003cp\\u003eAll requests must be submitted within 60 days of when the item was bought. Please allow up to 30 days to process your request and have a check mailed to you.\\u003c\/p\\u003e\\r\\n\\u003cp\\u003eFor details, call us or check out the \\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2022\/03\/2022-VNSNY-CHOICE-EasyCare_OTC-Catalog.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noreferrer noopener\\u0022\\u003e2022 OTC Program Catalog\\u003c\/a\\u003e.\\u003c\/p\\u003e\",\"_items_4_answer\":\"field_faq_items_answer\",\"items_5_question\":\"Can I order OTC items for home delivery? \",\"_items_5_question\":\"field_faq_items_question\",\"items_5_answer\":\"\\u003cp\\u003eYes. There are two ways you can order OTC items for home delivery:\\u003c\/p\\u003e\\r\\n\\u003cul\\u003e\\r\\n\\t\\u003cli\\u003eCall Us - If you order OTC items by phone, please be ready with a list of the items you need. You will be asked for the name of the item, the amount you want, and other information (for instance, whether you prefer tablets versus caplets or cream versus ointment) that will help make sure you get the right item. Your items will be delivered at no cost to you and you generally can expect to receive your order in 5 to 7 business days. Please note that phone and online orders may only be placed once a month. You do not need to use your full OTC Card balance at one time, but remember that your OTC Card balance does not carry over from quarter to quarter.\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eOrder Online \u2013 Visit \\u003cu\\u003e\\u003ca href=\\u0022http:\/\/shopping.drugsourceinc.com\/vnsny\\u0022\\u003ehttp:\/\/shopping.drugsourceinc.com\/vnsny\\u003c\/a\\u003e\\u003c\/u\\u003e. Have your CHOICE EasyCare Member ID Card ready and follow the simple instructions provided on the site. Your items will be delivered at no cost to you and you generally can expect to receive your order in 5 to 7 business days. Please note that phone and online orders may only be placed once a month. You do not need to use your full OTC Card balance at one time, but remember that your OTC Card balance does not carry over from quarter to quarter.\\u003c\/li\\u003e\\r\\n\\u003c\/ul\\u003e\",\"_items_5_answer\":\"field_faq_items_answer\",\"items_6_question\":\"Will the benefit amount on my OTC Card reload every quarter?\",\"_items_6_question\":\"field_faq_items_question\",\"items_6_answer\":\"\\u003cp\\u003eYes. As long as you are an active member, on the first day of every quarter (January 1, April 1, July 1, and October 1) your OTC card will automatically reload. You have the full three months to use your benefit amount. Be aware that any balance remaining at the end of the quarter does not roll over to the next quarter.\\u003c\/p\\u003e\",\"_items_6_answer\":\"field_faq_items_answer\",\"items_7_question\":\"How do I log onto the drug source website to order OTC items?\",\"_items_7_question\":\"field_faq_items_question\",\"items_7_answer\":\"\\u003cp\\u003eGo to \\u003ca href=\\u0022http:\/\/shopping.drugsourceinc.com\/vnsny\\u0022\\u003eshopping.drugsourceinc.com\/vnsny\\u003c\/a\\u003e. Type in your CHOICE EasyCare Member ID Number. Your Password is your Date of Birth (XX\/XX\/19XX). Click \u201cSign In\u201d to begin placing an OTC order.\\u003c\/p\\u003e\",\"_items_7_answer\":\"field_faq_items_answer\",\"items_8_question\":\"Can I check my OTC Card balance?\",\"_items_8_question\":\"field_faq_items_question\",\"items_8_answer\":\"\\u003cp\\u003eYes, you can. Check your balance online anytime at \\u003ca href=\\u0022http:\/\/www.otcnetwork.com\/Member\\u0022\\u003eotcnetwork.com\/Member\\u003c\/a\\u003e. Once on the site, you will be asked to enter your 19-digit OTC Card Number. On the next screen, you will be asked to enter your VNSNY CHOICE EasyCare Member ID Number to log in and check your balance.\\u003c\/p\\u003e\\r\\n\\u003cp\\u003eYou can also check the balance of your OTC Card by calling us.\\u003c\/p\\u003e\",\"_items_8_answer\":\"field_faq_items_answer\",\"items_9_question\":\"How do I report a lost or stolen OTC Card?\",\"_items_9_question\":\"field_faq_items_question\",\"items_9_answer\":\"\\u003cp\\u003eTo report a lost or stolen OTC Card, call us. We will have a new OTC Card mailed to your home within 7-10 business days. To activate your new card, go to \\u003ca href=\\u0022http:\/\/www.otcnetwork.com\/Member\\u0022\\u003eotcnetwork.com\/Member\\u003c\/a\\u003e or call us.\\u003c\/p\\u003e\",\"_items_9_answer\":\"field_faq_items_answer\",\"items\":10,\"_items\":\"field_faq_items\"},\"align\":\"\",\"mode\":\"edit\"} \/-->\n\n<!-- wp:paragraph -->\n<p><\/p>\n<!-- \/wp:paragraph -->",
"post_title": "Your Over-the-Counter (OTC) Card",
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"post_date": "2022-08-17 09:44:03",
"post_date_gmt": "2022-08-17 13:44:03",
"post_content": "<!-- wp:acf\/media-text {\"name\":\"acf\/media-text\",\"data\":{\"align_media_right\":\"0\",\"_align_media_right\":\"field_media-text_align_media_right\",\"bg_color\":\"white\",\"_bg_color\":\"field_media-text_bg_color\",\"is_youtube_video\":\"0\",\"_is_youtube_video\":\"field_media-text_is_youtube_video\",\"heading\":\"\",\"_heading\":\"field_media-text_heading\",\"body\":\"\\u003cp\\u003eAs a VNS Health EasyCare (HMO) member in 2024, you get a card that gives you up to $87 each quarter (every three months) to purchase hundreds of OTC items. For a complete list of eligible items, as well as instructions on how to activate your card and use your OTC benefits, please see the \\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2023\/10\/EC_OTC_catalog.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noopener\\u0022\\u003eOver-the-Counter (OTC) Program Catalog.\\u003c\/a\\u003e\\u003c\/p\\u003e\\r\\n\\u003cp\\u003eDownload the OTC app for your smartphone to easily find local stores where you can use your card, to check items in-store to see if they\u2019re eligible, and to keep track of your OTC Card balance. \\u003ca href=\\u0022https:\/\/mybenefitscenter.com\/\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noopener\\u0022\\u003eFind out how to get the app here\\u003c\/a\\u003e.\\u003c\/p\\u003e\",\"_body\":\"field_media-text_body\",\"image\":22100,\"_image\":\"field_media-text_image\",\"caption\":\"\",\"_caption\":\"field_media-text_caption\",\"link\":\"\",\"_link\":\"field_media-text_link\",\"id\":\"block_acf_661423655a0d5\"},\"mode\":\"edit\",\"id\":\"block_acf_661423655a0d5\"} \/-->\n\n<!-- wp:heading {\"level\":3} -->\n<h3 class=\"wp-block-heading\" id=\"h-questions\">Questions<\/h3>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p>For benefit questions, call your Care Team toll free: <a href=\"tel:1-866-783-1444\"><strong>1-866-783-1444<\/strong><\/a> (TTY: <a href=\"tel:711\"><strong>711<\/strong><\/a>), 7 days a week, 8 am\u20138 pm.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>For questions about an OTC order, call our partner Convey at <a href=\"tel:1-855-858-5937\"><strong>1-855-858-5937<\/strong><\/a> (TTY: <a href=\"tel:711\"><strong>711<\/strong><\/a>), Monday\u2013Friday, 8 am\u201311 pm. Or go to <a href=\"https:\/\/mybenefitscenter.com\/\" target=\"_blank\" rel=\"noreferrer noopener\">mybenefitscenter.com<\/a> 24 hours a day.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>Here are some common questions members ask about the OTC Program. If you don\u2019t find the answer to your question here, please call your Care Team at the number above.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:acf\/divider {\"name\":\"acf\/divider\",\"data\":{\"less_vertical_space\":\"1\",\"_less_vertical_space\":\"field_divider_less_vertical_space\",\"id\":\"block_acf_661423655a157\"},\"mode\":\"edit\",\"id\":\"block_acf_661423655a157\"} \/-->\n\n<!-- wp:acf\/faq {\"name\":\"acf\/faq\",\"data\":{\"heading\":\"\",\"_heading\":\"field_faq_heading\",\"is_modular\":\"0\",\"_is_modular\":\"field_faq_is_modular\",\"items_0_question\":\"How much is my benefit amount? \",\"_items_0_question\":\"field_faq_items_question\",\"items_0_answer\":\"\\u003cp\\u003eIn 2024, you get up to $87 per quarter for OTC items. Be sure to use your benefit, because it does not carry over to the next quarter. The card is to buy items for your own use and health and should not be used for anyone else.\u00a0\\u003c\/p\\u003e\",\"_items_0_answer\":\"field_faq_items_answer\",\"items_1_question\":\"How do I activate my OTC Card?\",\"_items_1_question\":\"field_faq_items_question\",\"items_1_answer\":\"\\u003cp\\u003eBefore you use the card for the first time, you must call the number on your card to activate it. Follow the instructions included on the sticker on the front of your card.\\u003cbr \/\\u003e\\r\\n\\u003cbr \/\\u003e\\r\\nOnce your card is activated, you can use it for eligible purchases at participating stores and bodegas. No PIN or signature is required for in-store purchases \u2014 it works just like a prepaid card. Go to the checkout lanes, and simply swipe the card for payment. This card can be used only for eligible OTC items. To pay for prescriptions, you\u2019ll need to use a different card.\\u003c\/p\\u003e\",\"_items_1_answer\":\"field_faq_items_answer\",\"items_2_question\":\"How do I find out which OTC items are eligible? \",\"_items_2_question\":\"field_faq_items_question\",\"items_2_answer\":\"\\u003cp\\u003eTo see the full range of eligible OTC items, please take a look at the \\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2023\/10\/EC_OTC_catalog.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noopener\\u0022\\u003eOver-the-Counter (OTC) Program Catalog.\\u003c\/a\\u003e\\u003c\/p\\u003e\",\"_items_2_answer\":\"field_faq_items_answer\",\"items_3_question\":\"Where do I buy OTC items? \",\"_items_3_question\":\"field_faq_items_question\",\"items_3_answer\":\"\\u003cul\\u003e\\r\\n\\t\\u003cli\\u003eOTC items can be bought at stores that are part of our network. This network includes many local stores and bodegas, as well as CVS, Duane Reade, Walgreens, and Family Dollar stores. For a complete list of participating stores and pharmacies, visit \\u003ca href=\\u0022https:\/\/mybenefitscenter.com\/\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noreferrer noopener\\u0022\\u003emybenefitscenter.com\\u003c\/a\\u003e, or call us and we can help you find one.\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eOrder items online or by phone from participating stores, and your items will be delivered to your door. See how to place a home-delivery phone order below, under \\u003cem\\u003eCan I order OTC items for home delivery?\\u003c\/em\\u003e\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eIf you buy items from a store outside of our network, you can ask us to reimburse you.\\u003c\/li\\u003e\\r\\n\\u003c\/ul\\u003e\",\"_items_3_answer\":\"field_faq_items_answer\",\"items_4_question\":\"Can I get reimbursed for OTC items that I buy on my own?\",\"_items_4_question\":\"field_faq_items_question\",\"items_4_answer\":\"\\u003cp\\u003eYes. If it\u2019s more convenient for you, you can also buy OTC items at a nonparticipating store and ask us to reimburse you.\\u003c\/p\\u003e\\r\\n\\u003cp\\u003eTo request reimbursement, please follow these steps:\\u003c\/p\\u003e\\r\\n\\u003cul\\u003e\\r\\n\\t\\u003cli\\u003eSubmit an original itemized receipt showing the items you purchased. The receipt must include the store, where the purchase was made, the date of purchase, the specific name(s) of the product(s) purchased and the price paid.\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eYour request must include information about you, so we know where to send your payment. Please be sure to include:\\u003c\/li\\u003e\\r\\n\\u003c\/ul\\u003e\\r\\n\\u003col\\u003e\\r\\n\\t\\u003cli style=\\u0022list-style-type: none;\\u0022\\u003e\\r\\n\\u003col\\u003e\\r\\n\\t\\u003cli style=\\u0022list-style-type: none;\\u0022\\u003e\\r\\n\\u003col\\u003e\\r\\n\\t\\u003cli\\u003eYour name and member ID number\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eThe complete address where your reimbursement should be sent\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eYour phone number, so we can contact you if we have any questions about the information you submitted\\u003c\/li\\u003e\\r\\n\\u003c\/ol\\u003e\\r\\n\\u003c\/li\\u003e\\r\\n\\u003c\/ol\\u003e\\r\\n\\u003c\/li\\u003e\\r\\n\\u003c\/ol\\u003e\\r\\n\\u003cp\\u003eAll requests for reimbursement should be mailed to:\\u003c\/p\\u003e\\r\\n\\u003cp\\u003eVNS Health\u00a0\\u003cbr \/\\u003e\\r\\nHealth Plans - OTC Reimbursement\\u003cbr \/\\u003e\\r\\n220 East 42nd Street\\u003cbr \/\\u003e\\r\\nNew York, NY 10017\\u003c\/p\\u003e\\r\\n\\u003cp\\u003eOr fax the information to 1-646-524-8338.\\u003c\/p\\u003e\\r\\n\\u003cp\\u003eAll requests must be submitted within 60 days of when the item was bought. Please allow up to 30 days for us to process your request and have a check mailed to you.\\u003c\/p\\u003e\\r\\n\\u003cp\\u003eFor details, call us. Or check out the \\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2023\/10\/EC_OTC_catalog.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noopener\\u0022\\u003eOver-the-Counter (OTC) Program Catalog.\\u003c\/a\\u003e\\u003c\/p\\u003e\",\"_items_4_answer\":\"field_faq_items_answer\",\"items_5_question\":\"Can I order OTC items for home delivery? \",\"_items_5_question\":\"field_faq_items_question\",\"items_5_answer\":\"\\u003cp\\u003eYes. There are two ways you can order OTC items for home delivery:\\u003c\/p\\u003e\\r\\n\\u003cul\\u003e\\r\\n\\t\\u003cli\\u003eOrder by phone \u2014 If you would like to place your order over the phone, call our partner Convey at \\u003ca href=\\u0022tel:1-855-858-5937\\u0022\\u003e\\u003cstrong\\u003e1-855-858-5937\\u003c\/strong\\u003e\\u003c\/a\\u003e (TTY: \\u003cstrong\\u003e\\u003ca href=\\u0022tel:711\\u0022\\u003e711\\u003c\/a\\u003e\\u003c\/strong\\u003e), Monday\u2013Friday, 8 am\u201311 pm EST. You will need to order from the \\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2023\/10\/EC_OTC_catalog.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noopener\\u0022\\u003eOver-the-Counter (OTC) Program Catalog\\u003c\/a\\u003e and have your item number(s) ready when you call.\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eOrder online \u2014 Visit \\u003ca href=\\u0022https:\/\/mybenefitscenter.com\/\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noreferrer noopener\\u0022\\u003emybenefitscenter.com\\u003c\/a\\u003e. Have your EasyCare member ID card ready, and follow the simple instructions provided on the site.\\u003c\/li\\u003e\\r\\n\\u003c\/ul\\u003e\\r\\n\\u003cp\\u003eYour items will be delivered at no cost to you, and you generally can expect to receive your order in 5\u20137 business days. You do not need to use your full OTC Card balance at one time, but remember that your balance does not carry over from quarter to quarter.\\u003c\/p\\u003e\",\"_items_5_answer\":\"field_faq_items_answer\",\"items_6_question\":\"Will the benefit amount on my OTC Card reload every quarter?\",\"_items_6_question\":\"field_faq_items_question\",\"items_6_answer\":\"\\u003cp\\u003eYes. As long as you are an active member, your OTC Card will automatically reload on the first day of every quarter (January 1, April 1, July 1, and October 1). You have the full three months to use your benefit amount. Be aware that any balance remaining at the end of a quarter does not roll over to the next quarter.\\u003c\/p\\u003e\",\"_items_6_answer\":\"field_faq_items_answer\",\"items_7_question\":\"Can I check my OTC Card balance?\",\"_items_7_question\":\"field_faq_items_question\",\"items_7_answer\":\"\\u003cp\\u003eYes, you can. Check your balance online anytime at \\u003ca href=\\u0022https:\/\/mybenefitscenter.com\/\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noreferrer noopener\\u0022\\u003emybenefitscenter.com\\u003c\/a\\u003e. Once on the site, you will be asked to enter your 19-digit OTC Card number. On the next screen, you will be asked to enter your EasyCare Member ID Number to log in and check your balance.\\u003c\/p\\u003e\\r\\n\\u003cp\\u003eYou can also check your balance by calling us.\\u003c\/p\\u003e\",\"_items_7_answer\":\"field_faq_items_answer\",\"items_8_question\":\"How do I report a lost or stolen OTC Card?\",\"_items_8_question\":\"field_faq_items_question\",\"items_8_answer\":\"\\u003cp\\u003eTo report a lost or stolen OTC Card, call us. We will have a new OTC Card mailed to your home within 7\u201310 business days. To activate your new card, go to \\u003ca href=\\u0022https:\/\/mybenefitscenter.com\/\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noreferrer noopener\\u0022\\u003emybenefitscenter.com\\u003c\/a\\u003e, or call us.\\u003c\/p\\u003e\",\"_items_8_answer\":\"field_faq_items_answer\",\"items\":9,\"_items\":\"field_faq_items\",\"id\":\"block_acf_661423655c61d\"},\"mode\":\"edit\",\"id\":\"block_acf_661423655c61d\"} \/-->\n\n<!-- wp:paragraph -->\n<p><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p><\/p>\n<!-- \/wp:paragraph -->",
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"post_modified": "2024-04-08 13:03:34",
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"ID": 15578,
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"post_date": "2021-12-01 18:54:42",
"post_date_gmt": "2021-12-01 23:54:42",
"post_content": "<!-- wp:paragraph -->\n<p>On this page, you can find links to tools, forms, and useful information to help you stay on top of your medications. Scroll down for answers to frequently asked questions about drug benefits.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:acf\/cta-repeater-banner {\"name\":\"acf\/cta-repeater-banner\",\"data\":{\"banners_0_icon\":20334,\"_banners_0_icon\":\"field_cta-repeater-banner_banners_icon\",\"banners_0_heading\":\"Look Up a Medication or Find a Network Pharmacy\",\"_banners_0_heading\":\"field_cta-repeater-banner_banners_heading\",\"banners_0_description\":\"\",\"_banners_0_description\":\"field_cta-repeater-banner_banners_description\",\"banners_0_button\":{\"title\":\"Search our drug and pharmacy list\",\"url\":\"https:\/\/www.vnshealthplans.org\/find-a-medication\/\",\"target\":\"\"},\"_banners_0_button\":\"field_cta-repeater-banner_banners_button\",\"banners_0_buttons_0_button\":{\"title\":\"Search Our Drug and Pharmacy List\",\"url\":\"https:\/\/www.vnshealthplans.org\/find-a-medication\/\",\"target\":\"\"},\"_banners_0_buttons_0_button\":\"field_cta-repeater-banner_banners_buttons_button\",\"banners_0_buttons\":1,\"_banners_0_buttons\":\"field_cta-repeater-banner_banners_buttons\",\"banners_1_icon\":20325,\"_banners_1_icon\":\"field_cta-repeater-banner_banners_icon\",\"banners_1_heading\":\"Get Forms and Helpful Information About Your Pharmacy Benefits\",\"_banners_1_heading\":\"field_cta-repeater-banner_banners_heading\",\"banners_1_description\":\"\",\"_banners_1_description\":\"field_cta-repeater-banner_banners_description\",\"banners_1_button\":{\"title\":\"View resources and documents\",\"url\":\"https:\/\/www.vnshealthplans.org\/easycare-member-resources\/medications\/\",\"target\":\"\"},\"_banners_1_button\":\"field_cta-repeater-banner_banners_button\",\"banners_1_buttons_0_button\":{\"title\":\"View Resources and 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Portal\",\"url\":\"https:\/\/www.vnshealthplans.org\/your-pharmacy-portal-user-guide\/#h-medimpact-pharmacy-portal\",\"target\":\"\"},\"_banners_2_buttons_0_button\":\"field_cta-repeater-banner_banners_buttons_button\",\"banners_2_buttons_1_button\":{\"title\":\"Go to the Portal\",\"url\":\"https:\/\/www.medimpact.com\/\",\"target\":\"\"},\"_banners_2_buttons_1_button\":\"field_cta-repeater-banner_banners_buttons_button\",\"banners_2_buttons\":2,\"_banners_2_buttons\":\"field_cta-repeater-banner_banners_buttons\",\"banners_3_icon\":20351,\"_banners_3_icon\":\"field_cta-repeater-banner_banners_icon\",\"banners_3_heading\":\"Manage Your Medications from Your Phone\",\"_banners_3_heading\":\"field_cta-repeater-banner_banners_heading\",\"banners_3_description\":\"Once you have registered for the MedImpact Pharmacy Portal, you can also use the MedImpact mobile app to manage your medications right from your phone.\\r\\n\\r\\n\\u003cp\\u003e\\u003cstrong\\u003eNote\\u003c\/strong\\u003e: You will need to \\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/your-pharmacy-portal-user-guide#h-medimpact-pharmacy-portal\\u0022\\u003eregister for the portal\\u003c\/a\\u003e before you can use the app.\\u003c\/p\\u003e\",\"_banners_3_description\":\"field_cta-repeater-banner_banners_description\",\"banners_3_button\":\"\",\"_banners_3_button\":\"field_cta-repeater-banner_banners_button\",\"banners_3_buttons_0_button\":{\"title\":\"Get the Mobile App\",\"url\":\"https:\/\/www.vnshealthplans.org\/your-pharmacy-portal-user-guide#how-to-get-the-pharmacy-mobile-app\",\"target\":\"\"},\"_banners_3_buttons_0_button\":\"field_cta-repeater-banner_banners_buttons_button\",\"banners_3_buttons\":1,\"_banners_3_buttons\":\"field_cta-repeater-banner_banners_buttons\",\"banners\":4,\"_banners\":\"field_cta-repeater-banner_banners\",\"id\":\"block_acf_64fb56022a7a0\"},\"mode\":\"edit\",\"id\":\"block_acf_64fb56022a7a0\"} \/-->\n\n<!-- wp:acf\/divider {\"name\":\"acf\/divider\",\"data\":{\"less_vertical_space\":\"1\",\"_less_vertical_space\":\"field_divider_less_vertical_space\",\"id\":\"block_acf_64fb56022a819\"},\"mode\":\"edit\",\"id\":\"block_acf_64fb56022a819\"} \/-->\n\n<!-- wp:acf\/cta-repeater-banner {\"name\":\"acf\/cta-repeater-banner\",\"data\":{\"banners_0_icon\":20684,\"_banners_0_icon\":\"field_cta-repeater-banner_banners_icon\",\"banners_0_heading\":\"Frequently Asked Questions\",\"_banners_0_heading\":\"field_cta-repeater-banner_banners_heading\",\"banners_0_description\":\"Here are some answers to common questions members ask about the prescription drug plan for VNS Health EasyCare (HMO). 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How can I learn about the Medication Therapy Management program?\",\"_items_0_question\":\"field_faq_items_question\",\"items_0_answer\":\"\\u003cp\\u003eThe Medication Therapy Management program is a service designed for members who have several chronic medical conditions or take many different drugs at the same time.\\u003c\/p\\u003e\\r\\n\\u003cp\\u003eLearn more about the \\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/medication-therapy-management\/\\u0022\\u003eMedication Therapy Management program\\u003c\/a\\u003e.\\u003c\/p\\u003e\",\"_items_0_answer\":\"field_faq_items_answer\",\"items_1_question\":\"Do I have to use a network pharmacy for my medications and supplies?\",\"_items_1_question\":\"field_faq_items_question\",\"items_1_answer\":\"\\u003cp\\u003eAs a rule, you must use a network pharmacy. If you think you can\u2019t get to a network pharmacy, please call us. We may be able to find one for you nearby. Be aware that you may need to pay for the items out of pocket and be reimbursed.\\u003c\/p\\u003e\\r\\n\\u003cp\\u003eThere may be a rare instance when you need a medication and cannot get to a network pharmacy. Please see Chapter 5 (\u201cUsing the plan\u2019s coverage for your Part D prescription drugs\u201d) in your \\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2022\/10\/EasyCare_2023_Member_Handbook_English.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noopener\\u0022\\u003eEvidence of Coverage\/Member Handbook\\u003c\/a\\u003e for situations when we would cover prescriptions filled at an out-of-network pharmacy.\\u003c\/p\\u003e\",\"_items_1_answer\":\"field_faq_items_answer\",\"items_2_question\":\"How do I find a pharmacy that\u2019s in my network? \",\"_items_2_question\":\"field_faq_items_question\",\"items_2_answer\":\"\\u003cp\\u003eIt's easy to find a participating pharmacy. Use the \\u003ca href=\\u0022\/find-a-doctor\\u0022\\u003eProvider and Pharmacy Search tool\\u003c\/a\\u003e on this website. If you are unable to find a pharmacy using this tool, please call us, and we will help you.\\u003c\/p\\u003e\",\"_items_2_answer\":\"field_faq_items_answer\",\"items_3_question\":\"I have difficulty keeping track of when I take all my medications. Can I have them come to me in a pill pack so I can keep track of when to take them?\",\"_items_3_question\":\"field_faq_items_question\",\"items_3_answer\":\"\\u003cp\\u003eYes, you can. If you take multiple pills each day, you can keep track of your doses with a pill pack. Pills are organized by day and time, so you know which to take when. If this sounds like a good way to keep track of your doses, call us. Our pharmacists can connect you with local pharmacies that can put these packs together for you at no charge.\\u003c\/p\\u003e\",\"_items_3_answer\":\"field_faq_items_answer\",\"items_4_question\":\"Can I get my prescriptions mailed to my home?\",\"_items_4_question\":\"field_faq_items_question\",\"items_4_answer\":\"\\u003cp\\u003eYes, you can. As a member of VNS Health EasyCare, your pharmacy benefit is managed by MedImpact. Their mail-order service, Birdi, can fill prescriptions and mail them to your home.\\u003c\/p\\u003e\\r\\n\\u003cp\\u003eHere are three ways to sign up for the Birdi mail-order service from MedImpact:\\u003c\/p\\u003e\\r\\n\\u003col\\u003e\\r\\n\\t\\u003cli\\u003eRegister online at \\u003ca href=\\u0022https:\/\/medimpact.com\/\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noopener\\u0022\\u003emedimpact.com\\u003c\/a\\u003e.\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eRegister with the \\u003ca href=\\u0022\/your-pharmacy-portal-user-guide\/#how-to-get-the-pharmacy-mobile-app\\u0022\\u003eMedImpact mobile app\\u003c\/a\\u003e.\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eCall Birdi toll free at \\u003cstrong\\u003e\\u003ca href=\\u0022tel:1-855-873-8739\\u0022\\u003e1-855-873-8739\\u003c\/a\\u003e\\u003c\/strong\\u003e (TTY: \\u003cstrong\\u003e\\u003ca href=\\u0022tel:711\\u0022\\u003e711\\u003c\/a\\u003e\\u003c\/strong\\u003e), Monday\u2013Friday, 8 am\u20138pm and Saturday, 9 am\u20135 pm.\\u003c\/li\\u003e\\r\\n\\u003c\/ol\\u003e\",\"_items_4_answer\":\"field_faq_items_answer\",\"items\":5,\"_items\":\"field_faq_items\",\"id\":\"block_acf_64fb56022a8ae\"},\"mode\":\"edit\",\"className\":\"clear-left\",\"id\":\"block_acf_64fb56022a8ae\"} \/-->\n\n<!-- wp:spacer {\"height\":\"20px\"} -->\n<div style=\"height:20px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n<!-- \/wp:spacer -->\n\n<!-- wp:spacer {\"className\":\"clear-left\"} -->\n<div style=\"height:100px\" aria-hidden=\"true\" class=\"wp-block-spacer clear-left\"><\/div>\n<!-- \/wp:spacer -->\n\n<!-- wp:paragraph -->\n<p><\/p>\n<!-- \/wp:paragraph -->",
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"post_date": "2021-11-30 18:46:32",
"post_date_gmt": "2021-11-30 23:46:32",
"post_content": "<!-- wp:paragraph -->\n<p><strong>Thank you for being a member!<\/strong><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>We\u2019re happy to have you! EasyCare Plus (HMO D-SNP) is a Medicare Advantage plan for New Yorkers who have both Medicare and Medicaid. It offers more than regular Medicare, including extra benefits that can make it easier to live a healthy lifestyle in your home and community.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:heading -->\n<h2 class=\"wp-block-heading\" id=\"h-latest-news\">Latest News<\/h2>\n<!-- \/wp:heading -->\n\n<!-- wp:acf\/banner-in-body {\"name\":\"acf\/banner-in-body\",\"data\":{\"background_color\":\"gray-200\",\"_background_color\":\"field_banner-in-body_background_color\",\"heading\":\"EasyCare Plus Member Newsletter - Spring 2024 Edition\",\"_heading\":\"field_banner-in-body_heading\",\"subheading\":\"\",\"_subheading\":\"field_banner-in-body_subheading\",\"description\":\"\\u003cp\\u003eRead the latest newsletter for VNS Health EasyCare Plus members!\\u003c\/p\\u003e\\r\\n\\u003cp\\u003e\\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2024\/04\/2024-Spring-ECECP-Newsletter_EN.pdf\\u0022 target=\\u0022_blank\\u0022 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Tell them to give us a call at <a href=\"tel:1-718-4CHOICE\"><\/a><a href=\"tel:1-866-414-6715\"><strong>1-866-414-6715<\/strong><\/a> (TTY: <a href=\"tel:711\"><strong>711<\/strong><\/a>), 7 days a week, 8 am\u20138 pm. We can answer their questions and help them decide if the plan is right for them.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p><\/p>\n<!-- \/wp:paragraph -->",
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"post_date": "2023-03-28 10:22:09",
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"post_content": "<!-- wp:paragraph -->\n<p>Make sure Medicaid has your current contact information.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:heading -->\n<h2 class=\"wp-block-heading\" id=\"h-what-you-need-to-do\">What You Need To Do<\/h2>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p>Please contact your Medicaid office to give them your current address, phone number, and email address.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:list -->\n<ul><!-- wp:list-item -->\n<li>If you live in New York State outside of New York City, call your local Medicaid office<\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li>If you live in one of the five boroughs of New York City, call Medicaid at the number below:<br><strong><a href=\"tel:18886926116\">1-888-692-6116<\/a> (TTY: <a href=\"tel:711\">711<\/a>)<\/strong><br>Monday \u2013 Friday, 8 am \u2013 5:30 pm<\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list -->\n\n<!-- wp:group {\"style\":{\"color\":{\"background\":\"#d8f0fe\"}},\"layout\":{\"type\":\"constrained\"}} -->\n<div class=\"wp-block-group has-background\" style=\"background-color:#d8f0fe\"><!-- wp:heading {\"textAlign\":\"center\"} -->\n<h2 class=\"wp-block-heading has-text-align-center\" id=\"h-watch-out-for-medicaid-scams\">Watch Out for Medicaid Scams!<\/h2>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p>Be on the alert for scammers who ask for a fee to help you renew or recertify your Medicaid coverage. Never give out your Medicare or Social Security Numbers over the phone or in a text.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>VNS Health and\/or your local Medicaid office will send you notices about the renewal process, which may include reminders to update your contact and income information. <strong>But we will never ask for money to renew or apply for Medicaid.<\/strong><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>If you get a text, phone call or email that you think may be a fraud, contact your local Medicaid office.<\/p>\n<!-- \/wp:paragraph --><\/div>\n<!-- \/wp:group -->\n\n<!-- wp:acf\/faq {\"name\":\"acf\/faq\",\"data\":{\"heading\":\"\",\"_heading\":\"field_faq_heading\",\"is_modular\":\"0\",\"_is_modular\":\"field_faq_is_modular\",\"items_0_question\":\"Why Is This Important?\",\"_items_0_question\":\"field_faq_items_question\",\"items_0_answer\":\"\\u003cp\\u003eMedicaid must have your current contact information to mail you your Medicaid renewal notice. If you do not renew on time, you could lose your Medicaid and be disenrolled from your health plan.\\u003c\/p\\u003e\",\"_items_0_answer\":\"field_faq_items_answer\",\"items_1_question\":\"What Happens Next?\",\"_items_1_question\":\"field_faq_items_question\",\"items_1_answer\":\"\\u003col\\u003e\\r\\n\\t\\u003cli\\u003eFour months before it\u2019s time to renew your Medicaid, we will send you important information about the renewal process. Look for the big blue envelope from us in the mail.\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eOver the next eleven months, sixty days before it\u2019s time to renew, your local Medicaid office will send you a renewal notice.\u00a0Please follow the instructions inside the packet.\\u003c\/li\\u003e\\r\\n\\u003c\/ol\\u003e\",\"_items_1_answer\":\"field_faq_items_answer\",\"items\":2,\"_items\":\"field_faq_items\",\"id\":\"block_acf_661fde3b33523\"},\"mode\":\"edit\",\"id\":\"block_acf_661fde3b33523\"} \/-->\n\n<!-- wp:columns -->\n<div class=\"wp-block-columns\"><!-- wp:column {\"verticalAlignment\":\"top\",\"width\":\"33.33%\"} -->\n<div class=\"wp-block-column is-vertically-aligned-top\" style=\"flex-basis:33.33%\"><!-- wp:image {\"id\":31182,\"sizeSlug\":\"full\",\"linkDestination\":\"none\"} -->\n<figure class=\"wp-block-image size-full\"><img src=\"https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2023\/03\/VNSHealth_Call_Center_Icon_rgb.png\" alt=\"\" class=\"wp-image-31182\"\/><\/figure>\n<!-- \/wp:image --><\/div>\n<!-- \/wp:column -->\n\n<!-- wp:column {\"verticalAlignment\":\"center\",\"width\":\"66.66%\"} -->\n<div class=\"wp-block-column is-vertically-aligned-center\" style=\"flex-basis:66.66%\"><!-- wp:paragraph -->\n<p>If you have any questions, need clarification on your Medicaid recertification or need someone to walk you through the process, please call us at the number below. We are here to help.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph {\"style\":{\"typography\":{\"fontStyle\":\"normal\",\"fontWeight\":\"700\"}}} -->\n<p style=\"font-style:normal;font-weight:700\">Medicaid Recertification Team<br><strong><a href=\"tel:18773578544\">1-877-357-8544<\/a> Option 4 (TTY: <a href=\"tel:711\">711<\/a>)<br>Monday \u2013 Friday, 9 am \u2013 5 pm<\/strong><\/p>\n<!-- \/wp:paragraph --><\/div>\n<!-- \/wp:column --><\/div>\n<!-- \/wp:columns -->",
"post_title": "Don't Lose Your Medicaid Coverage!",
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{
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"post_date": "2021-12-30 10:24:44",
"post_date_gmt": "2021-12-30 15:24:44",
"post_content": "<!-- wp:heading {\"level\":3} -->\n<h3 class=\"wp-block-heading\" id=\"h-we-reward-you-so-you-can-reward-yourself\">We reward you, so <em>you<\/em> can reward yourself!<\/h3>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p>As a member of VNS Health EasyCare Plus (HMO D-SNP), you\u2019re automatically enrolled in our Member Rewards program. You can earn rewards for completing certain health activities, like seeing your doctor or getting recommended screenings. Earn up to $30 for each health activity you complete.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>You can earn rewards by completing the qualifying activities listed below.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:acf\/three-column-table {\"name\":\"acf\/three-column-table\",\"data\":{\"three_column_table_show_table_heading\":\"0\",\"_three_column_table_show_table_heading\":\"field_three-column-table_three_column_table_show_table_heading\",\"three_column_table_alternate_row_colors\":\"1\",\"_three_column_table_alternate_row_colors\":\"field_three-column-table_three_column_table_alternate_row_colors\",\"three_column_table_use_custom_row_colors\":\"0\",\"_three_column_table_use_custom_row_colors\":\"field_three-column-table_three_column_table_use_custom_row_colors\",\"three_column_table_column_headings_col_1\":\"Health 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year\\u003c\/p\\u003e\",\"_three_column_table_rows_8_table_col_3\":\"field_three-column-table_three_column_table_rows_table_col_3\",\"three_column_table_rows_9_icon\":36214,\"_three_column_table_rows_9_icon\":\"field_three-column-table_three_column_table_rows_icon\",\"three_column_table_rows_9_table_col_1\":\"\\u003cp\\u003eMember Advisory Committee (MAC) Meeting\\u003c\/p\\u003e\\r\\n\\u003cp\\u003e\\u003cem\\u003eReward will be based on each MAC meeting attended.\\u003c\/em\\u003e\\u003c\/p\\u003e\",\"_three_column_table_rows_9_table_col_1\":\"field_three-column-table_three_column_table_rows_table_col_1\",\"three_column_table_rows_9_table_col_2\":\"\\u003cp\\u003e$10\\u003c\/p\\u003e\",\"_three_column_table_rows_9_table_col_2\":\"field_three-column-table_three_column_table_rows_table_col_2\",\"three_column_table_rows_9_table_col_3\":\"\\u003cp\\u003eAt least once per year\\u003c\/p\\u003e\",\"_three_column_table_rows_9_table_col_3\":\"field_three-column-table_three_column_table_rows_table_col_3\",\"three_column_table_rows\":10,\"_three_column_table_rows\":\"field_three-column-table_three_column_table_rows\",\"three_column_table\":\"\",\"_three_column_table\":\"field_three-column-table_three_column_table\",\"id\":\"block_acf_658c8c47e6de7\"},\"mode\":\"edit\",\"id\":\"block_acf_658c8c47e6de7\"} \/-->\n\n<!-- wp:paragraph -->\n<p><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p><br>Additional eligibility exclusions may apply. All services must be medically necessary to earn rewards.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:heading {\"level\":3} -->\n<h3 class=\"wp-block-heading\" id=\"h-how-will-i-get-my-rewards\"><strong>How Will I Get My Rewards?<\/strong><\/h3>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p>You must be an active member of the plan to receive rewards. We\u2019ll track your progress using claims your doctor submits to verify that you completed the health activity. The first time you complete an eligible activity during a given year, we\u2019ll send you a reward certificate showing the total dollar amount you earned for completing qualified health activities. Then during the remainder of the year, you\u2019ll receive a new reward certificate for each quarter (3 months) in which you complete at least one eligible activity. A redeem by mail form will also be included so you can choose your gift card(s) or redeem online. See the schedule below for when you might expect to receive your rewards.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>The gift card cannot be used for gambling or to purchase alcohol, firearms, or tobacco, and it cannot be converted to cash.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>Below is a schedule of when rewards will be issued.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:table -->\n<figure class=\"wp-block-table\"><table><thead><tr><th>Period of time to complete eligible activities<\/th><th>When eligible rewards will be awarded<\/th><\/tr><\/thead><tbody><tr><td>January 1 \u2013 March 31, 2024<\/td><td>June 2024<\/td><\/tr><tr><td>April 1 \u2013 June 30, 2024<\/td><td>September 2024<\/td><\/tr><tr><td>July 1 \u2013 September 30, 2024<\/td><td>December 2024<\/td><\/tr><tr><td>October 1 \u2013 December 31, 2024<\/td><td>March 2025<\/td><\/tr><\/tbody><\/table><\/figure>\n<!-- \/wp:table -->\n\n<!-- wp:heading {\"level\":3} -->\n<h3 class=\"wp-block-heading\" id=\"h-what-s-next\">What's Next?<\/h3>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p>Going to the doctor and taking your medications can help you stay healthy. So schedule your annual wellness visit, and follow these tips to make the most of the visit:<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:list -->\n<ul><!-- wp:list-item -->\n<li><span style=\"color: initial;\">Write your questions down at home, before your appointment.<\/span><\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li>Make a list of medications, and check to see if you need any refills.<\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li>Ask your doctor what screenings you are eligible for, so you can start earning rewards!<\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li>Before you leave your doctor's office, make sure you schedule your next visit.<\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list -->\n\n<!-- wp:paragraph -->\n<p>If you have any questions, please call us at <a href=\"tel:1-866-783-1444\"><strong>1-866-783-1444<\/strong><\/a> (TTY:<a href=\"tel:711\"> <strong>711<\/strong><\/a>), weekdays, 8 am\u20138 pm.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:acf\/faq {\"name\":\"acf\/faq\",\"data\":{\"heading\":\"Frequently Asked Questions \",\"_heading\":\"field_faq_heading\",\"is_modular\":\"0\",\"_is_modular\":\"field_faq_is_modular\",\"items_0_question\":\"How do I earn a reward? \",\"_items_0_question\":\"field_faq_items_question\",\"items_0_answer\":\"\\u003cp\\u003eComplete qualifying health activities as shown in the chart above. Speak to your provider about which health activities are right for you.\\u003c\/p\\u003e\",\"_items_0_answer\":\"field_faq_items_answer\",\"items_1_question\":\"How will I be notified about the rewards? \",\"_items_1_question\":\"field_faq_items_question\",\"items_1_answer\":\"\\u003cp\\u003eYou will receive a reward certificate in the mail showing the award value or total dollar amount you earned for completing qualified health activities. Call us, if you have any questions or need to update your address.\\u003c\/p\\u003e\",\"_items_1_answer\":\"field_faq_items_answer\",\"items_2_question\":\"How do I claim my gift card(s)?\",\"_items_2_question\":\"field_faq_items_question\",\"items_2_answer\":\"\\u003cp\\u003eFill out the mail-in redemption form at the bottom of your reward certificate or follow the instructions noted at the top of the certificate to redeem online. Note: you can split your rewards in up to (2) different retailer gift cards.\\u003c\/p\\u003e\",\"_items_2_answer\":\"field_faq_items_answer\",\"items_3_question\":\"When will I receive my reward(s)? \",\"_items_3_question\":\"field_faq_items_question\",\"items_3_answer\":\"\\u003cp\\u003eRewards will be awarded during specific timeframes. See schedule outline of when rewards will be issued, above.\\u003c\/p\\u003e\",\"_items_3_answer\":\"field_faq_items_answer\",\"items_4_question\":\"When will I receive my gift card(s)?\",\"_items_4_question\":\"field_faq_items_question\",\"items_4_answer\":\"\\u003cp\\u003ePhysical gift card(s) will be shipped within two to four weeks after selections are made. In most cases, if selected, digital gift cards will be available for use right away.\\u003c\/p\\u003e\",\"_items_4_answer\":\"field_faq_items_answer\",\"items_5_question\":\"I think I earned a reward this year, but have not received a reward certificate?\",\"_items_5_question\":\"field_faq_items_question\",\"items_5_answer\":\"\\u003cp\\u003eTo double check if you\u2019ve earned a reward or if you have any other questions, please call \\u003ca href=\\u0022tel:1-866-601-5927\\u0022\\u003e\\u003cstrong\\u003e1-866-601-5927\\u003c\/strong\\u003e\\u003c\/a\\u003e.\\u003c\/p\\u003e\",\"_items_5_answer\":\"field_faq_items_answer\",\"items_6_question\":\"Do gift cards have an expiration date?\",\"_items_6_question\":\"field_faq_items_question\",\"items_6_answer\":\"\\u003cp\\u003eYes. Gift cards will expire within thirteen months from the date card is issued. Be sure to use your card(s) before then.\\u003c\/p\\u003e\",\"_items_6_answer\":\"field_faq_items_answer\",\"items\":7,\"_items\":\"field_faq_items\",\"id\":\"block_acf_658c8c47e6efe\"},\"mode\":\"edit\",\"id\":\"block_acf_658c8c47e6efe\"} \/-->\n\n<!-- wp:paragraph -->\n<p><em><br><\/em><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p><em><br><\/em><\/p>\n<!-- \/wp:paragraph -->",
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"post_modified": "2023-12-27 15:42:48",
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"post_date": "2021-11-30 21:21:27",
"post_date_gmt": "2021-12-01 02:21:27",
"post_content": "<!-- wp:paragraph -->\n<p>If you have questions or want a printed copy of any of the VNS Health EasyCare Plus (HMO D-SNP) materials on this page, please call us at <a href=\"tel:1-888-783-1444\">1-888-783-1444<\/a>, weekdays, 8 am \u2013 8 pm. 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"post_date": "2021-11-30 21:34:57",
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"post_content": "<!-- wp:paragraph -->\n<p>VNS Health EasyCare Plus (HMO D-SNP) members often ask these questions about benefits and services. If you don\u2019t see an answer to your question here, please call us at <a href=\"tel:1-866-783-1444\"><strong>1-866-783-1444<\/strong><\/a> (TTY: <a href=\"tel:711\"><strong>711<\/strong><\/a>), weekdays, 8 am\u20138 pm. We\u2019re here to help! <\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:acf\/faq {\"name\":\"acf\/faq\",\"data\":{\"heading\":\"Contacting Us\",\"_heading\":\"field_faq_heading\",\"is_modular\":\"0\",\"_is_modular\":\"field_faq_is_modular\",\"items_0_question\":\"What information will I need when I call my Care Team?\",\"_items_0_question\":\"field_faq_items_question\",\"items_0_answer\":\"\\u003cp\\u003eTo protect your privacy, we will always ask you to provide three pieces of information to identify yourself. You can use any three of the following:\\u003c\/p\\u003e\\r\\n\\u003cul\\u003e\\r\\n\\t\\u003cli\\u003eEasyCare Plus member ID number\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eFirst and last name\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eDate of birth\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eFull address\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003ePhone number\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eMedicare ID number\u00a0\\u003c\/li\\u003e\\r\\n\\u003c\/ul\\u003e\",\"_items_0_answer\":\"field_faq_items_answer\",\"items_1_question\":\"How can I appoint someone to act on my behalf?\",\"_items_1_question\":\"field_faq_items_question\",\"items_1_answer\":\"\\u003cp\\u003eYou may appoint a relative, friend, attorney, or anyone else whom you trust to act on your behalf. A representative who is appointed by the court or who is active in accordance with state law may also file an appeal or a grievance for you. To appoint a representative, you must complete an \\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2020\/07\/Appointment-of-Representative-_v.1_En.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noopener\\u0022\\u003eAppointment of Representative\\u003c\/a\\u003e form.\\u003c\/p\\u003e\",\"_items_1_answer\":\"field_faq_items_answer\",\"items_2_question\":\"How can I give others access to my health information?\",\"_items_2_question\":\"field_faq_items_question\",\"items_2_answer\":\"\\u003cp\\u003eTo protect your privacy, we need your permission before we allow anyone else access to your health information. There are three ways that you can authorize a family member or friend to serve as your representative with access to information about your care and services with your plan.\\u003c\/p\\u003e\\r\\n\\u003col\\u003e\\r\\n\\t\\u003cli\\u003eCheck your online account anytime at \\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/account\/\\u0022\\u003evnshealthplans.org\/account\\u003c\/a\\u003e or call us toll free at: \\u003cstrong\\u003e\\u003ca href=\\u0022tel:1-866-783-1444\\u0022\\u003e1-866-783-1444\\u003c\/a\\u003e\\u003c\/strong\\u003e (TTY: \\u003cstrong\\u003e\\u003ca href=\\u0022tel:711\\u0022\\u003e711\\u003c\/a\\u003e\\u003c\/strong\\u003e) with your authorized representative, and give verbal authorization. Your authorization will be valid for 14 days from the date of the call.\u00a0\u00a0\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eIf you want someone to see all your information, you can download an Authorization for Release of Health Information Pursuant to HIPAA form (\\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2020\/07\/Auth-Release-Health-Info-HIPAA_Eng.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noopener\\u0022\\u003eEnglish\\u003c\/a\\u003e, \\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2020\/07\/Auth-Release-Health-Info-HIPAA_Sp.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noopener\\u0022\\u003eSpanish\\u003c\/a\\u003e, or \\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2020\/07\/Auth-ReleaseHealth-Info-HIPAA_Ch.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noopener\\u0022\\u003eChinese\\u003c\/a\\u003e). Fill out the form, and send it back to us for processing. Or call us, and we will mail you a form to fill out and return.\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eIf you want to allow someone to see just some of your information, write a letter saying that you give your permission to that person to speak on your behalf. Tell us their name, their relationship to you, and the sort of information you are allowing them to see. Send the letter to us for processing at this address:\\u003cbr \/\\u003e\\r\\n\\u003cbr \/\\u003e\\r\\nVNS Health \\u003cbr \/\\u003e\\r\\nHealth Plans - Care Team\u00a0\\u003cbr \/\\u003e\\r\\n220 East 42nd Street\\u003cbr \/\\u003e\\r\\nNew York, NY 10017\\u003c\/li\\u003e\\r\\n\\u003c\/ol\\u003e\",\"_items_2_answer\":\"field_faq_items_answer\",\"items_3_question\":\"What if my address or telephone number changes? Can I keep my plan if I move?\",\"_items_3_question\":\"field_faq_items_question\",\"items_3_answer\":\"\\u003cp\\u003eIf your home address or other contact information changes, please call us. You will also need to notify your local department of social services of your new contact information. To find the number for your local office, visit the \\u003ca href=\\u0022https:\/\/www.health.ny.gov\/health_care\/medicaid\/ldss.htm\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noopener\\u0022\\u003eNew York State Department of Social Services\\u003c\/a\\u003e website.\\u003c\/p\\u003e\\r\\n\\u003cp\\u003eIf your new address is within the EasyCare Plus service area, your coverage will not be affected. Our service area covers the following counties:\\u003c\/p\\u003e\\r\\n\\u003cul\\u003e\\r\\n\\t\\u003cli\\u003eAlbany\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eThe Bronx\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eKings (Brooklyn)\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eNassau\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eNew York (Manhattan)\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eQueens\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eRensselaer\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eRichmond (Staten Island)\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eSchenectady\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eSuffolk\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eWestchester\\u003c\/li\\u003e\\r\\n\\u003c\/ul\\u003e\\r\\n\\u003cp\\u003eIf you move outside of this service area, you may no longer be eligible for our plan, in which case you would be disenrolled.\\u003c\/p\\u003e\",\"_items_3_answer\":\"field_faq_items_answer\",\"items\":4,\"_items\":\"field_faq_items\",\"id\":\"block_acf_660eb3d54c310\"},\"mode\":\"edit\",\"id\":\"block_acf_660eb3d54c310\"} \/-->\n\n<!-- wp:acf\/faq {\"name\":\"acf\/faq\",\"data\":{\"heading\":\"My Coverage\",\"_heading\":\"field_faq_heading\",\"is_modular\":\"0\",\"_is_modular\":\"field_faq_is_modular\",\"items_0_question\":\"How can I find a provider (doctor, specialist, or pharmacy) in the plan network?\",\"_items_0_question\":\"field_faq_items_question\",\"items_0_answer\":\"\\u003cp\\u003eUse our online \\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/find-a-doctor\/\\u0022\\u003eProvider Search tool\\u003c\/a\\u003e. Or you can find a list of providers in the EasyCare Plus Provider \\u0026amp; Pharmacy Directory. If you need help identifying a provider who meets your needs, you can also contact your EasyCare Plus Care Team.\\u003c\/p\\u003e\",\"_items_0_answer\":\"field_faq_items_answer\",\"items_1_question\":\"I have Medicaid and Medicare coverage. Which insurance card do I show when I get care?\",\"_items_1_question\":\"field_faq_items_question\",\"items_1_answer\":\"\\u003cp\\u003eYou should show your EasyCare Plus member ID card to your provider, so that you aren't billed. You do not need to show your red, white, and blue Medicare card. Be sure to take both your member ID card and your Medicaid card with you whenever you see a provider.\\u003c\/p\\u003e\",\"_items_1_answer\":\"field_faq_items_answer\",\"items_2_question\":\"How can I change my primary care physician (my doctor)?\",\"_items_2_question\":\"field_faq_items_question\",\"items_2_answer\":\"\\u003cp\\u003eCheck your online account anytime at vnshealthplans.org\/account or call us toll free at:\\u003cstrong\\u003e\\u003ca href=\\u0022tel:1-866-783-1444\\u0022\\u003e1-866-783-1444\\u003c\/a\\u003e\\u003c\/strong\\u003e (TTY: \\u003cstrong\\u003e\\u003ca href=\\u0022tel:711\\u0022\\u003e711\\u003c\/a\\u003e\\u003c\/strong\\u003e).\u00a0If you have already chosen a new doctor, give our representative the doctor's name. Once they confirm that the doctor is in our network, we\u2019ll send you a new member ID card.\\u003c\/p\\u003e\\r\\n\\u003cp\\u003eIf you have not chosen a new doctor, you can find one using our online \\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/find-a-doctor\/\\u0022\\u003eProvider Search tool\\u003c\/a\\u003e.\\u003c\/p\\u003e\",\"_items_2_answer\":\"field_faq_items_answer\",\"items_3_question\":\"How can I check to see if a service has been authorized?\",\"_items_3_question\":\"field_faq_items_question\",\"items_3_answer\":\"\\u003cp\\u003eIf you have any questions or concerns about getting authorizations for medical services, check your online account anytime at \\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/account\/\\u0022\\u003evnshealthplans.org\/account\\u003c\/a\\u003e or call us toll free at: \\u003cstrong\\u003e\\u003ca href=\\u0022tel:1-866-783-1444\\u0022\\u003e1-866-783-1444\\u003c\/a\\u003e\\u003c\/strong\\u003e (TTY: \\u003cstrong\\u003e\\u003ca href=\\u0022tel:711\\u0022\\u003e711\\u003c\/a\\u003e\\u003c\/strong\\u003e).\\u003c\/p\\u003e\",\"_items_3_answer\":\"field_faq_items_answer\",\"items_4_question\":\"I got a bill for something I thought you would cover. What should I do?\",\"_items_4_question\":\"field_faq_items_question\",\"items_4_answer\":\"\\u003cp\\u003eContact us. Please have the bill with you when you call, because we will ask for specific information found on the bill. We will work with you and your doctor to clarify the bill and determine whether you may be responsible for any charges.\\u003c\/p\\u003e\",\"_items_4_answer\":\"field_faq_items_answer\",\"items_5_question\":\"Why am I getting an Explanation of Benefits?\",\"_items_5_question\":\"field_faq_items_question\",\"items_5_answer\":\"\\u003cp\\u003eFrom time to time, you may receive in the mail something from us called an \\u003cstrong\\u003eExplanation of Benefits (EOB)\\u003c\/strong\\u003e. This is a report for your records about the medical services and prescription medications your plan has paid for you. The EOB will also note whether you paid out of your own pocket or whether you owe anything for any services or medications.\\u003cbr \/\\u003e\\r\\n\\u003cbr \/\\u003e\\r\\n\\u003cstrong\\u003eThe EOB is not a bill\\u003c\/strong\\u003e. It is purely for your information to help you understand how your medical costs are being covered during the year. \\u003cbr \/\\u003e\\r\\n\\u003cbr \/\\u003e\\r\\nIf you notice any inaccuracies or if you have other questions about your EOB, please talk to your Care Team.\\u003c\/p\\u003e\",\"_items_5_answer\":\"field_faq_items_answer\",\"items_6_question\":\"Where can I find out more about the hospice and palliative care services that are available to me? \",\"_items_6_question\":\"field_faq_items_question\",\"items_6_answer\":\"\\u003cp\\u003eHospice and palliative care focus on improving quality of life for people with serious and terminal illnesses and are provided by health professionals who are expert in these types of care. \\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/comfort-care-options-for-vns-health-medicare-members\/\\u0022\\u003eLearn about how hospice and palliative care can help you and your family get the support and comfort you need\\u003c\/a\\u003e.\\u003c\/p\\u003e\",\"_items_6_answer\":\"field_faq_items_answer\",\"items_7_question\":\"What should I do if I need assistance with applying for Low Income Subsidy?\",\"_items_7_question\":\"field_faq_items_question\",\"items_7_answer\":\"\\u003cp\\u003eIf you have limited income and resources that don't automatically qualify you for Low Income Subsidy (also known as Extra Help), you will need to apply for this subsidy and have your eligibility determined by either the Social Security Administration or the New York State Department of Health.\\u003c\/p\\u003e\\r\\n\\u003cp\\u003eFor questions about Extra Help with your prescription drug costs, or if you need assistance completing the application:\\u003c\/p\\u003e\\r\\n\\u003cul\\u003e\\r\\n\\t\\u003cli\\u003eCall the Social Security Administration at \\u003cstrong\\u003e\\u003ca href=\\u0022tel:1-800-772-1213\\u0022\\u003e1-800-772-1213\\u003c\/a\\u003e\\u003c\/strong\\u003e (TTY: \\u003cstrong\\u003e\\u003ca href=\\u0022tel:1-800-325-0778\\u0022\\u003e1-800-325-0778\\u003c\/a\\u003e\\u003c\/strong\\u003e), 7 days a week, 8 am\u20138 pm.\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eYou can also fill out the application on the \\u003ca href=\\u0022https:\/\/www.ssa.gov\/\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noopener\\u0022\\u003eSocial Security Administration website\\u003c\/a\\u003e.\\u003c\/li\\u003e\\r\\n\\u003c\/ul\\u003e\\r\\n\\u003cp\\u003eTo get another copy of the application by mail, call \\u003cstrong\\u003e\\u003ca href=\\u0022tel:1-800-633-4227\\u0022\\u003e1-800-MEDICARE\\u003c\/a\\u003e\\u003c\/strong\\u003e (\\u003cstrong\\u003e\\u003ca href=\\u0022tel:1-800-633-4227\\u0022\\u003e1-800-633-4227\\u003c\/a\\u003e\\u003c\/strong\\u003e), 7 days a week, 24 hours a day. TTY users should call \\u003cstrong\\u003e\\u003ca href=\\u0022tel:1-877-486-2048\\u0022\\u003e1-877-486-2048\\u003c\/a\\u003e\\u003c\/strong\\u003e.\\u003c\/p\\u003e\\r\\n\\u003cp\\u003eIn addition, if you need help with filling out the application, please contact EasyCare Plus at \\u003ca href=\\u0022tel:1-866-783-1444\\u0022\\u003e\\u003cstrong\\u003e1-866-783-1444\\u003c\/strong\\u003e\\u003c\/a\\u003e\u00a0(TTY: \\u003cstrong\\u003e\\u003ca href=\\u0022tel:711\\u0022\\u003e711\\u003c\/a\\u003e\\u003c\/strong\\u003e).\\u003c\/p\\u003e\",\"_items_7_answer\":\"field_faq_items_answer\",\"items\":8,\"_items\":\"field_faq_items\",\"id\":\"block_acf_660eb3d54c3bf\"},\"mode\":\"edit\",\"id\":\"block_acf_660eb3d54c3bf\"} \/-->\n\n<!-- wp:acf\/faq {\"name\":\"acf\/faq\",\"data\":{\"heading\":\"My OTC and Grocery Card \",\"_heading\":\"field_faq_heading\",\"is_modular\":\"0\",\"_is_modular\":\"field_faq_is_modular\",\"items_0_question\":\"How do I find out how much money is on my OTC and Grocery Card?\",\"_items_0_question\":\"field_faq_items_question\",\"items_0_answer\":\"\\u003cp\\u003eYou can check your balance online anytime at \\u003ca href=\\u0022https:\/\/www.mybenefitscenter.com\/\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noopener\\u0022\\u003emybenefitscenter.com\\u003c\/a\\u003e. Once on the site, you will be asked to enter your 19-digit OTC and Grocery Card number. On the next screen, you will be asked to enter your EasyCare Plus member ID number to log in and check your balance.\\u003c\/p\\u003e\\r\\n\\u003cp\\u003eYou can also check your balance by calling our partner, Convey at\\u003ca href=\\u0022tel:18558585937\\u0022\\u003e\\u003cstrong\\u003e 1-855-858-5937\\u003c\/strong\\u003e\\u003c\/a\\u003e (TTY: 711) Monday \u2013 Friday, 8 am \u2013 11 pm\\u003c\/p\\u003e\",\"_items_0_answer\":\"field_faq_items_answer\",\"items_1_question\":\"Can I order OTC items for home delivery? \",\"_items_1_question\":\"field_faq_items_question\",\"items_1_answer\":\"\\u003cp\\u003eYes. There are two ways you can order OTC items for home delivery.\\u003c\/p\\u003e\\r\\n\\u003cul\\u003e\\r\\n\\t\\u003cli\\u003eOrder by phone \u2013 If you would like to place your order over the phone, call our partner Convey at \\u003ca href=\\u0022http:\/\/1-855-858-5937\\u0022\\u003e\\u003cstrong\\u003e1-855-858-5937\\u003c\/strong\\u003e\\u003c\/a\\u003e (TTY: \\u003ca href=\\u0022tel:711\\u0022\\u003e\\u003cstrong\\u003e711\\u003c\/strong\\u003e\\u003c\/a\\u003e), Monday \u2013 Friday from 8 am to 11 pm EST. You will need to order from the \\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2023\/10\/2024_Total_ECP_OTC_Grocery_Catalog-1.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noopener\\u0022\\u003eOver-the-Counter (OTC) and Grocery Program Catalog\\u003c\/a\\u003e and have your item number(s) ready when you call.\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eOrder Online \u2013 Visit\u00a0\\u003ca href=\\u0022https:\/\/mybenefitscenter.com\/\\u0022\\u003emybenefitscenter.com\\u003c\/a\\u003e. Have your EasyCare Plus member ID card ready and follow the simple instructions provided on the site.\\u003c\/li\\u003e\\r\\n\\u003c\/ul\\u003e\\r\\n\\u003cp\\u003eYour items will be delivered at no cost to you and you generally can expect to receive your order in 5 to 7 business days. You do not need to use your full OTC and Grocery Card balance at one time, but remember that your OTC and Grocery Card balance does not carry over from month to month.\\u003c\/p\\u003e\",\"_items_1_answer\":\"field_faq_items_answer\",\"items\":2,\"_items\":\"field_faq_items\",\"id\":\"block_acf_660eb3d54c440\"},\"mode\":\"edit\",\"id\":\"block_acf_660eb3d54c440\"} \/-->\n\n<!-- wp:acf\/faq {\"name\":\"acf\/faq\",\"data\":{\"heading\":\"Referring Someone to EasyCare Plus\",\"_heading\":\"field_faq_heading\",\"is_modular\":\"0\",\"_is_modular\":\"field_faq_is_modular\",\"items_0_question\":\"I know someone who could benefit from your services. How can I refer them?\",\"_items_0_question\":\"field_faq_items_question\",\"items_0_answer\":\"\\u003cp\\u003eThat\u2019s great! Please tell them to call EasyCare Plus at \\u003ca href=\\u0022tel:1-866-414-6715\\u0022\\u003e\\u003cstrong\\u003e1-866-414-6715\\u003c\/strong\\u003e\\u003c\/a\\u003e. TTY users, call: \\u003ca href=\\u0022tel:711\\u0022\\u003e\\u003cstrong\\u003e711\\u003c\/strong\\u003e.\\u003c\/a\\u003e The health plan advisor can answer questions about eligibility and can help your friend decide if the plan is right for them. For general information about the plan, tell your friend to visit \\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/\\u0022\\u003evnshealthplans.org\\u003c\/a\\u003e.\\u003c\/p\\u003e\",\"_items_0_answer\":\"field_faq_items_answer\",\"items\":1,\"_items\":\"field_faq_items\",\"id\":\"block_acf_660eb3d54e355\"},\"mode\":\"edit\",\"id\":\"block_acf_660eb3d54e355\"} \/-->",
"post_title": "Frequently Asked Questions",
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"post_date": "2021-11-30 18:56:45",
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"post_content": "<!-- wp:paragraph -->\n<p>Register for your secure <a href=\"https:\/\/www.vnshealthplans.org\/account\/\">online account<\/a> to check health plan details, request a new ID card, and much more. You can also communicate with your Care Team at any time. Just like an email, you can send and receive messages that are saved all in one place.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>If you have specific questions about your plan, scroll down to see who to contact. For other questions, call your Care Team\u00a0<strong><a href=\"tel:18667831444\">1-866-783-1444<\/a><\/strong>\u00a0(TTY: 711), 7 days a week, 8 am \u2013 8 pm.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p><strong>IMPORTANT: If you have an emergency and need to visit the emergency room, always call 911.<br><br><\/strong>We understand that you may need someone else to call on your behalf. To learn more about how to allow someone to represent you, visit our <a href=\"https:\/\/www.vnshealthplans.org\/vnsny-choice-easycare-plus-member-resources\/frequently-asked-questions\/#how-can-i-appoint-someone-to-act-on-my-behalf\">FAQs<\/a> page.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:acf\/faq {\"name\":\"acf\/faq\",\"data\":{\"heading\":\"\",\"_heading\":\"field_faq_heading\",\"is_modular\":\"0\",\"_is_modular\":\"field_faq_is_modular\",\"items_0_question\":\"Important information to have when calling us\",\"_items_0_question\":\"field_faq_items_question\",\"items_0_answer\":\"\\u003cp\\u003eTo protect your privacy, we will always ask you to provide three pieces of information to identify yourself. You can use any three of the following:\\u003c\/p\\u003e\\r\\n\\u003cul\\u003e\\r\\n\\t\\u003cli\\u003eEasyCare Plus member ID number\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eFirst and last name\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eDate of birth\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eFull address\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003ePhone number\\u003c\/li\\u003e\\r\\n\\u003c\/ul\\u003e\",\"_items_0_answer\":\"field_faq_items_answer\",\"items_1_question\":\"Questions about your pharmacy benefits\",\"_items_1_question\":\"field_faq_items_question\",\"items_1_answer\":\"\\u003cp\\u003eTo see if a medication is on the EasyCare Plus drug list, use this online \\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/for-members-vnsny-choice-total\/medications\/\\u0022\\u003eFormulary Search tool\\u003c\/a\\u003e. To get answers to questions about pharmacy benefits, please call MedImpact at \\u003cstrong\\u003e\\u003ca href=\\u0022tel:1-888-672-7205\\u0022\\u003e1-888-672-7205\\u003c\/a\\u003e\\u003c\/strong\\u003e (TTY: \\u003ca href=\\u0022tel:711\\u0022\\u003e\\u003cstrong\\u003e711\\u003c\/strong\\u003e\\u003c\/a\\u003e), 7 days a week, 24 hours a day. For more information about your pharmacy benefits, follow this link to our \\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/easycare-plus-member-resources\/drug-benefits-and-resources-for-members\/\\u0022\\u003eDrug Benefits and Resources\\u003c\/a\\u003e page.\\u003c\/p\\u003e\",\"_items_1_answer\":\"field_faq_items_answer\",\"items_2_question\":\"Making a dental appointment\",\"_items_2_question\":\"field_faq_items_question\",\"items_2_answer\":\"\\u003cp\\u003eUse our online \\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/find-a-doctor\/\\u0022\\u003eProvider Search tool\\u003c\/a\\u003e to find an in-network dentist near you. If you have a question about dental benefits, please call Healthplex at \\u003cstrong\\u003e\\u003ca href=\\u0022tel:1-800-468-9868\\u0022\\u003e1-800-468-9868\\u003c\/a\\u003e\\u003c\/strong\\u003e (TTY: \\u003cstrong\\u003e\\u003ca href=\\u0022tel:1-800-662-1220\\u0022\\u003e1-800-662-1220\\u003c\/a\\u003e\\u003c\/strong\\u003e), Monday\u2013Friday, 8 am\u20136 pm.\\u003c\/p\\u003e\",\"_items_2_answer\":\"field_faq_items_answer\",\"items_3_question\":\"Getting vision care\",\"_items_3_question\":\"field_faq_items_question\",\"items_3_answer\":\"\\u003cp\\u003eTo get in-network vision care, please use our online \\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/find-a-doctor\/\\u0022\\u003eProvider Search tool\\u003c\/a\\u003e. For questions about vision benefits, please call Superior Vision at\u00a0\\u003cstrong\\u003e\\u003ca href=\\u0022tel:1-800-507-3800\\u0022\\u003e1-800-507-3800\\u003c\/a\\u003e\\u003c\/strong\\u003e\u00a0(TTY:\u00a0\\u003cstrong\\u003e\\u003ca href=\\u0022tel:1-800-201-7165\\u0022\\u003e1-800-201-7165\\u003c\/a\\u003e\\u003c\/strong\\u003e), Monday\u2013Friday, 8 am\u20139 pm, and Saturday, 11 am\u20134:30 pm.\\u003c\/p\\u003e\",\"_items_3_answer\":\"field_faq_items_answer\",\"items_4_question\":\"Help with behavioral health\",\"_items_4_question\":\"field_faq_items_question\",\"items_4_answer\":\"\\u003cp\\u003eIf you need help with an emotional or behavioral issue, please call Carelon Behavioral Health (formerly called Beacon Health Options) at \\u003cstrong\\u003e\\u003ca href=\\u0022tel:1-866-317-7773\\u0022\\u003e1-866-317-7773\\u003c\/a\\u003e\\u003c\/strong\\u003e\u00a0(TTY:\u00a0\\u003cstrong\\u003e\\u003ca href=\\u0022tel:1-866-835-2755\\u0022\\u003e1-866-835-2755\\u003c\/a\\u003e\\u003c\/strong\\u003e), Monday\u2013Friday, 8:30 am\u20135 pm. You can also look for a mental health provider by using our online \\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/find-a-doctor\/\\u0022\\u003eProvider Search tool\\u003c\/a\\u003e. In an emergency, always call 911.\\u003c\/p\\u003e\",\"_items_4_answer\":\"field_faq_items_answer\",\"items_5_question\":\"Calling about transportation\",\"_items_5_question\":\"field_faq_items_question\",\"items_5_answer\":\"\\u003cp\\u003eTo take advantage of your EasyCare Plus transportation benefits, call our medical transportation service at \\u003cstrong\\u003e\\u003ca href=\\u0022tel:1-877-718-4219\\u0022\\u003e1-877-718-4219\\u003c\/a\\u003e\\u003c\/strong\\u003e\u00a0(TTY:\u00a0\\u003cstrong\\u003e\\u003ca href=\\u0022tel:711\\u0022\\u003e711\\u003c\/a\\u003e\\u003c\/strong\\u003e), Monday\u2013Friday, 8 am\u20138 pm. For more information about arranging transportation to and from a medical appointment, visit our \\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/vnsny-choice-easycare-plus-member-resources\/getting-to-and-from-medical-appointments\/\\u0022\\u003eTransportation\\u003c\/a\\u003e\u00a0page.\\u003c\/p\\u003e\",\"_items_5_answer\":\"field_faq_items_answer\",\"items_6_question\":\"Questions about your Over-the-Counter and Grocery Card\",\"_items_6_question\":\"field_faq_items_question\",\"items_6_answer\":\"\\u003cp\\u003eIf you have a question about your Over-the Counter (OTC) and Grocery Card and you can't find the answer on the \\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/easycare-plus-member-resources\/otc-and-grocery-benefits\/\\u0022\\u003eOTC and Grocery Benefits\\u003c\/a\\u003e\u00a0page, please call us.\\u003c\/p\\u003e\",\"_items_6_answer\":\"field_faq_items_answer\",\"items_7_question\":\"Refer a friend\",\"_items_7_question\":\"field_faq_items_question\",\"items_7_answer\":\"\\u003cp\\u003eHave a friend who could use the benefits of EasyCare Plus? Tell them to give us a call at \\u003cstrong\\u003e\\u003ca href=\\u0022tel:1-866-414-6715\\u0022\\u003e1-866-414-6715\\u003c\/a\\u003e \\u003c\/strong\\u003e(TTY: \\u003cstrong\\u003e\\u003ca href=\\u0022tel:711\\u0022\\u003e711\\u003c\/a\\u003e\\u003c\/strong\\u003e), 7 days a week, 8 am - 8 pm. We can answer their questions and help them decide if the plan is right for them.\\u003c\/p\\u003e\",\"_items_7_answer\":\"field_faq_items_answer\",\"items\":8,\"_items\":\"field_faq_items\",\"id\":\"block_acf_650cb51645e61\"},\"mode\":\"edit\",\"id\":\"block_acf_650cb51645e61\"} \/-->",
"post_title": "Getting Help from Your EasyCare Plus Plan",
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"post_modified": "2023-10-01 00:00:00",
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{
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"post_date": "2021-11-30 19:31:02",
"post_date_gmt": "2021-12-01 00:31:02",
"post_content": "<!-- wp:paragraph -->\n<p>Because seeing your doctors is so important to your health, we want to help make doing so as easy for you as possible. That's why VNS Health EasyCare Plus (HMO D-SNP) covers <strong>up to seven round trips<\/strong> to and from approved health care facilities, or 14 one-way trips, during the year. <\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p><strong>In an emergency, always call 911.<\/strong><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p><strong>To arrange for your rides, please call our medical transportation service directly. <\/strong>This reduces the number of steps it takes to arrange a ride. <\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:heading {\"level\":3} -->\n<h3 class=\"wp-block-heading\" id=\"h-scheduling-transportation\"><strong>Scheduling Transportation<\/strong><\/h3>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p>Please call <a href=\"tel:1-877-718-4219\"><strong>1-877-718-4219<\/strong><\/a> (TTY: <a href=\"tel:711\"><strong>711<\/strong><\/a>), Monday\u2013Friday, 8 am\u20138 pm, and have the following information ready: \u00a0<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:list -->\n<ul><!-- wp:list-item -->\n<li>Date of trip <\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li>Pick-up time <\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li>Medical office\u2019s full street address and telephone number <\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li>Any special needs (for example, if you use a wheelchair)<\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list -->\n\n<!-- wp:paragraph -->\n<p>You must arrange your trip at least 48 hours (2 days) before your appointment. You can book up to 30 days ahead of time.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:heading {\"level\":3} -->\n<h3 class=\"wp-block-heading\" id=\"h-returning-home\"><strong>Returning Home<\/strong><\/h3>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p>Because it's hard to predict how long your doctor's visit will last, you must wait until the visit is over to schedule your trip home. At that time, call <a href=\"tel:1-877-718-4219\"><strong>1-877-718-4219<\/strong><\/a> (TTY: <a href=\"tel:711\"><strong>711<\/strong><\/a>), Monday\u2013Friday, 8 am\u20138 pm, and a representative will arrange the return trip for you. Most likely it will be a different driver. Please expect to wait as your driver makes their way to the medical office.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p><strong>IMPORTANT: If you have an emergency and need to visit the emergency room, always call 911.<\/strong><\/p>\n<!-- \/wp:paragraph -->",
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{
"ID": 9137,
"post_author": "3",
"post_date": "2021-03-24 11:12:40",
"post_date_gmt": "2021-03-24 15:12:40",
"post_content": "<!-- wp:paragraph -->\n<p>Check below for important information about the Part D Transition Process, Prior Authorizations, the Step Therapy Criteria for Part D Medicare, and the coverage determination and redetermination processes.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p><a href=\"https:\/\/www.vnshealthplans.org\/for-members-vnsny-choice-total\/frequently-asked-questions\/#what-should-i-do-if-i-need-assistance-with-applying-for-low-income-subsidies-lis\">You can also find out more about getting Extra Help with your prescription drug coverage<\/a>.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:acf\/resources {\"name\":\"acf\/resources\",\"data\":{\"resource_groups_0_heading\":\"Prescription Drug 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(English\/Spanish\/Chinese)\",\"_resource_groups_0_resources_1_files_0_label\":\"field_resources_resource_groups_resources_files_label\",\"resource_groups_0_resources_1_files\":1,\"_resource_groups_0_resources_1_files\":\"field_resources_resource_groups_resources_files\",\"resource_groups_0_resources_1_file_display_block\":\"1\",\"_resource_groups_0_resources_1_file_display_block\":\"field_resources_resource_groups_resources_file_display_block\",\"resource_groups_0_resources_2_show_update\":\"1\",\"_resource_groups_0_resources_2_show_update\":\"field_resources_resource_groups_resources_show_update\",\"resource_groups_0_resources_2_update_date\":\"Automatic\",\"_resource_groups_0_resources_2_update_date\":\"field_resources_resource_groups_resources_update_date\",\"resource_groups_0_resources_2_is_external_resource\":\"0\",\"_resource_groups_0_resources_2_is_external_resource\":\"field_resources_resource_groups_resources_is_external_resource\",\"resource_groups_0_resources_2_heading\":\"Future 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"post_date": "2022-08-17 15:45:41",
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"post_content": "<!-- wp:paragraph -->\n<p>Looking for more in-depth information about the VNS Health EasyCare Plus (HMO D-SNP) health plan? You\u2019ll find it here. If you have questions about any of the materials listed here, call us at <a href=\"tel:1-718-424-6423\"><strong>1-866-783-1444<\/strong><\/a> (TTY: <a href=\"tel:711\"><strong>711<\/strong><\/a>), 7 days a week, 8 am - 8 pm.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:acf\/resources {\"name\":\"acf\/resources\",\"data\":{\"resource_groups_0_heading\":\"2023 Plan Benefits 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{
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"post_date": "2023-08-17 11:03:14",
"post_date_gmt": "2023-08-17 15:03:14",
"post_content": "<!-- wp:paragraph -->\n<p>Looking for more in-depth information about the VNS Health EasyCare Plus (HMO D-SNP) health plan? You\u2019ll find it here. 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"post_content": "<!-- wp:paragraph -->\n<p><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:acf\/media-text {\"name\":\"acf\/media-text\",\"data\":{\"align_media_right\":\"1\",\"_align_media_right\":\"field_media-text_align_media_right\",\"bg_color\":\"gray\",\"_bg_color\":\"field_media-text_bg_color\",\"is_youtube_video\":\"1\",\"_is_youtube_video\":\"field_media-text_is_youtube_video\",\"heading\":\"Introducing The Flex Card\",\"_heading\":\"field_media-text_heading\",\"body\":\"\\u003cp\\u003eWhen you become a member of VNS Health EasyCare Plus (HMO D-SNP) or VNS Health Total (HMO D-SNP), you get a Flex Card.* The Flex Card is a Prepaid MasterCard\u00ae that gives you extra money to help pay for utilities, or for dental, hearing, or vision expenses. 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Or if you need another pair of glasses or more contact lenses after you've reached the annual limit.\\u003c\/p\\u003e\",\"_cards_1_description\":\"field_features_cards_description\",\"cards_2_image\":20321,\"_cards_2_image\":\"field_features_cards_image\",\"cards_2_heading\":\"\",\"_cards_2_heading\":\"field_features_cards_heading\",\"cards_2_description\":\"\\u003cp\\u003e\\u003cstrong\\u003eHearing\\u003c\/strong\\u003e: If you need to replace a hearing aid after you\u2019ve reached the limit of $750 per ear every 3 years.\\u003c\/p\\u003e\",\"_cards_2_description\":\"field_features_cards_description\",\"cards\":3,\"_cards\":\"field_features_cards\",\"id\":\"block_acf_65a6a123ae270\"},\"mode\":\"edit\",\"id\":\"block_acf_65a6a123ae270\"} \/-->\n\n<!-- wp:acf\/stats {\"name\":\"acf\/stats\",\"data\":{\"heading\":\"Use It to Help Pay for Certain Utilities\",\"_heading\":\"field_stats_heading\",\"description\":\"\",\"_description\":\"field_stats_description\",\"number_of_columns\":\"2\",\"_number_of_columns\":\"field_stats_number_of_columns\",\"layout\":\"vertical\",\"_layout\":\"field_stats_layout\",\"background_color\":\"none\",\"_background_color\":\"field_stats_background_color\",\"cards_0_icon\":32381,\"_cards_0_icon\":\"field_stats_cards_icon\",\"cards_0_superheading\":\"\",\"_cards_0_superheading\":\"field_stats_cards_superheading\",\"cards_0_stat\":\"\\u003cp\\u003eElectric\\u003c\/p\\u003e\",\"_cards_0_stat\":\"field_stats_cards_stat\",\"cards_0_description\":\" \",\"_cards_0_description\":\"field_stats_cards_description\",\"cards_1_icon\":34320,\"_cards_1_icon\":\"field_stats_cards_icon\",\"cards_1_superheading\":\" \",\"_cards_1_superheading\":\"field_stats_cards_superheading\",\"cards_1_stat\":\"\\u003cp\\u003eGas\\u003c\/p\\u003e\",\"_cards_1_stat\":\"field_stats_cards_stat\",\"cards_1_description\":\" \",\"_cards_1_description\":\"field_stats_cards_description\",\"cards_2_icon\":32708,\"_cards_2_icon\":\"field_stats_cards_icon\",\"cards_2_superheading\":\"\",\"_cards_2_superheading\":\"field_stats_cards_superheading\",\"cards_2_stat\":\"\\u003cp\\u003e\u00a0Phone\\u003c\/p\\u003e\",\"_cards_2_stat\":\"field_stats_cards_stat\",\"cards_2_description\":\" \",\"_cards_2_description\":\"field_stats_cards_description\",\"cards_3_icon\":34321,\"_cards_3_icon\":\"field_stats_cards_icon\",\"cards_3_superheading\":\"\",\"_cards_3_superheading\":\"field_stats_cards_superheading\",\"cards_3_stat\":\"\\u003cp\\u003eInternet\\u003c\/p\\u003e\",\"_cards_3_stat\":\"field_stats_cards_stat\",\"cards_3_description\":\"\",\"_cards_3_description\":\"field_stats_cards_description\",\"cards\":4,\"_cards\":\"field_stats_cards\",\"button\":\"\",\"_button\":\"field_stats_button\",\"id\":\"block_acf_65a6a123ae2a9\"},\"mode\":\"edit\",\"id\":\"block_acf_65a6a123ae2a9\"} \/-->\n\n<!-- wp:acf\/divider {\"name\":\"acf\/divider\",\"data\":{\"less_vertical_space\":\"0\",\"_less_vertical_space\":\"field_divider_less_vertical_space\",\"id\":\"block_acf_65a6a123ae2cb\"},\"mode\":\"edit\",\"id\":\"block_acf_65a6a123ae2cb\"} \/-->\n\n<!-- wp:heading -->\n<h2 class=\"wp-block-heading\" id=\"h-how-it-works\">How it works<\/h2>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p>Your Flex Card receives money over time, which means you won\u2019t have access to the full amount right away. <\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>The card balance does roll over after each quarter. This means you can collect money throughout the year to spend on a larger expense. However, be sure to use the money before the end of the year because it won\u2019t roll over into the next year. <\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:acf\/faq {\"name\":\"acf\/faq\",\"data\":{\"heading\":\"\",\"_heading\":\"field_faq_heading\",\"is_modular\":\"0\",\"_is_modular\":\"field_faq_is_modular\",\"items_0_question\":\"Pay directly with your card\",\"_items_0_question\":\"field_faq_items_question\",\"items_0_answer\":\"\\u003cp\\u003e\\u003cspan data-contrast=\\u0022auto\\u0022\\u003eUse your Flex Card like a debit card to pay your bills directly\\u003c\/span\\u003e\\u003cspan data-contrast=\\u0022auto\\u0022\\u003e,\\u003c\/span\\u003e\\u003cspan data-contrast=\\u0022auto\\u0022\\u003e as long as you have the full amount of your bill available on your card when making payments. This includes any processing fee your provider or utility company may charge.\u00a0\\u003c\/span\\u003e\\u003cspan data-ccp-props=\\u0022{}\\u0022\\u003e\u00a0\\u003c\/span\\u003e\\u003c\/p\\u003e\\r\\n\\u003cp\\u003e\\u003cspan data-contrast=\\u0022auto\\u0022\\u003eYou can also use your card to pay for part of your bill, as long as the company allows for partial payments.\u00a0\\u003c\/span\\u003e\\u003cspan data-ccp-props=\\u0022{}\\u0022\\u003e\u00a0\\u003c\/span\\u003e\\u003c\/p\\u003e\\r\\n\\u003cp\\u003e\\u003cstrong\\u003eExample\u00a0\\u003c\/strong\\u003e\\u003c\/p\\u003e\\r\\n\\u003cp\\u003e\\u003cspan data-contrast=\\u0022auto\\u0022\\u003eYour electric bill is $50, and the electric company charges a $2.50 convenience fee to pay by card. Make sure that you have at least $52.50 available on your Flex Card to pay your bill in full.\\u003c\/span\\u003e\\u003c\/p\\u003e\",\"_items_0_answer\":\"field_faq_items_answer\",\"items_1_question\":\"Get reimbursed for your payment\",\"_items_1_question\":\"field_faq_items_question\",\"items_1_answer\":\"\\u003cp\\u003e\\u003cspan data-contrast=\\u0022auto\\u0022\\u003ePay for your goods and services as you do now and then request reimbursement for the cost up to the amount of your available balance.\u00a0\\u003c\/span\\u003e\\u003cspan data-ccp-props=\\u0022{}\\u0022\\u003e\u00a0\\u003c\/span\\u003e\\u003c\/p\\u003e\\r\\n\\u003cp\\u003e\\u003cspan data-contrast=\\u0022auto\\u0022\\u003eHere are the steps to get reimbursed:\u00a0\\u003c\/span\\u003e\\u003cspan data-ccp-props=\\u0022{}\\u0022\\u003e\u00a0\\u003c\/span\\u003e\\u003c\/p\\u003e\\r\\n\\u003col\\u003e\\r\\n\\t\\u003cli data-leveltext=\\u0022%1.\\u0022 data-font=\\u0022Arial\\u0022 data-listid=\\u00221\\u0022 data-list-defn-props=\\u0022{\\u0026quot;335552541\\u0026quot;:0,\\u0026quot;335559684\\u0026quot;:-1,\\u0026quot;335559685\\u0026quot;:720,\\u0026quot;335559991\\u0026quot;:360,\\u0026quot;469769242\\u0026quot;:[65533,0],\\u0026quot;469777803\\u0026quot;:\\u0026quot;left\\u0026quot;,\\u0026quot;469777804\\u0026quot;:\\u0026quot;%1.\\u0026quot;,\\u0026quot;469777815\\u0026quot;:\\u0026quot;hybridMultilevel\\u0026quot;}\\u0022 aria-setsize=\\u0022-1\\u0022 data-aria-posinset=\\u00221\\u0022 data-aria-level=\\u00221\\u0022\\u003e\\u003cspan data-contrast=\\u0022auto\\u0022\\u003eCollect receipt of good or service\u00a0\\u003c\/span\\u003e\\u003cspan data-ccp-props=\\u0022{}\\u0022\\u003e\u00a0\\u003c\/span\\u003e\\u003c\/li\\u003e\\r\\n\\t\\u003cli data-leveltext=\\u0022%1.\\u0022 data-font=\\u0022Arial\\u0022 data-listid=\\u00221\\u0022 data-list-defn-props=\\u0022{\\u0026quot;335552541\\u0026quot;:0,\\u0026quot;335559684\\u0026quot;:-1,\\u0026quot;335559685\\u0026quot;:720,\\u0026quot;335559991\\u0026quot;:360,\\u0026quot;469769242\\u0026quot;:[65533,0],\\u0026quot;469777803\\u0026quot;:\\u0026quot;left\\u0026quot;,\\u0026quot;469777804\\u0026quot;:\\u0026quot;%1.\\u0026quot;,\\u0026quot;469777815\\u0026quot;:\\u0026quot;hybridMultilevel\\u0026quot;}\\u0022 aria-setsize=\\u0022-1\\u0022 data-aria-posinset=\\u00221\\u0022 data-aria-level=\\u00221\\u0022\\u003e\\u003cspan data-contrast=\\u0022auto\\u0022\\u003eFill out reimbursement form [link]\u00a0\\u003c\/span\\u003e\\u003cspan data-ccp-props=\\u0022{}\\u0022\\u003e\u00a0\\u003c\/span\\u003e\\u003c\/li\\u003e\\r\\n\\t\\u003cli data-leveltext=\\u0022%1.\\u0022 data-font=\\u0022Arial\\u0022 data-listid=\\u00221\\u0022 data-list-defn-props=\\u0022{\\u0026quot;335552541\\u0026quot;:0,\\u0026quot;335559684\\u0026quot;:-1,\\u0026quot;335559685\\u0026quot;:720,\\u0026quot;335559991\\u0026quot;:360,\\u0026quot;469769242\\u0026quot;:[65533,0],\\u0026quot;469777803\\u0026quot;:\\u0026quot;left\\u0026quot;,\\u0026quot;469777804\\u0026quot;:\\u0026quot;%1.\\u0026quot;,\\u0026quot;469777815\\u0026quot;:\\u0026quot;hybridMultilevel\\u0026quot;}\\u0022 aria-setsize=\\u0022-1\\u0022 data-aria-posinset=\\u00221\\u0022 data-aria-level=\\u00221\\u0022\\u003e\\u003cspan data-contrast=\\u0022auto\\u0022\\u003eCall your Care Team and say you are requesting reimbursement for your Flex Card\u00a0\\u003c\/span\\u003e\\u003cspan data-ccp-props=\\u0022{}\\u0022\\u003e\u00a0\\u003c\/span\\u003e\\u003c\/li\\u003e\\r\\n\\t\\u003cli data-leveltext=\\u0022%1.\\u0022 data-font=\\u0022Arial\\u0022 data-listid=\\u00221\\u0022 data-list-defn-props=\\u0022{\\u0026quot;335552541\\u0026quot;:0,\\u0026quot;335559684\\u0026quot;:-1,\\u0026quot;335559685\\u0026quot;:720,\\u0026quot;335559991\\u0026quot;:360,\\u0026quot;469769242\\u0026quot;:[65533,0],\\u0026quot;469777803\\u0026quot;:\\u0026quot;left\\u0026quot;,\\u0026quot;469777804\\u0026quot;:\\u0026quot;%1.\\u0026quot;,\\u0026quot;469777815\\u0026quot;:\\u0026quot;hybridMultilevel\\u0026quot;}\\u0022 aria-setsize=\\u0022-1\\u0022 data-aria-posinset=\\u00221\\u0022 data-aria-level=\\u00221\\u0022\\u003e\\u003cspan data-contrast=\\u0022auto\\u0022\\u003eWait for approval from Care Team\u00a0\\u003c\/span\\u003e\\u003cspan data-ccp-props=\\u0022{}\\u0022\\u003e\u00a0\\u003c\/span\\u003e\\u003c\/li\\u003e\\r\\n\\t\\u003cli data-leveltext=\\u0022%1.\\u0022 data-font=\\u0022Arial\\u0022 data-listid=\\u00221\\u0022 data-list-defn-props=\\u0022{\\u0026quot;335552541\\u0026quot;:0,\\u0026quot;335559684\\u0026quot;:-1,\\u0026quot;335559685\\u0026quot;:720,\\u0026quot;335559991\\u0026quot;:360,\\u0026quot;469769242\\u0026quot;:[65533,0],\\u0026quot;469777803\\u0026quot;:\\u0026quot;left\\u0026quot;,\\u0026quot;469777804\\u0026quot;:\\u0026quot;%1.\\u0026quot;,\\u0026quot;469777815\\u0026quot;:\\u0026quot;hybridMultilevel\\u0026quot;}\\u0022 aria-setsize=\\u0022-1\\u0022 data-aria-posinset=\\u00221\\u0022 data-aria-level=\\u00221\\u0022\\u003e\\u003cspan data-contrast=\\u0022auto\\u0022\\u003eReceive check up to full amount\u00a0\\u003c\/span\\u003e\\u003cspan data-ccp-props=\\u0022{}\\u0022\\u003e\u00a0\\u003c\/span\\u003e\\u003c\/li\\u003e\\r\\n\\u003c\/ol\\u003e\\r\\n\\u003cp\\u003e\\u003cstrong\\u003eExample\u00a0\\u003c\/strong\\u003e\\u003c\/p\\u003e\\r\\n\\u003cp\\u003e\\u003cspan data-contrast=\\u0022auto\\u0022\\u003eYour eyeglasses cost $50, and you paid for them with a check. Since the available balance on your Flex Card is $43, your reimbursement will be $43\\u003c\/span\\u003e\\u003cspan data-contrast=\\u0022auto\\u0022\\u003e.\\u003c\/span\\u003e\\u003cspan data-ccp-props=\\u0022{}\\u0022\\u003e\u00a0\\u003c\/span\\u003e\\u003c\/p\\u003e\",\"_items_1_answer\":\"field_faq_items_answer\",\"items\":2,\"_items\":\"field_faq_items\",\"id\":\"block_acf_65a6a123ae30e\"},\"mode\":\"edit\",\"id\":\"block_acf_65a6a123ae30e\"} \/-->\n\n<!-- wp:paragraph -->\n<p><strong>For more information about whether an item or service will be covered, call <a href=\"tel:18664146715\">1-866-414-6715<\/a>. (TTY: 711.<\/strong> <strong>7 days a week, 8 am to 8 pm. <\/strong><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:acf\/divider {\"name\":\"acf\/divider\",\"data\":{\"less_vertical_space\":\"0\",\"_less_vertical_space\":\"field_divider_less_vertical_space\",\"id\":\"block_acf_65a6a123ae345\"},\"mode\":\"edit\",\"id\":\"block_acf_65a6a123ae345\"} \/-->\n\n<!-- wp:paragraph -->\n<p>Your Flex Card gives you the flexibility to use it for any of these kinds of health care items and services. Be aware that the card can\u2019t be used for other kinds of items or services. Call us if you have questions about whether an item or service will be covered.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>Here are answers to other questions you might have about your Flex Card.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:acf\/faq {\"name\":\"acf\/faq\",\"data\":{\"heading\":\"Frequently Asked Questions\",\"_heading\":\"field_faq_heading\",\"is_modular\":\"0\",\"_is_modular\":\"field_faq_is_modular\",\"items_0_question\":\"How do I activate my Flex Card? \",\"_items_0_question\":\"field_faq_items_question\",\"items_0_answer\":\"\\u003cp\\u003eTo activate your card, call toll free \\u003ca href=\\u0022tel:1-866-898-9795\\u0022\\u003e1-866-898-9795\\u003c\/a\\u003e (TTY: \\u003ca href=\\u0022tel:711\\u0022\\u003e711\\u003c\/a\\u003e). You can call this number anytime, 24\/7. You\u2019ll need the following information when you call: \\u003cbr \/\\u003e\\r\\n\\u003cbr \/\\u003e\\r\\n\u2022 The last four numbers on your member ID card\\u003cbr \/\\u003e\\r\\n\u2022 The 16-digit number on your Flex Card\\u003cbr \/\\u003e\\r\\n\u2022 Your zip code\\u003c\/p\\u003e\",\"_items_0_answer\":\"field_faq_items_answer\",\"items_1_question\":\"When will the amounts be loaded to my card? \",\"_items_1_question\":\"field_faq_items_question\",\"items_1_answer\":\"\\u003cp\\u003eTotal members: In January, $193 will be loaded to the card. Then, starting in April, $63 will be added on the first day of each month through the end of the year, for a total of up to $760 for the year.\\u003c\/p\\u003e\\r\\n\\u003cp\\u003eEasyCare Plus members: In January, $89 will be loaded to the card. Then, starting in April, $29 will be added on the first day of each month through the end of the year, for a total of up to $350 for the year.\u00a0\\u003c\/p\\u003e\",\"_items_1_answer\":\"field_faq_items_answer\",\"items_2_question\":\"How do I use my Flex Card? \",\"_items_2_question\":\"field_faq_items_question\",\"items_2_answer\":\"\\u003cp\\u003eYour Flex Card is a debit card. Just give it to your provider to pay for your services.\\u003c\/p\\u003e\",\"_items_2_answer\":\"field_faq_items_answer\",\"items_3_question\":\"How long do I have to use up my Flex Card benefits? \",\"_items_3_question\":\"field_faq_items_question\",\"items_3_answer\":\"\\u003cp\\u003eIf you don't use all of the funds on the card after it has been loaded, any unused amount will roll over to the next time the card is loaded. However, any remaining balance at the end of the year must be used by December 31. It will not roll over into the next year. You must be a current member of the plan to use the Flex Card.\u202f\\u003c\/p\\u003e\\r\\n\\u003cp\\u003eIf you\u2019re saving your balance up for a large-ticket item or service \u2014 a dental procedure or a replacement hearing aid, for example \u2014 be sure to use your balance by December 31. \u00a0\\u003c\/p\\u003e\",\"_items_3_answer\":\"field_faq_items_answer\",\"items_4_question\":\"How do I check the balance on my Flex Card? \",\"_items_4_question\":\"field_faq_items_question\",\"items_4_answer\":\"\\u003cp\\u003eTo check your card balance, call your Care Team at \\u003cstrong\\u003e\\u003ca href=\\u0022tel:1-866-783-1444\\u0022\\u003e1-866-783-1444\\u003c\/a\\u003e\\u003c\/strong\\u003e (TTY: \\u003cstrong\\u003e\\u003ca href=\\u0022tel:711\\u0022\\u003e711\\u003c\/a\\u003e\\u003c\/strong\\u003e), 7 days a week, 8 am\u20138 pm.\u202f\\u003c\/p\\u003e\",\"_items_4_answer\":\"field_faq_items_answer\",\"items_5_question\":\"How can I know what to spend my Flex\u00a0Card benefits on?\u00a0\",\"_items_5_question\":\"field_faq_items_question\",\"items_5_answer\":\"\\u003cp\\u003ePlease call your Care Team at \\u003cstrong\\u003e\\u003ca href=\\u0022tel:1-866-783-1444\\u0022\\u003e1-866-783-1444\\u003c\/a\\u003e\\u003c\/strong\\u003e (TTY: \\u003cstrong\\u003e\\u003ca href=\\u0022tel:711\\u0022\\u003e711\\u003c\/a\\u003e\\u003c\/strong\\u003e), 7 days a week, 8 am\u20138pm,\u00a0 if you have any questions about your Flex Card, or any of your other benefits.\\u003c\/p\\u003e\",\"_items_5_answer\":\"field_faq_items_answer\",\"items_6_question\":\"What if my Flex Card is lost or stolen? \",\"_items_6_question\":\"field_faq_items_question\",\"items_6_answer\":\"\\u003cp\\u003ePlease call your Care Team right away to report it at \\u003cstrong\\u003e\\u003ca href=\\u0022tel:1-866-783-1444\\u0022\\u003e1-866-783-1444\\u003c\/a\\u003e \\u003c\/strong\\u003e(TTY: \\u003cstrong\\u003e\\u003ca href=\\u0022tel:711\\u0022\\u003e711\\u003c\/a\\u003e\\u003c\/strong\\u003e), 7 days a week, 8 am\u20138 pm. We will cancel the lost or stolen card and send you a new one.\\u003c\/p\\u003e\",\"_items_6_answer\":\"field_faq_items_answer\",\"items\":7,\"_items\":\"field_faq_items\",\"id\":\"block_acf_65a6a123ae3a4\"},\"mode\":\"edit\",\"id\":\"block_acf_65a6a123ae3a4\"} \/-->\n\n<!-- wp:paragraph -->\n<p><strong>Note: <\/strong><em>The card may not be used for other types of goods and services.<\/em> <\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p><em>*This benefit is part of special supplemental program for the chronically ill and not all members qualify. Other types of goods and services not eligible.<\/em> <\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p><em>**Utility bill needs to be from 2024. Bills from 2023 are not valid to be paid for with the Flex Card.<\/em><\/p>\n<!-- \/wp:paragraph -->",
"post_title": "Your Flex Card Benefits",
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"post_date": "2021-11-30 19:47:33",
"post_date_gmt": "2021-12-01 00:47:33",
"post_content": "<!-- wp:acf\/media-text {\"name\":\"acf\/media-text\",\"data\":{\"align_media_right\":\"0\",\"_align_media_right\":\"field_media-text_align_media_right\",\"bg_color\":\"white\",\"_bg_color\":\"field_media-text_bg_color\",\"is_youtube_video\":\"0\",\"_is_youtube_video\":\"field_media-text_is_youtube_video\",\"heading\":\"\",\"_heading\":\"field_media-text_heading\",\"body\":\"\\u003cp\\u003e\\u003c!\\u002d\\u002d wp:paragraph \\u002d\\u002d\\u003e\\u003c\/p\\u003e\\r\\n\\u003cp\\u003eAs a VNS Health EasyCare Plus (HMO D-SNP) member in 2024, you get a card that gives you up to $225 each month to purchase hundreds of OTC and Grocery items. For a complete list of eligible items, as well as instructions on how to activate your card and use your OTC and Grocery benefits, please see the \\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2023\/10\/2024_Total_ECP_OTC_Grocery_Catalog-1.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noopener\\u0022\\u003eOver-the-Counter (OTC) and Grocery Program Catalog\\u003c\/a\\u003e.\\u003cbr \/\\u003e\\r\\n\\u003cbr \/\\u003e\\r\\n\\u003cbr \/\\u003e\\r\\n\\u003c\/p\\u003e\\r\\n\\u003cp\\u003e\\u003c!\\u002d\\u002d \/wp:paragraph \\u002d\\u002d\\u003e\\r\\n\\u003c!\\u002d\\u002d wp:paragraph \\u002d\\u002d\\u003e\\u003c\/p\\u003e\",\"_body\":\"field_media-text_body\",\"image\":21739,\"_image\":\"field_media-text_image\",\"caption\":\"\",\"_caption\":\"field_media-text_caption\",\"link\":\"\",\"_link\":\"field_media-text_link\",\"id\":\"block_acf_658d9f6f5015e\"},\"mode\":\"edit\",\"id\":\"block_acf_658d9f6f5015e\"} \/-->\n\n<!-- wp:paragraph -->\n<p>You can also use your OTC and Grocery Card to have boxes of farm fresh produce or prepared healthy meal boxes \u2014 heart healthy, diabetic friendly, low sodium, and more \u2014 delivered to your home.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:html -->\n<p style=\"font-size:16px\"><em>Eligibility for Special Supplemental Benefits for the Chronically Ill (SSBCI) is required for use of the grocery benefit.<\/em><\/p>\n<!-- \/wp:html -->\n\n<!-- wp:acf\/divider {\"name\":\"acf\/divider\",\"data\":{\"less_vertical_space\":\"1\",\"_less_vertical_space\":\"field_divider_less_vertical_space\",\"id\":\"block_acf_658d9f6f501b2\"},\"mode\":\"edit\",\"id\":\"block_acf_658d9f6f501b2\"} \/-->\n\n<!-- wp:columns -->\n<div class=\"wp-block-columns\"><!-- wp:column {\"verticalAlignment\":\"center\"} -->\n<div class=\"wp-block-column is-vertically-aligned-center\"><!-- wp:image {\"id\":15500,\"sizeSlug\":\"full\",\"linkDestination\":\"custom\"} -->\n<figure class=\"wp-block-image size-full\"><a href=\"https:\/\/www.farmdirect.com\"><img src=\"https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2021\/12\/Farmbox-logo.png\" alt=\"Farmbox Direct logo\" class=\"wp-image-15500\"\/><\/a><\/figure>\n<!-- \/wp:image --><\/div>\n<!-- \/wp:column -->\n\n<!-- wp:column {\"verticalAlignment\":\"center\"} -->\n<div class=\"wp-block-column is-vertically-aligned-center\"><!-- wp:image {\"align\":\"center\",\"id\":15501,\"width\":\"112px\",\"height\":\"112px\",\"sizeSlug\":\"full\",\"linkDestination\":\"custom\"} -->\n<figure class=\"wp-block-image aligncenter size-full is-resized\"><a href=\"https:\/\/www.MomsMeals.com\" target=\"_blank\" rel=\"noopener\"><img src=\"https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2021\/12\/moms-meals-logo.png\" alt=\"Mom's Meals logo\" class=\"wp-image-15501\" style=\"width:112px;height:112px\"\/><\/a><\/figure>\n<!-- \/wp:image --><\/div>\n<!-- \/wp:column -->\n\n<!-- wp:column -->\n<div class=\"wp-block-column\"><!-- wp:image {\"align\":\"center\",\"id\":15502,\"sizeSlug\":\"full\",\"linkDestination\":\"custom\"} -->\n<figure class=\"wp-block-image aligncenter size-full\"><a href=\"https:\/\/www.sunmeadow.com\/\" target=\"_blank\" rel=\"noopener\"><img src=\"https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2021\/12\/sun-meadow-logo.png\" alt=\"SunMeadow logo\" class=\"wp-image-15502\"\/><\/a><\/figure>\n<!-- \/wp:image --><\/div>\n<!-- \/wp:column --><\/div>\n<!-- \/wp:columns -->\n\n<!-- wp:acf\/divider {\"name\":\"acf\/divider\",\"data\":{\"less_vertical_space\":\"1\",\"_less_vertical_space\":\"field_divider_less_vertical_space\",\"id\":\"block_acf_658d9f6f501dc\"},\"mode\":\"edit\",\"id\":\"block_acf_658d9f6f501dc\"} \/-->\n\n<!-- wp:paragraph -->\n<p>Download the OTC app for your smartphone to easily find local stores where you can use your card, to check items in-store to see if they\u2019re eligible, and to keep track of your OTC and Grocery Card balance. <a href=\"https:\/\/mybenefitscenter.com\/\" target=\"_blank\" rel=\"noreferrer noopener\">Find out how to get the app here.<\/a><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:heading {\"level\":3} -->\n<h3 class=\"wp-block-heading\" id=\"h-questions\">Questions<\/h3>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p><strong>For benefit questions<\/strong>, call your Care Team toll free: <a href=\"tel:1-866-783-1444\"><strong>1-866-783-1444<\/strong><\/a> (TTY: <a href=\"tel:711\"><strong>711<\/strong><\/a>), 7 days a week, 8 am\u20138 pm. <\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p><strong>For questions about an OTC order<\/strong>, call our partner Convey at <a href=\"http:\/\/1-855-858-5937\"><strong>1-855-858-5937<\/strong><\/a> (TTY: <a href=\"tel:711\"><strong>711<\/strong><\/a>), Monday\u2013Friday, 8 am\u201311 pm. Or go to <a href=\"https:\/\/mybenefitscenter.com\/\">mybenefitscenter.com<\/a> 24 hours a day.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>Here are some common questions members ask about the OTC and Grocery Program benefit. If you don\u2019t find the answer to your question here, please call us.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:acf\/faq {\"name\":\"acf\/faq\",\"data\":{\"heading\":\"\",\"_heading\":\"field_faq_heading\",\"is_modular\":\"0\",\"_is_modular\":\"field_faq_is_modular\",\"items_0_question\":\"How much is my monthly benefit amount? \",\"_items_0_question\":\"field_faq_items_question\",\"items_0_answer\":\"\\u003cp\\u003eIn 2024, you get $225 per month for OTC and grocery items. Be sure to use your benefit, because it does not carry over from month to month. It should not be used for anyone else.\\u003c\/p\\u003e\",\"_items_0_answer\":\"field_faq_items_answer\",\"items_1_question\":\"How do I activate my OTC and Grocery Card?\",\"_items_1_question\":\"field_faq_items_question\",\"items_1_answer\":\"\\u003cp\\u003eBefore you use the card for the first time, you must call the number on your card to activate it. Follow the instructions included on the sticker on the front of your card. Once your card is activated, you can use it for eligible purchases at participating stores and bodegas. No PIN or signature is required for in-store purchases \u2014 it works just like a prepaid card. Go to the checkout lanes, and simply swipe the card for payment. If you need to pay for prescriptions, you\u2019ll need to use a different card. This card is for eligible OTC and grocery item purchases only.\\u003c\/p\\u003e\",\"_items_1_answer\":\"field_faq_items_answer\",\"items_2_question\":\"How do I find out which items are eligible? \",\"_items_2_question\":\"field_faq_items_question\",\"items_2_answer\":\"\\u003cp\\u003eFor a list of eligible items, please see the \\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2023\/10\/2024_Total_ECP_OTC_Grocery_Catalog-1.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noopener\\u0022\\u003eOver-the-Counter (OTC) and Grocery Program Catalog.\\u003c\/a\\u003e\\u003c\/p\\u003e\",\"_items_2_answer\":\"field_faq_items_answer\",\"items_3_question\":\"Where do I buy items? \",\"_items_3_question\":\"field_faq_items_question\",\"items_3_answer\":\"\\u003cp\\u003e\\u0026nbsp;\\u003c\/p\\u003e\\r\\n\\u003cp\\u003e\\u003cstrong\\u003eIn-store purchases\\u003c\/strong\\u003e\\u003c\/p\\u003e\\r\\n\\u003cul\\u003e\\r\\n\\t\\u003cli\\u003eOTC items can be bought at stores that are part of our network. This network includes but is not limited to CVS, Duane Reade, Stop \\u0026amp; Shop, Walgreens, and Family Dollar stores. For a complete list of participating stores and pharmacies, visit \\u003ca href=\\u0022https:\/\/mybenefitscenter.com\/\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noopener\\u0022\\u003emybenefitscenter.com\\u003c\/a\\u003e.\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eIf you buy items from a store outside of our network, you can ask us to reimburse you.\\u003c\/li\\u003e\\r\\n\\u003c\/ul\\u003e\\r\\n\\u003cp\\u003e\\u003cstrong\\u003eOnline orders\\u003c\/strong\\u003e\\u003c\/p\\u003e\\r\\n\\u003cul\\u003e\\r\\n\\t\\u003cli\\u003e\\u003ca href=\\u0022https:\/\/mybenefitscenter.com\/\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noopener\\u0022\\u003eOrder items online\\u003c\/a\\u003e or by phone, and your items will be delivered to your door.\\u003c\/li\\u003e\\r\\n\\u003c\/ul\\u003e\\r\\n\\u003cp\\u003e\\u003cstrong\\u003ePhone orders:\\u003c\/strong\\u003e\\u003c\/p\\u003e\\r\\n\\u003cul\\u003e\\r\\n\\t\\u003cli\\u003eIf you would like to place your order (for OTC items only) over the phone, call our partner Convey at \\u003ca href=\\u0022http:\/\/1-855-858-5937\\u0022\\u003e\\u003cstrong\\u003e1-855-858-5937\\u003c\/strong\\u003e\\u003c\/a\\u003e (TTY: \\u003ca href=\\u0022tel:711\\u0022\\u003e\\u003cstrong\\u003e711\\u003c\/strong\\u003e\\u003c\/a\\u003e), Monday\u2013Friday, 8 am\u201311 pm EST. You will need to order from the \\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2023\/02\/VNS-Health-Total_VNS-Health-EasyCare-Plus-2023-OTC-Grocery-Program.pdf\\u0022\\u003eOver-the-Counter (OTC) and Grocery Program Catalog\\u003c\/a\\u003e and have your item number(s) ready when you call.\\u003c\/li\\u003e\\r\\n\\u003c\/ul\\u003e\\r\\n\\u003cp\\u003e\\u003cstrong\\u003eFresh produce and meal box deliveries\\u003c\/strong\\u003e\\u003c\/p\\u003e\\r\\n\\u003cul\\u003e\\r\\n\\t\\u003cli\\u003eBuy fresh produce or meal boxes to be delivered to your home directly from one of our partners:\\r\\n\\r\\n\\u003cul\\u003e\\r\\n\\t\\u003cli\\u003eFresh produce delivery:\\r\\n\\r\\n\\u003cul\\u003e\\r\\n\\t\\u003cli\\u003e\\u003cstrong\\u003e\u00a0FarmboxRx\\u003c\/strong\\u003e \u2014 Visit \\u003ca href=\\u0022https:\/\/www.farmboxrx.com\/\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noopener\\u0022\\u003e\\u003cspan style=\\u0022text-decoration: underline;\\u0022\\u003eFarmboxRx\\u003c\/span\\u003e\\u003c\/a\\u003e, or call \\u003ca href=\\u0022tel:18884163589\\u0022\\u003e1-888-416-3589\\u003c\/a\\u003e \u00a0(TTY: \\u003cstrong\\u003e\\u003ca href=\\u0022tel:711\\u0022\\u003e711\\u003c\/a\\u003e\\u003c\/strong\\u003e), 9 am\u20136 pm ET\\u003c\/li\\u003e\\r\\n\\u003c\/ul\\u003e\\r\\n\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eMeal boxes for specific medical conditions:\\r\\n\\r\\n\\u003cul\\u003e\\r\\n\\t\\u003cli\\u003e\\u003cstrong\\u003eMom\u2019s Meals\\u003csup\\u003e\u00ae\\u003c\/sup\\u003e\\u003c\/strong\\u003e \u2014\u00a0 Visit \\u003ca href=\\u0022http:\/\/www.MomsMeals.com\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noopener\\u0022\\u003e\\u003cspan style=\\u0022text-decoration: underline;\\u0022\\u003eMom's Meals\\u003csup\\u003e\u00ae\\u003c\/sup\\u003e\\u003c\/span\\u003e\\u003c\/a\\u003e, or call \\u003ca href=\\u0022tel:18773473438\\u0022\\u003e1-877-347-3438\\u003c\/a\\u003e .\u00a0(TTY: \\u003cstrong\\u003e\\u003ca href=\\u0022tel:711\\u0022\\u003e711\\u003c\/a\\u003e\\u003c\/strong\\u003e), 7 am\u20136 pm CT\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003e\\u003cstrong\\u003eSunMeadow\\u003csup\\u003e\u00ae\\u003c\/sup\\u003e, GA Foods\u00a0\\u003c\/strong\\u003e \u2014 Visit \\u003cspan style=\\u0022text-decoration: underline;\\u0022\\u003e\\u003ca href=\\u0022https:\/\/store.sunmeadow.com\/customer\/login\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noopener\\u0022\\u003eshop.sunmeadow.com\\u003c\/a\\u003e,\\u003c\/span\\u003e or call \\u003ca href=\\u0022tel:1-833-746-7682\\u0022\\u003e\\u003cstrong\\u003e1-866-575-2772\\u003c\/strong\\u003e\\u003c\/a\\u003e (TTY: \\u003cstrong\\u003e\\u003ca href=\\u0022tel:711\\u0022\\u003e711\\u003c\/a\\u003e\\u003c\/strong\\u003e), 8 am\u20138 pm ET\\u003c\/li\\u003e\\r\\n\\u003c\/ul\\u003e\\r\\n\\u003c\/li\\u003e\\r\\n\\u003c\/ul\\u003e\\r\\n\\u003c\/li\\u003e\\r\\n\\u003c\/ul\\u003e\",\"_items_3_answer\":\"field_faq_items_answer\",\"items_4_question\":\"Can I get reimbursed for OTC items that I buy on my own?\",\"_items_4_question\":\"field_faq_items_question\",\"items_4_answer\":\"\\u003cp\\u003eYes. If you want us to reimburse you, please follow these steps:\\u003c\/p\\u003e\\r\\n\\u003cul\\u003e\\r\\n\\t\\u003cli\\u003eSubmit an original itemized receipt showing the items you purchased. The receipt must include the store, where the purchase was made, the date of purchase, the specific name(s) of the product(s) purchased and the price paid.\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eYour request must include information about you, so we know where to send your payment. Please be sure to include:\\u003c\/li\\u003e\\r\\n\\u003c\/ul\\u003e\\r\\n\\u003col\\u003e\\r\\n\\t\\u003cli style=\\u0022list-style-type: none;\\u0022\\u003e\\r\\n\\u003col\\u003e\\r\\n\\t\\u003cli style=\\u0022list-style-type: none;\\u0022\\u003e\\r\\n\\u003col\\u003e\\r\\n\\t\\u003cli\\u003eYour name and member ID number\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eThe complete address where your reimbursement should be sent\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eYour phone number, so we can contact you if we have any questions about the information you submitted\\u003c\/li\\u003e\\r\\n\\u003c\/ol\\u003e\\r\\n\\u003c\/li\\u003e\\r\\n\\u003c\/ol\\u003e\\r\\n\\u003c\/li\\u003e\\r\\n\\u003c\/ol\\u003e\\r\\n\\u003cp\\u003eAll requests for reimbursement should be mailed to:\\u003c\/p\\u003e\\r\\n\\u003cp\\u003eVNS Health\u00a0\\u003cbr \/\\u003e\\r\\nHealth Plans - OTC Reimbursement\u00a0\\u003cbr \/\\u003e\\r\\n220 East 42nd Street\\u003cbr \/\\u003e\\r\\nNew York, NY 10017\\u003c\/p\\u003e\\r\\n\\u003cp\\u003eOr fax the information to: 1-646-524-8338.\\u003c\/p\\u003e\\r\\n\\u003cp\\u003eAll requests must be submitted within 60 days of when the item was bought. Please allow up to 30 days to process your request and have a check mailed to you.\\u003c\/p\\u003e\\r\\n\\u003cp\\u003eFor details, call us. Or check out the \\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2023\/02\/VNS-Health-Total_VNS-Health-EasyCare-Plus-2023-OTC-Grocery-Program.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noopener\\u0022\\u003eOver-the-Counter (OTC) and Grocery Program Catalog\\u003c\/a\\u003e.\\u003c\/p\\u003e\",\"_items_4_answer\":\"field_faq_items_answer\",\"items_5_question\":\"Can I order OTC items for home delivery? \",\"_items_5_question\":\"field_faq_items_question\",\"items_5_answer\":\"\\u003cp\\u003eYes. There are two ways you can order OTC items for home delivery.\\u003c\/p\\u003e\\r\\n\\u003cul\\u003e\\r\\n\\t\\u003cli\\u003eOrder by phone \u2013 If you would like to place your order over the phone, call our partner Convey at \\u003ca href=\\u0022http:\/\/1-855-858-5937\\u0022\\u003e\\u003cstrong\\u003e1-855-858-5937\\u003c\/strong\\u003e\\u003c\/a\\u003e (TTY: \\u003ca href=\\u0022tel:711\\u0022\\u003e\\u003cstrong\\u003e711\\u003c\/strong\\u003e\\u003c\/a\\u003e), Monday \u2013 Friday from 8 am to 11 pm EST. You will need to order from the \\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2023\/10\/2024_Total_ECP_OTC_Grocery_Catalog-1.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noopener\\u0022\\u003eOver-the-Counter (OTC) and Grocery Program Catalog\\u003c\/a\\u003e and have your item number(s) ready when you call.\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eOrder Online \u2013 Visit\u00a0\\u003ca href=\\u0022https:\/\/mybenefitscenter.com\/\\u0022\\u003emybenefitscenter.com\\u003c\/a\\u003e. Have your EasyCare Plus member ID card ready and follow the simple instructions provided on the site.\\u003c\/li\\u003e\\r\\n\\u003c\/ul\\u003e\\r\\n\\u003cp\\u003eYour items will be delivered at no cost to you and you generally can expect to receive your order in 5 to 7 business days. You do not need to use your full OTC and Grocery Card balance at one time, but remember that your OTC and Grocery Card balance does not carry over from month to month.\\u003c\/p\\u003e\",\"_items_5_answer\":\"field_faq_items_answer\",\"items_6_question\":\"Will the benefit amount on my OTC and Grocery Card reload every month?\",\"_items_6_question\":\"field_faq_items_question\",\"items_6_answer\":\"\\u003cp\\u003eYes. As long as you are an active member, your OTC and Grocery card will automatically reload on the first day of every month.\u00a0 You have the full month to use your benefit amount. Be aware that any balance remaining at the end of the month does not roll over to the next month.\\u003c\/p\\u003e\",\"_items_6_answer\":\"field_faq_items_answer\",\"items_7_question\":\"Can I check my OTC and Grocery Card balance?\",\"_items_7_question\":\"field_faq_items_question\",\"items_7_answer\":\"\\u003cp\\u003eYes. You can check your balance online anytime at \\u003ca href=\\u0022https:\/\/mybenefitscenter.com\/\\u0022\\u003emybenefitscenter.com\\u003c\/a\\u003e. Once on the site, you will be asked to enter your 19-digit OTC and Grocery Card number. On the next screen, you will be asked to enter your EasyCare Plus member ID number to log in and check your balance.\\u003c\/p\\u003e\\r\\n\\u003cp\\u003eYou can also check your balance of your OTC and Grocery Card by calling us.\\u003c\/p\\u003e\",\"_items_7_answer\":\"field_faq_items_answer\",\"items_8_question\":\"How do I report a lost or stolen OTC and Grocery Card?\",\"_items_8_question\":\"field_faq_items_question\",\"items_8_answer\":\"\\u003cp\\u003eTo report a lost or stolen OTC and Grocery Card, call us. We will have a new OTC and Grocery Card mailed to your home within 7\u201310 business days. To activate your new card, go to \\u003ca href=\\u0022https:\/\/mybenefitscenter.com\/\\u0022\\u003emybenefitscenter.com\\u003c\/a\\u003e, or call us.\\u003c\/p\\u003e\",\"_items_8_answer\":\"field_faq_items_answer\",\"items\":9,\"_items\":\"field_faq_items\",\"id\":\"block_acf_658d9f6f521b4\"},\"mode\":\"edit\",\"id\":\"block_acf_658d9f6f521b4\"} \/-->\n\n<!-- wp:paragraph -->\n<p><\/p>\n<!-- \/wp:paragraph -->",
"post_title": "Your Over-the-Counter (OTC) and Grocery Card",
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"post_modified": "2023-12-28 11:16:48",
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"post_date": "2021-09-29 19:17:12",
"post_date_gmt": "2021-09-29 23:17:12",
"post_content": "<!-- wp:paragraph -->\n<p>On this page, you can find links to tools, forms, and useful information to help you stay on top of your medications. Scroll down for answers to frequently asked questions about drug benefits.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:acf\/cta-repeater-banner {\"name\":\"acf\/cta-repeater-banner\",\"data\":{\"banners_0_icon\":20334,\"_banners_0_icon\":\"field_cta-repeater-banner_banners_icon\",\"banners_0_heading\":\"Look Up a Medication or Find a Network Pharmacy\",\"_banners_0_heading\":\"field_cta-repeater-banner_banners_heading\",\"banners_0_description\":\"\",\"_banners_0_description\":\"field_cta-repeater-banner_banners_description\",\"banners_0_button\":{\"title\":\"Search our drug and pharmacy list\",\"url\":\"https:\/\/www.vnshealthplans.org\/find-a-medication\/\",\"target\":\"\"},\"_banners_0_button\":\"field_cta-repeater-banner_banners_button\",\"banners_0_buttons_0_button\":{\"title\":\"Search Our Drug and Pharmacy List\",\"url\":\"https:\/\/www.vnshealthplans.org\/find-a-medication\/\",\"target\":\"\"},\"_banners_0_buttons_0_button\":\"field_cta-repeater-banner_banners_buttons_button\",\"banners_0_buttons\":1,\"_banners_0_buttons\":\"field_cta-repeater-banner_banners_buttons\",\"banners_1_icon\":20325,\"_banners_1_icon\":\"field_cta-repeater-banner_banners_icon\",\"banners_1_heading\":\"Get Forms and Helpful Information About Your Pharmacy Benefits\",\"_banners_1_heading\":\"field_cta-repeater-banner_banners_heading\",\"banners_1_description\":\"\",\"_banners_1_description\":\"field_cta-repeater-banner_banners_description\",\"banners_1_button\":{\"title\":\"View resources and documents\",\"url\":\"https:\/\/www.vnshealthplans.org\/easycare-member-resources\/medications\/\",\"target\":\"\"},\"_banners_1_button\":\"field_cta-repeater-banner_banners_button\",\"banners_1_buttons_0_button\":{\"title\":\"View Resources and Documents\",\"url\":\"https:\/\/www.vnshealthplans.org\/easycare-plus-member-resources\/prescription-drug-forms\/\",\"target\":\"\"},\"_banners_1_buttons_0_button\":\"field_cta-repeater-banner_banners_buttons_button\",\"banners_1_buttons\":1,\"_banners_1_buttons\":\"field_cta-repeater-banner_banners_buttons\",\"banners_2_icon\":20328,\"_banners_2_icon\":\"field_cta-repeater-banner_banners_icon\",\"banners_2_heading\":\"Manage Your Medications from Your Computer\",\"_banners_2_heading\":\"field_cta-repeater-banner_banners_heading\",\"banners_2_description\":\"Sign up to use the secure MedImpact Pharmacy Portal to keep track of your medications and find a pharmacy near you. \",\"_banners_2_description\":\"field_cta-repeater-banner_banners_description\",\"banners_2_button\":\"\",\"_banners_2_button\":\"field_cta-repeater-banner_banners_button\",\"banners_2_buttons_0_button\":{\"title\":\"Sign Up for the Portal\",\"url\":\"\/your-pharmacy-portal-user-guide\/#h-medimpact-pharmacy-portal\",\"target\":\"\"},\"_banners_2_buttons_0_button\":\"field_cta-repeater-banner_banners_buttons_button\",\"banners_2_buttons_1_button\":{\"title\":\"Go to the Portal\",\"url\":\"https:\/\/www.medimpact.com\/\",\"target\":\"\"},\"_banners_2_buttons_1_button\":\"field_cta-repeater-banner_banners_buttons_button\",\"banners_2_buttons\":2,\"_banners_2_buttons\":\"field_cta-repeater-banner_banners_buttons\",\"banners_3_icon\":20351,\"_banners_3_icon\":\"field_cta-repeater-banner_banners_icon\",\"banners_3_heading\":\"Manage Your Medications from Your Phone\",\"_banners_3_heading\":\"field_cta-repeater-banner_banners_heading\",\"banners_3_description\":\"Once you have registered for the MedImpact Pharmacy portal, you can also use the mobile app to manage your medications right from your phone.\\r\\n\\u003cp\\u003e\\u003cstrong\\u003eNote\\u003c\/strong\\u003e: You will need to \\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/your-pharmacy-portal-user-guide#h-medimpact-pharmacy-portal\\u0022\\u003esign up for the portal\\u003c\/a\\u003e before you can use the app.\\u003c\/p\\u003e\",\"_banners_3_description\":\"field_cta-repeater-banner_banners_description\",\"banners_3_button\":\"\",\"_banners_3_button\":\"field_cta-repeater-banner_banners_button\",\"banners_3_buttons_0_button\":{\"title\":\"Get the Mobile App\",\"url\":\"https:\/\/www.vnshealthplans.org\/your-pharmacy-portal-user-guide#how-to-get-the-pharmacy-mobile-app\",\"target\":\"\"},\"_banners_3_buttons_0_button\":\"field_cta-repeater-banner_banners_buttons_button\",\"banners_3_buttons\":1,\"_banners_3_buttons\":\"field_cta-repeater-banner_banners_buttons\",\"banners_4_icon\":32117,\"_banners_4_icon\":\"field_cta-repeater-banner_banners_icon\",\"banners_4_heading\":\"Sign Up for Mail-Order Prescriptions\",\"_banners_4_heading\":\"field_cta-repeater-banner_banners_heading\",\"banners_4_description\":\"As a member of VNS Health Medicare (HMO), your pharmacy benefit is managed by MedImpact. MedImpact\u2019s preferred mail-order pharmacy is Birdi\u2122. They will help you get your medicine in a convenient way.\",\"_banners_4_description\":\"field_cta-repeater-banner_banners_description\",\"banners_4_button\":\"\",\"_banners_4_button\":\"field_cta-repeater-banner_banners_button\",\"banners_4_buttons_0_button\":{\"title\":\"More Information\",\"url\":\"https:\/\/www.vnshealthplans.org\/mail-order-prescriptions\/\",\"target\":\"\"},\"_banners_4_buttons_0_button\":\"field_cta-repeater-banner_banners_buttons_button\",\"banners_4_buttons\":1,\"_banners_4_buttons\":\"field_cta-repeater-banner_banners_buttons\",\"banners\":5,\"_banners\":\"field_cta-repeater-banner_banners\",\"id\":\"block_acf_653c12277a511\"},\"mode\":\"edit\",\"id\":\"block_acf_653c12277a511\"} \/-->\n\n<!-- wp:acf\/divider {\"name\":\"acf\/divider\",\"data\":{\"less_vertical_space\":\"1\",\"_less_vertical_space\":\"field_divider_less_vertical_space\",\"id\":\"block_acf_653c12277a5df\"},\"mode\":\"edit\",\"id\":\"block_acf_653c12277a5df\"} \/-->\n\n<!-- wp:acf\/cta-repeater-banner {\"name\":\"acf\/cta-repeater-banner\",\"data\":{\"banners_0_icon\":20684,\"_banners_0_icon\":\"field_cta-repeater-banner_banners_icon\",\"banners_0_heading\":\"Frequently Asked Questions\",\"_banners_0_heading\":\"field_cta-repeater-banner_banners_heading\",\"banners_0_description\":\"Here are some common questions many members ask about the prescription drug plan for VNS Health EasyCare Plus (HMO D-SNP). 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How can I learn about the Medication Therapy Management program?\",\"_items_0_question\":\"field_faq_items_question\",\"items_0_answer\":\"\\u003cp\\u003eThe Medication Therapy Management program is a service designed for members who have several chronic medical conditions or take many different drugs at the same time.\\u003c\/p\\u003e\\r\\n\\u003cp\\u003eLearn more about the \\u003ca href=\\u0022\/medication-therapy-management\/\\u0022\\u003eMedication Therapy Management program\\u003c\/a\\u003e.\\u003c\/p\\u003e\",\"_items_0_answer\":\"field_faq_items_answer\",\"items_1_question\":\"Do I have to use a network pharmacy for my medications and supplies?\",\"_items_1_question\":\"field_faq_items_question\",\"items_1_answer\":\"\\u003cp\\u003eAs a rule, you must use a network pharmacy. If you think you can\u2019t get to a network pharmacy, please call us. We may be able to find one for you nearby. Be aware that you may need to pay for the items out of pocket and be reimbursed.\\u003c\/p\\u003e\\r\\n\\u003cp\\u003eThere may be a rare instance when you need a medication and cannot get to a network pharmacy. Please see Chapter 5 (\u201cUsing the plan\u2019s coverage for your Part D prescription drugs\u201d) in your \\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2022\/10\/2023_EasyCare-Plus-EOC_EN_Revised.pdf\\u0022\\u003eEvidence of Coverage\/Member Handbook\\u003c\/a\\u003e for situations when we would cover prescriptions filled at an out-of-network pharmacy.\\u003c\/p\\u003e\",\"_items_1_answer\":\"field_faq_items_answer\",\"items_2_question\":\"How do I find a pharmacy that\u2019s part of my network? \",\"_items_2_question\":\"field_faq_items_question\",\"items_2_answer\":\"\\u003cp\\u003eIt's easy to find a participating pharmacy. Use the \\u003ca href=\\u0022\/find-a-doctor\\u0022\\u003eProvider and Pharmacy Search tool\\u003c\/a\\u003e on this website. If you are unable to find a pharmacy using this tool, please call us, and we will help you.\\u003c\/p\\u003e\",\"_items_2_answer\":\"field_faq_items_answer\",\"items_3_question\":\"I have difficulty keeping track of when I take all my medications. Can I have them come to me in a pill pack so I can keep track of when to take them?\",\"_items_3_question\":\"field_faq_items_question\",\"items_3_answer\":\"\\u003cp\\u003eYes, you can. If you take multiple pills each day you can keep track of your doses with a pill pack. Pills are organized by day and time, so you know which to take when. If this sounds like a good way to keep track of your doses, call us. Our pharmacists can connect you with local pharmacies that can put these packs together for you at no charge.\\u003c\/p\\u003e\",\"_items_3_answer\":\"field_faq_items_answer\",\"items_4_question\":\"Can I get my prescriptions mailed to my home?\",\"_items_4_question\":\"field_faq_items_question\",\"items_4_answer\":\"\\u003cp\\u003eYes, you can. As a member of VNS Health EasyCare Plus, your pharmacy benefit is managed by MedImpact. Their mail-order service, Birdi, can fill prescriptions and mail them to your home.\\u003c\/p\\u003e\\r\\n\\u003cp\\u003eHere are three ways to sign up for the Birdi mail-order service from MedImpact:\\u003c\/p\\u003e\\r\\n\\u003col\\u003e\\r\\n\\t\\u003cli\\u003eRegister online at \\u003ca href=\\u0022https:\/\/www.medimpact.com\/\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noopener\\u0022\\u003emedimpact.com\\u003c\/a\\u003e.\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eRegister with the \\u003ca href=\\u0022\/your-pharmacy-portal-user-guide\/#how-to-get-the-pharmacy-mobile-app\\u0022\\u003eMedImpact mobile app\\u003c\/a\\u003e.\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eCall Birdi toll free at \\u003cstrong\\u003e\\u003ca href=\\u0022tel:1-855-873-8739\\u0022\\u003e1-855-873-8739\\u003c\/a\\u003e\\u003c\/strong\\u003e (TTY: \\u003cstrong\\u003e\\u003ca href=\\u0022tel:711\\u0022\\u003e711\\u003c\/a\\u003e\\u003c\/strong\\u003e), Monday\u2013Friday, 8 am\u20138pm and Saturday, 9 am\u20135 pm.\\u003c\/li\\u003e\\r\\n\\u003c\/ol\\u003e\",\"_items_4_answer\":\"field_faq_items_answer\",\"items\":5,\"_items\":\"field_faq_items\",\"id\":\"block_acf_653c12277a694\"},\"mode\":\"edit\",\"className\":\"clear-left\",\"id\":\"block_acf_653c12277a694\"} \/-->",
"post_title": "Your Prescription Drug Benefits",
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"post_date": "2021-09-08 14:37:22",
"post_date_gmt": "2021-09-08 18:37:22",
"post_content": "<!-- wp:paragraph -->\n<p>In the event that the governor of New York, the secretary of the Department of Health and Human Services, or the president of the United States declares a state of emergency in your plan's service area, you are still entitled to care from us. This includes access to emergent or urgent care as well as needed prescriptions.<br><br>For assistance during a state of emergency, please call:<br><br>VNS Health EasyCare (HMO)<br><a href=\"tel:1-866-783-1444\"><strong>1-866-783-1444<\/strong><\/a> (TTY: <a href=\"tel:711\"><strong>711<\/strong><\/a>)<br>7 days a week, 8 am\u20138 pm<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>VNS Health EasyCare Plus (HMO D-SNP)<br><a href=\"tel:1-866-783-1444\"><strong>1-866-783-1444<\/strong><\/a> (TTY: <a href=\"tel:711\"><strong>711<\/strong><\/a>)<br>7 days a week, 8 am\u20138 pm <\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>VNS Health Total (HMO D-SNP)<br><a href=\"tel:1-866-783-1444\"><strong>1-866-783-1444<\/strong><\/a> (TTY: <a href=\"tel:711\"><strong>711<\/strong><\/a>)<br>7 days a week, 8 am\u20138 pm <br><br>VNS Health MLTC<br><a href=\"tel:1-888-867-6555\"><strong>1-888-867-6555<\/strong><\/a> (TTY: <a href=\"tel:711\"><strong>711<\/strong><\/a>)<br>Monday\u2013Friday, 9 am\u20135 pm<\/p>\n<!-- \/wp:paragraph -->",
"post_title": "Emergency Alert Update",
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"ID": 448,
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"post_date": "2020-07-22 17:49:58",
"post_date_gmt": "2020-07-22 17:49:58",
"post_content": "<!-- wp:acf\/hero {\"name\":\"acf\/hero\",\"data\":{\"background_image_image\":\"\",\"_background_image_image\":\"field_hero_background_image_image\",\"background_image_caption\":\"\",\"_background_image_caption\":\"field_hero_background_image_caption\",\"background_image\":\"\",\"_background_image\":\"field_hero_background_image\",\"heading\":\"Find a Doctor\",\"_heading\":\"field_hero_heading\",\"subheading\":\"Pick your plan below to find a provider in your network. \",\"_subheading\":\"field_hero_subheading\",\"text\":\"\",\"_text\":\"field_hero_text\",\"button\":\"\",\"_button\":\"field_hero_button\",\"id\":\"block_acf_64e665b12f380\"},\"mode\":\"edit\",\"id\":\"block_acf_64e665b12f380\"} \/-->\n\n<!-- wp:acf\/find-doctor-or-medication {\"name\":\"acf\/find-doctor-or-medication\",\"data\":{\"cards_0_card_type\":\"doctor\",\"_cards_0_card_type\":\"field_find-doctor-or-medication_cards_card_type\",\"cards_0_heading\":\"\\u003cp\\u003e\\u003ca href=\\u0022https:\/\/providersearch.vnshealthplans.org\/#\/?plan=mapd\\u0022\\u003eVNS Health EasyCare (HMO)\\u003c\/a\\u003e and \\u003ca href=\\u0022https:\/\/providersearch.vnshealthplans.org\/#\/?plan=mapd\\u0022\\u003eVNS Health EasyCare Plus (HMO D-SNP)\\u003c\/a\\u003e\\u003c\/p\\u003e\",\"_cards_0_heading\":\"field_find-doctor-or-medication_cards_heading\",\"cards_0_description\":\"\\u003cp\\u003eIf you don\u2019t see the doctor, hospital, or ancillary provider you are looking for, please call us. 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"post_date": "2021-08-11 13:07:25",
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"post_content": "<!-- wp:paragraph -->\n<p><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:acf\/faq {\"name\":\"acf\/faq\",\"data\":{\"heading\":\"\",\"_heading\":\"field_faq_heading\",\"items_0_question\":\"What is a virtual health visit? \",\"_items_0_question\":\"field_faq_items_question\",\"items_0_answer\":\"\\u003cp\\u003eA virtual health visit is a medical appointment you can have from home using your computer, smartphone, or tablet, making it possible to speak with a health care provider in a different location. VNSNY CHOICE Total (HMO D-SNP) partners with Inovalon, a company that makes their health care providers available for these virtual health visits with you.\\u003c\/p\\u003e\",\"_items_0_answer\":\"field_faq_items_answer\",\"items_1_question\":\"How much does a virtual health visit cost? \",\"_items_1_question\":\"field_faq_items_question\",\"items_1_answer\":\"\\u003cp\\u003eThere is no out-of-pocket cost to you. 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"post_content": "<!-- wp:acf\/media-text {\"name\":\"acf\/media-text\",\"data\":{\"align_media_right\":\"0\",\"_align_media_right\":\"field_media-text_align_media_right\",\"bg_color\":\"white\",\"_bg_color\":\"field_media-text_bg_color\",\"is_youtube_video\":\"0\",\"_is_youtube_video\":\"field_media-text_is_youtube_video\",\"heading\":\" \",\"_heading\":\"field_media-text_heading\",\"body\":\"\\u003cp\\u003eDo you take several medications for three or more health conditions? Do you worry about whether your different medications for different conditions might cause health problems when you take them together?\\u003c\/p\\u003e\\r\\n\\u003cp\\u003eIf so, you may find the Medication Therapy Management (MTM) program helpful. MTM is not a benefit but a service that is provided at no cost to you.\\u003c\/p\\u003e\\r\\n\\u003cp\\u003eMTM helps you and your doctor make sure that your medications are working together. 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"post_content": "<!-- wp:paragraph -->\n<p>Did you know you can make your health information from us available to a health app or wearable health-monitoring device? We're excited to offer you a new way to track and manage your health data across apps. We\u2019ve partnered with 1upHealth to make this kind of health data sharing as easy and safe as possible.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>To learn more about protecting your online privacy when allowing an app to share health data, <a href=\"https:\/\/www.vnshealthplans.org\/for-members-vnsny-choice-total\/how-to-access-your-choice-health-data-with-a-health-app#privacy-information\">follow this link to the privacy info below<\/a>.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:acf\/faq {\"name\":\"acf\/faq\",\"data\":{\"heading\":\"\",\"_heading\":\"field_faq_heading\",\"is_modular\":\"0\",\"_is_modular\":\"field_faq_is_modular\",\"items_0_question\":\"Why make my health data available to an app? \",\"_items_0_question\":\"field_faq_items_question\",\"items_0_answer\":\"\\u003cp\\u003eThere are many bene\ufb01ts to accessing and sharing health data through an app.\\u003c\/p\\u003e\\r\\n\\u003cp\\u003eSome apps allow you to create a complete record of your interactions with different doctors and hospitals. You can even combine that information with data from wearable devices like glucose meters, pedometers, or heart rate monitors. Some other common apps include:\\u003c\/p\\u003e\\r\\n\\u003cul\\u003e\\r\\n\\t\\u003cli\\u003ePrescription drug management apps\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eChronic disease management apps\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eNutrition tracking apps\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eCare coordination apps\\u003c\/li\\u003e\\r\\n\\u003c\/ul\\u003e\\r\\n\\u003cp\\u003eData sharing gives you the power to own, see, and manage your health data in a way that can improve both your health and the quality of your health care.\\u003c\/p\\u003e\\r\\n\\u003cp\\u003eThis \\u003ca href=\\u0022https:\/\/1up.health\/health-apps\/for\/health-insurance\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noopener\\u0022\\u003eApp Gallery\\u003c\/a\\u003e provides a sampling of the third-party apps that are being developed to help you use this information.\\u003c\/p\\u003e\",\"_items_0_answer\":\"field_faq_items_answer\",\"items_1_question\":\"How do I find an app to share data with? \",\"_items_1_question\":\"field_faq_items_question\",\"items_1_answer\":\"\\u003cp\\u003eTo find apps that have been reviewed by 1upHealth and found to be qualified and secure apps for our members, follow this link: \\u003ca href=\\u0022https:\/\/1up.health\/health-apps\/for\/health-insurance\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noopener\\u0022\\u003e1up.health\/health-apps\/for\/health-insurance\\u003c\/a\\u003e.\\u003c\/p\\u003e\",\"_items_1_answer\":\"field_faq_items_answer\",\"items_2_question\":\"How do I access health info with my app? \",\"_items_2_question\":\"field_faq_items_question\",\"items_2_answer\":\"\\u003cp\\u003eYour health app should have a way to add health records from health organizations:\\u003c\/p\\u003e\\r\\n\\u003col\\u003e\\r\\n\\t\\u003cli\\u003eLook for an option to \u201c\\u003cstrong\\u003eAdd Health Records\\u003c\/strong\\u003e.\u201d (It might be in \u201cSettings\u201d or \u201cOptions.\u201d)\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eYou should be able to \\u003cstrong\\u003efind VNS Health in a list or by typing it into a search box.\\u003c\/strong\\u003e* When you see the VNS Health logo, as pictured below, select it.\u00a0 \\u003cimg class=\\u0022alignnone wp-image-11\\u0022 src=\\u0022https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2023\/10\/VNS-Health-Logo_1up.jpg\\u0022 alt=\\u0022vns-health-logo\\u0022 width=\\u0022192\\u0022 height=\\u002283\\u0022 \/\\u003e\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eYou will be sent to the \\u003cstrong\\u003e1upHealth authorization page\\u003c\/strong\\u003e outside of the app and asked \\u003cstrong\\u003eto enter your email address\\u003c\/strong\\u003e. Be sure to use the same email address each time you want to provide your plan's health data to an app.\\r\\n\\r\\n\\u003col style=\\u0022list-style: lower-alpha;\\u0022\\u003e\\r\\n\\t\\u003cli\\u003eIf this is your first time trying to access your plan's health data with any app, you will be asked to register. \\u003cstrong\\u003eYou need to register only once\\u003c\/strong\\u003e to access your plan's health data with any other health apps.\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eOn registration, be ready to share your name, date of birth, zip code, and member ID number.\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eYou can find your member ID number on your member ID card. It\u2019s the number with the letter \u201cV\u201d in the first place. If you can\u2019t find it, call your Care Team. MLTC members, call \\u003cstrong\\u003e\\u003ca href=\\u0022tel:1-888-867-6555\\u0022\\u003e1-888-867-6555 \\u003c\/a\\u003e\\u003c\/strong\\u003e(TTY: \\u003cstrong\\u003e\\u003ca href=\\u0022tel:711\\u0022\\u003e711\\u003c\/a\\u003e\\u003c\/strong\\u003e). EasyCare, EasyCare Plus, and Total members, call \\u003cstrong\\u003e\\u003ca href=\\u0022tel:1-866-783-1444\\u0022\\u003e1-866-783-1444\\u003c\/a\\u003e\\u003c\/strong\\u003e (TTY: \\u003cstrong\\u003e\\u003ca href=\\u0022tel:711\\u0022\\u003e711\\u003c\/a\\u003e\\u003c\/strong\\u003e).\\u003c\/li\\u003e\\r\\n\\u003c\/ol\\u003e\\r\\n\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eOnce you\u2019ve registered, \\u003cstrong\\u003eyou will be sent a code to the email address you registered with\\u003c\/strong\\u003e.\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003e\\u003cstrong\\u003eGo to your inbox,\\u003c\/strong\\u003e and open the \\u003cstrong\\u003enew email from \\u003c\/strong\\u003e\\u003ca href=\\u0022mailto:[email protected]\\u0022\\[email protected]\\u003c\/a\\u003e. You will see a code with random numbers and letters that looks something like this: 3e90d6. (You\u2019ll have 10 minutes \u2014 if you forget the code or time runs out, just ask for another one.)\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eGo back to the authorization page, \\u003cstrong\\u003eenter or paste the code from the email into the box, and click \u201cConfirm Code.\u201d\\u003c\/strong\\u003e\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eYou will then see information about what you are about to share with the app. If you are satisfied that that is the health data you want to share, \\u003cstrong\\u003eclick \u201cApprove Data Share.\u201d\\u003c\/strong\\u003e\\u003c\/li\\u003e\\r\\n\\u003c\/ol\\u003e\\r\\n\\u003cp\\u003e*If you do not see VNS Health among the organizations available for adding records, the app may not have been approved.\\u003c\/p\\u003e\",\"_items_2_answer\":\"field_faq_items_answer\",\"items_3_question\":\"What if I am having problems sharing data with an app? \",\"_items_3_question\":\"field_faq_items_question\",\"items_3_answer\":\"\\u003cp\\u003eIf you want more information about sharing data with any app, or if you are having trouble registering or authorizing an app, contact your Care Team. MLTC members call \\u003cstrong\\u003e\\u003ca href=\\u0022tel:1-888-867-6555\\u0022\\u003e1-888-867-6555\\u003c\/a\\u003e\\u003c\/strong\\u003e (TTY: \\u003cstrong\\u003e\\u003ca href=\\u0022tel:711\\u0022\\u003e711\\u003c\/a\\u003e\\u003c\/strong\\u003e). EasyCare, EasyCare Plus, and Total members, call\\u003cstrong\\u003e \\u003ca href=\\u0022tel:1-866-783-1444\\u0022\\u003e1-866-783-1444\\u003c\/a\\u003e\\u003c\/strong\\u003e (TTY: \\u003cstrong\\u003e\\u003ca href=\\u0022tel:711\\u0022\\u003e711\\u003c\/a\\u003e\\u003c\/strong\\u003e).\\u003c\/p\\u003e\",\"_items_3_answer\":\"field_faq_items_answer\",\"items_4_question\":\"What if I believe the information I\u2019ve allowed the app to access is missing or wrong? \",\"_items_4_question\":\"field_faq_items_question\",\"items_4_answer\":\"\\u003cp\\u003eContact your Care Team. MLTC members, call \\u003ca href=\\u0022tel:1-888-867-6555\\u0022\\u003e\\u003cstrong\\u003e1-888-867-6555\\u003c\/strong\\u003e\\u003c\/a\\u003e (TTY: \\u003cstrong\\u003e\\u003ca href=\\u0022tel:711\\u0022\\u003e711\\u003c\/a\\u003e\\u003c\/strong\\u003e). EasyCare, EasyCare Plus, and Total members, call \\u003cstrong\\u003e\\u003ca href=\\u0022tel:1-866-783-1444\\u0022\\u003e1-866-783-1444\\u003c\/a\\u003e\\u003c\/strong\\u003e (TTY: \\u003cstrong\\u003e\\u003ca href=\\u0022tel:711\\u0022\\u003e711\\u003c\/a\\u003e\\u003c\/strong\\u003e).\\u003c\/p\\u003e\",\"_items_4_answer\":\"field_faq_items_answer\",\"items\":5,\"_items\":\"field_faq_items\",\"id\":\"block_acf_653aa6e23f5e2\"},\"mode\":\"edit\",\"id\":\"block_acf_653aa6e23f5e2\"} \/-->\n\n<!-- wp:html -->\n<h2 id=\"privacy-information\">Privacy Information<\/h2>\n<!-- \/wp:html -->\n\n<!-- wp:acf\/faq {\"name\":\"acf\/faq\",\"data\":{\"heading\":\"\",\"_heading\":\"field_faq_heading\",\"items_0_question\":\"About your privacy and security online.\",\"_items_0_question\":\"field_faq_items_question\",\"items_0_answer\":\"\\u003cp\\u003eWe take your \\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/privacy-policy\/\\u0022\\u003eprivacy\\u003c\/a\\u003e and \\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/hipaa-privacy-policy\/\\u0022\\u003ethe security of your health information\\u003c\/a\\u003e seriously.\\u003c\/p\\u003e\\r\\n\\u003cp\\u003eIt is important to understand, however, that once your data is provided to a third-party app, we are no longer responsible for the security of that data. This is why you must read the privacy and security policies for any app you choose to share your data with, to ensure that you understand how it is protected and used by that app. Be careful to choose apps with strong privacy and security standards to protect your data.\\u003c\/p\\u003e\",\"_items_0_answer\":\"field_faq_items_answer\",\"items_1_question\":\"How do I know if an app has strong privacy and security standards? \",\"_items_1_question\":\"field_faq_items_question\",\"items_1_answer\":\"\\u003cp\\u003e\\u003cstrong\\u003eHere are some questions to consider when reading an app\u2019s privacy policies:\\u003c\/strong\\u003e\\u003c\/p\\u003e\\r\\n\\u003cul\\u003e\\r\\n\\t\\u003cli\\u003eWhat health data will this app collect? Will this app collect nonhealth data from my device, such as my location?\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eWill my data be stored in a way that will disguise my identity?\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eHow will this app use my data?\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eWill this app disclose my data to third parties?\\r\\n\\r\\n\\u003cul\\u003e\\r\\n\\t\\u003cli\\u003eWill this app sell my data for any reason, such as advertising or research?\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eWill this app share my data for any reason? If so, with whom? For what purpose?\\u003c\/li\\u003e\\r\\n\\u003c\/ul\\u003e\\r\\n\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eHow can I limit this app\u2019s use and disclosure of my data?\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eWhat security measures does this app use to protect my data?\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eWhat impact could sharing my data with this app have on others, such as my family members?\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eHow can I access my data and correct inaccuracies in data retrieved by this app?\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eDoes this app have a process for collecting and responding to user complaints?\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eIf I no longer want to use an app, or if I no longer want the app to have access to my health information, how do I terminate the app\u2019s access to my data?\\r\\n\\r\\n\\u003cul\\u003e\\r\\n\\t\\u003cli\\u003eWhat is the app\u2019s policy for deleting my data once I terminate access? Do I have to do more than just delete the app from my device?\\u003c\/li\\u003e\\r\\n\\u003c\/ul\\u003e\\r\\n\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eHow does this app inform users of changes that could affect its privacy practices?\\u003c\/li\\u003e\\r\\n\\u003c\/ul\\u003e\\r\\n\\u003cp\\u003eIf an app\u2019s privacy policy does not clearly answer the questions above, you should seriously reconsider using that app to access your health information.\\u003c\/p\\u003e\\r\\n\\u003cp\\u003eTo find apps that have been reviewed by 1upHealth and found to be qualified and secure apps for our members, follow this link: \\u003ca href=\\u0022https:\/\/1up.health\/health-apps\/for\/health-insurance\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noopener\\u0022\\u003e1up.health\/health-apps\/for\/health-insurance\\u003c\/a\\u003e.\\u003c\/p\\u003e\",\"_items_1_answer\":\"field_faq_items_answer\",\"items_2_question\":\" What are my rights under HIPAA (Health Insurance Portability and Accountability Act), and who must follow HIPAA?\",\"_items_2_question\":\"field_faq_items_question\",\"items_2_answer\":\"\\u003cp\\u003eThe US Department of Health and Human Services Office for Civil Rights enforces the HIPAA Privacy, Security, and Breach Notification Rules, and the Patient Safety Act and Rule. You can find more information about your rights under HIPAA and who is obligated to follow HIPAA here: \\u003ca href=\\u0022http:\/\/www.hhs.gov\/hipaa\/for-individuals\/guidance-materials-for-consumers\/index.html\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noopener\\u0022\\u003ewww.hhs.gov\/hipaa\/for-individuals\/guidance-materials-for-consumers\/index.html\\u003c\/a\\u003e.\\u003c\/p\\u003e\\r\\n\\u003cp\\u003eSee HIPAA FAQs for Individuals here: \\u003ca href=\\u0022http:\/\/www.hhs.gov\/hipaa\/for-individuals\/faq\/index.html\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noopener\\u0022\\u003ewww.hhs.gov\/hipaa\/for-individuals\/faq\/index.html\\u003c\/a\\u003e.\\u003c\/p\\u003e\",\"_items_2_answer\":\"field_faq_items_answer\",\"items_3_question\":\"How do I report identity theft and fraud?\",\"_items_3_question\":\"field_faq_items_question\",\"items_3_answer\":\"\\u003cp\\u003eMost third-party apps are not covered by HIPAA (Health Insurance Portability and Accountability Act). Instead, they are regulated by the Federal Trade Commission. If you believe an application that you've shared your data with is misusing that information in violation of their stated privacy policy, contact the Federal Trade Commission to investigate the matter by going to \\u003ca href=\\u0022https:\/\/reportfraud.ftc.gov\/\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noopener\\u0022\\u003eReportFraud.ftc.gov\\u003c\/a\\u003e or by calling \\u003cstrong\\u003e\\u003ca href=\\u0022tel:1-877-382-4357\\u0022\\u003e1-877-382-4357\\u003c\/a\\u003e\\u003c\/strong\\u003e.\\u003c\/p\\u003e\\r\\n\\u003cp\\u003eIf you believe the privacy of your health care data has been violated, contact the US Department of Health and Human Services Office of Civil Rights at: \\u003ca href=\\u0022http:\/\/www.hhs.gov\/ocr\/complaints\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noopener\\u0022\\u003ewww.hhs.gov\/ocr\/complaints\\u003c\/a\\u003e.\\u003c\/p\\u003e\\r\\n\\u003cp\\u003ePlease report any suspected privacy violations or misuses of your plan's health data to \\u003ca href=\\u0022mailto:[email protected]\\u0022\\[email protected]\\u003c\/a\\u003e.\\u003c\/p\\u003e\",\"_items_3_answer\":\"field_faq_items_answer\",\"items\":4,\"_items\":\"field_faq_items\",\"id\":\"block_acf_653aa6e23f678\"},\"mode\":\"edit\",\"id\":\"block_acf_653aa6e23f678\"} \/-->",
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"post_content": "<!-- wp:paragraph -->\n<p>You can request an application for Medicaid by phone, by mail, or in person through your local department of social services. Our representatives can help you understand whether you are eligible and then guide you through every step of the application process.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>You can also complete the application yourself by going online to the ACCESS NY Health Care website and following the instructions at\u00a0<a href=\"https:\/\/nystateofhealth.ny.gov\/\" target=\"_blank\" rel=\"noreferrer noopener\">https:\/\/nystateofhealth.ny.gov<\/a>. Applications and assistance in filling them out can also be obtained by calling New York Health Options at <a href=\"tel:1-855-693-6765\"><strong>1-855-355-5777<\/strong><\/a>.\u00a0\u00a0<br><br>You will need:<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:list -->\n<ul><!-- wp:list-item -->\n<li>Proof of age, like a birth certificate<\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li>Proof of citizenship or alien status*<\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li>Four weeks of recent paycheck stubs (if you are working)<\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li>Proof of your income from sources like Social Security, Supplemental Security Income, veterans benefits, retirement, unemployment insurance benefits, child support payments<\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li>If you or anyone who lives with you is 65 years old or older, certified blind, or certified disabled, you need to give information on bank accounts, insurance policies and other resources<\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li>Proof of where you live, like a rent receipt, landlord statement, mortgage statement, or envelope from mail you received recently<\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li>Insurance benefit card or the policy (if you have any other health insurance)<\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li>Medicare ID card (the red, white, and blue card)<\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list -->\n\n<!-- wp:paragraph -->\n<p>New York State Medicaid information: <a href=\"http:\/\/www.health.ny.gov\/health_care\/medicaid\/\" target=\"_blank\" rel=\"noreferrer noopener\">health.ny.gov\/health_care\/medicaid\/<\/a>.<br><br> * Medicaid coverage is available, regardless of alien status, if you are pregnant or require treatment for an emergency medical condition (a doctor\u2019s certification is required).<\/p>\n<!-- \/wp:paragraph -->",
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"post_title": "Join Our Network Form",
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"post_content": "<!-- wp:acf\/hero {\"name\":\"acf\/hero\",\"data\":{\"hero_version\":\"v2\",\"_hero_version\":\"field_hero_hero_version\",\"background_image_image\":35750,\"_background_image_image\":\"field_hero_background_image_image\",\"background_image\":\"\",\"_background_image\":\"field_hero_background_image\",\"v2_heading\":\"\\u003cp\\u003eThank you for contacting us!\\u003c\/p\\u003e\",\"_v2_heading\":\"field_hero_v2_heading\",\"subheading\":\"We will get in touch with you shortly.\",\"_subheading\":\"field_hero_subheading\",\"text\":\"\",\"_text\":\"field_hero_text\",\"button\":\"\",\"_button\":\"field_hero_button\",\"disable_left_circle_lg\":\"0\",\"_disable_left_circle_lg\":\"field_hero_disable_left_circle_lg\",\"disable_left_circle\":\"0\",\"_disable_left_circle\":\"field_hero_disable_left_circle\",\"disable_right_circle\":\"0\",\"_disable_right_circle\":\"field_hero_disable_right_circle\",\"id\":\"block_acf_654537e2dc803\"},\"mode\":\"edit\",\"id\":\"block_acf_654537e2dc803\"} \/-->\n\n<!-- wp:spacer {\"height\":\"50px\"} -->\n<div style=\"height:50px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n<!-- \/wp:spacer -->\n\n<!-- wp:block {\"ref\":24592} \/-->",
"post_title": "Provider Join Our Network: Thank You",
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"post_content": "<p>This notice describes how medical information about you may be used and disclosed. It also describes how you can get access to this information. Please review it carefully.<\/p>\n<p>We are an Organized Health Care Arrangement (OHCA), and for the purposes of our privacy practices, are considered a single entity.<\/p>\n<p>Our Joint Notice of Privacy Practices describes how health information about you may be used and disclosed. It also describes how you can get access to this information.<\/p>\n<p>The Joint Notice of Privacy Practices explains:<\/p>\n<ul>\n<li>How the OHCA uses and discloses your health information for treatment, payment, and health care operations;<\/li>\n<li>When your information may be used or disclosed without your consent or authorization;<\/li>\n<li>The special protection for certain records such as HIV related information, genetic information, alcohol and\/or substance abuse records, mental health records and other health information specially protected under state and federal law;<\/li>\n<li>When your authorization is required for other uses and disclosures;<\/li>\n<li>The specific privacy practices for those receiving services from Children\u2019s and Family Services or Mental Health Services; and<\/li>\n<li>Your rights regarding your health information including but not limited to, the right to receive copies of your health information. See our <a href=\"https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2023\/10\/VNS-Health-JNOPP_Updated-10-2023_EN.pdf\" target=\"_blank\" rel=\"noopener\">Joint Notice of Privacy Practices of the OHCA<\/a>.<\/li>\n<\/ul>\n<p><strong>Complaints.<\/strong>\u00a0If you believe your privacy rights have been violated you may file a complaint with the VNS Health Privacy Officer, at 220 East 42nd Street, 6th Floor, New York, New York 10017. You may also file a complaint with the Secretary of the U.S. Department of Health and Human Services. You will not be penalized or retaliated against by for filing a complaint.<\/p>\n<p><strong>Changes to this Notice.\u00a0<\/strong>The Members of the OHCA may change the terms of this Joint Notice of Privacy Practices at any time. If the terms of the Notice are changed, the new terms will apply to all of your health information, whether created or received by the OHCA before or after the date on which the Notice is changed. Any updates to the Notice will be made available on this website.<\/p>\n<p><strong>Effective November 1, 2020; Last Revised May 2022<\/strong><\/p>\n\n<!-- wp:paragraph -->\n<p><\/p>\n<!-- \/wp:paragraph -->",
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"post_date": "2021-08-11 12:48:48",
"post_date_gmt": "2021-08-11 16:48:48",
"post_content": "<!-- wp:acf\/hero {\"name\":\"acf\/hero\",\"data\":{\"hero_version\":\"v1\",\"_hero_version\":\"field_hero_hero_version\",\"background_image_image\":\"\",\"_background_image_image\":\"field_hero_background_image_image\",\"background_image\":\"\",\"_background_image\":\"field_hero_background_image\",\"logo\":\"\",\"_logo\":\"field_hero_logo\",\"highlighted_text\":\"\",\"_highlighted_text\":\"field_hero_highlighted_text\",\"heading\":\"OTC and Grocery Benefits\",\"_heading\":\"field_hero_heading\",\"subheading\":\"\",\"_subheading\":\"field_hero_subheading\",\"text\":\"\",\"_text\":\"field_hero_text\",\"button\":\"\",\"_button\":\"field_hero_button\",\"id\":\"block_acf_652589d716b42\"},\"mode\":\"edit\",\"id\":\"block_acf_652589d716b42\"} \/-->\n\n<!-- wp:yoast-seo\/breadcrumbs \/-->\n\n<!-- wp:acf\/media-text {\"name\":\"acf\/media-text\",\"data\":{\"align_media_right\":\"0\",\"_align_media_right\":\"field_media-text_align_media_right\",\"bg_color\":\"white\",\"_bg_color\":\"field_media-text_bg_color\",\"is_youtube_video\":\"0\",\"_is_youtube_video\":\"field_media-text_is_youtube_video\",\"heading\":\"Help Buying Things You Need\",\"_heading\":\"field_media-text_heading\",\"body\":\"\\u003cp\\u003eOne of the great things about being a member of VNS Health EasyCare Plus (HMO D-SNP) or VNS Health Total (HMO D-SNP) is that your benefits include an Over-the-Counter (OTC) and Grocery Card.* Each month, we load your card with credits. You choose how to use them from the many options available.\\u003c\/p\\u003e\\r\\n\\u003cp\\u003e\\u003cem\\u003e*The grocery benefit is part of special supplemental program for the chronically ill and not all members qualify.\\u003c\/em\\u003e\\u003c\/p\\u003e\",\"_body\":\"field_media-text_body\",\"image\":21739,\"_image\":\"field_media-text_image\",\"caption\":\"\",\"_caption\":\"field_media-text_caption\",\"link\":\"\",\"_link\":\"field_media-text_link\",\"id\":\"block_acf_652589d716ff9\"},\"mode\":\"edit\",\"id\":\"block_acf_652589d716ff9\"} \/-->\n\n<!-- wp:acf\/divider {\"name\":\"acf\/divider\",\"data\":{\"less_vertical_space\":\"0\",\"_less_vertical_space\":\"field_divider_less_vertical_space\",\"id\":\"block_acf_652589d717046\"},\"mode\":\"edit\",\"id\":\"block_acf_652589d717046\"} \/-->\n\n<!-- wp:table -->\n<figure class=\"wp-block-table\"><table><thead><tr><th class=\"has-text-align-left\" data-align=\"left\"><strong>Plan Name<\/strong><\/th><th><strong>Credit<\/strong><\/th><\/tr><\/thead><tbody><tr><td class=\"has-text-align-left\" data-align=\"left\">VNS Health EasyCare Plus<\/td><td>$225 per month<\/td><\/tr><tr><td class=\"has-text-align-left\" data-align=\"left\">VNS Health Total<\/td><td>$266 per month<\/td><\/tr><\/tbody><\/table><\/figure>\n<!-- \/wp:table -->\n\n<!-- wp:acf\/divider {\"name\":\"acf\/divider\",\"data\":{\"less_vertical_space\":\"0\",\"_less_vertical_space\":\"field_divider_less_vertical_space\",\"id\":\"block_acf_652589d717071\"},\"mode\":\"edit\",\"id\":\"block_acf_652589d717071\"} \/-->\n\n<!-- wp:acf\/features {\"name\":\"acf\/features\",\"data\":{\"heading\":\"Everyday Items\",\"_heading\":\"field_features_heading\",\"cards_0_image\":20319,\"_cards_0_image\":\"field_features_cards_image\",\"cards_0_heading\":\"Food\",\"_cards_0_heading\":\"field_features_cards_heading\",\"cards_0_description\":\"\\u003cp\\u003eDairy, cereals, pasta, peanut butter, fruit, frozen foods, and more\\u003c\/p\\u003e\",\"_cards_0_description\":\"field_features_cards_description\",\"cards_1_image\":20323,\"_cards_1_image\":\"field_features_cards_image\",\"cards_1_heading\":\"Dental\",\"_cards_1_heading\":\"field_features_cards_heading\",\"cards_1_description\":\"\\u003cp\\u003eDenture\/dental supplies, toothpaste, and oral hygiene supplies\\u003c\/p\\u003e\",\"_cards_1_description\":\"field_features_cards_description\",\"cards_2_image\":20322,\"_cards_2_image\":\"field_features_cards_image\",\"cards_2_heading\":\"Medications\",\"_cards_2_heading\":\"field_features_cards_heading\",\"cards_2_description\":\"\\u003cp\\u003eAntacids, pain relievers, and cold medicine\\u003c\/p\\u003e\",\"_cards_2_description\":\"field_features_cards_description\",\"cards_3_image\":20324,\"_cards_3_image\":\"field_features_cards_image\",\"cards_3_heading\":\"First-Aid Products\",\"_cards_3_heading\":\"field_features_cards_heading\",\"cards_3_description\":\"\\u003cp\\u003eBandages and hand sanitizers\\u003c\/p\\u003e\",\"_cards_3_description\":\"field_features_cards_description\",\"cards\":4,\"_cards\":\"field_features_cards\",\"id\":\"block_acf_652589d7170da\"},\"mode\":\"edit\",\"id\":\"block_acf_652589d7170da\"} \/-->\n\n<!-- wp:acf\/checklist-info {\"name\":\"acf\/checklist-info\",\"data\":{\"heading\":\"\",\"_heading\":\"field_checklist-info_heading\",\"description\":\"\",\"_description\":\"field_checklist-info_description\",\"center_checklist\":\"0\",\"_center_checklist\":\"field_checklist-info_center_checklist\",\"checklist_0_heading\":\"\",\"_checklist_0_heading\":\"field_checklist-info_checklist_heading\",\"checklist_0_text\":\"\\u003cp\\u003eYou can shop at stores such as Stop \\u0026amp; Shop, Walgreens, CVS Pharmacy, Walmart, Rite Aid, Duane Reade, Health Max Pharmacy, and Family Dollar. You can also use your card at local independent pharmacies and bodegas in our network.\\u003c\/p\\u003e\",\"_checklist_0_text\":\"field_checklist-info_checklist_text\",\"checklist_1_heading\":\"\",\"_checklist_1_heading\":\"field_checklist-info_checklist_heading\",\"checklist_1_text\":\"You can also order by phone or online and have your items delivered.\",\"_checklist_1_text\":\"field_checklist-info_checklist_text\",\"checklist\":2,\"_checklist\":\"field_checklist-info_checklist\",\"button_link\":\"\",\"_button_link\":\"field_checklist-info_button_link\",\"id\":\"block_acf_652589d71712a\"},\"mode\":\"edit\",\"id\":\"block_acf_652589d71712a\"} \/-->\n\n<!-- wp:acf\/divider {\"name\":\"acf\/divider\",\"data\":{\"less_vertical_space\":\"0\",\"_less_vertical_space\":\"field_divider_less_vertical_space\",\"id\":\"block_acf_652589d717156\"},\"mode\":\"edit\",\"id\":\"block_acf_652589d717156\"} \/-->\n\n<!-- wp:acf\/features {\"name\":\"acf\/features\",\"data\":{\"heading\":\"Choices You Might Not Expect\",\"_heading\":\"field_features_heading\",\"cards_0_image\":20336,\"_cards_0_image\":\"field_features_cards_image\",\"cards_0_heading\":\"Fresh Produce Boxes\",\"_cards_0_heading\":\"field_features_cards_heading\",\"cards_0_description\":\"\\u003cp\\u003eYou can order boxes of tasty fresh fruits and vegetables from \\u003ca href=\\u0022https:\/\/www.farmboxrx.com\/\\u0022\\u003eFarmboxRx\\u003c\/a\\u003e and have them delivered to your door. There are lots of options to choose from, including Asian or Hispanic cuisine boxes, a healthy snacking box, and much more.\\u003c\/p\\u003e\",\"_cards_0_description\":\"field_features_cards_description\",\"cards_1_image\":20339,\"_cards_1_image\":\"field_features_cards_image\",\"cards_1_heading\":\"Healthy Meals\",\"_cards_1_heading\":\"field_features_cards_heading\",\"cards_1_description\":\"\\u003cp\\u003eOr you can use your card to order boxes of nutritious meals from \\u003ca href=\\u0022https:\/\/www.momsmeals.com\/\\u0022\\u003eMom's Meals\\u003csup\\u003e\u00ae\\u003c\/sup\\u003e\\u003c\/a\\u003e\u00a0and \\u003ca href=\\u0022https:\/\/store.sunmeadow.com\/customer\/login\\u0022\\u003eshop.sunmeadow.com\\u003c\/a\\u003e. Choose from menus designed by dieticians and professional chefs to support common health needs. Heart-friendly, diabetes-friendly, lower-sodium, and general wellness options are just a few examples of what's available.\\u003c\/p\\u003e\",\"_cards_1_description\":\"field_features_cards_description\",\"cards\":2,\"_cards\":\"field_features_cards\",\"id\":\"block_acf_652589d717187\"},\"mode\":\"edit\",\"id\":\"block_acf_652589d717187\"} \/-->\n\n<!-- wp:paragraph -->\n<p>When you join EasyCare Plus or Total, you will receive more complete information about how to use your OTC and Grocery Card and the types of items you can buy. View or download the information for <a href=\"https:\/\/www.vnshealthplans.org\/our-plans\/vns-health-medicare-easycare-plus\/2024-plan-materials\/\">VNS Health EasyCare Plus<\/a> and <a href=\"https:\/\/www.vnshealthplans.org\/our-plans\/vns-health-total\/2024-plan-materials\/\">VNS Health Total<\/a>. <\/p>\n<!-- \/wp:paragraph -->",
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"post_date": "2023-11-03 14:02:59",
"post_date_gmt": "2023-11-03 18:02:59",
"post_content": "<!-- wp:acf\/hero {\"name\":\"acf\/hero\",\"data\":{\"hero_version\":\"v2\",\"_hero_version\":\"field_hero_hero_version\",\"background_image_image\":35750,\"_background_image_image\":\"field_hero_background_image_image\",\"background_image\":\"\",\"_background_image\":\"field_hero_background_image\",\"v2_heading\":\"\\u003cp\\u003eThank you for contacting us!\\u003c\/p\\u003e\",\"_v2_heading\":\"field_hero_v2_heading\",\"subheading\":\"We will get in touch with you shortly.\",\"_subheading\":\"field_hero_subheading\",\"text\":\"\",\"_text\":\"field_hero_text\",\"button\":\"\",\"_button\":\"field_hero_button\",\"disable_left_circle_lg\":\"0\",\"_disable_left_circle_lg\":\"field_hero_disable_left_circle_lg\",\"disable_left_circle\":\"0\",\"_disable_left_circle\":\"field_hero_disable_left_circle\",\"disable_right_circle\":\"0\",\"_disable_right_circle\":\"field_hero_disable_right_circle\",\"id\":\"block_acf_654535d33df75\"},\"mode\":\"edit\",\"id\":\"block_acf_654535d33df75\"} \/-->\n\n<!-- wp:spacer {\"height\":\"50px\"} -->\n<div style=\"height:50px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n<!-- \/wp:spacer -->\n\n<!-- wp:block {\"ref\":24592} \/-->",
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"post_date": "2021-08-06 19:55:23",
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"post_content": "<!-- wp:acf\/plan-overview {\"name\":\"acf\/plan-overview\",\"data\":{\"heading\":\"\",\"_heading\":\"field_plan-overview_heading\",\"subheading\":\"EasyCare Plus (HMO D-SNP) is a Medicare Advantage plan for people with Medicaid. 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EasyCare Plus has important benefits that aren\u2019t part of regular Medicare, including prescription drugs, dental, hearing, vision, acupuncture, and much more.\\u003c\/p\\u003e\",\"_checklist_0_text\":\"field_checklist-info_checklist_text\",\"checklist_1_heading\":\"Extras for Healthy Living \",\"_checklist_1_heading\":\"field_checklist-info_checklist_heading\",\"checklist_1_text\":\"\\u003cp\\u003eEasyCare Plus includes:\\u003c\/p\\u003e\\r\\n\\u003cul\\u003e\\r\\n\\t\\u003cli style=\\u0022list-style-type: none;\\u0022\\u003e\\r\\n\\u003cul style=\\u0022list-style-type: disc;\\u0022\\u003e\\r\\n\\t\\u003cli\\u003eA debit card you can use to buy OTC health items and groceries\u00a0\u2014 $225\/month ($2,700\/year). Use it in local stores, or get easy home delivery.\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eA Flex Card to help pay for certain utilities and dental, hearing, and vision expenses \u2014 up to $350\/year.**\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eSilverSneakers\\u003csup\\u003e\u00ae\\u003c\/sup\\u003e\u202ffitness program \u2014 with gym memberships and online classes.\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eTransportation to health care.\u00a0\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eAnd more!\\u003c\/li\\u003e\\r\\n\\u003c\/ul\\u003e\\r\\n\\u003c\/li\\u003e\\r\\n\\u003c\/ul\\u003e\",\"_checklist_1_text\":\"field_checklist-info_checklist_text\",\"checklist_2_heading\":\"Personal Support \",\"_checklist_2_heading\":\"field_checklist-info_checklist_heading\",\"checklist_2_text\":\"\\u003cp\\u003eWith EasyCare Plus, you get a health coach or care manager to help you be as healthy as possible. Our plan pharmacists can help make it easier for you to take the medications you need. You can have some doctor's visits in the comfort of your home with our telehealth benefit. And you\u2019ll have 24\/7 access to a nurse for when health concerns arise.\\u003c\/p\\u003e\",\"_checklist_2_text\":\"field_checklist-info_checklist_text\",\"checklist\":3,\"_checklist\":\"field_checklist-info_checklist\",\"button_link\":\"\",\"_button_link\":\"field_checklist-info_button_link\",\"id\":\"block_acf_658070d18378b\"},\"mode\":\"edit\",\"id\":\"block_acf_658070d18378b\"} \/-->\n\n<!-- wp:paragraph -->\n<p><em>*Depending on your level of Medicaid eligibility.<\/em><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p><em>**This benefit is part of special supplemental program for the chronically ill and not all members qualify. Other types of goods and services not eligible.<\/em><\/p>\n<!-- \/wp:paragraph --><\/div>\n<!-- \/wp:column -->\n\n<!-- wp:column {\"width\":\"33.33%\"} -->\n<div class=\"wp-block-column\" style=\"flex-basis:33.33%\"><!-- wp:acf\/form-script {\"name\":\"acf\/form-script\",\"data\":{\"embed_script\":\"\\u003cscript type=\\u0022text\/javascript\\u0022 id=\\u0022jsFastForms\\u0022 src=\\u0022https:\/\/choice-vnsny.my.salesforce-sites.com\/\/services\/apexrest\/VisualAntidote\/FFNEngine\/v1\/?d=ySvVQsV6jqul3yAAF8cjYg%3D%3D\\u0022\\u003e\\u003c\/script\\u003e\",\"_embed_script\":\"field_form-script_embed_script\",\"no_script_warning_text\":\"Please enable Javascript to fill out this form.\",\"_no_script_warning_text\":\"field_form-script_no_script_warning_text\",\"background_color\":\"blue-cyan\",\"_background_color\":\"field_form-script_background_color\",\"id\":\"block_acf_658070d1837b5\"},\"mode\":\"edit\",\"id\":\"block_acf_658070d1837b5\"} \/--><\/div>\n<!-- \/wp:column --><\/div>\n<!-- \/wp:columns -->\n\n<!-- wp:columns -->\n<div class=\"wp-block-columns\"><!-- wp:column -->\n<div class=\"wp-block-column\"><\/div>\n<!-- \/wp:column -->\n\n<!-- wp:column -->\n<div class=\"wp-block-column\"><\/div>\n<!-- \/wp:column --><\/div>\n<!-- \/wp:columns -->\n\n<!-- wp:acf\/content-splitter {\"name\":\"acf\/content-splitter\",\"data\":{\"id\":\"block_acf_658070d18380c\"},\"mode\":\"preview\",\"id\":\"block_acf_658070d18380c\"} \/-->",
"post_title": "What Is VNS Health EasyCare Plus?",
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"post_modified": "2024-03-21 14:58:24",
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"post_date": "2022-09-09 17:51:06",
"post_date_gmt": "2022-09-09 21:51:06",
"post_content": "<!-- wp:paragraph -->\n<p>Looking for more in-depth information about your VNS Health EasyCare Plus (HMO D-SNP) plan? You\u2019ll find it here, along with forms and other tools and materials.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>If you have questions about any of the materials listed here, call us at <a href=\"tel:1-866-414-6715\">1-866-414-6715<\/a> (TTY: <a href=\"tel:711\">711<\/a>), 7 days a week, 8 am\u20138 pm (TTY users, call: <a href=\"tel:711\">711<\/a>).<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p><strong>Note that this plan\u2019s name will change to VNS Health EasyCare Plus on January 1, 2023. <\/strong><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:acf\/resources {\"name\":\"acf\/resources\",\"data\":{\"resource_groups_0_heading\":\"Forms and Personal Health Materials\",\"_resource_groups_0_heading\":\"field_resources_resource_groups_heading\",\"resource_groups_0_resources_0_show_update\":\"1\",\"_resource_groups_0_resources_0_show_update\":\"field_resources_resource_groups_resources_show_update\",\"resource_groups_0_resources_0_update_date\":\"Automatic\",\"_resource_groups_0_resources_0_update_date\":\"field_resources_resource_groups_resources_update_date\",\"resource_groups_0_resources_0_is_external_resource\":\"0\",\"_resource_groups_0_resources_0_is_external_resource\":\"field_resources_resource_groups_resources_is_external_resource\",\"resource_groups_0_resources_0_heading\":\"Health Care Proxy\",\"_resource_groups_0_resources_0_heading\":\"field_resources_resource_groups_resources_heading\",\"resource_groups_0_resources_0_description\":\"\",\"_resource_groups_0_resources_0_description\":\"field_resources_resource_groups_resources_description\",\"resource_groups_0_resources_0_files_0_file\":158,\"_resource_groups_0_resources_0_files_0_file\":\"field_resources_resource_groups_resources_files_file\",\"resource_groups_0_resources_0_files_0_label\":\"English\",\"_resource_groups_0_resources_0_files_0_label\":\"field_resources_resource_groups_resources_files_label\",\"resource_groups_0_resources_0_files_1_file\":14890,\"_resource_groups_0_resources_0_files_1_file\":\"field_resources_resource_groups_resources_files_file\",\"resource_groups_0_resources_0_files_1_label\":\"Spanish\",\"_resource_groups_0_resources_0_files_1_label\":\"field_resources_resource_groups_resources_files_label\",\"resource_groups_0_resources_0_files_2_file\":156,\"_resource_groups_0_resources_0_files_2_file\":\"field_resources_resource_groups_resources_files_file\",\"resource_groups_0_resources_0_files_2_label\":\"Chinese\",\"_resource_groups_0_resources_0_files_2_label\":\"field_resources_resource_groups_resources_files_label\",\"resource_groups_0_resources_0_files\":3,\"_resource_groups_0_resources_0_files\":\"field_resources_resource_groups_resources_files\",\"resource_groups_0_resources_0_file_display_block\":\"0\",\"_resource_groups_0_resources_0_file_display_block\":\"field_resources_resource_groups_resources_file_display_block\",\"resource_groups_0_resources_1_show_update\":\"1\",\"_resource_groups_0_resources_1_show_update\":\"field_resources_resource_groups_resources_show_update\",\"resource_groups_0_resources_1_update_date\":\"Automatic\",\"_resource_groups_0_resources_1_update_date\":\"field_resources_resource_groups_resources_update_date\",\"resource_groups_0_resources_1_is_external_resource\":\"0\",\"_resource_groups_0_resources_1_is_external_resource\":\"field_resources_resource_groups_resources_is_external_resource\",\"resource_groups_0_resources_1_heading\":\"Appointment of Representative Form\",\"_resource_groups_0_resources_1_heading\":\"field_resources_resource_groups_resources_heading\",\"resource_groups_0_resources_1_description\":\"\\u003cp\\u003eYou may appoint a relative, friend, attorney, or anyone else whom you trust to act on your behalf. 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"post_content": "<!-- wp:paragraph -->\n<p>To learn more about VNS Health EasyCare Plus (HMO D-SNP), just give us a call. We\u2019ll help answer your questions. If you\u2019d like help deciding if the plan is right for you, or if you are ready to enroll, one of our specialists is ready to help.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:list -->\n<ul><!-- wp:list-item -->\n<li>You can talk with a specialist and enroll right over the phone.<\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li>If you prefer to meet in person, one of our specialists will be happy to come to you.<\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list -->\n\n<!-- wp:acf\/banner-in-body {\"name\":\"acf\/banner-in-body\",\"data\":{\"background_color\":\"dark-blue-with-brand-accent\",\"_background_color\":\"field_banner-in-body_background_color\",\"heading\":\"Learn More or Enroll by Phone\",\"_heading\":\"field_banner-in-body_heading\",\"subheading\":\"\",\"_subheading\":\"field_banner-in-body_subheading\",\"description\":\"\\u003cp\\u003e\u00a0\\u003ca href=\\u0022tel:1-866-414-6715\\u0022\\u003e1-866-414-6715\\u003c\/a\\u003e\\u003cbr \/\\u003e\\r\\nTTY users, call: \\u003ca href=\\u0022tel:711\\u0022\\u003e711\\u003c\/a\\u003e\\u003cbr \/\\u003e\\r\\n7 days a week, 8 am - 8 pm\\u003c\/p\\u003e\",\"_description\":\"field_banner-in-body_description\",\"button_heading\":\"For after-hours questions: \",\"_button_heading\":\"field_banner-in-body_button_heading\",\"button\":{\"title\":\"Contact Us\",\"url\":\"https:\/\/www.vnshealthplans.org\/inquiry-form\/\",\"target\":\"\"},\"_button\":\"field_banner-in-body_button\",\"id\":\"block_acf_660c418acf1d7\"},\"mode\":\"edit\",\"id\":\"block_acf_660c418acf1d7\"} \/-->\n\n<!-- wp:paragraph -->\n<p> <\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>Prefer a paper application form? Use our <strong><a href=\"https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2024\/04\/ECP_EC_enrollment_form_2024_v6.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">Enrollment Request Form<\/a><\/strong>. You can also enroll online at <a href=\"https:\/\/www.Medicare.gov\" target=\"_blank\" rel=\"noreferrer noopener\">Medicare.gov<\/a>. <br><br><em>Enrollment form last updated:<\/em>\u00a0<em>10\/1\/2023<\/em>.<\/p>\n<!-- \/wp:paragraph -->",
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{
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"post_date": "2022-08-15 14:28:54",
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"post_content": "<!-- wp:paragraph -->\n<p>Looking for more in-depth information about the VNS Health EasyCare Plus (HMO D-SNP) health plan? You\u2019ll find it here. If you have questions about any of the materials listed here, call us at <a href=\"tel:1-866-414-6715\">1-866-414-6715<\/a> (TTY: <a href=\"tel:711\">711<\/a>), weekdays, 8 am\u20138 pm.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:acf\/resources {\"name\":\"acf\/resources\",\"data\":{\"resource_groups_0_heading\":\"2023 Plan Benefits 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"post_date": "2021-08-06 19:57:12",
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"post_content": "<!-- wp:paragraph -->\n<p>VNS Health EasyCare Plus (HMO D-SNP) is designed to give you everything regular Medicare offers and more. Most members will have $0 copays for services received from our network of providers. 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Up to 3 inpatient hospital visits\/year\",\"_rows_15_data\":\"field_brochure-table_rows_data\",\"rows_15_newBadge\":\"0\",\"_rows_15_newBadge\":\"field_brochure-table_rows_newbadge\",\"rows\":16,\"_rows\":\"field_brochure-table_rows\",\"footnote\":\"\\u003cp\\u003e\\u003cbr \/\\u003e\\r\\n\\u003cem\\u003e\\u003cbr \/\\u003e\\r\\n*Depending on your level of LIS or Medicaid eligibility. \\u003cbr \/\\u003e\\r\\n**This benefit is part of special supplemental program for the chronically ill and not all members qualify. Other types of goods and services not eligible.\u00a0\\u003c\/em\\u003e\\u003cbr \/\\u003e\\r\\n\\u003cem\\u003e***Preventive dental care covered by Medicaid.\\u003cbr \/\\u003e\\r\\n\\u003cem\\u003e^Additional acupuncture visits for chronic low back pain covered by Medicare.\u00a0\\u003c\/em\\u003e\\u003c\/em\\u003e\\u003c\/p\\u003e\",\"_footnote\":\"field_brochure-table_footnote\",\"id\":\"block_acf_65d9116c2f027\"},\"mode\":\"edit\",\"id\":\"block_acf_65d9116c2f027\"} \/-->\n\n<!-- wp:paragraph -->\n<p>For more information about the many benefits of EasyCare Plus, see the Summary of Benefits and Evidence of Coverage in the <a href=\"https:\/\/www.vnshealthplans.org\/our-plans\/vns-health-medicare-easycare-plus\/2023-plan-materials\/\">Plan Materials<\/a> section. <\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p><\/p>\n<!-- \/wp:paragraph -->",
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"post_date": "2023-08-17 10:57:36",
"post_date_gmt": "2023-08-17 14:57:36",
"post_content": "<!-- wp:paragraph -->\n<p>Looking for more in-depth information about the VNS Health EasyCare Plus (HMO D-SNP) health plan? You\u2019ll find it here. 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"post_content": "<!-- wp:paragraph -->\n<p>On this page, you can find links to tools, forms, and useful information to help you stay on top of your medications. <\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:acf\/cta-repeater-banner {\"name\":\"acf\/cta-repeater-banner\",\"data\":{\"banners_0_icon\":20334,\"_banners_0_icon\":\"field_cta-repeater-banner_banners_icon\",\"banners_0_heading\":\"Look Up a Medication or Find a Network Pharmacy\",\"_banners_0_heading\":\"field_cta-repeater-banner_banners_heading\",\"banners_0_description\":\"\",\"_banners_0_description\":\"field_cta-repeater-banner_banners_description\",\"banners_0_button\":{\"title\":\"Search our drug and pharmacy list\",\"url\":\"https:\/\/www.vnshealthplans.org\/find-a-medication\/\",\"target\":\"\"},\"_banners_0_button\":\"field_cta-repeater-banner_banners_button\",\"banners_0_buttons_0_button\":{\"title\":\"Search Our Drug and Pharmacy List \",\"url\":\"https:\/\/www.vnshealthplans.org\/find-a-medication\/\",\"target\":\"\"},\"_banners_0_buttons_0_button\":\"field_cta-repeater-banner_banners_buttons_button\",\"banners_0_buttons\":1,\"_banners_0_buttons\":\"field_cta-repeater-banner_banners_buttons\",\"banners_1_icon\":20325,\"_banners_1_icon\":\"field_cta-repeater-banner_banners_icon\",\"banners_1_heading\":\"Get Forms and Helpful Information About Your Pharmacy Benefits\",\"_banners_1_heading\":\"field_cta-repeater-banner_banners_heading\",\"banners_1_description\":\"\",\"_banners_1_description\":\"field_cta-repeater-banner_banners_description\",\"banners_1_button\":{\"title\":\"View resources and documents\",\"url\":\"https:\/\/www.vnshealthplans.org\/our-plans\/vns-health-medicare-easycare-plus\/medications\/\",\"target\":\"\"},\"_banners_1_button\":\"field_cta-repeater-banner_banners_button\",\"banners_1_buttons_0_button\":{\"title\":\"View Resources and Documents\",\"url\":\"https:\/\/www.vnshealthplans.org\/our-plans\/vns-health-medicare-easycare-plus\/medications\/\",\"target\":\"\"},\"_banners_1_buttons_0_button\":\"field_cta-repeater-banner_banners_buttons_button\",\"banners_1_buttons\":1,\"_banners_1_buttons\":\"field_cta-repeater-banner_banners_buttons\",\"banners_2_icon\":20328,\"_banners_2_icon\":\"field_cta-repeater-banner_banners_icon\",\"banners_2_heading\":\"Manage Your Medications from Your Computer or Phone\",\"_banners_2_heading\":\"field_cta-repeater-banner_banners_heading\",\"banners_2_description\":\"With VNS Health EasyCare Plus (HMO D-SNP), you'll be able to use the secure MedImpact Pharmacy Portal to keep track of your medications and find a pharmacy near you. \",\"_banners_2_description\":\"field_cta-repeater-banner_banners_description\",\"banners_2_button\":\"\",\"_banners_2_button\":\"field_cta-repeater-banner_banners_button\",\"banners_2_buttons\":\"\",\"_banners_2_buttons\":\"field_cta-repeater-banner_banners_buttons\",\"banners_3_icon\":20342,\"_banners_3_icon\":\"field_cta-repeater-banner_banners_icon\",\"banners_3_heading\":\"Medication Therapy Management Program\",\"_banners_3_heading\":\"field_cta-repeater-banner_banners_heading\",\"banners_3_description\":\"The Medication Therapy Management program is designed for people who have several chronic medical conditions or take many different drugs at the same time.\",\"_banners_3_description\":\"field_cta-repeater-banner_banners_description\",\"banners_3_button\":\"\",\"_banners_3_button\":\"field_cta-repeater-banner_banners_button\",\"banners_3_buttons\":\"\",\"_banners_3_buttons\":\"field_cta-repeater-banner_banners_buttons\",\"banners\":4,\"_banners\":\"field_cta-repeater-banner_banners\",\"id\":\"block_acf_6580750c28e8b\"},\"mode\":\"edit\",\"id\":\"block_acf_6580750c28e8b\"} \/-->\n\n<!-- wp:heading {\"level\":3} -->\n<h3 class=\"wp-block-heading\" id=\"h-who-qualifies-for-the-medication-therapy-management-program\"><strong>Who Qualifies for the Medication Therapy Management Program<a href=\"tel:711\"><\/a>?<\/strong><\/h3>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p>You will be automatically enrolled in this program if you meet <strong>all<\/strong> of the following criteria:<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:list -->\n<ul><!-- wp:list-item -->\n<li>You take <strong>eight or more<\/strong> Medicare Part D-covered medications.<\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li>You have <strong>three or more<\/strong> of the following conditions or diseases: bone disease (such as arthritis or osteoporosis), chronic heart failure, diabetes, dyslipidemia, or hypertension.<\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li>You are likely to spend <strong>more than the amount<\/strong> listed below on your Part D\u2013covered medications:<!-- wp:list -->\n<ul><!-- wp:list-item -->\n<li>For 2024 plan members: $5,330<\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list --><\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list -->\n\n<!-- wp:paragraph -->\n<p><\/p>\n<!-- \/wp:paragraph -->",
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"post_date": "2021-08-06 19:05:41",
"post_date_gmt": "2021-08-06 23:05:41",
"post_content": "<!-- wp:acf\/plan-overview {\"name\":\"acf\/plan-overview\",\"data\":{\"heading\":\"\",\"_heading\":\"field_plan-overview_heading\",\"subheading\":\"EasyCare (HMO) is a Medicare Advantage prescription drug plan that offers more than regular Medicare. Extra Help lowers prescription drug costs for people who qualify. \",\"_subheading\":\"field_plan-overview_subheading\",\"fine_print\":\"\",\"_fine_print\":\"field_plan-overview_fine_print\",\"button\":{\"title\":\"Ready to Enroll?\",\"url\":\"https:\/\/www.vnshealthplans.org\/our-plans\/vns-health-medicare-easycare\/how-to-enroll\/\",\"target\":\"\"},\"_button\":\"field_plan-overview_button\",\"enrollment_criteria\":{\"title\":\"Enrollment Criteria\",\"url\":\"https:\/\/www.vnshealthplans.org\/our-plans\/vns-health-medicare-easycare\/eligibility\/\",\"target\":\"\"},\"_enrollment_criteria\":\"field_plan-overview_enrollment_criteria\",\"plan_highlights_list_heading\":\"Plan Highlights\",\"_plan_highlights_list_heading\":\"field_plan-overview_plan_highlights_list_heading\",\"plan_highlights_list\":\"\\u003cul\\u003e\\r\\n\\t\\u003cli\\u003eMonthly premiums as low as $0*\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003e$0 Primary care copay\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eOver-the-Counter (OTC) Card\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eDental, hearing, vision, acupuncture, and more\\u003c\/li\\u003e\\r\\n\\u003c\/ul\\u003e\",\"_plan_highlights_list\":\"field_plan-overview_plan_highlights_list\",\"id\":\"block_acf_65807012d7494\"},\"mode\":\"preview\",\"id\":\"block_acf_65807012d7494\"} \/-->\n\n<!-- wp:heading -->\n<h2 class=\"wp-block-heading\" id=\"h-a-smart-plan-to-make-health-care-easier-and-more-affordable\">A Smart Plan to Make Health Care Easier and More Affordable<\/h2>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p>The EasyCare monthly plan premium is as low as $0 for people who qualify for full Extra Help (also known as Low Income Subsidy (LIS)).* And EasyCare includes more benefits than regular Medicare, so your health care dollars go further.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>In 2024, people with Medicare may qualify for even more savings on their prescription drug costs through the Extra Help program. <a href=\"https:\/\/www.cms.gov\/files\/document\/lis-extra-help-article-june-2023.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">Click here to learn more<\/a>.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:acf\/content-splitter {\"name\":\"acf\/content-splitter\",\"data\":{\"id\":\"block_acf_65807012d74e6\"},\"mode\":\"preview\",\"id\":\"block_acf_65807012d74e6\"} \/-->\n\n<!-- wp:acf\/banner-in-body {\"name\":\"acf\/banner-in-body\",\"data\":{\"background_color\":\"gray-200\",\"_background_color\":\"field_banner-in-body_background_color\",\"heading\":\"EasyCare members are automatically enrolled in our Member Rewards program. You can earn gift card rewards for taking healthy actions, like getting checkups and health screenings.\",\"_heading\":\"field_banner-in-body_heading\",\"subheading\":\"\",\"_subheading\":\"field_banner-in-body_subheading\",\"description\":\"\",\"_description\":\"field_banner-in-body_description\",\"button_heading\":\"\",\"_button_heading\":\"field_banner-in-body_button_heading\",\"button\":{\"title\":\"Read More About This Rewards Program\",\"url\":\"https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2023\/10\/MA_Rewards-Flyer_EN_10-11-23.pdf\",\"target\":\"_blank\"},\"_button\":\"field_banner-in-body_button\",\"id\":\"block_acf_65807012d750c\"},\"mode\":\"edit\",\"id\":\"block_acf_65807012d750c\"} \/-->\n\n<!-- wp:acf\/stats {\"name\":\"acf\/stats\",\"data\":{\"heading\":\"Just Some of What You Get with EasyCare\",\"_heading\":\"field_stats_heading\",\"description\":\"\",\"_description\":\"field_stats_description\",\"number_of_columns\":\"3\",\"_number_of_columns\":\"field_stats_number_of_columns\",\"layout\":\"vertical\",\"_layout\":\"field_stats_layout\",\"background_color\":\"none\",\"_background_color\":\"field_stats_background_color\",\"cards_0_icon\":20338,\"_cards_0_icon\":\"field_stats_cards_icon\",\"cards_0_superheading\":\"Help Affording Health Items\",\"_cards_0_superheading\":\"field_stats_cards_superheading\",\"cards_0_stat\":\"\\u003cp\\u003eOver-the-Counter (OTC) Card\\u003c\/p\\u003e\",\"_cards_0_stat\":\"field_stats_cards_stat\",\"cards_0_description\":\"Get up to $348\/year ($87\/quarter).\\r\\n\",\"_cards_0_description\":\"field_stats_cards_description\",\"cards_1_icon\":20343,\"_cards_1_icon\":\"field_stats_cards_icon\",\"cards_1_superheading\":\"Help with Eye Care\",\"_cards_1_superheading\":\"field_stats_cards_superheading\",\"cards_1_stat\":\"\\u003cp\\u003eVision\\u003c\/p\\u003e\",\"_cards_1_stat\":\"field_stats_cards_stat\",\"cards_1_description\":\"Get $200\/year for glasses or contacts. \",\"_cards_1_description\":\"field_stats_cards_description\",\"cards_2_icon\":20323,\"_cards_2_icon\":\"field_stats_cards_icon\",\"cards_2_superheading\":\"Help with Oral Care\",\"_cards_2_superheading\":\"field_stats_cards_superheading\",\"cards_2_stat\":\"\\u003cp\\u003eDental\\u003c\/p\\u003e\",\"_cards_2_stat\":\"field_stats_cards_stat\",\"cards_2_description\":\"Get $2,000\/year for dental services.\",\"_cards_2_description\":\"field_stats_cards_description\",\"cards\":3,\"_cards\":\"field_stats_cards\",\"button\":{\"title\":\"See More Great Benefits\",\"url\":\"https:\/\/www.vnshealthplans.org\/our-plans\/vns-health-medicare-easycare\/benefits\/\",\"target\":\"\"},\"_button\":\"field_stats_button\",\"id\":\"block_acf_65807012d7540\"},\"mode\":\"edit\",\"id\":\"block_acf_65807012d7540\"} \/-->\n\n<!-- wp:columns -->\n<div class=\"wp-block-columns\"><!-- wp:column {\"width\":\"66.66%\"} -->\n<div class=\"wp-block-column\" style=\"flex-basis:66.66%\"><!-- wp:acf\/checklist-info {\"name\":\"acf\/checklist-info\",\"data\":{\"heading\":\"\",\"_heading\":\"field_checklist-info_heading\",\"description\":\"\",\"_description\":\"field_checklist-info_description\",\"center_checklist\":\"0\",\"_center_checklist\":\"field_checklist-info_center_checklist\",\"checklist_0_heading\":\"More Than Regular Medicare \",\"_checklist_0_heading\":\"field_checklist-info_checklist_heading\",\"checklist_0_text\":\"\\u003cp\\u003eRegular Medicare covers a lot, but not everything. EasyCare has important benefits that aren\u2019t part of regular Medicare, including prescription drugs, dental, hearing, vision, acupuncture, and much more.\\u003c\/p\\u003e\",\"_checklist_0_text\":\"field_checklist-info_checklist_text\",\"checklist_1_heading\":\"Extras for Healthy Living \",\"_checklist_1_heading\":\"field_checklist-info_checklist_heading\",\"checklist_1_text\":\"\\u003cp\\u003eEasyCare includes:\u00a0\\u003c\/p\\u003e\\r\\n\\u003cul\\u003e\\r\\n\\t\\u003cli\\u003eA debit card you can use to buy OTC health items \u2014 $348\/year ($87\/quarter). Use it in local stores, or get easy home delivery.\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eSilverSneakers\\u003csup\\u003e\u00ae\\u003c\/sup\\u003e\u202ffitness program \u2014 with gym memberships and online classes.\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eTransportation to health care.\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eAnd more!\u00a0\\u003c\/li\\u003e\\r\\n\\u003c\/ul\\u003e\",\"_checklist_1_text\":\"field_checklist-info_checklist_text\",\"checklist_2_heading\":\"Personal Support \",\"_checklist_2_heading\":\"field_checklist-info_checklist_heading\",\"checklist_2_text\":\"\\u003cp\\u003eWith EasyCare, you get a health coach or care manager to help you be as healthy as possible. Our plan pharmacists can help make it easier for you to take the medications you need. You can have some doctor's visits in the comfort of your home with our telehealth benefit. And you\u2019ll have 24\/7 access to a nurse for when health concerns arise.\\u003c\/p\\u003e\",\"_checklist_2_text\":\"field_checklist-info_checklist_text\",\"checklist\":3,\"_checklist\":\"field_checklist-info_checklist\",\"button_link\":\"\",\"_button_link\":\"field_checklist-info_button_link\",\"id\":\"block_acf_65807012d7579\"},\"mode\":\"edit\",\"id\":\"block_acf_65807012d7579\"} \/-->\n\n<!-- wp:paragraph -->\n<p><em>*Depending on your level of LIS eligibility.<\/em><\/p>\n<!-- \/wp:paragraph --><\/div>\n<!-- \/wp:column -->\n\n<!-- wp:column {\"width\":\"33.33%\"} -->\n<div class=\"wp-block-column\" style=\"flex-basis:33.33%\"><!-- wp:acf\/form-script {\"name\":\"acf\/form-script\",\"data\":{\"embed_script\":\"\\u003cscript type=\\u0022text\/javascript\\u0022 id=\\u0022jsFastForms\\u0022 src=\\u0022https:\/\/choice-vnsny.my.salesforce-sites.com\/\/services\/apexrest\/VisualAntidote\/FFNEngine\/v1\/?d=vvUDG8T7hIVJZC%2BYm4A%2FSg%3D%3D\\u0022\\u003e\\u003c\/script\\u003e\",\"_embed_script\":\"field_form-script_embed_script\",\"no_script_warning_text\":\"Please enable Javascript to fill out this form.\",\"_no_script_warning_text\":\"field_form-script_no_script_warning_text\",\"background_color\":\"blue-cyan\",\"_background_color\":\"field_form-script_background_color\",\"id\":\"block_acf_65807012d75ad\"},\"mode\":\"edit\",\"id\":\"block_acf_65807012d75ad\"} \/--><\/div>\n<!-- \/wp:column --><\/div>\n<!-- \/wp:columns -->",
"post_title": "What Is VNS Health EasyCare?",
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"post_date": "2022-09-09 17:37:18",
"post_date_gmt": "2022-09-09 21:37:18",
"post_content": "<!-- wp:paragraph -->\n<p>Looking for more in-depth information about your VNS Health EasyCare (HMO) plan? You\u2019ll find it here, along with forms and other tools and materials. <\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>If you have questions about any of the materials listed here, call us at <a href=\"tel:1-866-414-6715\">1-866-414-6715<\/a>, 7 days a week, 8 am\u20138 pm (TTY users, call: <a href=\"tel:711\">711<\/a>).<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p><strong>Note that this plan\u2019s name changed to VNS Health EasyCare on January 1, 2023.<\/strong><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:acf\/resources {\"name\":\"acf\/resources\",\"data\":{\"resource_groups_0_heading\":\"Forms and Personal Health Materials\",\"_resource_groups_0_heading\":\"field_resources_resource_groups_heading\",\"resource_groups_0_resources_0_show_update\":\"1\",\"_resource_groups_0_resources_0_show_update\":\"field_resources_resource_groups_resources_show_update\",\"resource_groups_0_resources_0_update_date\":\"Automatic\",\"_resource_groups_0_resources_0_update_date\":\"field_resources_resource_groups_resources_update_date\",\"resource_groups_0_resources_0_is_external_resource\":\"0\",\"_resource_groups_0_resources_0_is_external_resource\":\"field_resources_resource_groups_resources_is_external_resource\",\"resource_groups_0_resources_0_heading\":\"Health Care Proxy\",\"_resource_groups_0_resources_0_heading\":\"field_resources_resource_groups_resources_heading\",\"resource_groups_0_resources_0_description\":\"\",\"_resource_groups_0_resources_0_description\":\"field_resources_resource_groups_resources_description\",\"resource_groups_0_resources_0_files_0_file\":158,\"_resource_groups_0_resources_0_files_0_file\":\"field_resources_resource_groups_resources_files_file\",\"resource_groups_0_resources_0_files_0_label\":\"English\",\"_resource_groups_0_resources_0_files_0_label\":\"field_resources_resource_groups_resources_files_label\",\"resource_groups_0_resources_0_files_1_file\":157,\"_resource_groups_0_resources_0_files_1_file\":\"field_resources_resource_groups_resources_files_file\",\"resource_groups_0_resources_0_files_1_label\":\"Spanish\",\"_resource_groups_0_resources_0_files_1_label\":\"field_resources_resource_groups_resources_files_label\",\"resource_groups_0_resources_0_files_2_file\":156,\"_resource_groups_0_resources_0_files_2_file\":\"field_resources_resource_groups_resources_files_file\",\"resource_groups_0_resources_0_files_2_label\":\"Chinese\",\"_resource_groups_0_resources_0_files_2_label\":\"field_resources_resource_groups_resources_files_label\",\"resource_groups_0_resources_0_files\":3,\"_resource_groups_0_resources_0_files\":\"field_resources_resource_groups_resources_files\",\"resource_groups_0_resources_0_file_display_block\":\"0\",\"_resource_groups_0_resources_0_file_display_block\":\"field_resources_resource_groups_resources_file_display_block\",\"resource_groups_0_resources_1_show_update\":\"1\",\"_resource_groups_0_resources_1_show_update\":\"field_resources_resource_groups_resources_show_update\",\"resource_groups_0_resources_1_update_date\":\"Automatic\",\"_resource_groups_0_resources_1_update_date\":\"field_resources_resource_groups_resources_update_date\",\"resource_groups_0_resources_1_is_external_resource\":\"0\",\"_resource_groups_0_resources_1_is_external_resource\":\"field_resources_resource_groups_resources_is_external_resource\",\"resource_groups_0_resources_1_heading\":\"Appointment of Representative Form\",\"_resource_groups_0_resources_1_heading\":\"field_resources_resource_groups_resources_heading\",\"resource_groups_0_resources_1_description\":\"\\u003cp\\u003eYou may appoint a relative, friend, attorney, or anyone else whom you trust to act on your behalf. 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"post_content": "<!-- wp:acf\/hero {\"name\":\"acf\/hero\",\"data\":{\"hero_version\":\"v2\",\"_hero_version\":\"field_hero_hero_version\",\"background_image_image\":35754,\"_background_image_image\":\"field_hero_background_image_image\",\"background_image\":\"\",\"_background_image\":\"field_hero_background_image\",\"v2_heading\":\"\\u003cp\\u003eThank you for contacting us!\\u003c\/p\\u003e\",\"_v2_heading\":\"field_hero_v2_heading\",\"subheading\":\"We will get in touch with you shortly.\",\"_subheading\":\"field_hero_subheading\",\"text\":\"\",\"_text\":\"field_hero_text\",\"button\":\"\",\"_button\":\"field_hero_button\",\"disable_left_circle_lg\":\"0\",\"_disable_left_circle_lg\":\"field_hero_disable_left_circle_lg\",\"disable_left_circle\":\"0\",\"_disable_left_circle\":\"field_hero_disable_left_circle\",\"disable_right_circle\":\"0\",\"_disable_right_circle\":\"field_hero_disable_right_circle\",\"id\":\"block_acf_654535902c747\"},\"mode\":\"edit\",\"id\":\"block_acf_654535902c747\"} \/-->\n\n<!-- wp:spacer {\"height\":\"50px\"} -->\n<div style=\"height:50px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n<!-- \/wp:spacer -->\n\n<!-- wp:block {\"ref\":24592} \/-->",
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"post_content": "<!-- wp:paragraph -->\n<p>To learn more about VNS Health EasyCare (HMO), just give us a call. We\u2019ll help answer your questions. If you\u2019d like help deciding if the plan is right for you, or if you are ready to enroll, one of our specialists is ready to help.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:list -->\n<ul><!-- wp:list-item -->\n<li>You can talk with a specialist and enroll right over the phone.<\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li>If you prefer to meet in person, one of our specialists will be happy to come to you.<\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list -->\n\n<!-- wp:acf\/resources {\"name\":\"acf\/resources\",\"data\":{\"resource_groups\":\"\",\"_resource_groups\":\"field_resources_resource_groups\",\"id\":\"block_acf_660c447e8283f\"},\"mode\":\"edit\",\"id\":\"block_acf_660c447e8283f\"} \/-->\n\n<!-- wp:acf\/banner-in-body {\"name\":\"acf\/banner-in-body\",\"data\":{\"background_color\":\"dark-blue-with-brand-accent\",\"_background_color\":\"field_banner-in-body_background_color\",\"heading\":\"Learn More or Enroll by Phone\",\"_heading\":\"field_banner-in-body_heading\",\"subheading\":\"\",\"_subheading\":\"field_banner-in-body_subheading\",\"description\":\"\\u003cp\\u003e\\u003ca href=\\u0022tel:1-866-414-6715\\u0022\\u003e\\u003cstrong\\u003e1-866-414-6715\\u003c\/strong\\u003e\\u003c\/a\\u003e\\u003cbr \/\\u003e\\r\\nTTY users, call: \\u003ca href=\\u0022tel:711\\u0022\\u003e\\u003cstrong\\u003e711\\u003c\/strong\\u003e\\u003c\/a\\u003e\\u003cbr \/\\u003e\\r\\n7 days a week, 8 am\u20138 pm\\u003c\/p\\u003e\",\"_description\":\"field_banner-in-body_description\",\"button_heading\":\"For after-hours questions: \",\"_button_heading\":\"field_banner-in-body_button_heading\",\"button\":{\"title\":\"Request a Call Back\",\"url\":\"https:\/\/www.vnshealthplans.org\/inquiry-form\/\",\"target\":\"\"},\"_button\":\"field_banner-in-body_button\",\"id\":\"block_acf_660c447e828a9\"},\"mode\":\"edit\",\"id\":\"block_acf_660c447e828a9\"} \/-->\n\n<!-- wp:paragraph -->\n<p>Prefer a paper application form? Use our <strong><a href=\"https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2024\/04\/ECP_EC_enrollment_form_2024_v6.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">Enrollment Request Form<\/a><\/strong>. You can also enroll online at <a href=\"https:\/\/www.Medicare.gov\" target=\"_blank\" rel=\"noreferrer noopener\">Medicare.gov<\/a>.<br><br><em>Enrollment form<\/em> <em>last updated:<\/em> <em>10\/1\/2023.<\/em><\/p>\n<!-- \/wp:paragraph -->",
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"post_content": "<!-- wp:paragraph -->\n<p>Check below for important information about the Part D transition process, prior authorizations, the step therapy criteria for Part D Medicare, and the coverage determination and redetermination processes.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p> <a href=\"https:\/\/www.vnshealthplans.org\/easycare-member-resources\/frequently-asked-questions\/#what-should-i-do-if-i-need-help-with-applying-for-low-income-subsidies-lis\">You can also find out more about getting Extra Help with your prescription drug coverage<\/a>. <\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:group -->\n<div class=\"wp-block-group\"><!-- wp:acf\/resources {\"name\":\"acf\/resources\",\"data\":{\"resource_groups_0_heading\":\"Prescription Drug Resources 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"post_date": "2022-08-12 19:41:27",
"post_date_gmt": "2022-08-12 23:41:27",
"post_content": "<!-- wp:paragraph -->\n<p>Looking for more in-depth information about the VNS Health EasyCare (HMO) health plan? You\u2019ll find it here. 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"post_content": "<!-- wp:paragraph -->\n<p>VNS Health EasyCare (HMO) is designed to give you everything regular Medicare offers plus important extra benefits, including coverage for prescription drugs, dental, vision, and more.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>We understand that you want to know in advance what your health care will cost. That\u2019s why when EasyCare members need to pay for health care services, they usually pay a set dollar amount \u2014 called a copay \u2014 for services. See the Summary of Benefits and Evidence of Coverage on the <a href=\"https:\/\/www.vnshealthplans.org\/our-plans\/vns-health-medicare-easycare\/2024-plan-materials\/\">Plan Materials<\/a> page for details.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:buttons {\"layout\":{\"type\":\"flex\",\"justifyContent\":\"center\",\"orientation\":\"horizontal\"}} -->\n<div class=\"wp-block-buttons\"><!-- wp:button {\"className\":\"is-style-outline\"} -->\n<div class=\"wp-block-button is-style-outline\"><a class=\"wp-block-button__link wp-element-button\" href=\"https:\/\/www.vnshealthplans.org\/our-plans\/vns-health-medicare-easycare\/how-to-enroll\/\">Ready to Get Started?<\/a><\/div>\n<!-- \/wp:button --><\/div>\n<!-- \/wp:buttons -->\n\n<!-- wp:acf\/brochure-table {\"name\":\"acf\/brochure-table\",\"data\":{\"heading\":\"EasyCare Benefits\",\"_heading\":\"field_brochure-table_heading\",\"subheading\":\"2024 Benefits 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podiatry\",\"_rows_9_label\":\"field_brochure-table_rows_label\",\"rows_9_data\":\"6 visits\/year\",\"_rows_9_data\":\"field_brochure-table_rows_data\",\"rows_9_newBadge\":\"0\",\"_rows_9_newBadge\":\"field_brochure-table_rows_newbadge\",\"rows_10_icon\":20317,\"_rows_10_icon\":\"field_brochure-table_rows_icon\",\"rows_10_label\":\"Transportation to approved health care locations\",\"_rows_10_label\":\"field_brochure-table_rows_label\",\"rows_10_data\":\"11 round trips\/year \",\"_rows_10_data\":\"field_brochure-table_rows_data\",\"rows_10_newBadge\":\"0\",\"_rows_10_newBadge\":\"field_brochure-table_rows_newbadge\",\"rows_11_icon\":20315,\"_rows_11_icon\":\"field_brochure-table_rows_icon\",\"rows_11_label\":\"Gym membership\",\"_rows_11_label\":\"field_brochure-table_rows_label\",\"rows_11_data\":\"SilverSneakers\\u003csup\\u003e\u00ae\\u003c\/sup\\u003e\",\"_rows_11_data\":\"field_brochure-table_rows_data\",\"rows_11_newBadge\":\"0\",\"_rows_11_newBadge\":\"field_brochure-table_rows_newbadge\",\"rows_12_icon\":20365,\"_rows_12_icon\":\"field_brochure-table_rows_icon\",\"rows_12_label\":\"Telehealth\",\"_rows_12_label\":\"field_brochure-table_rows_label\",\"rows_12_data\":\"Yes\",\"_rows_12_data\":\"field_brochure-table_rows_data\",\"rows_12_newBadge\":\"0\",\"_rows_12_newBadge\":\"field_brochure-table_rows_newbadge\",\"rows_13_icon\":20326,\"_rows_13_icon\":\"field_brochure-table_rows_icon\",\"rows_13_label\":\"24\/7 Nurse 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Up to 3 inpatient hospital visits\/year\",\"_rows_14_data\":\"field_brochure-table_rows_data\",\"rows_14_newBadge\":\"0\",\"_rows_14_newBadge\":\"field_brochure-table_rows_newbadge\",\"rows\":15,\"_rows\":\"field_brochure-table_rows\",\"footnote\":\"\\u003cp\\u003e\u00a0\\u003cbr \/\\u003e\\r\\n\\u003cem\\u003e*Depending on your level of LIS eligibility.\\u003cbr \/\\u003e\\r\\n**\\u003c\/em\\u003e\\u003cem\\u003eAdditional acupuncture visits for chronic low back pain covered by Medicare.\u00a0\\u003c\/em\\u003e\\u003c\/p\\u003e\\r\\n\\u003cp\\u003e\\u003cem\\u003e\\u003cbr \/\\u003e\\r\\n\\u003c\/em\\u003e\\u003cbr \/\\u003e\\r\\n\\u003cbr \/\\u003e\\r\\n\\u003c\/p\\u003e\",\"_footnote\":\"field_brochure-table_footnote\",\"id\":\"block_acf_66141ad9e59e1\"},\"mode\":\"edit\",\"id\":\"block_acf_66141ad9e59e1\"} \/-->\n\n<!-- wp:paragraph -->\n<p>For more information about the many benefits of EasyCare, see the Summary of Benefits and Evidence of Coverage in the <a href=\"https:\/\/www.vnshealthplans.org\/our-plans\/vns-health-medicare-easycare\/2024-plan-materials\/\">Plan Materials<\/a> section. <\/p>\n<!-- \/wp:paragraph -->",
"post_title": "VNS Health EasyCare 2024 Benefits",
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"post_date": "2023-08-17 10:53:57",
"post_date_gmt": "2023-08-17 14:53:57",
"post_content": "<!-- wp:paragraph -->\n<p>Looking for more in-depth information about the VNS Health EasyCare (HMO) health plan? You\u2019ll find it here. If you have questions about any of the materials listed here, call us at<a href=\"tel:1-866-414-6715\"> 1-866-414-6715<\/a> (TTY: <a href=\"tel:711\">711<\/a>) 7 Days a Week, 8 am\u20138 pm.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:acf\/resources {\"name\":\"acf\/resources\",\"data\":{\"resource_groups_0_heading\":\"2024 Plan Benefits \",\"_resource_groups_0_heading\":\"field_resources_resource_groups_heading\",\"resource_groups_0_resources_0_show_update\":\"1\",\"_resource_groups_0_resources_0_show_update\":\"field_resources_resource_groups_resources_show_update\",\"resource_groups_0_resources_0_update_date\":\"Automatic\",\"_resource_groups_0_resources_0_update_date\":\"field_resources_resource_groups_resources_update_date\",\"resource_groups_0_resources_0_is_external_resource\":\"0\",\"_resource_groups_0_resources_0_is_external_resource\":\"field_resources_resource_groups_resources_is_external_resource\",\"resource_groups_0_resources_0_heading\":\"Summary of 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"post_content": "<!-- wp:columns -->\n<div class=\"wp-block-columns\"><!-- wp:column {\"width\":\"66.66%\"} -->\n<div class=\"wp-block-column\" style=\"flex-basis:66.66%\"><!-- wp:acf\/brochure-table {\"name\":\"acf\/brochure-table\",\"data\":{\"heading\":\"\",\"_heading\":\"field_brochure-table_heading\",\"subheading\":\"You may be eligible for VNS Health EasyCare (HMO) if you are:\",\"_subheading\":\"field_brochure-table_subheading\",\"rows_0_icon\":21397,\"_rows_0_icon\":\"field_brochure-table_rows_icon\",\"rows_0_label\":\"Eligible for Medicare Part A and Part B\",\"_rows_0_label\":\"field_brochure-table_rows_label\",\"rows_0_data\":\"\",\"_rows_0_data\":\"field_brochure-table_rows_data\",\"rows_0_newBadge\":\"0\",\"_rows_0_newBadge\":\"field_brochure-table_rows_newbadge\",\"rows_1_icon\":21397,\"_rows_1_icon\":\"field_brochure-table_rows_icon\",\"rows_1_label\":\"Living in the EasyCare service area. This service area includes the following counties: Albany, Bronx, Kings (Brooklyn), Nassau, New York (Manhattan), Queens, Rensselaer, Richmond (Staten Island), Schenectady, Suffolk, and Westchester.\",\"_rows_1_label\":\"field_brochure-table_rows_label\",\"rows_1_data\":\"\",\"_rows_1_data\":\"field_brochure-table_rows_data\",\"rows_1_newBadge\":\"0\",\"_rows_1_newBadge\":\"field_brochure-table_rows_newbadge\",\"rows_2_icon\":21397,\"_rows_2_icon\":\"field_brochure-table_rows_icon\",\"rows_2_label\":\"A United States citizen or in the United States lawfully\",\"_rows_2_label\":\"field_brochure-table_rows_label\",\"rows_2_data\":\"\",\"_rows_2_data\":\"field_brochure-table_rows_data\",\"rows_2_newBadge\":\"0\",\"_rows_2_newBadge\":\"field_brochure-table_rows_newbadge\",\"rows\":3,\"_rows\":\"field_brochure-table_rows\",\"footnote\":\"\",\"_footnote\":\"field_brochure-table_footnote\",\"id\":\"block_acf_650064d58a2fb\"},\"mode\":\"edit\",\"id\":\"block_acf_650064d58a2fb\"} \/-->\n\n<!-- wp:acf\/banner-in-body {\"name\":\"acf\/banner-in-body\",\"data\":{\"background_color\":\"dark-blue-with-brand-accent\",\"_background_color\":\"field_banner-in-body_background_color\",\"heading\":\"For more information, please call 1-866-414-6715. TTY users, call: 711.\",\"_heading\":\"field_banner-in-body_heading\",\"subheading\":\"\",\"_subheading\":\"field_banner-in-body_subheading\",\"description\":\"\",\"_description\":\"field_banner-in-body_description\",\"button_heading\":\"\",\"_button_heading\":\"field_banner-in-body_button_heading\",\"button\":\"\",\"_button\":\"field_banner-in-body_button\",\"id\":\"block_acf_650064d58a34a\"},\"mode\":\"edit\",\"id\":\"block_acf_650064d58a34a\"} \/--><\/div>\n<!-- \/wp:column -->\n\n<!-- wp:column {\"width\":\"33.33%\"} -->\n<div class=\"wp-block-column\" style=\"flex-basis:33.33%\"><!-- wp:acf\/form-script {\"name\":\"acf\/form-script\",\"data\":{\"embed_script\":\"\\u003cscript type=\\u0022text\/javascript\\u0022 id=\\u0022jsFastForms\\u0022 src=\\u0022https:\/\/choice-vnsny.my.salesforce-sites.com\/\/services\/apexrest\/VisualAntidote\/FFNEngine\/v1\/?d=vvUDG8T7hIVJZC%2BYm4A%2FSg%3D%3D\\u0022\\u003e\\u003c\/script\\u003e\",\"_embed_script\":\"field_form-script_embed_script\",\"no_script_warning_text\":\"Please enable Javascript to fill out this form.\",\"_no_script_warning_text\":\"field_form-script_no_script_warning_text\",\"background_color\":\"blue-cyan\",\"_background_color\":\"field_form-script_background_color\",\"id\":\"block_acf_650064d58a36a\"},\"mode\":\"edit\",\"id\":\"block_acf_650064d58a36a\"} \/--><\/div>\n<!-- \/wp:column --><\/div>\n<!-- \/wp:columns -->",
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"post_date": "2023-03-30 12:24:54",
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"post_content": "<!-- wp:acf\/service-area-tabs {\"name\":\"acf\/service-area-tabs\",\"data\":{\"title\":\"\",\"_title\":\"field_service-area-tabs_title\",\"tab_sections_0_title\":\"\",\"_tab_sections_0_title\":\"field_service-area-tabs_tab_sections_title\",\"tab_sections_0_map_image\":32568,\"_tab_sections_0_map_image\":\"field_service-area-tabs_tab_sections_map_image\",\"tab_sections_0_description\":\"The following areas are serviced by VNS Health Medicare which includes EasyCare (HMO).\",\"_tab_sections_0_description\":\"field_service-area-tabs_tab_sections_description\",\"tab_sections_0_counties_0_name\":\"Albany\",\"_tab_sections_0_counties_0_name\":\"field_service-area-tabs_tab_sections_counties_name\",\"tab_sections_0_counties_1_name\":\"The Bronx\",\"_tab_sections_0_counties_1_name\":\"field_service-area-tabs_tab_sections_counties_name\",\"tab_sections_0_counties_2_name\":\"Kings (Brooklyn)\",\"_tab_sections_0_counties_2_name\":\"field_service-area-tabs_tab_sections_counties_name\",\"tab_sections_0_counties_3_name\":\"Nassau County\",\"_tab_sections_0_counties_3_name\":\"field_service-area-tabs_tab_sections_counties_name\",\"tab_sections_0_counties_4_name\":\"New York (Manhattan)\",\"_tab_sections_0_counties_4_name\":\"field_service-area-tabs_tab_sections_counties_name\",\"tab_sections_0_counties_5_name\":\"Queens\",\"_tab_sections_0_counties_5_name\":\"field_service-area-tabs_tab_sections_counties_name\",\"tab_sections_0_counties_6_name\":\"Rensselaer\",\"_tab_sections_0_counties_6_name\":\"field_service-area-tabs_tab_sections_counties_name\",\"tab_sections_0_counties_7_name\":\"Richmond (Staten Island)\",\"_tab_sections_0_counties_7_name\":\"field_service-area-tabs_tab_sections_counties_name\",\"tab_sections_0_counties_8_name\":\"Schenectady\",\"_tab_sections_0_counties_8_name\":\"field_service-area-tabs_tab_sections_counties_name\",\"tab_sections_0_counties_9_name\":\"Suffolk County\",\"_tab_sections_0_counties_9_name\":\"field_service-area-tabs_tab_sections_counties_name\",\"tab_sections_0_counties_10_name\":\"Westchester County\",\"_tab_sections_0_counties_10_name\":\"field_service-area-tabs_tab_sections_counties_name\",\"tab_sections_0_counties\":11,\"_tab_sections_0_counties\":\"field_service-area-tabs_tab_sections_counties\",\"tab_sections_0_bottom_links_0_back_button\":\"0\",\"_tab_sections_0_bottom_links_0_back_button\":\"field_service-area-tabs_tab_sections_bottom_links_back_button\",\"tab_sections_0_bottom_links_0_link\":{\"title\":\"View Service Areas for all plans\",\"url\":\"https:\/\/www.vnshealthplans.org\/service-areas\/\",\"target\":\"\"},\"_tab_sections_0_bottom_links_0_link\":\"field_service-area-tabs_tab_sections_bottom_links_link\",\"tab_sections_0_bottom_links\":1,\"_tab_sections_0_bottom_links\":\"field_service-area-tabs_tab_sections_bottom_links\",\"tab_sections\":1,\"_tab_sections\":\"field_service-area-tabs_tab_sections\",\"id\":\"block_acf_6500650f73637\"},\"mode\":\"edit\",\"id\":\"block_acf_6500650f73637\"} \/-->",
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"post_date": "2021-09-20 19:28:20",
"post_date_gmt": "2021-09-20 23:28:20",
"post_content": "<!-- wp:paragraph -->\n<p>On this page, you can find links to tools, forms, and useful information to help you stay on top of your medications. <\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:acf\/cta-repeater-banner {\"name\":\"acf\/cta-repeater-banner\",\"data\":{\"banners\":\"\",\"_banners\":\"field_cta-repeater-banner_banners\",\"id\":\"block_acf_658070750d041\"},\"mode\":\"edit\",\"id\":\"block_acf_658070750d041\"} \/-->\n\n<!-- wp:acf\/cta-repeater-banner {\"name\":\"acf\/cta-repeater-banner\",\"data\":{\"banners_0_icon\":20334,\"_banners_0_icon\":\"field_cta-repeater-banner_banners_icon\",\"banners_0_heading\":\"Look Up a Medication or Find a Network Pharmacy\",\"_banners_0_heading\":\"field_cta-repeater-banner_banners_heading\",\"banners_0_description\":\"\",\"_banners_0_description\":\"field_cta-repeater-banner_banners_description\",\"banners_0_button\":{\"title\":\"Search Our Drug and Pharmacy List 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you.\",\"_banners_2_description\":\"field_cta-repeater-banner_banners_description\",\"banners_2_button\":\"\",\"_banners_2_button\":\"field_cta-repeater-banner_banners_button\",\"banners_2_buttons\":\"\",\"_banners_2_buttons\":\"field_cta-repeater-banner_banners_buttons\",\"banners_3_icon\":20342,\"_banners_3_icon\":\"field_cta-repeater-banner_banners_icon\",\"banners_3_heading\":\"Medication Therapy Management Program\",\"_banners_3_heading\":\"field_cta-repeater-banner_banners_heading\",\"banners_3_description\":\"The Medication Therapy Management program is designed for people who have several chronic medical conditions or take many different drugs at the same time.\",\"_banners_3_description\":\"field_cta-repeater-banner_banners_description\",\"banners_3_button\":\"\",\"_banners_3_button\":\"field_cta-repeater-banner_banners_button\",\"banners_3_buttons\":\"\",\"_banners_3_buttons\":\"field_cta-repeater-banner_banners_buttons\",\"banners\":4,\"_banners\":\"field_cta-repeater-banner_banners\",\"id\":\"block_acf_658070750d27b\"},\"mode\":\"edit\",\"id\":\"block_acf_658070750d27b\"} \/-->\n\n<!-- wp:heading {\"level\":3} -->\n<h3 class=\"wp-block-heading\" id=\"h-who-qualifies-for-the-medication-therapy-management-program\">Who Qualifies for the Medication Therapy Management Program?<\/h3>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p>You will be automatically enrolled in this program if you meet <strong>all<\/strong> of the following criteria:<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:list -->\n<ul><!-- wp:list-item -->\n<li>You take <strong>eight or more<\/strong> medications covered by Medicare Part D.<\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li>You have <strong>three or more<\/strong> of the following conditions or diseases: bone disease (such as arthritis or osteoporosis), chronic heart failure, diabetes, dyslipidemia, or hypertension.<\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li>You are likely to spend <strong>more than the amount<\/strong> listed below on your Part D\u2013covered medications:<!-- wp:list -->\n<ul><!-- wp:list-item -->\n<li>For 2024 plan members: $5,330<\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list --><\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list -->",
"post_title": "Your Prescription Drug Benefits",
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"post_date": "2020-07-24 14:28:55",
"post_date_gmt": "2020-07-24 14:28:55",
"post_content": "<!-- wp:paragraph -->\n<p>VNS Health MLTC is a Medicaid plan designed for New Yorkers who want to remain in their own homes and communities but need help with daily activities such as bathing, dressing, walking, and preparing food. In fact, VNS Health MLTC helps members live safely and independently at home, and stay out of a nursing home, for as long as possible.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>When you join VNS Health MLTC, you\u2019ll have a team of specialized health professionals working together to manage all your care. Led by your own care manager \u2014 a registered nurse or licensed social worker \u2014 your Care Team develops and coordinates a personalized care plan to meet all your health needs.<br><br>For you, your family, and your doctor, it\u2019s great to know there\u2019s always one person who has a complete picture of your care. <\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:acf\/divider {\"name\":\"acf\/divider\",\"data\":{\"less_vertical_space\":\"0\",\"_less_vertical_space\":\"field_divider_less_vertical_space\",\"id\":\"block_acf_64ef921ad4531\"},\"mode\":\"edit\",\"id\":\"block_acf_64ef921ad4531\"} \/-->\n\n<!-- wp:pullquote -->\n<figure class=\"wp-block-pullquote\"><blockquote><p>All this, and you\u2019ll pay no monthly premiums, no deductibles, and no copays for services you receive from our network of providers.<\/p><\/blockquote><\/figure>\n<!-- \/wp:pullquote -->\n\n<!-- wp:acf\/divider {\"name\":\"acf\/divider\",\"data\":{\"less_vertical_space\":\"0\",\"_less_vertical_space\":\"field_divider_less_vertical_space\",\"id\":\"block_acf_64ef921ad4563\"},\"mode\":\"edit\",\"id\":\"block_acf_64ef921ad4563\"} \/-->\n\n<!-- wp:heading {\"level\":3} -->\n<h3 class=\"wp-block-heading\" id=\"h-at-your-side-on-your-side\">At Your Side, On Your Side<\/h3>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p>In a confusing health care world, you can count on your Care Team to be your allies \u2014 to work with your doctors, help set up appointments, monitor your medications, and talk with you and your family so you all understand your health conditions and your treatment.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>Our teams know the New York health care system inside out, so they can cut through the red tape and make sure you get all the services you qualify for. Plus, we have a 24\/7 Nurse Support Line to make sure you can reach a health professional live, any time day or night.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:heading {\"level\":3} -->\n<h3 class=\"wp-block-heading\" id=\"h-mltc-benefits-at-a-glance\">MLTC Benefits at a Glance<\/h3>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p>VNS Health MLTC provides the Medicaid long-term care and other health-related services you need to live well in the comfort of your home and community. These include:<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:list -->\n<ul><!-- wp:list-item -->\n<li><strong>Care coordination by a team of health professionals<\/strong>. Your Care Team will be led by a registered nurse or licensed social worker, depending on your needs. As a plan member, you will be assigned your own care manager, who will oversee all the services you receive and will work with your providers to make sure your care plan meets all your needs.<\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li><strong>A care plan tailored to you<\/strong>. Your care manager will assess your needs and work with you, your family and caregivers, and your physicians to develop a customized plan designed to meet your day-to-day health needs and keep you safe in your home. <\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li><strong>Benefit coordination<\/strong>. It can be a challenge to keep straight which services you\u2019re entitled to receive. With our MLTC plan, one phone call connects you to all the services and benefits you need.<\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li><strong>Assistance with daily activities<\/strong>. Getting the help you need with everyday activities like bathing, dressing, walking, and preparing food can make a huge difference in your quality of life.<\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li><strong>Simplicity<\/strong>. Your care manager will help you deal with the complicated health care system.<br><\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list -->\n\n<!-- wp:acf\/content-splitter {\"name\":\"acf\/content-splitter\",\"data\":{\"id\":\"block_acf_64ef921ad457e\"},\"mode\":\"preview\",\"id\":\"block_acf_64ef921ad457e\"} \/-->",
"post_title": "What Is VNS Health Managed Long Term Care (MLTC)?",
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{
"ID": 578,
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"post_date": "2020-07-24 16:48:02",
"post_date_gmt": "2020-07-24 16:48:02",
"post_content": "<!-- wp:paragraph -->\n<p>Find out more about VNS Health MLTC benefits and services.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:acf\/faq {\"name\":\"acf\/faq\",\"data\":{\"heading\":\"\",\"_heading\":\"field_faq_heading\",\"is_modular\":\"0\",\"_is_modular\":\"field_faq_is_modular\",\"items_0_question\":\"What services are covered by MLTC?\",\"_items_0_question\":\"field_faq_items_question\",\"items_0_answer\":\"\\u003cp\\u003eMLTC provides all the Medicaid long-term care and other health-related services you need to live safely and independently at home and in your community, including:\\u003c\/p\\u003e\\r\\n\\u003cul\\u003e\\r\\n\\t\\u003cli\\u003eCare coordination by a registered nurse\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eA care plan tailored to your needs\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eBenefit coordination\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eAssistance with daily activities such as dressing, bathing, and preparing food\\u003c\/li\\u003e\\r\\n\\u003c\/ul\\u003e\\r\\n\\u003cp\\u003eFor more detailed information on MLTC benefits, please visit \\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/our-plans\/vns-health-mltc\/benefits\/\\u0022\\u003eYour MLTC Benefits\\u003c\/a\\u003e.\\u003c\/p\\u003e\",\"_items_0_answer\":\"field_faq_items_answer\",\"items_1_question\":\"Will enrolling in MLTC affect my Medicaid and\/or Medicare coverage?\",\"_items_1_question\":\"field_faq_items_question\",\"items_1_answer\":\"\\u003cp\\u003eNo. Enrolling in VNS Health MLTC will not change your coverage for any important medical benefits, including doctor visits, hospitalizations, emergency room care, prescription drug coverage, and more.\\u003c\/p\\u003e\",\"_items_1_answer\":\"field_faq_items_answer\",\"items_2_question\":\"How much does MLTC cost?\",\"_items_2_question\":\"field_faq_items_question\",\"items_2_answer\":\"\\u003cp\\u003eAs a VNS Health MLTC member, your services will be paid for by Medicaid.\\u003c\/p\\u003e\",\"_items_2_answer\":\"field_faq_items_answer\",\"items_3_question\":\"Who pays for MLTC services?\",\"_items_3_question\":\"field_faq_items_question\",\"items_3_answer\":\"\\u003cp\\u003eAs a VNS Health MLTC member, your services will be paid for by Medicaid.\\u003c\/p\\u003e\",\"_items_3_answer\":\"field_faq_items_answer\",\"items_4_question\":\"Do I have to use a doctor in the network?\",\"_items_4_question\":\"field_faq_items_question\",\"items_4_answer\":\"\\u003cp\\u003eNo, VNS Health MLTC members are not required to use network physicians.\\u003c\/p\\u003e\",\"_items_4_answer\":\"field_faq_items_answer\",\"items_5_question\":\"Can I keep my doctor?\",\"_items_5_question\":\"field_faq_items_question\",\"items_5_answer\":\"\\u003cp\\u003eYes, when you join MLTC, you will be able to keep your own doctors, including your primary care physician and any specialists you might require.\\u003c\/p\\u003e\",\"_items_5_answer\":\"field_faq_items_answer\",\"items_6_question\":\"Can you provide service to non-English speakers? \",\"_items_6_question\":\"field_faq_items_question\",\"items_6_answer\":\"\\u003cp\\u003eYes, we speak a wide variety of languages, and we do our best to match each member with the staff that meets their needs.\\u003c\/p\\u003e\",\"_items_6_answer\":\"field_faq_items_answer\",\"items_7_question\":\"Where can I learn more about Medicaid?\",\"_items_7_question\":\"field_faq_items_question\",\"items_7_answer\":\"\\u003cp\\u003eYou\u2019ll find helpful information about applying for Medicaid at \\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/how-apply-medicaid\\u0022\\u003eHow to Apply for Medicaid.\\u003c\/a\\u003e\\u003c\/p\\u003e\",\"_items_7_answer\":\"field_faq_items_answer\",\"items\":8,\"_items\":\"field_faq_items\",\"id\":\"block_acf_64ca843d101cd\"},\"mode\":\"edit\",\"id\":\"block_acf_64ca843d101cd\"} \/-->",
"post_title": "Frequently Asked Questions",
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"post_title": "VNS Health Managed Long Term Care (MLTC) Service Area",
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"post_content": "<!-- wp:acf\/brochure-table {\"name\":\"acf\/brochure-table\",\"data\":{\"heading\":\"\",\"_heading\":\"field_brochure-table_heading\",\"subheading\":\"To enroll in VNS Health MLTC you must be:\",\"_subheading\":\"field_brochure-table_subheading\",\"rows_0_icon\":21397,\"_rows_0_icon\":\"field_brochure-table_rows_icon\",\"rows_0_label\":\"At least 18 years old \",\"_rows_0_label\":\"field_brochure-table_rows_label\",\"rows_0_data\":\"\",\"_rows_0_data\":\"field_brochure-table_rows_data\",\"rows_0_newBadge\":\"0\",\"_rows_0_newBadge\":\"field_brochure-table_rows_newbadge\",\"rows_1_icon\":21397,\"_rows_1_icon\":\"field_brochure-table_rows_icon\",\"rows_1_label\":\"Eligible for Medicaid\",\"_rows_1_label\":\"field_brochure-table_rows_label\",\"rows_1_data\":\"\",\"_rows_1_data\":\"field_brochure-table_rows_data\",\"rows_1_newBadge\":\"0\",\"_rows_1_newBadge\":\"field_brochure-table_rows_newbadge\",\"rows_2_icon\":21397,\"_rows_2_icon\":\"field_brochure-table_rows_icon\",\"rows_2_label\":\"In need of community-based long-term care (for a continuous period of 120 days) based on a functional assessment\",\"_rows_2_label\":\"field_brochure-table_rows_label\",\"rows_2_data\":\"\",\"_rows_2_data\":\"field_brochure-table_rows_data\",\"rows_2_newBadge\":\"0\",\"_rows_2_newBadge\":\"field_brochure-table_rows_newbadge\",\"rows_3_icon\":21397,\"_rows_3_icon\":\"field_brochure-table_rows_icon\",\"rows_3_label\":\"In need of long-term care, for more than 120 days, based on a functional assessment (must be eligible for nursing home level of care, as of time of enrollment, based on the Community Health Assessment)\",\"_rows_3_label\":\"field_brochure-table_rows_label\",\"rows_3_data\":\"\",\"_rows_3_data\":\"field_brochure-table_rows_data\",\"rows_3_newBadge\":\"0\",\"_rows_3_newBadge\":\"field_brochure-table_rows_newbadge\",\"rows_4_icon\":21397,\"_rows_4_icon\":\"field_brochure-table_rows_icon\",\"rows_4_label\":\"Able to remain safely at home with assistance for activities of daily living (such as bathing, dressing, walking, or preparing food)\",\"_rows_4_label\":\"field_brochure-table_rows_label\",\"rows_4_data\":\"\",\"_rows_4_data\":\"field_brochure-table_rows_data\",\"rows_4_newBadge\":\"0\",\"_rows_4_newBadge\":\"field_brochure-table_rows_newbadge\",\"rows_5_icon\":21397,\"_rows_5_icon\":\"field_brochure-table_rows_icon\",\"rows_5_label\":\"Living in the service area of the plan*\u00a0\",\"_rows_5_label\":\"field_brochure-table_rows_label\",\"rows_5_data\":\"\",\"_rows_5_data\":\"field_brochure-table_rows_data\",\"rows_5_newBadge\":\"0\",\"_rows_5_newBadge\":\"field_brochure-table_rows_newbadge\",\"rows\":6,\"_rows\":\"field_brochure-table_rows\",\"footnote\":\"\",\"_footnote\":\"field_brochure-table_footnote\",\"id\":\"block_acf_64ca83acd2234\"},\"mode\":\"edit\",\"id\":\"block_acf_64ca83acd2234\"} \/-->\n\n<!-- wp:paragraph -->\n<p>You or a member of your family can call us directly to discuss enrollment in the program. If you need help applying for Medicaid, please let us know.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>*The VNS Health MLTC service area includes these counties: Albany, Bronx, Columbia, Delaware, Dutchess, Erie, Fulton, Greene, Herkimer, Kings (Brooklyn), Madison, Monroe, Montgomery, Nassau, New York (Manhattan), Oneida, Onondaga, Orange, Otsego, Putnam, Queens, Rensselaer, Richmond (Staten Island), Rockland, Saratoga, Schenectady, Schoharie, Suffolk, Sullivan, Ulster, Warren, Washington, and Westchester. <\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:acf\/banner-in-body {\"name\":\"acf\/banner-in-body\",\"data\":{\"background_color\":\"dark-blue-500\",\"_background_color\":\"field_banner-in-body_background_color\",\"heading\":\"For more information, call 1-855-282-4642 (TTY: 711).\",\"_heading\":\"field_banner-in-body_heading\",\"subheading\":\"\",\"_subheading\":\"field_banner-in-body_subheading\",\"description\":\"\",\"_description\":\"field_banner-in-body_description\",\"button_heading\":\"\",\"_button_heading\":\"field_banner-in-body_button_heading\",\"button\":\"\",\"_button\":\"field_banner-in-body_button\",\"id\":\"block_acf_64ca83acd2299\"},\"mode\":\"edit\",\"id\":\"block_acf_64ca83acd2299\"} \/-->",
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"post_content": "<!-- wp:paragraph -->\n<p>Looking for more in-depth information about the VNS Health MLTC health plan? You\u2019ll find it here. 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"post_content": "<!-- wp:paragraph -->\n<p>VNS Health MLTC was created to help you live safely in the comfort of your own home and community, where you belong. To find out more, just call us, or have a family member call us. We\u2019ll be happy to answer any questions you may have about the plan.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:acf\/banner-in-body {\"name\":\"acf\/banner-in-body\",\"data\":{\"background_color\":\"dark-blue-with-brand-accent\",\"_background_color\":\"field_banner-in-body_background_color\",\"heading\":\"Learn More or Enroll by Phone\",\"_heading\":\"field_banner-in-body_heading\",\"subheading\":\"\",\"_subheading\":\"field_banner-in-body_subheading\",\"description\":\"\\u003cp\\u003e\\u003ca href=\\u0022tel:1-855-282-4642\\u0022\\u003e1-855-282-4642\\u003c\/a\\u003e\\u003cbr \/\\u003e\\r\\nTTY users, call: \\u003ca href=\\u0022tel:711\\u0022\\u003e711\\u003c\/a\\u003e\\u003cbr \/\\u003e\\r\\nMonday\u2013Friday, 9 am\u20135 pm\\u003c\/p\\u003e\",\"_description\":\"field_banner-in-body_description\",\"button_heading\":\"\",\"_button_heading\":\"field_banner-in-body_button_heading\",\"button\":{\"title\":\"Contact Us\",\"url\":\"https:\/\/www.vnshealthplans.org\/contact-us\/\",\"target\":\"\"},\"_button\":\"field_banner-in-body_button\"},\"mode\":\"edit\"} \/-->\n\n<!-- wp:paragraph -->\n<p><br>For more information on enrolling in an MLTC plan, contact the New York Independent Assessor (NYIA) at <a href=\"tel:1-855-222-8350\">1-855-222-8350<\/a> (TTY: <a href=\"tel:1-888-329-1541\">1-888-329-1541<\/a>).<\/p>\n<!-- \/wp:paragraph -->",
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"post_content": "<!-- wp:paragraph -->\n<p>VNS Health MLTC includes all the Medicaid long-term care and other health related services you need to live well at home and in your community, including:<br><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:columns -->\n<div class=\"wp-block-columns\"><!-- wp:column -->\n<div class=\"wp-block-column\"><!-- wp:list -->\n<ul><!-- wp:list-item -->\n<li>Care coordination from a dedicated care manager<\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li>Professional nursing care<\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li>24\/7 Nurse Support Line<\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li>Home care \u2014 nursing, home health aide, social work<\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li>Rehabilitation therapies (physical, occupational, and speech therapies) either at home or at a facility<\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li>Medication management<\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li>Personal care<\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li>Chore services and housekeeping<\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li>Personal emergency response systems<\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li>Home-delivered meals<\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li>Telehealth<br> <\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list --><\/div>\n<!-- \/wp:column -->\n\n<!-- wp:column -->\n<div class=\"wp-block-column\"><!-- wp:list -->\n<ul><!-- wp:list-item -->\n<li>Nutritional counseling<\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li>Adult day health care<\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li>Social adult day care<\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li>Medical equipment and supplies<\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li>Respiratory therapy and oxygen<\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li>Home safety modifications\/improvements<\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li>Prosthetics and orthotics<\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li>Dental care<\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li>Eye exams and glasses<\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li>Foot care<\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li>Hearing exams and hearing aids<\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li>Nursing home care (certain Medicaid restrictions may apply)<\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li>Consumer Directed Personal Assistance Program<\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list --><\/div>\n<!-- \/wp:column --><\/div>\n<!-- \/wp:columns -->",
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Use in stores, or get home delivery.*\\r\\n\",\"_cards_0_description\":\"field_stats_cards_description\",\"cards_1_icon\":20323,\"_cards_1_icon\":\"field_stats_cards_icon\",\"cards_1_superheading\":\"Help with Oral Care\",\"_cards_1_superheading\":\"field_stats_cards_superheading\",\"cards_1_stat\":\"\\u003cp\\u003eDental\\u003c\/p\\u003e\",\"_cards_1_stat\":\"field_stats_cards_stat\",\"cards_1_description\":\"Get $0 preventative care** AND up to $3,000\/year for comprehensive services.\\u003c\/br\\u003e\",\"_cards_1_description\":\"field_stats_cards_description\",\"cards_2_icon\":20318,\"_cards_2_icon\":\"field_stats_cards_icon\",\"cards_2_superheading\":\"Help with Utilities And More\",\"_cards_2_superheading\":\"field_stats_cards_superheading\",\"cards_2_stat\":\"\\u003cp\\u003eFlex Debit Card\\u003c\/p\\u003e\",\"_cards_2_stat\":\"field_stats_cards_stat\",\"cards_2_description\":\"Get up to $760\/year toward certain utilities and dental, hearing, and vision expenses. You choose how to use it.*\",\"_cards_2_description\":\"field_stats_cards_description\",\"cards\":3,\"_cards\":\"field_stats_cards\",\"button\":{\"title\":\"See More Great Benefits\",\"url\":\"https:\/\/www.vnshealthplans.org\/our-plans\/vns-health-total\/benefits\/\",\"target\":\"\"},\"_button\":\"field_stats_button\",\"id\":\"block_acf_65bd3bfe45739\"},\"mode\":\"edit\",\"id\":\"block_acf_65bd3bfe45739\"} \/-->\n\n<!-- wp:columns -->\n<div class=\"wp-block-columns\"><!-- wp:column {\"width\":\"66.66%\"} -->\n<div class=\"wp-block-column\" style=\"flex-basis:66.66%\"><!-- wp:acf\/checklist-info {\"name\":\"acf\/checklist-info\",\"data\":{\"heading\":\"\",\"_heading\":\"field_checklist-info_heading\",\"description\":\"\",\"_description\":\"field_checklist-info_description\",\"center_checklist\":\"0\",\"_center_checklist\":\"field_checklist-info_center_checklist\",\"checklist_0_heading\":\"Easy to Use \",\"_checklist_0_heading\":\"field_checklist-info_checklist_heading\",\"checklist_0_text\":\"\\u003cp\\u003e\\u003cspan class=\\u0022TextRun SCXW207520994 BCX9\\u0022 lang=\\u0022EN-US\\u0022 xml:lang=\\u0022EN-US\\u0022 data-contrast=\\u0022none\\u0022\\u003e\\u003cspan class=\\u0022NormalTextRun SCXW207520994 BCX9\\u0022\\u003eTotal brings together Medicare Advantage and Medicaid Managed Long Term Care into one simple health plan. You get one plan instead of two \u2014 with one ID card and one Care Team focused on you.\\u003c\/span\\u003e\\u003c\/span\\u003e\\u003cspan class=\\u0022EOP SCXW207520994 BCX9\\u0022 data-ccp-props=\\u0022{\\u0026quot;201341983\\u0026quot;:0,\\u0026quot;335559739\\u0026quot;:0,\\u0026quot;335559740\\u0026quot;:240}\\u0022\\u003e\u00a0\\u003c\/span\\u003e\\u003c\/p\\u003e\",\"_checklist_0_text\":\"field_checklist-info_checklist_text\",\"checklist_1_heading\":\"Extras for Healthy Living \",\"_checklist_1_heading\":\"field_checklist-info_checklist_heading\",\"checklist_1_text\":\"\\u003cp\\u003e\\u003cspan class=\\u0022TrackChangeTextInsertion TrackedChange SCXW199605954 BCX9\\u0022\\u003e\\u003cspan class=\\u0022TrackedChange SCXW199605954 BCX9\\u0022\\u003e\\u003cspan class=\\u0022TextRun Highlight SCXW199605954 BCX9\\u0022 lang=\\u0022EN-US\\u0022 xml:lang=\\u0022EN-US\\u0022 data-contrast=\\u0022none\\u0022\\u003e\\u003cspan class=\\u0022NormalTextRun SCXW199605954 BCX9\\u0022\\u003eTotal\\u003c\/span\\u003e\\u003c\/span\\u003e\\u003c\/span\\u003e\\u003c\/span\\u003e\\u003cspan class=\\u0022TrackChangeTextInsertion TrackedChange SCXW199605954 BCX9\\u0022\\u003e\\u003cspan class=\\u0022TrackedChange SCXW199605954 BCX9\\u0022\\u003e\\u003cspan class=\\u0022TextRun Highlight SCXW199605954 BCX9\\u0022 lang=\\u0022EN-US\\u0022 xml:lang=\\u0022EN-US\\u0022 data-contrast=\\u0022none\\u0022\\u003e\\u003cspan class=\\u0022NormalTextRun SCXW199605954 BCX9\\u0022\\u003e includes:\\u003c\/span\\u003e\\u003c\/span\\u003e\\u003c\/span\\u003e\\u003c\/span\\u003e\\u003c\/p\\u003e\\r\\n\\u003cul\\u003e\\r\\n\\t\\u003cli\\u003eA debit card you can use to buy OTC health items and groceries* \u2014 $266\/month ($3,192\/year). Use the card in local stores, or get easy home delivery.\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eSilverSneakers\\u003csup\\u003e\u00ae\\u003c\/sup\\u003e\u202ffitness program \u2014 with gym memberships and online classes.\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eAnd more!\\u003c\/li\\u003e\\r\\n\\u003c\/ul\\u003e\",\"_checklist_1_text\":\"field_checklist-info_checklist_text\",\"checklist_2_heading\":\"Your Own Care Team \",\"_checklist_2_heading\":\"field_checklist-info_checklist_heading\",\"checklist_2_text\":\"\\u003cp\\u003e\\u003cspan class=\\u0022TextRun SCXW229816441 BCX9\\u0022 lang=\\u0022EN-US\\u0022 xml:lang=\\u0022EN-US\\u0022 data-contrast=\\u0022none\\u0022\\u003e\\u003cspan class=\\u0022NormalTextRun SCXW229816441 BCX9\\u0022\\u003eAs a Total member, you\u2019ll have a team of specialized health professionals who will work with you and your doctor to coordinate your care and connect you with the services you need. Your Care Team is led by a care manager, who is a \\u003c\/span\\u003e\\u003cspan class=\\u0022NormalTextRun SCXW229816441 BCX9\\u0022\\u003eregistered nurse or a social worker.\\u003c\/span\\u003e\\u003c\/span\\u003e\\u003cspan class=\\u0022EOP SCXW229816441 BCX9\\u0022 data-ccp-props=\\u0022{\\u0026quot;201341983\\u0026quot;:0,\\u0026quot;335559739\\u0026quot;:0,\\u0026quot;335559740\\u0026quot;:240}\\u0022\\u003e\u00a0\\u003c\/span\\u003e\\u003c\/p\\u003e\",\"_checklist_2_text\":\"field_checklist-info_checklist_text\",\"checklist\":3,\"_checklist\":\"field_checklist-info_checklist\",\"button_link\":\"\",\"_button_link\":\"field_checklist-info_button_link\",\"id\":\"block_acf_65bd3bfe48063\"},\"mode\":\"edit\",\"id\":\"block_acf_65bd3bfe48063\"} \/-->\n\n<!-- wp:paragraph -->\n<p><em>*<em>This benefit is part of special supplemental program for the chronically ill and not all members qualify. <\/em>Other types of goods and services not eligible.<\/em><br><em>**Preventive care covered by Medicaid.<\/em><\/p>\n<!-- \/wp:paragraph --><\/div>\n<!-- \/wp:column -->\n\n<!-- wp:column {\"width\":\"33.33%\"} -->\n<div class=\"wp-block-column\" style=\"flex-basis:33.33%\"><!-- wp:acf\/form-script {\"name\":\"acf\/form-script\",\"data\":{\"embed_script\":\"\\u003cscript type=\\u0022text\/javascript\\u0022 id=\\u0022jsFastForms\\u0022 src=\\u0022https:\/\/choice-vnsny.my.salesforce-sites.com\/\/services\/apexrest\/VisualAntidote\/FFNEngine\/v1\/?d=VHpoFJO0%2F%2BeqqmShwFNEow%3D%3D\\u0022\\u003e\\u003c\/script\\u003e\",\"_embed_script\":\"field_form-script_embed_script\",\"no_script_warning_text\":\"Please enable Javascript to fill out this form.\",\"_no_script_warning_text\":\"field_form-script_no_script_warning_text\",\"background_color\":\"blue-cyan\",\"_background_color\":\"field_form-script_background_color\",\"id\":\"block_acf_65bd3bfe480dc\"},\"mode\":\"edit\",\"id\":\"block_acf_65bd3bfe480dc\"} \/--><\/div>\n<!-- \/wp:column --><\/div>\n<!-- \/wp:columns -->",
"post_title": "What Is VNS Health Total?",
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"post_date": "2020-07-23 21:41:20",
"post_date_gmt": "2020-07-23 21:41:20",
"post_content": "<!-- wp:paragraph -->\n<p>To learn more about VNS Health Total (HMO D-SNP), just give us a call. We\u2019ll answer any questions you may have. <\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>If you\u2019d like help deciding if the plan is right for you, or if you are ready to enroll, one of our specialists is ready to help.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:list -->\n<ul><!-- wp:list-item -->\n<li>You can talk with a specialist and enroll right over the phone.<\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li>If you prefer to meet in person, one of our specialists will be happy to come to you.<\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list -->\n\n<!-- wp:paragraph -->\n<p>VNS Health Total is a health plan for people who have both Medicare Parts A and B and Medicaid and who need long-term-care services to remain safely at home. Eligibility is determined through a clinical assessment. You must be eligible for nursing home level of care as of the time of enrollment, based on the Community Health Assessment. Final plan enrollment is determined by New York Medicaid Choice.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:acf\/banner-in-body {\"name\":\"acf\/banner-in-body\",\"data\":{\"background_color\":\"dark-blue-with-brand-accent\",\"_background_color\":\"field_banner-in-body_background_color\",\"heading\":\"Learn More or Enroll by Phone\",\"_heading\":\"field_banner-in-body_heading\",\"subheading\":\"\",\"_subheading\":\"field_banner-in-body_subheading\",\"description\":\"\\u003cp\\u003e\u00a0\\u003ca href=\\u0022tel:1-866-414-6715\\u0022\\u003e1-866-414-6715\\u003c\/a\\u003e\\u003cbr \/\\u003e\\r\\nTTY users, call: \\u003ca href=\\u0022tel:711\\u0022\\u003e711\\u003c\/a\\u003e\\u003cbr \/\\u003e\\r\\n7 days a week, 8 am\u20138 pm\\u003c\/p\\u003e\",\"_description\":\"field_banner-in-body_description\",\"button_heading\":\"For after-hours questions: \",\"_button_heading\":\"field_banner-in-body_button_heading\",\"button\":{\"title\":\"Contact Us\",\"url\":\"https:\/\/www.vnshealthplans.org\/inquiry-form\/\",\"target\":\"\"},\"_button\":\"field_banner-in-body_button\",\"id\":\"block_acf_65198fcd02bae\"},\"mode\":\"edit\",\"id\":\"block_acf_65198fcd02bae\"} \/-->\n\n<!-- wp:paragraph -->\n<p><\/p>\n<!-- \/wp:paragraph -->",
"post_title": "Getting Started with VNS Health Total",
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"post_date": "2020-07-23 21:33:00",
"post_date_gmt": "2020-07-23 21:33:00",
"post_content": "<!-- wp:paragraph -->\n<p>Check below for important information about the Part D transition process, prior authorizations, the step therapy criteria for Part D Medicare, and the coverage determination and redetermination processes.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p><a href=\"https:\/\/www.vnshealthplans.org\/for-members-vnsny-choice-total\/frequently-asked-questions\/#what-should-i-do-if-i-need-assistance-with-applying-for-low-income-subsidies-lis\">You can also find out more about getting Extra Help with your prescription drug coverage<\/a>.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:acf\/resources {\"name\":\"acf\/resources\",\"data\":{\"resource_groups_0_heading\":\"Prescription Drug Resources 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"post_content": "<!-- wp:paragraph -->\n<p>Looking for more in-depth information about your VNS Health Total (HMO D-SNP) plan? You\u2019ll find it here, along with forms and other tools and materials.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>If you have questions about any of the materials listed here, call us at <a href=\"tel:1-866-414-6715\">1-866-414-6715<\/a> (TTY: <a href=\"tel:711\">711<\/a>) 7 days a week, 8 am\u20138 pm. 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"post_content": "<!-- wp:paragraph -->\n<p>VNS Health Total (HMO D-SNP) combines Medicare Advantage and Medicaid Long Term Care for people who need help with day-to-day tasks (such as bathing, dressing, walking, and preparing food) to remain safely in their homes and communities.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>With VNS Health Total, there is $0 cost to you \u2014 $0 plan premiums, $0 deductibles, and $0 copays for services you receive from our network of providers. 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Other types of goods and services not eligible.\\u003c\/em\\u003e\\u003cbr \/\\u003e\\r\\n\\u003cem\\u003e***Preventive dental care is covered by Medicaid.\\u003cbr \/\\u003e\\r\\n^Additional acupuncture visits for chronic low back pain are covered by Medicare.\u00a0\\u003cbr \/\\u003e\\r\\n\\u003cbr \/\\u003e\\r\\n\\u003c\/em\\u003e\\u003c\/p\\u003e\",\"_footnote\":\"field_brochure-table_footnote\",\"id\":\"block_acf_661698e62e20e\"},\"mode\":\"edit\",\"id\":\"block_acf_661698e62e20e\"} \/-->\n\n<!-- wp:paragraph -->\n<p>For more information about the many benefits of Total, see the Summary of Benefits and Evidence of Coverage in the <a href=\"https:\/\/www.vnshealthplans.org\/our-plans\/vns-health-total\/vns-health-total-2024-plan-materials\/\">Plan Material<\/a>s section.<\/p>\n<!-- \/wp:paragraph -->",
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"post_content": "<!-- wp:paragraph -->\n<p>Looking for more in-depth information about the VNS Health Total (HMO D-SNP) health plan? You\u2019ll find it here. 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"post_content": "<!-- wp:paragraph -->\n<p>On this page, you can find links to tools, forms, and useful information to help you stay on top of your medications. <\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:acf\/cta-repeater-banner {\"name\":\"acf\/cta-repeater-banner\",\"data\":{\"banners_0_icon\":20334,\"_banners_0_icon\":\"field_cta-repeater-banner_banners_icon\",\"banners_0_heading\":\"Look Up a Medication or Find a Network Pharmacy\",\"_banners_0_heading\":\"field_cta-repeater-banner_banners_heading\",\"banners_0_description\":\"\",\"_banners_0_description\":\"field_cta-repeater-banner_banners_description\",\"banners_0_button\":{\"title\":\"Search our drug list and pharmacy network\",\"url\":\"http:\/\/openenrollment.medimpact.com\/#\/plancode?vns01202001\",\"target\":\"\"},\"_banners_0_button\":\"field_cta-repeater-banner_banners_button\",\"banners_0_buttons_0_button\":{\"title\":\"Search Our Drug and Pharmacy List \",\"url\":\" 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"post_content": "<!-- wp:acf\/hero {\n \"id\": \"block_5f189b8757435\",\n \"name\": \"acf\\\/hero\",\n \"data\": {\n \"background_image_image\": \"\",\n \"_background_image_image\": \"field_hero_background_image_image\",\n \"background_image_caption\": \"\",\n \"_background_image_caption\": \"field_hero_background_image_caption\",\n \"background_image\": \"\",\n \"_background_image\": \"field_hero_background_image\",\n \"heading\": \"Member Resources \",\n \"_heading\": \"field_hero_heading\",\n \"subheading\": \"\",\n \"_subheading\": \"field_hero_subheading\",\n \"text\": \"\",\n \"_text\": \"field_hero_text\",\n \"button\": \"\",\n \"_button\": \"field_hero_button\"\n },\n \"mode\": \"edit\",\n \"wpClassName\": \"wp-block-acf-hero\"\n} \/-->\n\n<!-- wp:acf\/plan-set {\n \"id\": \"block_61118f53e951a\",\n \"name\": \"acf\\\/plan-set\",\n \"data\": {\n \"heading\": \"\",\n \"_heading\": \"field_plan-set_heading\",\n \"subheading\": \"\",\n \"_subheading\": 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"post_date": "2020-08-03 19:33:45",
"post_date_gmt": "2020-08-03 19:33:45",
"post_content": "<!-- wp:paragraph -->\n<p><strong>SERVICE AUTHORIZATIONS<\/strong><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>A member or provider can request Prior Authorization for a new service, whether for a new authorization period or within an existing authorization period, or a request to change a service as determined in the plan of care for a new authorization period.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>An Expedited Prior Authorization Request will be decided within 72 hours of receipt of request for services if the plan determines or the provider indicates that a delay would seriously jeopardize the member\u2019s life or health or ability to attain, maintain, or regain maximum function.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>A Standard Prior Authorization Request will be decided within 3 business days of receipt of all necessary information, but no more than 14 days of receipt of request for services.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>A Concurrent Review is a request by the member or provider on the member\u2019s behalf for additional services that are currently authorized or home care following an inpatient hospitalization.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>An Expedited Concurrent Review Request will be decided within 1 business day of receipt of all necessary information, but no more than 72 hours of receipt of request for services.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>A Standard Concurrent Review Request will be decided within 1 business day of receipt of all necessary information, but no more than 14 days of receipt of request for services.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>In the case of a request for Medicaid home health care covered services following an inpatient admission, 1 business day after receipt of necessary of necessary information; except when the day subsequent to the request for services falls on a weekend or holiday, 72 hours after receipt of necessary information; but in any event no more than 3 business days after receipt of the request for services.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>Extension up to 14 calendar days may be requested by the member or provider on the member\u2019s behalf written or verbal. The plan may also initiate an extension if it can justify need for additional information and if the extension is in the member\u2019s interest.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>If the plan denies a member\u2019s request for an expedited review, the plan will handle as a standard review. Members or providers may appeal plan decisions (see appeal procedures below).<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p><strong>The State of New York has created a participant ombudsman program called the Independent Consumer Advocacy Network (ICAN) to provide Participants free, confidential assistance on any services offered by VNS Health MLTC. ICAN may be reached toll-free at 1-844-614-8800 or online at <\/strong><a href=\"http:\/\/www.icannys.org\/\" target=\"_blank\" rel=\"noreferrer noopener\"><strong>www.icannys.org<\/strong><\/a><strong>.<\/strong><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p><strong>FILING AN APPEAL<\/strong><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>An appeal is the type of complaint you make when you want us to reconsider or change a plan decision. For example, you could file an appeal if:<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:list -->\n<ul><!-- wp:list-item -->\n<li>We refuse to cover or pay for a service you think we should cover.<\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li>We or one of our providers refuses to give you a service you think should be covered.<\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li>We or one of our plan providers reduces or cuts back on a service you have been receiving.<\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li>You think we are stopping your coverage for a service too soon.<\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list -->\n\n<!-- wp:paragraph -->\n<p>To file an appeal, write to:<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>VNS Health<br>Health Plans \u2013 MLTC Grievance and Appeals<br>P.O. Box 445<br>Elmsford, NY 10523<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>An appeal may be filed orally or in writing. Appeals must be requested within sixty (60) days of the date of the notice of adverse benefit determination, which is a plan decision notice that is not fully in a member\u2019s favor.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p><strong>Aid Continuing while appealing a decision about your care:<\/strong><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>Members have the right upon timely filing of an appeal \u2014 10 days of the notice of adverse benefit determination or by the effective date of the adverse determination, whichever is later \u2014 for Aid Continuing. Aid Continuing applies when:<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:list -->\n<ul><!-- wp:list-item -->\n<li>If the plan decides to terminate, suspend, or reduce a previously authorized service during the period for which a service was approved; or<\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li>If a member is in receipt of long-term services and supports or nursing home services (long or short) and the plan decides to partially approve, terminate or suspend, or reduce the level or quantity of long-term services and supports or nursing home stay (long and short) for a subsequent authorization period of such service. <\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list -->\n\n<!-- wp:paragraph -->\n<p>You can also call your Care Team at 1-888-867-6555 (TTY\/TDD users, please call 711), if you need help filing an action appeal. Interpreter services are also available.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p><strong>WHAT IS THE DIFFERENCE BETWEEN A \u201cSTANDARD\u201d AND AN \u201cEXPEDITED\u201d APPEAL FOR MEDICAL CARE?<\/strong><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>If you or your provider feels that taking the time for a standard appeal could result in a serious problem to your health or life, you may ask for an expedited review of your appeal of the adverse benefit determination. We will respond to you within 72 hours of receiving your appeal request. The review period may be extended up to 14 days if you request an extension or if we need more information and the delay is in your best interest. The plan will make all reasonable efforts to give prompt oral notice of an extension and written notice within 2 calendar days. A decision about whether we will cover medical care can be a \u201cstandard decision\u201d that is made within the standard time frame of 30 calendar days of receipt of the appeal request. The plan will send a written acknowledgment of appeal within 15 days of receipt. If a decision is reached before the written acknowledgment is sent, the plan will include the written acknowledgment with the notice of decision (one notice).<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p><strong>WHAT IF A MEMBER\u2019S REQUEST FOR AN EXPEDITED REVIEW IS DENIED?<\/strong><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>If we deny a member\u2019s request to file an expedited appeal, the appeal will be processed under the standard timeframe and a determination will be made within 30 calendar days. The Plan will notify the member orally that their expedited request will be handled under the standard timeframe and will send a written notice of our decision to deny the expedited appeal request within 2 calendar days of receiving the request.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p><strong>WHAT IS A STATE FAIR HEARING?<\/strong><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>Members have the right to request a State Fair Hearing and have their case reviewed by an Administrative Law Judge from the NYS Office of Temporary and Disability Assistance (OTDA) if the Plan\u2019s decision about an appeal is not in fully in the member\u2019s favor. A Fair Hearing must be requested within 120 days of the plan\u2019s appeal decision. OTDA will issue a written decision to either uphold or reverse the plan\u2019s decision. However, the State of New York requires that members exhaust the plan\u2019s internal appeal process before a fair hearing is requested.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p><strong>WHAT IS AN EXTERNAL APPEAL?<\/strong><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>If an appeal is denied because it is determined that the service is not medically necessary, is experimental or investigational, or the services could be provided by an in-network provider, members may file an external appeal with New York State. Members have the right to file an external appeal within 4 months of the notice of appeal decision. The external appeal is decided by external reviewers who do not work for us or New York State. These reviewers are qualified people approved by New York State. You do not have to pay for an external appeal. Your external appeal will be decided within 30 days. More time (up to 5 business days) may be needed if the external appeal reviewer asks for more information. You can get a faster decision (expedited external appeal) if your doctor can say that a delay will cause serious harm to your health. The external appeal reviewer will decide an expedited appeal in 3 calendar days or less. The reviewer will tell you and the plan the decision right away by phone or fax; followed by a letter with the decision. You may request both a State Fair Hearing and external appeal at the same time. If you ask for both a Fair Hearing and external appeal, the decision of the Fair Hearing Officer is the final decision.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p><strong>FILING A COMPLAINT<\/strong><br><br>A complaint is an expression of dissatisfaction with any matter other than a \u201cPlan Decision\u201d by the member or provider on the member\u2019s behalf about care and treatment. For example, you could file a complaint if:<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:list -->\n<ul><!-- wp:list-item -->\n<li>You are having a problem with the quality of your care.<\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li>You are unable to reach someone by phone or get the information you need.<\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li>You have trouble scheduling appointments in a timely manner.<\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li>You have a problem with receiving your services or items in a timely manner.<\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list -->\n\n<!-- wp:paragraph -->\n<p><strong>Expedited and Standard Complaint and Complaint Appeal<\/strong><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>The plan will send a written acknowledgment of the complaint within 15 business days of receipt. If a decision is reached before the written acknowledgment is sent, the plan may include the written acknowledgment with the notice of decision (one notice).<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>An expedited complaint will be decided as fast as the member\u2019s condition requires, but no more than 48 hours of receipt of all necessary information or 7 calendar days of receipt of the complaint. The Plan will notify members of the decision by phone and in writing within 3 business days of the decision.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>A Standard complaint will be decided 45 calendar days of receipt of all necessary information but no more than 60 calendar days of receipt of the complaint. <\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>Members have 60 business days after receipt of a complaint decision to file a written complaint appeal. Expedited complaint appeals will be decided within 2 business days of receipt of all necessary information. Standard complaint appeals will be decided within 30 business days of receipt of all necessary information. There is no further complaint levels after a complaint appeal.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>You can file a complaint orally by calling your Care Team at 1-888-867-6555. (TTY\/TDD users, please call 711). Interpreter services are also available or in writing at:<br>VNS Health<br>Health Plans \u2013 MLTC Grievance and Appeals<br>P.O. Box 445<br>Elmsford, NY 10523<\/p>\n<!-- \/wp:paragraph -->",
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"post_date": "2021-11-30 09:19:45",
"post_date_gmt": "2021-11-30 14:19:45",
"post_content": "<!-- wp:spacer {\"height\":\"40px\"} -->\n<div style=\"height:40px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n<!-- \/wp:spacer -->\n\n<!-- wp:acf\/form-script {\"name\":\"acf\/form-script\",\"data\":{\"embed_script\":\"\\u003cscript type=\\u0022text\/javascript\\u0022 id=\\u0022jsFastForms\\u0022 src=\\u0022https:\/\/choice-vnsny.my.salesforce-sites.com\/\/services\/apexrest\/VisualAntidote\/FFNEngine\/v1\/?d=YZhXOBd3%2B9eLALRIsiHNoQ%3D%3D\\u0022\\u003e\\u003c\/script\\u003e\",\"_embed_script\":\"field_form-script_embed_script\",\"no_script_warning_text\":\"Please enable Javascript to fill out this form.\",\"_no_script_warning_text\":\"field_form-script_no_script_warning_text\",\"background_color\":\"gray-200\",\"_background_color\":\"field_form-script_background_color\",\"id\":\"block_acf_64138f2855c9f\"},\"mode\":\"edit\",\"id\":\"block_acf_64138f2855c9f\"} \/-->",
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"ID": 10735,
"post_author": "3",
"post_date": "2021-08-04 11:44:51",
"post_date_gmt": "2021-08-04 15:44:51",
"post_content": "<!-- wp:heading {\"level\":1} -->\n<h1 id=\"h-need-extra-financial-help\">Need Extra Financial Help?<\/h1>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p>As a member of VNS Health Medicare, you may be able to get extra help to pay for your prescription drug premiums and costs. To see if you qualify for extra help, please call:<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:list -->\n<ul><li><strong>1-800-MEDICARE (1-800-633-4227)<\/strong>. TTY users, call 1-877-486-2048, 24 hours a day, 7 days a week.<\/li><li><strong>The Social Security Office<\/strong> at 1-800-772-1213, Monday\u2013Friday, 7 am\u20137 pm. TTY users, call 1-800-325-0778.<\/li><li><strong>Your Medicaid Office<\/strong>. Individuals with full benefit Medicaid automatically qualify for extra help. Others may qualify as well.<\/li><\/ul>\n<!-- \/wp:list -->",
"post_title": "Need Extra Help?",
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"post_date": "2023-03-28 13:43:17",
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"post_content": "<!-- wp:paragraph -->\n<p><strong>March 28, 2023 <\/strong>\u00a0\u2013 On Tuesday, February 14, 2023, VNS CHOICE, doing business as VNS Health Health Plans (\u201cVNS\u201d), was notified of a data event experienced by its former vendor, Independent Living Systems, LLC (\u201cILS\u201d).\u00a0 ILS provided nutritional counseling services to certain VNS members.\u00a0 This data event impacted several different health plans and may have impacted the privacy of certain VNS members\u2019 personal and\/or protected health information (\u201cPHI\u201d).\u00a0 VNS is providing information about the event and ILS\u2019s response.\u00a0\u00a0<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p><strong>What Happened?<\/strong> On July 5, 2022, ILS experienced an incident involving the inaccessibility of certain computer systems on its network. ILS responded to the incident immediately and began an investigation with the assistance of outside cybersecurity specialists. Through its response efforts, ILS learned that an unauthorized actor obtained access to certain ILS systems between June 30 and July 5, 2022. During that period, some information stored on the ILS network was acquired by the unauthorized actor, and other information was accessible and potentially viewed. Upon containing the incident and reconnecting its computer systems, ILS conducted a comprehensive review to understand the scope of potentially affected information and identify the individuals to whom such information relates. ILS received the results of this review on January 17, 2023, and then worked as quickly as possible to validate the results and provide notice to potentially impacted individuals and entities. <\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p><strong>What Information was Affected?<\/strong> The types of impacted information vary by individual and could have included: name, address, date of birth, Social Security number, medical record number, Medicare or Medicaid identification, CIN#, mental or physical treatment\/condition information, food delivery information, diagnosis code or diagnosis information, admission\/discharge date, prescription information, billing\/claims information, patient name, and health insurance information. ILS has indicated that it is unaware of any identity theft or fraud resulting from this event. In accordance with best practices, we encourage you to review your account statements, explanations of benefits, and credit reports carefully for unexpected activity and to report any questionable activity to the associated institutions immediately.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p><strong>What ILS Is Doing.<\/strong> ILS takes this incident and the security of information entrusted to it very seriously. In response to the incident, ILS promptly took steps to mitigate any risk of compromise to information and better prevent a similar event from reoccurring. These actions included: (1) fortifying the security of its firewall; (2) utilizing the forensic specialists engaged to monitor its network and remediate any suspicious activity identified; (3) rotating and increasing the complexity of all users\u2019 credentials, and (4) providing notification to potentially affected individuals as quickly as possible. ILS is also enhancing its existing training protocols and other internal procedures that relate to data protection and security. <\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>ILS previously notified potentially affected individuals on September 2, 2022 by posting a preliminary notice of this data event on its website. Additionally, ILS previously provided preliminary notice to its primary state and federal regulators. Now that its review and validation efforts are complete, ILS notified potentially affected individuals via a media release, posting supplemental notice on its website, and mailing letters to potentially affected individuals for whom ILS has address information on behalf of VNS. The supplemental notice on ILS\u2019s website is available online here: <a href=\"https:\/\/ilshealth.com\/supplemental-data-notice\/\">https:\/\/ilshealth.com\/supplemental-data-notice\/<\/a> ILS is also providing supplemental notice to its primary state and federal regulators, initial notice to certain additional state regulators (as required), and initial notice to the three major consumer reporting agencies (<em>i.e.<\/em>, Equifax, Experian, and TransUnion). VNS is providing this substitute notice to supplement ILS\u2019s notices. <\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p><strong>What Affected Individuals Can Do.<\/strong> We encourage potentially affected individuals to remain vigilant against incidents of identity theft and fraud by reviewing their account statements, explanations of benefits, and credit reports carefully for unexpected activity and to report any questionable activity to the associated institutions immediately. Additional information can be found below in the <em>Steps You Can Take to Protect Information<\/em>. <\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p><strong>For More Information.<\/strong> For individuals seeking additional information regarding this event, a toll-free assistance line has been established. Individuals may call 800-906-7238 toll-free Monday through Friday from 8 am \u2013 10 pm Central, or Saturday and Sunday from 10 am \u2013 7 pm Central (excluding major U.S. holidays). Be prepared to provide your engagement number B086938. You may also write to ILS at P.O. Box 667955, Miami, FL 33166. <\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>VNS sincerely regrets any concern this incident may cause for any VNS member. VNS takes information security very seriously. VNS has terminated its relationship with ILS and will continue to take all appropriate action with respect to this incident. <\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:heading -->\n<h2 id=\"h-steps-you-can-take-to-protect-information\"><strong>Steps You Can Take To Protect Information<\/strong><\/h2>\n<!-- \/wp:heading -->\n\n<!-- wp:heading {\"level\":3} -->\n<h3><strong>Monitor Your Accounts<\/strong><\/h3>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p>Under U.S. law, a consumer is entitled to one free credit report annually from each of the three major credit reporting bureaus, Equifax, Experian, and TransUnion. To order your free credit report, visit www.annualcreditreport.com or call, toll-free, 1-877-322-8228. You may also directly contact the three major credit reporting bureaus listed below to request a free copy of your credit report.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>Consumers have the right to place an initial or extended \u201cfraud alert\u201d on a credit file at no cost. An initial fraud alert is a 1-year alert that is placed on a consumer\u2019s credit file. Upon seeing a fraud alert display on a consumer\u2019s credit file, a business is required to take steps to verify the consumer\u2019s identity before extending new credit. If you are a victim of identity theft, you are entitled to an extended fraud alert, which is a fraud alert lasting seven years. Should you wish to place a fraud alert, please contact any one of the three major credit reporting bureaus listed below.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>As an alternative to a fraud alert, consumers have the right to place a \u201ccredit freeze\u201d on a credit report, which will prohibit a credit bureau from releasing information in the credit report without the consumer\u2019s express authorization. The credit freeze is designed to prevent credit, loans, and services from being approved in your name without your consent. However, you should be aware that using a credit freeze to take control over who gets access to the personal and financial information in your credit report may delay, interfere with, or prohibit the timely approval of any subsequent request or application you make regarding a new loan, credit, mortgage, or any other account involving the extension of credit. Pursuant to federal law, you cannot be charged to place or lift a credit freeze on your credit report. To request a credit freeze, you will need to provide the following information:<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:list {\"ordered\":true} -->\n<ol><!-- wp:list-item -->\n<li>Full name (including middle initial as well as Jr., Sr., II, III, etc.);<\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li>Social Security number;<\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li>Date of birth;<\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li>Addresses for the prior two to five years;<\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li>Proof of current address, such as a current utility bill or telephone bill;<\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li>A legible photocopy of a government-issued identification card (state driver\u2019s license or ID card, etc.); and<\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li>A copy of either the police report, investigative report, or complaint to a law enforcement agency concerning identity theft if you are a victim of identity theft.<\/li>\n<!-- \/wp:list-item --><\/ol>\n<!-- \/wp:list -->\n\n<!-- wp:paragraph -->\n<p>Should you wish to place a credit freeze, please contact the three major credit reporting bureaus listed below:<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:table -->\n<figure class=\"wp-block-table\"><table><tbody><tr><td><strong>Equifax<\/strong><\/td><td><strong>Experian<\/strong><\/td><td><strong>TransUnion <\/strong><\/td><\/tr><tr><td>https:\/\/www.equifax.com\/personal\/credit-report-services\/<\/td><td>https:\/\/www.experian.com\/help\/<\/td><td>https:\/\/www.transunion.com\/credit-help<\/td><\/tr><tr><td>888-298-0045<\/td><td>1-888-397-3742<\/td><td>1-800-916-8800<\/td><\/tr><tr><td>Equifax Fraud Alert, P.O. Box 105069 Atlanta, GA 30348-5069<\/td><td>Experian Fraud Alert, P.O. Box 9554, Allen, TX 75013<\/td><td>TransUnion Fraud Alert, P.O. Box 2000, Chester, PA 19016<\/td><\/tr><tr><td>Equifax Credit Freeze, P.O. Box 105788 Atlanta, GA 30348-5788<\/td><td>Experian Credit Freeze, P.O. Box 9554, Allen, TX 75013<\/td><td>TransUnion Credit Freeze, P.O. Box 160, Woodlyn, PA 19094<\/td><\/tr><\/tbody><\/table><\/figure>\n<!-- \/wp:table -->\n\n<!-- wp:heading {\"level\":3} -->\n<h3><strong>Additional Information<\/strong><\/h3>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p>You may further educate yourself regarding identity theft, fraud alerts, credit freezes, and the steps you can take to protect your personal information by contacting the consumer reporting bureaus, the Federal Trade Commission, or your state Attorney General.<strong> <\/strong>The Federal Trade Commission may be reached at: 600 Pennsylvania Avenue NW, Washington, DC 20580; www.identitytheft.gov; 1-877-ID-THEFT (1-877-438-4338); and TTY: 1-866-653-4261. The Federal Trade Commission also encourages those who discover that their information has been misused to file a complaint with them. You can obtain further information on how to file such a complaint by way of the contact information listed above. You have the right to file a police report if you ever experience identity theft or fraud. Please note that in order to file a report with law enforcement for identity theft, you will likely need to provide some proof that you have been a victim. Instances of known or suspected identity theft should also be reported to law enforcement and your state Attorney General. This notice has not been delayed by law enforcement.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p><em>For District of Columbia residents<\/em>, the District of Columbia Attorney General may be contacted at: 400 6th Street, NW, Washington, DC 20001; 202-727-3400; and <a href=\"mailto:[email protected]\">[email protected]<\/a>.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p><em>For Maryland residents<\/em>, the Maryland Attorney General may be contacted at: 200 St. Paul Place, 16th Floor, Baltimore, MD 21202; 1-410-528-8662 or 1-888-743-0023; and <a href=\"http:\/\/www.oag.state.md.us\">www.oag.state.md.us<\/a>. <\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p><em>For New Mexico residents<\/em>,<strong> <\/strong>you have rights pursuant to the Fair Credit Reporting Act, such as the right to be told if information in your credit file has been used against you, the right to know what is in your credit file, the right to ask for your credit score, and the right to dispute incomplete or inaccurate information.\u00a0 Further, pursuant to the Fair Credit Reporting Act, the consumer reporting bureaus must correct or delete inaccurate, incomplete, or unverifiable information; consumer reporting agencies may not report outdated negative information; access to your file is limited; you must give your consent for credit reports to be provided to employers; you may limit \u201cprescreened\u201d offers of credit and insurance you get based on information in your credit report; and you may seek damages from violator.\u00a0 You may have additional rights under the Fair Credit Reporting Act not summarized here.\u00a0 Identity theft victims and active duty military personnel have specific additional rights pursuant to the Fair Credit Reporting Act.\u00a0 We encourage you to review your rights pursuant to the Fair Credit Reporting Act by visiting <a href=\"https:\/\/files.consumerfinance.gov\/f\/201504_cfpb_summary_your-rights-under-fcra.pdf\">www.consumerfinance.gov\/f\/201504_cfpb_summary_your-rights-under-fcra.pdf<\/a>, or by writing Consumer Response Center, Room 130-A, Federal Trade Commission, 600 Pennsylvania Ave. N.W., Washington, D.C. 20580.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p><em>For New York residents, <\/em>the New York Attorney General may be contacted at: Office of the Attorney General, The Capitol, Albany, NY 12224-0341; 1-800-771-7755; or <a href=\"https:\/\/ag.ny.gov\/\">https:\/\/ag.ny.gov\/<\/a>.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p><em>For North Carolina residents<\/em>, the North Carolina Attorney General may be contacted at: 9001 Mail Service Center, Raleigh, NC 27699-9001; 1-877-566-7226 or 1-919-716-6000; and <a href=\"http:\/\/www.ncdoj.gov\/\">www.ncdoj.gov<\/a>. <\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p><em>For Rhode Island residents<\/em>, the Rhode Island Attorney General may be reached at: 150 South Main Street, Providence, RI 02903; <a href=\"http:\/\/www.riag.ri.gov\">www.riag.ri.gov<\/a>; and 1-401-274-4400.\u00a0 Under Rhode Island law, you have the right to obtain any police report filed in regard to this incident.<\/p>\n<!-- \/wp:paragraph -->",
"post_title": "Notice of Independent Living Systems Data Breach",
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"post_date": "2020-07-09 17:27:49",
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"post_content": "VNS Health Health Plans complies with all applicable antidiscrimination laws. We do not exclude people or treat them differently because of race, religion, color, national origin, age, disability, sex, sexual orientation, gender identity, gender expression, or any other bases protected under applicable laws.\n\nOur health plans provides the following:\n<ul>\n \t<li>Free aids and services to people with disabilities to help you communicate with us, such as:\n<ul>\n \t<li>Qualified sign language interpreters<\/li>\n \t<li>Written information in other formats (large print, audio, accessible electronic formats, other formats)<\/li>\n<\/ul>\n<\/li>\n \t<li>Free language services to people whose first language is not English, such as:\n<ul>\n \t<li>Qualified interpreters<\/li>\n \t<li>Information written in other languages<\/li>\n<\/ul>\n<\/li>\n<\/ul>\nIf you need these services, call us at <a href=\"tel:1-888-634-1558\">1-888-634-1558<\/a>. For TTY services, call <a href=\"tel:711\">711<\/a>.\n\nIf you believe that we have not given you these services or treated you differently because of race, religion, color, national origin, age, disability, sex, sexual orientation, gender identity, gender expression or any other basis protected by applicable law, you can file a grievance with us by:\n<ul>\n \t<li>Mail:\nVNS Health\nHealth Plan Compliance\n220 East 42nd Street\nNew York, New York 10017<\/li>\n \t<li>By telephone: <a href=\"tel:1-888-634-1558\">1-888-634-1558<\/a>. (TTY: <a href=\"tel:711\">711<\/a>)<\/li>\n \t<li>In person: Call number above to schedule appointment<\/li>\n \t<li>Fax: 646-459-7729<\/li>\n \t<li>Email: <a href=\"mailto:[email protected]\">[email protected]<\/a><\/li>\n \t<li>On the web: <a class=\"noExitNotifier\" href=\"http:\/\/www.vnshealth.ethicspoint.com\" target=\"_blank\" rel=\"noopener noreferrer\">http:\/\/www.vnshealth.ethicspoint.com<\/a><\/li>\n<\/ul>\nYou can also file a civil rights complaint with the U.S. Department of Health and Human Services, Office for Civil Rights by:\n<ul>\n \t<li>Web: Office for Civil Rights Complaint Portal at\n<a href=\"https:\/\/ocrportal.hhs.gov\/ocr\/portal\/lobby.jsf\" target=\"_blank\" rel=\"noopener noreferrer\">https:\/\/ocrportal.hhs.gov\/ocr\/portal\/lobby.jsf<\/a><\/li>\n \t<li>Mail: U.S. Department of Health and Human Services\n200 Independence Avenue SW., Room 509F, HHH Building\nWashington, DC 20201<\/li>\n \t<li>Complaint forms are available at <a href=\"http:\/\/www.hhs.gov\/ocr\/office\/file\/index.html\" target=\"_blank\" rel=\"noopener noreferrer\">http:\/\/www.hhs.gov\/ocr\/office\/file\/index.html<\/a><\/li>\n \t<li>Phone: <a href=\"tel:1-800-368-1019\">1-800-368-1019<\/a> (TTY\/TDD: <a href=\"tel:1-800-537-7597\">1-800-537-7697<\/a>)<\/li>\n<\/ul>\n<h3><strong>Multi-language Interpreter Services<\/strong><\/h3>\nATTENTION:\u00a0 Language assistance services, free of charge, are available to you.\nCall 1-866-783-1444 (TTY: 711).\n\nATENCI\u00d3N: si habla espa\u00f1ol, tiene a su disposici\u00f3n servicios gratuitos de asistencia ling\u00fc\u00edstica. Llame al <a href=\"tel:1-866-783-1444\">1-866-783-1444<\/a> (TTY: <a href=\"tel:711\">711<\/a>).\n\n\u6ce8\u610f\uff1a\u5982\u679c\u60a8\u4f7f\u7528\u7e41\u9ad4\u4e2d\u6587\uff0c\u60a8\u53ef\u4ee5\u514d\u8cbb\u7372\u5f97\u8a9e\u8a00\u63f4\u52a9\u670d\u52d9\u3002\u8acb\u81f4\u96fb <a href=\"tel:1-866-783-1444\">1-866-783-1444<\/a> (TTY: <a href=\"tel:711\">711<\/a>))\u3002\n\n\u0412\u041d\u0418\u041c\u0410\u041d\u0418\u0415:\u00a0 \u0415\u0441\u043b\u0438 \u0432\u044b \u0433\u043e\u0432\u043e\u0440\u0438\u0442\u0435 \u043d\u0430 \u0440\u0443\u0441\u0441\u043a\u043e\u043c \u044f\u0437\u044b\u043a\u0435, \u0442\u043e \u0432\u0430\u043c \u0434\u043e\u0441\u0442\u0443\u043f\u043d\u044b \u0431\u0435\u0441\u043f\u043b\u0430\u0442\u043d\u044b\u0435 \u0443\u0441\u043b\u0443\u0433\u0438 \u043f\u0435\u0440\u0435\u0432\u043e\u0434\u0430.\u00a0 \u0417\u0432\u043e\u043d\u0438\u0442\u0435 <a href=\"tel:1-866-783-1444\">1-866-783-1444<\/a> (\u0442\u0435\u043b\u0435\u0442\u0430\u0439\u043f: <a href=\"tel:711\">711<\/a>).\n\nATANSYON:\u00a0 Si w pale Krey\u00f2l Ayisyen, gen s\u00e8vis \u00e8d pou lang ki disponib gratis pou ou.\u00a0 Rele <a href=\"tel:1-866-783-1444\">1-866-783-1444<\/a> (TTY: <a href=\"tel:711\">711<\/a>).\n\n\uc8fc\uc758:\u00a0 \ud55c\uad6d\uc5b4\ub97c \uc0ac\uc6a9\ud558\uc2dc\ub294 \uacbd\uc6b0, \uc5b8\uc5b4 \uc9c0\uc6d0 \uc11c\ube44\uc2a4\ub97c \ubb34\ub8cc\ub85c \uc774\uc6a9\ud558\uc2e4 \uc218 \uc788\uc2b5\ub2c8\ub2e4.\n<a href=\"tel:1-866-783-1444\">1-866-783-1444<\/a> (TTY: <a href=\"tel:711\">711<\/a>)\ubc88\uc73c\ub85c \uc804\ud654\ud574 \uc8fc\uc2ed\uc2dc\uc624.\n\nATTENZIONE:\u00a0 In caso la lingua parlata sia l'italiano, sono disponibili servizi di assistenza linguistica gratuiti.\u00a0 Chiamare il numero <a href=\"tel:1-866-783-1444\">1-866-783-1444<\/a> (TTY: <a href=\"tel:711\">711<\/a>).\n<p dir=\"RTL\">\u05d0\u05d5\u05d9\u05e4\u05de\u05e2\u05e8\u05e7\u05d6\u05d0\u05dd: \u05d0\u05d5\u05d9\u05d1 \u05d0\u05d9\u05e8 \u05e8\u05e2\u05d3\u05d8 \u05d0\u05d9\u05d3\u05d9\u05e9, \u05d6\u05e2\u05e0\u05e2\u05df \u05e4\u05d0\u05e8\u05d4\u05d0\u05df \u05e4\u05d0\u05e8 \u05d0\u05d9\u05d9\u05da \u05e9\u05e4\u05e8\u05d0\u05da \u05d4\u05d9\u05dc\u05e3 \u05e1\u05e2\u05e8\u05d5\u05d5\u05d9\u05e1\u05e2\u05e1 \u05e4\u05e8\u05d9\u05d9 \u05e4\u05d5\u05df \u05d0\u05e4\u05e6\u05d0\u05dc. \u05e8\u05d5\u05e4\n<a href=\"tel:1-866-783-1444\">1-866-783-1444<\/a> (TTY: <a href=\"tel:711\">711<\/a>)<\/p>\n\u09b2\u0995\u09cd\u09b7\u09cd\u09af \u0995\u09b0\u09c1\u09a8\u0983 \u09af\u09a6\u09bf \u0986\u09aa\u09a8\u09bf \u09ac\u09be\u0982\u09b2\u09be, \u0995\u09a5\u09be \u09ac\u09b2\u09a4\u09c7 \u09aa\u09be\u09b0\u09c7\u09a8, \u09a4\u09be\u09b9\u09b2\u09c7 \u09a8\u09bf\u0983\u0996\u09b0\u099a\u09be\u09df \u09ad\u09be\u09b7\u09be \u09b8\u09b9\u09be\u09af\u09bc\u09a4\u09be \u09aa\u09b0\u09bf\u09b7\u09c7\u09ac\u09be \u0989\u09aa\u09b2\u09ac\u09cd\u09a7 \u0986\u099b\u09c7\u0964 \u09ab\u09cb\u09a8 \u0995\u09b0\u09c1\u09a8 <a href=\"tel:1-866-783-1444\">1-866-783-1444<\/a> (TTY: <a href=\"tel:711\">711<\/a>)\n\nUWAGA:\u00a0 Je\u017celi m\u00f3wisz po polsku, mo\u017cesz skorzysta\u0107 z bezp\u0142atnej pomocy j\u0119zykowej.\u00a0 Zadzwo\u0144 pod numer <a href=\"tel:1-866-783-1444\">1-866-783-1444<\/a> (TTY: <a href=\"tel:711\">711<\/a>).\n<p dir=\"RTL\">\u0645\u0644\u062d\u0648\u0638\u0629:\u00a0 \u0625\u0630\u0627 \u0643\u0646\u062a \u062a\u062a\u062d\u062f\u062b \u0627\u0630\u0643\u0631 \u0627\u0644\u0644\u063a\u0629\u060c \u0641\u0625\u0646 \u062e\u062f\u0645\u0627\u062a \u0627\u0644\u0645\u0633\u0627\u0639\u062f\u0629 \u0627\u0644\u0644\u063a\u0648\u064a\u0629 \u062a\u062a\u0648\u0627\u0641\u0631 \u0644\u0643 \u0628\u0627\u0644\u0645\u062c\u0627\u0646.\u00a0 \u0627\u062a\u0635\u0644 \u0628\u0631\u0642\u0645 1-866-783-1444 (\u0631\u0642\u0645 \u0647\u0627\u062a\u0641 \u0627\u0644\u0635\u0645 \u0648\u0627\u0644\u0628\u0643\u0645: 1<span dir=\"LTR\">71<\/span>.<\/p>\nATTENTION :\u00a0 Si vous parlez fran\u00e7ais, des services d'aide linguistique vous sont propos\u00e9s gratuitement. Appelez le <a href=\"tel:1-866-783-1444\">1-866-783-1444<\/a>\u00a0(ATS : <a href=\"tel:711\">711<\/a>).\n<p dir=\"RTL\">\u062e\u0628\u0631\u062f\u0627\u0631: \u0627\u06af\u0631 \u0622\u067e \u0627\u0631\u062f\u0648 \u0628\u0648\u0644\u062a\u06d2 \u06c1\u06cc\u06ba\u060c \u062a\u0648 \u0622\u067e \u06a9\u0648 \u0632\u0628\u0627\u0646 \u06a9\u06cc \u0645\u062f\u062f \u06a9\u06cc \u062e\u062f\u0645\u0627\u062a \u0645\u0641\u062a \u0645\u06cc\u06ba \u062f\u0633\u062a\u06cc\u0627\u0628 \u06c1\u06cc\u06ba \u06d4 \u06a9\u0627\u0644 \u06a9\u0631\u06cc\u06ba\u00a0<span dir=\"LTR\">1-866-783-1444\u00a0 (TTY: 711).<\/span><\/p>\nPAUNAWA:\u00a0 Kung nagsasalita ka ng Tagalog, maaari kang gumamit ng mga serbisyo ng tulong sa wika nang walang bayad.\u00a0 Tumawag sa <a href=\"tel:1-866-783-1444\">1-866-783-1444<\/a> (TTY: <a href=\"tel:711\">711<\/a>).\n\n\u03a0\u03a1\u039f\u03a3\u039f\u03a7\u0397: \u0391\u03bd \u03bc\u03b9\u03bb\u03ac\u03c4\u03b5 \u03b5\u03bb\u03bb\u03b7\u03bd\u03b9\u03ba\u03ac, \u03c3\u03c4\u03b7 \u03b4\u03b9\u03ac\u03b8\u03b5\u03c3\u03ae \u03c3\u03b1\u03c2 \u03b2\u03c1\u03af\u03c3\u03ba\u03bf\u03bd\u03c4\u03b1\u03b9 \u03c5\u03c0\u03b7\u03c1\u03b5\u03c3\u03af\u03b5\u03c2 \u03b3\u03bb\u03c9\u03c3\u03c3\u03b9\u03ba\u03ae\u03c2 \u03c5\u03c0\u03bf\u03c3\u03c4\u03ae\u03c1\u03b9\u03be\u03b7\u03c2, \u03bf\u03b9 \u03bf\u03c0\u03bf\u03af\u03b5\u03c2 \u03c0\u03b1\u03c1\u03ad\u03c7\u03bf\u03bd\u03c4\u03b1\u03b9 \u03b4\u03c9\u03c1\u03b5\u03ac\u03bd. \u039a\u03b1\u03bb\u03ad\u03c3\u03c4\u03b5 <a href=\"tel:1-866-783-1444\">1-866-783-1444<\/a> (TTY: <a href=\"tel:711\">711<\/a>).\n\nKUJDES:\u00a0 N\u00ebse flitni shqip, p\u00ebr ju ka n\u00eb dispozicion sh\u00ebrbime t\u00eb asistenc\u00ebs gjuh\u00ebsore, pa pages\u00eb.\u00a0 Telefononi n\u00eb <a href=\"tel:1-866-783-1444\">1-866-783-1444<\/a> (TTY: <a href=\"tel:711\">711<\/a>).\n\nCH\u00da \u00dd:\u00a0 N\u1ebfu b\u1ea1n n\u00f3i Ti\u1ebfng Vi\u1ec7t, c\u00f3 c\u00e1c d\u1ecbch v\u1ee5 h\u1ed7 tr\u1ee3 ng\u00f4n ng\u1eef mi\u1ec5n ph\u00ed d\u00e0nh cho b\u1ea1n.\u00a0 G\u1ecdi s\u1ed1 <a href=\"tel:1-866-783-1444\">1-866-783-1444<\/a> (TTY: <a href=\"tel:711\">711<\/a>).\n\nACHTUNG:\u00a0 Wenn Sie Deutsch sprechen, stehen Ihnen kostenlos sprachliche Hilfsdienstleistungen zur Verf\u00fcgung.\u00a0 Rufnummer: <a href=\"tel:1-866-783-1444\">1-866-783-1444<\/a> (TTY: <a href=\"tel:711\">711<\/a>).\n\n\u0927\u094d\u092f\u093e\u0928 \u0926\u0947\u0902:\u00a0 \u092f\u0926\u093f \u0906\u092a \u0939\u093f\u0902\u0926\u0940 \u092c\u094b\u0932\u0924\u0947 \u0939\u0948\u0902 \u0924\u094b \u0906\u092a\u0915\u0947 \u0932\u093f\u090f \u092e\u0941\u092b\u094d\u0924 \u092e\u0947\u0902 \u092d\u093e\u0937\u093e \u0938\u0939\u093e\u092f\u0924\u093e \u0938\u0947\u0935\u093e\u090f\u0902 \u0909\u092a\u0932\u092c\u094d\u0927 \u0939\u0948\u0902\u0964 <a href=\"tel:1-866-783-1444\">1-866-783-1444<\/a> (TTY: <a href=\"tel:711\">711<\/a>) \u092a\u0930 \u0915\u0949\u0932 \u0915\u0930\u0947\u0902\u0964\n\nATEN\u00c7\u00c3O:\u00a0 Se fala portugu\u00eas, encontram-se dispon\u00edveis servi\u00e7os lingu\u00edsticos, gr\u00e1tis.\u00a0 Ligue para <a href=\"tel:1-866-783-1444\">1-866-783-1444<\/a> (TTY: <a href=\"tel:711\">711<\/a>).\n\n\u6ce8\u610f\u4e8b\u9805\uff1a\u65e5\u672c\u8a9e\u3092\u8a71\u3055\u308c\u308b\u5834\u5408\u3001\u7121\u6599\u306e\u8a00\u8a9e\u652f\u63f4\u3092\u3054\u5229\u7528\u3044\u305f\u3060\u3051\u307e\u3059\u3002<a href=\"tel:1-866-783-1444\">1-866-783-1444<\/a> (TTY: <a href=\"tel:711\">711<\/a>)\u307e\u3067\u3001\u304a\u96fb\u8a71\u306b\u3066\u3054\u9023\u7d61\u304f\u3060\u3055\u3044\u3002",
"post_title": "NOTICE OF NONDISCRIMINATION",
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"post_content": "<!-- wp:table -->\n<figure class=\"wp-block-table\"><table><tbody><tr><td>Albany<\/td><td>Orange<\/td><\/tr><tr><td>The Bronx<\/td><td>Otsego<\/td><\/tr><tr><td>Columbia<\/td><td>Putnam<\/td><\/tr><tr><td>Delaware<\/td><td>Queens<\/td><\/tr><tr><td>Dutchess <\/td><td>Rensselaer<\/td><\/tr><tr><td>Erie<\/td><td>Richmond (Staten Island)<\/td><\/tr><tr><td>Fulton<\/td><td>Rockland<\/td><\/tr><tr><td>Greene<\/td><td>Saratoga<\/td><\/tr><tr><td>Herkimer <\/td><td>Schenectady<\/td><\/tr><tr><td>Kings (Brooklyn)<\/td><td>Schoharie<\/td><\/tr><tr><td>Madison<\/td><td>Suffolk<\/td><\/tr><tr><td>Monroe<\/td><td>Sullivan<\/td><\/tr><tr><td>Montgomery<\/td><td>Ulster<\/td><\/tr><tr><td>Nassau<\/td><td>Warren<\/td><\/tr><tr><td>New York (Manhattan)<\/td><td>Washington<\/td><\/tr><tr><td>Oneida<\/td><td>Westchester<\/td><\/tr><tr><td>Onondaga<\/td><\/tr><\/tbody><\/table><\/figure>\n<!-- \/wp:table -->",
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"post_content": "<!-- wp:acf\/hero {\"name\":\"acf\/hero\",\"data\":{\"hero_version\":\"v2\",\"_hero_version\":\"field_hero_hero_version\",\"background_image_image\":22048,\"_background_image_image\":\"field_hero_background_image_image\",\"background_image\":\"\",\"_background_image\":\"field_hero_background_image\",\"v2_heading\":\"\\u003cp\\u003eHealth plans as low as \\u003cstrong style=\\u0022font-size: 1.5em;\\u0022\\u003e\\u003csup style=\\u0022font-size: .5em; top: -.8em;\\u0022\\u003e$\\u003c\/sup\\u003e0\\u003c\/strong\\u003e with the extra benefits our neighbors with \\u003cem\\u003eMedicare \\u0026amp; Medicaid\\u003c\/em\\u003e deserve.*\\u003c\/p\\u003e\",\"_v2_heading\":\"field_hero_v2_heading\",\"subheading\":\"\",\"_subheading\":\"field_hero_subheading\",\"text\":\"\",\"_text\":\"field_hero_text\",\"button\":\"\",\"_button\":\"field_hero_button\",\"id\":\"block_acf_65bd4cc0cca05\"},\"mode\":\"edit\",\"id\":\"block_acf_65bd4cc0cca05\"} \/-->\n\n<!-- wp:columns {\"className\":\"has-overlap-form\"} -->\n<div class=\"wp-block-columns has-overlap-form\"><!-- wp:column {\"width\":\"66.66%\"} -->\n<div class=\"wp-block-column\" style=\"flex-basis:66.66%\"><!-- wp:acf\/stats {\"name\":\"acf\/stats\",\"data\":{\"heading\":\"Our Health Plans Include\",\"_heading\":\"field_stats_heading\",\"description\":\"\",\"_description\":\"field_stats_description\",\"number_of_columns\":\"3\",\"_number_of_columns\":\"field_stats_number_of_columns\",\"layout\":\"horizontal\",\"_layout\":\"field_stats_layout\",\"background_color\":\"none\",\"_background_color\":\"field_stats_background_color\",\"cards_0_icon\":20338,\"_cards_0_icon\":\"field_stats_cards_icon\",\"cards_0_superheading\":\"\",\"_cards_0_superheading\":\"field_stats_cards_superheading\",\"cards_0_stat\":\"\\u003cp\\u003e\\u003cstrong\\u003eUp to $232\/month ($2,784 a year)\\u003c\/strong\\u003e for OTC \\u0026amp; Grocery Items\\u003c\/p\\u003e\",\"_cards_0_stat\":\"field_stats_cards_stat\",\"cards_0_description\":\"\",\"_cards_0_description\":\"field_stats_cards_description\",\"cards_1_icon\":34240,\"_cards_1_icon\":\"field_stats_cards_icon\",\"cards_1_superheading\":\"\",\"_cards_1_superheading\":\"field_stats_cards_superheading\",\"cards_1_stat\":\"\\u003cp\\u003e\\u003cstrong\\u003eUp to $3,000 a year\\u003c\/strong\\u003e for dental care**\\u003c\/p\\u003e\",\"_cards_1_stat\":\"field_stats_cards_stat\",\"cards_1_description\":\"\",\"_cards_1_description\":\"field_stats_cards_description\",\"cards_2_icon\":25194,\"_cards_2_icon\":\"field_stats_cards_icon\",\"cards_2_superheading\":\"\",\"_cards_2_superheading\":\"field_stats_cards_superheading\",\"cards_2_stat\":\"\\u003cp\\u003e\\u003cstrong\\u003e$0 Copay for hearing exams and up to $1,500\\u003c\/strong\\u003e for hearing aids every 3 years\\u003c\/p\\u003e\",\"_cards_2_stat\":\"field_stats_cards_stat\",\"cards_2_description\":\"\",\"_cards_2_description\":\"field_stats_cards_description\",\"cards_3_icon\":25195,\"_cards_3_icon\":\"field_stats_cards_icon\",\"cards_3_superheading\":\"\",\"_cards_3_superheading\":\"field_stats_cards_superheading\",\"cards_3_stat\":\"\\u003cp\\u003e\\u003cstrong\\u003e$0 Eye exam and up to $300\\u003c\/strong\\u003e for eye glasses, plus lenses\\u003c\/p\\u003e\",\"_cards_3_stat\":\"field_stats_cards_stat\",\"cards_3_description\":\"\",\"_cards_3_description\":\"field_stats_cards_description\",\"cards_4_icon\":25191,\"_cards_4_icon\":\"field_stats_cards_icon\",\"cards_4_superheading\":\"\",\"_cards_4_superheading\":\"field_stats_cards_superheading\",\"cards_4_stat\":\"\\u003cp\\u003e\\u003cstrong\\u003eSilverSneakers\u00ae gym membership\\u003c\/strong\\u003e and more!\\u003c\/p\\u003e\",\"_cards_4_stat\":\"field_stats_cards_stat\",\"cards_4_description\":\"\",\"_cards_4_description\":\"field_stats_cards_description\",\"cards\":5,\"_cards\":\"field_stats_cards\",\"button\":\"\",\"_button\":\"field_stats_button\",\"id\":\"block_acf_65bd4cc0cea03\"},\"mode\":\"edit\",\"id\":\"block_acf_65bd4cc0cea03\"} \/-->\n\n<!-- wp:acf\/phone-banner {\"name\":\"acf\/phone-banner\",\"data\":{\"heading\":\"Call 1-866-414-6715\",\"_heading\":\"field_phone-banner_heading\",\"subheading\":\"to speak with a health plan advisor.\",\"_subheading\":\"field_phone-banner_subheading\",\"phone_number\":\"1-866-414-6715\",\"_phone_number\":\"field_phone-banner_phone_number\",\"description\":\"\\u003cp\\u003eTTY: 711.\u00a0 7 days a week, 8 am-8 pm.\u00a0\\u003c\/p\\u003e\",\"_description\":\"field_phone-banner_description\",\"id\":\"block_acf_65bd4cc0cea61\"},\"mode\":\"edit\",\"id\":\"block_acf_65bd4cc0cea61\"} \/-->\n\n<!-- wp:paragraph {\"style\":{\"color\":{\"text\":\"#003c70\"}},\"fontSize\":\"small\"} -->\n<p class=\"has-text-color has-small-font-size\" style=\"color:#003c70\">*Benefits and costs depend on your level of Medicaid eligibility and the plan you enroll in. The grocery benefit is part of special supplemental program for the chronically ill and not all members qualify. **Preventive dental care covered by Medicaid. VNS Health Medicare is a Medicare Advantage organization with Medicare and Medicaid contracts, offering HMO D-SNP and HMO plans. Enrollment in VNS Health Medicare depends on contract renewal.<br>^Albany, Rensselaer, and Schenectady are pending approval.<br><br>H5549_23AEPLP_M Accepted 09202022<br><br>\u00a92022 VNS Health <a href=\"https:\/\/www.vnshealthplans.org\/\">vnshealthplans.org<\/a><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p><\/p>\n<!-- \/wp:paragraph --><\/div>\n<!-- \/wp:column -->\n\n<!-- wp:column {\"width\":\"33.33%\"} -->\n<div class=\"wp-block-column\" style=\"flex-basis:33.33%\"><!-- wp:group {\"className\":\"form-group\"} -->\n<div class=\"wp-block-group form-group\"><!-- wp:gravityforms\/form {\"formId\":\"7\",\"title\":false,\"description\":false,\"inputPrimaryColor\":\"#204ce5\"} \/-->\n\n<!-- wp:paragraph -->\n<p>Our plans are available to residents in <strong>The Bronx, Brooklyn, Manhattan, Queens, Staten Island, Nassau, Suffolk, Westchester, Albany, Rensselaer, and Schenectady.^<\/strong><\/p>\n<!-- \/wp:paragraph --><\/div>\n<!-- \/wp:group -->\n\n<!-- wp:spacer -->\n<div style=\"height:100px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n<!-- \/wp:spacer -->\n\n<!-- wp:paragraph {\"fontSize\":\"small\"} -->\n<p class=\"has-small-font-size\"><\/p>\n<!-- \/wp:paragraph --><\/div>\n<!-- \/wp:column --><\/div>\n<!-- \/wp:columns -->\n\n<!-- wp:spacer {\"height\":\"200px\"} -->\n<div style=\"height:200px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n<!-- \/wp:spacer -->",
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"post_date": "2024-03-25 12:39:33",
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"post_content": "<!-- wp:acf\/link-mantel {\"name\":\"acf\/link-mantel\",\"data\":{\"circle_image\":\"1\",\"_circle_image\":\"field_link-mantel_circle_image\",\"images_0_image\":36864,\"_images_0_image\":\"field_link-mantel_images_image\",\"images\":1,\"_images\":\"field_link-mantel_images\",\"heading\":\"\\u003cp\\u003eHelp Us Help You Better!\\u003c\/p\\u003e\",\"_heading\":\"field_link-mantel_heading\",\"heading_second_line\":\"\",\"_heading_second_line\":\"field_link-mantel_heading_second_line\",\"subheading\":\"We\u2019re committed to being the best health plan for you.\",\"_subheading\":\"field_link-mantel_subheading\",\"text\":\"\\u003cp\\u003eThat\u2019s why we want to let you know that from March through June of 2024, the Centers for Medicare and Medicaid Services (CMS) may ask you to complete a survey.\\u003c\/p\\u003e\",\"_text\":\"field_link-mantel_text\",\"center_additional_links\":\"0\",\"_center_additional_links\":\"field_link-mantel_center_additional_links\",\"additional_links\":\"\",\"_additional_links\":\"field_link-mantel_additional_links\",\"button\":\"\",\"_button\":\"field_link-mantel_button\",\"disable_left_circle_lg\":\"0\",\"_disable_left_circle_lg\":\"field_link-mantel_disable_left_circle_lg\",\"disable_left_circle\":\"0\",\"_disable_left_circle\":\"field_link-mantel_disable_left_circle\",\"disable_right_circle\":\"0\",\"_disable_right_circle\":\"field_link-mantel_disable_right_circle\",\"id\":\"block_acf_660c76c213a1e\"},\"mode\":\"edit\",\"id\":\"block_acf_660c76c213a1e\"} \/-->\n\n<!-- wp:acf\/checklist-info {\"name\":\"acf\/checklist-info\",\"data\":{\"heading\":\"\",\"_heading\":\"field_checklist-info_heading\",\"description\":\"\",\"_description\":\"field_checklist-info_description\",\"center_checklist\":\"0\",\"_center_checklist\":\"field_checklist-info_center_checklist\",\"checklist_0_heading\":\"How will I recognize the survey?\",\"_checklist_0_heading\":\"field_checklist-info_checklist_heading\",\"checklist_0_text\":\"\\u003cul\\u003e\\r\\n\\t\\u003cli\\u003eThe survey will be sent by Press Ganey, on behalf of CMS, and is called CAHPS (Consumer Assessment of Healthcare Providers and Systems).\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eThe survey may be sent to you via email or as a physical letter. 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"post_date": "2020-07-09 17:22:46",
"post_date_gmt": "2020-07-09 17:22:46",
"post_content": "VNS Health is committed to establishing a culture that promotes prevention, detection and resolution of Fraud Waste and Abuse (\u201cFWA\u201d). \u00a0It is the policy of VNS Health that all employees, agents, contractors, officers, directors, and VNS Health Health Plans first tier, downstream, and related entities (\u201cFDRs\u201d) must report potential instances of non-compliance and fraudulent, wasteful, abusive and criminal activity.\n<h3>WHAT IS FRAUD WASTE AND ABUSE?<\/h3>\n<strong>Fraud\u00a0<\/strong>is an intentional misrepresentation of a known fact made for the purpose of obtaining a benefit or financial gain.\n\n<strong>Waste\u00a0<\/strong>includes any practice that results in an unnecessary use or consumption of financial or medical resources. \u00a0Waste does not necessarily involve personal gain, but often signifies poor management decisions, practices or controls.\n\n<strong>Abuse\u00a0<\/strong>is a practice that is inconsistent with accepted business, financial or medical practices or standards, that results in unnecessary cost or in reimbursement.\n\nTogether, Fraud, Waste and Abuse are often referred to as FWA.\n\nExamples of FWA include:\nBy\u00a0<strong>providers<\/strong>:\n<ul>\n \t<li>Billing for services not provided;<\/li>\n \t<li>Deliberately filing incorrect diagnosis or procedure codes to maximize payment for claims;<\/li>\n \t<li>Quality of care issues;<\/li>\n \t<li>Failure to maintain adequate medical records;<\/li>\n \t<li>Cover-ups in coordination of benefits;<\/li>\n \t<li>Misrepresenting services or dates of service;<\/li>\n \t<li>Billing non-covered services as covered services;<\/li>\n \t<li>An eligible provider billing for services provided by a non-eligible provider or individual;<\/li>\n \t<li>Providing and billing for unnecessary services; or<\/li>\n \t<li>Accepting or offering kickbacks and bribery.<\/li>\n<\/ul>\nBy\u00a0<strong>members<\/strong>:\n<ul>\n \t<li>Loaning a VNS Health identification card for use by another person;<\/li>\n \t<li>Altering the amount or date of service on a claim form or prescription receipt;<\/li>\n \t<li>Fabricating claims; or<\/li>\n \t<li>\u201cDoctor shopping\u201d (seeing several providers to obtain frequent drug prescriptions) or excessive trips to the emergency room for narcotics.<\/li>\n<\/ul>\nBy\u00a0<strong>non-members<\/strong>:\n<ul>\n \t<li>Using a stolen VNS Health card to obtain medical services or prescriptions; or<\/li>\n \t<li>Engaging in impermissible sales and marketing practices to steer potential members to or from VNS Health plans.<\/li>\n<\/ul>\nBy VNS Health <strong>employees<\/strong>:\n<ul>\n \t<li>Creating false claims or charges;<\/li>\n \t<li>Delaying assignment of a provider to reduce costs;<\/li>\n \t<li>Failing to provide covered services to reduce costs;<\/li>\n \t<li>Engaging in impermissible sales and marketing practices, such as using unapproved promotional materials, falsifying eligibility information, enrolling individuals without their knowledge or offering inducements to members and providers to join; or<\/li>\n \t<li>Changing member or provider addresses to intercept payments<\/li>\n<\/ul>\n<h3>HOW TO REPORT FWA OR COMPLIANCE CONCERNS<\/h3>\nAnonymous Hotline and Online Reporting Tool\n\nVNS Health Hotline: (888) 634-1558\n\nSpecial Investigations Unit: <a href=\"mailto:[email protected]\">[email protected]<\/a>\n\nVNS Health Online Reporting Tool: <a href=\"http:\/\/www.vnshealth.ethicspoint.com\/\" target=\"_blank\" rel=\"noopener noreferrer\">www.vnshealth.ethicspoint.com<\/a>\n\nThrough our Hotline and Online Reporting Tool, individuals can report FWA, compliance concerns or seek guidance about compliance questions:\n<ul>\n \t<li>24 hours, 7 days a week<\/li>\n \t<li>Anonymously, if you choose<\/li>\n \t<li>Without worry of retaliation or intimidation<\/li>\n<\/ul>\nAny individual may make a report.\n\nWhen making a report, please provide as much detail as possible, such as names, dates, and a description of the issue. Unless you prefer to remain anonymous, please include your name and telephone number so that we may contact you if we have any questions during our investigation.\n<h3>VNS HEALTH SPECIAL INVESTIGATIONS UNIT<\/h3>\nVNS Health has established a Special Investigations Unit (\u201cSIU\u201d) to investigate reports of FWA. \u00a0The SIU includes Special Investigators and data analysts who investigate FWA reports and work with other professionals in the health care industry to identify FWA schemes.\n\nFor more information on the VNS Health SIU, and tools and processes in place to prevent and detect FWA, please see the <a href=\"https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2022\/09\/VNS_HEALTH_FRAUD-WASTE-ABUSE-DETECTION-MANUAL.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">VNS Health Plans Fraud Detection Manual<\/a> and <a href=\"https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2022\/09\/Policy-and-Procedure-for-Preventing-Fraud-Waste-and-Abuse.pdf\" target=\"_blank\" rel=\"noopener\">VNS Health Plans Policy and Procedure Manual<\/a>.\n<h4><strong>From the VNS Health SIU:<\/strong><\/h4>\nBe on the lookout for the following common FWA schemes:\n<h4 data-tadv-p=\"keep\"><strong>Telehealth<\/strong><\/h4>\nAs a growing and underregulated industry, <strong>telehealth<\/strong> is ripe for fraud. Like other types of fraud, telehealth fraud schemes are varied and subject to constant change. However, recent events indicate that regulators are currently focused on two major types of telehealth fraud schemes: DME fraud and billing for \u201cvisits\u201d that never occurred or were shorter in duration than the amount billed.\n<h4><strong>Upcoding<\/strong><\/h4>\n<strong>Upcoding\u00a0<\/strong>is a common scheme in which a service provider will bill Medicare, Medicaid and\/or a health plan for services at a greater amount than those that were actually provided. Health care providers engaging in upcoding may submit claims using codes inappropriate for services provided that allow them to be paid a higher rate.\n\nFor example:\n\nA member visits their primary care physician and explains symptoms such as a runny nose, coughing and a low-grade fever. The physician completes a brief examination, does not order any tests and prescribes an antibiotic for a simple infection. The member spends a total of 10-15 minutes with the physician. Shortly afterward, the member\u2019s health plan receives a claim from the physician with a code or codes that indicate the physician spent 45 minutes with the member, completed several tests, provided multiple prescriptions and diagnosed the member with several conditions.\n<h4><strong>Billing for Services Not Rendered<\/strong><\/h4>\n<strong>Billing for Services Not Rendered<\/strong>\u00a0occurs when a health care provider submits a claim to a health care plan in an attempt to get paid for services not provided to the member.\n\nFor example:\n\nA Durable Medical Equipment supplier did not provide a member a wheelchair ordered, but submits a claim to the health care plan for the wheelchair.\n<h4><strong>Kickbacks<\/strong><\/h4>\n<strong>Member Kickbacks<\/strong>\u00a0occur when any provider, plan member, individual or entity offers any form of compensation to a member in exchange for a member\u2019s information that may allow the party offering the kickback access to health plan payments they otherwise would not have been able to obtain.\n\nFor example:\n\nA provider may offer a health plan member some form of compensation in exchange for permission to use for the member's health plan i.d. number to bill for services they never rendered.\n\nA pharmacy offers a member any kind of compensation in exchange for prescriptions written by the member\u2019s physician. In this scheme, the pharmacy pays the member cash for the prescription, keeps the entire prescription without filling it or only gives him a portion of the quantity prescribed, and bills the health plan for the entire prescription\n\nKeep in mind, compensation can be considered anything of value such as money, food, MTA cards, appliances, electronics, cigarettes, etc.\n\nFor news release updates from the Office of Inspector General, please visit:\u00a0<a title=\"blocked::http:\/\/oig.hhs.gov\/newsroom\/news-releases\/index.asp\" href=\"http:\/\/oig.hhs.gov\/newsroom\/news-releases\/index.asp\" target=\"_blank\" rel=\"noopener noreferrer\">http:\/\/oig.hhs.gov\/newsroom\/news-releases\/index.asp<\/a>.\n<h4><strong>Useful Links<\/strong><strong>:<\/strong><\/h4>\nNYS OMIG:\n<a href=\"https:\/\/omig.ny.gov\/\" target=\"_blank\" rel=\"noopener noreferrer\">http:\/\/www.omig.ny.gov<\/a>\n\nQlarant (NBI MEDIC):\n<a href=\"https:\/\/www.qlarant.com\/wp-content\/uploads\/2018\/03\/NBI_Contract_Qlarant_MEDIC_ComplaintForm_2018.pdf\">Benefit Integrity MEDIC Complaint Referral Form (qlarant.com)<\/a>\n\nThe Centers for Medicare and Medicaid Services (CMS):\n<a href=\"http:\/\/www.cms.gov\/\" target=\"_blank\" rel=\"noopener noreferrer\">www.cms.gov<\/a>\n\nThe Office of Inspector General\n<a href=\"https:\/\/oig.hhs.gov\/\" target=\"_blank\" rel=\"noopener noreferrer\">https:\/\/oig.hhs.gov\/<\/a>",
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"post_content": "<!-- wp:heading -->\n<h2 class=\"wp-block-heading\">WEBSITE AND APP PRIVACY POLICY<\/h2>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p>This Website and App Privacy Policy (this \u201cPrivacy Policy\u201d) describes the online privacy practices of VNS Health, VNS Health Health Plans, and their affiliates (collectively, \u201cVNS Health,\u201d \u201cwe,\u201d or \u201cus\u201d) and applies to anyone who visits or uses our websites or mobile applications, including our sites at <a href=\"https:\/\/www.vnshealth.org\/\" target=\"_blank\" rel=\"noreferrer noopener\">www.vnshealth.org<\/a> and <a href=\"https:\/\/www.vnshealthplans.org\/\">https:\/\/www.vnshealthplans.org\/<\/a>; any subsequent URLs which may replace these websites; all associated websites, URLs, and microsites; mobile applications; any social media services used by VNS Health or its affiliates; and any other VNS Health website or mobile application that links to or incorporates this Privacy Policy (collectively, and each individually, the \u201cPlatform\u201d). By accessing the Platform, you indicate that you have read, understand, and agree to be bound by the terms of this Privacy Policy. If at any time you do not agree to this Privacy Policy, please do not use the Platform. Your use of the Platform is also subject to our Terms of Use, which you can access at <a href=\"https:\/\/www.vnshealth.org\/terms-of-use\/\" target=\"_blank\" rel=\"noreferrer noopener\">https:\/\/www.vnshealth.org\/terms-of-use\/<\/a>. Some portions of the Platform may be subject to different or additional terms of use, which will be communicated to you via the relevant website or mobile application.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:heading -->\n<h2 class=\"wp-block-heading\" id=\"h-types-of-information-collected\">Types of Information Collected<\/h2>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p><em>(a) Personally Identifiable Information<\/em><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>Personally identifiable information (\u201cPII\u201d) is information that specifically identifies you as an individual, such as your full name, telephone number, email address, postal address, or certain account numbers. VNS Health may ask you for certain kinds of PII to provide and promote the various services available through the Platform. You do not have to provide us with PII if you do not want to; however, failure to do so may limit your ability to use certain functions of the Platform or to request from VNS Health or to benefit from certain services or information.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p><em>(b) Usage Information<\/em><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>Whenever you visit or interact with the Platform, we, as well as our third-party service providers, may use a variety of technologies that automatically or passively collect information about how you access and use the Platform (\u201cUsage Information\u201d). Usage Information includes your Internet Protocol address or other unique identifier for your device, your device type, your browser type, your operating system, the pages you view on the Platform, the pages you view immediately before and after you access the Platform, and the search terms you enter into the Platform. VNS Health does not use tracking technologies that could result in the impermissible disclosure of protected health information (\u201cPHI\u201d) to tracking technology vendors or any other violations of HIPAA. If you believe that your (or someone else\u2019s) health privacy rights have been violated, please contact the VNS Health chief privacy officer.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:heading -->\n<h2 class=\"wp-block-heading\" id=\"h-use-of-information\">Use of Information<\/h2>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p>VNS Health may use, for various purposes as permitted by applicable law, the information collected from you when you use the Platform. These include, without limitation:<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:list -->\n<ul><!-- wp:list-item -->\n<li>to provide the services you request;<\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li>to process your application or request;<\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li>to follow up with you regarding your interest in and\/or use of the VNS Health services;<\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li>to keep you informed about the status of your services;<\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li>to identify your preferences so VNS Health can notify you of information, products, services, and promotions that might be of interest to you;<\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li>to personalize your experience on the Platform;<\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li>to improve customer service and the overall experience with VNS Health;<\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li>to generate and analyze statistics about the preferences of users of the Platform;<\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li>to detect, prevent, and respond to fraud, intellectual property infringement, violations of our Terms of Use, violations of the law, or other misuse of the Platform;<\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li>to comply with applicable laws, regulations, and legal process; and<\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li>to communicate with and advertise to users of the Platform and others by email, postal mail, telephone, text message, or other means.<\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list -->\n\n<!-- wp:paragraph -->\n<p>VNS Health may also combine or aggregate any of the information it collects through the Platform or elsewhere for any of these purposes.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:heading -->\n<h2 class=\"wp-block-heading\" id=\"h-sms-terms-and-conditions\"><strong>SMS Terms and Conditions <\/strong><\/h2>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p><em>General<\/em><br><br>VNS Health offers an SMS\/Text notification and reminder service for consumers to receive text messages with information and notifications regarding the services you have enrolled in. When you opt-in to the service, we will send you a message to confirm your signup.<br>\u00a0<br>By opting into messages, you agree to receive recurring automated marketing and informational text messages from VNS Health. Automated messages may be sent using an automatic telephone dialing system to the mobile telephone number you provided when signing up or any other number that you designate.<br>\u00a0<br>Message frequency varies, and additional mobile messages may be sent periodically based on your interaction with VNS Health. VNS Health reserves the right to alter the frequency of messages sent at any time to increase or decrease the total number of sent messages. VNS Health also reserves the right to change the short code or phone number where messages are sent.<br>\u00a0<br>Your consent to receive marketing messages is not a condition of purchase.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p><em>Wireless Provider and Carriers<\/em><br><br>Message and data rates may apply. If you have any questions about your text plan or data plan, it is best to contact your wireless provider.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>Your wireless provider and carriers are not liable for delayed or undelivered messages. We do not guarantee the successful delivery of text messages by your wireless provider. Messages sent by text may not be delivered if the mobile device is not in range of a transmission site, or if the network is down. Factors beyond the power of wireless carriers may get in the way of message delivery. We and your wireless provider will not be liable for losses or damages that come from:<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:list -->\n<ul><!-- wp:list-item -->\n<li>a message not delivered, a message delivered late; or<\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li>a message that goes to the wrong number; or<\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li>inaccurate or incomplete content in a text message.<\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list -->\n\n<!-- wp:paragraph -->\n<p><em>Cancellation<\/em><br><br>You can cancel any time by texting \"STOP\". After you send the SMS message \"STOP\", we will send you a message to confirm that you have been unsubscribed and no more messages will be sent. If you would like to receive messages from VNS Health again, just sign up as you did the first time and VNS Health will start sending messages to you again.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p><em>Info<\/em><br><br>For assistance you can reply to our SMS messages with \u201cHELP\u201d. We will respond with instructions on how to use this texting service as well as how to unsubscribe.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p><em>Transfer of Number<\/em><br><br>Please update us right away if your mobile number changes. It is your responsibility to give a correct mobile number and to update any changes. You agree that before changing your mobile number or transferring your mobile number to another individual, you will either reply \u201cSTOP\u201d from the original number or notify us of your mobile number change. The duty to inform us based on the above events is a condition of using this service to receive messages.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p><em>Privacy<\/em><br><br>If you have any questions about your data or our privacy practices, please visit our Notices of Privacy Practices page.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p><em>Warranty<\/em><br><br>This texting and notification service is offered \u201cas is\u201d without warranty to its performance or efficacy and is intended to be a complimentary service. \u00a0Information presented through this service is believed to be correct at the time of the text communication; however, it is not a substitute for your personal calendar to notify you about your scheduled appointments. Neither VNS Health nor its agents, officers, trustees, employees, or doctors make any warranty with respect to the efficacy of this texting and notification service or the results obtained therefrom. VNS Health and its affiliates expressly disclaim any representations or warranties of any kind, express or implied. \u00a0<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:heading -->\n<h2 class=\"wp-block-heading\" id=\"h-sharing-of-information\">Sharing of Information<\/h2>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p>VNS Health may share your PII with any of its parents, subsidiaries, sister companies, or other affiliated entities (\u201cRelated Parties\u201d) who have agreed to adhere to the rules set forth in this Privacy Policy; and you may receive communications from those Related Parties regarding their various goods and services that may be of interest to you. You may opt out of receiving such communications by following the directions in any emails you receive from such Related Parties or by contacting us as described below.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>By using the Platform, you are deemed to consent to certain limited uses of your PII, including that VNS Health may share your PII under certain circumstances with businesses to help the Platform function or to improve VNS Health services. VNS Health may therefore disclose information to outside companies that help promote and bring users like you the services VNS Health offers. For example, VNS Health may work with its vendors to (a) manage a database of customer information, (b) assist in distributing emails, (c) assist with direct marketing and data collection, (d) provide data storage and analysis, (e) provide fraud prevention, (f) provide customer service, and\/or (g) provide other services designed to assist VNS Health in maximizing its business and maintaining the Platform. VNS Health requires these vendors to keep PII confidential (except as described below with respect to de-identified and aggregated information) and to use confidential information only to perform their contractual obligations to VNS Health.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>VNS Health does not share, sell, or trade with third parties (other than Related Parties and third parties hired by VNS Health to help operate the Platform or our business) any of your PII or any specific details about you as an individual, except with your consent, as may be needed to operate our business or as may be required or permitted by law, each as described below.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>VNS Health may share PII, when legally required, to cooperate with police investigations or other legal proceedings, to protect against misuse\/unauthorized use of the Platform, to limit VNS Health\u2019s legal liability, or to protect the rights, property, or safety of other users of the Platform or the public. VNS Health may share PII with outside companies that help bring you the services VNS Health offers. VNS Health may share PII with any successor company, such as a company that acquires VNS Health or its assets, or an affiliate, service provider, or other third party to the extent reasonably necessary to proceed with the negotiation or completion of a merger, acquisition, or sale of our assets.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>In addition, VNS Health may share<a> <\/a>de-identified and aggregated information about user demographics, traffic, patterns, and other non-PII with third parties for any reason. VNS Health may also make such information available, in aggregate form, to marketing partners, advertisers, and others in order to assist VNS Health in providing its services and identifying potential customers. Further, the information that VNS Health collects may be used to improve the Platform, to personalize your online experience, to help VNS Health deliver information to you, to determine the effectiveness of VNS Health\u2019s advertising, and for other internal business purposes.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:heading -->\n<h2 class=\"wp-block-heading\" id=\"h-security-of-information\">Security of Information<\/h2>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p>VNS Health uses reasonable administrative, physical, and technical safeguards to maintain the security of PII we collect, including restricting physical and logical access to our offices and computer systems, as well as employing electronic security systems that guard against unauthorized access. However, the transmission of data over the Internet cannot be guaranteed to be 100% secure. Although VNS Health will use reasonable means to protect the security of information you transmit to VNS Health, VNS Health cannot guarantee that such information will not be intercepted by third parties, and VNS Health will not be liable for the acts of third parties.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>Additionally, please note that email is not considered to be a secure means of transmitting information, so please do not email VNS Health any confidential, financial, or sensitive information.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:heading -->\n<h2 class=\"wp-block-heading\" id=\"h-links-to-other-websites\">Links to Other Websites<\/h2>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p>The Platform may contain links to websites operated by third parties. This does not mean that VNS Health endorses these third-party websites. VNS Health does not make any representations or warranties about any third-party websites you may access through the Platform. Such linked websites are independent from VNS Health, and VNS Health has no control over, or responsibility for, their products, services, information, or other activities. In addition, VNS Health\u2019s Privacy Policy may differ from those of these other websites. If you provide personal information at one of those sites, you are subject to the privacy policy of the operator of that website, not the VNS Health Privacy Policy.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:heading -->\n<h2 class=\"wp-block-heading\" id=\"h-changes-to-this-privacy-policy\">Changes to this Privacy Policy<\/h2>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p>VNS Health reserves the right to change or update this Privacy Policy by posting such changes to the Platform. Changes will be effective when posted, and we will update the \u201clast updated\u201d date at the bottom of this Privacy Policy to reflect the date of the changes. You are advised to consult this Privacy Policy regularly for any changes, and your continued use of the Platform after such changes constitutes acceptance of those changes.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:heading -->\n<h2 class=\"wp-block-heading\" id=\"h-contact-information\">Contact Information<\/h2>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p>If you have any questions about this Privacy Policy, please contact us at:<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>VNS Health<br>Marketing Department\/Webmaster<br>220 East 42nd Street, 5th Floor<br>New York, NY 10017<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p><em>This Privacy Policy was last updated May 05, 2023.<\/em><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p><\/p>\n<!-- \/wp:paragraph -->",
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"post_title": "Provider Hospital-Based Delegated Vendor Roster Submission Form",
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"post_content": "<!-- wp:acf\/hero {\"name\":\"acf\/hero\",\"data\":{\"hero_version\":\"v2\",\"_hero_version\":\"field_hero_hero_version\",\"background_image_image\":35750,\"_background_image_image\":\"field_hero_background_image_image\",\"background_image\":\"\",\"_background_image\":\"field_hero_background_image\",\"v2_heading\":\"\\u003cp\\u003eThank you for contacting us!\\u003c\/p\\u003e\",\"_v2_heading\":\"field_hero_v2_heading\",\"subheading\":\"We will get in touch with you shortly.\",\"_subheading\":\"field_hero_subheading\",\"text\":\"\",\"_text\":\"field_hero_text\",\"button\":\"\",\"_button\":\"field_hero_button\",\"disable_left_circle_lg\":\"0\",\"_disable_left_circle_lg\":\"field_hero_disable_left_circle_lg\",\"disable_left_circle\":\"0\",\"_disable_left_circle\":\"field_hero_disable_left_circle\",\"disable_right_circle\":\"0\",\"_disable_right_circle\":\"field_hero_disable_right_circle\",\"id\":\"block_acf_6545388d5727c\"},\"mode\":\"edit\",\"id\":\"block_acf_6545388d5727c\"} \/-->\n\n<!-- wp:spacer {\"height\":\"50px\"} -->\n<div style=\"height:50px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n<!-- \/wp:spacer -->\n\n<!-- wp:block {\"ref\":24592} \/-->",
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"post_date": "2020-07-31 14:57:40",
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"post_content": "<!-- wp:heading -->\n<h2>YOUR VNSNY CHOICE PROVIDER MANUAL<\/h2>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p>Here in one PDF document are answers to all your questions about VNSNY CHOICE policies and procedures concerning member care, claims, and authorizations, and everything providers should know about working with us.<br> For more information, please call VNSNY CHOICE Provider Services at 1-866-783-0222 (TTY: 711), Monday \u2013 Friday, 9 am \u2013 5 pm. In the meantime, you may view or <a href=\"https:\/\/www.vnshealthplans.org\/sites\/default\/files\/2020-CHOICE-Provider-Manual_v4.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">download the entire VNSNY CHOICE Provider Manual (PDF) here<\/a>. Or you may download individual sections and appendices from the VNSNY CHOICE Provider Manual for quick access to the information you need. <\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p><em>Sections<\/em><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p><a href=\"https:\/\/www.vnshealthplans.org\/sites\/default\/files\/2020-CHOICE-Provider-Manual_v4_Section_1.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">Section 1 - Programs, Benefits, and Covered Services<\/a><br><a href=\"https:\/\/www.vnshealthplans.org\/sites\/default\/files\/2020-CHOICE-Provider-Manual_v4_Section_2.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">Section 2 - Provider Networks<\/a><br><a href=\"https:\/\/www.vnshealthplans.org\/sites\/default\/files\/2020-CHOICE-Provider-Manual_v4_Section_3.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">Section 3 - Eligibility and Membership<\/a><br><a href=\"https:\/\/www.vnshealthplans.org\/sites\/default\/files\/2020-CHOICE-Provider-Manual_v4_Section_4.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">Section 4 - Quality Improvement Program<\/a><br><a href=\"https:\/\/www.vnshealthplans.org\/sites\/default\/files\/2020-CHOICE-Provider-Manual_v4_Section_5.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">Section 5 - Responsibilities of a PCP<\/a><br><a href=\"https:\/\/www.vnshealthplans.org\/sites\/default\/files\/2020-CHOICE-Provider%20Manual_v4_Section_6.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">Section 6 - Vendor Management<\/a><br><a href=\"https:\/\/www.vnshealthplans.org\/sites\/default\/files\/2020-CHOICE-Provider-Manual_v4_Section_7.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">Section 7 - Ancillary and Other Special Services<\/a><br><a href=\"https:\/\/www.vnshealthplans.org\/sites\/default\/files\/2020-CHOICE-Provider-Manual_v4_Section_8.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">Section 8 - Medical Management<\/a><br><a href=\"https:\/\/www.vnshealthplans.org\/sites\/default\/files\/2020-CHOICE-Provider-Manual_v4_Section_9.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">Section 9 - Care Management<\/a><br><a href=\"https:\/\/www.vnshealthplans.org\/sites\/default\/files\/2020-CHOICE-Provider-Manual_v4_Section_10.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">Section 10 - Grievances and Appeals<\/a><br><a href=\"https:\/\/www.vnshealthplans.org\/sites\/default\/files\/2020-CHOICE-Provider-Manual_v4_Section_11.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">Section 11 - Billings and Claims Processing<\/a><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p><em>Appendices<\/em><br><a href=\"https:\/\/www.vnshealthplans.org\/sites\/default\/files\/2020-CHOICE-Provider-Manual-v4_Appendix_1.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">Appendix 1 - Provider Team<\/a><br><a href=\"https:\/\/www.vnshealthplans.org\/sites\/default\/files\/2020-CHOICE-Provider-Manual-v4_Appendix_2.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">Appendix 2 - Credentialing<\/a><br><a href=\"https:\/\/www.vnshealthplans.org\/sites\/default\/files\/2020-CHOICE-Provider-Manual-v4_Appendix_3.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">Appendix 3 - Pharmacy<\/a><br><a href=\"https:\/\/www.vnshealthplans.org\/sites\/default\/files\/2020-CHOICE-Provider-Manual-v4_Appendix_4.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">Appendix 4 - Quality Management and Quality Improvement<\/a><br><a href=\"https:\/\/www.vnshealthplans.org\/sites\/default\/files\/2020-CHOICE-Provider-Manual_v4_Appendix_5.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">Appendix 5 - Claims<\/a><br><a href=\"https:\/\/www.vnshealthplans.org\/sites\/default\/files\/2020-CHOICE-Provider-Manual_v4_Appendix_6.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">Appendix 6 - Medical Management<\/a><\/p>\n<!-- \/wp:paragraph -->",
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"post_date": "2021-11-19 14:39:17",
"post_date_gmt": "2021-11-19 19:39:17",
"post_content": "<!-- wp:acf\/hero {\"name\":\"acf\/hero\",\"data\":{\"hero_version\":\"v1\",\"_hero_version\":\"field_hero_hero_version\",\"background_image_image\":\"\",\"_background_image_image\":\"field_hero_background_image_image\",\"background_image\":\"\",\"_background_image\":\"field_hero_background_image\",\"heading\":\"\\u003cp\\u003eProvider Attestation Form\\u003c\/p\\u003e\",\"_heading\":\"field_hero_heading\",\"subheading\":\"\",\"_subheading\":\"field_hero_subheading\",\"text\":\"\",\"_text\":\"field_hero_text\",\"button\":\"\",\"_button\":\"field_hero_button\",\"id\":\"block_acf_64138f89c8f3c\"},\"mode\":\"edit\",\"id\":\"block_acf_64138f89c8f3c\"} \/-->\n\n<!-- wp:heading -->\n<h2 id=\"h-provider-model-of-care-training-and-attestation-form\">Provider Model of Care Training and Attestation Form<\/h2>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p>Every year, providers in the VNS Health Medicare network are required to take our Model of Care training. There are two steps to completing your training:<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:list {\"ordered\":true} -->\n<ol><!-- wp:list-item -->\n<li>Download and review the 2023 <a href=\"https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2022\/12\/2023-VNS-Health-Medicare-Model-of-Care-Provider-Training.pdf\" target=\"_blank\" rel=\"noreferrer noopener\"><strong>Model of Care Training<\/strong><\/a>.<\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li>Complete the attestation form below by <strong>December 31<\/strong>, <strong>2022<\/strong>, to let us know that you have downloaded and reviewed the 2023 Model of Care Training.<\/li>\n<!-- \/wp:list-item --><\/ol>\n<!-- \/wp:list -->\n\n<!-- wp:acf\/form-script {\"name\":\"acf\/form-script\",\"data\":{\"embed_script\":\"\\u003cscript type=\\u0022text\/javascript\\u0022 id=\\u0022jsFastForms\\u0022 src=\\u0022https:\/\/choice-vnsny.my.salesforce-sites.com\/\/services\/apexrest\/VisualAntidote\/FFNEngine\/v1\/?d=sT7FmBa%2Fx5K8MLuiJC6bbA%3D%3D\\u0022\\u003e\\u003c\/script\\u003e\",\"_embed_script\":\"field_form-script_embed_script\",\"no_script_warning_text\":\"Please enable Javascript to fill out this form.\",\"_no_script_warning_text\":\"field_form-script_no_script_warning_text\",\"background_color\":\"gray-200\",\"_background_color\":\"field_form-script_background_color\",\"id\":\"block_acf_64138f89c90ca\"},\"mode\":\"edit\",\"id\":\"block_acf_64138f89c90ca\"} \/-->",
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{
"ID": 32380,
"post_author": "21",
"post_date": "2023-06-23 16:09:46",
"post_date_gmt": "2023-06-23 20:09:46",
"post_content": "<!-- wp:acf\/hero-with-buttons {\"name\":\"acf\/hero-with-buttons\",\"data\":{\"heading\":\"Provider Portal\",\"_heading\":\"field_hero-with-buttons_heading\",\"subheading\":\"A faster, easier way to work with us. \",\"_subheading\":\"field_hero-with-buttons_subheading\",\"description\":\"\",\"_description\":\"field_hero-with-buttons_description\",\"button\":{\"title\":\"Log In to Your Account\",\"url\":\"https:\/\/providerportal.vnshealthplans.org\/login-redirect\",\"target\":\"\"},\"_button\":\"field_hero-with-buttons_button\",\"additional_links_0_link_heading\":\"\",\"_additional_links_0_link_heading\":\"field_hero-with-buttons_additional_links_link_heading\",\"additional_links_0_link_text\":\"\\u003cp\\u003eForgot your username?\\u003cbr \/\\u003e\\r\\n\\u003ca href=\\u0022https:\/\/providerportal.vnshealthplans.org\/forgot-username\\u0022\\u003eHave it sent\\u003c\/a\\u003e\\u003c\/p\\u003e\",\"_additional_links_0_link_text\":\"field_hero-with-buttons_additional_links_link_text\",\"additional_links_1_link_heading\":\"\",\"_additional_links_1_link_heading\":\"field_hero-with-buttons_additional_links_link_heading\",\"additional_links_1_link_text\":\"\\u003cp\\u003eNew to the provider portal?\\u003cbr \/\\u003e\\r\\n\\u003ca href=\\u0022https:\/\/providerportal.vnshealthplans.org\/registration\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noopener\\u0022\\u003eRegister\\u003c\/a\\u003e\\u003c\/p\\u003e\",\"_additional_links_1_link_text\":\"field_hero-with-buttons_additional_links_link_text\",\"additional_links\":2,\"_additional_links\":\"field_hero-with-buttons_additional_links\",\"id\":\"block_acf_661d49c92ab7a\"},\"mode\":\"edit\",\"id\":\"block_acf_661d49c92ab7a\"} \/-->\n\n<!-- wp:heading {\"textAlign\":\"center\"} -->\n<h2 class=\"wp-block-heading has-text-align-center\" id=\"h-get-started-today\">Get Started Today<\/h2>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph {\"align\":\"center\"} -->\n<p class=\"has-text-align-center\">The Heath Plans provider portal gives you 24\/7 access to authorizations, claims, eligibility, and more \u2014 without picking up the phone. Perform key functions and get the information you need, all in one place.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph {\"align\":\"center\"} -->\n<p class=\"has-text-align-center\"> When you create a secure account, you get access to:<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:acf\/features {\"name\":\"acf\/features\",\"data\":{\"heading\":\"\",\"_heading\":\"field_features_heading\",\"cards_0_image\":32386,\"_cards_0_image\":\"field_features_cards_image\",\"cards_0_heading\":\"Claims\",\"_cards_0_heading\":\"field_features_cards_heading\",\"cards_0_description\":\"\\u003cp\\u003eManage and view all the claims you need, and check the status of payments.\\u003c\/p\\u003e\",\"_cards_0_description\":\"field_features_cards_description\",\"cards_1_image\":32385,\"_cards_1_image\":\"field_features_cards_image\",\"cards_1_heading\":\"Authorizations\",\"_cards_1_heading\":\"field_features_cards_heading\",\"cards_1_description\":\"\\u003cp\\u003eVerify services requiring prior authorization, submit requests, and check their status.\\u003c\/p\\u003e\",\"_cards_1_description\":\"field_features_cards_description\",\"cards_2_image\":32384,\"_cards_2_image\":\"field_features_cards_image\",\"cards_2_heading\":\"Eligibility\",\"_cards_2_heading\":\"field_features_cards_heading\",\"cards_2_description\":\"\\u003cp\\u003eAccess membership rosters and verify patient eligibility.\\u003c\/p\\u003e\",\"_cards_2_description\":\"field_features_cards_description\",\"cards_3_image\":32383,\"_cards_3_image\":\"field_features_cards_image\",\"cards_3_heading\":\"Secure Message Center\",\"_cards_3_heading\":\"field_features_cards_heading\",\"cards_3_description\":\"\\u003cp\\u003eCommunicate with us, and get important alerts.\\u003c\/p\\u003e\",\"_cards_3_description\":\"field_features_cards_description\",\"cards_4_image\":32382,\"_cards_4_image\":\"field_features_cards_image\",\"cards_4_heading\":\"Document Upload\",\"_cards_4_heading\":\"field_features_cards_heading\",\"cards_4_description\":\"\\u003cp\\u003eSubmit patient records and supporting documents.\\u003c\/p\\u003e\",\"_cards_4_description\":\"field_features_cards_description\",\"cards_5_image\":32381,\"_cards_5_image\":\"field_features_cards_image\",\"cards_5_heading\":\"And More!\",\"_cards_5_heading\":\"field_features_cards_heading\",\"cards_5_description\":\"\\u003cp\\u003eAccess your provider toolkit and other resources.\\u003c\/p\\u003e\",\"_cards_5_description\":\"field_features_cards_description\",\"cards\":6,\"_cards\":\"field_features_cards\",\"id\":\"block_acf_661d49c92abfd\"},\"mode\":\"edit\",\"id\":\"block_acf_661d49c92abfd\"} \/-->\n\n<!-- wp:acf\/divider {\"name\":\"acf\/divider\",\"data\":{\"less_vertical_space\":\"0\",\"_less_vertical_space\":\"field_divider_less_vertical_space\",\"id\":\"block_acf_661d49c92ac21\"},\"mode\":\"edit\",\"id\":\"block_acf_661d49c92ac21\"} \/-->\n\n<!-- wp:heading {\"textAlign\":\"center\"} -->\n<h2 class=\"wp-block-heading has-text-align-center\">Register for an Account<\/h2>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p>The provider portal offers accounts for three different roles: admin, billing agent, and provider. Each has access to the functions and information required to complete tasks.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>Each practice or provider can have as many users as needed \u2014 there\u2019s no limit.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:acf\/faq {\"name\":\"acf\/faq\",\"data\":{\"heading\":\"\",\"_heading\":\"field_faq_heading\",\"is_modular\":\"0\",\"_is_modular\":\"field_faq_is_modular\",\"items_0_question\":\"Create an Admin Account\",\"_items_0_question\":\"field_faq_items_question\",\"items_0_answer\":\"\\u003cp\\u003eAn admin account is appropriate for most practice administrators, office managers, and front desk personnel and for those who work at a facility or ancillary provider, such as an LHCSA or a DME.\\u003c\/p\\u003e\\r\\n\\u003cp\\u003eTo create your account, you\u2019ll need to enter your name, email address, and phone number.\u00a0\\u003c\/p\\u003e\\r\\n\\u003cp\\u003eOnce you complete verification and log in to your account, you will need to go to the My Account section and request access for the providers or groups you support by providing the entity name, NPI, and tax ID. 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"post_content": "<!-- wp:acf\/hero {\"name\":\"acf\/hero\",\"data\":{\"background_image_image\":\"\",\"_background_image_image\":\"field_hero_background_image_image\",\"background_image_caption\":\"\",\"_background_image_caption\":\"field_hero_background_image_caption\",\"background_image\":\"\",\"_background_image\":\"field_hero_background_image\",\"slanted_image_effect\":\"0\",\"_slanted_image_effect\":\"field_hero_slanted_image_effect\",\"image_to_edge\":\"0\",\"_image_to_edge\":\"field_hero_image_to_edge\",\"logo\":\"\",\"_logo\":\"field_hero_logo\",\"highlighted_text\":\"\",\"_highlighted_text\":\"field_hero_highlighted_text\",\"yellow_text\":\"0\",\"_yellow_text\":\"field_hero_yellow_text\",\"heading\":\"Register for Webinar Series\",\"_heading\":\"field_hero_heading\",\"subheading\":\"\",\"_subheading\":\"field_hero_subheading\",\"text\":\"\",\"_text\":\"field_hero_text\",\"button\":\"\",\"_button\":\"field_hero_button\",\"id\":\"block_acf_654278f3f22e8\"},\"mode\":\"edit\",\"id\":\"block_acf_654278f3f22e8\"} \/-->\n\n<!-- wp:heading -->\n<h2 class=\"wp-block-heading\" id=\"h-2023-provider-education-webinar-series\">2023 Provider Education Webinar Series<\/h2>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p>The three webinars listed below are ideal for physicians, information management and quality professionals, billers, and office managers. 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"post_content": "<!-- wp:paragraph -->\n<p>Under federal and New York State law, you have a right to request health information such as assessments, Care Management notes and claims information related to your membership in VNS Health Health Plans. In addition, we will generally honor requests to furnish health information to a third party, such as an attorney, a court, or an insurance company, with written authorization from you or your legal representative.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:heading -->\n<h2 class=\"wp-block-heading\" id=\"h-how-to-request-health-information\">How to Request Health Information<\/h2>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p>Contact information for requesting health information:<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p><strong>Email<\/strong>: <a href=\"mailto:[email protected]\">[email protected]<\/a><br><strong>Fax<\/strong>: 1-646-640-2882<br><strong>Mail<\/strong>: <br>VNS Health<br>Medical Records Department<br>220 East 42nd Street, 6th Floor<br>New York, NY 10017<br><strong>Phone<\/strong>: <a href=\"tel:1-866-986-7691\">1-866-986-7691<\/a><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>For health information requests, VNS Health encourages health plan members or their legal representatives to complete our <a href=\"https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2022\/12\/2022.10.13_VNS_Health_Patient_Access_Request_Form.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">Member Access Request Form<\/a> and send it to the email address,* mailing address, or fax number listed above (and provided on the form).<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>If completing the form presents a hardship members or their representatives may email VNS Health directly at <a href=\"mailto:[email protected]\">[email protected]<\/a> or call 1 (866) 986-7691 with their request. <\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>For third-party requests, please also submit copies of documentation supporting your authority to request patient or health plan member records along with your request.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>*<em>If you email the form, please be aware that the internet is not secure and that information sent via unencrypted email could possibly be intercepted and read by other parties. By emailing the form, you recognize, acknowledge, and understand that there are inherent risks of communicating your health information via email and that you accept these risks<\/em>.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:heading -->\n<h2 class=\"wp-block-heading\">Requesting Sensitive Health Information<\/h2>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p>If you are requesting sensitive health information such as alcohol\/drug treatment, mental health information, HIV-related information, or genetic testing information,<strong> you must initial the appropriate line or lines on the Patient Access Request Form<\/strong> to allow VNS Health to release this type of information.<\/p>\n<!-- \/wp:paragraph -->",
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"post_content": "<!-- wp:paragraph -->\n<p><strong>Thank you for being part of our provider network. We appreciate all that you do for our members!<\/strong><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>This is your gateway to the digital tools, policies, guidance, and materials you and your staff need to deliver high-quality service to your patients and clients in our health plans. 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Manual\",\"url\":\"https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2024\/04\/2024-VNS-Health_Provider-Manual.pdf\",\"target\":\"\"},\"_cards_7_button\":\"field_resource-card_cards_button\",\"cards_8_icon\":20346,\"_cards_8_icon\":\"field_resource-card_cards_icon\",\"cards_8_heading\":\"Quick Reference Guide \",\"_cards_8_heading\":\"field_resource-card_cards_heading\",\"cards_8_link\":{\"title\":\"Resources for Health Professionals\",\"url\":\"https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2023\/08\/VNS-Health_Health-Plans-Provider-Reference-Guide-08.23.pdf\",\"target\":\"_blank\"},\"_cards_8_link\":\"field_resource-card_cards_link\",\"cards_8_description\":\"\\u003cp\\u003eA convenient resource for trouble-shooting provider-related concerns.\\u003c\/p\\u003e\\r\\n\\u003cp\\u003e\\u0026nbsp;\\u003c\/p\\u003e\",\"_cards_8_description\":\"field_resource-card_cards_description\",\"cards_8_button\":{\"title\":\"Download Quick Reference Guide\",\"url\":\"https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2023\/08\/VNS-Health_Health-Plans-Provider-Reference-Guide-08.23.pdf\",\"target\":\"_blank\"},\"_cards_8_button\":\"field_resource-card_cards_button\",\"cards_9_icon\":20349,\"_cards_9_icon\":\"field_resource-card_cards_icon\",\"cards_9_heading\":\"Helpful Links \",\"_cards_9_heading\":\"field_resource-card_cards_heading\",\"cards_9_link\":{\"title\":\"Helpful Links for Providers\",\"url\":\"https:\/\/www.vnshealthplans.org\/health-professionals\/helpful-links-for-providers\/\",\"target\":\"\"},\"_cards_9_link\":\"field_resource-card_cards_link\",\"cards_9_description\":\"\\u003cp\\u003eGo here for all the \\u003ca href=\\u0022\/health-professionals\/helpful-links-for-providers\/\\u0022 rel=\\u0022noreferrer noopener\\u0022\\u003eforms and documents\\u003c\/a\\u003e you need as a network provider.\\u003c\/p\\u003e\",\"_cards_9_description\":\"field_resource-card_cards_description\",\"cards_9_button\":{\"title\":\"Read More\",\"url\":\"https:\/\/www.vnshealthplans.org\/health-professionals\/helpful-links-for-providers\/\",\"target\":\"\"},\"_cards_9_button\":\"field_resource-card_cards_button\",\"cards\":10,\"_cards\":\"field_resource-card_cards\",\"id\":\"block_acf_661035f296f37\"},\"mode\":\"edit\",\"id\":\"block_acf_661035f296f37\"} \/-->\n\n<!-- wp:acf\/faq {\"name\":\"acf\/faq\",\"data\":{\"heading\":\"\",\"_heading\":\"field_faq_heading\",\"is_modular\":\"0\",\"_is_modular\":\"field_faq_is_modular\",\"items_0_question\":\"Providers Quick Reference Guide\",\"_items_0_question\":\"field_faq_items_question\",\"items_0_answer\":\"\\u003cp\\u003eThe \\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2023\/08\/VNS-Health_Health-Plans-Provider-Reference-Guide-08.23.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noreferrer noopener\\u0022\\u003eQuick Reference Guide\\u003c\/a\\u003e is a convenient resource when you have questions about the following:\\u003cbr \/\\u003e\\r\\n\u2022 Claims\\u003cbr \/\\u003e\\r\\n\u2022 Member services\\u003cbr \/\\u003e\\r\\n\u2022 Medical management\\u003cbr \/\\u003e\\r\\n\u2022 Utilization\\u003cbr \/\\u003e\\r\\n\u2022 Compliance\\u003cbr \/\\u003e\\r\\n\u2022 Pharmacy\\u003cbr \/\\u003e\\r\\n\u2022 Participating labs\\u003c\/p\\u003e\\r\\n\\u003cp\\u003eSelectHealth providers can also find contact information for troubleshooting provider-related concerns on the \\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2023\/10\/SH_Provider_Ref_guide_v9.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noopener\\u0022\\u003eSelectHealth Provider Reference Guide\\u003c\/a\\u003e.\\u003c\/p\\u003e\",\"_items_0_answer\":\"field_faq_items_answer\",\"items_1_question\":\"HHAeXchange Portal\",\"_items_1_question\":\"field_faq_items_question\",\"items_1_answer\":\"\\u003cp\\u003eOur partnership with HHAeXchange is designed to streamline the ordering, fulfillment, and billing of paraprofessional services for in-network providers. Visit the \\u003ca href=\\u0022https:\/\/www.hhaexchange.com\/info-hub\/visiting-nurse-service-of-new-york?Visit\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noopener\\u0022\\u003eHHAeXchange Portal\\u003c\/a\\u003e.\\u003c\/p\\u003e\",\"_items_1_answer\":\"field_faq_items_answer\",\"items_2_question\":\"Medication Prior Authorization Request Forms\",\"_items_2_question\":\"field_faq_items_question\",\"items_2_answer\":\"\\u003cp\\u003eFind \\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/for-health-professionals-overview\/vnsny-choice-formulary-search\/\\u0022\\u003edrug formularies\\u003c\/a\\u003e for information about medication coverage and \\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/health-professionals\/all-provider-forms\/\\u0022\\u003eprior authorization request forms\\u003c\/a\\u003e for drug coverage exceptions and medications.\\u003c\/p\\u003e\",\"_items_2_answer\":\"field_faq_items_answer\",\"items\":3,\"_items\":\"field_faq_items\",\"id\":\"block_acf_661035f29728b\"},\"mode\":\"edit\",\"id\":\"block_acf_661035f29728b\"} \/-->",
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"post_date": "2020-07-31 17:00:34",
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"post_content": "<!-- wp:paragraph -->\n<p><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:html -->\n<div class=\"wp-block-button is-style-outline wp-block-buttons alignleft\"><a class=\"wp-block-button__link noExitNotifier\" href=\"https:\/\/apps.availity.com\" target=\"_blank\" rel=\"noopener noreferrer\">Go to Availity<\/a><\/div>\n<!-- \/wp:html -->\n\n<!-- wp:paragraph -->\n<p><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>Not yet registered for\u00a0Availity? <a class=\"noExitNotifier\" href=\"https:\/\/www.availity.com\/Essentials-Portal-Registration\" target=\"_blank\" rel=\"noreferrer noopener\">Register now.<\/a><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>Follow this link, if you wish to access the <a class=\"noExitNotifier\" href=\"https:\/\/www.vnshealth.org\/for-professionals\/provider-platforms\/\" target=\"_blank\" rel=\"noreferrer noopener\">VNS Health physician web portal<\/a>.<\/p>\n<!-- \/wp:paragraph -->",
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"post_content": "<!-- wp:heading {\"level\":3} -->\n<h3 class=\"wp-block-heading\" id=\"h-your-claims-and-remittances\">Your Claims and Remittances<\/h3>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p>We understand that easy filing and timely payment of claims are a high priority for our providers. Although you may submit paper claims by mail, there are many benefits to submitting claims electronically, such as improved accuracy, reliability, convenience, and expedited payments.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>Claims must be received within 90 days of the date of services (or the time frame stipulated in your contract). If we are not the member\u2019s primary insurance, please submit the claim within 90 days of the date on the Explanation of Payment from the primary carrier.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p><strong>Important Updates<\/strong> <\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:list -->\n<ul><!-- wp:list-item -->\n<li>All Claim Disputes must be submitted through our <a href=\"https:\/\/www.vnshealthplans.org\/provider-claims-dispute-form\/\">Provider Claim Dispute Form<\/a>. Disputes that are not sent through our <a href=\"https:\/\/www.vnshealthplans.org\/provider-claims-dispute-form\/\">Provider Claim Dispute Form<\/a> will not be addressed. If you are unsure whether to submit a Claim Dispute or Claim Appeal, please click \"Should I submit a Claim Dispute or Claim Appeal?\" below.<\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li>Availity is the preferred EDI and Portal vendor for all health plan transactions. Please see \"How to submit an electronic claim\" below.<br><\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list -->\n\n<!-- wp:html -->\n<h3 id=\"electronic-payment\"><\/h3>\n<!-- \/wp:html -->\n\n<!-- wp:table -->\n<figure class=\"wp-block-table\"><table><tbody><tr><td>Electronic Payment for Providers<\/td><\/tr><tr><td>It\u2019s easy to further expedite your claims payments by signing up for electronic funds transfer (EFT) payments that are direct deposited into your bank account. You don\u2019t have to wait for our checks to arrive in the mail or manually sort, reconcile, and deposit checks. <br><br>You will need to complete <strong>both<\/strong> of the following two steps to begin receiving EFT payments and remittances:<br><br>1. To set up EFT payments, fill out the <a href=\"https:\/\/www.vnshealthplans.org\/choice-provider-eft-request-form\/\"><span style=\"text-decoration: underline\" class=\"underline\">EFT Request Form<\/span><\/a>. <br><br>2. <span style=\"font-family: inherit; font-size: inherit; font-weight: inherit;\">To receive electronic remittance advice<\/span> <span style=\"font-family: inherit; font-size: inherit; font-weight: inherit;\">files, <\/span><a class=\"noExitNotifier\" href=\"https:\/\/www.availity.com\/provider-portal-registration\" target=\"_blank\" rel=\"noreferrer noopener\"><span style=\"text-decoration: underline;\">enroll with Availity directly<\/span><\/a>. <br><br>For more information, please contact a Provider Services representative at 1-866-783-0222, or <a class=\"noExitNotifier\" href=\"https:\/\/forms.office.com\/Pages\/ResponsePage.aspx?id=AL-L0-142E2gZbphh3tPUAtgMCupwShCiX0iWyzubARUMTBQSVJWV0JPNEVBUUwxV0dQR1pKQ0dVWS4u\" target=\"_blank\" rel=\"noreferrer noopener\"><span style=\"text-decoration: underline;\">email us<\/span><\/a>. <\/td><\/tr><\/tbody><\/table><\/figure>\n<!-- \/wp:table -->\n\n<!-- wp:heading {\"level\":3} -->\n<h3 class=\"wp-block-heading\" id=\"h-claims-resources\">Claims Resources<\/h3>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p>Consult the additional resources below for answers to your questions about claim forms, remittances, billing codes, and the transition from ICD-9 codes to ICD-10 codes.<br><br>If you have any questions or require further assistance, please visit our <a href=\"https:\/\/www.vnshealthplans.org\/contact-us\/\">Contact Us<\/a> page, or call Provider Services at 1-866-783-0222, Monday\u2013Friday, 8 am\u20135 pm.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:acf\/faq {\"name\":\"acf\/faq\",\"data\":{\"heading\":\"\",\"_heading\":\"field_faq_heading\",\"is_modular\":\"0\",\"_is_modular\":\"field_faq_is_modular\",\"items_0_question\":\"How to submit an electronic claim\",\"_items_0_question\":\"field_faq_items_question\",\"items_0_answer\":\"\\u003cp\\u003eAvaility is the preferred EDI and Portal vendor for all health plan transactions. Availity is committed to working with providers and their vendors to ensure there is no disruption in the transmission of your transactions. For this reason, we\u2019d like to share important information regarding your electronic claim submission, eligibility status verification, electronic remittance advice, and claim status verification. The existing Payer IDs \u2014 77073 and VNS Health \u2014 are not changing and will be used moving forward.\\u003c\/p\\u003e\\r\\n\\u003cp\\u003eIf you wish to submit directly, you can connect directly to the Availity Gateway at no cost for all VNS Health Health Plans 837, 835, and 27X transactions.\\u003c\/p\\u003e\\r\\n\\u003cp\\u003ePlease visit \\u003ca class=\\u0022noExitNotifier\\u0022 href=\\u0022https:\/\/apps.availity.com\/web\/welcome\/#\/edi\\u0022\\u003ehttps:\/\/apps.availity.com\/web\/welcome\/#\/edi\\u003c\/a\\u003e and \\u003ca class=\\u0022noExitNotifier\\u0022 href=\\u0022http:\/\/www.availity.com\/vns\\u0022\\u003eavaility.com\/vns\\u003c\/a\\u003e to help set up your business or vendor for submitting EDI transactions through Availity.\\u003c\/p\\u003e\\r\\n\\u003cp\\u003eAvaility\u2019s Provider Engagement Portal is accessible for the following transactions as well: eligibility and benefits inquiry, claim submission, claim status inquiry, and electronic remittance advice. Please ensure you are registered with Availity for this access (\\u003ca class=\\u0022noExitNotifier\\u0022 href=\\u0022https:\/\/www.availity.com\/provider-portal-registration\\u0022\\u003ehttps:\/\/www.availity.com\/provider-portal-registration\\u003c\/a\\u003e).\\u003c\/p\\u003e\\r\\n\\u003cp\\u003eIf you have additional questions or need assistance, please contact Availity Client Services at \\u003cstrong\\u003e\\u003ca href=\\u0022tel:1-800-282-4548\\u0022\\u003e1-800-Availity\\u003c\/a\\u003e\\u003c\/strong\\u003e (\\u003ca href=\\u0022tel:1-800-282-4548\\u0022\\u003e\\u003cstrong\\u003e1-800-282-4548\\u003c\/strong\\u003e)\\u003c\/a\\u003e, Monday\u2013Friday, 8 am\u20138 pm (ET).\\u003c\/p\\u003e\",\"_items_0_answer\":\"field_faq_items_answer\",\"items_1_question\":\"How to submit a hard copy (paper) claim \",\"_items_1_question\":\"field_faq_items_question\",\"items_1_answer\":\"\\u003cp\\u003e\\u003cstrong\\u003eFor hard copy (paper) submissions:\\u003c\/strong\\u003e\\u003cbr \/\\u003e\\r\\nVNS Health\u00a0\\u003cbr \/\\u003e\\r\\nHealth Plans\u00a0\\u003cbr \/\\u003e\\r\\nP.O. Box 4498\\u003cbr \/\\u003e\\r\\nScranton, PA 18505\\u003c\/p\\u003e\\r\\n\\u003cp\\u003eOr call us at:\\u003cbr \/\\u003e\\r\\n1-866-783-0222\\u003cbr \/\\u003e\\r\\n(TTY: 711)\\u003cstrong\\u003e\\u003cbr \/\\u003e\\r\\n\\u003c\/strong\\u003eMonday\u2013Friday, 8 am\u20135 pm\\u003c\/p\\u003e\\r\\n\\u003cp\\u003e\\u003cstrong\\u003eCovered Part D vaccine claims should be mailed to:\\u003c\/strong\\u003e\\u003cbr \/\\u003e\\r\\nMedImpact Healthcare Systems\\u003cbr \/\\u003e\\r\\nP.O. Box 509108\\u003cbr \/\\u003e\\r\\nSan Diego, CA 92150-9108\\u003c\/p\\u003e\\r\\n\\u003cp\\u003eClick on \\u0022Required data elements for claim forms\\u0022 below for sample forms and a list of required data elements, MLTC provider billing instructions for MLTC and nursing home providers, and provider codes for adult day care, chore services, and home-delivered meals providers.\\u003c\/p\\u003e\",\"_items_1_answer\":\"field_faq_items_answer\",\"items_2_question\":\"How to check claim status\",\"_items_2_question\":\"field_faq_items_question\",\"items_2_answer\":\"\\u003cp\\u003eIt\u2019s easy to check on the status of a claim you\u2019ve submitted by signing in to the \\u003ca class=\\u0022noExitNotifier\\u0022 href=\\u0022https:\/\/www.vnshealthplans.org\/provider-portal\/\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noreferrer noopener\\u0022\\u003eProvider Portal\\u003c\/a\\u003e.\\u003c\/p\\u003e\",\"_items_2_answer\":\"field_faq_items_answer\",\"items_3_question\":\"Provider remittance guide\",\"_items_3_question\":\"field_faq_items_question\",\"items_3_answer\":\"\\u003cp\\u003eTo receive electronic remittance advice files, you\u2019ll need to enroll directly with our EDI clearinghouse, \\u003cu\\u003e\\u003ca class=\\u0022noExitNotifier\\u0022 href=\\u0022https:\/\/www.availity.com\/provider-portal-registration\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noopener\\u0022\\u003eAvaility\\u003c\/a\\u003e\\u003c\/u\\u003e.\\u003c\/p\\u003e\\r\\n\\u003cp\\u003ePlease visit\u00a0\\u003ca class=\\u0022noExitNotifier\\u0022 href=\\u0022http:\/\/www.availity.com\/vns\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noopener\\u0022\\u003eavaility.com\/vns\\u003c\/a\\u003e\u00a0for a quick reference guide to exchanging EDI transactions through Availity.\\u003c\/p\\u003e\\r\\n\\u003cp\\u003eFor a line-by-line guide to reading remittance forms, please view our \\u003cu\\u003e\\u003ca title=\\u0022https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2020\/09\/vnsny-choice-provider-remittance-fact-sheet.pdf\\u0022 href=\\u0022https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2022\/10\/VNS-Health-Provider-Remittance-Fact-Sheet.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noopener\\u0022\\u003eProvider Remittance Fact Sheet\\u003c\/a\\u003e\\u003c\/u\\u003e.\\u003c\/p\\u003e\",\"_items_3_answer\":\"field_faq_items_answer\",\"items_4_question\":\"Should I submit a Claim Dispute or Claim Appeal?\",\"_items_4_question\":\"field_faq_items_question\",\"items_4_answer\":\"\\u003cp\\u003e\\u003cstrong\\u003eWhen to use the Provider Claim Dispute Form:\\u003c\/strong\\u003e\\u003c\/p\\u003e\\r\\n\\u003cul\\u003e\\r\\n\\t\\u003cli\\u003eCoding denials\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eUnderpaid\/overpaid claims\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eInvalid procedure code\/revenue code\/diagnosis code\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eIncorrect modifier\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eDenied for authorization and provider has authorization letter\\u003c\/li\\u003e\\r\\n\\u003c\/ul\\u003e\\r\\n\\u003cp\\u003eYou can also consult \\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2021\/08\/VNSNY-CHOICE-Provider-Manual_section-9.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noreferrer noopener\\u0022\\u003eSection 9 of our provider manual\\u003c\/a\\u003e\u00a0to review the list of requirements needed for filing a dispute.\\u003c\/p\\u003e\\r\\n\\u003cp\\u003e\\u003cstrong\\u003eWhen to submit a Claim Appeal:\\u003c\/strong\\u003e\\u003cbr \/\\u003e\\r\\nIf your claim is denied, and you wish to challenge the decision, you can use the \\u003cstrong\\u003egrievances and appeals\\u003c\/strong\\u003e process. This will lead to an internal clinical or administrative review of the denial.\\u003c\/p\\u003e\\r\\n\\u003cp\\u003eExamples of appealable denials include:\\u003c\/p\\u003e\\r\\n\\u003cul\\u003e\\r\\n\\t\\u003cli\\u003eServices not authorized\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eNot medically necessary\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eNoncovered service\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eNoncovered benefit\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eBenefit exhausted\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eCharges previously considered\\u003c\/li\\u003e\\r\\n\\u003c\/ul\\u003e\",\"_items_4_answer\":\"field_faq_items_answer\",\"items_5_question\":\"Health Plan Claim Reconsideration and Dispute Timelines\",\"_items_5_question\":\"field_faq_items_question\",\"items_5_answer\":\"\\u003cp\\u003eParticipating providers can dispute a claim or utilization review decision using the\u00a0\\u003ca href=\\u0022https:\/\/nam04.safelinks.protection.outlook.com\/?url=https%3A%2F%2Fwww.vnshealthplans.org%2Fprovider-claims-dispute-form%2F\\u0026amp;data=05%7C01%7CSteven.Trezza%40vnshealth.org%7C1e4489c285504ba3f46608db3526f0d2%7Cd38bbf0078ed4dd8a065ba61877b4f50%7C1%7C0%7C638162213586865918%7CUnknown%7CTWFpbGZsb3d8eyJWIjoiMC4wLjAwMDAiLCJQIjoiV2luMzIiLCJBTiI6Ik1haWwiLCJXVCI6Mn0%3D%7C3000%7C%7C%7C\\u0026amp;sdata=H6szSXXmd37WoKwZ84OUycyLUCu2u4s8haMqGY10vj0%3D\\u0026amp;reserved=0\\u0022\\u003eOnline Form\\u003c\/a\\u003e\u00a0available on vnshealthplans.org. Disputes need to be submitted within the timeframe stated in the provider's contract.\\u003cbr \/\\u003e\\r\\n\\u003cbr \/\\u003e\\r\\n\\u003cem\\u003eBelow are general claims dispute timelines for reference. However, providers must submit disputes within the timeframe within their contract in order for the dispute to be considered.\\u003c\/em\\u003e\\u003cstrong\\u003e\\u003cbr \/\\u003e\\r\\n\\u003cbr \/\\u003e\\r\\n\\u003c\/strong\\u003e\\u003c\/p\\u003e\\r\\n\\u003cul\\u003e\\r\\n\\t\\u003cli\\u003e\\u003cstrong\\u003eLHCSAs\/Fls\u00a0\\u003c\/strong\\u003e- Sixty (60) days to dispute a claim from VNS Health issued Remittance notice or Explanation of Benefits\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003e\\u003cstrong\\u003eSNFs\\u003c\/strong\\u003e\u00a0- Sixty (60) days to dispute a claim from VNS Health issued Remittance notice or Explanation of Benefits\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003e\\u003cstrong\\u003eMeals on Wheels\\u003c\/strong\\u003e - Ninety (90) days to dispute a claim from VNS Health issued Remittance notice or Explanation of Benefits\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003e\\u003cstrong\\u003eAncillary Providers\\u003c\/strong\\u003e\u00a0- Six (6) months to dispute a claim from VNS Health issued Remittance notice or Explanation of Benefits. This also includes disputes for Cost Outlier underpayment. It is necessary to submit the relevant Medical Records within this timeframe. Failure to do so will result in a denial of the claim as untimely.\\u003c\/li\\u003e\\r\\n\\u003c\/ul\\u003e\",\"_items_5_answer\":\"field_faq_items_answer\",\"items_6_question\":\"How to submit a Claim Dispute\",\"_items_6_question\":\"field_faq_items_question\",\"items_6_answer\":\"\\u003cp class=\\u0022schema-faq-answer\\u0022\\u003e\\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2022\/10\/claim-submission-instructions-for-health-plan-providers.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noreferrer noopener\\u0022\\u003ePlease click here for complete instructions for submitting a Provider Claim Dispute.\\u003c\/a\\u003e\\u003c\/p\\u003e\\r\\n\\u003col\\u003e\\r\\n\\t\\u003cli class=\\u0022schema-faq-answer\\u0022\\u003eWhen submitting a disputed claim, you must include an Excel attachment. \\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2022\/09\/provider-payment-dispute-template.xls\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noreferrer noopener\\u0022\\u003eDownload this template\\u003c\/a\\u003e, and use it to enter the information listed in each column. We'll need it in order to process your payment dispute. (Note that if you don't see the template right away, check your browser's download status bar or the download file on your computer.)\\u003c\/li\\u003e\\r\\n\\t\\u003cli class=\\u0022schema-faq-answer\\u0022\\u003eAttach the file in the field labeled \\u0022File upload\\u0022 when you submit your dispute using the \\u003ca class=\\u0022noExitNotifier\\u0022 href=\\u0022https:\/\/www.vnshealthplans.org\/provider-claims-dispute-form\/\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noreferrer noopener\\u0022\\u003eClaim Dispute Form\\u003c\/a\\u003e.\\u003c\/li\\u003e\\r\\n\\t\\u003cli class=\\u0022schema-faq-answer\\u0022\\u003eLook for an email confirmation of your submission.\\u003c\/li\\u003e\\r\\n\\u003c\/ol\\u003e\\r\\n\\u003cp\\u003eYou can also consult\u00a0\\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2023\/08\/Section-9-VNS-Health-Provider-Manual.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noreferrer noopener\\u0022\\u003eSection 9 of our provider manual\\u003c\/a\\u003e to review the list of requirements needed to file a dispute.\\u003c\/p\\u003e\\r\\n\\u003cp\\u003e\\u0026nbsp;\\u003c\/p\\u003e\",\"_items_6_answer\":\"field_faq_items_answer\",\"items_7_question\":\"How to submit a Claim Appeal\",\"_items_7_question\":\"field_faq_items_question\",\"items_7_answer\":\"\\u003cp class=\\u0022schema-faq-answer\\u0022\\u003eIf you want to file an appeal, the request must be submitted in writing, via fax or mail.\\u003c\/p\\u003e\\r\\n\\u003cp class=\\u0022schema-faq-answer\\u0022\\u003ePlease fax your request to 1-866-791-2213.\\u003c\/p\\u003e\\r\\n\\u003cp\\u003eOr mail it to:\\u003c\/p\\u003e\\r\\n\\u003cp\\u003eVNS Health\\u003cbr \/\\u003e\\r\\nHealth Plans \u2013 Grievances \\u0026amp; Appeals\\u003cbr \/\\u003e\\r\\nP.O. Box 445\\u003cbr \/\\u003e\\r\\nElmsford, NY 10523\\u003c\/p\\u003e\\r\\n\\u003cp\\u003eConsult\u00a0\\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2023\/08\/Section-9-VNS-Health-Provider-Manual.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noreferrer noopener\\u0022\\u003eSection 9 of our provider manual\\u003c\/a\\u003e\u00a0to review the list of requirements and time frames needed for filing an appeal.\\u003c\/p\\u003e\\r\\n\\u003cp\\u003eClaim Appeals: Notification of a decision will be made within 60 calendar days of receiving the appeal. If you are an out-of-network provider filing a claim appeal, a decision may take up to 120 days if a completed \\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2022\/10\/VNS-Health-Waiver-of-Liability-Form.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noopener\\u0022\\u003eWaiver of Liability form\\u003c\/a\\u003e is needed. No extension may be taken on payment appeals, and payment appeals cannot be processed as \u201cfast\u201d appeals.\\u003c\/p\\u003e\",\"_items_7_answer\":\"field_faq_items_answer\",\"items_8_question\":\"How to submit Corrected Claims\",\"_items_8_question\":\"field_faq_items_question\",\"items_8_answer\":\"\\u003cp\\u003eTo ensure your corrected claims are processed and paid correctly, please follow these essential steps:\\u003c\/p\\u003e\\r\\n\\u003cp\\u003e\\u003cstrong\\u003e1. Clearly Identify the Original Claim:\\u003c\/strong\\u003e\\u003c\/p\\u003e\\r\\n\\u003cul\\u003e\\r\\n\\t\\u003cli\\u003eUB-04 Forms:\\r\\n\\r\\n\\u003cul style=\\u0022list-style-type: circle;\\u0022\\u003e\\r\\n\\t\\u003cli\\u003eMark \\u0022Frequency Code 7\\u0022 to indicate a replacement claim.\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eUse type of bill \\u0022XX7\\u0022 in box 4 (electronic or paper).\\u003c\/li\\u003e\\r\\n\\u003c\/ul\\u003e\\r\\n\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eCMS 1500 Forms:\\r\\n\\r\\n\\u003cul style=\\u0022list-style-type: circle;\\u0022\\u003e\\r\\n\\t\\u003cli\\u003eEnter \\u00227\\u0022 in Resubmission Code box (Box 22).\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eProvide the original claim number in the Original Reference Number field (also within Box 22).\\u003c\/li\\u003e\\r\\n\\u003c\/ul\\u003e\\r\\n\\u003c\/li\\u003e\\r\\n\\u003c\/ul\\u003e\\r\\n\\u003cp\\u003e\\u003cstrong\\u003e2. Reference the Correct Claim Number:\\u003c\/strong\\u003e\\u003c\/p\\u003e\\r\\n\\u003cul\\u003e\\r\\n\\t\\u003cli\\u003eAlways\u00a0include the exact claim number you're correcting.\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eIf correcting an adjusted claim,\u00a0use the\u00a0adjusted\u00a0claim number (e.g.,\u00a0XXXXXXXXXX01),\u00a0not the original one.\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eFailure to provide the correct claim number will lead to denial.\\u003c\/li\\u003e\\r\\n\\u003c\/ul\\u003e\\r\\n\\u003cp\\u003e\\u003cstrong\\u003e3. Adhere to Timely Filing Requirements:\\u003c\/strong\\u003e\\u003c\/p\\u003e\\r\\n\\u003cul\\u003e\\r\\n\\t\\u003cli\\u003eSubmit corrected claims within the specified timeframe to avoid denials based on lateness.\\u003c\/li\\u003e\\r\\n\\u003c\/ul\\u003e\\r\\n\\u003cp\\u003e\\u003cstrong\\u003e4. Include Condition Codes for Medicare Services:\\u003c\/strong\\u003e\\u003c\/p\\u003e\\r\\n\\u003cul\\u003e\\r\\n\\t\\u003cli\\u003eCorrected claims for Medicare services require specific condition codes based on CES edits.\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eOmitting these codes can result in denials.\\u003c\/li\\u003e\\r\\n\\u003c\/ul\\u003e\\r\\n\\u003cp\\u003e\\u003cstrong\\u003eKey Points to Remember:\\u003c\/strong\\u003e\\u003c\/p\\u003e\\r\\n\\u003cul\\u003e\\r\\n\\t\\u003cli\\u003eClearly identify corrected claims using appropriate codes and fields.\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eAlways reference the correct claim number being corrected.\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eFollow timely filing requirements.\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eInclude condition codes for Medicare services.\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eAdhering to these guidelines will significantly increase the likelihood of your corrected claims being processed and paid accurately.\\u003c\/li\\u003e\\r\\n\\u003c\/ul\\u003e\",\"_items_8_answer\":\"field_faq_items_answer\",\"items_9_question\":\"Required data elements for claim forms\",\"_items_9_question\":\"field_faq_items_question\",\"items_9_answer\":\"\\u003cp class=\\u0022schema-faq-answer\\u0022\\u003eThe\u00a0\\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2020\/09\/CMS-1500_Sample-Provider-Claim.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noreferrer noopener\\u0022\\u003eCMS-1500 claim form\\u003c\/a\\u003e\u00a0(sample)\u00a0and\u00a0\\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2020\/09\/UB-04_Sample-Provider-Claim.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noreferrer noopener\\u0022\\u003eUB-04 claim form\\u003c\/a\\u003e (sample) can be used to bill fee-for-service encounters. The UB-04 claim form should be used by facilities and by facilities billing on behalf of employed providers.\\u003c\/p\\u003e\\r\\n\\u003cp\\u003ePlease be sure your claim has these\u00a0\\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2022\/10\/VNS-Health-Required-Data-Provider-Claims.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noreferrer noopener\\u0022\\u003erequired data\u00a0elements\\u003c\/a\\u003e\u00a0before submitting your form. This information is needed for claims to be processed correctly.\\u003c\/p\\u003e\\r\\n\\u003cp\\u003eYou can find instructions for submitting your claim by clicking on \\u0022How to submit claims\\u0022 above.\\u003c\/p\\u003e\",\"_items_9_answer\":\"field_faq_items_answer\",\"items_10_question\":\"Claim submission instructions for in-network providers\",\"_items_10_question\":\"field_faq_items_question\",\"items_10_answer\":\"\\u003cdiv id=\\u0022faq-question-1596204710788\\u0022 class=\\u0022schema-faq-section\\u0022\\u003e\\r\\n\\u003cp class=\\u0022schema-faq-answer\\u0022\\u003eIn-network providers should follow these \\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2022\/10\/VNS-Health-Providers-Billing-Procedures.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noreferrer noopener\\u0022\\u003ebilling procedures\\u003c\/a\\u003e when submitting claims to a VNS Health health plan.\\u003c\/p\\u003e\\r\\n\\u003c\/div\\u003e\",\"_items_10_answer\":\"field_faq_items_answer\",\"items_11_question\":\"Post Payment Inpatient DRG Review\",\"_items_11_question\":\"field_faq_items_question\",\"items_11_answer\":\"\\u003cp\\u003e\\u003cstrong\\u003eVaris to Conduct Post-payment Inpatient DRG Review\\u003c\/strong\\u003e\\u003c\/p\\u003e\\r\\n\\u003cp\\u003eBeginning 5\/1\/2023, Varis, an organization specializing in strategic analysis of health care claims, will conduct post-paid reviews of inpatient claims to validate the claims are in accordance with guidelines.\\u003c\/p\\u003e\\r\\n\\u003cp\\u003eVaris will do two types of reviews:\\u003c\/p\\u003e\\r\\n\\u003col\\u003e\\r\\n\\t\\u003cli\\u003e\\u003cstrong\\u003ePost Payment Clinical Validation \\u003c\/strong\\u003e\\u003c\/li\\u003e\\r\\n\\u003c\/ol\\u003e\\r\\n\\u003cp\\u003eVaris will conduct Clinical Validation reviews to confirm the diagnoses documented in the medical record are sustained by clinical criteria generally accepted by the medical community.\\u003c\/p\\u003e\\r\\n\\u003cul\\u003e\\r\\n\\t\\u003cli\\u003eVARIS will send letters notifying providers of the claims selected for review and requesting copies of the relevant portions of the medical record.\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eProviders should send the requested portions of the records electronically, if possible.\u00a0VARIS will apply CMS requirements and guidance and VNS Health Health Plans\u2019 policy.\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eA licensed Registered Nurse or MD will conduct the reviews, applying CMS requirements and guidance and VNS Health Health Plans\u2019 policy. Final determinations are made by a licensed Physician.\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eIf the clinical criteria are not met:\\r\\n\\r\\n\\u003cul\\u003e\\r\\n\\t\\u003cli\\u003eVARIS will provide the medical records to an Independent Peer Review Organization.\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eA licensed board\u00ad certified physician will review the records to determine whether the clinical documentation in the record is sufficient to support the condition. If the condition is not supported, the entire claim payment amount will be considered an overpayment.\\u003c\/li\\u003e\\r\\n\\u003c\/ul\\u003e\\r\\n\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eIf a provider fails to comply with a request for medical records, VARIS will send a reminder notice. If the provider fails to provide the requested medical records after receiving the reminder, the entire claim payment amount will be considered an overpayment.\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eIn the event of an overpayment finding:\\r\\n\\r\\n\\u003cul\\u003e\\r\\n\\t\\u003cli\\u003eVARIS will notify the provider by letter and request the provider acknowledge the overpayment or provide additional or clarifying information within 30 calendar days.\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eIf an acknowledgment or additional information is not received after 20 days, VARIS will send a reminder letter.\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eIf VARIS does not receive an acknowledgment or additional information within the 30- day timeframe, VARIS will send a final letter informing the provider that VNS Health will be notified to conduct the adjustment or collection process for that specific overpayment.\\u003c\/li\\u003e\\r\\n\\u003c\/ul\\u003e\\r\\n\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eIf a case is being appealed, the Independent Peer Review Organization will review the case by a secondary licensed board-certified physician.\\u003c\/li\\u003e\\r\\n\\u003c\/ul\\u003e\\r\\n\\u003cp\\u003e\\u0026nbsp;\\u003c\/p\\u003e\\r\\n\\u003col start=\\u00222\\u0022\\u003e\\r\\n\\t\\u003cli\\u003e\\u003cstrong\\u003ePost-payment Readmission DRG Review\\u003c\/strong\\u003e\\u003c\/li\\u003e\\r\\n\\u003c\/ol\\u003e\\r\\n\\u003cp\\u003eVaris will conduct DRG readmission reviews for acute care facility inpatient claims that are paid based on Medicare Severity Diagnosis Related Group (MS-DRG) payment methodology.\\u003c\/p\\u003e\\r\\n\\u003cul\\u003e\\r\\n\\t\\u003cli\\u003eVARIS will send letters notifying providers of the records selected for review and requesting copies of the relevant portions of the medical record be sent within 30 days.\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eProviders should send the requested portions of the records electronically, if possible. VARIS will apply CMS requirements and guidance and VNS Health Health Plans\u2019 policy.\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eA licensed Registered Nurse or MD will conduct the reviews, applying CMS requirements and guidance and VNS Health Health Plans\u2019 policy. Final determinations are made by a licensed Physician.\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eIf a provider fails to comply with a request for medical records, VARIS will send a reminder notice. If the provider fails to provide the requested medical records after receiving the reminder, the entire claim payment amount will be considered an overpayment.\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eIn the event of an overpayment finding:\\r\\n\\r\\n\\u003cul\\u003e\\r\\n\\t\\u003cli\\u003eVARIS will notify the provider by letter and request the provider acknowledge the overpayment or provide additional or clarifying information within 30 calendar days.\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eIf an acknowledgment or additional information is not received after 20 days, VARIS will send a reminder letter.\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eIf VARIS does not receive an acknowledgment or additional information within the 30- day timeframe, VARIS will send a final letter informing the provider that VNS Health will be notified to conduct the adjustment or collection process for that specific overpayment.\\u003c\/li\\u003e\\r\\n\\u003c\/ul\\u003e\\r\\n\\u003c\/li\\u003e\\r\\n\\u003c\/ul\\u003e\",\"_items_11_answer\":\"field_faq_items_answer\",\"items_12_question\":\"ICD-10 FAQs\",\"_items_12_question\":\"field_faq_items_question\",\"items_12_answer\":\"\\u003cp\\u003eThese are the most \\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2022\/10\/VNS-Health-ICD-10_FAQ.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noopener\\u0022\\u003efrequently asked questions\\u003c\/a\\u003e about the\u00a0transition from ICD-9 codes to ICD-10 codes and how the transition affects our in-network providers.\\u003c\/p\\u003e\",\"_items_12_answer\":\"field_faq_items_answer\",\"items_13_question\":\"I am a physician with a VNS Health Total patient in hospice care. Whom do I bill for my services?\",\"_items_13_question\":\"field_faq_items_question\",\"items_13_answer\":\"\\u003cp\\u003eIf you are a physician who ordinarily provides primary or specialty care services to a patient who is now in hospice, you should bill us directly. You do not need to bill both CMS and VNS Health Medicare, unless you are specifically a hospice provider or facility. For more-detailed information, visit \\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/hospice-benefit\/\\u0022\\u003eHospice Benefit FAQs\\u003c\/a\\u003e.\\u003c\/p\\u003e\",\"_items_13_answer\":\"field_faq_items_answer\",\"items_14_question\":\"Billing instructions for nursing home providers\",\"_items_14_question\":\"field_faq_items_question\",\"items_14_answer\":\"\\u003cp class=\\u0022schema-faq-answer\\u0022\\u003eVisit \\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2022\/10\/VNS-Health-Billing-Info-Nursing-Home-Providers.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noreferrer noopener\\u0022\\u003eBilling Instructions for Nursing Home Providers\\u003c\/a\\u003e\u00a0for information about billing and claims procedures.\\u003c\/p\\u003e\",\"_items_14_answer\":\"field_faq_items_answer\",\"items_15_question\":\"Claims layout information and provider codes\",\"_items_15_question\":\"field_faq_items_question\",\"items_15_answer\":\"\\u003cdiv id=\\u0022faq-question-1596204768185\\u0022 class=\\u0022schema-faq-section\\u0022\\u003ePlease find provider codes and claims layout information for:\\u003c\/div\\u003e\\r\\n\\u003cdiv id=\\u0022faq-question-1596204787186\\u0022 class=\\u0022schema-faq-section\\u0022\\u003e\\r\\n\\u003cp class=\\u0022schema-faq-answer\\u0022\\u003e\\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2022\/10\/VNS-Health-Claims-Provider-Codes_Adult-Day.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noreferrer noopener\\u0022\\u003eAdult day care providers\\u003c\/a\\u003e\\u003cbr \/\\u003e\\r\\n\\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2022\/10\/VNS-Health-Claims-Provider-Codes_Chore-Services.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noreferrer noopener\\u0022\\u003eChore services providers\\u003c\/a\\u003e\\u003cbr \/\\u003e\\r\\n\\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2022\/10\/VNS-Health-Claims-Provider-Codes_Home-Delivered-Meals.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noreferrer noopener\\u0022\\u003eHome-delivered meals providers\\u003c\/a\\u003e\\u003c\/p\\u003e\\r\\n\\u003c\/div\\u003e\",\"_items_15_answer\":\"field_faq_items_answer\",\"items\":16,\"_items\":\"field_faq_items\",\"id\":\"block_acf_658c6ffa66f26\"},\"mode\":\"edit\",\"id\":\"block_acf_658c6ffa66f26\"} \/-->\n\n<!-- wp:heading {\"level\":3} -->\n<h3 class=\"wp-block-heading\" id=\"h-\"><\/h3>\n<!-- \/wp:heading -->",
"post_title": "Claims and Payment Information and Resources",
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"post_date": "2022-08-17 19:32:19",
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"post_content": "<!-- wp:paragraph -->\n<p>The VNS Health Medicare hospice approach focuses on early identification of individuals in advanced stages of an illness who may benefit from improved care coordination between their health plan, their primary care physician and specialists, and the hospice provider.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>We will work with you and your patient to transition into hospice care, which can begin at any time after a diagnosis of a terminal illness. We have the experts to help you and your patient through this difficult time toward care that seeks above all to keep your patient comfortable and in familiar surroundings \u2013 preferably at home.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>Our Hospice Care model includes access to our Palliative Care program, which may be an appropriate transition for patients moving toward end-of-life care. The Palliative Care program may also be appropriate for other patients diagnosed with serious illnesses who do not need to transition to hospice care and may be used alongside curative care.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:buttons {\"layout\":{\"type\":\"flex\",\"justifyContent\":\"center\"}} -->\n<div class=\"wp-block-buttons\"><!-- wp:button {\"className\":\"is-style-outline\"} -->\n<div class=\"wp-block-button is-style-outline\"><a class=\"wp-block-button__link\" href=\"https:\/\/www.vnshealthplans.org\/health-professionals\/comfort-care-options\/palliative-care\/\">Learn more about palliative care<\/a><\/div>\n<!-- \/wp:button --><\/div>\n<!-- \/wp:buttons -->\n\n<!-- wp:buttons {\"layout\":{\"type\":\"flex\",\"justifyContent\":\"center\"}} -->\n<div class=\"wp-block-buttons\"><!-- wp:button {\"className\":\"is-style-outline\"} -->\n<div class=\"wp-block-button is-style-outline\"><a class=\"wp-block-button__link\" href=\"https:\/\/www.vnshealthplans.org\/health-professionals\/comfort-care-options\/hospice-care\/\">Learn more about hospice care<\/a><\/div>\n<!-- \/wp:button --><\/div>\n<!-- \/wp:buttons -->\n\n<!-- wp:buttons {\"layout\":{\"type\":\"flex\",\"justifyContent\":\"center\"}} -->\n<div class=\"wp-block-buttons\"><!-- wp:button {\"className\":\"is-style-outline\"} -->\n<div class=\"wp-block-button is-style-outline\"><a class=\"wp-block-button__link\" href=\"https:\/\/www.vnshealthplans.org\/hospice-benefit\/\">Medicare Hospice Benefit FAQs<\/a><\/div>\n<!-- \/wp:button --><\/div>\n<!-- \/wp:buttons -->",
"post_title": "Comfort Care Options for VNS Health Medicare Patients",
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"post_date": "2022-08-17 20:17:14",
"post_date_gmt": "2022-08-18 00:17:14",
"post_content": "<!-- wp:paragraph -->\n<p>For patients who are diagnosed with a terminal illness, VNS Health Medicare offers a Hospice Benefit.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>VNS Health Medicare is one of a handful of designated CMS Innovation Center Model participants for the Hospice Benefit Program, designed to increase patient access to hospice services, simplify payment by moving it from Medicare to the patient\u2019s Medicare Advantage plan, and improve coordination between hospice providers and other clinicians at the patient\u2019s end of life.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>The Hospice Benefit component of the Value Based Insurance Design (VBID) Model is an opportunity for VNSNY CHOICE Medicare, physicians, and hospice providers to collaborate and improve care coordination, transparency, and quality of life for our Medicare members at the end of life.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>Part of the Hospice Benefit includes the provision of <strong>Transitional Concurrent Care (TCC)<\/strong> service for members who elect hospice with an in-network hospice provider. To ease care transitions, we offer TCC services that are necessary to address continuing care needs, as clinically appropriate, for the treatment of the patient\u2019s terminal condition. Under the TCC benefit, patients who elect hospice care with an in-network hospice provider can choose to maintain their usual curative care for up to one month from the date of hospice election.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>We currently have two in-network hospice providers available to plan members:<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:list -->\n<ul><!-- wp:list-item -->\n<li><a class=\"noExitNotifier\" href=\"https:\/\/www.vnshealth.org\/hospice-care\/\" target=\"_blank\" rel=\"noreferrer noopener\"><strong><span style=\"text-decoration: underline\" class=\"underline\"><em>VNS Health Hospice Care<\/em><\/span><\/strong><\/a><em><strong><span style=\"text-decoration: underline\" class=\"underline\">.<\/span><\/strong><\/em> For more information or to refer a VNS Health Medicare patient, call <a href=\"tel:212-609-1920\">212-609-1920<\/a>.<\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li><strong><span style=\"text-decoration: underline\" class=\"underline\"><a href=\"https:\/\/www.mjhs.org\/our-services\/mjhs-hospice-palliative-care\/hospice-care\/\" target=\"_blank\" rel=\"noreferrer noopener\"><em>MJHS Hospice Care<\/em><\/a><em><u>.<\/u><\/em><\/span><\/strong> For more information or to refer a VNS Health Medicare patient, call <a href=\"tel:855-921-4057\">855-921-4057<\/a>.<\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list -->\n\n<!-- wp:paragraph -->\n<p>Note that out-of-network hospice services are also covered by the patient\u2019s health plan. Other hospice providers may be added to the network at any time.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:acf\/faq {\"name\":\"acf\/faq\",\"data\":{\"heading\":\"Hospice Care Frequently Asked Questions\",\"_heading\":\"field_faq_heading\",\"items_0_question\":\"Does hospice care require an end-of-life diagnosis?\",\"_items_0_question\":\"field_faq_items_question\",\"items_0_answer\":\"\\u003cp\\u003eHospice care requires that the patient has a certified prognosis of six or fewer months to live.\\u003c\/p\\u003e\",\"_items_0_answer\":\"field_faq_items_answer\",\"items_1_question\":\"How do we know when a patient is eligible for hospice care?\",\"_items_1_question\":\"field_faq_items_question\",\"items_1_answer\":\"\\u003cp\\u003eHospice care requires that two physicians certify that the patient has less than six months to live, based on the physician's estimate, if the terminal illness runs its course as expected.\\u003c\/p\\u003e\",\"_items_1_answer\":\"field_faq_items_answer\",\"items_2_question\":\"Who provides hospice care? \",\"_items_2_question\":\"field_faq_items_question\",\"items_2_answer\":\"\\u003cp\\u003eThe hospice care team is a group of specially trained health professionals that includes a physician, nurse, hospice aide, social worker, volunteer, chaplain, and bereavement counselor. This interdisciplinary team works together to ensure that the patient\u2019s needs are met. Among its major responsibilities, the interdisciplinary hospice team:\\u003c\/p\\u003e\\r\\n\\u003cul\\u003e\\r\\n\\t\\u003cli\\u003eManages the patient\u2019s pain and symptoms\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eProvides physical, emotional, and spiritual support\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eProvides medications, medical supplies, and equipment\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eProvides coaching to caregivers on how to care for a patient\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eDelivers special services like physical therapy when needed\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eMakes short-term inpatient care available when caregivers need respite time\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eProvides bereavement support \\u003cbr \/\\u003e\\r\\n\\u003cbr \/\\u003e\\r\\n\\u003c\/li\\u003e\\r\\n\\u003c\/ul\\u003e\",\"_items_2_answer\":\"field_faq_items_answer\",\"items_3_question\":\"What services does the Medicare hospice benefit cover?\",\"_items_3_question\":\"field_faq_items_question\",\"items_3_answer\":\"\\u003cul\\u003e\\r\\n\\t\\u003cli\\u003eDoctor services\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eNursing care\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eMedical equipment (such as hospital bed or wheelchair)\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eMedical supplies (such as bandages and catheters)\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eDrugs to control pain and other symptoms\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eHome health aide and homemaker services\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003ePhysical and occupational therapy\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eSpeech therapy (to help with problems such as swallowing)\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eSocial worker services\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eDietary counseling\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eEmotional and spiritual counseling\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eRespite care designated to provide family members a short break from caring for their loved one at home\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eTransitional Concurrent Care for patients who elect hospice with an in-network provider\\u003c\/li\\u003e\\r\\n\\u003c\/ul\\u003e\",\"_items_3_answer\":\"field_faq_items_answer\",\"items_4_question\":\"What happens after my patient starts receiving hospice care? \",\"_items_4_question\":\"field_faq_items_question\",\"items_4_answer\":\"\\u003cp\\u003eMost hospice organizations encourage the PCP to remain involved in the patient\u2019s care. PCPs often have the best knowledge of the patient\u2019s overall health and can remain the patient\u2019s primary care physician once the decision to refer to hospice is made. The PCP can offer reassurance and support to the patient and family during the very difficult end of life period. Additionally, the PCP can assist with offering clear communication to the hospice team if the patient or family has any difficulty doing so. In turn, Hospice is a valuable physician resource when it comes to medications, symptom management, and communication with patients and families.\u00a0\\u003c\/p\\u003e\",\"_items_4_answer\":\"field_faq_items_answer\",\"items_5_question\":\"What resources are available for me or my patients to learn more about hospice care?\",\"_items_5_question\":\"field_faq_items_question\",\"items_5_answer\":\"\\u003cul\\u003e\\r\\n\\t\\u003cli\\u003e\\u003cstrong\\u003e\u00a0VNS Health Medicare Resources\\u003c\/strong\\u003e\\r\\n\\u003cul\\u003e\\r\\n\\t\\u003cli\\u003e\\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2022\/05\/CHOICE-Understanding-Care-Options-for-Medicare-Patients.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noopener\\u0022\\u003e\\u003cspan style=\\u0022text-decoration: underline;\\u0022\\u003eComfort Care Options (for providers)\\u003c\/span\\u003e\\u003c\/a\\u003e\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003e\\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2022\/08\/CHOICE-Health-Plan_VBID-Ops-Guidelines-for-Hospice-Providers.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noopener\\u0022\\u003e\\u003cspan style=\\u0022text-decoration: underline;\\u0022\\u003eVBID Operational Guidelines for Hospice Providers\\u003c\/span\\u003e\\u003c\/a\\u003e\u00a0\\u003c\/li\\u003e\\r\\n\\u003c\/ul\\u003e\\r\\n\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003e\\u003cstrong\\u003eExternal Resources\\u003c\/strong\\u003e\\r\\n\\u003cul\\u003e\\r\\n\\t\\u003cli\\u003e\\u003cspan style=\\u0022text-decoration: underline;\\u0022\\u003e\\u003ca href=\\u0022https:\/\/www.nhpco.org\/hospice-care-overview\/hospice-facts-figures\/\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noopener\\u0022\\u003eNHPCO- Facts-Figures 2021\\u003c\/a\\u003e\\u003c\/span\\u003e (Available in PowerPoint or pdf)\\u003c\/li\\u003e\\r\\n\\u003c\/ul\\u003e\\r\\n\\u003c\/li\\u003e\\r\\n\\u003c\/ul\\u003e\",\"_items_5_answer\":\"field_faq_items_answer\",\"items\":6,\"_items\":\"field_faq_items\"},\"mode\":\"edit\"} \/-->\n\n<!-- wp:acf\/faq {\"name\":\"acf\/faq\",\"data\":{\"heading\":\"Frequently Asked Questions for Hospice Care Providers\",\"_heading\":\"field_faq_heading\",\"items_0_question\":\"I am a physician with a VNS Health Medicare patient in hospice care. Whom do I bill for my services?\",\"_items_0_question\":\"field_faq_items_question\",\"items_0_answer\":\"\\u003cp\\u003eIf you are a physician who ordinarily provides primary or specialty care services to a patient who is now in hospice, you should bill us directly. You do not need to bill both CMS and VNS Health Medicare, unless you are specifically a hospice provider or facility.\u00a0\\u003c\/p\\u003e\",\"_items_0_answer\":\"field_faq_items_answer\",\"items_1_question\":\"I am a hospice provider. How are notices and claims submitted for beneficiaries in participating plans?\",\"_items_1_question\":\"field_faq_items_question\",\"items_1_answer\":\"\\u003cp\\u003eClaims must be submitted to both VNS Health Medicare and to the Centers for Medicare and Medicaid Services (CMS).\\u003c\/p\\u003e\\r\\n\\u003cp\\u003e\\u003cstrong\\u003ePlease note:\\u003c\/strong\\u003e In addition to your usual Notice of Election (NOE) and Notice of Termination\/Revocation (NOTR) submission to CMS, all providers are also required to submit the NOE to us within 5 days of hospice election and the NOTR within 5 days of hospice termination. Please submit all Hospice NOE and NOTR material to\u00a0\\u003ca href=\\u0022mailto:[email protected]\\u0022\\[email protected]\\u003c\/a\\u003e.\\u003cbr \/\\u003e\\r\\n\\u003cbr \/\\u003e\\r\\nOr you can mail your Notice of Election to:\\u003cbr \/\\u003e\\r\\nVNS Health\\u003cbr \/\\u003e\\r\\nHealth Plans - Membership Eligibility Unit\\u003cbr \/\\u003e\\r\\n220 East 42nd Street\\u003cbr \/\\u003e\\r\\nNew York, NY 10017\\u003c\/p\\u003e\",\"_items_1_answer\":\"field_faq_items_answer\",\"items_2_question\":\"Where are these services offered?\",\"_items_2_question\":\"field_faq_items_question\",\"items_2_answer\":\"\\u003cp\\u003eThese services are offered in the Bronx, Kings, Nassau, New York, Queens, Richmond, Suffolk, and Westchester Counties.\\u003c\/p\\u003e\",\"_items_2_answer\":\"field_faq_items_answer\",\"items_3_question\":\"Who should I contact if I have questions?\",\"_items_3_question\":\"field_faq_items_question\",\"items_3_answer\":\"\\u003cp\\u003e\\u003cstrong\\u003eHospice Network Administrative Contact:\\u003cbr \/\\u003e\\r\\n\\u003c\/strong\\u003eJohn Caralyus\\u003cbr \/\\u003e\\r\\n\\u003ca href=\\u0022mailto:[email protected]\\u0022\\[email protected]\\u003c\/a\\u003e\\u003cbr \/\\u003e\\r\\n646-300-2898\\u003c\/p\\u003e\\r\\n\\u003cp\\u003e\\u003cstrong\\u003eClinical and Patient Support Contact:\\u003cbr \/\\u003e\\r\\n\\u003c\/strong\\u003eEsther Conteh\\u003cbr \/\\u003e\\r\\n\\u003ca href=\\u0022mailto:[email protected]\\u0022\\[email protected]\\u003c\/a\\u003e\\u003cbr \/\\u003e\\r\\n212-609-1898\\u003c\/p\\u003e\",\"_items_3_answer\":\"field_faq_items_answer\",\"items\":4,\"_items\":\"field_faq_items\"},\"mode\":\"edit\"} \/-->",
"post_title": "Hospice Care for VNS Health Medicare Patients",
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"ID": 19920,
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"post_date": "2022-08-17 20:07:07",
"post_date_gmt": "2022-08-18 00:07:07",
"post_content": "<!-- wp:paragraph -->\n<p>VNS Health Medicare offers specialized palliative care for patients living with a serious illness. The goal is to improve quality of life for patients and their families through strategies to prevent rapid decline, including early identification of the need for palliative care and relief of suffering through the treatment of pain and other challenges, whether physical, psychosocial, or spiritual.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>The patient\u2019s primary care physician (PCP) remains in charge of the patient's overall care, writes orders, and sees the patient for office visits during the course of palliative care. A Palliative Care team works in partnership with the PCP and the patient\u2019s other doctors, to communicate and align on treatment goals and provide support to the patient and their family and\/or caregiver.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>If you have a VNS Health Medicare patient who you think would benefit from palliative care, please email the required information (see directly below) to <a href=\"mailto:[email protected]\">[email protected]<\/a>.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>Information required for referral:<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:list -->\n<ul><!-- wp:list-item -->\n<li>Patient\u2019s name and date of birth<\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li>Patient\u2019s health plan member ID number (if available)<\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li>Patient\u2019s address and phone number<\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li>Patient\u2019s diagnosis<\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li>Referring physician\u2019s name and phone number<\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list -->\n\n<!-- wp:acf\/faq {\"name\":\"acf\/faq\",\"data\":{\"heading\":\"Palliative Care Frequently Asked Questions\",\"_heading\":\"field_faq_heading\",\"items_0_question\":\"Does palliative care require an end-of-life diagnosis?\",\"_items_0_question\":\"field_faq_items_question\",\"items_0_answer\":\"\\u003cp\\u003ePalliative care is appropriate at any age and any stage in a serious illness and is based on the needs of the patient, not the prognosis. Unlike the Medicare hospice benefit, palliative care does not have a prognosis restriction and may be provided alongside curative treatment.\\u003c\/p\\u003e\",\"_items_0_answer\":\"field_faq_items_answer\",\"items_1_question\":\"How do we know if a patient needs palliative care?\",\"_items_1_question\":\"field_faq_items_question\",\"items_1_answer\":\"\\u003cp\\u003eWe use proprietary predictive algorithms to identify patients in greatest need of palliative care services. The following criteria are considered:\\u003c\/p\\u003e\\r\\n\\u003cul\\u003e\\r\\n\\t\\u003cli\\u003eMultiple co-morbidities\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eNeed for pain and\/or symptom management related to a chronic or life-limiting condition\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003ePsychosocial and\/or spiritual distress of both member and caregivers related to the patient\u2019s condition\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eNeed for Advance Care Planning (including Advance Directives) and clarification of health care goals for member and caregivers\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eMembers with end stage illness who have refused the Hospice benefit despite eligibility\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eMultiple hospital admissions or ER visits over the past year\\u003c\/li\\u003e\\r\\n\\u003c\/ul\\u003e\",\"_items_1_answer\":\"field_faq_items_answer\",\"items_2_question\":\"Who provides palliative care? \",\"_items_2_question\":\"field_faq_items_question\",\"items_2_answer\":\"\\u003cp\\u003eA specially trained team, led by a nurse practitioner and consisting of doctors, nurses, and other health professionals, work together with the patient\u2019s regular doctors to provide an extra layer of support, at no additional cost. \\u003cbr \/\\u003e\\r\\n\\u003cbr \/\\u003e\\r\\n\\u003c\/p\\u003e\",\"_items_2_answer\":\"field_faq_items_answer\",\"items_3_question\":\"What services are provided through palliative care?\",\"_items_3_question\":\"field_faq_items_question\",\"items_3_answer\":\"\\u003cul\\u003e\\r\\n\\t\\u003cli\\u003eMultidisciplinary team providing in-home support (nurse practitioner, registered nurse, social worker, spiritual counselor, health and wellness coaches, and transitional care associates)\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eManagement of relief of symptoms, pain, and stress\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003e24\/7 access and interdisciplinary team support\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eEmotional and spiritual support\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eCollaboration with patient\u2019s treatment team (e.g., PCP, specialists)\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eLinkages to community-based organizations\/resources\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eCurative treatment included for chronic illnesses\\u003c\/li\\u003e\\r\\n\\u003c\/ul\\u003e\",\"_items_3_answer\":\"field_faq_items_answer\",\"items_4_question\":\"What happens after I refer my patient to palliative care?\",\"_items_4_question\":\"field_faq_items_question\",\"items_4_answer\":\"\\u003cp\\u003eYour patient will be assessed for palliative care eligibility. If he\/she meets criteria for the program, you will be notified. As the primary care physician, you are expected to remain in charge of the patient's care, write orders, and see the patient for office visits while the patient in enrolled in a palliative care program.\\u003c\/p\\u003e\",\"_items_4_answer\":\"field_faq_items_answer\",\"items_5_question\":\"What resources are available for me or my patients to learn more about palliative care and hospice care?\",\"_items_5_question\":\"field_faq_items_question\",\"items_5_answer\":\"\\u003cp\\u003e\\u003cstrong\\u003eResources\\u003c\/strong\\u003e\\u003c\/p\\u003e\\r\\n\\u003cul\\u003e\\r\\n\\t\\u003cli\\u003ePalliative Care Brochure (for members)\u00a0\\r\\n\\r\\n\\u003cul\\u003e\\r\\n\\t\\u003cli\\u003e\\u003cspan style=\\u0022text-decoration: underline;\\u0022\\u003e\\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2022\/08\/VNSNY-CHOICE_Medicare-Palliative_Care_Brochure.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noopener\\u0022\\u003eEnglish\\u003c\/a\\u003e\\u003c\/span\\u003e\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003e\\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2022\/08\/VNSNY-CHOICE_Medicare-Palliative_Care_Brochure_Sp.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noopener\\u0022\\u003e\\u003cspan style=\\u0022text-decoration: underline;\\u0022\\u003eSpanish\\u003c\/span\\u003e\\u003c\/a\\u003e\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003e\\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2022\/08\/VNSNY-CHOICE_Medicare-Palliative_Care_Brochure_Ch.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noopener\\u0022\\u003e\\u003cspan style=\\u0022text-decoration: underline;\\u0022\\u003eChinese\\u003c\/span\\u003e\\u003c\/a\\u003e\\u003c\/li\\u003e\\r\\n\\u003c\/ul\\u003e\\r\\n\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003e\\u003cspan style=\\u0022text-decoration: underline;\\u0022\\u003e\\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2022\/08\/CHOICE-Understanding-Care-Options-for-Medicare-Patients.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noopener\\u0022\\u003eComfort Care Options Flyer (for providers)\\u003c\/a\\u003e\\u003c\/span\\u003e\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eCAPC - What is Palliative Care\\r\\n\\r\\n\\u003cul\\u003e\\r\\n\\t\\u003cli\\u003e\\u003ca href=\\u0022https:\/\/www.capc.org\/about\/palliative-care\/\\u0022\\u003e\\u003cspan style=\\u0022text-decoration: underline;\\u0022\\u003ePalliative Care Definition | What is Palliative Care | Center to Advance Palliative Care (capc.org)\\u003c\/span\\u003e\\u003c\/a\\u003e\\u003c\/li\\u003e\\r\\n\\u003c\/ul\\u003e\\r\\n\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003e\\u003cspan style=\\u0022text-decoration: underline;\\u0022\\u003e\\u003ca href=\\u0022https:\/\/www.nhpco.org\/hospice-care-overview\/hospice-facts-figures\/\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noopener\\u0022\\u003eNHPCO- Facts-Figures 2021\\u003c\/a\\u003e\\u003c\/span\\u003e (Available in PowerPoint or pdf)\\u003c\/li\\u003e\\r\\n\\u003c\/ul\\u003e\",\"_items_5_answer\":\"field_faq_items_answer\",\"items\":6,\"_items\":\"field_faq_items\"},\"mode\":\"edit\"} \/-->",
"post_title": "Palliative Care for VNS Health Medicare Patients",
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"post_date": "2020-07-31 15:13:39",
"post_date_gmt": "2020-07-31 15:13:39",
"post_content": "<!-- wp:paragraph -->\n<p>Credentialing is required for all physicians who provide services to health plan members, as well as all other health professionals and facilities that are permitted to practice independently under state law and provide services to our members, with the exception of hospital-based health professionals.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>Our credentialing process is designed to protect members and provide continued assurance that potential and\/or currently participating providers meet the requirements necessary for the provision of quality care and service. The objectives of the credentialing program are to ensure that:<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:list -->\n<ul><!-- wp:list-item -->\n<li>Members who join our health plans will have their care rendered by qualified providers.<\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li>Adequate information pertaining to education, training, relevant experience, and other credentialing criteria is reviewed by the appropriate individuals prior to approval or denial by the Credentialing Subcommittee.<\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li>Each provider applicant has equal opportunity to participate.<\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list -->\n\n<!-- wp:paragraph -->\n<p><strong>Note<\/strong>: If you are one of the types of providers listed below, you will need to join our network through one of our delegated vendors. Please check here for information about how to<a> <\/a><a href=\"https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2022\/09\/Delegated-Vendor-Services-Contact-Information.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">contact the appropriate delegated vendor<\/a> directly.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:list -->\n<ul><!-- wp:list-item -->\n<li>Behavioral health specialist\/OMH- or OASAS-certified facility\/substance use provider<\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li>Dental provider <\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li>Vision provider<\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li>Transportation provider<\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li>Pharmacy provider <\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list -->\n\n<!-- wp:acf\/faq {\"name\":\"acf\/faq\",\"data\":{\"heading\":\"\",\"_heading\":\"field_faq_heading\",\"is_modular\":\"0\",\"_is_modular\":\"field_faq_is_modular\",\"items_0_question\":\"How to submit credentialing requests (new practitioners)\",\"_items_0_question\":\"field_faq_items_question\",\"items_0_answer\":\"\\u003cp\\u003eA required prerequisite to credentialing is a valid contract. A VNS Health representative will provide a direct link for you to use to submit your request along with the supplemental documentation.\\u003c\/p\\u003e\\r\\n\\u003cp\\u003eWe participate with\u00a0\\u003ca href=\\u0022https:\/\/proview.caqh.org\/Login\/Index?ReturnUrl=%2f\\u0022\\u003eCAQH ProView\\u003c\/a\\u003e. Practitioners are required to complete the CAQH ProView credentialing request and make their information available to us for use.\\u003c\/p\\u003e\\r\\n\\u003cp\\u003eTo be credentialed, you will need to include the following with your request:\\u003c\/p\\u003e\\r\\n\\u003cul\\u003e\\r\\n\\t\\u003cli\\u003eBoard certification or board eligibility letter\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eCopy of curriculum vitae\/resume, including work history in a month\/year format (gaps of six months or more must be accounted for)\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eCopy of Drug Enforcement Agency certificate (if applicable)\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eCopy of current malpractice insurance face sheet with required minimum limits (in accordance with contract)\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eSummary of pending or settled malpractice cases and any necessary explanations\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eCurrent hospital affiliation letter(s)\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eCollaborative agreement\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eHospital admitting arrangement (providers without admitting privileges)\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eCurrent W-9\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eHIV PCP attestation (for SelectHealth-contracted providers only)\\u003c\/li\\u003e\\r\\n\\u003c\/ul\\u003e\\r\\n\\u003cp\\u003e\\u003cstrong\\u003eCredentialing forms and documents\\u003c\/strong\\u003e\\u003c\/p\\u003e\\r\\n\\u003cp\\u003eThese documents will help you with the credentialing process and enable you to adhere to the proper requirements designated and outlined in our\u00a0\\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2020\/08\/VNSNY-CHOICE-Provider-Manual.pdf\\u0022\\u003eprovider manual\\u003c\/a\\u003e.\\u003c\/p\\u003e\\r\\n\\u003cul\\u003e\\r\\n\\t\\u003cli\\u003e\\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2022\/09\/Disclosure-of-Ownership.pdf\\u0022\\u003eDisclosure of Ownership \\u0026amp; Control Interest Statement\\u003c\/a\\u003e\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003e\\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2020\/07\/IRS-W-9-Form.pdf\\u0022\\u003eW-9\\u003c\/a\\u003e\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003e\\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2020\/07\/Provider-Disclosure-Certification-NYDOH.pdf\\u0022\\u003eNYSDOH provider disclosure form\\u003c\/a\\u003e\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003e\\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2020\/09\/CHOICE-Nurse-Practitioner-Form.pdf\\u0022\\u003eNYSED Nurse Practitioner Form NP-CR Collaborative Relationships Attestation Form\\u003c\/a\\u003e\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003e\\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2022\/09\/Hospital-Admitting-Arrangement.pdf\\u0022\\u003eHospital Admitting Arrangement form\\u003c\/a\\u003e\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003e\\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2022\/09\/Collaborative-Arrangement-Form.pdf\\u0022\\u003eCollaborative Arrangement Form\\u003c\/a\\u003e (midlevel practitioners only)\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003e\\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2022\/09\/HIV-PCP-Initial-Attestation.pdf\\u0022\\u003eInitial Attestation for HIV Primary Care Providers form\\u003c\/a\\u003e\u00a0(for SelectHealth providers)\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003e\\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2022\/09\/HIV-PCP-Annual-Attestation.pdf\\u0022\\u003eAnnual Attestation for\u00a0\\u003c\/a\\u003e\\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2022\/09\/HIV-PCP-Initial-Attestation.pdf\\u0022\\u003eHIV Primary Care Providers form\\u003c\/a\\u003e\u00a0(for SelectHealth providers)\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003e\\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2022\/09\/ADA-Attestation.pdf\\u0022\\u003eAmerican w\/Disabilities Act (ADA) Questionnaire\\u003c\/a\\u003e\\u003c\/li\\u003e\\r\\n\\u003c\/ul\\u003e\\r\\n\\u003cp\\u003e\\u003cstrong\\u003eWhat to Expect Next\\u003cbr \/\\u003e\\r\\n\\u003c\/strong\\u003eOnce your credentialing request has been submitted, you will hear from a credentialing specialist within 5 to 10 business days. You will receive one or more of the following:\\u003c\/p\\u003e\\r\\n\\u003cul\\u003e\\r\\n\\t\\u003cli\\u003e\u00a0Signed and returned Provider Agreement\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eAn email informing you of any missing information or additional required credentialing documents needed for approval. If you do not supply this information within 30 business days of your initial \u00a0request, your request will be closed \u00a0Once you have gathered all your paperwork, you may reapply.\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eAfter a signed contract is received and your request is under initial review, you will receive an email informing you that your request is in the review process with the VNS Health Credentialing Department and by our Credentialing Subcommittee. It may take up to 60 days from the date of this email notification for the credentialing process to be completed. The Credentialing Subcommittee meets once during the last week of each month to review requests.\\u003c\/li\\u003e\\r\\n\\u003c\/ul\\u003e\",\"_items_0_answer\":\"field_faq_items_answer\",\"items_1_question\":\"Minimum criteria required for credentialing and recredentialing of practitioners\",\"_items_1_question\":\"field_faq_items_question\",\"items_1_answer\":\"\\u003cul\\u003e\\r\\n\\t\\u003cli\\u003eSigned application and agreement\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eCurrent unrestricted valid license to practice\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eCurrent federal Drug Enforcement Agency certificate (if provider type warrants)\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eRelevant education and training\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eActive enrollment and compliance with Medicaid (if applicable)\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eHospital affiliation (if applicable)\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eBoard certified or board eligible\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eHistory of professional liability claims\/settlements\/judgements\/disciplinary actions\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eProfessional liability insurance\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eMust not be excluded or precluded from participation with Medicaid or Medicare programs\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eMust not have opted out of participation with Medicare\\u003c\/li\\u003e\\r\\n\\u003c\/ul\\u003e\",\"_items_1_answer\":\"field_faq_items_answer\",\"items_2_question\":\"Practitioner rights\",\"_items_2_question\":\"field_faq_items_question\",\"items_2_answer\":\"\\u003cp\\u003e\\u003cstrong\\u003eDuring the credentialing process, practitioners have the following rights:\\u003c\/strong\\u003e\\u003c\/p\\u003e\\r\\n\\u003cul\\u003e\\r\\n\\t\\u003cli\\u003eTo review information obtained in support of their credentialing applications, excluding references, recommendations, or other peer review\u2013protected material\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eTo correct erroneous information, in writing\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eTo be informed of the status of their credentialing\/recredentialing application\\u003c\/li\\u003e\\r\\n\\u003c\/ul\\u003e\",\"_items_2_answer\":\"field_faq_items_answer\",\"items_3_question\":\"Practitioner recredentialing\",\"_items_3_question\":\"field_faq_items_question\",\"items_3_answer\":\"\\u003cp class=\\u0022schema-faq-answer\\u0022\\u003eWe require all practitioners to complete recredentialing every three years. At least six months prior to the end of the three-year credentialing period, providers will receive a notice from the Credentialing Department requesting the practitioner to update CAQH ProView and provide any supporting credentialing documentation needed for review and approval.\\u003c\/p\\u003e\\r\\n\\u003cp\\u003eIt is essential that all requested documents are submitted in a timely fashion. Failure to do so may result in termination from the provider network. Practitioners who are terminated from the network will need to complete their initial credentialing application and go through the approval process again.\\u003c\/p\\u003e\",\"_items_3_answer\":\"field_faq_items_answer\",\"items_4_question\":\"Facility and institutional credentialing and recredentialing\",\"_items_4_question\":\"field_faq_items_question\",\"items_4_answer\":\"\\u003cp\\u003eWe require facility providers to complete the \\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2022\/09\/VNS-Health-Facility-Credentialing-Application.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noreferrer noopener\\u0022\\u003ecredentialing or recredentialing application\\u003c\/a\\u003e. Depending on the provider type (listed below), supplemental documentation is requested and must accompany the application for review and approval.\\u003c\/p\\u003e\\r\\n\\u003cp\\u003e\\u003cstrong\\u003eWhich facilities require credentialing?\\u003c\/strong\\u003e\\u003c\/p\\u003e\\r\\n\\u003cp\\u003eThe following facility providers require credentialing:\\u003c\/p\\u003e\\r\\n\\u003cul\\u003e\\r\\n\\t\\u003cli\\u003e29-I facilities (Voluntary Foster Care Agencies)\\u003c\/li\\u003e\\r\\n\\t\\u003cli class=\\u0022schema-faq-answer\\u0022\\u003eClinical laboratories\\u003c\/li\\u003e\\r\\n\\t\\u003cli class=\\u0022schema-faq-answer\\u0022\\u003eHospitals\\u003c\/li\\u003e\\r\\n\\t\\u003cli class=\\u0022schema-faq-answer\\u0022\\u003eHome health agencies (LHCSA\/CHHA agencies\/FI\/CDPAS)\\u003c\/li\\u003e\\r\\n\\t\\u003cli class=\\u0022schema-faq-answer\\u0022\\u003eSkilled nursing facilities\\u003c\/li\\u003e\\r\\n\\t\\u003cli class=\\u0022schema-faq-answer\\u0022\\u003eHospices\\u003c\/li\\u003e\\r\\n\\t\\u003cli class=\\u0022schema-faq-answer\\u0022\\u003eOutpatient rehabilitation facilities\\u003c\/li\\u003e\\r\\n\\t\\u003cli class=\\u0022schema-faq-answer\\u0022\\u003eAmbulatory surgery centers\\u003c\/li\\u003e\\r\\n\\t\\u003cli class=\\u0022schema-faq-answer\\u0022\\u003eDialysis centers\\u003c\/li\\u003e\\r\\n\\t\\u003cli class=\\u0022schema-faq-answer\\u0022\\u003eOutpatient diabetes self-management training facilities\\u003c\/li\\u003e\\r\\n\\t\\u003cli class=\\u0022schema-faq-answer\\u0022\\u003ePortable X-ray suppliers\\u003c\/li\\u003e\\r\\n\\t\\u003cli class=\\u0022schema-faq-answer\\u0022\\u003eDiagnostic treatment centers\\u003c\/li\\u003e\\r\\n\\t\\u003cli class=\\u0022schema-faq-answer\\u0022\\u003eFederally qualified health centers\\u003c\/li\\u003e\\r\\n\\t\\u003cli class=\\u0022schema-faq-answer\\u0022\\u003eDurable medical equipment and medical supply vendors\\u003c\/li\\u003e\\r\\n\\t\\u003cli class=\\u0022schema-faq-answer\\u0022\\u003eRadiology centers\\u003c\/li\\u003e\\r\\n\\t\\u003cli class=\\u0022schema-faq-answer\\u0022\\u003eChore and housekeeping services\\u003c\/li\\u003e\\r\\n\\t\\u003cli class=\\u0022schema-faq-answer\\u0022\\u003eEnvironmental modification services\/CFCO\\u003c\/li\\u003e\\r\\n\\t\\u003cli class=\\u0022schema-faq-answer\\u0022\\u003ePersonal emergency response system providers\\u003c\/li\\u003e\\r\\n\\t\\u003cli class=\\u0022schema-faq-answer\\u0022\\u003eSocial adult day care providers\\u003c\/li\\u003e\\r\\n\\t\\u003cli class=\\u0022schema-faq-answer\\u0022\\u003eHome-delivered meals providers\\u003c\/li\\u003e\\r\\n\\t\\u003cli class=\\u0022schema-faq-answer\\u0022\\u003eTransportation providers (car\/livery service, ambulette, ambulance for non-emergency use)\\u003c\/li\\u003e\\r\\n\\t\\u003cli class=\\u0022schema-faq-answer\\u0022\\u003eAdult day health care (medical day programs)\\u003c\/li\\u003e\\r\\n\\t\\u003cli class=\\u0022schema-faq-answer\\u0022\\u003eUrgent care centers\\u003c\/li\\u003e\\r\\n\\u003c\/ul\\u003e\\r\\n\\u003cp\\u003e\\u003cstrong\\u003eMinimum facility qualifications and requirements\\u003c\/strong\\u003e for participating in our networks include, but are not limited to:\\u003c\/p\\u003e\\r\\n\\u003cul\\u003e\\r\\n\\t\\u003cli\\u003eCompleted, signed, and dated facility credentialing application\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eMalpractice insurance coverage (in accordance with contract)\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eCurrent accreditation or acceptable site visit survey (with approved plan of corrections, if applicable)\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eMeets applicable licensing requirements (state licensure\/operating license\/accreditation documents)\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eCurrent proof of Medicare and\/or Medicaid participation\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eAcceptable history with regards to malpractice claims\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003e\\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2022\/09\/Disclosure-of-Ownership.pdf\\u0022\\u003eDisclosure of Ownership \\u0026amp; Control Interest Statement\\u003c\/a\\u003e\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003e\\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2020\/07\/IRS-W-9-Form.pdf\\u0022\\u003eW-9\\u003c\/a\\u003e\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003e\\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2020\/07\/Provider-Disclosure-Certification-NYDOH.pdf\\u0022\\u003eNYSDOH provider disclosure form\\u003c\/a\\u003e\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003e\\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2022\/09\/ADA-Attestation.pdf\\u0022\\u003eAmerican w\/Disabilities Act (ADA) Questionnaire\\u003c\/a\\u003e\\u003c\/li\\u003e\\r\\n\\u003c\/ul\\u003e\",\"_items_4_answer\":\"field_faq_items_answer\",\"items_5_question\":\"Delegated credentialing\",\"_items_5_question\":\"field_faq_items_question\",\"items_5_answer\":\"\\u003cp\\u003eWe may choose to delegate provider credentialing and recredentialing to certain organizations that are subject to established policies and protocol. VNS Health Health Plans maintains the responsibility for ensuring that the delegated functions are being performed according to our standards. We have the right to approve, suspend, or terminate providers.\\u003c\/p\\u003e\\r\\n\\u003cp\\u003e\\u003cstrong\\u003eDelegated Roster Submissions\\u003c\/strong\\u003e\\u003c\/p\\u003e\\r\\n\\u003cp\\u003eA submission link will be provided at the beginning of each month to delegated entities. In accordance to the delegated contact, delegated entities are required to submit monthly\/quarterly provider rosters.\\u003c\/p\\u003e\\r\\n\\u003cp\\u003eThe\u00a0\\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2023\/09\/VNS_TEMPLATE_2023.xlsx\\u0022\\u003eDelegated Entities Provider Roster Template\\u003c\/a\\u003e\u00a0consists of:\\u003c\/p\\u003e\\r\\n\\u003cul\\u003e\\r\\n\\t\\u003cli\\u003eProvider termination\/add\/update\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eLocation termination\/add\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eDemographic updates\/removals\\u003c\/li\\u003e\\r\\n\\u003c\/ul\\u003e\",\"_items_5_answer\":\"field_faq_items_answer\",\"items\":6,\"_items\":\"field_faq_items\",\"id\":\"block_acf_653677c34ac9d\"},\"mode\":\"edit\",\"id\":\"block_acf_653677c34ac9d\"} \/-->\n\n<!-- wp:paragraph -->\n<p><\/p>\n<!-- \/wp:paragraph -->",
"post_title": "Credentialing Criteria and Resources",
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"post_modified": "2023-10-23 09:40:20",
"post_modified_gmt": "2023-10-23 13:40:20",
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{
"ID": 974,
"post_author": "3",
"post_date": "2020-07-31 16:18:55",
"post_date_gmt": "2020-07-31 16:18:55",
"post_content": "<!-- wp:paragraph -->\n<p>Here you can find forms to join our network, update your demographic information, get prior authorizations for a patient\u2019s medications, and more. You can find credentialing forms by clicking on <a href=\"https:\/\/www.vnshealthplans.org\/for-health-professionals-overview\/credentialing\/\">this link<\/a>.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:acf\/resources {\"name\":\"acf\/resources\",\"data\":{\"resource_groups_0_heading\":\"Required for All Current Providers \",\"_resource_groups_0_heading\":\"field_resources_resource_groups_heading\",\"resource_groups_0_resources_0_show_update\":\"1\",\"_resource_groups_0_resources_0_show_update\":\"field_resources_resource_groups_resources_show_update\",\"resource_groups_0_resources_0_update_date\":\"Automatic\",\"_resource_groups_0_resources_0_update_date\":\"field_resources_resource_groups_resources_update_date\",\"resource_groups_0_resources_0_is_external_resource\":\"0\",\"_resource_groups_0_resources_0_is_external_resource\":\"field_resources_resource_groups_resources_is_external_resource\",\"resource_groups_0_resources_0_heading\":\"Provider Disclosure Certification\",\"_resource_groups_0_resources_0_heading\":\"field_resources_resource_groups_resources_heading\",\"resource_groups_0_resources_0_description\":\"\\u003cp\\u003eYou are required to fill out and return the provider disclosure certification form to VNS Health Health Plans. Please return it by December 31, 2021.\\u003c\/p\\u003e\\r\\n\\r\\n\\u003cp\\u003eYou can scan the completed document and email it as an attachment to: \\u003ca href=\\u0022mailto:[email protected]\\u0022 target=\\u0022_top\\u0022\\[email protected]\\u003c\/a\\u003e.\\r\\n\\u003c\/p\\u003e\\r\\n\\u003cp\\u003e Or you can print it out and mail it to:\\r\\n\\u003cbr\\u003eVNS Health\\r\\n\\u003cbr\\u003eHealth Plans - Provider Operations\\r\\n\\u003cbr\\u003e220 East 42nd Street\\r\\n\\u003cbr\\u003eNew York, NY 10017\",\"_resource_groups_0_resources_0_description\":\"field_resources_resource_groups_resources_description\",\"resource_groups_0_resources_0_files_0_file\":297,\"_resource_groups_0_resources_0_files_0_file\":\"field_resources_resource_groups_resources_files_file\",\"resource_groups_0_resources_0_files_0_label\":\"NYSDOH Provider Disclosure Certification\",\"_resource_groups_0_resources_0_files_0_label\":\"field_resources_resource_groups_resources_files_label\",\"resource_groups_0_resources_0_files\":1,\"_resource_groups_0_resources_0_files\":\"field_resources_resource_groups_resources_files\",\"resource_groups_0_resources_0_file_display_block\":\"0\",\"_resource_groups_0_resources_0_file_display_block\":\"field_resources_resource_groups_resources_file_display_block\",\"resource_groups_0_resources\":1,\"_resource_groups_0_resources\":\"field_resources_resource_groups_resources\",\"resource_groups_1_heading\":\"Forms for New Providers \",\"_resource_groups_1_heading\":\"field_resources_resource_groups_heading\",\"resource_groups_1_resources_0_show_update\":\"1\",\"_resource_groups_1_resources_0_show_update\":\"field_resources_resource_groups_resources_show_update\",\"resource_groups_1_resources_0_update_date\":\"Automatic\",\"_resource_groups_1_resources_0_update_date\":\"field_resources_resource_groups_resources_update_date\",\"resource_groups_1_resources_0_is_external_resource\":\"1\",\"_resource_groups_1_resources_0_is_external_resource\":\"field_resources_resource_groups_resources_is_external_resource\",\"resource_groups_1_resources_0_external_resource\":{\"title\":\"Join now\",\"url\":\"https:\/\/www.vnshealthplans.org\/join-our-network-form\/\",\"target\":\"_blank\"},\"_resource_groups_1_resources_0_external_resource\":\"field_resources_resource_groups_resources_external_resource\",\"resource_groups_1_resources_0_disable_exit_notifier\":\"1\",\"_resource_groups_1_resources_0_disable_exit_notifier\":\"field_resources_resource_groups_resources_disable_exit_notifier\",\"resource_groups_1_resources_0_heading\":\"Join Our Provider Network\",\"_resource_groups_1_resources_0_heading\":\"field_resources_resource_groups_resources_heading\",\"resource_groups_1_resources_0_description\":\"Thank you for your interest in joining our provider network. To get started, please submit your request for participation.\",\"_resource_groups_1_resources_0_description\":\"field_resources_resource_groups_resources_description\",\"resource_groups_1_resources_0_file_display_block\":\"0\",\"_resource_groups_1_resources_0_file_display_block\":\"field_resources_resource_groups_resources_file_display_block\",\"resource_groups_1_resources\":1,\"_resource_groups_1_resources\":\"field_resources_resource_groups_resources\",\"resource_groups_2_heading\":\"Forms for Current Providers \",\"_resource_groups_2_heading\":\"field_resources_resource_groups_heading\",\"resource_groups_2_resources_0_show_update\":\"1\",\"_resource_groups_2_resources_0_show_update\":\"field_resources_resource_groups_resources_show_update\",\"resource_groups_2_resources_0_update_date\":\"Automatic\",\"_resource_groups_2_resources_0_update_date\":\"field_resources_resource_groups_resources_update_date\",\"resource_groups_2_resources_0_is_external_resource\":\"0\",\"_resource_groups_2_resources_0_is_external_resource\":\"field_resources_resource_groups_resources_is_external_resource\",\"resource_groups_2_resources_0_heading\":\"CDPAS Recertification \u2013 Physician Order Form \",\"_resource_groups_2_resources_0_heading\":\"field_resources_resource_groups_resources_heading\",\"resource_groups_2_resources_0_description\":\"VNS Health Total and VNS Health MLTC members can have their home care service provided by a consumer directed personal care assistant through Consumer Directed Personal Assistance Services (CDPAS). The physician order form is required during the initial assessment and every 6 months during CDPAS 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Roster Submission\",\"_resource_groups_2_resources_1_heading\":\"field_resources_resource_groups_resources_heading\",\"resource_groups_2_resources_1_description\":\"\\u003cp\\u003eDelegated entities are required to submit monthly\/quarterly provider rosters.\\u003c\/p\\u003e\\r\\n\\r\\n\\u003cp\\u003e\\u003cul\\u003eThe \\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2022\/12\/VNS-Health_Delegated-Entities-Provider-Roster-Template.xlsx\\u0022\\u003eDelegated Entities Provider Roster Template\\u003c\/a\\u003e consists of:\\r\\n\\u003cli\\u003eProvider termination\/add\/update\\u003c\/li\\u003e\\u003cli\\u003e\\r\\nLocation termination\/add\\u003c\/li\\u003e\\r\\n\\u003cli\\u003eDemographic updates\/removals\\u003c\/li\\u003e\\u003c\/ul\\u003e\\u003c\/p\\u003e\\r\\n\\r\\n\\u003cp\\u003eVisit our \\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/for-health-professionals-overview\/credentialing\/\\u0022 class=\\u0022noExitNotifier\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noreferrer noopener\\u0022\\u003eCredentialing page\\u003c\/a\\u003e for more 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there\",\"url\":\"https:\/\/www.vnshealthplans.org\/provider-demographic-update-form\/\",\"target\":\"\"},\"_resource_groups_2_resources_2_external_resource\":\"field_resources_resource_groups_resources_external_resource\",\"resource_groups_2_resources_2_disable_exit_notifier\":\"0\",\"_resource_groups_2_resources_2_disable_exit_notifier\":\"field_resources_resource_groups_resources_disable_exit_notifier\",\"resource_groups_2_resources_2_heading\":\"Demographic Update Form\",\"_resource_groups_2_resources_2_heading\":\"field_resources_resource_groups_resources_heading\",\"resource_groups_2_resources_2_description\":\"Participating primary care providers and specialists, here's a quick and easy way to let us know about changes to your information!\",\"_resource_groups_2_resources_2_description\":\"field_resources_resource_groups_resources_description\",\"resource_groups_2_resources_2_file_display_block\":\"0\",\"_resource_groups_2_resources_2_file_display_block\":\"field_resources_resource_groups_resources_file_display_block\",\"resource_groups_2_resources_3_show_update\":\"1\",\"_resource_groups_2_resources_3_show_update\":\"field_resources_resource_groups_resources_show_update\",\"resource_groups_2_resources_3_update_date\":\"Automatic\",\"_resource_groups_2_resources_3_update_date\":\"field_resources_resource_groups_resources_update_date\",\"resource_groups_2_resources_3_is_external_resource\":\"1\",\"_resource_groups_2_resources_3_is_external_resource\":\"field_resources_resource_groups_resources_is_external_resource\",\"resource_groups_2_resources_3_external_resource\":{\"title\":\"Submit EFT Requests\",\"url\":\"https:\/\/www.vnshealthplans.org\/choice-provider-eft-request-form\",\"target\":\"\"},\"_resource_groups_2_resources_3_external_resource\":\"field_resources_resource_groups_resources_external_resource\",\"resource_groups_2_resources_3_disable_exit_notifier\":\"0\",\"_resource_groups_2_resources_3_disable_exit_notifier\":\"field_resources_resource_groups_resources_disable_exit_notifier\",\"resource_groups_2_resources_3_heading\":\"EFT Request Form\",\"_resource_groups_2_resources_3_heading\":\"field_resources_resource_groups_resources_heading\",\"resource_groups_2_resources_3_description\":\"To set up electronic funds transfer (EFT) payments, fill out\u00a0this EFT Request Form by clicking on the link above. \\u003c\/br\\u003ePlease note that to begin receiving EFT payments and remittances, you will also need to enroll with Availity to receive electronic remittance advice files. See \\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/for-health-professionals-overview\/claims-billing-and-payments#electronic-payment\\u0022 target=\\u0022_top\\u0022\\u003eElectronic Payment for Providers\\u003c\/a\\u003e for details.\",\"_resource_groups_2_resources_3_description\":\"field_resources_resource_groups_resources_description\",\"resource_groups_2_resources_3_file_display_block\":\"0\",\"_resource_groups_2_resources_3_file_display_block\":\"field_resources_resource_groups_resources_file_display_block\",\"resource_groups_2_resources_4_show_update\":\"1\",\"_resource_groups_2_resources_4_show_update\":\"field_resources_resource_groups_resources_show_update\",\"resource_groups_2_resources_4_update_date\":\"Automatic\",\"_resource_groups_2_resources_4_update_date\":\"field_resources_resource_groups_resources_update_date\",\"resource_groups_2_resources_4_is_external_resource\":\"1\",\"_resource_groups_2_resources_4_is_external_resource\":\"field_resources_resource_groups_resources_is_external_resource\",\"resource_groups_2_resources_4_external_resource\":{\"title\":\"Submit Claim Disputes\",\"url\":\"https:\/\/www.vnshealthplans.org\/provider-claims-dispute-form\/\",\"target\":\"_blank\"},\"_resource_groups_2_resources_4_external_resource\":\"field_resources_resource_groups_resources_external_resource\",\"resource_groups_2_resources_4_disable_exit_notifier\":\"1\",\"_resource_groups_2_resources_4_disable_exit_notifier\":\"field_resources_resource_groups_resources_disable_exit_notifier\",\"resource_groups_2_resources_4_heading\":\"Provider Claims Dispute Form\",\"_resource_groups_2_resources_4_heading\":\"field_resources_resource_groups_resources_heading\",\"resource_groups_2_resources_4_description\":\"Use this form to submit your claims disputes online. 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"post_title": "Helpful Links for Providers",
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"ID": 983,
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"post_date": "2020-07-31 16:39:49",
"post_date_gmt": "2020-07-31 16:39:49",
"post_content": "<!-- wp:paragraph -->\n<p>Use the tools below to find network providers and pharmacies in each of our health plans.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:html -->\n<div class=\"wp-block-button is-style-outline wp-block-buttons\"><a class=\"wp-block-button__link noExitNotifier\" href=\"https:\/\/providersearch.vnshealthplans.org\/#\/?plan=mapd\" target=\"_blank\" rel=\"noopener noreferrer\">VNS Health EasyCare (HMO) & VNS Health EasyCare Plus (HMO D-SNP)<\/br> Provider & Pharmacy Search <\/a><\/div>\n<!-- \/wp:html -->\n\n<!-- wp:html -->\n<div class=\"wp-block-button is-style-outline wp-block-buttons\"><a class=\"wp-block-button__link noExitNotifier\" href=\"https:\/\/providersearch.vnshealthplans.org\/#\/?plan=map\" target=\"_blank\" rel=\"noopener noreferrer\">VNS Health Total (HMO D-SNP) Provider & Pharmacy Search <\/a><\/div>\n<!-- \/wp:html -->\n\n<!-- wp:html -->\n<div class=\"wp-block-button is-style-outline wp-block-buttons\"><a class=\"wp-block-button__link noExitNotifier\" href=\"https:\/\/providersearch.vnshealthplans.org\/#\/?plan=mltc\" target=\"_blank\" rel=\"noopener noreferrer\">VNS Health MLTC Provider Search<\/a><\/div>\n<!-- \/wp:html -->\n\n<!-- wp:html -->\n<div class=\"wp-block-button is-style-outline wp-block-buttons\"><a class=\"wp-block-button__link noExitNotifier\" href=\"https:\/\/providersearch.vnshealthplans.org\/#\/?plan=sh\" target=\"_blank\" rel=\"noopener noreferrer\">SelectHealth Provider & Pharmacy Search<\/a><\/div>\n<!-- \/wp:html -->\n\n<!-- wp:heading {\"level\":3} -->\n<h3 class=\"wp-block-heading\" id=\"h-have-questions-about-ancillary-services\"><span><strong style=\"font-weight: bold;\">Have Questions About Ancillary Services?<\/strong><\/span><\/h3>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p>If you are an in-network provider and have questions pertaining to one of our third-party providers, please use the contact information listed below.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:table -->\n<figure class=\"wp-block-table\"><table><tbody><tr><td><strong>Audiology<\/strong><\/td><td>HearUSA<br>Vendor Provider Service Line: <a href=\"tel:1-800-333-3389\"><strong>1-800-333-3389<\/strong><\/a>, Option 2<br><a href=\"https:\/\/hearusa.net\/portal\/Account\/LogIn?ReturnUrl=%2fportal%2fDashboard\" target=\"_blank\" rel=\"noreferrer noopener\">https:\/\/hearusa.net\/portal\/Account\/LogIn?ReturnUrl=%2fportal%2fDashboard<\/a><\/td><\/tr><tr><td><strong>Behavioral Health<\/strong><\/td><td>Carelon Behavioral Health (formerly called Beacon Health Options)<br>Vendor Provider Service Line: <a href=\"tel:1-800-397-1630\"><strong>1-800-397-1630<\/strong><\/a><br><a href=\"https:\/\/providerconnect.carelonbehavioralhealth.com\/pc\/eProvider\/providerLogin.do\" target=\"_blank\" rel=\"noreferrer noopener\">https:\/\/providerconnect.carelonbehavioralhealth.com\/pc\/eProvider\/providerLogin.do<\/a><\/td><\/tr><tr><td><strong>Dental<\/strong><\/td><td>Healthplex<br>Vendor Provider Service Line: <a href=\"tel: 1-888-468-2183\"><strong>1-888-468-2183<\/strong><br><\/a><a href=\"https:\/\/www.healthplex.com\/provider\" target=\"_blank\" rel=\"noreferrer noopener\">https:\/\/www.healthplex.com\/provider<\/a><\/td><\/tr><tr><td><strong>Pharmacy<\/strong><\/td><td>MedImpact<br>Vendor Provider Service Line: <a href=\"tel:1-800-788-2949\"><strong>1-800-788-2949<\/strong><\/a><br><a href=\"https:\/\/www.medimpact.com\/\" target=\"_blank\" rel=\"noreferrer noopener\">https:\/\/www.medimpact.com\/<\/a><\/td><\/tr><tr><td><strong>Vision<\/strong><\/td><td>Superior Vision<br>Vendor Provider Service Line: <a href=\"tel:1-877-235-5317\"><strong>1-877-235-5317<\/strong><\/a><br><a href=\"https:\/\/superiorvision.com\/eye-care-professionals\" target=\"_blank\" rel=\"noreferrer noopener\">https:\/\/superiorvision.com\/eye-care-professionals<\/a><\/td><\/tr><\/tbody><\/table><\/figure>\n<!-- \/wp:table -->\n\n<!-- wp:paragraph -->\n<p><br><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p><br><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p><br><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p><\/p>\n<!-- \/wp:paragraph -->",
"post_title": "Provider and Pharmacy Online Search",
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{
"ID": 941,
"post_author": "3",
"post_date": "2020-07-31 15:04:36",
"post_date_gmt": "2020-07-31 19:04:36",
"post_content": "<!-- wp:paragraph -->\n<p>Whether you\u2019re a new provider or a long-standing member of our network, you can find here basic information and tools you need to efficiently serve your clients and patients.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:acf\/faq {\"name\":\"acf\/faq\",\"data\":{\"heading\":\"\",\"_heading\":\"field_faq_heading\",\"is_modular\":\"0\",\"_is_modular\":\"field_faq_is_modular\",\"items_0_question\":\"New to Our Network?\",\"_items_0_question\":\"field_faq_items_question\",\"items_0_answer\":\"\\u003cp\\u003e\\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2020\/07\/CHOICE-provider-welcome-letter.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noreferrer noopener\\u0022\\u003e\\u003cstrong\\u003eWelcome From Provider Relations\\u003c\/strong\\u003e\\u003c\/a\\u003e\\u003c\/p\\u003e\\r\\n\\u003cp\\u003e\\u003cstrong\\u003eOrientation Training (All Health Plans)\\u003c\/strong\\u003e - \\u003cstrong\\u003eCOMING SOON\\u003c\/strong\\u003e\\u003cbr \/\\u003e\\r\\nThis Provider Orientation Training presentation contains an introductory overview of all our health plans. The presentation features a brief overview of benefits, eligibility, and goals for each plan. It also features documents that will help you with the onboarding process. Please reach out to your assigned account manager with any further questions.\\u003cbr \/\\u003e\\r\\n\\u003cbr \/\\u003e\\r\\n\\u003cstrong\\u003e\\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/about-us\/\\u0022\\u003eAbout Our Plans\\u003c\/a\\u003e\\u003c\/strong\\u003e \\u003cbr \/\\u003e\\r\\nFind out more about our long-term care and special needs plans.\\u003c\/p\\u003e\",\"_items_0_answer\":\"field_faq_items_answer\",\"items_1_question\":\"Access and Availability Standards for Medicare Patients\",\"_items_1_question\":\"field_faq_items_question\",\"items_1_answer\":\"\\u003cp\\u003e\\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2020\/07\/VNSNY-CHOICE-Access-and-Availability-Standards.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noreferrer noopener\\u0022\\u003eAccess and Availability Standards for Medicare Patients \\u003c\/a\\u003e\\u003cbr \/\\u003e\\r\\nAccording to the Centers for Medicare \\u0026amp; Medicaid Services, all health plans are required to maintain and monitor a network of appropriate providers, supported by written arrangements, that is sufficient to provide adequate access to covered services to meet the needs of the population served. This is a regulatory requirement that involves standards that must ensure that the hours of operation of the plan\u2019s providers are convenient to, and do not discriminate against, enrollees. The plan must also ensure that, when medically necessary, services are available 24 hours a day, seven days a week. This includes requiring primary care physicians to have appropriate backup for absences. The standards should consider the enrollee\u2019s need and common waiting times for comparable services in the community. Please download \\u003ca href=\\u0022https:\/\/www.cms.gov\/Regulations-and-Guidance\/Guidance\/Manuals\/downloads\/mc86c04.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noopener\\u0022\\u003ethis PDF\\u003c\/a\\u003e for more information.\\u003c\/p\\u003e\",\"_items_1_answer\":\"field_faq_items_answer\",\"items_2_question\":\"Reference Guides and Fact Sheets\",\"_items_2_question\":\"field_faq_items_question\",\"items_2_answer\":\"\\u003cp\\u003e\\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2023\/08\/VNS-Health_Health-Plans-Provider-Reference-Guide-08.23.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noopener\\u0022\\u003e\\u003cstrong\\u003eProvider Reference Guide\\u003c\/strong\\u003e\\u003c\/a\\u003e \\u003cstrong\\u003e(All Plans)\\u003c\/strong\\u003e\\u003cbr \/\\u003e\\r\\nThis guide is a convenient resource when you have questions about claims, member services, medical management, utilization, compliance, pharmacy, or participating labs.\\u003c\/p\\u003e\\r\\n\\u003cp\\u003e\\u003cstrong\\u003e\\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2023\/02\/Annual-Wellness-Coding-Guidance.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noopener\\u0022\\u003eAnnual Wellness Visit Coding Guidance\\u003c\/a\\u003e\\u003cbr \/\\u003e\\r\\n\\u003c\/strong\\u003eTo be used when coding for comprehensive health visits with VNS Health Health Plan members.\u00a0 \u00a0\\u003c\/p\\u003e\\r\\n\\u003cp\\u003e\\u003cstrong\\u003e\\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2023\/01\/Provider-Clinical-Practice-and-Preventive-Health-Guidelines-1.25.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noopener\\u0022\\u003eClinical Practice and Preventive Health Guidelines\\u003c\/a\\u003e (All Plans)\\u003cbr \/\\u003e\\r\\n\\u003c\/strong\\u003e\\u003c\/p\\u003e\\r\\n\\u003cp\\u003e\\u003cstrong\\u003e\\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2023\/04\/HEDIS_QARR-Provider-Reference-Guide-MY2024.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noopener\\u0022\\u003eHEDIS QARR Provider Reference Guide\\u003c\/a\\u003e\u00a0\\u003cbr \/\\u003e\\r\\n\\u003c\/strong\\u003e\\u003c\/p\\u003e\\r\\n\\u003cp\\u003e\\u003cstrong\\u003e\\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2022\/08\/VNSNY-CHOICE_CAHPS-HOS-Provider-Checklist.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noopener\\u0022\\u003eCAHPS and Health Outcomes Survey Checklist\\u003c\/a\\u003e\\u003c\/strong\\u003e\\u003cbr \/\\u003e\\r\\nTracks annual HEDIS quality measures and recommends how to discuss them with patients.\\u003cbr \/\\u003e\\r\\n\\u003cbr \/\\u003e\\r\\n\\u003cstrong\\u003e\\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2022\/09\/Star-Rating_HOS-Survey-Questions_Provider_Talking-Points_VNS-Health.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noopener\\u0022\\u003eHOS Survey Questions Talking Points\\u003c\/a\\u003e\\u003c\/strong\\u003e\u00a0 \u00a0\\u003cbr \/\\u003e\\r\\nSuggests talking points your practice may leverage to address the health topics included in the survey.\\u003c\/p\\u003e\\r\\n\\u003cp\\u003e\\u003cstrong\\u003eComfort Care Options\\u003cbr \/\\u003e\\r\\n\\u003c\/strong\\u003e\\u003cstrong\\u003e\\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/health-professionals\/comfort-care-options\/\\u0022\\u003eMedicare Hospice Care FAQs for Hospice Providers\\u003c\/a\\u003e\\u003cbr \/\\u003e\\r\\n\\u003c\/strong\\u003eThe Hospice Care Benefit program is designed to increase patient access to hospice services and improve coordination between hospice providers and other clinicians at the patient\u2019s end of life.\\u003c\/p\\u003e\\r\\n\\u003cp\\u003e\\u003cstrong\\u003eReferences for SelectHealth Providers\\u003cbr \/\\u003e\\r\\n\\u003c\/strong\\u003e\\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2024\/03\/SH_Provider_Ref_guide_v9.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noopener\\u0022\\u003eSelectHealth Provider Reference Guide\\u003c\/a\\u003e \\u003cbr \/\\u003e\\r\\nQuickly find out who to contact for specific plan information.\\u003cbr \/\\u003e\\r\\n\\u003cbr \/\\u003e\\r\\n\\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2024\/02\/SH_Plan-Overview_for_Providers_v11.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noreferrer noopener\\u0022\\u003eSelectHealth Plan Overview for Providers\\u003c\/a\\u003e\\u003cbr \/\\u003e\\r\\nLearn more about SelectHealth, including special initiatives and program offerings.\\u003cbr \/\\u003e\\r\\n\\u003cbr \/\\u003e\\r\\n\\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2023\/07\/SH_Drug_Reference_for_Transgender_Care_final_072023.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noreferrer noopener\\u0022\\u003eDrug Reference Guide for Transgender Care\\u003c\/a\\u003e\\u003cbr \/\\u003e\\r\\nThis guide provides a summary of recommended medication therapies along with their SelectHealth formulary coverage status.\\u003c\/p\\u003e\\r\\n\\u003cp\\u003e\\u003cstrong\\u003ePrescriber Billing Codes\\u003cbr \/\\u003e\\r\\n\\u003cbr \/\\u003e\\r\\n\\u003c\/strong\\u003e\\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2022\/10\/SelectHealth_Practitioner-Dispensing-Policy-Clarification-Guidance_9-29-22.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noopener\\u0022\\u003ePractitioner Dispensing Policy Clarification Billing Codes\\u003c\/a\\u003e (Effective 10\/4\/2022)\\u003cstrong\\u003e\\u003cbr \/\\u003e\\r\\n\\u003cbr \/\\u003e\\r\\n\\u003cem\\u003eSarepta Prescriber Billing Codes\u00a0\\u003c\/em\\u003e\\u003c\/strong\\u003e\\u003c\/p\\u003e\\r\\n\\u003cul\\u003e\\r\\n\\t\\u003cli\\u003e\\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2022\/05\/VNSNY-CHOICE-AMONDYS-45-CASIMERSEN-Injection_Billing-Codes.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noopener\\u0022\\u003eAmondys 45 (Casimersen) Prescriber Billing\\u003c\/a\\u003e\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003e\\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2022\/05\/VNSNY-CHOICE-EXONDYS-51-ETEPLIRSEN-Injection_Billing-Codes.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noopener\\u0022\\u003eExondys 51 (Eteplirsen) Prescriber Billing\\u003c\/a\\u003e\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003e\\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2022\/05\/VNSNY-CHOICE-VYONDYS-53-GOLODIRSEN-Injection_Billing-Codes.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noopener\\u0022\\u003eVyondys 53 (Golodirsen) Prescriber Billing\\u003c\/a\\u003e\\u003c\/li\\u003e\\r\\n\\u003c\/ul\\u003e\\r\\n\\u003cp\\u003e\\u003cem\\u003e\\u003cstrong\\u003eGenentech Prescriber Billing Codes\\u003c\/strong\\u003e\\u003c\/em\\u003e\\u003c\/p\\u003e\\r\\n\\u003cul\\u003e\\r\\n\\t\\u003cli\\u003e\\u003ca href=\\u0022\/wp-content\/uploads\/2020\/07\/avastin-bevacizumab-CHOICE-SelectHealth-billing-codes.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noreferrer noopener\\u0022\\u003eAvastin (Bevacizumab) Prescriber Billing\\u003c\/a\\u003e\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003e\\u003ca href=\\u0022\/wp-content\/uploads\/2020\/07\/herceptin-trastuzumab-CHOICE-SelectHealth-billing-codes.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noreferrer noopener\\u0022\\u003eHerceptin (Trastuzumab) Prescriber Billing\\u003c\/a\\u003e\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003e\\u003ca href=\\u0022\/wp-content\/uploads\/2020\/07\/perjeta-pertuzumab-CHOICE-SelectHealth-billing-codes.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noreferrer noopener\\u0022\\u003ePerjeta (Pertuzumab) Prescriber Billing\\u003c\/a\\u003e\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003e\\u003ca href=\\u0022\/wp-content\/uploads\/2020\/07\/xolair-omalizumab-CHOICE-SelectHealth-billing-codes.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noreferrer noopener\\u0022\\u003eXolair (Omalizumab) Prescriber Billing\\u003c\/a\\u003e\\u003c\/li\\u003e\\r\\n\\u003c\/ul\\u003e\\r\\n\\u003cp\\u003eFor assistance with billing questions, please call \\u003cstrong\\u003e\\u003ca href=\\u0022tel:1-866-783-0222\\u0022\\u003e1-866-783-0222\\u003c\/a\\u003e\\u003c\/strong\\u003e.\\u003c\/p\\u003e\\r\\n\\u003cp\\u003e\\u003cstrong\\u003ePrEP Prescribers Directory\\u003c\/strong\\u003e\\u003cbr \/\\u003e\\r\\nPlease use \\u003ca href=\\u0022https:\/\/providerdirectory.aidsinstituteny.org\/\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noopener\\u0022\\u003ethis online directory\\u003c\/a\\u003e from the AIDS Institute to find providers offering the services listed below:\\u003c\/p\\u003e\\r\\n\\u003cul\\u003e\\r\\n\\t\\u003cli\\u003eHIV\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eHCV\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003ePrEP\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003ePEP\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eBuprenorphine\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eSTI services\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eOpioid Overdose Prevention Program\\u003c\/li\\u003e\\r\\n\\u003c\/ul\\u003e\\r\\n\\u003cp\\u003eIf you\u2019d like to register to be featured in the directory, visit \\u003ca href=\\u0022https:\/\/providerdirectory.aidsinstituteny.org\/Register\/RegisterCreate\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noopener\\u0022\\u003ehttps:\/\/providerdirectory.aidsinstituteny.org\/Register\/RegisterCreate\\u003c\/a\\u003e.\\u003c\/p\\u003e\\r\\n\\u003cp\\u003e\\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2022\/03\/Diagnosing-and-Treating-Opioid-Use-Disorder.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noopener\\u0022\\u003eDiagnosing and Treating Opioid Use Disorder (OUD) During COVID-19\\u003c\/a\\u003e\\u003c\/p\\u003e\\r\\n\\u003cp\\u003e\\u003cstrong\\u003ePharmacy Vaccine Coverage and Billing Effective 4\/1\/23\\u003c\/strong\\u003e\\u003c\/p\\u003e\\r\\n\\u003cp\\u003e\\u003cspan class=\\u0022TextRun Highlight SCXW156897893 BCX0\\u0022 lang=\\u0022EN-US\\u0022 xml:lang=\\u0022EN-US\\u0022 data-contrast=\\u0022none\\u0022\\u003e\\u003cspan class=\\u0022NormalTextRun SCXW156897893 BCX0\\u0022\\u003eEffective April 1, \\u003c\/span\\u003e\\u003cspan class=\\u0022NormalTextRun SCXW156897893 BCX0\\u0022\\u003eImmunizations administered at the pharmacy\\u003c\/span\\u003e\\u003cspan class=\\u0022NormalTextRun SCXW156897893 BCX0\\u0022\\u003e will be covered under \\u003c\/span\\u003e\\u003cspan class=\\u0022NormalTextRun SpellingErrorV2Themed SCXW156897893 BCX0\\u0022\\u003eNYRx\\u003c\/span\\u003e\\u003cspan class=\\u0022NormalTextRun SCXW156897893 BCX0\\u0022\\u003e. The pharmacy must be enrolled in the NYS Medicaid program, and enrolled pharmacies are eligible for reimbursement of covered vaccination services. For billing guidance, please review the\u202f\\u003c\/span\\u003e\\u003c\/span\\u003e\\u003ca class=\\u0022Hyperlink SCXW156897893 BCX0\\u0022 href=\\u0022https:\/\/www.health.ny.gov\/health_care\/medicaid\/program\/phar_immun_fact.htm\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noreferrer noopener\\u0022\\u003e\\u003cspan class=\\u0022TextRun Highlight Underlined SCXW156897893 BCX0\\u0022 lang=\\u0022EN-US\\u0022 xml:lang=\\u0022EN-US\\u0022 data-contrast=\\u0022none\\u0022\\u003e\\u003cspan class=\\u0022NormalTextRun SCXW156897893 BCX0\\u0022 data-ccp-charstyle=\\u0022Hyperlink\\u0022\\u003ePharmacists as Immunizers Fact Sheet\\u003c\/span\\u003e\\u003c\/span\\u003e\\u003c\/a\\u003e\\u003cspan class=\\u0022TextRun Highlight SCXW156897893 BCX0\\u0022 lang=\\u0022EN-US\\u0022 xml:lang=\\u0022EN-US\\u0022 data-contrast=\\u0022none\\u0022\\u003e\\u003cspan class=\\u0022NormalTextRun SCXW156897893 BCX0\\u0022\\u003e.\\u003c\/span\\u003e\\u003c\/span\\u003e\\u003c\/p\\u003e\\r\\n\\u003cdiv\\u003e\\r\\n\\u003cp\\u003e\\u003cem\\u003e\\u003cstrong\\u003eCarelon Behavioral Health (formerly called Beacon Health Options) Provider Reference Tools\\u003c\/strong\\u003e\\u003c\/em\\u003e \\u003cbr \/\\u003e\\r\\n\\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2020\/07\/Beacon_Provider_Reference_Tool_IET.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noreferrer noopener\\u0022\\u003eBeacon Health Options Provider Reference Tool: Alcohol and Other Drug Dependence Treatment\\u003c\/a\\u003e \\u003cbr \/\\u003e\\r\\nThis tool offers information about the initiation and engagement of treatment for alcohol and other drug dependence. \\u003cbr \/\\u003e\\r\\n\\u003cbr \/\\u003e\\r\\n\\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2020\/07\/Beacon_Provider_Reference_Tool_FUH.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noreferrer noopener\\u0022\\u003eBeacon Health Options Provider Reference Tool: Follow-Up After Hospitalization for Mental Illness\\u003c\/a\\u003e\\u003cbr \/\\u003e\\r\\nThis tool offers information about the follow-up process after hospitalization for mental illness.\\u003cbr \/\\u003e\\r\\n\\u003cbr \/\\u003e\\r\\n\\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2020\/07\/High-Risk-Medications.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noreferrer noopener\\u0022\\u003eHigh Risk Medications in the Elderly\\u003c\/a\\u003e \\u003cbr \/\\u003e\\r\\nWe know that effective medication management \u2014 especially among the elderly population \u2014 is one of the key strategies for improving quality of patient care and reducing avoidable ED visits and hospitalizations. The Pharmacy Quality Alliance has developed a list of high-risk medications, including their potential risks and safer treatment options.\\u003c\/p\\u003e\\r\\n\\u003c\/div\\u003e\",\"_items_2_answer\":\"field_faq_items_answer\",\"items_3_question\":\"Provider Webinar Series \",\"_items_3_question\":\"field_faq_items_question\",\"items_3_answer\":\"\\u003cdiv class=\\u0022ac-textBlock\\u0022\\u003e\\r\\n\\u003cp\\u003eIn 2024, we are offering three provider education webinars.\\u003c\/p\\u003e\\r\\n\\u003cp\\u003e\\u003cstrong\\u003e\u201c\\u003c\/strong\\u003e\\u003cstrong\\u003e\\u003ca href=\\u0022https:\/\/vnshealth.zoom.us\/webinar\/register\/WN_9IYrcBS1SeS9P0wmXdTS_Q#\/registration\\u0022\\u003eRisk Adjustment\u00a0\\u0026amp;\u00a0Quality Updates\\u003c\/a\\u003e\\u003c\/strong\\u003e\\u003cstrong\\u003e\u201d\\u003c\/strong\\u003e\\u003c\/p\\u003e\\r\\n\\u003c\/div\\u003e\\r\\n\\u003cdiv class=\\u0022ac-textBlock\\u0022\\u003e\\r\\n\\u003cp\\u003eThis webinar will discuss documentation and coding standards for closing gaps in care.\\u003c\/p\\u003e\\r\\n\\u003cp\\u003eStay tuned for information on additional 2024 webinars, scheduled for June 26 and September 25.\\u003c\/p\\u003e\\r\\n\\u003cp\\u003e\\u003ca class=\\u0022ac-anchor\\u0022 title=\\u0022https:\/\/www.vnshealthplans.org\/provider-education-webinar-archive\/\\u0022 href=\\u0022https:\/\/www.vnshealthplans.org\/provider-education-webinar-archive\/\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noopener\\u0022\\u003eClick here for previous provider education webinars.\\u003c\/a\\u003e\\u003c\/p\\u003e\\r\\n\\u003c\/div\\u003e\",\"_items_3_answer\":\"field_faq_items_answer\",\"items_4_question\":\"Prior Authorization Process for Certain Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Items\",\"_items_4_question\":\"field_faq_items_question\",\"items_4_answer\":\"\\u003cp\\u003eResumption of Prior Authorization Activities 7\/7\/2020:\\u003c\/p\\u003e\\r\\n\\u003cp\\u003eGiven the importance of medical review activities to CMS\u2019 program integrity efforts, CMS will discontinue exercising enforcement discretion for the Prior Authorization Process for Certain Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) items beginning on August 3, 2020, regardless of the status of the public health emergency. For power mobility devices and pressure reducing support surfaces that require prior authorization as a condition of payment, claims with an initial date of service on or after August 3, 2020, must be associated with an affirmative prior authorization decision to be eligible for payment.\\u003c\/p\\u003e\\r\\n\\u003cp\\u003eAdditionally, prior authorization will be required for certain lower limb prosthetics (L5856, L5857, L5858, L5973, L5980, and L5987) with dates of service on or after December 1, 2020.\\u003c\/p\\u003e\\r\\n\\u003cp\\u003ePlease see more information\u00a0\\u003ca href=\\u0022https:\/\/www.cms.gov\/files\/document\/provider-burden-relief-faqs.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noopener\\u0022\\u003ehere\u00a0(PDF)\\u003c\/a\\u003e. The Required Prior Authorization List can be found \\u003ca href=\\u0022https:\/\/www.cms.gov\/Research-Statistics-Data-and-Systems\/Monitoring-Programs\/Medicare-FFS-Compliance-Programs\/DMEPOS\/Downloads\/DMEPOS_PA_Required-Prior-Authorization-List.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noopener\\u0022\\u003ehere\u00a0(PDF)\\u003c\/a\\u003e.\\u003c\/p\\u003e\",\"_items_4_answer\":\"field_faq_items_answer\",\"items_5_question\":\"Fact Sheets and Forms for Your Patients\",\"_items_5_question\":\"field_faq_items_question\",\"items_5_answer\":\"\\u003cp\\u003e\\u003cstrong data-rich-text-format-boundary=\\u0022true\\u0022\\u003eHealth Information Exchange Fact Sheets and Forms\\u003c\/strong\\u003e\\u003cbr \/\\u003e\\r\\n\\u003cbr \/\\u003e\\r\\nInformation in Spanish and English explaining how the Health Information Exchange works. Includes a list of frequently asked questions to share with patients who are members of our health plans (\\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2020\/07\/VNSNY-HIE-Fact-Sheet_English.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noreferrer noopener\\u0022\\u003eEnglish\\u003c\/a\\u003e, \\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2020\/07\/VNSNY-HIE-Fact-Sheet_Spanish.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noreferrer noopener\\u0022\\u003eSpanish\\u003c\/a\\u003e).\\u003cbr \/\\u003e\\r\\n\\u003cbr \/\\u003e\\r\\nAuthorization for Access to Patient\/Member Information Through Health Information Exchanges (\\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2023\/05\/VNS-Health_HIE-Fact-SheetForm_EN_7-27-22.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noreferrer noopener\\u0022\\u003eEnglish\\u003c\/a\\u003e, \\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2023\/05\/VNS-Health_HIE-Fact-SheetForm_SP_7-27-22.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noopener\\u0022\\u003eSpanish\\u003c\/a\\u003e).\\u003cbr \/\\u003e\\r\\n\\u003cbr \/\\u003e\\r\\n\\u003cstrong\\u003e\\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2020\/07\/Advanced-Directive_Plan.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noreferrer noopener\\u0022\\u003eAdvanced Care Planning Form\\u003c\/a\\u003e\\u003c\/strong\\u003e\\u003cbr \/\\u003e\\r\\nHealth care organizations such as ours are required by New York State Department of Health regulations to provide information about advanced directives to all of our members.\\u003cbr \/\\u003e\\r\\nThe New York Health Care Proxy Law allows patients to appoint someone they trust, for example, a family member or close friend, to make health care decisions for them if they lose the ability to make decisions for themselves.\\u003cbr \/\\u003e\\r\\nAs sensitive as it can be, a proactive discussion of end-of-life issues with patients is extremely important to avoid confusion and potential discord regarding their preferences for care. We have developed this downloadable one-page overview of advance care planning that contains helpful suggestions and information about various forms of advance directives. We also provide a basic advance care planning checklist to make it easier for you and your patients to assess needs.\\u003cbr \/\\u003e\\r\\n\\u003cbr \/\\u003e\\r\\nAdditional forms include the following:\\u003cbr \/\\u003e\\r\\nHealth Care Proxy (\\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2020\/07\/Appointing-Health-Care-Proxy-New-York-State_Eng.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noreferrer noopener\\u0022\\u003eEnglish\\u003c\/a\\u003e, \\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2020\/07\/Appointing-Health-Care-Proxy-New-York-State-Sp.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noreferrer noopener\\u0022\\u003eSpanish\\u003c\/a\\u003e)\\u003cbr \/\\u003e\\r\\n\\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2020\/07\/New-York-Advance-Directive-Planning-Guide.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noreferrer noopener\\u0022\\u003eNew York Advance Directive Planning for Important Healthcare Decisions\\u003c\/a\\u003e\\u003cbr \/\\u003e\\r\\n\\u003cbr \/\\u003e\\r\\n\\u003cstrong\\u003eWhat Is Medicaid?\\u003cbr \/\\u003e\\r\\n\\u003c\/strong\\u003eWe offer helpful information about this important government program that may be useful for both you and your patients or clients. Visit \\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/how-to-apply-for-medicaid\/\\u0022\\u003eHow to Apply for Medicaid\\u003c\/a\\u003e.\\u003c\/p\\u003e\",\"_items_5_answer\":\"field_faq_items_answer\",\"items_6_question\":\"Electronic Medical Records (EMR)\",\"_items_6_question\":\"field_faq_items_question\",\"items_6_answer\":\"\\u003cp\\u003e\\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2022\/03\/VNSNY-CHOICE-Supplemental-Data-Sharing_Provider-Information-Packet_2022.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noopener\\u0022\\u003eProvider EMR Data Sharing - Provider Information Packet\\u003c\/a\\u003e\\u003cbr \/\\u003e\\r\\nThe Provider Information Packet is a comprehensive guide to all aspects of our EMR flat file sharing initiative. In addition to the links below, it contains high-level summaries, timelines, initial and ongoing workflows, file format information, and FAQs. Providers and staff are encouraged to review this guide when sharing data with us via EMR flat file, as it contains important information to ensure successful submission.\\u003c\/p\\u003e\\r\\n\\u003cp\\u003e\\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2022\/03\/VNSNY-CHOICE-Supplemental-Data-Sharing-EMR_Measure-Definitions-2022.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noreferrer noopener\\u0022\\u003eProvider EMR Data Sharing \u2013 Measure Definitions\\u003c\/a\\u003e \\u003cbr \/\\u003e\\r\\nThis guide lists the measures providers may be asked to document details for in a member medical record. Definitions, applicable lines of business, and sample procedure codes are also included.\\u003cbr \/\\u003e\\r\\n\\u003cbr \/\\u003e\\r\\n\\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2022\/03\/VNSNY-CHOICE-Supplemental-Data-Sharing_EMR_Measure-Dictionary-2022.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noreferrer noopener\\u0022\\u003eProvider EMR Data Sharing \u2013 Measure Dictionary\\u003c\/a\\u003e\\u003cstrong\\u003e\\u003cbr \/\\u003e\\r\\n\\u003c\/strong\\u003eThe EMR data sharing measure dictionary details the approaches providers may use to achieve measure compliance and close gaps. By utilizing these guidelines, providers will be able to assist us in achieving and reporting total quality of care for our members. Specifications, key elements, and timelines are also presented for reference.\\u003c\/p\\u003e\",\"_items_6_answer\":\"field_faq_items_answer\",\"items_7_question\":\"Medications Adherence Tip Sheet\",\"_items_7_question\":\"field_faq_items_question\",\"items_7_answer\":\"\\u003cp\\u003eWe know the importance of medication adherence. This \\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2020\/07\/CHOICE-Medication-Adherence-Tip-Sheet.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noopener\\u0022\\u003emedication adherence tip sheet\\u003c\/a\\u003e makes it easy for providers to help our members take the right meds at the right time \u2014 no matter how complex their medication regimens. In addition, the tip sheet will help empower members and caregivers to easily see what medications to take and when to take them.\\u003c\/p\\u003e\",\"_items_7_answer\":\"field_faq_items_answer\",\"items_8_question\":\"Let's Stop HIV Together Campaign\",\"_items_8_question\":\"field_faq_items_question\",\"items_8_answer\":\"\\u003cp\\u003eHere are some resources that may be helpful to those living with HIV\/AIDS, and their families.\\u003c\/p\\u003e\\r\\n\\u003cp\\u003eSelectHealth supports the Let\u2019s Stop HIV Together campaign sponsored by the Centers for Disease Control and Prevention. The campaign features information on Testing, Prevention, Treatment and Stigma and includes videos of people sharing their experiences of living with HIV.\\u003c\/p\\u003e\\r\\n\\u003cp\\u003eVisit the Let\u2019s Stop HIV Together website for information on:\\u003c\/p\\u003e\\r\\n\\u003cul\\u003e\\r\\n\\t\\u003cli style=\\u0022list-style-type: none;\\u0022\\u003e\\r\\n\\u003cul\\u003e\\r\\n\\t\\u003cli\\u003e\\u003ca href=\\u0022https:\/\/www.cdc.gov\/stophivtogether\/hiv-testing\/index.html\\u0022\\u003eHIV Testing\\u003c\/a\\u003e\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003e\\u003ca href=\\u0022https:\/\/www.cdc.gov\/stophivtogether\/hiv-prevention\/index.html\\u0022\\u003eHIV Prevention\\u003c\/a\\u003e\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003e\\u003ca href=\\u0022https:\/\/www.cdc.gov\/stophivtogether\/hiv-treatment\/index.html\\u0022\\u003eHIV Treatment\\u003c\/a\\u003e\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003e\\u003ca href=\\u0022https:\/\/www.cdc.gov\/stophivtogether\/hiv-stigma\/index.html\\u0022\\u003eHIV Stigma\\u003c\/a\\u003e\\u003c\/li\\u003e\\r\\n\\u003c\/ul\\u003e\\r\\n\\u003c\/li\\u003e\\r\\n\\u003c\/ul\\u003e\\r\\n\\u003cp\\u003e\\u003cstrong\\u003eHIV Tobacco Cessation Improvement Campaign\\u003c\/strong\\u003e\\u003c\/p\\u003e\\r\\n\\u003cp\\u003eThe New York State Department of Health AIDS Institute is excited to announce the launch of the HIV Tobacco Cessation Improvement Campaign. Antiretroviral therapy is extending the lives of people living with HIV (PLWH); yet in the United States, PLWH who smoke lose over 6 years of life expectancy compared with PLWH who do not smoke. \\u003cbr \/\\u003e\\r\\n\\u003cbr \/\\u003e\\r\\nPlease let your patients know about the NYSDOH campaign to help improve the health of PLWH across New York State. Have them visit \\u003ca href=\\u0022http:\/\/www.hivtobaccofreeny.org\/\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noreferrer noopener\\u0022\\u003ehivtobaccofreeny.org\\u003c\/a\\u003e to enroll and learn more about the campaign. \\u003cbr \/\\u003e\\r\\n\\u003cbr \/\\u003e\\r\\n\\u003cstrong\\u003eNew York State Policies and Guidelines\\u003c\/strong\\u003e\\u003c\/p\\u003e\\r\\n\\u003cul\\u003e\\r\\n\\t\\u003cli\\u003e\\u003ca href=\\u0022https:\/\/www.cdc.gov\/stophivtogether\/campaigns\/hiv-treatment-works\/index.html?CDC_AA_refVal=https%3A%2F%2Fwww.cdc.gov%2Factagainstaids%2Fcampaigns%2Fhivtreatmentworks%2Findex.html\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noreferrer noopener\\u0022\\u003eNew York State Department of Health HIV Testing Policies and Procedures\\u003c\/a\\u003e\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003e\\u003ca href=\\u0022https:\/\/www.hivguidelines.org\/\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noreferrer noopener\\u0022\\u003eNew York State Department of Health Updates and Changes to HIV Treatment Guidelines\\u003c\/a\\u003e\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003e\\u003ca href=\\u0022https:\/\/www.health.ny.gov\/diseases\/aids\/providers\/testing\/\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noreferrer noopener\\u0022\\u003eNew York State HIV Testing Law - FAQs\\u003c\/a\\u003e\\u003c\/li\\u003e\\r\\n\\u003c\/ul\\u003e\\r\\n\\u003cp\\u003e\\u003cstrong\\u003eAdditional Resources\\u003c\/strong\\u003e\\u003c\/p\\u003e\\r\\n\\u003cul\\u003e\\r\\n\\t\\u003cli\\u003e\\u003ca href=\\u0022https:\/\/www.health.ny.gov\/\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noreferrer noopener\\u0022\\u003eNew York State Department of Health\\u003c\/a\\u003e\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003e\\u003ca href=\\u0022https:\/\/www1.nyc.gov\/site\/doh\/index.page\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noreferrer noopener\\u0022\\u003eNew York City Department of Health and Mental Hygiene\\u003c\/a\\u003e\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003e\\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2020\/10\/Early-Acute-HIV.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noreferrer noopener\\u0022\\u003eSigns and Symptoms of Acute\/Early HIV\\u003c\/a\\u003e\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003e\\u003ca href=\\u0022https:\/\/aidsinfo.nih.gov\/\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noreferrer noopener\\u0022\\u003eAIDS Info (A Service of the U.S. Department of Health and Human Services)\\u003c\/a\\u003e\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003e\\u003ca href=\\u0022http:\/\/www.aidsinfonet.org\/\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noreferrer noopener\\u0022\\u003eThe AIDS InfoNet\\u003c\/a\\u003e\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003e\\u003ca href=\\u0022https:\/\/www.cdc.gov\/hiv\/default.html\\u0022\\u003eCe\\u003c\/a\\u003e\\u003ca href=\\u0022https:\/\/www.cdc.gov\/hiv\/default.html\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noreferrer noopener\\u0022\\u003enters for Disease Control and Prevention\\u003c\/a\\u003e\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003e\\u003ca href=\\u0022https:\/\/www.womenshealth.gov\/hiv-and-aids\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noreferrer noopener\\u0022\\u003eNational Women's Health Information Center\\u003c\/a\\u003e\\u003c\/li\\u003e\\r\\n\\u003c\/ul\\u003e\",\"_items_8_answer\":\"field_faq_items_answer\",\"items\":9,\"_items\":\"field_faq_items\",\"id\":\"block_acf_660dab320132c\"},\"mode\":\"edit\",\"id\":\"block_acf_660dab320132c\"} \/-->",
"post_title": "Provider Education",
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"post_date": "2020-07-31 15:10:20",
"post_date_gmt": "2020-07-31 15:10:20",
"post_content": "<!-- wp:heading -->\n<h2 id=\"h-new-york-state-policies\">NEW YORK STATE POLICIES <\/h2>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p>Please click on the links below to review New York State regulatory changes.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p><em>New York State Regulations <\/em><br><a href=\"https:\/\/www.vnshealthplans.org\/sites\/default\/files\/VNSNY%20CHOICE_Notice_to_Providers_Concerning_New_York_State_Regulatory_Changes.original.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">New York State Regulatory Updates<\/a> (Effective January 1, 2010)<br><a href=\"http:\/\/www.health.ny.gov\/diseases\/aids\/\" target=\"_blank\" rel=\"noreferrer noopener\">New York State Department of Health HIV Testing Policies and Procedures<\/a><br><a href=\"http:\/\/www.hivguidelines.org\/\" target=\"_blank\" rel=\"noreferrer noopener\">New York State Department of Health Updates and Changes to HIV Treatment Guidelines<\/a><br><a href=\"http:\/\/www.health.ny.gov\/diseases\/aids\/\" target=\"_blank\" rel=\"noreferrer noopener\">New York State HIV Testing Law -<\/a><a href=\"http:\/\/www.health.ny.gov\/diseases\/aids\/\" target=\"_blank\" rel=\"noreferrer noopener\"> Guidance<\/a><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:heading -->\n<h2 id=\"h-vnsny-choice-policies\">VNSNY CHOICE POLICIES<\/h2>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p><em>VNS Health Health Plans Policies and Updates\u00a0<\/em><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p><a href=\"https:\/\/www.vnshealthplans.org\/sites\/default\/files\/VNSNY%20CHOICE%20Access%20and%20Availability%20Standards%20%2803.06.17%29.pdf\" target=\"_blank\" rel=\"noreferrer noopener\"> Access and Availability Standards\u00a0(Medicare and SelectHealth)<\/a><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:list -->\n<ul><li><a href=\"https:\/\/www.vnshealthplans.org\/sites\/default\/files\/CHOICE-Health-Plans-Medicare-Model-of-Care.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">VNS Health Medicare Model of Care<\/a><\/li><li><a href=\"https:\/\/www.vnshealthplans.org\/sites\/default\/files\/Talking_To_Members_About_Advance_Care_Planning_so.original.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">Talking to Members About Advance-Care Planning<\/a><\/li><li>Quick Reference Guides for Providers:<ul><li><a href=\"https:\/\/www.vnshealthplans.org\/sites\/default\/files\/CHOICE_Total_Provider_Guide.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">VNS Health Total\u00a0<\/a><\/li><li><a href=\"https:\/\/www.vnshealthplans.org\/sites\/default\/files\/CHOICE_MLTC_Provider_Guide_4.3.20.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">VNS Health MLTC<\/a><\/li><li><a href=\"https:\/\/www.vnshealthplans.org\/sites\/default\/files\/SelectHealth-Provider-Reference-Guide_June-2020.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">SelectHealth<\/a><\/li><\/ul><\/li><\/ul>\n<!-- \/wp:list -->\n\n<!-- wp:paragraph -->\n<p><\/p>\n<!-- \/wp:paragraph -->",
"post_title": "Policies",
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"post_date": "2020-07-31 15:11:25",
"post_date_gmt": "2020-07-31 15:11:25",
"post_content": "<!-- wp:paragraph -->\n<p>If you are a provider in our network and have questions pertaining to one of our third-party providers, please use the contact information listed below.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p><strong>Audiology<\/strong><br>Hear USA<br>Vendor Provider Service Line: 1-800-333-3389, Option 2<br><a href=\"https:\/\/hearusa.net\/portal\/Account\/LogIn?ReturnUrl=%2fportal%2fDashboard\" target=\"_blank\" rel=\"noreferrer noopener\">https:\/\/hearusa.net\/portal\/Account\/LogIn?ReturnUrl=%2fportal%2fDashboard<\/a><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p><strong>Behavioral Health<\/strong><br>Beacon Health Options (formerly Value Options)<br>VNS Health Provider Services: 1-866-783-0222<br>Vendor Provider Service Line: 1-800-397-1630<br><a href=\"https:\/\/www.valueoptions.com\/pc\/eProvider\/providerLogin.do\" target=\"_blank\" rel=\"noreferrer noopener\">https:\/\/www.valueoptions.com\/pc\/eProvider\/providerLogin.do<\/a><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p><strong>Dental<\/strong><br>Healthplex<br>VNS Health Provider Services: 1-866-783-0222<br>Vendor Provider Service Line: 1-888-468-2183<br><a href=\"https:\/\/www.healthplex.com\/provider\" target=\"_blank\" rel=\"noreferrer noopener\">https:\/\/www.healthplex.com\/provider<\/a><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p><strong>Pharmacy<\/strong><br>MedImpact<br>VNS Health Provider Services: 1-866-783-0222<br>Vendor Provider Service Line: 1-800-788-2949<br><a href=\"https:\/\/mp.medimpact.com\/physicianportal\/public\/Login.jsp\" target=\"_blank\" rel=\"noreferrer noopener\">https:\/\/mp.medimpact.com\/physicianportal\/public\/Login.jsp<\/a><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p><strong>Vision<\/strong><br>Superior Vision<br>VNS Health Provider Services: 1-866-783-0222<br>Vendor Provider Service Line: 1-866-819-4298<br><a href=\"https:\/\/www.superiorvision.com\/provider\" target=\"_blank\" rel=\"noreferrer noopener\">https:\/\/www.superiorvision.com\/provider<\/a><\/p>\n<!-- \/wp:paragraph -->",
"post_title": "Third-Party Provider Vendors",
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{
"ID": 17470,
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"post_date": "2022-02-18 16:54:22",
"post_date_gmt": "2022-02-18 21:54:22",
"post_content": "<!-- wp:paragraph -->\n<p>In the rapidly transforming world of health care, we understand how important it is for you to stay up to date on changes that affect you, your practice, and your patients. Below are notices, recommendations, and updates that can help you keep track of changing standards and regulations. Check back regularly for new postings.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:spacer {\"height\":\"20px\"} -->\n<div style=\"height:20px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n<!-- \/wp:spacer -->\n\n<!-- wp:heading -->\n<h2 class=\"wp-block-heading\" id=\"h-newsletters-and-bulletins\">Newsletters and Bulletins<\/h2>\n<!-- \/wp:heading -->\n\n<!-- wp:spacer {\"height\":\"20px\"} -->\n<div style=\"height:20px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n<!-- \/wp:spacer -->\n\n<!-- wp:image {\"id\":20014,\"sizeSlug\":\"full\",\"linkDestination\":\"none\"} -->\n<figure class=\"wp-block-image size-full\"><img src=\"https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2022\/08\/provider_news_banner.png\" alt=\"\" class=\"wp-image-20014\"\/><\/figure>\n<!-- \/wp:image -->\n\n<!-- wp:heading {\"level\":4} -->\n<h4 class=\"wp-block-heading\" id=\"h-read-the-latest-issue-winter-2024\"><a href=\"https:\/\/mailchi.mp\/97abeb981bec\/vnsny-choice-provider-news-use-this-for-your-edi-transactions-17597664?e=[UNIQID]\" target=\"_blank\" rel=\"noreferrer noopener\">Read the latest issue\u2014 Winter 2024<\/a><\/h4>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p>See the most recent Provider News updates.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:acf\/faq {\"name\":\"acf\/faq\",\"data\":{\"heading\":\"\",\"_heading\":\"field_faq_heading\",\"is_modular\":\"0\",\"_is_modular\":\"field_faq_is_modular\",\"items_0_question\":\"All 2024 Issues\",\"_items_0_question\":\"field_faq_items_question\",\"items_0_answer\":\"\\u003cp\\u003e\\u003cstrong\\u003eProvider News\\u003cbr \/\\u003e\\r\\n\\u003c\/strong\\u003e\\u003ca href=\\u0022https:\/\/mailchi.mp\/97abeb981bec\/vnsny-choice-provider-news-use-this-for-your-edi-transactions-17597664?e=[UNIQID]\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noopener\\u0022\\u003eFebruary 2024\\u003c\/a\\u003e\\u003c\/p\\u003e\",\"_items_0_answer\":\"field_faq_items_answer\",\"items_1_question\":\"All 2023 Issues\",\"_items_1_question\":\"field_faq_items_question\",\"items_1_answer\":\"\\u003cp\\u003e\\u003cstrong\\u003eProvider News\\u003cbr \/\\u003e\\r\\n\\u003c\/strong\\u003e\\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2023\/11\/VNS-Health_-How-We-Can-Help-Patients-in-2024.pdf\\u0022\\u003eOctober 2023\\u003c\/a\\u003e\\u003cbr \/\\u003e\\r\\n\\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2023\/08\/Provider-News_-Helpful-Tips-to-Benefit-Patients.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noopener\\u0022\\u003eJuly 2023\\u003c\/a\\u003e\\u003cbr \/\\u003e\\r\\n\\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2023\/03\/Provider-News_-Your-Help-May-be-Needed-for-Annual-HEDIS-Audit.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noopener\\u0022\\u003eFebruary 2023\\u003c\/a\\u003e\\u003c\/p\\u003e\\r\\n\\u003cp\\u003e\\u003cstrong\\u003eBulletins\\u003c\/strong\\u003e\\u003c\/p\\u003e\\r\\n\\u003cul\\u003e\\r\\n\\t\\u003cli\\u003e\\u003ca href=\\u0022https:\/\/mailchi.mp\/755515b91abe\/vnsny-choice-provider-news-use-this-for-your-edi-transactions-17375792?e=[UNIQID]\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noopener\\u0022\\u003eSelectHealth Dental Survey\\u003c\/a\\u003e (November 16, 2023)\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003e\\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2023\/10\/Medicare-Webinar_-Risk-Adjustment-Quality-Updates.pdf\\u0022\\u003eMedicare Webinar: Risk Adjustment \\u0026amp; Quality Updates\\u003c\/a\\u003e (October 5, 2023)\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003e\\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2023\/09\/Health-Plan-Provider-Updates.pdf\\u0022\\u003eHealth Plan Provider Updates\\u003c\/a\\u003e (September 7, 2023)\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003e\\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2023\/08\/Register-now-for-our-health-plan-portal.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noopener\\u0022\\u003eRegister now for our health plan portal\\u003c\/a\\u003e (August 1, 2023)\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003e\\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2023\/08\/Medicare-Webinar_-Risk-Adjustment-Quality-Updates.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noopener\\u0022\\u003eMedicare Webinar: Risk Adjustment \\u0026amp; Quality Updates\\u003c\/a\\u003e (July 14, 2023)\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003e\\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2023\/06\/NYRx-Transition-Period-Ending-6_30_23.pdf\\u0022\\u003eNYRx Transition Period Ending 6\/30\/23\\u003c\/a\\u003e (June 22, 2023)\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003e\\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2023\/06\/Cabenuva-Apretude-Sunleca-Coverage-Information.pdf\\u0022\\u003eCabenuva, Apretude and Sunleca Coverage Information\\u003c\/a\\u003e (May 11, 2023)\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003e\\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2023\/06\/Helping-Patients-with-Daily-Statins.pdf\\u0022\\u003eHelping Patients with Daily Statins\\u003c\/a\\u003e (May 9, 2023)\\u003c\/li\\u003e\\r\\n\\u003c\/ul\\u003e\",\"_items_1_answer\":\"field_faq_items_answer\",\"items_2_question\":\"All 2022 Issues\",\"_items_2_question\":\"field_faq_items_question\",\"items_2_answer\":\"\\u003cp\\u003e\\u003cstrong\\u003eProvider News\\u003cbr \/\\u003e\\r\\n\\u003c\/strong\\u003e\\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2022\/11\/Provider-News_Fall-2022_VNS-Health_Health-Plans.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noopener\\u0022\\u003eNovember 2022\\u003c\/a\\u003e\\u003cbr \/\\u003e\\r\\n\\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2022\/08\/CHOICE-Provider-News_Summer-2022.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noopener\\u0022\\u003eAugust 2022\\u003c\/a\\u003e\\u003cstrong\\u003e\\u003cbr \/\\u003e\\r\\n\\u003c\/strong\\u003e\\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2022\/07\/Provider-News_Spring-2022.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noopener\\u0022\\u003e\\u003cspan style=\\u0022text-decoration: underline;\\u0022\\u003eMay 2022\\u003c\/span\\u003e\\u003c\/a\\u003e\\u003cstrong\\u003e\\u003cbr \/\\u003e\\r\\n\\u003c\/strong\\u003e\\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2022\/02\/CHOICE-Provider-News_Winter-2022.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noopener\\u0022\\u003eFebruary 2022\\u003c\/a\\u003e\\u003c\/p\\u003e\\r\\n\\u003cp\\u003e\\u003cstrong\\u003eBulletins\\u003cbr \/\\u003e\\r\\n\\u003c\/strong\\u003e\\u003c\/p\\u003e\\r\\n\\u003cul\\u003e\\r\\n\\t\\u003cli\\u003e\\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2022\/12\/VNS-Health-Provider-Newsletter_December-2022.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noopener\\u0022\\u003eMembers Getting New Plan ID Cards for 2023\\u003c\/a\\u003e\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003e\\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2022\/11\/Provider-News_Cultural-Competency_VNS-Health_Health-Plans.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noopener\\u0022\\u003eMandatory Cultural Competency Training for SelectHealth Providers\\u003c\/a\\u003e (November 8, 2022)\u00a0\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003e\\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2022\/11\/Provider-News_PrEP-Awareness-Week_VNS-Health_Health-Plans.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noopener\\u0022\\u003eSelectHealth Supports PrEP Aware Week 2022\\u003c\/a\\u003e (October 20, 2022)\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003e\\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2022\/11\/Provider-News_Closing-Care-Gaps_VNS-Health_Health-Plans.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noopener\\u0022\\u003eClosing Care Gaps in Vision, Dental, and Behavioral Health\\u003c\/a\\u003e (October 13, 2022)\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003e\\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2022\/10\/Provider-News_Annual-Enrollment-Period.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noopener\\u0022\\u003eVNSNY CHOICE Is Now VNS Health Health Plans\\u003c\/a\\u003e (October 3, 2022)\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003e\\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2022\/10\/Provider-News_Were-Changing-Our-Name.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noopener\\u0022\\u003eWe're Changing Our Name\\u003c\/a\\u003e (September 29, 2022)\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003e\\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2022\/10\/Provider-News_Protecting-Patients-Living-with-HIV-from-COVID-19.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noopener\\u0022\\u003eProtecting Patients Living with HIV from COVID-19\\u003c\/a\\u003e (August 23, 2022)\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003e\\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2022\/08\/Provider-News_SelectHealth-Members-Get-New-ID-Cards.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noopener\\u0022\\u003eSelectHealth Members Get New ID Cards\\u003c\/a\\u003e (August 16, 2022)\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003e\\u003cspan style=\\u0022text-decoration: underline;\\u0022\\u003e\\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2022\/07\/Provider-News_Medicare-Webinar_Documentation.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noopener\\u0022\\u003eMedicare Webinar: Documentation and Coding for Risk Assessment and Quality\\u003c\/a\\u003e\\u003c\/span\\u003e\u00a0(June 30, 2022)\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003e\\u003cspan style=\\u0022text-decoration: underline;\\u0022\\u003e\\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2022\/07\/Provider-News_Independent-Assessor-Process-Starts-5.16.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noreferrer noopener\\u0022\\u003eIndependent Assessor Process Started May 16\\u003c\/a\\u003e \\u003c\/span\\u003e(May 23, 2022)\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003e\\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2022\/07\/Provider-News_Important-News-from-VNSNY-CHOICE.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noreferrer noopener\\u0022\\u003e\\u003cspan style=\\u0022text-decoration: underline;\\u0022\\u003eImportant News from VNSNY CHOICE \\u003c\/span\\u003e\\u003c\/a\\u003e(May 18, 2022)\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003e\\u003cspan style=\\u0022text-decoration: underline;\\u0022\\u003e\\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2022\/07\/Provider-News_Medicare-Webinar-Series.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noreferrer noopener\\u0022\\u003eMedicare Webinar: Minding the Gaps\\u003c\/a\\u003e\\u003c\/span\\u003e (April 12, 2022)\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003e\\u003cspan style=\\u0022text-decoration: underline;\\u0022\\u003e\\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2022\/07\/Provider-News_CAHPS-and-Cotiviti_Total-PCPs.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noopener\\u0022\\u003eCAHPS Survey and HEDIS Audit for Total PCPs\\u003c\/a\\u003e \\u003c\/span\\u003e(March 8 ,2022)\u00a0\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003e\\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2022\/07\/Provider-News_Delayed-Capitation.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noopener\\u0022\\u003e\\u003cspan style=\\u0022text-decoration: underline;\\u0022\\u003eSome Capitation Payments Are Delayed to March\\u003c\/span\\u003e\\u003c\/a\\u003e (February 16, 2022)\\u003c\/li\\u003e\\r\\n\\u003c\/ul\\u003e\\r\\n\\u003cp\\u003e\\u003cstrong\\u003e\u00a0\\u003c\/strong\\u003e\\u003c\/p\\u003e\",\"_items_2_answer\":\"field_faq_items_answer\",\"items_3_question\":\"All 2021 Issues\",\"_items_3_question\":\"field_faq_items_question\",\"items_3_answer\":\"\\u003cp\\u003e\\u003cstrong\\u003eProvider News\\u003c\/strong\\u003e\\u003c\/p\\u003e\\r\\n\\u003cp\\u003e\\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2021\/10\/Provider-News_Two-New-Medicare-Plans-Join-CHOICE.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noopener\\u0022\\u003eOctober 2021\\u003c\/a\\u003e (Two New Medicare Plans Join CHOICE Family)\\u003c\/p\\u003e\\r\\n\\u003cp\\u003e\\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2022\/01\/CHOICE-Provider-News_Summer-2021.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noopener\\u0022\\u003eAugust 2021\\u003c\/a\\u003e\\u003c\/p\\u003e\\r\\n\\u003cp\\u003e\\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2021\/04\/VNSNY-CHOICE-Provider-News_Issue-7.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noopener\\u0022\\u003eApril 2021\\u003c\/a\\u003e\\u003c\/p\\u003e\\r\\n\\u003cp\\u003e\\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2021\/02\/VNSNY-CHOICE-Provider-News_Issue-6.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noopener\\u0022\\u003eFebruary 2021\\u003c\/a\\u003e\\u003c\/p\\u003e\\r\\n\\u003cp\\u003e\\u003cstrong\\u003eBulletins\\u003c\/strong\\u003e\\u003c\/p\\u003e\\r\\n\\u003cul\\u003e\\r\\n\\t\\u003cli\\u003e\\u003cspan style=\\u0022text-decoration: underline;\\u0022\\u003e\\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2021\/10\/Provider-News_SelectHealth-Closing-the-Asthma-Medication-Ratio-Gap.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noopener\\u0022\\u003eClosing the Asthma Medication Ratio Gap\\u003c\/a\\u003e\\u003c\/span\\u003e\u00a0(October 19, 2021)\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003e\\u003cspan style=\\u0022text-decoration: underline;\\u0022\\u003e\\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2021\/03\/VNSNY-CHOICE-Provider-News_CAHPS-Survey-Total-PCPs.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noreferrer noopener\\u0022\\u003eYour VNSNY CHOICE Total Patients May Be Surveyed About Care You Provide\\u003c\/a\\u003e\\u003c\/span\\u003e\\u003cbr \/\\u003e\\r\\n(March 2, 2021)\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003e\\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2021\/02\/CHOICE-Provider-News_Availity-EFT_eblast.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noreferrer noopener\\u0022\\u003e\\u003cspan style=\\u0022text-decoration: underline;\\u0022\\u003eAlert Your Vendors: New Partner Handling CHOICE Online\\u003c\/span\\u003e \\u003cspan style=\\u0022text-decoration: underline;\\u0022\\u003eTransactions\\u003c\/span\\u003e\\u003c\/a\\u003e\u00a0(February 25, 2021)\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003e\\u003cspan style=\\u0022text-decoration: underline;\\u0022\\u003e\\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2021\/01\/SelectHealth-Opioid-Use-Disorder-Notice_1-5-21.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noreferrer noopener\\u0022\\u003eDiagnosing and Treating Opioid Use Disorder (OUD) During COVID-19\\u003c\/a\\u003e\u00a0\\u003c\/span\\u003e(January 5, 2021)\\u003c\/li\\u003e\\r\\n\\u003c\/ul\\u003e\",\"_items_3_answer\":\"field_faq_items_answer\",\"items_4_question\":\"All 2020 Issues\",\"_items_4_question\":\"field_faq_items_question\",\"items_4_answer\":\"\\u003cp\\u003e\\u003cstrong\\u003eProvider News\\u003c\/strong\\u003e\\u003c\/p\\u003e\\r\\n\\u003cp\\u003e\\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2020\/11\/CHOICE-Provider-News-Introducing-CHOICE-SelectHealth-Sites.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noopener\\u0022\\u003eNovember 2020\\u003c\/a\\u003e\\u003c\/p\\u003e\\r\\n\\u003cp\\u003e\\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2020\/08\/VNSNY-CHOICE-Provider-News-Issue-4.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noopener\\u0022\\u003eAugust 2020\\u003c\/a\\u003e\\u003c\/p\\u003e\\r\\n\\u003cp\\u003e\\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2020\/07\/VNSNY-CHOICE-Provider-News-January-2020.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noopener\\u0022\\u003eJanuary 2020\\u003c\/a\\u003e\\u003c\/p\\u003e\\r\\n\\u003cp\\u003e\\u003cstrong\\u003eBulletins\\u003c\/strong\\u003e\\u003c\/p\\u003e\\r\\n\\u003cul\\u003e\\r\\n\\t\\u003cli\\u003e\\u003cspan style=\\u0022text-decoration: underline;\\u0022\\u003e\\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2020\/12\/CHOICE-Provider-Claims-Dispute-v-Appeal-blast_12.8.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noreferrer noopener\\u0022\\u003eAppeal a Claim or Dispute a Claim?\\u003c\/a\\u003e\\u003c\/span\\u003e\u00a0(December 8, 2020)\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003e\\u003cspan style=\\u0022text-decoration: underline;\\u0022\\u003e\\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2020\/12\/CHOICE-Provider-Disclosure-Certificate-PDF-Blast_12.1.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noreferrer noopener\\u0022\\u003eProvider Disclosure Certification Form Required by End of Year\\u003c\/a\\u003e\\u003c\/span\\u003e\u00a0(December 1, 2020)\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003e\\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2020\/10\/CHOICE-Provider-News-Reassure-SelectHealth-Patients-About-Safety-of-In-Office-Visits.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noreferrer noopener\\u0022\\u003e\\u003cspan style=\\u0022text-decoration: underline;\\u0022\\u003eReassure SelectHealth Patients Needing Screens and Tests This Fall About the Safety of In-Office Visits\\u003c\/span\\u003e\\u003c\/a\\u003e\u00a0(October 1, 2020)\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003e\\u003cspan style=\\u0022text-decoration: underline;\\u0022\\u003e\\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2020\/10\/CHOICE-Provider-News-Real-Time-Rx-Benefit-Check.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noreferrer noopener\\u0022\\u003eReal-Time Prescription Benefits from CHOICE Partner MedImpact Going Live October 1\\u003c\/a\\u003e\u00a0\\u003c\/span\\u003e(September 28, 2020)\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003e\\u003cspan style=\\u0022text-decoration: underline;\\u0022\\u003e\\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2020\/09\/CHOICE-Total-Provider-PCP-HEDIS-Telehealth-Update.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noreferrer noopener\\u0022\\u003eCHOICE Total Provider Update: Using Telehealth for HEDIS Measures\\u003c\/a\\u003e\u00a0\\u003c\/span\\u003e(September 22, 2020)\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003e\\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2020\/08\/CHOICE-Provider-LogistiCare-Facilities-eblast.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noreferrer noopener\\u0022\\u003e\\u003cspan style=\\u0022text-decoration: underline;\\u0022\\u003eAn Important Change for Arranging Non-Emergency Medical Transportation for VNSNY CHOICE Members\\u003c\/span\\u003e\\u003c\/a\\u003e\u00a0(August 18, 2020)\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003e\\u003cspan style=\\u0022text-decoration: underline;\\u0022\\u003e\\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2020\/07\/SelectHealth-Welcomes-SCOTUS-Ruling-6.16.20.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noreferrer noopener\\u0022\\u003eSelectHealth Celebrates SCOTUS Ruling on LGBTQ Rights\\u003c\/a\\u003e\u00a0\\u003c\/span\\u003e(June 16, 2020)\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003e\\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2020\/07\/CHOICE-Total-COVID-19-Telehealth-Guidance.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noreferrer noopener\\u0022\\u003e\\u003cspan style=\\u0022text-decoration: underline;\\u0022\\u003eUse of Telehealth Services During the COVID-19 Public Health Emergency for CHOICE Total Medicare Providers\\u003c\/span\\u003e\\u003c\/a\\u003e\u00a0(May 14, 2020)\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003e\\u003cspan style=\\u0022text-decoration: underline;\\u0022\\u003e\\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2020\/07\/CHOICE-Telehealth-Guidance-eblast_corrected.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noreferrer noopener\\u0022\\u003eUse of Telehealth During the COVID-19 State of Emergency\\u003c\/a\\u003e\\u003c\/span\\u003e\u00a0(March 27, 2020)\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003e\\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2020\/07\/CHOICE-Emergency-Pharmacy-Guidance-eblast.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noreferrer noopener\\u0022\\u003e\\u003cspan style=\\u0022text-decoration: underline;\\u0022\\u003eEmergency Pharmacy Guidance for Prescribers\\u003c\/span\\u003e\\u003c\/a\\u003e\u00a0(March 20, 2020)\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003e\\u003cspan style=\\u0022text-decoration: underline;\\u0022\\u003e\\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2020\/07\/CMS-Surveys-CHOICE-Total_LHCSA.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noreferrer noopener\\u0022\\u003eHelping Your CHOICE Total Clients with Surveys This Spring: LHCSAs and for PCPs\\u003c\/a\\u003e\\u003c\/span\\u003e\u00a0(March 17, 2020)\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003e\\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2020\/07\/CHOICE-Provider-Claims-Dispute-vs-Appeal.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noreferrer noopener\\u0022\\u003e\\u003cspan style=\\u0022text-decoration: underline;\\u0022\\u003eAppeal a Claim vs. Dispute a Claim\\u003c\/span\\u003e\\u003c\/a\\u003e\u00a0(March 13, 2020)\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003e\\u003cspan style=\\u0022text-decoration: underline;\\u0022\\u003e\\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2020\/07\/Novel-Coronavirus-HIV-NYCDOH-NYSDOH.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noreferrer noopener\\u0022\\u003eNovel Coronavirus and People with HIV: A Joint Statement from the NYC Health Department and the NYS Department of Health\\u003c\/a\\u003e\u00a0\\u003c\/span\\u003e(March 13, 2020)\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003e\\u003cspan style=\\u0022text-decoration: underline;\\u0022\\u003e\\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2020\/07\/CHOICE-COVID-19-Preparedness.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noreferrer noopener\\u0022\\u003ePreparedness for COVID-19\\u003c\/a\\u003e\\u003c\/span\\u003e\u00a0(March 10, 2020)\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003e\\u003cspan style=\\u0022text-decoration: underline;\\u0022\\u003e\\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2020\/07\/CHOICE-Opioid-Safety-Edit-Reminder.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noreferrer noopener\\u0022\\u003eOpioid Safety Edits Were Implemented January 1, 2019\\u003c\/a\\u003e\u00a0\\u003c\/span\\u003e(January 7, 2020)\\u003c\/li\\u003e\\r\\n\\u003c\/ul\\u003e\",\"_items_4_answer\":\"field_faq_items_answer\",\"items_5_question\":\"All 2019 Issues\",\"_items_5_question\":\"field_faq_items_question\",\"items_5_answer\":\"\\u003cp\\u003e\\u003cstrong\\u003eProvider News\\u003c\/strong\\u003e\\u003c\/p\\u003e\\r\\n\\u003cp\\u003e\\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2020\/07\/VNSNY-CHOICE-Provider-Newsletter-October-2019.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noopener\\u0022\\u003eOctober 2019\\u003c\/a\\u003e\\u003c\/p\\u003e\\r\\n\\u003cp\\u003e\\u003cstrong\\u003eBulletins\\u003c\/strong\\u003e\\u003c\/p\\u003e\\r\\n\\u003cul\\u003e\\r\\n\\t\\u003cli\\u003e\\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2020\/07\/CHOICE-Provider-Disclosure-Certificate.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noreferrer noopener\\u0022\\u003e\\u003cspan style=\\u0022text-decoration: underline;\\u0022\\u003e2019 Provider Certifications\\u003c\/span\\u003e\\u003c\/a\\u003e\u00a0(November 7, 2019)\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003e\\u003cspan style=\\u0022text-decoration: underline;\\u0022\\u003e\\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2020\/07\/SelectHealth-geo-expansion-provider-news.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noreferrer noopener\\u0022\\u003eSelectHealth Expands to Westchester and Nassau Counties\\u003c\/a\\u003e\u00a0\\u003c\/span\\u003e(October 27, 2019)\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003e\\u003cspan style=\\u0022text-decoration: underline;\\u0022\\u003e\\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2020\/07\/SelectHealth-Opioid-Safety-Edit-Changes.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noreferrer noopener\\u0022\\u003eImportant Changes to Opioid Safety Edits for SelectHealth Providers\\u003c\/a\\u003e\u00a0\\u003c\/span\\u003e(October 4, 2019)\\u003c\/li\\u003e\\r\\n\\u003c\/ul\\u003e\",\"_items_5_answer\":\"field_faq_items_answer\",\"items\":6,\"_items\":\"field_faq_items\",\"id\":\"block_acf_65f9e673ef761\"},\"mode\":\"edit\",\"id\":\"block_acf_65f9e673ef761\"} \/-->\n\n<!-- wp:heading {\"textAlign\":\"center\",\"style\":{\"color\":{\"background\":\"#183c6c\"}},\"textColor\":\"white\"} -->\n<h2 class=\"wp-block-heading has-text-align-center has-white-color has-text-color has-background\" id=\"h-new-member-id-cards-for-2023\" style=\"background-color:#183c6c\"> New Member ID Cards for 2023 <\/h2>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p>Effective January 1, 2023, members of the health plans from VNS Health have new member ID cards, reflecting the new names of their plans. <\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:acf\/media-text {\"name\":\"acf\/media-text\",\"data\":{\"align_media_right\":\"0\",\"_align_media_right\":\"field_media-text_align_media_right\",\"bg_color\":\"white\",\"_bg_color\":\"field_media-text_bg_color\",\"is_youtube_video\":\"0\",\"_is_youtube_video\":\"field_media-text_is_youtube_video\",\"heading\":\"Medicare Plans\",\"_heading\":\"field_media-text_heading\",\"body\":\"\\u003cp\\u003eWe have three Medicare plans: VNS Health Total (HMO D-SNP), VNS Health EasyCare (HMO), and VNS Health EasyCare Plus (HMO D-SNP). Our three Medicare plan cards look like this. You can find the plan name on the \\u0022Plan\\u0022 line.\\u003c\/p\\u003e\",\"_body\":\"field_media-text_body\",\"image\":29546,\"_image\":\"field_media-text_image\",\"caption\":\"\",\"_caption\":\"field_media-text_caption\",\"link\":\"\",\"_link\":\"field_media-text_link\",\"id\":\"block_acf_65f9e673ef8e6\"},\"mode\":\"edit\",\"id\":\"block_acf_65f9e673ef8e6\"} \/-->\n\n<!-- wp:acf\/media-text {\"name\":\"acf\/media-text\",\"data\":{\"align_media_right\":\"1\",\"_align_media_right\":\"field_media-text_align_media_right\",\"bg_color\":\"white\",\"_bg_color\":\"field_media-text_bg_color\",\"is_youtube_video\":\"0\",\"_is_youtube_video\":\"field_media-text_is_youtube_video\",\"heading\":\"VNS Health MLTC \",\"_heading\":\"field_media-text_heading\",\"body\":\"\\u003cp\\u003eYou may not see ID cards from our Managed Long Term Care plan, VNS Health MLTC, as they aren\u2019t required to be shown for services. But in case you do, they\u2019ll look like the card on the right after January 1.\\u003c\/p\\u003e\",\"_body\":\"field_media-text_body\",\"image\":29553,\"_image\":\"field_media-text_image\",\"caption\":\"\",\"_caption\":\"field_media-text_caption\",\"link\":\"\",\"_link\":\"field_media-text_link\",\"id\":\"block_acf_65f9e673ef914\"},\"mode\":\"edit\",\"id\":\"block_acf_65f9e673ef914\"} \/-->\n\n<!-- wp:acf\/media-text {\"name\":\"acf\/media-text\",\"data\":{\"align_media_right\":\"0\",\"_align_media_right\":\"field_media-text_align_media_right\",\"bg_color\":\"white\",\"_bg_color\":\"field_media-text_bg_color\",\"is_youtube_video\":\"0\",\"_is_youtube_video\":\"field_media-text_is_youtube_video\",\"heading\":\"SelectHealth \",\"_heading\":\"field_media-text_heading\",\"body\":\"\\u003cp\\u003eWe changed the name of our Medicaid special needs plan to SelectHealth from VNS Health and mailed out new ID cards last summer. SelectHealth member ID cards have a distinct look.\\u003c\/p\\u003e\",\"_body\":\"field_media-text_body\",\"image\":29554,\"_image\":\"field_media-text_image\",\"caption\":\"\",\"_caption\":\"field_media-text_caption\",\"link\":\"\",\"_link\":\"field_media-text_link\",\"id\":\"block_acf_65f9e673ef939\"},\"mode\":\"edit\",\"id\":\"block_acf_65f9e673ef939\"} \/-->\n\n<!-- wp:heading {\"textAlign\":\"center\",\"style\":{\"color\":{\"background\":\"#183c6c\"}},\"textColor\":\"white\"} -->\n<h2 class=\"wp-block-heading has-text-align-center has-white-color has-text-color has-background\" id=\"h-guideline-and-policy-updates\" style=\"background-color:#183c6c\">Guideline and Policy Updates <\/h2>\n<!-- \/wp:heading -->\n\n<!-- wp:acf\/faq {\"name\":\"acf\/faq\",\"data\":{\"heading\":\"For All Health Plan Providers\",\"_heading\":\"field_faq_heading\",\"items_0_question\":\"Alert Your Vendors: New Partner Handling Online Transactions \",\"_items_0_question\":\"field_faq_items_question\",\"items_0_answer\":\"\\u003cp\\u003eThis is a reminder that effective February 22, 2021, Availity is the preferred Electronic Data Interchange and portal vendor for VNSNY CHOICE Health Plans transactions. \u00a0\\u003c\/p\\u003e\\r\\n\\u003cp\\u003eYou can also expedite your payments with electronic funds transfer. To receive electronic remittance advice files, enroll with Availity directly.\u00a0\\u003c\/p\\u003e\\r\\n\\u003cp\\u003ePlease download this \\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2021\/02\/CHOICE-Provider-News_Availity-EFT_eblast.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noopener\\u0022\\u003eProvider News Update\\u003c\/a\\u003e for more details.\\u003c\/p\\u003e\",\"_items_0_answer\":\"field_faq_items_answer\",\"items_1_question\":\"Prior Authorization Process for Certain Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Items\",\"_items_1_question\":\"field_faq_items_question\",\"items_1_answer\":\"\\u003cp\\u003eResumption of Prior Authorization Activities 7\/7\/2020:\\u003c\/p\\u003e\\r\\n\\u003cp\\u003eGiven the importance of medical review activities to CMS\u2019 program integrity efforts, CMS will discontinue exercising enforcement discretion for the Prior Authorization Process for Certain Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) items beginning on August 3, 2020, regardless of the status of the public health emergency. For power mobility devices and pressure reducing support surfaces that require prior authorization as a condition of payment, claims with an initial date of service on or after August 3, 2020, must be associated with an affirmative prior authorization decision to be eligible for payment.\\u003c\/p\\u003e\\r\\n\\u003cp\\u003eAdditionally, prior authorization will be required for certain lower limb prosthetics (L5856, L5857, L5858, L5973, L5980, and L5987) with dates of service on or after December 1, 2020.\\u003c\/p\\u003e\\r\\n\\u003cp\\u003ePlease see more information\u00a0\\u003ca href=\\u0022https:\/\/www.cms.gov\/files\/document\/provider-burden-relief-faqs.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noopener\\u0022\\u003ehere\u00a0(PDF)\\u003c\/a\\u003e. The Required Prior Authorization list can be found \\u003ca href=\\u0022https:\/\/www.cms.gov\/Research-Statistics-Data-and-Systems\/Monitoring-Programs\/Medicare-FFS-Compliance-Programs\/DMEPOS\/Downloads\/DMEPOS_PA_Required-Prior-Authorization-List.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noopener\\u0022\\u003ehere\u00a0(PDF)\\u003c\/a\\u003e.\\u003c\/p\\u003e\",\"_items_1_answer\":\"field_faq_items_answer\",\"items\":2,\"_items\":\"field_faq_items\",\"id\":\"block_acf_65f9e673ef973\"},\"mode\":\"edit\",\"id\":\"block_acf_65f9e673ef973\"} \/-->\n\n<!-- wp:acf\/faq {\"name\":\"acf\/faq\",\"data\":{\"heading\":\"For VNS Health Medicare Providers\",\"_heading\":\"field_faq_heading\",\"items_0_question\":\"Requests for Cabenuva \",\"_items_0_question\":\"field_faq_items_question\",\"items_0_answer\":\"\\u003cp\\u003eCabenuva is on the pharmacy formulary for our Medicare plans. If you would like to initiate a plan member on Cabenuva, please send a prescription to a specialty pharmacy.\u00a0\\u003c\/p\\u003e\",\"_items_0_answer\":\"field_faq_items_answer\",\"items_1_question\":\"Real-Time Alerts for Primary Care Providers (PCPs) with Member Inpatient Admission or Discharge Information\",\"_items_1_question\":\"field_faq_items_question\",\"items_1_answer\":\"\\u003cp\\u003eAs part of a continued effort to alert VNS Health Total (HMO D-SNP) PCPs of member health changes in real time, we are pleased to announce the 2021 rollout of a new report containing member inpatient admission or discharge information.\\u003c\/p\\u003e\\r\\n\\u003cp\\u003eMember PCPs should expect to receive this alert via secure email or secure e-fax each time a member is admitted and discharged from an inpatient facility.\\u003c\/p\\u003e\\r\\n\\u003cp\\u003e\\u003cstrong\\u003eWe request that providers review the information upon receipt and enter all pertinent information \\u003c\/strong\\u003e\\u003cstrong\\u003einto the patient\u2019s medical record\\u003c\/strong\\u003e. Within the alert providers will find the following:\\u003c\/p\\u003e\\r\\n\\u003cul\\u003e\\r\\n\\t\\u003cli\\u003eMember demographic information\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eAdmitting provider, diagnosis, and date\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eDischarge diagnosis, date, and length of stay (if applicable)\\u003c\/li\\u003e\\r\\n\\u003c\/ul\\u003e\\r\\n\\u003cp\\u003eOther transitions of care best practices include:\\u003c\/p\\u003e\\r\\n\\u003cul\\u003e\\r\\n\\t\\u003cli\\u003eSchedule follow-up visits within 14 days of discharge (in office, in home, or telehealth)\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eConduct a medication reconciliation during a visit within 14 days of discharge, educating the patient or primary caregiver on any changes\\r\\n\\r\\n\\u003cul\\u003e\\r\\n\\t\\u003cli\\u003e\\u003cstrong\\u003eTip\\u003c\/strong\\u003e: Code medication reconciliation in your electronic medical record to close quality gaps electronically:\\r\\n\\r\\n\\u003cul\\u003e\\r\\n\\t\\u003cli\\u003eTCM visit codes meet the Medication Reconciliation measure and close gaps\\r\\n\\r\\n\\u003cul\\u003e\\r\\n\\t\\u003cli\\u003eCPT code 99496 or 99495 for visits within 7 or 14 days, respectively\\u003c\/li\\u003e\\r\\n\\u003c\/ul\\u003e\\r\\n\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eCPT II \\u003cstrong\\u003e\u00ae \\u003c\/strong\\u003ecode 1111F meets the measure for visits between 1 and 30 days of discharge\\u003c\/li\\u003e\\r\\n\\u003c\/ul\\u003e\\r\\n\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eReview any potential requirements for tests and treatments, and follow up as needed\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eCoordinate with the health plans care manager for assistance with referrals for in-network specialists and other services\\u003c\/li\\u003e\\r\\n\\u003c\/ul\\u003e\\r\\n\\u003c\/li\\u003e\\r\\n\\u003c\/ul\\u003e\\r\\n\\u003cp\\u003eThese alerts are aimed at assisting providers in meeting the HEDIS\u00ae Transition of Care (TRC) measure, among others. Two TRC measure components include:\\u003c\/p\\u003e\\r\\n\\u003cul\\u003e\\r\\n\\t\\u003cli\\u003e\\u003cstrong\\u003eDocumentation in the medical record\\u003c\/strong\\u003e that \\u003cstrong\\u003einpatient admission notification\\u003c\/strong\\u003e was received on the day of admission or the two following days (3 days total).\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003e\\u003cstrong\\u003eDocumentation in the medical record\\u003c\/strong\\u003e that \\u003cstrong\\u003edischarge information was received\\u003c\/strong\\u003e on the day of discharge or the two following days (3 days total).\\u003c\/li\\u003e\\r\\n\\u003c\/ul\\u003e\\r\\n\\u003cp\\u003eThank you for your dedication to our members and their health.\\u003c\/p\\u003e\\r\\n\\u003cp\\u003eIf you have any questions, or if you would like transitions of care workflow training for your office staff, please contact the Quality Management team at \\u003ca href=\\u0022mailto:[email protected]\\u0022\\[email protected]\\u003c\/a\\u003e.\\u003c\/p\\u003e\",\"_items_1_answer\":\"field_faq_items_answer\",\"items_2_question\":\"Hospice Benefit Update \",\"_items_2_question\":\"field_faq_items_question\",\"items_2_answer\":\"\\u003cp\\u003eVNS Health Total (HMO D-SNP) is pleased to announce its designation as a CMS Innovation Center Model participant for the Hospice Benefit Program. Learn more on our \\u003cspan style=\\u0022text-decoration: underline;\\u0022\\u003e\\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/hospice-benefit\/\\u0022\\u003eHospice Benefit FAQs page\\u003c\/a\\u003e\\u003c\/span\\u003e.\\u003c\/p\\u003e\",\"_items_2_answer\":\"field_faq_items_answer\",\"items_3_question\":\"Telehealth Guideline Updates \",\"_items_3_question\":\"field_faq_items_question\",\"items_3_answer\":\"\\u003cp\\u003e\\u003ca href=\\u0022\/wp-content\/uploads\/2020\/09\/CHOICE-Quality-HEDIS-Telehealth-Updates.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noopener\\u0022\\u003eNew Guidelines for Telehealth Interventions in Four HEDIS Quality Measures\\u003c\/a\\u003e\\u003cbr \/\\u003e\\r\\n(For VNS Health Total Providers Only)\\u003c\/p\\u003e\",\"_items_3_answer\":\"field_faq_items_answer\",\"items\":4,\"_items\":\"field_faq_items\",\"id\":\"block_acf_65f9e673ef9ec\"},\"mode\":\"edit\",\"id\":\"block_acf_65f9e673ef9ec\"} \/-->\n\n<!-- wp:acf\/faq {\"name\":\"acf\/faq\",\"data\":{\"heading\":\"For SelectHealth from VNS Health Providers\",\"_heading\":\"field_faq_heading\",\"is_modular\":\"0\",\"_is_modular\":\"field_faq_is_modular\",\"items_0_question\":\"SelectHealth Prescription Drug Benefit Change\",\"_items_0_question\":\"field_faq_items_question\",\"items_0_answer\":\"\\u003cp\\u003e\\u003cspan data-contrast=\\u0022none\\u0022\\u003eBeginning April 1, 2023, all Medicaid members enrolled in SelectHealth will receive their prescription drugs through NYRx, the Medicaid Pharmacy Program.\\u003c\/span\\u003e\\u003cspan data-ccp-props=\\u0022{\\u0026quot;201341983\\u0026quot;:0,\\u0026quot;335559685\\u0026quot;:720,\\u0026quot;335559739\\u0026quot;:0,\\u0026quot;335559740\\u0026quot;:240}\\u0022\\u003e\u00a0\\u003c\/span\\u003e\\u003c\/p\\u003e\\r\\n\\u003cp\\u003e\\u003cspan data-contrast=\\u0022none\\u0022\\u003eInformation about the transition of the pharmacy benefit from SelectHealth to NYRx, the Medicaid Pharmacy Program can be found \\u003cstrong\\u003e\\u003ca href=\\u0022https:\/\/www.health.ny.gov\/health_care\/medicaid\/redesign\/mrt2\/pharmacy_transition\/index.htm\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noopener\\u0022\\u003eHERE\\u003c\/a\\u003e\\u003c\/strong\\u003e.\u00a0\\u003c\/span\\u003e\\u003c\/p\\u003e\\r\\n\\u003cp\\u003e\\u003cspan data-contrast=\\u0022none\\u0022\\u003eGeneral information about NYRx, the Medicaid Pharmacy Program can be found \\u003ca href=\\u0022https:\/\/www.health.ny.gov\/health_care\/medicaid\/program\/pharmacy.htm\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noopener\\u0022\\u003e\\u003cstrong\\u003eHERE\\u003c\/strong\\u003e \\u003c\/a\\u003ealong with information for \\u003ca href=\\u0022https:\/\/www.health.ny.gov\/health_care\/medicaid\/redesign\/mrt2\/pharmacy_transition\/consumers\/index.htm\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noopener\\u0022\\u003e\\u003cstrong\\u003eMembers\\u003c\/strong\\u003e\\u003c\/a\\u003e\u00a0and \\u003ca href=\\u0022https:\/\/www.health.ny.gov\/health_care\/medicaid\/program\/pharmacy\/provider_info.htm\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noopener\\u0022\\u003e\\u003cstrong\\u003eProviders.\\u003c\/strong\\u003e\\u003c\/a\\u003e\\u003c\/span\\u003e\\u003c\/p\\u003e\\r\\n\\u003cp\\u003e\\u003cspan data-contrast=\\u0022none\\u0022\\u003eProvided are general important Medicaid Phone numbers below:\\u003c\/span\\u003e\\u003c\/p\\u003e\\r\\n\\u003cp\\u003e\\u003cb\\u003e\\u003cspan data-contrast=\\u0022auto\\u0022\\u003eeMedNY \\u003ca href=\\u0022tel:1-800-343-9000\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noopener\\u0022\\u003e1-800-343-9000 \\u003c\/a\\u003e\\u003c\/span\\u003e\\u003c\/b\\u003e\\u003cspan data-contrast=\\u0022auto\\u0022\\u003efor claims billing and ePACES help\\u003c\/span\\u003e\\u003cspan data-ccp-props=\\u0022{\\u0026quot;201341983\\u0026quot;:0,\\u0026quot;335559739\\u0026quot;:0,\\u0026quot;335559740\\u0026quot;:240}\\u0022\\u003e\u00a0\\u003cbr \/\\u003e\\r\\n\\u003c\/span\\u003e\\u003cspan data-contrast=\\u0022auto\\u0022\\u003eMon \u2013 Fri 7 AM \u2013 10 PM. Sat \u2013 Sun 8:30 AM \u2013 5:30 PM\\u003c\/span\\u003e\\u003c\/p\\u003e\\r\\n\\u003cp\\u003e\\u003cspan data-ccp-props=\\u0022{\\u0026quot;201341983\\u0026quot;:0,\\u0026quot;335559685\\u0026quot;:720,\\u0026quot;335559739\\u0026quot;:0,\\u0026quot;335559740\\u0026quot;:240}\\u0022\\u003e \\u003cspan class=\\u0022TextRun SCXW58034682 BCX0\\u0022 lang=\\u0022EN-US\\u0022 xml:lang=\\u0022EN-US\\u0022 data-contrast=\\u0022auto\\u0022\\u003e\\u003cspan class=\\u0022NormalTextRun SCXW58034682 BCX0\\u0022\\u003e\\u003cstrong\\u003eMagellan \\u003ca href=\\u0022tel:1-877-309-9493\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noopener\\u0022\\u003e1-877-309-9493\\u003c\/a\\u003e\\u003c\/strong\\u003e \\u003c\/span\\u003e\\u003c\/span\\u003e\\u003cspan class=\\u0022TextRun SCXW58034682 BCX0\\u0022 lang=\\u0022EN-US\\u0022 xml:lang=\\u0022EN-US\\u0022 data-contrast=\\u0022auto\\u0022\\u003e\\u003cspan class=\\u0022NormalTextRun SCXW58034682 BCX0\\u0022\\u003efor prior authorizations. Open daily, 24 hours.\\u003c\/span\\u003e\\u003c\/span\\u003e\\u003c\/span\\u003e\\u003c\/p\\u003e\\r\\n\\u003cp\\u003e\\u003ca href=\\u0022tel:1-800-342-3005\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noopener\\u0022\\u003e\\u003cstrong\\u003e\\u003cspan class=\\u0022TextRun SCXW200596353 BCX0\\u0022 lang=\\u0022EN-US\\u0022 xml:lang=\\u0022EN-US\\u0022 data-contrast=\\u0022auto\\u0022\\u003e\\u003cspan class=\\u0022NormalTextRun SCXW200596353 BCX0\\u0022\\u003e1-800-342-3005 \\u003c\/span\\u003e\\u003c\/span\\u003e\\u003c\/strong\\u003e\\u003c\/a\\u003e\\u003cspan class=\\u0022TextRun SCXW200596353 BCX0\\u0022 lang=\\u0022EN-US\\u0022 xml:lang=\\u0022EN-US\\u0022 data-contrast=\\u0022auto\\u0022\\u003e\\u003cspan class=\\u0022NormalTextRun SCXW200596353 BCX0\\u0022\\u003efor medical supplies and procedure code limits\\u003c\/span\\u003e\\u003c\/span\\u003e\\u003c\/p\\u003e\\r\\n\\u003cp\\u003e\\u003cstrong\\u003e\\u003cspan class=\\u0022TextRun SCXW12855994 BCX0\\u0022 lang=\\u0022EN-US\\u0022 xml:lang=\\u0022EN-US\\u0022 data-contrast=\\u0022auto\\u0022\\u003e\\u003cspan class=\\u0022NormalTextRun SCXW12855994 BCX0\\u0022\\u003e\\u003ca href=\\u0022tel:1-866-211-1736\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noopener\\u0022\\u003e1-866-211-1736\\u003c\/a\\u003e, Option 1 \\u003c\/span\\u003e\\u003c\/span\\u003e\\u003c\/strong\\u003e\\u003cspan class=\\u0022TextRun SCXW12855994 BCX0\\u0022 lang=\\u0022EN-US\\u0022 xml:lang=\\u0022EN-US\\u0022 data-contrast=\\u0022auto\\u0022\\u003e\\u003cspan class=\\u0022NormalTextRun SCXW12855994 BCX0\\u0022\\u003efor enteral nutrition prior authorization\\u003c\/span\\u003e\\u003c\/span\\u003e\\u003cspan class=\\u0022EOP SCXW12855994 BCX0\\u0022 data-ccp-props=\\u0022{\\u0026quot;201341983\\u0026quot;:0,\\u0026quot;335559739\\u0026quot;:0,\\u0026quot;335559740\\u0026quot;:240}\\u0022\\u003e\u00a0\\u003c\/span\\u003e\\u003c\/p\\u003e\",\"_items_0_answer\":\"field_faq_items_answer\",\"items_1_question\":\"NYRx Transition Period Ending 6\/30\/23\",\"_items_1_question\":\"field_faq_items_question\",\"items_1_answer\":\"\\u003cp\\u003eAs of April 1, 2023, patients enrolled in SelectHealth and other NY Managed Medicaid Plans began receiving their pharmacy benefits through NYRx, the Medicaid Pharmacy Program.\u00a0To help avoid disruption, NYRx instituted a transition fill period until June 30, 2023, enabling patients to receive a one-time transition fill for a 30-day supply of a drug that would normally require prior authorization (PA).\\u003cbr \/\\u003e\\r\\n\u00a0\\u003cbr \/\\u003e\\r\\nStarting July 1, 2023, all claims will be subject to NYRx pharmacy program criteria listed on the NYRx preferred drug list (PDL). If you haven\u2019t already, follow up to confirm transition to NYRx is complete for your patients.\\u003cbr \/\\u003e\\r\\n\u00a0\\u003cbr \/\\u003e\\r\\nPlease review the \\u003ca href=\\u0022https:\/\/nam04.safelinks.protection.outlook.com\/?url=https%3A%2F%2Fvnshealthplans.us20.list-manage.com%2Ftrack%2Fclick%3Fu%3D0908e20398e11f129a133c95f%26id%3D0f70a25754%26e%3Df16368c9eb\\u0026amp;data=05%7C01%7CSteven.Trezza%40vnshealth.org%7C8f91b595698a4c6b4f3f08db73eafd49%7Cd38bbf0078ed4dd8a065ba61877b4f50%7C1%7C0%7C638231225370889959%7CUnknown%7CTWFpbGZsb3d8eyJWIjoiMC4wLjAwMDAiLCJQIjoiV2luMzIiLCJBTiI6Ik1haWwiLCJXVCI6Mn0%3D%7C3000%7C%7C%7C\\u0026amp;sdata=MT%2BCK6A6tNIwy%2BUSYomLiDYBdg8JpXRR6k4%2BwIlf5pQ%3D\\u0026amp;reserved=0\\u0022\\u003ePreferred Drug List (PDL)\\u003c\/a\\u003e. Preferred products generally do not require PA when prescribed according to FDA labelling. For any products with clinical criteria that require confirmed diagnosis of FDA-approved or compendia-supported indication, please ensure you enter the diagnosis on the patient\u2019s medical claims. \u00a0\\u003cbr \/\\u003e\\r\\n\u00a0\\u003cbr \/\\u003e\\r\\n\\u003ca href=\\u0022https:\/\/nam04.safelinks.protection.outlook.com\/?url=https%3A%2F%2Fvnshealthplans.us20.list-manage.com%2Ftrack%2Fclick%3Fu%3D0908e20398e11f129a133c95f%26id%3Dfd2f14d59e%26e%3Df16368c9eb\\u0026amp;data=05%7C01%7CSteven.Trezza%40vnshealth.org%7C8f91b595698a4c6b4f3f08db73eafd49%7Cd38bbf0078ed4dd8a065ba61877b4f50%7C1%7C0%7C638231225371358627%7CUnknown%7CTWFpbGZsb3d8eyJWIjoiMC4wLjAwMDAiLCJQIjoiV2luMzIiLCJBTiI6Ik1haWwiLCJXVCI6Mn0%3D%7C3000%7C%7C%7C\\u0026amp;sdata=hEeWMATvOvqNhdjSelVm3avenbgG1XxpONbhG64R8UY%3D\\u0026amp;reserved=0\\u0022\\u003eClick here for more information.\\u003c\/a\\u003e\\u003c\/p\\u003e\\r\\n\\u003cul\\u003e\\r\\n\\t\\u003cli\\u003eInitiating PA for \\u003cstrong\\u003emedications and diabetic testing supplies:\\u003c\/strong\\u003e\\r\\n\\u003cul\\u003e\\r\\n\\t\\u003cli\\u003eCall Magellan at \\u003cstrong\\u003e(877) 309-9493\\u003c\/strong\\u003e \u2013 open 24\/7\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eFax the PA form to \\u003cstrong\\u003e(800) 268-2990\\u003c\/strong\\u003e\\u003c\/li\\u003e\\r\\n\\u003c\/ul\\u003e\\r\\n\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eInitiating PA for \\u003cstrong\\u003eEnteral Nutrition Supplements:\\u003c\/strong\\u003e\\r\\n\\u003cul\\u003e\\r\\n\\t\\u003cli\\u003eCall NYRx at \\u003cstrong\\u003e(866) 211-1736\\u003c\/strong\\u003e, option 1\\u003c\/li\\u003e\\r\\n\\u003c\/ul\\u003e\\r\\n\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003e\\u003cstrong\\u003eDurable Medical Equipment\\u003c\/strong\\u003e (DME), Prosthetics, Orthotics, and Supplies (DMEPOS) procedures and supplies:\\r\\n\\r\\n\\u003cul\\u003e\\r\\n\\t\\u003cli\\u003eCall OHIP DME at \\u003cstrong\\u003e(800) 342-3005\\u003c\/strong\\u003e for questions regarding DME PA criteria including frequency\/quantity\/durations limits and billing information \u00a0\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003e\\u003cstrong\\u003eReminder:\\u003c\/strong\\u003e The items subject to the benefit transition are listed in\u00a0\\u003cstrong\\u003eSections 4.1, 4.2\\u003c\/strong\\u003e, and\u00a0\\u003cstrong\\u003e4.3\\u003c\/strong\\u003e\u00a0of the\u00a0\\u003ca href=\\u0022https:\/\/nam04.safelinks.protection.outlook.com\/?url=https%3A%2F%2Fvnshealthplans.us20.list-manage.com%2Ftrack%2Fclick%3Fu%3D0908e20398e11f129a133c95f%26id%3Dad18010929%26e%3Df16368c9eb\\u0026amp;data=05%7C01%7CSteven.Trezza%40vnshealth.org%7C8f91b595698a4c6b4f3f08db73eafd49%7Cd38bbf0078ed4dd8a065ba61877b4f50%7C1%7C0%7C638231225371358627%7CUnknown%7CTWFpbGZsb3d8eyJWIjoiMC4wLjAwMDAiLCJQIjoiV2luMzIiLCJBTiI6Ik1haWwiLCJXVCI6Mn0%3D%7C3000%7C%7C%7C\\u0026amp;sdata=Ppjb7UwApzqpz9FVtdbAdY19YHpv7zIG7Z1OfzwmKQY%3D\\u0026amp;reserved=0\\u0022\\u003eDMEPOS - Procedure Codes and Coverage Guidelines\u00a0document\\u003c\/a\\u003e\u00a0and may be dispensed and billed directly to Medicaid through NYRx or by a FFS DMEPOS provider using the professional claim type. Most items do not require additional authorization prior to dispensing and billing.\\u003c\/li\\u003e\\r\\n\\u003c\/ul\\u003e\\r\\n\\u003c\/li\\u003e\\r\\n\\u003c\/ul\\u003e\\r\\n\\u003cp\\u003eThe items\\u003cstrong\\u003e\u00a0not\\u003c\/strong\\u003e\u00a0subject to the benefit transition are listed in\u00a0\\u003cstrong\\u003eSections 4.4, 4.5, 4.6\\u003c\/strong\\u003e, and\u00a0\\u003cstrong\\u003e4.7\\u003c\/strong\\u003e\u00a0of the\u00a0\\u003ca href=\\u0022https:\/\/nam04.safelinks.protection.outlook.com\/?url=https%3A%2F%2Fvnshealthplans.us20.list-manage.com%2Ftrack%2Fclick%3Fu%3D0908e20398e11f129a133c95f%26id%3D900102a6a8%26e%3Df16368c9eb\\u0026amp;data=05%7C01%7CSteven.Trezza%40vnshealth.org%7C8f91b595698a4c6b4f3f08db73eafd49%7Cd38bbf0078ed4dd8a065ba61877b4f50%7C1%7C0%7C638231225371358627%7CUnknown%7CTWFpbGZsb3d8eyJWIjoiMC4wLjAwMDAiLCJQIjoiV2luMzIiLCJBTiI6Ik1haWwiLCJXVCI6Mn0%3D%7C3000%7C%7C%7C\\u0026amp;sdata=GlfeaFTk7T1gtgS0edVwcBpbRQVKFpEez%2FdH9cj7vkM%3D\\u0026amp;reserved=0\\u0022\\u003eDMEPOS - Procedure Codes and Coverage Guidelines\u00a0document\\u003c\/a\\u003e, and should continue to be billed to SelectHealth from VNS Health.\\u003c\/p\\u003e\\r\\n\\u003ch3\\u003eHelpful Links\\u003c\/h3\\u003e\\r\\n\\u003cul\\u003e\\r\\n\\t\\u003cli\\u003e\\u003ca href=\\u0022https:\/\/nam04.safelinks.protection.outlook.com\/?url=https%3A%2F%2Fvnshealthplans.us20.list-manage.com%2Ftrack%2Fclick%3Fu%3D0908e20398e11f129a133c95f%26id%3D8affe80414%26e%3Df16368c9eb\\u0026amp;data=05%7C01%7CSteven.Trezza%40vnshealth.org%7C8f91b595698a4c6b4f3f08db73eafd49%7Cd38bbf0078ed4dd8a065ba61877b4f50%7C1%7C0%7C638231225371358627%7CUnknown%7CTWFpbGZsb3d8eyJWIjoiMC4wLjAwMDAiLCJQIjoiV2luMzIiLCJBTiI6Ik1haWwiLCJXVCI6Mn0%3D%7C3000%7C%7C%7C\\u0026amp;sdata=uH4Y7Vre5HTsVVCfNqKJaGEyDmt28Xwn5SnJb1lBusA%3D\\u0026amp;reserved=0\\u0022\\u003eNYRx Transition Fill Period Ending, Preferred Diabetic Supply Program, Brand Less Than Generic (BLTG) Program, and Webinar Slides\\u003c\/a\\u003e\u00a0\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003e\\u003cstrong\\u003e\\u003ca href=\\u0022https:\/\/nam04.safelinks.protection.outlook.com\/?url=https%3A%2F%2Fvnshealthplans.us20.list-manage.com%2Ftrack%2Fclick%3Fu%3D0908e20398e11f129a133c95f%26id%3D4a68ae8f04%26e%3Df16368c9eb\\u0026amp;data=05%7C01%7CSteven.Trezza%40vnshealth.org%7C8f91b595698a4c6b4f3f08db73eafd49%7Cd38bbf0078ed4dd8a065ba61877b4f50%7C1%7C0%7C638231225371358627%7CUnknown%7CTWFpbGZsb3d8eyJWIjoiMC4wLjAwMDAiLCJQIjoiV2luMzIiLCJBTiI6Ik1haWwiLCJXVCI6Mn0%3D%7C3000%7C%7C%7C\\u0026amp;sdata=bei4J5KmzBorzkVnD9Yl7R7UtK%2BKOGHuAzYYcY%2F3TNU%3D\\u0026amp;reserved=0\\u0022\\u003eDMEPOS Providers\\u003c\/a\\u003e\\u003c\/strong\\u003e\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003e\\u003cstrong\\u003e\\u003ca href=\\u0022https:\/\/nam04.safelinks.protection.outlook.com\/?url=https%3A%2F%2Fvnshealthplans.us20.list-manage.com%2Ftrack%2Fclick%3Fu%3D0908e20398e11f129a133c95f%26id%3D2ba8116cd1%26e%3Df16368c9eb\\u0026amp;data=05%7C01%7CSteven.Trezza%40vnshealth.org%7C8f91b595698a4c6b4f3f08db73eafd49%7Cd38bbf0078ed4dd8a065ba61877b4f50%7C1%7C0%7C638231225371358627%7CUnknown%7CTWFpbGZsb3d8eyJWIjoiMC4wLjAwMDAiLCJQIjoiV2luMzIiLCJBTiI6Ik1haWwiLCJXVCI6Mn0%3D%7C3000%7C%7C%7C\\u0026amp;sdata=f%2Fe7JC6n%2F35%2B27mr5HC8eYZtuoTwpqud6ndhKI2rmTo%3D\\u0026amp;reserved=0\\u0022\\u003eDMEPOS \u2013 Procedure Codes and Coverage Guidelines\\u003c\/a\\u003e\\u003c\/strong\\u003e\\u003c\/li\\u003e\\r\\n\\u003c\/ul\\u003e\",\"_items_1_answer\":\"field_faq_items_answer\",\"items_2_question\":\"Submitting a Medicaid Prescription Claim? Make Sure You're Enrolled in Medicaid.\",\"_items_2_question\":\"field_faq_items_question\",\"items_2_answer\":\"\\u003cp\\u003e\\u003cspan class=\\u0022NormalTextRun SCXW266777655 BCX0\\u0022\\u003eBeginning April 1, 2023, all Medicaid members enrolled in SelectHealth will receive their prescription drugs through \\u003c\/span\\u003e\\u003cspan class=\\u0022NormalTextRun SpellingErrorV2Themed SCXW266777655 BCX0\\u0022\\u003eNYRx\\u003c\/span\\u003e\\u003cspan class=\\u0022NormalTextRun SCXW266777655 BCX0\\u0022\\u003e, the Medicaid Pharmacy Program.\\u003c\/span\\u003e\\u003c\/p\\u003e\\r\\n\\u003cp\\u003eTo initiate provider enrollment with the New York State Medicaid program, visit \\u003ca class=\\u0022exitNotifierLink\\u0022 href=\\u0022https:\/\/www.emedny.org\/info\/providerenrollment\/\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noopener\\u0022\\u003ehttps:\/\/www.emedny.org\/info\/providerenrollment\/\\u003c\/a\\u003e.\\u003c\/p\\u003e\\r\\n\\u003cul\\u003e\\r\\n\\t\\u003cli data-leveltext=\\u0022\uf0b7\\u0022 data-font=\\u0022Symbol\\u0022 data-listid=\\u00227\\u0022 data-list-defn-props=\\u0022{\\u0026quot;335552541\\u0026quot;:1,\\u0026quot;335559684\\u0026quot;:-2,\\u0026quot;335559685\\u0026quot;:720,\\u0026quot;335559991\\u0026quot;:360,\\u0026quot;469769226\\u0026quot;:\\u0026quot;Symbol\\u0026quot;,\\u0026quot;469769242\\u0026quot;:[8226],\\u0026quot;469777803\\u0026quot;:\\u0026quot;left\\u0026quot;,\\u0026quot;469777804\\u0026quot;:\\u0026quot;\uf0b7\\u0026quot;,\\u0026quot;469777815\\u0026quot;:\\u0026quot;hybridMultilevel\\u0026quot;}\\u0022 aria-setsize=\\u0022-1\\u0022 data-aria-posinset=\\u00221\\u0022 data-aria-level=\\u00221\\u0022\\u003ePrescriptions written by licensed prescribers not enrolled in the NYS Medicaid Program will be denied effective April 1, 2023.\u00a0\u00a0\\u003c\/li\\u003e\\r\\n\\t\\u003cli data-leveltext=\\u0022\uf0b7\\u0022 data-font=\\u0022Symbol\\u0022 data-listid=\\u002210\\u0022 data-list-defn-props=\\u0022{\\u0026quot;335552541\\u0026quot;:1,\\u0026quot;335559684\\u0026quot;:-2,\\u0026quot;335559685\\u0026quot;:720,\\u0026quot;335559991\\u0026quot;:360,\\u0026quot;469769226\\u0026quot;:\\u0026quot;Symbol\\u0026quot;,\\u0026quot;469769242\\u0026quot;:[8226],\\u0026quot;469777803\\u0026quot;:\\u0026quot;left\\u0026quot;,\\u0026quot;469777804\\u0026quot;:\\u0026quot;\uf0b7\\u0026quot;,\\u0026quot;469777815\\u0026quot;:\\u0026quot;hybridMultilevel\\u0026quot;}\\u0022 aria-setsize=\\u0022-1\\u0022 data-aria-posinset=\\u00222\\u0022 data-aria-level=\\u00221\\u0022\\u003eProviders may check their enrollment status by reviewing the Medicaid Pended Provider Listing found here:\u00a0 \\u003ca href=\\u0022https:\/\/www.emedny.org\/info\/ProviderEnrollment\/ManagedCareNetwork\/index.asp\\u0022\\u003ehttps:\/\/www.emedny.org\/info\/ProviderEnrollment\/ManagedCareNetwork\/index.asp\\u003c\/a\\u003e\u00a0\u00a0\\u003c\/li\\u003e\\r\\n\\t\\u003cli data-leveltext=\\u0022\uf0b7\\u0022 data-font=\\u0022Symbol\\u0022 data-listid=\\u00229\\u0022 data-list-defn-props=\\u0022{\\u0026quot;335552541\\u0026quot;:1,\\u0026quot;335559684\\u0026quot;:-2,\\u0026quot;335559685\\u0026quot;:720,\\u0026quot;335559991\\u0026quot;:360,\\u0026quot;469769226\\u0026quot;:\\u0026quot;Symbol\\u0026quot;,\\u0026quot;469769242\\u0026quot;:[8226],\\u0026quot;469777803\\u0026quot;:\\u0026quot;left\\u0026quot;,\\u0026quot;469777804\\u0026quot;:\\u0026quot;\uf0b7\\u0026quot;,\\u0026quot;469777815\\u0026quot;:\\u0026quot;hybridMultilevel\\u0026quot;}\\u0022 aria-setsize=\\u0022-1\\u0022 data-aria-posinset=\\u00223\\u0022 data-aria-level=\\u00221\\u0022\\u003eQuestions regarding the enrollment process, your enrollment status, or what you need to do to enroll, please contact \\u003ca href=\\u0022mailto:[email protected]\\u0022\\[email protected]\\u003c\/a\\u003e\u00a0 or call the eMedNY Call Center at 1-800-343-9000\u00a0\\u003c\/li\\u003e\\r\\n\\t\\u003cli data-leveltext=\\u0022\uf0b7\\u0022 data-font=\\u0022Symbol\\u0022 data-listid=\\u00229\\u0022 data-list-defn-props=\\u0022{\\u0026quot;335552541\\u0026quot;:1,\\u0026quot;335559684\\u0026quot;:-2,\\u0026quot;335559685\\u0026quot;:720,\\u0026quot;335559991\\u0026quot;:360,\\u0026quot;469769226\\u0026quot;:\\u0026quot;Symbol\\u0026quot;,\\u0026quot;469769242\\u0026quot;:[8226],\\u0026quot;469777803\\u0026quot;:\\u0026quot;left\\u0026quot;,\\u0026quot;469777804\\u0026quot;:\\u0026quot;\uf0b7\\u0026quot;,\\u0026quot;469777815\\u0026quot;:\\u0026quot;hybridMultilevel\\u0026quot;}\\u0022 aria-setsize=\\u0022-1\\u0022 data-aria-posinset=\\u00224\\u0022 data-aria-level=\\u00221\\u0022\\u003eEnrollment policy questions should be directed to the Medicaid Pharmacy Policy Unit by telephone at (518) 486-3209 or by email at \\u003ca href=\\u0022mailto:[email protected]\\u0022\\[email protected]\\u003c\/a\\u003e.\\u003c\/li\\u003e\\r\\n\\u003c\/ul\\u003e\",\"_items_2_answer\":\"field_faq_items_answer\",\"items_3_question\":\"SelectHealth Members Get New ID Cards\",\"_items_3_question\":\"field_faq_items_question\",\"items_3_answer\":\"\\u003cp\\u003eNew SelectHealth ID cards were recently mailed to all members. They look virtually the same as the old ID cards. The only difference is that they bear the plan\u2019s new name, SelectHealth from VNS Health. \\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2022\/08\/Provider-News_SelectHealth-Members-Get-New-ID-Cards.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noopener\\u0022\\u003eLearn more\\u003c\/a\\u003e.\\u003c\/p\\u003e\",\"_items_3_answer\":\"field_faq_items_answer\",\"items_4_question\":\"OnTrackNY Behavioral Health Treatment Program\",\"_items_4_question\":\"field_faq_items_question\",\"items_4_answer\":\"\\u003cp\\u003eOnTrackNY is an innovative treatment program for adolescents and young adults who have had unusual thoughts and behaviors or who have started hearing or seeing things that others don\u2019t. OnTrackNY helps people achieve their goals for school, work, and relationships.\u00a0\\u003ca class=\\u0022exitNotifierLink\\u0022 href=\\u0022https:\/\/ontrackny.org\/Contact\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noopener\\u0022\\u003ePrograms\\u003c\/a\\u003e\u00a0are located throughout New York State.\\u003c\/p\\u003e\\r\\n\\u003cp\\u003e\\u003cstrong\\u003eEligibility Criteria\\u003c\/strong\\u003e\\u003c\/p\\u003e\\r\\n\\u003cp\\u003eThe program is for adolescents and young adults between the ages of 16 and 30 who have recently begun experiencing psychotic symptoms, such as hallucinations, unusual thoughts or beliefs, or disorganized thinking for more than a week but less than 2 years.\\u003c\/p\\u003e\\r\\n\\u003cp\\u003e\\u003cstrong\\u003eServices Offered by OnTrackNY\\u003c\/strong\\u003e\\u003c\/p\\u003e\\r\\n\\u003cp\\u003eOnTrackNY utilizes a \u201cshared decision making\u201d model and involves:\\u003c\/p\\u003e\\r\\n\\u003cul\\u003e\\r\\n\\t\\u003cli\\u003eComprehensive treatment using evidence-based practices delivered by an integrated clinical team specializing in early psychosis\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003ePsychiatric treatment, employment and educational support, substance abuse treatment, family education and support, CBT-informed individual psychotherapy, and other services as needed\\u003c\/li\\u003e\\r\\n\\u003c\/ul\\u003e\\r\\n\\u003cp\\u003e\\u003cstrong\\u003eHow to Make a Referral to OnTrackNY\\u003c\/strong\\u003e\\u003c\/p\\u003e\\r\\n\\u003cp\\u003eContact your nearest\u00a0\\u003ca class=\\u0022exitNotifierLink\\u0022 href=\\u0022https:\/\/ontrackny.org\/Contact\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noopener\\u0022\\u003eOnTrackNY program site\\u003c\/a\\u003e.\\u003c\/p\\u003e\",\"_items_4_answer\":\"field_faq_items_answer\",\"items_5_question\":\"Requests for Cabenuva, Apretude, and Sunlenca\",\"_items_5_question\":\"field_faq_items_question\",\"items_5_answer\":\"\\u003cp\\u003eFor SelectHealth members, effective 4\/1\/23, drugs, \\u003cstrong\\u003eCabenuva, Apretude, and Sunlenca\\u003c\/strong\\u003e\u00a0are available under NYRx (pharmacy benefit). Prescriptions for these drugs can be billed by pharmacies to NYRx directly.\\u003c\/p\\u003e\\r\\n\\u003cul\\u003e\\r\\n\\t\\u003cli\\u003eTo refer to NYRx reimbursable drug list, please use this link: \\u003ca href=\\u0022https:\/\/nam04.safelinks.protection.outlook.com\/?url=https%3A%2F%2Fwww.emedny.org%2Finfo%2Fformfile.aspx\\u0026amp;data=05%7C01%7CSteven.Trezza%40vnshealth.org%7C82633fe633af4b7525ba08db3c53c60b%7Cd38bbf0078ed4dd8a065ba61877b4f50%7C1%7C0%7C638170102726309839%7CUnknown%7CTWFpbGZsb3d8eyJWIjoiMC4wLjAwMDAiLCJQIjoiV2luMzIiLCJBTiI6Ik1haWwiLCJXVCI6Mn0%3D%7C3000%7C%7C%7C\\u0026amp;sdata=aheJmpRV9VFB%2B%2F9JY%2BR%2FdEEtj%2Fh0qDz%2B4Pah0qRwfoM%3D\\u0026amp;reserved=0\\u0022\\u003ehttps:\/\/www.emedny.org\/info\/formfile.aspx\\u003c\/a\\u003e\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eTo refer to NYRx Preferred Drug List, please use this link: \\u003ca href=\\u0022https:\/\/nam04.safelinks.protection.outlook.com\/?url=https%3A%2F%2Fnewyork.fhsc.com%2Fdownloads%2Fproviders%2FNYRx_PDP_PDL.pdf\\u0026amp;data=05%7C01%7CSteven.Trezza%40vnshealth.org%7C82633fe633af4b7525ba08db3c53c60b%7Cd38bbf0078ed4dd8a065ba61877b4f50%7C1%7C0%7C638170102726309839%7CUnknown%7CTWFpbGZsb3d8eyJWIjoiMC4wLjAwMDAiLCJQIjoiV2luMzIiLCJBTiI6Ik1haWwiLCJXVCI6Mn0%3D%7C3000%7C%7C%7C\\u0026amp;sdata=MtEYeO%2BLx6fePAbsaJKfalk3ctlU54rTWUezKlecyAA%3D\\u0026amp;reserved=0\\u0022\\u003ehttps:\/\/newyork.fhsc.com\/downloads\/providers\/NYRx_PDP_PDL.pdf\\u003c\/a\\u003e\\u003c\/li\\u003e\\r\\n\\u003c\/ul\\u003e\\r\\n\\u003cp\\u003e\\u0026nbsp;\\u003c\/p\\u003e\\r\\n\\u003cp\\u003eFor any questions related to coverage, please contact Magellan (NYRx) directly by calling, \\u003ca href=\\u0022tel:877-309-9493\\u0022\\u003e\\u003cstrong\\u003e877-309-9493\\u003c\/strong\\u003e\\u003c\/a\\u003e\\u003c\/p\\u003e\",\"_items_5_answer\":\"field_faq_items_answer\",\"items_6_question\":\"Prescriber Billing Codes \",\"_items_6_question\":\"field_faq_items_question\",\"items_6_answer\":\"\\u003cp\\u003e\\u003cstrong\\u003eSarepta\\u003cbr \/\\u003e\\r\\n\\u003c\/strong\\u003e\\u003cbr \/\\u003e\\r\\nNew York State has executed a state-direct supplemental rebate agreement with Sarepta for drugs used to treat Duchenne muscular dystrophy. This agreement went into effect on April 1, 2022.\\u003c\/p\\u003e\\r\\n\\u003cp\\u003eCheck the prescriber billing codes in the \\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/for-health-professionals-overview\/provider-toolkit#references-guides-and-fact-sheets\\u0022\\u003eReference Guides and Fact Sheets section of our Provider Toolkit\\u003c\/a\\u003e for details.\\u003c\/p\\u003e\\r\\n\\u003cp\\u003e\\u003cstrong\\u003ePractitioner Dispensing Policy Clarification of DOH Billing Guidance (Effective 10\/4\/2022)\\u003c\/strong\\u003e\\u003c\/p\\u003e\\r\\n\\u003cp\\u003eCheck the prescriber billing codes in the \\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/for-health-professionals-overview\/provider-toolkit#references-guides-and-fact-sheets\\u0022\\u003eReference Guides and Fact Sheets section of our Provider Toolkit\\u003c\/a\\u003e for updated information.\\u003c\/p\\u003e\",\"_items_6_answer\":\"field_faq_items_answer\",\"items_7_question\":\"Providing Services for Children in Foster Care\",\"_items_7_question\":\"field_faq_items_question\",\"items_7_answer\":\"\\u003cp\\u003eAs a SelectHealth network provider, you may find yourself in a position to provide services for a new group of Medicaid Managed Care enrollees who require trauma-informed care: children\/youth in direct placement foster care and in the care of Voluntary Foster Care Agencies.\u00a0\\u003c\/p\\u003e\\r\\n\\u003cp\\u003ePlease download this \\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2022\/01\/Letter-to-SelectHealth-VFCA-Providers.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noopener\\u0022\\u003eletter for network providers\\u003c\/a\\u003e for more information about coordinating services, pharmacy benefits, and the Initial Medical Assessment that is required within the first 30 days of the child or youth's placement.\\u003c\/p\\u003e\",\"_items_7_answer\":\"field_faq_items_answer\",\"items_8_question\":\"SelectHealth from VNS Health Coverage of Drugs Provided as Part of a Medical Visit\/Incidental to Medical Visit\",\"_items_8_question\":\"field_faq_items_question\",\"items_8_answer\":\"\\u003cp\\u003e\\u003cem\\u003eFor drugs provided as part of a medical visit or incidental to a medical visit, Providers may bill covered drugs via the applicable J-Code and will be reimbursed based on the applicable drug fee schedule. (Access our\u00a0Provider Manual for general billing guidelines:\u00a0\\u003c\/em\\u003e\\u003ca href=\\u0022https:\/\/nam04.safelinks.protection.outlook.com\/?url=https%3A%2F%2Fwww.vnshealthplans.org%2Fwp-content%2Fuploads%2F2023%2F04%2F20230407_VNSNY-CHOICE_Provider-Manual_Original-v2_Rx-Update.pdf\\u0026amp;data=05%7C01%7CSteven.Trezza%40vnshealth.org%7C3672c9c8f5ed43c203a708dbab0091c3%7Cd38bbf0078ed4dd8a065ba61877b4f50%7C1%7C0%7C638291791196556006%7CUnknown%7CTWFpbGZsb3d8eyJWIjoiMC4wLjAwMDAiLCJQIjoiV2luMzIiLCJBTiI6Ik1haWwiLCJXVCI6Mn0%3D%7C3000%7C%7C%7C\\u0026amp;sdata=yFtRR1LP0nTb1emyNqDTpGU2E5JHVh%2ByPDDSsCPm%2BOs%3D\\u0026amp;reserved=0\\u0022\\u003e\\u003cem\\u003ehttps:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2023\/04\/20230407_VNSNY-CHOICE_Provider-Manual_Original-v2_Rx-Update.pdf\\u003c\/em\\u003e\\u003c\/a\\u003e\\u003cem\\u003e)\\u003c\/em\\u003e\\u003c\/p\\u003e\\r\\n\\u003cp\\u003eTo obtain the drugs, Providers may choose to:\\u003c\/p\\u003e\\r\\n\\u003col\\u003e\\r\\n\\t\\u003cli\\u003e\\u003cem\\u003ebuy-and-bill \u2013 providers are responsible for ordering and purchasing the drug through source of choice and billing SelectHealth from VNS Health for reimbursement\\u003c\/em\\u003e\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003e\\u003cem\\u003eobtain directly from a Specialty Pharmacy within our medical network via:\\u003c\/em\\u003e\\u003c\/li\\u003e\\r\\n\\u003c\/ol\\u003e\\r\\n\\u003cp\\u003e\\u003cem\\u003ewhite bagging (provider obtains an infusion or specialty drug directly from a specialty pharmacy)\\u003c\/em\\u003e\\u003c\/p\\u003e\\r\\n\\u003cp\\u003e\\u003cem\\u003ebrown bagging (drugs designated for self-administration or practitioner administration are dispensed or shipped directly to a member by the pharmacy. This is only acceptable when the drug is intended, prescribed, or labeled for self-administration).\\u003c\/em\\u003e\u00a0\\u003c\/p\\u003e\\r\\n\\u003cp\\u003e\\u003cem\\u003eFor any questions about SelectHealth from VNS Health medical coverage related to Physician Administered Drugs (PAD), please call \\u003c\/em\\u003e1-866-783-0222, Monday\u2013Friday, 8 am\u20135 pm. For claims and payment information and resources, please visit: \\u003ca href=\\u0022https:\/\/nam04.safelinks.protection.outlook.com\/?url=https%3A%2F%2Fwww.vnshealthplans.org%2Fhealth-professionals%2Fclaims-billing-and-payments%2F\\u0026amp;data=05%7C01%7CSteven.Trezza%40vnshealth.org%7C3672c9c8f5ed43c203a708dbab0091c3%7Cd38bbf0078ed4dd8a065ba61877b4f50%7C1%7C0%7C638291791196556006%7CUnknown%7CTWFpbGZsb3d8eyJWIjoiMC4wLjAwMDAiLCJQIjoiV2luMzIiLCJBTiI6Ik1haWwiLCJXVCI6Mn0%3D%7C3000%7C%7C%7C\\u0026amp;sdata=%2BesDQGU%2Fzb0nFRk4TFr%2Bcl1pwIfA9khg3UncNLiixmI%3D\\u0026amp;reserved=0\\u0022\\u003ehttps:\/\/www.vnshealthplans.org\/health-professionals\/claims-billing-and-payments\/\\u003c\/a\\u003e\\u003c\/p\\u003e\\r\\n\\u003cp\\u003e\\u003cem\\u003eTo find a pharmacy in our medical network\\u003cstrong\\u003e,\\u003c\/strong\\u003e \\u003cstrong\\u003eplease click the following link\\u003c\/strong\\u003e\\u003cstrong\\u003e: \\u003c\/strong\\u003e\\u003c\/em\\u003e\\u003ca href=\\u0022https:\/\/nam04.safelinks.protection.outlook.com\/?url=https%3A%2F%2Fwww.vnshealthplans.org%2Fhealth-professionals%2Fsearch-for-in-network-providers%2F\\u0026amp;data=05%7C01%7CSteven.Trezza%40vnshealth.org%7C3672c9c8f5ed43c203a708dbab0091c3%7Cd38bbf0078ed4dd8a065ba61877b4f50%7C1%7C0%7C638291791196556006%7CUnknown%7CTWFpbGZsb3d8eyJWIjoiMC4wLjAwMDAiLCJQIjoiV2luMzIiLCJBTiI6Ik1haWwiLCJXVCI6Mn0%3D%7C3000%7C%7C%7C\\u0026amp;sdata=aSO2Yr6Wbny5MEJOpKrncunivUgxxFXYzwsxx8dbeec%3D\\u0026amp;reserved=0\\u0022\\u003e\\u003cem\\u003ehttps:\/\/www.vnshealthplans.org\/health-professionals\/search-for-in-network-providers\/\\u003c\/em\\u003e\\u003c\/a\\u003e \\u003cstrong\\u003e\\u003cem\\u003eand choose \u201cSelectHealth Provider \\u0026amp; Pharmacy Search\u201d.\\u003c\/em\\u003e\\u003c\/strong\\u003e\\u003cem\\u003e Listed below are a few specialty pharmacies within our medical network:\\u003c\/em\\u003e\\u003c\/p\\u003e\\r\\n\\u003col\\u003e\\r\\n\\t\\u003cli\\u003e\\u003cem\\u003eOptionCare Trinity - \\u003cstrong\\u003e\\u003ca href=\\u0022tel:8009619979\\u0022\\u003e(800) 961-9979\\u003c\/a\\u003e\\u003c\/strong\\u003e\\u003c\/em\\u003e\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003e\\u003cem\\u003eMannings Pharmacy - \\u003cstrong\\u003e\\u003ca href=\\u0022tel:2129416480\\u0022\\u003e(212) 941-6480\\u003c\/a\\u003e\\u003c\/strong\\u003e\\u003c\/em\\u003e\\u003c\/li\\u003e\\r\\n\\u003c\/ol\\u003e\",\"_items_8_answer\":\"field_faq_items_answer\",\"items_9_question\":\"Covid-19 Billing Guidance \\u0026 Contact Request\",\"_items_9_question\":\"field_faq_items_question\",\"items_9_answer\":\"\\u003cp\\u003eBilling guidelines can be found at the below location:\\u003c\/p\\u003e\\r\\n\\u003cp\\u003e\\u003cu\\u003e\\u003ca href=\\u0022https:\/\/nam04.safelinks.protection.outlook.com\/?url=https%3A%2F%2Fhealth.ny.gov%2Fhealth_care%2Fmedicaid%2Fcovid19%2Fguidance%2Fbilling_guidance.htm\\u0026amp;data=05%7C01%7CRamya.Devineni%40vnshealth.org%7Cbfa84c77d5d7456c7faa08dbbdf0daad%7Cd38bbf0078ed4dd8a065ba61877b4f50%7C1%7C0%7C638312614385361368%7CUnknown%7CTWFpbGZsb3d8eyJWIjoiMC4wLjAwMDAiLCJQIjoiV2luMzIiLCJBTiI6Ik1haWwiLCJXVCI6Mn0%3D%7C3000%7C%7C%7C\\u0026amp;sdata=jnki2136WqaUVibCFCYVmi6e7n0JdHrh1JIp2B4G%2FhE%3D\\u0026amp;reserved=0\\u0022\\u003ehttps:\/\/health.ny.gov\/health_care\/medicaid\/covid19\/guidance\/billing_guidance.htm\\u003c\/a\\u003e\\u003c\/u\\u003e\\u003c\/p\\u003e\\r\\n\\u003cp\\u003eProviders can contact \\u003ca href=\\u0022mailto:[email protected]\\u0022\\[email protected]\\u003c\/a\\u003e with any\u00a0additional questions.\\u003c\/p\\u003e\",\"_items_9_answer\":\"field_faq_items_answer\",\"items_10_question\":\"Vaccine Billing Guidance \\u0026 Contact Request\",\"_items_10_question\":\"field_faq_items_question\",\"items_10_answer\":\"\\u003cp\\u003eBilling guidelines can be found at the below location:\\u003c\/p\\u003e\\r\\n\\u003cp\\u003e\\u003ca href=\\u0022https:\/\/nam04.safelinks.protection.outlook.com\/?url=https%3A%2F%2Fwww.health.ny.gov%2Fhealth_care%2Fmedicaid%2Fprogram%2Fphar_immun_fact.htm\\u0026amp;data=05%7C02%7CSteven.Trezza%40vnshealth.org%7Ce203172f88974dbb636408dbfc06e105%7Cd38bbf0078ed4dd8a065ba61877b4f50%7C1%7C0%7C638380878694958609%7CUnknown%7CTWFpbGZsb3d8eyJWIjoiMC4wLjAwMDAiLCJQIjoiV2luMzIiLCJBTiI6Ik1haWwiLCJXVCI6Mn0%3D%7C3000%7C%7C%7C\\u0026amp;sdata=XCIwc%2BXKKc2HmQkZoKm3gs3fETGXwKlxrQ2ZJ6fBkQ4%3D\\u0026amp;reserved=0\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noopener\\u0022\\u003ehttps:\/\/www.health.ny.gov\/health_care\/medicaid\/program\/phar_immun_fact.htm\\u003c\/a\\u003e\\u003c\/p\\u003e\\r\\n\\u003cp\\u003eProviders can contact \\u003ca href=\\u0022mailto:[email protected]\\u0022\\[email protected]\\u003c\/a\\u003e with any additional questions.\\u003c\/p\\u003e\",\"_items_10_answer\":\"field_faq_items_answer\",\"items_11_question\":\"Zynteglo (betibeglogene autotemcel): Coverage Information for SelectHealth Members\",\"_items_11_question\":\"field_faq_items_question\",\"items_11_answer\":\"\\u003cp\\u003ePatients enrolled in SelectHealth may be eligible for coverage for Zynteglo through NYRx, the Medicaid Pharmacy Program when certain criteria are met. The SelectHealth health plan can assist providers and members in obtaining approval for the medication through a few simple steps.\\u003c\/p\\u003e\\r\\n\\u003cp\\u003eOnce the health plan receives a request for Zynteglo, our team will send the patient\u2019s physician a New York State worksheet for completion. Once the plan receives the completed worksheet, the plan will review New York State Medicaid criteria for coverage. If the member is eligible for the medication, the plan will facilitate communication of the eligibility with the state. 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"post_content": "<p>These Terms of Use apply to the websites owned and operated by, or on behalf of, VNS Health and its affiliates, including <a href=\"https:\/\/www.vnshealth.org\/corporate-compliance-privacy\/privacy-statements\/website-privacy-notice\/\" target=\"_blank\" rel=\"noopener\">vnshealth.org<\/a>, <a href=\"https:\/\/www.vnshealthplans.org\/\">vnshealthplans.org<\/a>, <a href=\"http:\/\/www.selecthealthny.org\/\" target=\"_blank\" rel=\"noreferrer noopener\">SelectHealthNY.org<\/a>, <a href=\"https:\/\/jobs.vnshealth.org\/\" target=\"_blank\" rel=\"noopener\">jobs.vnshealth.org<\/a>, and <a href=\"https:\/\/apps.availity.com\/availity\/web\/public.elegant.login?goto=https%3A%2F%2Fapps.availity.com%2Fpublic%2Fapps%2Fhome%2F%23!%2F\" target=\"_blank\" rel=\"noreferrer noopener\">availity.com\/vns<\/a> (collectively, and each individually, \u201cthe Site\u201d). VNS Health owns and operates this Site, including all information, communications, articles, text, graphics, opinions, and audio or visual materials (collectively \u201cContents\u201d). By using the Site, you indicate that you have read, understand and agree to be bound by these Terms of Use and our <a href=\"https:\/\/www.vnshealth.org\/corporate-compliance-privacy\/privacy-statements\/website-privacy-notice\/\" target=\"_blank\" rel=\"noopener\">Privacy Policy<\/a>. If you do not agree to be bound by these Terms of Use, please discontinue your access and use of this Site.<\/p>\n<p>THE CONTENTS OF THIS SITE DO NOT CONSTITUTE MEDICAL ADVICE. THE CONTENTS OF THIS SITE ARE FOR INFORMATIONAL PURPOSES ONLY, AND THEY DO NOT CONSTITUTE, AND ARE NOT INTENDED TO SUBSTITUTE FOR, PROFESSIONAL MEDICAL ADVICE. THE USERS OF THIS SITE ARE ENCOURAGED, AND ARE EXPECTED, TO CONSULT WITH PHYSICIANS, MEDICAL ADVISORS, AND OTHER APPROPRIATE HEALTH CARE PRACTITIONERS REGARDING A SPECIFIC MEDICAL DIAGNOSIS OR CONDITION OR GENERAL HEALTH ISSUES.<\/p>\n<p>VNS HEALTH AND THE SITE DO NOT SUGGEST OR RECOMMEND ANY PROCEDURES, PRACTICES, EQUIPMENT OR OTHER ITEMS THAT ARE COMPONENTS OF OR RELATED TO MEDICAL PRACTICE, NOR DOES VNS HEALTH OR THE SITE RECOMMEND ANY PHYSICIANS OR OTHER MEDICAL OR HEALTH CARE PRACTITIONERS OR INSTITUTIONS. YOU SHOULD NOT DISREGARD MEDICAL ADVICE OR ATTEMPT TO FOLLOW ANY PROGRAMS OR HEALTH RELATED SUGGESTIONS ON THIS SITE WITHOUT FIRST CONSULTING WITH YOUR PHYSICIAN. THE GENERAL INFORMATION PROVIDED HERE CANNOT BE RELIED ON TO APPLY TO SPECIFIC CASES AND IS NOT A SUBSTITUTE FOR PROFESSIONAL MEDICAL CARE.<\/p>\n<p>You may view and use the materials on this Site only in accordance with these Terms of Use.<\/p>\n<p>BY USING THE SITE, YOU REPRESENT AND WARRANT THAT YOU ARE AT LEAST 18 YEARS OLD OR THE AGE OF MAJORITY IN YOUR JURISDICTION OF RESIDENCE. If you do not meet all of these requirements, do not access or use the Site.<\/p>\n<p><strong>INTELLECTUAL PROPERTY<\/strong><\/p>\n<p>The VNS Health logo and marks are trademarks and service marks of VNS Health. All other trademarks, service marks and logos used in this Site are the trademarks, service marks or logos of their respective owners. The Contents are the intellectual property of VNS Health and\/or their affiliates, or are used by VNS Health and their affiliates under license from the owner. You may use them for personal and noncommercial purposes only. You may not access, download, copy, modify, distribute, transmit, display, reproduce, publish, license, create derivative works from, transfer or sell any part of the content on the Site or use the Site for commercial purposes, whether on Your behalf or on behalf of a third party.<\/p>\n<p><strong>LIMITED RIGHT OF USE\/OWNERSHIP OF CONTENTS<\/strong><\/p>\n<p>The Site is the property of VNS Health and is protected by the United States and international copyright, trademark and other applicable laws. This includes the content, appearance, and design of this Site, as well as the trademarks, product names, graphics, logos, service names, slogans, colors and designs.<\/p>\n<p>VNS Health grants you a limited, revocable, non-exclusive license to access and make personal use of the Site as VNS Health\u2019s customer.<\/p>\n<p>You may use and view the materials on the Site in accordance with these Terms of Use. The contents are the intellectual property of VNS Health, or are used by VNS Health under license from the owner. You may use them for personal and noncommercial uses only. You may not use the name, trademark, or service mark of VNS Health, or any adaptation thereof, for advertising, trade or other commercial or noncommercial purposes.<\/p>\n<p><strong>\u201cSPOOFING\u201d AND \u201cPHISHING\u201d<\/strong><\/p>\n<p>A common Internet scam is known as \u201cspoofing\u201d or \u201cphishing.\u201d This occurs when You receive an e-mail from what appears to be a legitimate source requesting personal information from You. Please be aware that VNS Health will not send You any e-mail requesting You to verify Your credit card, bank information, password or any other personal information. If You ever receive an e-mail that appears to be from VNS Health requesting such information from You, DO NOT respond to it, and DO NOT click on any links appearing in the e-mail. Instead, please report the e-mail to the VNS Health IT Service Desk at 1-888-290-3555, and VNS Health will investigate instances of possible Internet fraud.<\/p>\n<p><strong>ACCEPTABLE USE POLICY<\/strong><\/p>\n<p>You may use the Site only in compliance with these Terms, and all applicable local, state, national, and international laws, statutes, rules, and regulations. In addition, you agree not to:<\/p>\n<ul>\n<li>Use the Site in any way that may cause injury to any person or entity; is false or misleading; infringes any third party\u2019s copyright, patent, trademark, trade secret or other proprietary rights; violates anyone\u2019s rights to privacy or publicity; violates any law or regulation; includes content or links to content that could be considered defamatory, libelous, knowingly false, fraudulent, indecent, violent, obscene, profane, hateful, racially or religiously biased, threatening, or harassing; or promotes commercial activities and\/or sales without our prior written consent.<\/li>\n<li>Use any materials that may be protected by copyright, trademark, trade secret, right of publicity or privacy, or any other proprietary right, without the express prior written consent of the applicable owner or in any way that is otherwise unlawful.<\/li>\n<li>Upload or distribute any malicious computer code (for example, a virus, worm, Trojan horse, spyware) or other computer file or program that is or is potentially harmful or invasive or intended to damage or hijack the operation of, or to monitor the use of, any hardware, software or equipment.<\/li>\n<li>Interfere with, modify, or disrupt the operation of the Site, or the servers or networks used in connection with the Site or any VNS Health service.<\/li>\n<li>Impersonate any person, business, entity, or IP address (including, without limitation, by engaging in IP spoofing or by using e-mail addresses or screen names associated with VNS Health or any of its affiliates or subsidiaries).<\/li>\n<li>Transmit, or procure the sending of, any advertisements or promotions, sales, or encourage other commercial activities, without our prior written consent.<\/li>\n<li>Gain or attempt to gain unauthorized access to the Site, including by reverse engineering or installing firmware not approved by VNS Health.<\/li>\n<li>Frame or mirror any portion of the Site, or incorporate any portion of the Site into any other product or service without VNS Health\u2019s express prior written consent.<\/li>\n<li>Alter, damage, or delete any content provided by VNS Health.<\/li>\n<li>Use any robot, spider, search\/retrieval application or other manual or automatic device to systematically retrieve, index, \u201cscrape,\u201d \u201cdata mine\u201d or otherwise gather data or content from the Site.<\/li>\n<li>Reproduce or circumvent the navigational structure or presentation of the Site, without VNS Health\u2019s express prior written consent.<\/li>\n<\/ul>\n<p><strong>THIRD-PARTY WEBSITES<\/strong><\/p>\n<p>For your convenience, the Site may contain links to the websites or third parties from which you may be able to obtain content and\/or download software. Except as otherwise noted, such third-party websites, and such content and software, are provided by companies that are not affiliated with and are independent of VNS Health. VNS Health does not endorse or make any representations or warranties concerning such websites, and may not have reviewed such content or software. VNS Health has no control over, and assumes no responsibility for, the content, privacy policies, or practices of any third-party site. Therefore, VNS Health makes no representation as to the accuracy or any other aspect of the information contained in or on such websites, sources or servers, nor does VNS Health necessarily endorse such websites or sources.<\/p>\n<p>By using the VNS Health Site, you expressly relieve VNS Health from any and all liability arising from your use of any third-party website. Accordingly, we encourage you to be aware when you leave the VNS Health Site and to read the terms and conditions and privacy policies of each other site that you visit.<\/p>\n<p><strong>ERRORS AND INACCURACIES<\/strong><\/p>\n<p>On the Site we strive to provide complete, accurate, up-to-date information. Unfortunately, despite those efforts, human or technological errors may occur. The Site may contain typographical mistakes, inaccuracies, or omissions, and some information may not be complete or current. We reserve the right to correct any errors, inaccuracies or omissions, and to change or update information at any time without prior notice.<\/p>\n<p><strong>INFRINGEMENT NOTICE<\/strong><\/p>\n<p>VNS Health respects the intellectual property rights of others and requires that its users do the same. If You believe in good faith that Your work has been used on the Site in a manner that constitutes copyright infringement or Your rights are otherwise infringed or violated by anything on the Site, please notify VNS Health by contacting VNS Health Corporate Compliance at VNS Health Attn: Compliance Department, 220 East 42nd Street, 6th Floor, New York, NY 10017.<\/p>\n<p>Users must comply with the \u201cElements of Notification\u201d requirements set forth in 17 U.S.C. \u00a7 512. Please include as much detail as possible to allow us to identify the facts or circumstances. To more effectively assist You, the notification must include ALL of the following:<\/p>\n<ul>\n<li>A physical or electronic signature of the owner of the right claimed to be infringed or the person authorized to act on the owner\u2019s behalf;<\/li>\n<li>A description of the copyrighted work or other right You claim has been infringed or violated;<\/li>\n<li>Information reasonably sufficient to locate the material in question on the Site;<\/li>\n<li>Your name, address, telephone number, e-mail address and all other information reasonably sufficient to permit us to contact You;<\/li>\n<li>A statement by You that You have a good faith belief that the disputed use is not authorized by the rightful owner, its agent or the law;<\/li>\n<li>A statement by You, made under penalty of perjury, that the above information in Your notice is accurate and that You are the owner of the right claimed to be infringed or violated or are authorized to act on behalf of the owner.<\/li>\n<\/ul>\n<p>You acknowledge that if you fail to provide substantially all of the information listed above, your notification may not be valid. Upon receipt of your written notice, we will investigate the allegation and remove the complained-of material at our sole discretion.<\/p>\n<p><strong>DISCLAIMER OF WARRANTIES\/LIMITATION OF LIABILITY<\/strong><\/p>\n<p>VNS Health does not give any warranties, express or implied, regarding the contents, VNS Health, and its affiliates and subsidiaries, shall not be liable for any damage including but not limited to direct, indirect, incidental, consequential or other damages resulting from the use of or inability to use this Site. This includes but is not limited to damages for personal injury, including death, or property damage whether the theory of liability is based on contract, tort, products liability or any other legal theory.<\/p>\n<p><em>YOU EXPRESSLY ACKNOWLEDGE THAT USE OF THE SITE IS AT YOUR SOLE RISK. NEITHER VNS HEALTH NOR ITS AFFILIATED COMPANIES NOR ANY OF THEIR RESPECTIVE EMPLOYEES, AGENTS, THIRD-PARTY CONTENT PROVIDERS OR LICENSORS (COLLECTIVELY THE \u201cVNS HEALTH PARTIES\u201d) WARRANT THAT THE SITE WILL BE UNINTERRUPTED OR ERROR FREE; NOR DO THEY MAKE ANY WARRANTIES AS TO THE RESULTS THAT MAY BE OBTAINED FROM USE OF THE SITE, OR AS TO THE ACCURACY OR RELIABILITY OR CONTENT OF ANY INFORMATION, SERVICE OR MERCHANDISE PROVIDED THROUGH THE SITE. THE SITE IS PROVIDED ON AN \u201cAS IS\u201d BASIS WITHOUT WARRANTIES OF ANY KIND, EITHER EXPRESS OR IMPLIED, INCLUDING BUT NOT LIMITED TO, WARRANTIES OF TITLE OR IMPLIED WARRANTIES OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE, OTHER THAN THOSE WARRANTIES WHICH ARE IMPLIED BY AND INCAPABLE OF EXCLUSION, RESTRICTION OR MODIFICATION UNDER THE LAWS APPLICABLE TO THESE TERMS OF USE.<\/em><\/p>\n<p><em>THIS DISCLAIMER OF LIABILITY APPLIES TO ANY DAMAGES OR INJURY CAUSED BY ANY FAILURE OF PERFORMANCE, ERROR, OMISSION, INTERRUPTION, DELETION, DEFECT, DELAY IN OPERATION OR TRANSMISSION, COMPUTER VIRUS, COMMUNICATION LINE FAILURE, THEFT OR DESTRUCTION OR UNAUTHORIZED ACCESS TO, ALTERATION OF, OR USE OF RECORD, WHETHER FOR BREACH OF CONTRACT, TORTIOUS BEHAVIOR, NEGLIGENCE OR UNDER ANY OTHER CAUSE OF ACTION. YOU SPECIFICALLY ACKNOWLEDGE THAT VNS HEALTH HEALTH PLANS IS NOT LIABLE FOR THE DEFAMATORY, OFFENSIVE OR ILLEGAL CONDUCT OF OTHER USERS OR THIRD PARTIES AND THAT THE RISK OF INJURY FROM THE FOREGOING RESTS ENTIRELY WITH YOU.<\/em><\/p>\n<p><em>IN NO EVENT WILL VNS HEALTH, THE VNS HEALTH PARTIES, OR ANY PERSON OR ENTITY INVOLVED IN CREATING OR PRODUCING OR DISTRIBUTING THE SITE BE LIABLE FOR ANY INDIRECT, INCIDENTAL, SPECIAL, CONSEQUENTIAL OR PUNITIVE DAMAGES ARISING OUT OF THE USE OF OR INABILITY TO USE THE SITE. YOU HEREBY ACKNOWLEDGE THAT THE PROVISIONS OF THIS SECTION SHALL APPLY TO ALL CONTENT ON THE SITE.<\/em><\/p>\n<p><em>IN ADDITION TO THE TERMS SET FORTH ABOVE, NEITHER VNS HEALTH NOR THE VNS HEALTH PARTIES SHALL BE LIABLE, REGARDLESS OF THE CAUSE OF DURATION FOR ANY ERRORS, INACCURACIES, OMISSIONS, OR OTHER DEFECTS IN, OR UNTIMELINESS, OR INAUTHENTICITY OF THE INFORMATION CONTAINED WITHIN THE SITE OR FOR ANY DELAY OR INTERRUPTION IN THE TRANSMISSION THEREOF TO YOU, OR FOR ANY CLAIMS OR LOSSES ARISING THEREFROM OR OCCASIONED THEREBY. NONE OF THE FOREGOING PARTIES SHALL BE LIABLE FOR ANY CLAIMS OR LOSSES OF ANY NATURE, INCLUDING, BUT NOT LIMITED TO, LOST PROFITS, PUNITIVE OR CONSEQUENTIAL DAMAGES AND THE AGGREGATE, TOTAL LIABILITY OF THE VNS HEALTH PARTIES TO YOU OR ANY END USER FOR ALL DAMAGES, INJURY, LOSSES AND CAUSES OF ACTION (WHETHER IN CONTRACT, TORT OR OTHERWISE) ARISING FROM OR RELATING TO THESE TERMS OF USE OR THE USE OF OR INABILITY TO USE THIS SITE SHALL BE LIMITED TO PROVEN DIRECT DAMAGES IN AN AMOUNT NOT TO EXCEED ONE HUNDRED DOLLARS ($100).<\/em><\/p>\n<p><em>SOME JURISDICTIONS DO NOT ALLOW THE LIMITATION OR EXCLUSION OF CERTAIN LIABILITIES OR WARRANTIES, SO SOME OF THE ABOVE LIMITATIONS MAY NOT APPLY TO YOU.<\/em> In such jurisdictions, VNS Health\u2019s liability is limited to the greatest extent permitted by the law. You should check your local laws for any restrictions or limitations regarding the exclusion of implied warranties.<\/p>\n<p><strong>INDEMNIFICATION <\/strong><\/p>\n<p>By accessing and\/or using the Site, you agree to indemnify, defend and hold VNS Health, our subsidiaries and affiliates, and their respective officers, directors, employees, members, agents, representatives, business partners, information providers, licensors and licensees and their respective heirs and assigns (collectively the \u201cIndemnified Parties\u201d) harmless from and against any and all liability costs, including, without limitation, reasonable attorney\u2019s fees and expenses incurred by the Indemnified Parties in connection with any claim arising out of, or breach by you of, these Terms of Use, any related license terms, or by any unauthorized use by you of this Site. You agree to cooperate as fully as reasonably required in the defense of any claim. We reserve the right, at our own expense, to assume the exclusive defense and control of any matter otherwise subject to indemnification by you. You shall not enter into any settlement agreement that affects the rights of any of the Indemnified Parties or requires the taking of any action by any of them, without our prior written approval.<\/p>\n<p><strong>CHILDREN<\/strong><\/p>\n<p>The Site is not meant to be used by individuals under the age of 18. By creating an Account and providing VNS Health with Your personal information, You are representing that You are at least 18 years old. VNS Health will remove from its files any personal information of anyone VNS Health discovers to be under 18 years old (and for whom there is not confirmed parental\/guardian consent, where required by law).<\/p>\n<p><strong>PRIVACY<\/strong><\/p>\n<p>Personal information you provide to us is subject to our Privacy Policy, as updated from time to time, which is incorporated by reference into these Terms of Use and is available at <a href=\"https:\/\/www.vnshealth.org\/corporate-compliance-privacy\/privacy-statements\/website-privacy-notice\/\">https:\/\/www.vnshealth.org\/corporate-compliance-privacy\/privacy-statements\/website-privacy-notice\/<\/a>.<\/p>\n<p><strong>MISCELLANEOUS<\/strong><\/p>\n<p>These Terms of Use, and any rights and licenses hereunder, may not be transferred or assigned by you, but may be assigned by VNS Health without restriction.<\/p>\n<p>These Terms of Use do not, and shall not be construed to, create any partnership, joint venture, employer-employee, or agency between you and VNS Health.<\/p>\n<p>You agree that, except as expressly provided in these Terms of Use (and other than VNS Health and its affiliates), there shall be no third-party beneficiaries of these Terms of Use. It is our and Your intent that these Terms of Use constitute a binding and enforceable agreement between us. Therefore, You affirm that You are either more than 18 years of age, or an emancipated minor, or possess legal parental or guardian consent, and are fully able and competent to enter into the terms, conditions, obligations, affirmations, representations, and warranties set forth in these Terms of Use, and to abide by and comply with these Terms of Use.<\/p>\n<p>You agree that: (i) the VNS Health Site shall be deemed solely based in New York, New York; and (ii) the VNS Health Site shall be deemed a passive website that does not give rise to personal jurisdiction over VNS Health, either specific or general, in jurisdictions other than New York. These Terms of Use shall be governed by the substantive internal laws of the State of New York, without respect to its conflict of law principals. Any claim or dispute that arises between you and VNS Health that arises in whole or in part from the VNS Health Site shall be decided exclusively by a court of competent jurisdiction located in New York, New York. These Terms of Use, together with the Privacy Policy, the Code of Conduct, and any other legal notices published by VNS Health on the Site, shall constitute the entire agreement between you and VNS Health concerning the VNS Health Site. If any provision of these Terms of Use is deemed invalid by a court of competent jurisdiction, the invalidity of such provision shall not affect the validity of the remaining provisions of these Terms of Use, which shall remain in full force and effect. No waiver of any of these Terms of Use shall be deemed a further or continuing waiver of such term or any other term, and VNS Health\u2019s failure to assert any right or provision under these Terms of Use shall not constitute a waiver of such right or provision.<\/p>\n<p><em>YOU AND VNS HEALTH AGREE THAT ANY CAUSE OF ACTION ARISING OUT OF OR RELATED TO THE VNS HEALTH SITE MUST COMMENCE WITHIN ONE (1) YEAR AFTER THE CAUSE OF ACTION ACCRUES. OTHERWISE, SUCH ACTION IS PERMANENTLY BARRED. <\/em><\/p>\n<p>If any term, clause or provision of these Terms of Use shall be deemed invalid or unenforceable for any reason, the remainder of this agreement shall remain valid and enforceable in accordance with its terms.<\/p>\n<p><strong>MODIFICATIONS TO THESE TERMS OF USE<\/strong><\/p>\n<p>VNS Health reserves the right to amend these Terms of Use at any time and without prior notice, and it is your responsibility to review these Terms of Use for any changes. Your use of the VNS Health Site following any amendment of these Terms of Use, which will be reflected by the \u201cLast Updated\u201d date at the bottom, will signify your assent to and acceptance of the revised terms.<\/p>\n<p><strong>QUESTIONS<\/strong><\/p>\n<p>If you have any questions about these Terms of Use, you may contact VNS Health Corporate Compliance at 1-212-290-4773.<\/p>\n<p>Copyright \u00ae 2023 VNS Health. All rights reserved.<\/p>\n\n<!-- wp:paragraph -->\n<p><\/p>\n<!-- \/wp:paragraph -->",
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"post_content": "<!-- wp:paragraph -->\n<p><strong>Thank you for being a member!<\/strong><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>We\u2019re happy to have you! VNS Health Total (HMO D-SNP) brings together Medicare Advantage and Medicaid Long Term Care for people like you who need long-term help with daily activities to live safely in the comfort of your home and community. And that\u2019s where you want to be.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:heading -->\n<h2 class=\"wp-block-heading\" id=\"h-latest-news\">Latest News<\/h2>\n<!-- \/wp:heading -->\n\n<!-- wp:acf\/banner-in-body {\"name\":\"acf\/banner-in-body\",\"data\":{\"background_color\":\"gray-200\",\"_background_color\":\"field_banner-in-body_background_color\",\"heading\":\"VNS Health Total Member Newsletter - Spring 2024 Edition\",\"_heading\":\"field_banner-in-body_heading\",\"subheading\":\"\",\"_subheading\":\"field_banner-in-body_subheading\",\"description\":\"\\u003cp\\u003eRead the latest newsletter for VNS Health Total members!\\u003c\/p\\u003e\\r\\n\\u003cp\\u003e\\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2024\/04\/2024-Spring-Total-Newsletter_EN.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noopener\\u0022\\u003eEnglish\\u003c\/a\\u003e\u00a0\\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2024\/04\/2024-Spring-Total-Newsletter_SP.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noopener\\u0022\\u003eSpanish\\u003c\/a\\u003e \\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2024\/04\/2024-Spring-Total-Newsletter_CH.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noopener\\u0022\\u003eChinese\\u003c\/a\\u003e\\u003c\/p\\u003e\",\"_description\":\"field_banner-in-body_description\",\"button_heading\":\"\",\"_button_heading\":\"field_banner-in-body_button_heading\",\"button\":\"\",\"_button\":\"field_banner-in-body_button\",\"id\":\"block_acf_66182e1d7a36f\"},\"mode\":\"edit\",\"id\":\"block_acf_66182e1d7a36f\"} \/-->\n\n<!-- wp:acf\/banner-in-body {\"name\":\"acf\/banner-in-body\",\"data\":{\"background_color\":\"gray-200\",\"_background_color\":\"field_banner-in-body_background_color\",\"heading\":\"Non-Emergency Transportation Will Soon Be Covered By 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Tell them to give us a call us at <a href=\"tel:1-855-216-8307\"><strong>1-855-216-8307<\/strong><\/a> (TTY: <a href=\"tel:1-800-662-1220\"><strong>1-800-662-1220<\/strong><\/a>), Monday\u2013Friday, 9 am\u20135 pm. We can answer their questions about eligibility and explain how to enroll.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:acf\/content-splitter {\"name\":\"acf\/content-splitter\",\"data\":{\"id\":\"block_acf_66182e1d7a8f0\"},\"mode\":\"preview\",\"id\":\"block_acf_66182e1d7a8f0\"} \/-->",
"post_title": "Total Member Resources",
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"post_date": "2020-09-01 00:44:07",
"post_date_gmt": "2020-09-01 00:44:07",
"post_content": "<!-- wp:paragraph -->\n<p>Make sure Medicaid has your current contact information.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:heading -->\n<h2 class=\"wp-block-heading\" id=\"h-what-you-need-to-do\">What you need to do<\/h2>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p>Please contact your Medicaid office to give them your current address, phone number, and email address.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:list -->\n<ul><!-- wp:list-item -->\n<li>If you live in New York State outside of New York City, call your local Medicaid office<\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li>If you live in one of the five boroughs of New York City, call Medicaid at the number below:<br><strong><a href=\"tel:18886926116\">1-888-692-6116<\/a> (TTY: <a href=\"tel:711\">711<\/a>)<\/strong><br>Monday \u2013 Friday, 8 am \u2013 5:30 pm<\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list -->\n\n<!-- wp:group {\"style\":{\"color\":{\"background\":\"#d8f0fe\"}},\"layout\":{\"type\":\"constrained\"}} -->\n<div class=\"wp-block-group has-background\" style=\"background-color:#d8f0fe\"><!-- wp:heading {\"textAlign\":\"center\"} -->\n<h2 class=\"wp-block-heading has-text-align-center\" id=\"h-watch-out-for-medicaid-scams\">Watch out for Medicaid scams!<\/h2>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p>Be on the alert for scammers who ask for a fee to help you renew or recertify your Medicaid coverage. Never give out your Medicare or Social Security Numbers over the phone or in a text.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>VNS Health and\/or your local Medicaid office will send you notices about the renewal process, which may include reminders to update your contact and income information. <strong>But we will never ask for money to renew or apply for Medicaid.<\/strong><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>If you get a text, phone call or email that you think may be a fraud, contact your local Medicaid office.<\/p>\n<!-- \/wp:paragraph --><\/div>\n<!-- \/wp:group -->\n\n<!-- wp:acf\/faq {\"name\":\"acf\/faq\",\"data\":{\"heading\":\"\",\"_heading\":\"field_faq_heading\",\"is_modular\":\"0\",\"_is_modular\":\"field_faq_is_modular\",\"items_0_question\":\"Why Is This Important?\",\"_items_0_question\":\"field_faq_items_question\",\"items_0_answer\":\"\\u003cp\\u003eMedicaid must have your current contact information to mail you your Medicaid renewal notice. If you do not renew on time, you could lose your Medicaid and be disenrolled from your health plan.\\u003c\/p\\u003e\",\"_items_0_answer\":\"field_faq_items_answer\",\"items_1_question\":\"What Happens Next?\",\"_items_1_question\":\"field_faq_items_question\",\"items_1_answer\":\"\\u003col\\u003e\\r\\n\\t\\u003cli\\u003eFour months before it\u2019s time to renew your Medicaid, we will send you important information about the renewal process. Look for the big blue envelope from us in the mail.\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eOver the next eleven months, sixty days before it\u2019s time to renew, your local Medicaid office will send you a renewal notice.\u00a0Please follow the instructions inside the packet.\\u003c\/li\\u003e\\r\\n\\u003c\/ol\\u003e\",\"_items_1_answer\":\"field_faq_items_answer\",\"items\":2,\"_items\":\"field_faq_items\",\"id\":\"block_acf_661fde985ae53\"},\"mode\":\"edit\",\"id\":\"block_acf_661fde985ae53\"} \/-->\n\n<!-- wp:columns -->\n<div class=\"wp-block-columns\"><!-- wp:column {\"verticalAlignment\":\"top\",\"width\":\"33.33%\"} -->\n<div class=\"wp-block-column is-vertically-aligned-top\" style=\"flex-basis:33.33%\"><!-- wp:image {\"id\":31182,\"sizeSlug\":\"full\",\"linkDestination\":\"none\"} -->\n<figure class=\"wp-block-image size-full\"><img src=\"https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2023\/03\/VNSHealth_Call_Center_Icon_rgb.png\" alt=\"\" class=\"wp-image-31182\"\/><\/figure>\n<!-- \/wp:image --><\/div>\n<!-- \/wp:column -->\n\n<!-- wp:column {\"verticalAlignment\":\"center\",\"width\":\"66.66%\"} -->\n<div class=\"wp-block-column is-vertically-aligned-center\" style=\"flex-basis:66.66%\"><!-- wp:paragraph -->\n<p>If you have any questions, need clarification on your Medicaid recertification or need someone to walk you through the process, please call us at the number below. We are here to help.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph {\"style\":{\"typography\":{\"fontStyle\":\"normal\",\"fontWeight\":\"700\"}}} -->\n<p style=\"font-style:normal;font-weight:700\">Medicaid Recertification Team<br><strong><a href=\"tel:18773578544\">1-877-357-8544<\/a> Option 4 (TTY: <a href=\"tel:711\">711<\/a>)<br>Monday \u2013 Friday, 9 am \u2013 5 pm<\/strong><\/p>\n<!-- \/wp:paragraph --><\/div>\n<!-- \/wp:column --><\/div>\n<!-- \/wp:columns -->",
"post_title": "Don't Lose your Medicaid Coverage!",
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{
"ID": 7025,
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"post_date": "2020-12-22 17:55:17",
"post_date_gmt": "2020-12-22 22:55:17",
"post_content": "<!-- wp:heading -->\n<h2 class=\"wp-block-heading\">We reward you, so <em>you<\/em> can reward yourself!<\/h2>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p>As a member of VNS Health Total (HMO D-SNP), you\u2019re automatically enrolled in our Member Rewards program. You can earn rewards for completing certain health activities, like seeing your doctor or getting recommended screenings. Earn up to $30 for each health activity you complete.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>You can earn rewards by completing the qualifying activities listed below.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:columns -->\n<div class=\"wp-block-columns\"><!-- wp:column {\"width\":\"66.66%\"} -->\n<div class=\"wp-block-column\" style=\"flex-basis:66.66%\"><!-- wp:paragraph -->\n<p><\/p>\n<!-- \/wp:paragraph --><\/div>\n<!-- \/wp:column -->\n\n<!-- wp:column {\"width\":\"33.33%\"} -->\n<div class=\"wp-block-column\" style=\"flex-basis:33.33%\"><\/div>\n<!-- \/wp:column --><\/div>\n<!-- \/wp:columns -->\n\n<!-- wp:acf\/three-column-table 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year\\u003c\/p\\u003e\",\"_three_column_table_rows_6_table_col_3\":\"field_three-column-table_three_column_table_rows_table_col_3\",\"three_column_table_rows_7_icon\":20341,\"_three_column_table_rows_7_icon\":\"field_three-column-table_three_column_table_rows_icon\",\"three_column_table_rows_7_table_col_1\":\"\\u003cp\\u003eRetinal eye exam for diabetes\\u003c\/p\\u003e\",\"_three_column_table_rows_7_table_col_1\":\"field_three-column-table_three_column_table_rows_table_col_1\",\"three_column_table_rows_7_table_col_2\":\"\\u003cp\\u003e$25\\u003c\/p\\u003e\",\"_three_column_table_rows_7_table_col_2\":\"field_three-column-table_three_column_table_rows_table_col_2\",\"three_column_table_rows_7_table_col_3\":\"\\u003cp\\u003eOnce per year\\u003c\/p\\u003e\",\"_three_column_table_rows_7_table_col_3\":\"field_three-column-table_three_column_table_rows_table_col_3\",\"three_column_table_rows_8_icon\":20360,\"_three_column_table_rows_8_icon\":\"field_three-column-table_three_column_table_rows_icon\",\"three_column_table_rows_8_table_col_1\":\"\\u003cp\\u003eBlood pressure reading for hypertension\\u003cbr \/\\u003e\\r\\n\\u003cbr \/\\u003e\\r\\n\\u003cem\\u003eReward will be based on the final reading of the year.\\u003c\/em\\u003e\\u003c\/p\\u003e\",\"_three_column_table_rows_8_table_col_1\":\"field_three-column-table_three_column_table_rows_table_col_1\",\"three_column_table_rows_8_table_col_2\":\"\\u003cp\\u003e$25\\u003c\/p\\u003e\",\"_three_column_table_rows_8_table_col_2\":\"field_three-column-table_three_column_table_rows_table_col_2\",\"three_column_table_rows_8_table_col_3\":\"\\u003cp\\u003eOnce per year\\u003c\/p\\u003e\",\"_three_column_table_rows_8_table_col_3\":\"field_three-column-table_three_column_table_rows_table_col_3\",\"three_column_table_rows_9_icon\":36214,\"_three_column_table_rows_9_icon\":\"field_three-column-table_three_column_table_rows_icon\",\"three_column_table_rows_9_table_col_1\":\"\\u003cp\\u003eMember Advisory Committee (MAC) Meeting\\u003c\/p\\u003e\\r\\n\\u003cp\\u003e\\u003cem\\u003eReward will be based on each MAC meeting attended.\\u003c\/em\\u003e\\u003c\/p\\u003e\",\"_three_column_table_rows_9_table_col_1\":\"field_three-column-table_three_column_table_rows_table_col_1\",\"three_column_table_rows_9_table_col_2\":\"\\u003cp\\u003e$10\\u003c\/p\\u003e\",\"_three_column_table_rows_9_table_col_2\":\"field_three-column-table_three_column_table_rows_table_col_2\",\"three_column_table_rows_9_table_col_3\":\"\\u003cp\\u003eAt least once per year\\u003c\/p\\u003e\",\"_three_column_table_rows_9_table_col_3\":\"field_three-column-table_three_column_table_rows_table_col_3\",\"three_column_table_rows\":10,\"_three_column_table_rows\":\"field_three-column-table_three_column_table_rows\",\"three_column_table\":\"\",\"_three_column_table\":\"field_three-column-table_three_column_table\",\"id\":\"block_acf_658c8cd30fbcf\"},\"mode\":\"edit\",\"id\":\"block_acf_658c8cd30fbcf\"} \/-->\n\n<!-- wp:paragraph -->\n<p><br>Additional eligibility exclusions may apply. All services must be medically necessary to earn rewards.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:heading {\"level\":3} -->\n<h3 class=\"wp-block-heading\" id=\"h-how-will-i-get-my-rewards\"><strong>How Will I Get My Rewards?<\/strong><\/h3>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p>You must be an active member of the plan to receive rewards. We\u2019ll track your progress using claims your doctor submits to verify that you completed the health activity. The first time you complete an eligible activity during a given year, we\u2019ll send you a reward certificate showing the total dollar amount you earned for completing qualified health activities. Then during the remainder of the year, you\u2019ll receive a new reward certificate for each quarter (3 months) in which you complete at least one eligible activity. A redeem by mail form will also be included so you can choose your gift card(s) or redeem online. See the schedule below for when you might expect to receive your rewards.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>The card cannot be used for gambling or to purchase alcohol, firearms, or tobacco, and it cannot be converted to cash.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>Below is a schedule of when rewards will be issued.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:table -->\n<figure class=\"wp-block-table\"><table><thead><tr><th>Period of time to complete eligible activities<\/th><th>When eligible rewards will be awarded<\/th><\/tr><\/thead><tbody><tr><td>January 1 \u2013 March 31, 2024<\/td><td>June 2024<\/td><\/tr><tr><td>April 1 \u2013 June 30, 2024<\/td><td>September 2024<\/td><\/tr><tr><td>July 1 \u2013 September 30, 2024<\/td><td>December 2024<\/td><\/tr><tr><td>October 1 \u2013 December 31, 2024<\/td><td>March 2025<\/td><\/tr><\/tbody><\/table><\/figure>\n<!-- \/wp:table -->\n\n<!-- wp:heading {\"level\":3} -->\n<h3 class=\"wp-block-heading\" id=\"h-what-s-next\">What's Next?<\/h3>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p>Going to the doctor and taking your medications can help you stay healthy. So schedule your annual wellness visit, and follow these tips to make the most of the visit:<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:list -->\n<ul><!-- wp:list-item -->\n<li>Write your questions down at home, before your appointment.<\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li>Make a list of medications, and check to see if you need any refills.<\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li>Ask your doctor what screenings you are eligible for, so you can start earning rewards!<\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li>Before you leave your doctor's office, make sure you schedule your next visit.<\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list -->\n\n<!-- wp:paragraph -->\n<p>If you have any questions, please call us at <a href=\"tel:1-866-783-1444\"><strong>1-866-783-1444<\/strong><\/a> (TTY:<a href=\"tel:711\"> <strong>711<\/strong><\/a>),7 days a week, 8 am\u20138 pm.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:acf\/faq {\"name\":\"acf\/faq\",\"data\":{\"heading\":\"Frequently Asked Questions \",\"_heading\":\"field_faq_heading\",\"is_modular\":\"0\",\"_is_modular\":\"field_faq_is_modular\",\"items_0_question\":\"How do I earn a reward? \",\"_items_0_question\":\"field_faq_items_question\",\"items_0_answer\":\"\\u003cp\\u003eComplete qualifying health activities as shown in the chart above. Speak to your provider about which health activities are right for you.\\u003c\/p\\u003e\",\"_items_0_answer\":\"field_faq_items_answer\",\"items_1_question\":\"How will I be notified about the rewards? \",\"_items_1_question\":\"field_faq_items_question\",\"items_1_answer\":\"\\u003cp\\u003eYou will receive a reward certificate in the mail showing the award value or total dollar amount you earned for completing qualified health activities. Call us, if you have any questions or need to update your address.\\u003c\/p\\u003e\",\"_items_1_answer\":\"field_faq_items_answer\",\"items_2_question\":\"How do I claim my gift card(s)?\",\"_items_2_question\":\"field_faq_items_question\",\"items_2_answer\":\"\\u003cp\\u003eFill out the mail-in redemption form at the bottom of your reward certificate or follow the instructions noted at the top of the certificate to redeem online. Note: you can split your rewards in up to (2) different retailer gift cards.\\u003c\/p\\u003e\",\"_items_2_answer\":\"field_faq_items_answer\",\"items_3_question\":\"When will I receive my reward(s)? \",\"_items_3_question\":\"field_faq_items_question\",\"items_3_answer\":\"\\u003cp\\u003eRewards will be awarded during specific timeframes. See schedule outline of when rewards will be issued, above.\\u003c\/p\\u003e\",\"_items_3_answer\":\"field_faq_items_answer\",\"items_4_question\":\"When will I receive my gift card(s)?\",\"_items_4_question\":\"field_faq_items_question\",\"items_4_answer\":\"\\u003cp\\u003ePhysical gift card(s) will be shipped within two to four weeks after selections are made. In most cases, if selected, digital gift cards will be available for use right away.\\u003c\/p\\u003e\",\"_items_4_answer\":\"field_faq_items_answer\",\"items_5_question\":\"I think I earned a reward this year, but have not received a reward certificate?\",\"_items_5_question\":\"field_faq_items_question\",\"items_5_answer\":\"\\u003cp\\u003eTo double check if you\u2019ve earned a reward or if you have any other questions, please call \\u003ca href=\\u0022tel:1-866-601-5927\\u0022\\u003e\\u003cstrong\\u003e1-866-601-5927\\u003c\/strong\\u003e\\u003c\/a\\u003e.\\u003c\/p\\u003e\",\"_items_5_answer\":\"field_faq_items_answer\",\"items_6_question\":\"Do gift cards have an expiration date?\",\"_items_6_question\":\"field_faq_items_question\",\"items_6_answer\":\"\\u003cp\\u003eYes. Gift cards will expire within thirteen months from the date card is issued. Be sure to use your card(s) before then.\\u003c\/p\\u003e\",\"_items_6_answer\":\"field_faq_items_answer\",\"items\":7,\"_items\":\"field_faq_items\",\"id\":\"block_acf_658c8cd30fcfd\"},\"mode\":\"edit\",\"id\":\"block_acf_658c8cd30fcfd\"} \/-->\n\n<!-- wp:paragraph -->\n<p><em><br><\/em><\/p>\n<!-- \/wp:paragraph -->",
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"post_date": "2021-12-01 18:07:19",
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"post_content": "<!-- wp:heading {\"level\":3} -->\n<h3 id=\"h-we-reward-you-so-you-can-reward-yourself\">We reward you, so <em>you<\/em> can reward yourself! <\/h3>\n<!-- \/wp:heading -->\n\n<!-- wp:columns -->\n<div class=\"wp-block-columns\"><!-- wp:column {\"width\":\"66.66%\"} -->\n<div class=\"wp-block-column\" style=\"flex-basis:66.66%\"><!-- wp:paragraph -->\n<p>As member of VNSNY CHOICE EasyCare (HMO), you\u2019re automatically enrolled in our Healthy CHOICE Healthy You rewards program. You can earn rewards for completing certain health activities, like seeing your doctor, or getting recommended screenings. Earn $25 for each health activity you complete.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>You can earn rewards by completing the qualifying activities below:<\/p>\n<!-- \/wp:paragraph --><\/div>\n<!-- \/wp:column -->\n\n<!-- wp:column {\"width\":\"33.33%\"} -->\n<div class=\"wp-block-column\" style=\"flex-basis:33.33%\"><!-- wp:image {\"id\":10034,\"sizeSlug\":\"large\",\"linkDestination\":\"none\"} -->\n<figure class=\"wp-block-image size-large\"><img src=\"https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2021\/06\/Total_Rewards_Debit_MasterCard_from_CHOICE_6.1.2.jpg\" alt=\"\" class=\"wp-image-10034\"\/><\/figure>\n<!-- \/wp:image --><\/div>\n<!-- \/wp:column --><\/div>\n<!-- \/wp:columns -->\n\n<!-- wp:acf\/benefit-table {\"name\":\"acf\/benefit-table\",\"data\":{\"show_table_heading\":\"0\",\"_show_table_heading\":\"field_benefit-table_show_table_heading\",\"column_headings_col_1\":\"Health Activity\",\"_column_headings_col_1\":\"field_benefit-table_column_headings_col_1\",\"column_headings_col_2\":\"Eligibility Criteria\",\"_column_headings_col_2\":\"field_benefit-table_column_headings_col_2\",\"column_headings_col_3\":\"Value\",\"_column_headings_col_3\":\"field_benefit-table_column_headings_col_3\",\"column_headings_col_4\":\"Amount\",\"_column_headings_col_4\":\"field_benefit-table_column_headings_col_4\",\"column_headings\":\"\",\"_column_headings\":\"field_benefit-table_column_headings\",\"rows_0_icon\":20356,\"_rows_0_icon\":\"field_benefit-table_rows_icon\",\"rows_0_benefit-table_col_1\":\"\\u003cp\\u003eMammogram\\u003c\/p\\u003e\",\"_rows_0_benefit-table_col_1\":\"field_benefit-table_rows_benefit-table_col_1\",\"rows_0_benefit-table_col_2\":\"\\u003cp\\u003eFemales ages 50\u201374, as medically necessary.\\u003c\/p\\u003e\",\"_rows_0_benefit-table_col_2\":\"field_benefit-table_rows_benefit-table_col_2\",\"rows_0_benefit-table_col_3\":\"\\u003cp\\u003e$25\\u003c\/p\\u003e\",\"_rows_0_benefit-table_col_3\":\"field_benefit-table_rows_benefit-table_col_3\",\"rows_0_benefit-table_col_4\":\"\\u003cp\\u003eOnce per year\\u003c\/p\\u003e\",\"_rows_0_benefit-table_col_4\":\"field_benefit-table_rows_benefit-table_col_4\",\"rows_1_icon\":\"\",\"_rows_1_icon\":\"field_benefit-table_rows_icon\",\"rows_1_benefit-table_col_1\":\"\\u003cp\\u003eColon cancer screening\\u003c\/p\\u003e\",\"_rows_1_benefit-table_col_1\":\"field_benefit-table_rows_benefit-table_col_1\",\"rows_1_benefit-table_col_2\":\"\\u003cp\\u003eAdults ages 50\u201375, as medically necessary.\\u003c\/p\\u003e\",\"_rows_1_benefit-table_col_2\":\"field_benefit-table_rows_benefit-table_col_2\",\"rows_1_benefit-table_col_3\":\"\\u003cp\\u003e$25\\u003c\/p\\u003e\",\"_rows_1_benefit-table_col_3\":\"field_benefit-table_rows_benefit-table_col_3\",\"rows_1_benefit-table_col_4\":\"\\u003cp\\u003eOnce per year\\u003c\/p\\u003e\",\"_rows_1_benefit-table_col_4\":\"field_benefit-table_rows_benefit-table_col_4\",\"rows_2_icon\":\"\",\"_rows_2_icon\":\"field_benefit-table_rows_icon\",\"rows_2_benefit-table_col_1\":\"\\u003cp\\u003eStatin treatment for\\u003cbr \/\\u003e\\r\\ncardiovascular disease\\u003c\/p\\u003e\",\"_rows_2_benefit-table_col_1\":\"field_benefit-table_rows_benefit-table_col_1\",\"rows_2_benefit-table_col_2\":\"\\u003cp\\u003eMales ages 21\u201375, and females ages 40\u201375, as medically necessary.\\u003c\/p\\u003e\",\"_rows_2_benefit-table_col_2\":\"field_benefit-table_rows_benefit-table_col_2\",\"rows_2_benefit-table_col_3\":\"\\u003cp\\u003e$25\\u003c\/p\\u003e\",\"_rows_2_benefit-table_col_3\":\"field_benefit-table_rows_benefit-table_col_3\",\"rows_2_benefit-table_col_4\":\"\\u003cp\\u003eOnce per year\\u003c\/p\\u003e\",\"_rows_2_benefit-table_col_4\":\"field_benefit-table_rows_benefit-table_col_4\",\"rows_3_icon\":\"\",\"_rows_3_icon\":\"field_benefit-table_rows_icon\",\"rows_3_benefit-table_col_1\":\"\\u003cp\\u003eHemoglobin A1c reading\\u003cbr \/\\u003e\\r\\nfor diabetes\\u003c\/p\\u003e\",\"_rows_3_benefit-table_col_1\":\"field_benefit-table_rows_benefit-table_col_1\",\"rows_3_benefit-table_col_2\":\"\\u003cp\\u003eAdults ages 18\u201375, as medically necessary.\\u003cbr \/\\u003e\\r\\nReward will be based on the final reading of the year.\\u003c\/p\\u003e\",\"_rows_3_benefit-table_col_2\":\"field_benefit-table_rows_benefit-table_col_2\",\"rows_3_benefit-table_col_3\":\"\\u003cp\\u003e$25\\u003c\/p\\u003e\",\"_rows_3_benefit-table_col_3\":\"field_benefit-table_rows_benefit-table_col_3\",\"rows_3_benefit-table_col_4\":\"\\u003cp\\u003eOnce per year\\u003c\/p\\u003e\",\"_rows_3_benefit-table_col_4\":\"field_benefit-table_rows_benefit-table_col_4\",\"rows_4_icon\":\"\",\"_rows_4_icon\":\"field_benefit-table_rows_icon\",\"rows_4_benefit-table_col_1\":\"\\u003cp\\u003eRetinal eye exam for diabetes\\u003c\/p\\u003e\",\"_rows_4_benefit-table_col_1\":\"field_benefit-table_rows_benefit-table_col_1\",\"rows_4_benefit-table_col_2\":\"\\u003cp\\u003eAdults ages 18\u201375, as medically necessary.\\u003c\/p\\u003e\",\"_rows_4_benefit-table_col_2\":\"field_benefit-table_rows_benefit-table_col_2\",\"rows_4_benefit-table_col_3\":\"\\u003cp\\u003e$25\\u003c\/p\\u003e\",\"_rows_4_benefit-table_col_3\":\"field_benefit-table_rows_benefit-table_col_3\",\"rows_4_benefit-table_col_4\":\"\\u003cp\\u003eOnce per year\\u003c\/p\\u003e\",\"_rows_4_benefit-table_col_4\":\"field_benefit-table_rows_benefit-table_col_4\",\"rows_5_icon\":\"\",\"_rows_5_icon\":\"field_benefit-table_rows_icon\",\"rows_5_benefit-table_col_1\":\"\\u003cp\\u003eBlood pressure reading for hypertension\\u003c\/p\\u003e\",\"_rows_5_benefit-table_col_1\":\"field_benefit-table_rows_benefit-table_col_1\",\"rows_5_benefit-table_col_2\":\"\\u003cp\\u003eAdults ages 18-85, as medically necessary.\\u003cbr \/\\u003e\\r\\nReward will be based on the final reading of the year.\\u003c\/p\\u003e\",\"_rows_5_benefit-table_col_2\":\"field_benefit-table_rows_benefit-table_col_2\",\"rows_5_benefit-table_col_3\":\"\\u003cp\\u003e$25\\u003c\/p\\u003e\",\"_rows_5_benefit-table_col_3\":\"field_benefit-table_rows_benefit-table_col_3\",\"rows_5_benefit-table_col_4\":\"\\u003cp\\u003eOnce per year\\u003c\/p\\u003e\",\"_rows_5_benefit-table_col_4\":\"field_benefit-table_rows_benefit-table_col_4\",\"rows_6_icon\":\"\",\"_rows_6_icon\":\"field_benefit-table_rows_icon\",\"rows_6_benefit-table_col_1\":\"\\u003cp\\u003eFlu shot\\u003c\/p\\u003e\",\"_rows_6_benefit-table_col_1\":\"field_benefit-table_rows_benefit-table_col_1\",\"rows_6_benefit-table_col_2\":\"\\u003cp\\u003eAll members are eligible.\\u003c\/p\\u003e\",\"_rows_6_benefit-table_col_2\":\"field_benefit-table_rows_benefit-table_col_2\",\"rows_6_benefit-table_col_3\":\"\\u003cp\\u003e$25\\u003c\/p\\u003e\",\"_rows_6_benefit-table_col_3\":\"field_benefit-table_rows_benefit-table_col_3\",\"rows_6_benefit-table_col_4\":\"\\u003cp\\u003eOnce per year\\u003c\/p\\u003e\",\"_rows_6_benefit-table_col_4\":\"field_benefit-table_rows_benefit-table_col_4\",\"rows_7_icon\":\"\",\"_rows_7_icon\":\"field_benefit-table_rows_icon\",\"rows_7_benefit-table_col_1\":\"\\u003cp\\u003eAnnual wellness visit\\u003c\/p\\u003e\",\"_rows_7_benefit-table_col_1\":\"field_benefit-table_rows_benefit-table_col_1\",\"rows_7_benefit-table_col_2\":\"\\u003cp\\u003eAll members are eligible.\\u003c\/p\\u003e\",\"_rows_7_benefit-table_col_2\":\"field_benefit-table_rows_benefit-table_col_2\",\"rows_7_benefit-table_col_3\":\"\\u003cp\\u003e$25\\u003c\/p\\u003e\",\"_rows_7_benefit-table_col_3\":\"field_benefit-table_rows_benefit-table_col_3\",\"rows_7_benefit-table_col_4\":\"\\u003cp\\u003eOnce per year\\u003c\/p\\u003e\",\"_rows_7_benefit-table_col_4\":\"field_benefit-table_rows_benefit-table_col_4\",\"rows\":8,\"_rows\":\"field_benefit-table_rows\"},\"mode\":\"edit\"} \/-->\n\n<!-- wp:paragraph -->\n<p><br>Additional eligibility exclusions may apply. <\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:heading {\"level\":3} -->\n<h3 id=\"h-how-will-i-get-my-rewards\"><strong>How will I get my rewards?<\/strong><\/h3>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p>You must be an active member of the plan to receive rewards. We\u2019ll track your progress using claims your doctor submits to verify that you completed the health activity. The first time you complete an eligible activity during the year, we\u2019ll send you a reloadable MasterCard gift card as a reward. Hold onto it! Up to three times a year, we will reload the card with the reward dollar amounts you earn for completing more health activities. <\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>You won't need a Personal Identification Number (PIN) to get your rewards, but you will need to activate the card. Follow the instructions on the information you received with the card, or if you need help, call your Care Team.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>The gift card cannot be used for gambling, or to purchase alcohol, firearms, or tobacco, and cannot be converted to cash.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>Below is a schedule of when rewards will be issued in 2022. <\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:table -->\n<figure class=\"wp-block-table\"><table><thead><tr><th>Period of time to complete eligible activities<\/th><th>Period of time when eligible rewards will be loaded to gift cards <\/th><\/tr><\/thead><tbody><tr><td>January 1, 2022\u2013March 31, 2022<\/td><td>June 2022<\/td><\/tr><tr><td>April 1, 2022\u2013June 30, 2022<\/td><td>September 2022<\/td><\/tr><tr><td>July 1, 2022\u2013September 30, 2022<\/td><td>December 2022<\/td><\/tr><tr><td>October 1, 2022\u2013December 31, 2022<\/td><td>March 2023<\/td><\/tr><\/tbody><\/table><\/figure>\n<!-- \/wp:table -->\n\n<!-- wp:heading {\"level\":3} -->\n<h3 id=\"h-what-s-next\">What's next?<\/h3>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p>Make sure you schedule your annual wellness visit, and ask your doctor what screenings are right for you, so you can start earning rewards! If you have any questions, please call us at <a href=\"tel:1-866-783-1444\">1-866-783-1444<\/a>, 7 days a week, 8 am\u20138 pm (TTY users, call:<a href=\"tel:711\"> 711<\/a>).<em><br><\/em><\/p>\n<!-- \/wp:paragraph -->",
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"post_date": "2020-07-29 21:40:11",
"post_date_gmt": "2020-07-29 21:40:11",
"post_content": "<!-- wp:paragraph -->\n<p>VNS Health Total (HMO D-SNP) members often ask these questions about benefits and services. If you don\u2019t see an answer to your question here, please call us at <a href=\"tel:1-866-783-1444\"><strong>1-866-783-1444<\/strong><\/a> (TTY: <a href=\"tel:711\"><strong>711<\/strong><\/a>), 7 days a week, 8 am\u20138 pm. We\u2019re here to help! <\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:acf\/faq {\"name\":\"acf\/faq\",\"data\":{\"heading\":\"Contacting Us\",\"_heading\":\"field_faq_heading\",\"is_modular\":\"0\",\"_is_modular\":\"field_faq_is_modular\",\"items_0_question\":\"What information will I need when I call my Care Team?\",\"_items_0_question\":\"field_faq_items_question\",\"items_0_answer\":\"\\u003cp\\u003eTo protect your privacy, we will always ask you to provide three pieces of information to identify yourself. You can use any three of the following:\\u003c\/p\\u003e\\r\\n\\u003cul\\u003e\\r\\n\\t\\u003cli\\u003eTotal member ID number\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eFirst and last name\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eDate of birth\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eFull address\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003ePhone number\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eNew York Medicaid ID number\\u003c\/li\\u003e\\r\\n\\u003c\/ul\\u003e\",\"_items_0_answer\":\"field_faq_items_answer\",\"items_1_question\":\"How can I appoint someone to act on my behalf?\",\"_items_1_question\":\"field_faq_items_question\",\"items_1_answer\":\"\\u003cp\\u003eYou may appoint a relative, friend, attorney, or anyone else whom you trust to act on your behalf. A representative who is appointed by the court or who is active in accordance with state law may also file an appeal or a grievance for you. To appoint a representative, you must complete an \\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2022\/01\/Appointment-of-Representative-form_CMS-1696-English.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noopener\\u0022\\u003eAppointment of Representative\\u003c\/a\\u003e form.\\u003c\/p\\u003e\",\"_items_1_answer\":\"field_faq_items_answer\",\"items_2_question\":\"How can I give others access to my health information?\",\"_items_2_question\":\"field_faq_items_question\",\"items_2_answer\":\"\\u003cp\\u003eTo protect your privacy, we need your permission before we allow anyone else access to your health information. There are three ways that you can authorize a family member or friend to serve as your representative with access to information about your care and services.\\u003c\/p\\u003e\\r\\n\\u003col\\u003e\\r\\n\\t\\u003cli\\u003eCheck your online account anytime at \\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/account\/\\u0022\\u003evnshealthplans.org\/account\\u003c\/a\\u003e or call us toll free at: \\u003cstrong\\u003e\\u003ca href=\\u0022tel:1-866-783-1444\\u0022\\u003e1-866-783-1444\\u003c\/a\\u003e\\u003c\/strong\\u003e (TTY: \\u003cstrong\\u003e\\u003ca href=\\u0022tel:711\\u0022\\u003e711\\u003c\/a\\u003e\\u003c\/strong\\u003e) with your authorized representative, and give verbal authorization. Your authorization will be valid for 14 days from the date of the call.\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eIf you want someone to see all your information, you can download this Authorization for Release of Health Information Pursuant to HIPAA form (\\u003cspan style=\\u0022text-decoration: underline;\\u0022\\u003e\\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2020\/07\/Auth-Release-Health-Info-HIPAA_Eng.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noopener\\u0022\\u003eEnglish\\u003c\/a\\u003e\\u003c\/span\\u003e, \\u003cspan style=\\u0022text-decoration: underline;\\u0022\\u003e\\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2020\/07\/Auth-Release-Health-Info-HIPAA_Sp.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noopener\\u0022\\u003eSpanish\\u003c\/a\\u003e\\u003c\/span\\u003e, \\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2020\/07\/Auth-ReleaseHealth-Info-HIPAA_Ch.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noopener\\u0022\\u003e\\u003cspan style=\\u0022text-decoration: underline;\\u0022\\u003eChinese\\u003c\/span\\u003e\\u003c\/a\\u003e). Fill out the form, and send it back to us for processing. Or call us, and we will mail you a form to fill out and return.\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eIf you want to allow someone to see just some of your information, write a letter saying that you give your permission to that person to speak on your behalf. Tell us their name, their relationship to you, and the sort of information you are allowing them to see. Send the letter to us for processing at this address:\\u003cbr \/\\u003e\\r\\nVNS Health \\u003cbr \/\\u003e\\r\\nHealth Plans - Care Team\\u003cbr \/\\u003e\\r\\n220 East 42nd Street\\u003cbr \/\\u003e\\r\\nNew York, NY 10017\\u003c\/li\\u003e\\r\\n\\u003c\/ol\\u003e\",\"_items_2_answer\":\"field_faq_items_answer\",\"items_3_question\":\"What if my address or telephone number changes? Can I keep my plan if I move?\",\"_items_3_question\":\"field_faq_items_question\",\"items_3_answer\":\"\\u003cp\\u003eIf your home address or other contact information changes, please call us. You will also need to notify your local department of social services of your new contact information. To find the number for your local office, visit the\u00a0\\u003ca class=\\u0022exitNotifierLink\\u0022 href=\\u0022https:\/\/www.health.ny.gov\/health_care\/medicaid\/ldss.htm\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noopener\\u0022\\u003eNew York State Department of Social Services\\u003c\/a\\u003e\u00a0website.\\u003c\/p\\u003e\\r\\n\\u003cp\\u003eIf your new address is within our service area, your coverage will not be affected.\\u003c\/p\\u003e\\r\\n\\u003cp\\u003eIf you move outside of our service area, you may no longer be eligible for our plan, in which case you would be disenrolled. \\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/our-plans\/vns-health-total\/service-area\/\\u0022\\u003e\\u003cspan class=\\u0022TrackChangeTextInsertion TrackedChange TrackChangeHoverSelectColorBlue SCXW105558806 BCX9\\u0022\\u003e\\u003cspan class=\\u0022FieldRange SCXW105558806 BCX9\\u0022\\u003e\\u003cspan class=\\u0022TextRun Underlined SCXW105558806 BCX9\\u0022 lang=\\u0022EN-US\\u0022 xml:lang=\\u0022EN-US\\u0022 data-contrast=\\u0022none\\u0022\\u003e\\u003cspan class=\\u0022NormalTextRun TrackChangeHoverSelectHighlightBlue SCXW105558806 BCX9\\u0022 data-ccp-charstyle=\\u0022Hyperlink\\u0022\\u003eSee the counties we s\\u003c\/span\\u003e\\u003c\/span\\u003e\\u003c\/span\\u003e\\u003cspan class=\\u0022TextRun Underlined SCXW105558806 BCX9\\u0022 lang=\\u0022EN-US\\u0022 xml:lang=\\u0022EN-US\\u0022 data-contrast=\\u0022none\\u0022\\u003e\\u003cspan class=\\u0022NormalTextRun TrackChangeHoverSelectHighlightBlue SCXW105558806 BCX9\\u0022 data-ccp-charstyle=\\u0022Hyperlink\\u0022\\u003eerve\\u003c\/span\\u003e\\u003c\/span\\u003e\\u003c\/span\\u003e\\u003cspan class=\\u0022TrackChangeTextDeletionMarker TrackedChange TrackChangeHoverSelectColorBlue SCXW105558806 BCX9\\u0022\\u003e\\u003cspan class=\\u0022TrackedChange SCXW105558806 BCX9\\u0022\\u003e\\u003cspan class=\\u0022TextRun Highlight SCXW105558806 BCX9\\u0022 lang=\\u0022EN-US\\u0022 xml:lang=\\u0022EN-US\\u0022 data-contrast=\\u0022none\\u0022\\u003e\\u003cspan class=\\u0022NormalTextRun TrackChangeTextDeletion TrackChangeHoverSelectHighlightBlue SCXW105558806 BCX9\\u0022 data-ccp-parastyle=\\u0022Body Text\\u0022\\u003e.\\u003c\/span\\u003e\\u003c\/span\\u003e\\u003c\/span\\u003e\\u003c\/span\\u003e\\u003c\/a\\u003e\\u003c\/p\\u003e\",\"_items_3_answer\":\"field_faq_items_answer\",\"items_4_question\":\"How can I stop my services if I\u2019m going to be away from home for a while?\",\"_items_4_question\":\"field_faq_items_question\",\"items_4_answer\":\"\\u003cp\\u003eIf you need your services put on hold because you will not be at home \u2014 for example, if you go away on vacation or have to go into the hospital \u2014 please contact us. To suspend your home health aide services while you're away, please contact the agency that provides your aide.\\u003c\/p\\u003e\",\"_items_4_answer\":\"field_faq_items_answer\",\"items_5_question\":\"How can I change my home health aide?\",\"_items_5_question\":\"field_faq_items_question\",\"items_5_answer\":\"\\u003cp\\u003eIf you are dissatisfied with the quality of care you get from your aide, please contact their home care agency. If you are dissatisfied with the agency, please call us.\\u003c\/p\\u003e\",\"_items_5_answer\":\"field_faq_items_answer\",\"items_6_question\":\"What is Medicaid spenddown?\",\"_items_6_question\":\"field_faq_items_question\",\"items_6_answer\":\"\\u003cp\\u003eSome New Yorkers with monthly incomes above the Medicaid limit can be eligible for Medicaid in certain circumstances. The amount above the Medicaid level is called spenddown \u2014 also known as surplus or \u201cexcess income\u201d \u2014 because it must be \u201cspent down\u201d in order to meet the income level requirement for Medicaid. You may receive a bill for this monthly amount, or it may be covered in some other way. Talk to your \\u003ca href=\\u0022https:\/\/www.health.ny.gov\/health_care\/medicaid\/ldss.htm\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noreferrer noopener\\u0022\\u003elocal social services department\\u003c\/a\\u003e for more information. Or call us, and ask to speak with a Medicaid eligibility specialist.\\u003c\/p\\u003e\",\"_items_6_answer\":\"field_faq_items_answer\",\"items_7_question\":\"How do I pay my Medicaid spenddown?\",\"_items_7_question\":\"field_faq_items_question\",\"items_7_answer\":\"\\u003cp\\u003eThere are a couple of ways to pay your Medicaid spenddown.\\u003c\/p\\u003e\\r\\n\\u003cul\\u003e\\r\\n\\t\\u003cli\\u003eOne way is online through our partner, InstaMed. It is fast, easy, and secure. You can pick the way you want to pay (credit card, debit card, or bank account). You can also view your payment history and receipts, and set up automatic payments. Visit \\u003ca href=\\u0022https:\/\/pay.instamed.com\/Form\/PaymentPortal\/Default?id=vnshealthplans\\u0022\\u003evnshealthplans.org\/paybill\\u003c\/a\\u003e on your phone, computer, or laptop to get started.\\u003cbr \/\\u003e\\r\\n\\u003cbr \/\\u003e\\r\\n\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eOr you can send us the payment by mail. When you receive a bill for your spenddown, a pre-paid envelope will be included with the statement. Use the envelope to mail us your payment. Include the payment stub from the statement so we can credit your account. If you no longer have the envelope, please use the address below.\\u003c\/li\\u003e\\r\\n\\u003c\/ul\\u003e\\r\\n\\u003ccenter\\u003eVNS Health Total\\u003cbr \/\\u003e\\r\\nPO Box 8700\\u003cbr \/\\u003e\\r\\nNew York, NY 10117\\u003c\/center\\u003e\",\"_items_7_answer\":\"field_faq_items_answer\",\"items_8_question\":\"I have a question about my Medicaid spenddown. Who can I contact?\",\"_items_8_question\":\"field_faq_items_question\",\"items_8_answer\":\"\\u003cp\\u003eIf you have any questions about your spenddown, please call:\\u003cbr \/\\u003e\\r\\n\\u003ca href=\\u0022tel:1-877-357-8544\\u0022\\u003e\\u003cstrong\\u003e1-877-357-8544\\u003c\/strong\\u003e\\u003c\/a\\u003e (TTY: 711) Monday \u2013 Friday, 9 am \u2013 4:30 pm.\\u003c\/p\\u003e\",\"_items_8_answer\":\"field_faq_items_answer\",\"items_9_question\":\"Where can I get help creating or using an InstaMed account?\",\"_items_9_question\":\"field_faq_items_question\",\"items_9_answer\":\"\\u003cp\\u003eIf you have any questions about using InstaMed, please call:\\u003cbr \/\\u003e\\r\\n\\u003ca href=\\u0022tel:1-877-357-8544\\u0022\\u003e\\u003cstrong\\u003e1-877-357-8544\\u003c\/strong\\u003e\\u003c\/a\\u003e (TTY: 711) Monday \u2013 Friday, 9 am \u2013 4:30 pm.\\u003c\/p\\u003e\",\"_items_9_answer\":\"field_faq_items_answer\",\"items\":10,\"_items\":\"field_faq_items\",\"id\":\"block_acf_6616b7c8de2d5\"},\"mode\":\"edit\",\"id\":\"block_acf_6616b7c8de2d5\"} \/-->\n\n<!-- wp:acf\/faq {\"name\":\"acf\/faq\",\"data\":{\"heading\":\"My Coverage\",\"_heading\":\"field_faq_heading\",\"is_modular\":\"0\",\"_is_modular\":\"field_faq_is_modular\",\"items_0_question\":\"How can I find a provider (doctor, specialist, or pharmacy) in the plan network?\",\"_items_0_question\":\"field_faq_items_question\",\"items_0_answer\":\"\\u003cp\\u003eUse our online \\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/find-a-doctor\/\\u0022\\u003eProvider Search tool\\u003c\/a\\u003e. Or you can find a list of providers in the Provider \\u0026amp; Pharmacy Directory. If you need help identifying a provider who meets your needs, you can also contact your Care Team.\\u003c\/p\\u003e\",\"_items_0_answer\":\"field_faq_items_answer\",\"items_1_question\":\"How can I change my primary care physician (my doctor)?\",\"_items_1_question\":\"field_faq_items_question\",\"items_1_answer\":\"\\u003cp\\u003eCheck your online account anytime at \\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/account\/\\u0022\\u003evnshealthplans.org\/account\\u003c\/a\\u003e or call us toll free at: \\u003cstrong\\u003e\\u003ca href=\\u0022tel:1-866-783-1444\\u0022\\u003e1-866-783-1444\\u003c\/a\\u003e\\u003c\/strong\\u003e (TTY: \\u003cstrong\\u003e\\u003ca href=\\u0022tel:711\\u0022\\u003e711\\u003c\/a\\u003e\\u003c\/strong\\u003e). If you have already chosen a new doctor, give our representative the doctor's name. Once they confirm that the doctor is in our network, we\u2019ll send you a new member ID card.\\u003c\/p\\u003e\\r\\n\\u003cp\\u003eIf you have not chosen a new doctor, you can find one using our online \\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/find-a-doctor\/\\u0022\\u003eProvider Search tool\\u003c\/a\\u003e.\\u003c\/p\\u003e\",\"_items_1_answer\":\"field_faq_items_answer\",\"items_2_question\":\"How can I check to see if a service has been authorized?\",\"_items_2_question\":\"field_faq_items_question\",\"items_2_answer\":\"\\u003cp\\u003eIf you have any questions or concerns about getting authorizations for medical services, check your online account anytime at \\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/account\/\\u0022\\u003evnshealthplans.org\/account\\u003c\/a\\u003e or call us toll free at: \\u003cstrong\\u003e\\u003ca href=\\u0022tel:1-866-783-1444\\u0022\\u003e1-866-783-1444\\u003c\/a\\u003e\\u003c\/strong\\u003e (TTY: \\u003cstrong\\u003e\\u003ca href=\\u0022tel:711\\u0022\\u003e711\\u003c\/a\\u003e\\u003c\/strong\\u003e).\\u003c\/p\\u003e\",\"_items_2_answer\":\"field_faq_items_answer\",\"items_3_question\":\"I got a bill for something I thought you would cover. What should I do?\",\"_items_3_question\":\"field_faq_items_question\",\"items_3_answer\":\"\\u003cp\\u003eContact us. Please have the bill with you when you call, because we will ask for specific information found on the bill. We will work with you and your doctor to clarify the bill and determine whether you may be responsible for any charges.\\u003c\/p\\u003e\",\"_items_3_answer\":\"field_faq_items_answer\",\"items_4_question\":\"Why am I getting an Explanation of Benefits?\",\"_items_4_question\":\"field_faq_items_question\",\"items_4_answer\":\"\\u003cp\\u003eFrom time to time, you may receive in the mail something from us called an \\u003cstrong\\u003eExplanation of Benefits (EOB)\\u003c\/strong\\u003e. This is a report for your records about the medical services and prescription medications your plan has paid for you. The EOB will also note whether you paid out of your own pocket or whether you owe anything for any services or medications.\\u003c\/p\\u003e\\r\\n\\u003cp\\u003e\\u003cstrong\\u003eThe EOB is not a bill. \\u003c\/strong\\u003eIt is purely for your information to help you understand how your medical costs are being covered during the year.\u00a0\\u003c\/p\\u003e\\r\\n\\u003cp\\u003eIf you notice any inaccuracies, or if you have other questions about your EOB, please talk to your Care Team.\\u003c\/p\\u003e\",\"_items_4_answer\":\"field_faq_items_answer\",\"items_5_question\":\"Where can I find out more about the hospice and palliative care services that are available to me? \",\"_items_5_question\":\"field_faq_items_question\",\"items_5_answer\":\"\\u003cp\\u003eHospice and palliative care focus on improving quality of life for people with serious and terminal illnesses and are provided by health professionals who are expert in these types of care. \\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/comfort-care-options-for-vns-health-medicare-members\/\\u0022\\u003eLearn about how hospice and palliative care can help you and your family get the support and comfort you need\\u003c\/a\\u003e.\\u003c\/p\\u003e\",\"_items_5_answer\":\"field_faq_items_answer\",\"items\":6,\"_items\":\"field_faq_items\",\"id\":\"block_acf_6616b7c8de3dd\"},\"mode\":\"edit\",\"id\":\"block_acf_6616b7c8de3dd\"} \/-->\n\n<!-- wp:acf\/faq {\"name\":\"acf\/faq\",\"data\":{\"heading\":\"My OTC and Grocery Card\",\"_heading\":\"field_faq_heading\",\"is_modular\":\"0\",\"_is_modular\":\"field_faq_is_modular\",\"items_0_question\":\"How do I find out how much money is on my OTC and Grocery Card?\",\"_items_0_question\":\"field_faq_items_question\",\"items_0_answer\":\"\\u003cp\\u003eYou can check your balance online anytime at \\u003ca href=\\u0022https:\/\/www.mybenefitscenter.com\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noopener\\u0022\\u003emybenefitscenter.com\\u003c\/a\\u003e. Once on the site, you will be asked to enter your 19-digit OTC and Grocery Card number. On the next screen, you will be asked to enter your member ID number to log in and check your balance.\\u003c\/p\\u003e\\r\\n\\u003cp\\u003eYou can also check your balance by calling our partner, Convey at\\u003ca href=\\u0022tel:18558585937\\u0022\\u003e\\u003cstrong\\u003e 1-855-858-5937\\u003c\/strong\\u003e\\u003c\/a\\u003e (TTY: 711) Monday \u2013 Friday, 8 am \u2013 11 pm.\\u003c\/p\\u003e\",\"_items_0_answer\":\"field_faq_items_answer\",\"items_1_question\":\"Can I order OTC items for home delivery? \",\"_items_1_question\":\"field_faq_items_question\",\"items_1_answer\":\"\\u003cp\\u003eYes. There are two ways you can order OTC items for home delivery.\\u003c\/p\\u003e\\r\\n\\u003cul\\u003e\\r\\n\\t\\u003cli\\u003eOrder by phone \u2013 If you would like to place your order over the phone, call our partner Convey at 1-855-858-5937 (TTY: 711), Monday \u2013 Friday from 8 am to 11 pm EST. You will need to order from the \\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2023\/10\/2024_Total_ECP_OTC_Grocery_Catalog-1.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noopener\\u0022\\u003eOver-the-Counter (OTC) and Grocery Program Catalog\\u003c\/a\\u003e and have your item number(s) ready when you call.\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eOrder Online \u2013 Visit\u00a0\\u003ca href=\\u0022https:\/\/mybenefitscenter.com\/\\u0022\\u003emybenefitscenter.com\\u003c\/a\\u003e. Have your Total member ID card ready and follow the simple instructions provided on the site.\\u003c\/li\\u003e\\r\\n\\u003c\/ul\\u003e\\r\\n\\u003cp\\u003eYour items will be delivered at no cost to you and you generally can expect to receive your order in 5 to 7 business days. You do not need to use your full OTC and Grocery Card balance at one time, but remember that your OTC and Grocery Card balance does not carry over from month to month.\\u003c\/p\\u003e\",\"_items_1_answer\":\"field_faq_items_answer\",\"items\":2,\"_items\":\"field_faq_items\",\"id\":\"block_acf_6616b7c8de425\"},\"mode\":\"edit\",\"id\":\"block_acf_6616b7c8de425\"} \/-->\n\n<!-- wp:acf\/faq {\"name\":\"acf\/faq\",\"data\":{\"heading\":\"Referring Someone to Total\",\"_heading\":\"field_faq_heading\",\"is_modular\":\"0\",\"_is_modular\":\"field_faq_is_modular\",\"items_0_question\":\"I know someone who could benefit from your services. How can I refer them?\",\"_items_0_question\":\"field_faq_items_question\",\"items_0_answer\":\"\\u003cp\\u003eThat\u2019s great! Please tell them to call us at \\u003cstrong\\u003e\\u003ca href=\\u0022tel:1-855-216-8307\\u0022\\u003e1-855-216-8307\\u003c\/a\\u003e\\u003c\/strong\\u003e (TTY: \\u003cstrong\\u003e\\u003ca href=\\u0022tel:1-800-662-1220\\u0022\\u003e1-800-662-1220\\u003c\/a\\u003e\\u003c\/strong\\u003e), Monday\u2013Friday, 9 am\u20135 pm. The health plan advisor can answer questions about eligibility and explain the enrollment process. For general information about the plan, tell your friend to visit \\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/\\u0022\\u003evnshealthplans.org\\u003c\/a\\u003e.\\u003c\/p\\u003e\",\"_items_0_answer\":\"field_faq_items_answer\",\"items\":1,\"_items\":\"field_faq_items\",\"id\":\"block_acf_6616b7c8de450\"},\"mode\":\"edit\",\"id\":\"block_acf_6616b7c8de450\"} \/-->",
"post_title": "Frequently Asked Questions",
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"post_date": "2020-07-28 21:01:01",
"post_date_gmt": "2020-07-28 21:01:01",
"post_content": "<!-- wp:paragraph -->\n<p>Register for your secure <a href=\"https:\/\/www.vnshealthplans.org\/account\/\">online account<\/a> to check health plan details, request a new ID card, and much more. You can also communicate with your Care Team at any time. Just like an email, you can send and receive messages that are saved all in one place.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>If you have specific questions about your plan, scroll down to see who to contact. Call the main number during business hours to get answers to general questions. <strong><a href=\"tel:18667831444\">1-866-783-1444<\/a><\/strong> TTY users, call: 711, 7 days a weeks, 8 am\u20138 pm.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p><strong>IMPORTANT: If you have an emergency and need to visit the emergency room, always call 911.<br><br><\/strong>We understand that you may need someone else to call on your behalf. To learn more about how to allow someone to represent you, visit our <a href=\"https:\/\/www.vnshealthplans.org\/for-members-vnsny-choice-total\/frequently-asked-questions\/#how-can-i-appoint-someone-to-act-on-my-behalf\">FAQs page<\/a>. <\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:acf\/faq {\"name\":\"acf\/faq\",\"data\":{\"heading\":\"\",\"_heading\":\"field_faq_heading\",\"is_modular\":\"0\",\"_is_modular\":\"field_faq_is_modular\",\"items_0_question\":\"Important information to have when calling us\",\"_items_0_question\":\"field_faq_items_question\",\"items_0_answer\":\"\\u003cp\\u003eTo protect your privacy, we will always ask you to provide three pieces of information to identify yourself. You can use any three of the following:\\u003c\/p\\u003e\\r\\n\\u003cul\\u003e\\r\\n\\t\\u003cli\\u003eTotal member ID number\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eFirst and last name\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eDate of birth\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eFull address\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003ePhone number\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eNew York Medicaid ID number\\u003c\/li\\u003e\\r\\n\\u003c\/ul\\u003e\",\"_items_0_answer\":\"field_faq_items_answer\",\"items_1_question\":\"Calling about transportation\",\"_items_1_question\":\"field_faq_items_question\",\"items_1_answer\":\"\\u003cp\\u003eTo arrange non-emergency medical transportation, you or you provider must contact the Statewide Transportation Broker, Medical Answering Services (MAS):\\u003c\/p\\u003e\\r\\n\\u003cul\\u003e\\r\\n\\t\\u003cli\\u003e\\u003ca href=\\u0022https:\/\/www.medanswering.com\/\\u0022\\u003eOnline\\u003c\/a\\u003e\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eCall 844-666-6270 (New York City, Long Island, Westchester, and Putnam counties), 24 hours a day, 7 days a week\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eCall 866-932-7740 (upstate), 24 hours a day, 7 days a week\\u003c\/li\\u003e\\r\\n\\u003c\/ul\\u003e\\r\\n\\u003cp\\u003eVisit our \\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/total-member-resources\/transportation\/\\u0022\\u003etransportation page\\u003c\/a\\u003e for more information.\u00a0\\u003c\/p\\u003e\",\"_items_1_answer\":\"field_faq_items_answer\",\"items_2_question\":\"Questions about your home health services\",\"_items_2_question\":\"field_faq_items_question\",\"items_2_answer\":\"\\u003cp\\u003e\\u003cstrong\\u003eWhen to Call Your Home Health Agency\\u003c\/strong\\u003e\\u003cbr data-rich-text-line-break=\\u0022true\\u0022 \/\\u003e\\r\\nWrite down the name and number of the agency your home health aide comes from, and keep the information handy. You\u2019ll need it when:\\u003c\/p\\u003e\\r\\n\\u003cul\\u003e\\r\\n\\t\\u003cli\\u003eYou have to change your aide\u2019s schedule \u2014 the day or time of their visit.\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eYou need to temporarily stop your home health services because of a vacation or a hospital stay.\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eYou have a problem or concern about your aide\u2019s performance.\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eYou want a different aide from the same agency.\\u003c\/li\\u003e\\r\\n\\u003c\/ul\\u003e\\r\\n\\u003cp\\u003e\\u003cstrong\\u003eWhen to Call Your Care Team\\u003c\/strong\\u003e\\u003c\/p\\u003e\\r\\n\\u003cul\\u003e\\r\\n\\t\\u003cli\\u003eYou need to temporarily stop all other services and deliveries because of a vacation or a hospital stay. (You must also call your home health agency to suspend your home health services.)\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003e\u00a0You have a problem or concern about the agency your aide comes from.\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003e\u00a0You want to change to a different home health agency.\\u003c\/li\\u003e\\r\\n\\u003c\/ul\\u003e\",\"_items_2_answer\":\"field_faq_items_answer\",\"items_3_question\":\"Questions about your pharmacy benefits\",\"_items_3_question\":\"field_faq_items_question\",\"items_3_answer\":\"\\u003cp\\u003eTo see if a medication is on the Total drug list, use this \\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/find-a-medication\/\\u0022 data-mce-href=\\u0022https:\/\/www.vnshealthplans.org\/find-a-medication\/\\u0022\\u003eonline Formulary Search tool\\u003c\/a\\u003e. To get answers to questions about pharmacy benefits, please call MedImpact at \\u003cstrong\\u003e\\u003ca href=\\u0022tel:1-888-672-7205\\u0022 data-mce-href=\\u0022tel:1-888-672-7205\\u0022\\u003e1-888-672-7205\\u003c\/a\\u003e\\u003c\/strong\\u003e (TTY: \\u003cstrong\\u003e\\u003ca href=\\u0022tel:711\\u0022 data-mce-href=\\u0022tel:711\\u0022\\u003e711\\u003c\/a\\u003e\\u003c\/strong\\u003e), 7 days a week, 24 hours a day. For more information about your pharmacy benefits, follow this link to our \\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/total-member-resources\/drug-benefits-and-resources-for-members\/\\u0022 data-mce-href=\\u0022https:\/\/www.vnshealthplans.org\/total-member-resources\/drug-benefits-and-resources-for-members\/\\u0022\\u003eDrug Benefits and Resources\\u003c\/a\\u003e page.\\u003c\/p\\u003e\",\"_items_3_answer\":\"field_faq_items_answer\",\"items_4_question\":\"Making a dental appointment\",\"_items_4_question\":\"field_faq_items_question\",\"items_4_answer\":\"\\u003cp\\u003eUse our online \\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/find-a-doctor\/\\u0022\\u003eProvider Search tool\\u003c\/a\\u003e to find an in-network dentist near you. If you have a question about dental benefits, please call Healthplex at \\u003ca href=\\u0022tel:1-800-468-9868\\u0022\\u003e\\u003cstrong\\u003e1-800-468-9868\\u003c\/strong\\u003e\\u003c\/a\\u003e (TTY: \\u003cstrong\\u003e\\u003ca href=\\u0022tel:1-800-662-1220\\u0022\\u003e1-800-662-1220\\u003c\/a\\u003e\\u003c\/strong\\u003e), Monday\u2013Friday, 8 am\u20136 pm.\\u003c\/p\\u003e\",\"_items_4_answer\":\"field_faq_items_answer\",\"items_5_question\":\"Getting vision care\",\"_items_5_question\":\"field_faq_items_question\",\"items_5_answer\":\"\\u003cp\\u003eTo get in-network vision care, please use our online \\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/find-a-doctor\/\\u0022 data-mce-href=\\u0022https:\/\/www.vnshealthplans.org\/find-a-doctor\/\\u0022\\u003eProvider Search tool\\u003c\/a\\u003e. For questions about vision benefits, please call Superior Vision at \\u003ca href=\\u0022tel:1-800-507-3800\\u0022 data-mce-href=\\u0022tel:1-800-507-3800\\u0022\\u003e\\u003cstrong\\u003e1-800-507-3800\\u003c\/strong\\u003e\\u003c\/a\\u003e (TTY: \\u003cstrong\\u003e\\u003ca href=\\u0022tel:1-800-201-7165\\u0022 data-mce-href=\\u0022tel:1-800-201-7165\\u0022\\u003e1-800-201-7165\\u003c\/a\\u003e\\u003c\/strong\\u003e), Monday\u2013Friday, 8 am\u20139 pm, and Saturdays, 11 am\u20134:30 pm.\\u003c\/p\\u003e\",\"_items_5_answer\":\"field_faq_items_answer\",\"items_6_question\":\"Help with behavioral health\",\"_items_6_question\":\"field_faq_items_question\",\"items_6_answer\":\"\\u003cp\\u003eIf you need help with an emotional or behavioral issue, please call Carelon Behavioral Health (formerly called Beacon Health Options) at \\u003cstrong\\u003e\\u003ca href=\\u0022tel:1-866-317-7773\\u0022\\u003e1-866-317-7773\\u003c\/a\\u003e\\u003c\/strong\\u003e (TTY: \\u003cstrong\\u003e\\u003ca href=\\u0022tel:1-866-835-2755\\u0022\\u003e1-866-835-2755\\u003c\/a\\u003e\\u003c\/strong\\u003e), Monday\u2013Friday, 8:30 am\u20135 pm. You can also look for a mental health provider by using our online \\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/find-a-doctor\/\\u0022\\u003eProvider Search tool\\u003c\/a\\u003e. In an emergency, always call 911.\\u003c\/p\\u003e\",\"_items_6_answer\":\"field_faq_items_answer\",\"items_7_question\":\"Questions about your Over-the-Counter and Grocery Card\",\"_items_7_question\":\"field_faq_items_question\",\"items_7_answer\":\"\\u003cp\\u003eIf you have a question about your Over-the-Counter (OTC) and Grocery Card and you can\u2019t find the answer on the \\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/total-member-resources\/otc-and-grocery-benefits\\u0022 data-mce-href=\\u0022https:\/\/www.vnshealthplans.org\/total-member-resources\/otc-and-grocery-benefits\\u0022\\u003eOTC and Grocery Benefits\\u003c\/a\\u003e page, please call us.\\u003c\/p\\u003e\",\"_items_7_answer\":\"field_faq_items_answer\",\"items_8_question\":\"Help with renewing Medicaid\",\"_items_8_question\":\"field_faq_items_question\",\"items_8_answer\":\"\\u003cp\\u003eTo get help with Medicaid recertification, you can call us. Medicaid recertification specialists are available Monday\u2013Friday, 9 am\u20135 pm.\u202f Find out more information about \\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/total-member-resources\/keeping-your-medicaid-active\/\\u0022 data-mce-href=\\u0022https:\/\/www.vnshealthplans.org\/total-member-resources\/keeping-your-medicaid-active\/\\u0022\\u003ekeeping Medicaid active\\u003c\/a\\u003e. You can also call us at \\u003ca href=\\u0022tel:1-866-783-1444\\u0022 data-mce-href=\\u0022tel:1-866-783-1444\\u0022\\u003e1-866-783-1444\\u003c\/a\\u003e (TTY: \\u003ca href=\\u0022tel:711\\u0022 data-mce-href=\\u0022tel:711\\u0022\\u003e711\\u003c\/a\\u003e).\\u003c\/p\\u003e\",\"_items_8_answer\":\"field_faq_items_answer\",\"items_9_question\":\"Ordering medical supplies\",\"_items_9_question\":\"field_faq_items_question\",\"items_9_answer\":\"\\u003cp\\u003eAs part of your health care plan, you may get a regular supply of medical items \u2014 such as undergarments and pads, catheters, rubber gloves, and glucose test strips \u2014 for your special conditions. You can keep receiving these items for as long as you need them.\u00a0\u00a0\\u003c\/p\\u003e\\r\\n\\u003cp\\u003eYour Care Team can give you the number of the supply company, and you can call them directly when you need to reorder, as long as the delivery date is at least 30 days from the date of your last order.\u00a0\\u003c\/p\\u003e\\r\\n\\u003cp\\u003e\\u0026nbsp;\\u003c\/p\\u003e\",\"_items_9_answer\":\"field_faq_items_answer\",\"items_10_question\":\"Refer a friend \",\"_items_10_question\":\"field_faq_items_question\",\"items_10_answer\":\"\\u003cp\\u003eHave a friend who could use the long-term home care services of Total? Tell them to give us a call at\u00a0\\u003cstrong\\u003e\\u003ca href=\\u0022tel:1-855-216-8307\\u0022\\u003e1-855-216-8307\\u003c\/a\\u003e\\u003c\/strong\\u003e (TTY: \\u003cstrong\\u003e\\u003ca href=\\u0022tel:1-800-662-1220\\u0022\\u003e1-800-662-1220\\u003c\/a\\u003e\\u003c\/strong\\u003e), Monday\u2013Friday, 9 am\u20135 pm. We can answer their questions and explain how to enroll.\\u003c\/p\\u003e\\r\\n\\u003cp\\u003e\\u0026nbsp;\\u003c\/p\\u003e\",\"_items_10_answer\":\"field_faq_items_answer\",\"items_11_question\":\"Scheduling an in-home flu vaccination\",\"_items_11_question\":\"field_faq_items_question\",\"items_11_answer\":\"\\u003cp\\u003eYou can get the flu shot in the comfort of your own home through our partner EMS. The vaccine is free, safe, and available. Please call \\u003ca href=\\u0022tel:5166559460\\u0022\\u003e\\u003cstrong\\u003e516-655-9460\\u003c\/strong\\u003e\\u003c\/a\\u003e Monday through Friday, 9 am to 5 pm to schedule your appointment.\\u003c\/p\\u003e\",\"_items_11_answer\":\"field_faq_items_answer\",\"items\":12,\"_items\":\"field_faq_items\",\"id\":\"block_acf_65bd3b3d9b9c9\"},\"mode\":\"edit\",\"id\":\"block_acf_65bd3b3d9b9c9\"} \/-->",
"post_title": "Getting Help from Your Total Plan",
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"post_date": "2020-08-31 22:48:46",
"post_date_gmt": "2020-08-31 22:48:46",
"post_content": "<!-- wp:paragraph -->\n<p>Starting March 1, 2024, VNS Health Total (HMO D-SNP) will no longer cover transportation as part of your benefits. This won\u2019t affect any of your other benefits. <\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p><strong>Important: If you have a medical emergency and need an ambulance, always call 911.<\/strong><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:heading {\"level\":3} -->\n<h3 class=\"wp-block-heading\" id=\"h-how-to-schedule-transportation\"><strong>How to Schedule Transportation<\/strong><\/h3>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p>To arrange non-emergency medical transportation, you or your provider must contact the Statewide Transportation Broker, Medical Answering Services (MAS): <\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:list -->\n<ul><!-- wp:list-item -->\n<li><a href=\"https:\/\/www.medanswering.com\/\">Online<\/a><\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li>Call 844-666-6270 (New York City, Long Island, Westchester, and Putnam counties), Monday\u2013Friday, 7am\u20136pm <\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li>Call 866-932-7740 (upstate), Monday\u2013Friday, 7am\u20136pm <\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list -->\n\n<!-- wp:paragraph -->\n<p><br>If you require non-emergency transportation by ambulance because of a medical condition, please call Modivcare\u00a0at<strong> 1-877-718-4220<\/strong> (TTY: <strong>711<\/strong>), 7 days a week, 8 am\u20138 pm.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>If possible, you or your provider should contact MAS at least three days before you need transportation. You should provide the following details:<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:list -->\n<ul><!-- wp:list-item -->\n<li>Appointment date, time, address<\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li>Provider\u2019s name<\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li>Medicaid identification number<\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li>Any special needs (if you use a wheelchair)<\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list -->\n\n<!-- wp:heading {\"level\":3} -->\n<h3 class=\"wp-block-heading\" id=\"h-\"><\/h3>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p>Go to the New York State <a href=\"https:\/\/gcc02.safelinks.protection.outlook.com\/?url=https%3A%2F%2Fwww.health.ny.gov%2Fhealth_care%2Fmedicaid%2Fmembers%2Fmedtrans_overview.htm&data=05%7C02%7Ckendra.muckle%40health.ny.gov%7C48edd05a3d504e10367b08dc137c14b0%7Cf46cb8ea79004d108ceb80e8c1c81ee7%7C0%7C0%7C638406670843417983%7CUnknown%7CTWFpbGZsb3d8eyJWIjoiMC4wLjAwMDAiLCJQIjoiV2luMzIiLCJBTiI6Ik1haWwiLCJXVCI6Mn0%3D%7C3000%7C%7C%7C&sdata=e5QajIriO50IcslznPe112d5dO1ZFWhIy4ZDA6y48kg%3D&reserved=0\">Department of Health Transportation page<\/a> for more information.<\/p>\n<!-- \/wp:paragraph -->",
"post_title": "Non-Emergency Transportation Now Covered by Medicaid",
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"post_date": "2021-12-30 15:52:43",
"post_date_gmt": "2021-12-30 20:52:43",
"post_content": "<!-- wp:paragraph -->\n<p>Check below for important information about the Part D Transition Process, Prior Authorizations, the Step Therapy Criteria for Part D Medicare, and the coverage determination and redetermination processes.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p><a href=\"https:\/\/www.vnshealthplans.org\/for-members-vnsny-choice-total\/frequently-asked-questions\/#what-should-i-do-if-i-need-assistance-with-applying-for-low-income-subsidies-lis\">You can also find out more about getting Extra Help with your prescription drug coverage<\/a>.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:acf\/resources {\"name\":\"acf\/resources\",\"data\":{\"resource_groups_0_heading\":\"Prescription Drug 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"post_content": "<!-- wp:paragraph -->\n<p>If you have questions or want a printed copy of any of the VNS Health Total (HMO D-SNP) materials on this page, please call us at <a href=\"tel:1-888-783-1444\"><strong>1-888-783-1444<\/strong><\/a> (TTY: <a href=\"tel:711\"><strong>711<\/strong><\/a>), 7 days a week, 8 am\u20138 pm.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:acf\/resources {\"name\":\"acf\/resources\",\"data\":{\"resource_groups_0_heading\":\"Forms and Personal Health Materials\",\"_resource_groups_0_heading\":\"field_resources_resource_groups_heading\",\"resource_groups_0_resources_0_show_update\":\"1\",\"_resource_groups_0_resources_0_show_update\":\"field_resources_resource_groups_resources_show_update\",\"resource_groups_0_resources_0_update_date\":\"Automatic\",\"_resource_groups_0_resources_0_update_date\":\"field_resources_resource_groups_resources_update_date\",\"resource_groups_0_resources_0_is_external_resource\":\"0\",\"_resource_groups_0_resources_0_is_external_resource\":\"field_resources_resource_groups_resources_is_external_resource\",\"resource_groups_0_resources_0_heading\":\"CDPAS Recertification \u2013 Physician Order Form\",\"_resource_groups_0_resources_0_heading\":\"field_resources_resource_groups_resources_heading\",\"resource_groups_0_resources_0_description\":\"Total Members can have their home care service provided by a consumer directed personal care assistant through Consumer Directed Personal Assistance Services (CDPAS). 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"post_content": "<!-- wp:paragraph -->\n<p>Looking for more in-depth information about your VNS Health Total (HMO D-SNP) health plan? 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"post_content": "<!-- wp:paragraph -->\n<p>Looking for more in-depth information about your VNS Health Total (HMO D-SNP) health plan? 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"post_title": "VNS Health Total 2024 Member Materials",
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"post_modified": "2024-03-04 13:52:34",
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{
"ID": 33214,
"post_author": "3",
"post_date": "2023-08-17 15:55:15",
"post_date_gmt": "2023-08-17 19:55:15",
"post_content": "<!-- wp:paragraph -->\n<p>Looking for more in-depth information about your VNS Health Total (HMO D-SNP) health plan? You\u2019ll find it here.<br><br>If you can\u2019t print these materials yourself, you can get a printed copy of anything on this page by calling us at <a href=\"tel:1-866-783-1444\"><strong>1-866-783-1444<\/strong><\/a> (TTY: <a href=\"tel:711\"><strong>711<\/strong><\/a>), 7 days a week, 8 am\u20138 pm. <\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:acf\/resources {\"name\":\"acf\/resources\",\"data\":{\"resource_groups_0_heading\":\"Plan Benefits 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\",\"_resource_groups_0_resources_0_heading\":\"field_resources_resource_groups_resources_heading\",\"resource_groups_0_resources_0_description\":\"\",\"_resource_groups_0_resources_0_description\":\"field_resources_resource_groups_resources_description\",\"resource_groups_0_resources_0_files_0_file\":\"\",\"_resource_groups_0_resources_0_files_0_file\":\"field_resources_resource_groups_resources_files_file\",\"resource_groups_0_resources_0_files_0_label\":\"English\",\"_resource_groups_0_resources_0_files_0_label\":\"field_resources_resource_groups_resources_files_label\",\"resource_groups_0_resources_0_files_1_file\":\"\",\"_resource_groups_0_resources_0_files_1_file\":\"field_resources_resource_groups_resources_files_file\",\"resource_groups_0_resources_0_files_1_label\":\"Spanish\",\"_resource_groups_0_resources_0_files_1_label\":\"field_resources_resource_groups_resources_files_label\",\"resource_groups_0_resources_0_files_2_file\":\"\",\"_resource_groups_0_resources_0_files_2_file\":\"field_resources_resource_groups_resources_files_file\",\"resource_groups_0_resources_0_files_2_label\":\"Chinese 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"post_content": "<!-- wp:acf\/media-text {\"name\":\"acf\/media-text\",\"data\":{\"align_media_right\":\"1\",\"_align_media_right\":\"field_media-text_align_media_right\",\"bg_color\":\"gray\",\"_bg_color\":\"field_media-text_bg_color\",\"is_youtube_video\":\"1\",\"_is_youtube_video\":\"field_media-text_is_youtube_video\",\"heading\":\"Introducing The Flex Card\",\"_heading\":\"field_media-text_heading\",\"body\":\"\\u003cp\\u003eWhen you become a member of VNS Health EasyCare Plus (HMO D-SNP) or VNS Health Total (HMO D-SNP), you get a Flex Card.* The Flex Card is a Prepaid MasterCard\u00ae that gives you extra money to help pay for utilities, or for dental, hearing, or vision expenses. 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Or if you need another pair of glasses or more contact lenses after you've reached the annual limit.\\u003c\/p\\u003e\",\"_cards_1_description\":\"field_features_cards_description\",\"cards_2_image\":20321,\"_cards_2_image\":\"field_features_cards_image\",\"cards_2_heading\":\"\",\"_cards_2_heading\":\"field_features_cards_heading\",\"cards_2_description\":\"\\u003cp\\u003e\\u003cstrong\\u003eHearing\\u003c\/strong\\u003e: If you need to replace a hearing aid after you\u2019ve reached the limit of $750 per ear every 3 years.\\u003c\/p\\u003e\",\"_cards_2_description\":\"field_features_cards_description\",\"cards\":3,\"_cards\":\"field_features_cards\",\"id\":\"block_acf_65f06a05e3517\"},\"mode\":\"edit\",\"id\":\"block_acf_65f06a05e3517\"} \/-->\n\n<!-- wp:acf\/stats {\"name\":\"acf\/stats\",\"data\":{\"heading\":\"Use It to Help Pay for Certain Utilities\",\"_heading\":\"field_stats_heading\",\"description\":\"\",\"_description\":\"field_stats_description\",\"number_of_columns\":\"2\",\"_number_of_columns\":\"field_stats_number_of_columns\",\"layout\":\"vertical\",\"_layout\":\"field_stats_layout\",\"background_color\":\"none\",\"_background_color\":\"field_stats_background_color\",\"cards_0_icon\":32381,\"_cards_0_icon\":\"field_stats_cards_icon\",\"cards_0_superheading\":\"\",\"_cards_0_superheading\":\"field_stats_cards_superheading\",\"cards_0_stat\":\"\\u003cp\\u003eElectric\\u003c\/p\\u003e\",\"_cards_0_stat\":\"field_stats_cards_stat\",\"cards_0_description\":\" \",\"_cards_0_description\":\"field_stats_cards_description\",\"cards_1_icon\":34320,\"_cards_1_icon\":\"field_stats_cards_icon\",\"cards_1_superheading\":\" \",\"_cards_1_superheading\":\"field_stats_cards_superheading\",\"cards_1_stat\":\"\\u003cp\\u003eGas\\u003c\/p\\u003e\",\"_cards_1_stat\":\"field_stats_cards_stat\",\"cards_1_description\":\" \",\"_cards_1_description\":\"field_stats_cards_description\",\"cards_2_icon\":32708,\"_cards_2_icon\":\"field_stats_cards_icon\",\"cards_2_superheading\":\"\",\"_cards_2_superheading\":\"field_stats_cards_superheading\",\"cards_2_stat\":\"\\u003cp\\u003e\u00a0Phone\\u003c\/p\\u003e\",\"_cards_2_stat\":\"field_stats_cards_stat\",\"cards_2_description\":\" \",\"_cards_2_description\":\"field_stats_cards_description\",\"cards_3_icon\":34321,\"_cards_3_icon\":\"field_stats_cards_icon\",\"cards_3_superheading\":\"\",\"_cards_3_superheading\":\"field_stats_cards_superheading\",\"cards_3_stat\":\"\\u003cp\\u003eInternet\\u003c\/p\\u003e\",\"_cards_3_stat\":\"field_stats_cards_stat\",\"cards_3_description\":\"\",\"_cards_3_description\":\"field_stats_cards_description\",\"cards\":4,\"_cards\":\"field_stats_cards\",\"button\":\"\",\"_button\":\"field_stats_button\",\"id\":\"block_acf_65f06a05e353e\"},\"mode\":\"edit\",\"id\":\"block_acf_65f06a05e353e\"} \/-->\n\n<!-- wp:acf\/divider {\"name\":\"acf\/divider\",\"data\":{\"less_vertical_space\":\"0\",\"_less_vertical_space\":\"field_divider_less_vertical_space\",\"id\":\"block_acf_65f06a05e3555\"},\"mode\":\"edit\",\"id\":\"block_acf_65f06a05e3555\"} \/-->\n\n<!-- wp:heading -->\n<h2 class=\"wp-block-heading\" id=\"h-how-it-works\">How it works<\/h2>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p>Your Flex Card receives money over time, which means you won\u2019t have access to the full amount right away. <\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>The card balance does roll over after each quarter. This means you can collect money throughout the year to spend on a larger expense. However, be sure to use the money before the end of the year because it won\u2019t roll over into the next year. <\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:acf\/faq {\"name\":\"acf\/faq\",\"data\":{\"heading\":\"\",\"_heading\":\"field_faq_heading\",\"is_modular\":\"0\",\"_is_modular\":\"field_faq_is_modular\",\"items_0_question\":\"Pay directly with your card\",\"_items_0_question\":\"field_faq_items_question\",\"items_0_answer\":\"\\u003cp\\u003e\\u003cspan data-contrast=\\u0022auto\\u0022\\u003eUse your Flex Card like a debit card to pay your bills directly\\u003c\/span\\u003e\\u003cspan data-contrast=\\u0022auto\\u0022\\u003e,\\u003c\/span\\u003e\\u003cspan data-contrast=\\u0022auto\\u0022\\u003e as long as you have the full amount of your bill available on your card when making payments. This includes any processing fee your provider or utility company may charge.\u00a0\\u003c\/span\\u003e\\u003cspan data-ccp-props=\\u0022{}\\u0022\\u003e\u00a0\\u003c\/span\\u003e\\u003c\/p\\u003e\\r\\n\\u003cp\\u003e\\u003cspan data-contrast=\\u0022auto\\u0022\\u003eYou can also use your card to pay for part of your bill, as long as the company allows for partial payments.\u00a0\\u003c\/span\\u003e\\u003cspan data-ccp-props=\\u0022{}\\u0022\\u003e\u00a0\\u003c\/span\\u003e\\u003c\/p\\u003e\\r\\n\\u003cp\\u003e\\u003cstrong\\u003eExample\u00a0\\u003c\/strong\\u003e\\u003c\/p\\u003e\\r\\n\\u003cp\\u003e\\u003cspan data-contrast=\\u0022auto\\u0022\\u003eYour electric bill is $50, and the electric company charges a $2.50 convenience fee to pay by card. Make sure that you have at least $52.50 available on your Flex Card to pay your bill in full.\\u003c\/span\\u003e\\u003c\/p\\u003e\",\"_items_0_answer\":\"field_faq_items_answer\",\"items_1_question\":\"Get reimbursed for your payment\",\"_items_1_question\":\"field_faq_items_question\",\"items_1_answer\":\"\\u003cp\\u003e\\u003cspan data-contrast=\\u0022auto\\u0022\\u003ePay for your goods and services as you do now and then request reimbursement for the cost up to the amount of your available balance.\u00a0\\u003c\/span\\u003e\\u003cspan data-ccp-props=\\u0022{}\\u0022\\u003e\u00a0\\u003c\/span\\u003e\\u003c\/p\\u003e\\r\\n\\u003cp\\u003e\\u003cspan data-contrast=\\u0022auto\\u0022\\u003eHere are the steps to get reimbursed:\u00a0\\u003c\/span\\u003e\\u003cspan data-ccp-props=\\u0022{}\\u0022\\u003e\u00a0\\u003c\/span\\u003e\\u003c\/p\\u003e\\r\\n\\u003col\\u003e\\r\\n\\t\\u003cli data-leveltext=\\u0022%1.\\u0022 data-font=\\u0022Arial\\u0022 data-listid=\\u00221\\u0022 data-list-defn-props=\\u0022{\\u0026quot;335552541\\u0026quot;:0,\\u0026quot;335559684\\u0026quot;:-1,\\u0026quot;335559685\\u0026quot;:720,\\u0026quot;335559991\\u0026quot;:360,\\u0026quot;469769242\\u0026quot;:[65533,0],\\u0026quot;469777803\\u0026quot;:\\u0026quot;left\\u0026quot;,\\u0026quot;469777804\\u0026quot;:\\u0026quot;%1.\\u0026quot;,\\u0026quot;469777815\\u0026quot;:\\u0026quot;hybridMultilevel\\u0026quot;}\\u0022 aria-setsize=\\u0022-1\\u0022 data-aria-posinset=\\u00221\\u0022 data-aria-level=\\u00221\\u0022\\u003e\\u003cspan data-contrast=\\u0022auto\\u0022\\u003eCollect receipt of good or service\u00a0\\u003c\/span\\u003e\\u003cspan data-ccp-props=\\u0022{}\\u0022\\u003e\u00a0\\u003c\/span\\u003e\\u003c\/li\\u003e\\r\\n\\t\\u003cli data-leveltext=\\u0022%1.\\u0022 data-font=\\u0022Arial\\u0022 data-listid=\\u00221\\u0022 data-list-defn-props=\\u0022{\\u0026quot;335552541\\u0026quot;:0,\\u0026quot;335559684\\u0026quot;:-1,\\u0026quot;335559685\\u0026quot;:720,\\u0026quot;335559991\\u0026quot;:360,\\u0026quot;469769242\\u0026quot;:[65533,0],\\u0026quot;469777803\\u0026quot;:\\u0026quot;left\\u0026quot;,\\u0026quot;469777804\\u0026quot;:\\u0026quot;%1.\\u0026quot;,\\u0026quot;469777815\\u0026quot;:\\u0026quot;hybridMultilevel\\u0026quot;}\\u0022 aria-setsize=\\u0022-1\\u0022 data-aria-posinset=\\u00221\\u0022 data-aria-level=\\u00221\\u0022\\u003e\\u003cspan data-contrast=\\u0022auto\\u0022\\u003eFill out reimbursement form [link]\u00a0\\u003c\/span\\u003e\\u003cspan data-ccp-props=\\u0022{}\\u0022\\u003e\u00a0\\u003c\/span\\u003e\\u003c\/li\\u003e\\r\\n\\t\\u003cli data-leveltext=\\u0022%1.\\u0022 data-font=\\u0022Arial\\u0022 data-listid=\\u00221\\u0022 data-list-defn-props=\\u0022{\\u0026quot;335552541\\u0026quot;:0,\\u0026quot;335559684\\u0026quot;:-1,\\u0026quot;335559685\\u0026quot;:720,\\u0026quot;335559991\\u0026quot;:360,\\u0026quot;469769242\\u0026quot;:[65533,0],\\u0026quot;469777803\\u0026quot;:\\u0026quot;left\\u0026quot;,\\u0026quot;469777804\\u0026quot;:\\u0026quot;%1.\\u0026quot;,\\u0026quot;469777815\\u0026quot;:\\u0026quot;hybridMultilevel\\u0026quot;}\\u0022 aria-setsize=\\u0022-1\\u0022 data-aria-posinset=\\u00221\\u0022 data-aria-level=\\u00221\\u0022\\u003e\\u003cspan data-contrast=\\u0022auto\\u0022\\u003eCall your Care Team and say you are requesting reimbursement for your Flex Card\u00a0\\u003c\/span\\u003e\\u003cspan data-ccp-props=\\u0022{}\\u0022\\u003e\u00a0\\u003c\/span\\u003e\\u003c\/li\\u003e\\r\\n\\t\\u003cli data-leveltext=\\u0022%1.\\u0022 data-font=\\u0022Arial\\u0022 data-listid=\\u00221\\u0022 data-list-defn-props=\\u0022{\\u0026quot;335552541\\u0026quot;:0,\\u0026quot;335559684\\u0026quot;:-1,\\u0026quot;335559685\\u0026quot;:720,\\u0026quot;335559991\\u0026quot;:360,\\u0026quot;469769242\\u0026quot;:[65533,0],\\u0026quot;469777803\\u0026quot;:\\u0026quot;left\\u0026quot;,\\u0026quot;469777804\\u0026quot;:\\u0026quot;%1.\\u0026quot;,\\u0026quot;469777815\\u0026quot;:\\u0026quot;hybridMultilevel\\u0026quot;}\\u0022 aria-setsize=\\u0022-1\\u0022 data-aria-posinset=\\u00221\\u0022 data-aria-level=\\u00221\\u0022\\u003e\\u003cspan data-contrast=\\u0022auto\\u0022\\u003eWait for approval from Care Team\u00a0\\u003c\/span\\u003e\\u003cspan data-ccp-props=\\u0022{}\\u0022\\u003e\u00a0\\u003c\/span\\u003e\\u003c\/li\\u003e\\r\\n\\t\\u003cli data-leveltext=\\u0022%1.\\u0022 data-font=\\u0022Arial\\u0022 data-listid=\\u00221\\u0022 data-list-defn-props=\\u0022{\\u0026quot;335552541\\u0026quot;:0,\\u0026quot;335559684\\u0026quot;:-1,\\u0026quot;335559685\\u0026quot;:720,\\u0026quot;335559991\\u0026quot;:360,\\u0026quot;469769242\\u0026quot;:[65533,0],\\u0026quot;469777803\\u0026quot;:\\u0026quot;left\\u0026quot;,\\u0026quot;469777804\\u0026quot;:\\u0026quot;%1.\\u0026quot;,\\u0026quot;469777815\\u0026quot;:\\u0026quot;hybridMultilevel\\u0026quot;}\\u0022 aria-setsize=\\u0022-1\\u0022 data-aria-posinset=\\u00221\\u0022 data-aria-level=\\u00221\\u0022\\u003e\\u003cspan data-contrast=\\u0022auto\\u0022\\u003eReceive check up to full amount\u00a0\\u003c\/span\\u003e\\u003cspan data-ccp-props=\\u0022{}\\u0022\\u003e\u00a0\\u003c\/span\\u003e\\u003c\/li\\u003e\\r\\n\\u003c\/ol\\u003e\\r\\n\\u003cp\\u003e\\u003cstrong\\u003eExample\u00a0\\u003c\/strong\\u003e\\u003c\/p\\u003e\\r\\n\\u003cp\\u003e\\u003cspan data-contrast=\\u0022auto\\u0022\\u003eYour eyeglasses cost $50, and you paid for them with a check. Since the available balance on your Flex Card is $43, your reimbursement will be $43\\u003c\/span\\u003e\\u003cspan data-contrast=\\u0022auto\\u0022\\u003e.\\u003c\/span\\u003e\\u003cspan data-ccp-props=\\u0022{}\\u0022\\u003e\u00a0\\u003c\/span\\u003e\\u003c\/p\\u003e\",\"_items_1_answer\":\"field_faq_items_answer\",\"items\":2,\"_items\":\"field_faq_items\",\"id\":\"block_acf_65f06a05e3595\"},\"mode\":\"edit\",\"id\":\"block_acf_65f06a05e3595\"} \/-->\n\n<!-- wp:paragraph -->\n<p><strong>For more information about whether an item or service will be covered, call <a href=\"tel:18664146715\">1-866-414-6715<\/a>. (TTY: 711)<\/strong>, <strong>7 days a week, 8 am to 8 pm. <\/strong><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:acf\/divider {\"name\":\"acf\/divider\",\"data\":{\"less_vertical_space\":\"0\",\"_less_vertical_space\":\"field_divider_less_vertical_space\",\"id\":\"block_acf_65f06a05e35c9\"},\"mode\":\"edit\",\"id\":\"block_acf_65f06a05e35c9\"} \/-->\n\n<!-- wp:paragraph -->\n<p>Your Flex Card gives you the flexibility to use it for any of these kinds of health care items and services. Be aware that the card can\u2019t be used for other kinds of items or services. Call us if you have questions about whether an item or service will be covered.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>Here are answers to other questions you might have about your Flex Card.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:acf\/faq {\"name\":\"acf\/faq\",\"data\":{\"heading\":\"Frequently Asked Questions\",\"_heading\":\"field_faq_heading\",\"is_modular\":\"0\",\"_is_modular\":\"field_faq_is_modular\",\"items_0_question\":\"How do I activate my Flex Card? \",\"_items_0_question\":\"field_faq_items_question\",\"items_0_answer\":\"\\u003cp\\u003eTo activate your card, call toll free \\u003ca href=\\u0022tel:1-866-898-9795\\u0022\\u003e1-866-898-9795\\u003c\/a\\u003e (TTY: \\u003ca href=\\u0022tel:711\\u0022\\u003e711\\u003c\/a\\u003e). You can call this number anytime, 24\/7. You\u2019ll need the following information when you call: \\u003cbr \/\\u003e\\r\\n\\u003cbr \/\\u003e\\r\\n\u2022 The last four numbers on your member ID card\\u003cbr \/\\u003e\\r\\n\u2022 The 16-digit number on your Flex Card\\u003cbr \/\\u003e\\r\\n\u2022 Your zip code\\u003c\/p\\u003e\",\"_items_0_answer\":\"field_faq_items_answer\",\"items_1_question\":\"When will the amounts be loaded to my card? \",\"_items_1_question\":\"field_faq_items_question\",\"items_1_answer\":\"\\u003cp\\u003eTotal members: In January, $193 will be loaded to the card. Then, starting in April, $63 will be added on the first day of each month through the end of the year, for a total of up to $760 for the year.\\u003c\/p\\u003e\\r\\n\\u003cp\\u003eEasyCare Plus members: In January, $89 will be loaded to the card. Then, starting in April, $29 will be added on the first day of each month through the end of the year, for a total of up to $350 for the year.\u00a0\\u003c\/p\\u003e\",\"_items_1_answer\":\"field_faq_items_answer\",\"items_2_question\":\"How do I use my Flex Card? \",\"_items_2_question\":\"field_faq_items_question\",\"items_2_answer\":\"\\u003cp\\u003eYour Flex Card is a debit card. Just give it to your provider to pay for your services.\\u003c\/p\\u003e\",\"_items_2_answer\":\"field_faq_items_answer\",\"items_3_question\":\"How long do I have to use up my Flex Card benefits? \",\"_items_3_question\":\"field_faq_items_question\",\"items_3_answer\":\"\\u003cp\\u003eIf you don't use all of the funds on the card after it has been loaded, any unused amount will roll over to the next time the card is loaded. However, any remaining balance at the end of the year must be used by December 31. It will not roll over into the next year. You must be a current member of the plan to use the Flex Card.\u202f\\u003c\/p\\u003e\\r\\n\\u003cp\\u003eIf you\u2019re saving your balance up for a large-ticket item or service \u2014 a dental procedure or a replacement hearing aid, for example \u2014 be sure to use your balance by December 31. \u00a0\\u003c\/p\\u003e\",\"_items_3_answer\":\"field_faq_items_answer\",\"items_4_question\":\"How do I check the balance on my Flex Card? \",\"_items_4_question\":\"field_faq_items_question\",\"items_4_answer\":\"\\u003cp\\u003eTo check your card balance, call your Care Team at \\u003cstrong\\u003e\\u003ca href=\\u0022tel:1-866-783-1444\\u0022\\u003e1-866-783-1444\\u003c\/a\\u003e\\u003c\/strong\\u003e (TTY: \\u003cstrong\\u003e\\u003ca href=\\u0022tel:711\\u0022\\u003e711\\u003c\/a\\u003e\\u003c\/strong\\u003e), 7 days a week, 8 am\u20138 pm.\u202f\\u003c\/p\\u003e\",\"_items_4_answer\":\"field_faq_items_answer\",\"items_5_question\":\"How can I know what to spend my Flex\u00a0Card benefits on?\u00a0\",\"_items_5_question\":\"field_faq_items_question\",\"items_5_answer\":\"\\u003cp\\u003ePlease call your Care Team at \\u003cstrong\\u003e\\u003ca href=\\u0022tel:1-866-783-1444\\u0022\\u003e1-866-783-1444\\u003c\/a\\u003e\\u003c\/strong\\u003e (TTY: \\u003cstrong\\u003e\\u003ca href=\\u0022tel:711\\u0022\\u003e711\\u003c\/a\\u003e\\u003c\/strong\\u003e), 7 days a week, 8 am\u20138pm,\u00a0 if you have any questions about your Flex Card, or any of your other benefits.\\u003c\/p\\u003e\",\"_items_5_answer\":\"field_faq_items_answer\",\"items_6_question\":\"What if my Flex Card is lost or stolen? \",\"_items_6_question\":\"field_faq_items_question\",\"items_6_answer\":\"\\u003cp\\u003ePlease call your Care Team right away to report it at \\u003cstrong\\u003e\\u003ca href=\\u0022tel:1-866-783-1444\\u0022\\u003e1-866-783-1444\\u003c\/a\\u003e \\u003c\/strong\\u003e(TTY: \\u003cstrong\\u003e\\u003ca href=\\u0022tel:711\\u0022\\u003e711\\u003c\/a\\u003e\\u003c\/strong\\u003e), 7 days a week, 8 am\u20138 pm. We will cancel the lost or stolen card and send you a new one.\\u003c\/p\\u003e\",\"_items_6_answer\":\"field_faq_items_answer\",\"items\":7,\"_items\":\"field_faq_items\",\"id\":\"block_acf_65f06a05e35fa\"},\"mode\":\"edit\",\"id\":\"block_acf_65f06a05e35fa\"} \/-->\n\n<!-- wp:paragraph -->\n<p><strong>Note: <\/strong><em>The card may not be used for other types of goods and services.<\/em> <\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p><em>*This benefit is part of special supplemental program for the chronically ill and not all members qualify. Other types of goods and services not eligible.<\/em> <\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p><em>**Utility bill needs to be from 2024. Bills from 2023 are not valid to be paid for with the Flex Card.<\/em><\/p>\n<!-- \/wp:paragraph -->",
"post_title": "Your Flex Card Benefits",
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"post_date": "2020-07-29 21:25:29",
"post_date_gmt": "2020-07-29 21:25:29",
"post_content": "<!-- wp:acf\/media-text {\"name\":\"acf\/media-text\",\"data\":{\"align_media_right\":\"0\",\"_align_media_right\":\"field_media-text_align_media_right\",\"bg_color\":\"white\",\"_bg_color\":\"field_media-text_bg_color\",\"is_youtube_video\":\"0\",\"_is_youtube_video\":\"field_media-text_is_youtube_video\",\"heading\":\"\",\"_heading\":\"field_media-text_heading\",\"body\":\"\\u003cp\\u003e\\u003c!\\u002d\\u002d wp:paragraph \\u002d\\u002d\\u003e\\u003c\/p\\u003e\\r\\n\\u003cp\\u003e\\u003c!\\u002d\\u002d wp:paragraph \\u002d\\u002d\\u003e\\u003c\/p\\u003e\\r\\n\\u003cp\\u003eAs a VNS Health Total (HMO D-SNP) member in 2024, you get a card that gives you up to $266 each month to purchase hundreds of OTC and Grocery items. For a complete list of eligible items, as well as instructions on how to activate your card and use your OTC and Grocery benefits, please see the \\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2023\/10\/2024_Total_ECP_OTC_Grocery_Catalog-1.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noopener\\u0022\\u003eOver-the-Counter (OTC) and Grocery Program Catalog.\\u003c\/a\\u003e\\u003cbr \/\\u003e\\r\\n\\u003cbr \/\\u003e\\r\\n\\u003cbr \/\\u003e\\r\\n\\u003c\/p\\u003e\\r\\n\\u003cp\\u003e\\u003c!\\u002d\\u002d \/wp:paragraph \\u002d\\u002d\\u003e\\r\\n\\u003c!\\u002d\\u002d wp:paragraph \\u002d\\u002d\\u003e\\u003c\/p\\u003e\",\"_body\":\"field_media-text_body\",\"image\":21739,\"_image\":\"field_media-text_image\",\"caption\":\"\",\"_caption\":\"field_media-text_caption\",\"link\":\"\",\"_link\":\"field_media-text_link\",\"id\":\"block_acf_658d9fd13c3de\"},\"mode\":\"edit\",\"id\":\"block_acf_658d9fd13c3de\"} \/-->\n\n<!-- wp:paragraph -->\n<p>You can also use your card to have boxes of farm fresh produce or prepared healthy meal boxes \u2014 heart healthy, diabetic friendly, low sodium, and more \u2014 delivered to your home. Use your OTC and Grocery Card number to log in to <a href=\"https:\/\/mybenefitscenter.com\/\">mybenefitscenter.com<\/a> and order your healthy meal box or fresh produce from one of our partners below.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:html -->\n<p><p style=\"font-size:16px\"><em>Eligibility for Special Supplemental Benefits for the Chronically Ill (SSBCI) is required for use of the grocery benefit.<\/em><\/p><\/p>\n<!-- \/wp:html -->\n\n<!-- wp:acf\/divider {\"name\":\"acf\/divider\",\"data\":{\"less_vertical_space\":\"1\",\"_less_vertical_space\":\"field_divider_less_vertical_space\",\"id\":\"block_acf_658d9fd13c42e\"},\"mode\":\"edit\",\"id\":\"block_acf_658d9fd13c42e\"} \/-->\n\n<!-- wp:columns -->\n<div class=\"wp-block-columns\"><!-- wp:column {\"verticalAlignment\":\"center\"} -->\n<div class=\"wp-block-column is-vertically-aligned-center\"><!-- wp:image {\"id\":15500,\"sizeSlug\":\"full\",\"linkDestination\":\"custom\"} -->\n<figure class=\"wp-block-image size-full\"><a href=\"https:\/\/www.farmboxrx.com\/\"><img src=\"https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2021\/12\/Farmbox-logo.png\" alt=\"Farmbox Direct logo\" class=\"wp-image-15500\"\/><\/a><\/figure>\n<!-- \/wp:image --><\/div>\n<!-- \/wp:column -->\n\n<!-- wp:column {\"verticalAlignment\":\"center\"} -->\n<div class=\"wp-block-column is-vertically-aligned-center\"><!-- wp:image {\"align\":\"center\",\"id\":15501,\"width\":\"112px\",\"height\":\"112px\",\"sizeSlug\":\"full\",\"linkDestination\":\"custom\"} -->\n<figure class=\"wp-block-image aligncenter size-full is-resized\"><a href=\"https:\/\/www.MomsMeals.com\" target=\"_blank\" rel=\"noopener\"><img src=\"https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2021\/12\/moms-meals-logo.png\" alt=\"Mom's Meals logo\" class=\"wp-image-15501\" style=\"width:112px;height:112px\"\/><\/a><\/figure>\n<!-- \/wp:image --><\/div>\n<!-- \/wp:column -->\n\n<!-- wp:column {\"verticalAlignment\":\"center\"} -->\n<div class=\"wp-block-column is-vertically-aligned-center\"><!-- wp:image {\"align\":\"center\",\"id\":15502,\"sizeSlug\":\"full\",\"linkDestination\":\"custom\"} -->\n<figure class=\"wp-block-image aligncenter size-full\"><a href=\"https:\/\/www.sunmeadow.com\/\" target=\"_blank\" rel=\"noopener\"><img src=\"https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2021\/12\/sun-meadow-logo.png\" alt=\"SunMeadow logo\" class=\"wp-image-15502\"\/><\/a><\/figure>\n<!-- \/wp:image --><\/div>\n<!-- \/wp:column --><\/div>\n<!-- \/wp:columns -->\n\n<!-- wp:acf\/divider {\"name\":\"acf\/divider\",\"data\":{\"less_vertical_space\":\"1\",\"_less_vertical_space\":\"field_divider_less_vertical_space\",\"id\":\"block_acf_658d9fd13c455\"},\"mode\":\"edit\",\"id\":\"block_acf_658d9fd13c455\"} \/-->\n\n<!-- wp:paragraph -->\n<p>Download the OTC app for your smartphone to easily find local stores where you can use your card, to check items in-store to see if they\u2019re eligible, and to keep track of your OTC and Grocery Card balance. <a href=\"https:\/\/mybenefitscenter.com\/\" target=\"_blank\" rel=\"noreferrer noopener\">Find out how to get the app here.<\/a><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:heading {\"level\":3} -->\n<h3 class=\"wp-block-heading\" id=\"h-questions\">Questions<\/h3>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p><strong>For benefit questions<\/strong>, call your Care Team toll free: <a href=\"tel:1-866-783-1444\"><strong>1-866-783-1444<\/strong><\/a> (TTY: <a href=\"tel:711\"><strong>711<\/strong><\/a>), 7 days a week, 8 am\u20138 pm. <\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p><strong>For questions about an OTC order<\/strong>, call our partner Convey at <a href=\"http:\/\/1-855-858-5937\"><strong>1-855-858-5937<\/strong><\/a> (TTY: <a href=\"tel:711\"><strong>711<\/strong><\/a>), Monday\u2013Friday, 8 am\u201311 pm. Or go to <a href=\"https:\/\/mybenefitscenter.com\/\">mybenefitscenter.com<\/a> 24 hours a day.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>Here are some common questions members ask about the OTC and Grocery Program benefit. If you don\u2019t find the answer to your question here, please call us.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:acf\/faq {\"name\":\"acf\/faq\",\"data\":{\"heading\":\"\",\"_heading\":\"field_faq_heading\",\"is_modular\":\"0\",\"_is_modular\":\"field_faq_is_modular\",\"items_0_question\":\"How much is my monthly benefit amount? \",\"_items_0_question\":\"field_faq_items_question\",\"items_0_answer\":\"\\u003cp\\u003eIn 2024, you get $266 per month for OTC and grocery items. Be sure to use it because the benefit does not carry over to the next month. The card is to buy items for your use and health and should not be used for anyone else.\\u003c\/p\\u003e\",\"_items_0_answer\":\"field_faq_items_answer\",\"items_1_question\":\"How do I activate my OTC and Grocery Card?\",\"_items_1_question\":\"field_faq_items_question\",\"items_1_answer\":\"\\u003cp\\u003eBefore you use the card for the first time, you must call the number on your card to activate it. Follow the instructions included on the sticker on the front of your card. Once activated, you can use your OTC and Grocery Card for eligible purchases at participating stores. No PIN or signature is required for in-store purchases \u2014 it works just like a prepaid card. Go to the checkout lanes, and simply swipe the card for payment.\\u003c\/p\\u003e\\r\\n\\u003cp\\u003eThis card is for eligible OTC and grocery item purchases only. If you need to pay for prescriptions, you\u2019ll need to use a different card.\\u003c\/p\\u003e\\r\\n\\u003cp\\u003e\\u0026nbsp;\\u003c\/p\\u003e\",\"_items_1_answer\":\"field_faq_items_answer\",\"items_2_question\":\"How do I find out which items are eligible? \",\"_items_2_question\":\"field_faq_items_question\",\"items_2_answer\":\"\\u003cp\\u003eFor a list of eligible items, please see the \\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2023\/10\/2024_Total_ECP_OTC_Grocery_Catalog-1.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noopener\\u0022\\u003eOver-the-Counter (OTC) and Grocery Program Catalog.\\u003c\/a\\u003e\\u003c\/p\\u003e\",\"_items_2_answer\":\"field_faq_items_answer\",\"items_3_question\":\"Where do I buy items? \",\"_items_3_question\":\"field_faq_items_question\",\"items_3_answer\":\"\\u003cp\\u003e\\u003cstrong\\u003eIn-store purchases\\u003c\/strong\\u003e\\u003c\/p\\u003e\\r\\n\\u003cul\\u003e\\r\\n\\t\\u003cli\\u003eOTC items can be bought at stores that are part of our network. This network includes but is not limited to CVS, Duane Reade, Walgreens, and Family Dollar stores. For a complete list of participating stores and pharmacies, visit \\u003ca href=\\u0022https:\/\/mybenefitscenter.com\/\\u0022\\u003emybenefitscenter.com\\u003c\/a\\u003e.\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eIf you buy items a store outside of our network, you can ask us to reimburse you.\\u003c\/li\\u003e\\r\\n\\u003c\/ul\\u003e\\r\\n\\u003cp\\u003e\\u003cstrong\\u003ePhone orders:\\u003c\/strong\\u003e\\u003c\/p\\u003e\\r\\n\\u003cul\\u003e\\r\\n\\t\\u003cli\\u003eIf you would like to place your order (for OTC items only) over the phone, call our partner Convey at 1-855-858-5937 (TTY: 711), Monday\u2013Friday, 8 am\u201311 pm EST. You will need to order from the \\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2023\/10\/2024_Total_ECP_OTC_Grocery_Catalog-1.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noopener\\u0022\\u003eOver-the-Counter (OTC) and Grocery Program Catalog\\u003c\/a\\u003e and have your item number(s) ready when you call.\\u003c\/li\\u003e\\r\\n\\u003c\/ul\\u003e\\r\\n\\u003cp\\u003e\\u003cstrong\\u003eOnline orders\\u003c\/strong\\u003e\\u003c\/p\\u003e\\r\\n\\u003cul\\u003e\\r\\n\\t\\u003cli\\u003eOrder items online or by phone, and your items will be delivered to your door.\\u003c\/li\\u003e\\r\\n\\u003c\/ul\\u003e\\r\\n\\u003cp\\u003e\\u003cstrong\\u003eFresh produce and meal box deliveries:\\u003c\/strong\\u003e\\u003c\/p\\u003e\\r\\n\\u003cul\\u003e\\r\\n\\t\\u003cli\\u003eBuy fresh produce or meal boxes to be delivered to your home directly from one of our partners:\\r\\n\\r\\n\\u003cul\\u003e\\r\\n\\t\\u003cli\\u003eFresh produce delivery:\\r\\n\\r\\n\\u003cul\\u003e\\r\\n\\t\\u003cli\\u003e\u00a0\\u003cstrong\\u003eFarmboxRx\\u003c\/strong\\u003e \u2014 Visit \\u003ca href=\\u0022https:\/\/www.farmboxrx.com\/\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noopener\\u0022\\u003e\\u003cspan style=\\u0022text-decoration: underline;\\u0022\\u003eFarmboxRx\\u003c\/span\\u003e\\u003c\/a\\u003e, or call \\u003ca href=\\u0022tel:18884163589\\u0022\\u003e1-888-416-3589\\u003c\/a\\u003e \u00a0(TTY: \\u003cstrong\\u003e\\u003ca href=\\u0022tel:711\\u0022\\u003e711\\u003c\/a\\u003e\\u003c\/strong\\u003e), 9 am\u20136 pm ET\\u003c\/li\\u003e\\r\\n\\u003c\/ul\\u003e\\r\\n\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eMeal boxes for specific medical conditions:\\r\\n\\r\\n\\u003cul\\u003e\\r\\n\\t\\u003cli\\u003e\\u003cstrong\\u003eMom\u2019s Meals\\u003csup\\u003e\u00ae\\u003c\/sup\\u003e\\u003c\/strong\\u003e \u2014\u00a0 Visit \\u003ca href=\\u0022http:\/\/www.MomsMeals.com\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noopener\\u0022\\u003e\\u003cspan style=\\u0022text-decoration: underline;\\u0022\\u003eMom's Meals\\u003csup\\u003e\u00ae\\u003c\/sup\\u003e\\u003c\/span\\u003e\\u003c\/a\\u003e, or call \\u003ca href=\\u0022tel:18773473438\\u0022\\u003e1-877-347-3438\\u003c\/a\\u003e .\u00a0(TTY: \\u003cstrong\\u003e\\u003ca href=\\u0022tel:711\\u0022\\u003e711\\u003c\/a\\u003e\\u003c\/strong\\u003e), 7 am\u20136 pm CT\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003e\\u003cstrong\\u003eSunMeadow\\u003csup\\u003e\u00ae\\u003c\/sup\\u003e, GA Foods\\u003c\/strong\\u003e\u00a0 \u2014 Visit \\u003cspan style=\\u0022text-decoration: underline;\\u0022\\u003e\\u003ca href=\\u0022https:\/\/store.sunmeadow.com\/customer\/login\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noopener\\u0022\\u003eshop.sunmeadow.com\\u003c\/a\\u003e,\\u003c\/span\\u003e or call \\u003ca href=\\u0022tel:1-833-746-7682\\u0022\\u003e\\u003cstrong\\u003e1-866-575-2772\\u003c\/strong\\u003e\\u003c\/a\\u003e (TTY: \\u003cstrong\\u003e\\u003ca href=\\u0022tel:711\\u0022\\u003e711\\u003c\/a\\u003e\\u003c\/strong\\u003e), 8 am\u20138 pm ET\\u003c\/li\\u003e\\r\\n\\u003c\/ul\\u003e\\r\\n\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003e\u00a0\\u003c\/li\\u003e\\r\\n\\u003c\/ul\\u003e\\r\\n\\u003c\/li\\u003e\\r\\n\\u003c\/ul\\u003e\",\"_items_3_answer\":\"field_faq_items_answer\",\"items_4_question\":\"Can I get reimbursed for OTC items that I buy on my own?\",\"_items_4_question\":\"field_faq_items_question\",\"items_4_answer\":\"\\u003cp\\u003eYes. If you want us to reimburse you, please follow these steps:\\u003c\/p\\u003e\\r\\n\\u003cul\\u003e\\r\\n\\t\\u003cli\\u003eSubmit an original itemized receipt showing the items you purchased. The receipt must include the store, where the purchase was made, the date of purchase, the specific name(s) of the product(s) purchased and the price paid.\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eYour request must include information about you, so we know where to send your payment. Please be sure to include:\\u003c\/li\\u003e\\r\\n\\u003c\/ul\\u003e\\r\\n\\u003col\\u003e\\r\\n\\t\\u003cli style=\\u0022list-style-type: none;\\u0022\\u003e\\r\\n\\u003col\\u003e\\r\\n\\t\\u003cli style=\\u0022list-style-type: none;\\u0022\\u003e\\r\\n\\u003col\\u003e\\r\\n\\t\\u003cli\\u003eYour name and member ID number\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eThe complete address where your reimbursement should be sent\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eYour phone number, so we can contact you if we have any questions about the information you submitted\\u003c\/li\\u003e\\r\\n\\u003c\/ol\\u003e\\r\\n\\u003c\/li\\u003e\\r\\n\\u003c\/ol\\u003e\\r\\n\\u003c\/li\\u003e\\r\\n\\u003c\/ol\\u003e\\r\\n\\u003cp\\u003eAll requests for reimbursement should be sent to the following address:\\u003c\/p\\u003e\\r\\n\\u003cp\\u003eVNS Health\u00a0\\u003cbr \/\\u003e\\r\\nHealth Plans - OTC Reimbursement\u00a0\\u003cbr \/\\u003e\\r\\n220 East 42nd Street\\u003cbr \/\\u003e\\r\\nNew York, NY 10017\\u003c\/p\\u003e\\r\\n\\u003cp\\u003eOr fax the information to: 1-646-524-8338.\\u003c\/p\\u003e\\r\\n\\u003cp\\u003eAll requests must be submitted within 60 days of when the item was bought. Please allow up to 30 days to process your request and have a check mailed to you.\\u003c\/p\\u003e\\r\\n\\u003cp\\u003eFor details, call us. Or check out the \\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2023\/10\/2024_Total_ECP_OTC_Grocery_Catalog-1.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noopener\\u0022\\u003eOver-the-Counter (OTC) and Grocery Program Catalog.\\u003c\/a\\u003e\\u003c\/p\\u003e\",\"_items_4_answer\":\"field_faq_items_answer\",\"items_5_question\":\"Can I order OTC items for home delivery? \",\"_items_5_question\":\"field_faq_items_question\",\"items_5_answer\":\"\\u003cp\\u003eYes. There are two ways you can order OTC items for home delivery.\\u003c\/p\\u003e\\r\\n\\u003cul\\u003e\\r\\n\\t\\u003cli\\u003eOrder by phone \u2013 If you would like to place your order over the phone, call our partner Convey at 1-855-858-5937 (TTY: 711), Monday \u2013 Friday from 8 am to 11 pm EST. You will need to order from the \\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2023\/10\/2024_Total_ECP_OTC_Grocery_Catalog-1.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noopener\\u0022\\u003eOver-the-Counter (OTC) and Grocery Program Catalog\\u003c\/a\\u003e and have your item number(s) ready when you call.\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eOrder Online \u2013 Visit\u00a0\\u003ca href=\\u0022https:\/\/mybenefitscenter.com\/\\u0022\\u003emybenefitscenter.com\\u003c\/a\\u003e. Have your Total member ID card ready and follow the simple instructions provided on the site.\\u003c\/li\\u003e\\r\\n\\u003c\/ul\\u003e\\r\\n\\u003cp\\u003eYour items will be delivered at no cost to you and you generally can expect to receive your order in 5 to 7 business days. You do not need to use your full OTC and Grocery Card balance at one time, but remember that your OTC and Grocery Card balance does not carry over from month to month.\\u003c\/p\\u003e\",\"_items_5_answer\":\"field_faq_items_answer\",\"items_6_question\":\"Will the benefit amount on my OTC and Grocery Card reload every month?\",\"_items_6_question\":\"field_faq_items_question\",\"items_6_answer\":\"\\u003cp\\u003eYes. As long as you are an active member, your OTC and Grocery card will automatically reload on the first day of every month. You have the full month to use your benefit amount. Be aware that any balance remaining at the end of the month does not roll over to the next month.\\u003c\/p\\u003e\",\"_items_6_answer\":\"field_faq_items_answer\",\"items_7_question\":\"Can I check my OTC and Grocery Card balance?\",\"_items_7_question\":\"field_faq_items_question\",\"items_7_answer\":\"\\u003cp\\u003eYes. You can check your balance online anytime at\u00a0\\u003ca href=\\u0022https:\/\/mybenefitscenter.com\/\\u0022\\u003emybenefitscenter.com\\u003c\/a\\u003e. Once on the site, you will be asked to enter your 19-digit OTC and Grocery Card Number. On the next screen, you will be asked to enter your Total member ID number to log in and check your balance.\\u003c\/p\\u003e\\r\\n\\u003cp\\u003eYou can also check the balance of your OTC and Grocery Card by calling us.\\u003c\/p\\u003e\",\"_items_7_answer\":\"field_faq_items_answer\",\"items_8_question\":\"How do I report a lost or stolen OTC and Grocery Card?\",\"_items_8_question\":\"field_faq_items_question\",\"items_8_answer\":\"\\u003cp\\u003eTo report a lost or stolen OTC and Grocery Card, call us. We will have a new OTC and Grocery Card mailed to your home within 7\u201310 business days. To activate your new card, go to \\u003ca href=\\u0022https:\/\/mybenefitscenter.com\/\\u0022\\u003emybenefitscenter.com\\u003c\/a\\u003e, or call us.\\u003c\/p\\u003e\",\"_items_8_answer\":\"field_faq_items_answer\",\"items\":9,\"_items\":\"field_faq_items\",\"id\":\"block_acf_658d9fd13d7d2\"},\"mode\":\"edit\",\"id\":\"block_acf_658d9fd13d7d2\"} \/-->\n\n<!-- wp:paragraph -->\n<p><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p><\/p>\n<!-- \/wp:paragraph -->",
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"post_date": "2020-07-29 20:00:55",
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"post_content": "<!-- wp:paragraph -->\n<p>On this page, you can find links to tools, forms, and useful information to help you stay on top of your medications. Scroll down for answers to frequently asked questions about drug benefits.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:acf\/cta-repeater-banner {\"name\":\"acf\/cta-repeater-banner\",\"data\":{\"banners_0_icon\":20334,\"_banners_0_icon\":\"field_cta-repeater-banner_banners_icon\",\"banners_0_heading\":\"Look Up a Medication or Find a Network Pharmacy\",\"_banners_0_heading\":\"field_cta-repeater-banner_banners_heading\",\"banners_0_description\":\"\",\"_banners_0_description\":\"field_cta-repeater-banner_banners_description\",\"banners_0_button\":{\"title\":\"Search our drug and pharmacy list\",\"url\":\"http:\/\/openenrollment.medimpact.com\/#\/plancode?vns01202001\",\"target\":\"_blank\"},\"_banners_0_button\":\"field_cta-repeater-banner_banners_button\",\"banners_0_buttons_0_button\":{\"title\":\"Search Our Drug and Pharmacy 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"post_date": "2022-04-28 11:42:58",
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"post_content": "<!-- wp:acf\/hero {\"name\":\"acf\/hero\",\"data\":{\"hero_version\":\"v2\",\"_hero_version\":\"field_hero_hero_version\",\"background_image_image\":924,\"_background_image_image\":\"field_hero_background_image_image\",\"background_image_caption\":\"\",\"_background_image_caption\":\"field_hero_background_image_caption\",\"background_image\":\"\",\"_background_image\":\"field_hero_background_image\",\"slanted_image_effect\":\"0\",\"_slanted_image_effect\":\"field_hero_slanted_image_effect\",\"image_to_edge\":\"0\",\"_image_to_edge\":\"field_hero_image_to_edge\",\"rating\":\"\",\"_rating\":\"field_hero_rating\",\"heading\":\"Thank you for contacting us!\",\"_heading\":\"field_hero_heading\",\"subheading\":\"We will get in touch with you shortly.\",\"_subheading\":\"field_hero_subheading\",\"links_color\":\"light-blue\",\"_links_color\":\"field_hero_links_color\",\"subheading_size\":\"Small\",\"_subheading_size\":\"field_hero_subheading_size\"},\"mode\":\"edit\"} \/-->\n\n<!-- wp:paragraph {\"align\":\"center\"} -->\n<p class=\"has-text-align-center\">In the meantime, please check out some more information about <br>VNSNY CHOICE Total (HMO D-SNP).<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:buttons {\"layout\":{\"type\":\"flex\",\"justifyContent\":\"center\"}} -->\n<div class=\"wp-block-buttons\"><!-- wp:button {\"className\":\"is-style-outline\"} -->\n<div class=\"wp-block-button is-style-outline\"><a class=\"wp-block-button__link\" href=\"https:\/\/www.vnshealthplans.org\/our-plans\/choice-total\/\">Learn More About Total<\/a><\/div>\n<!-- \/wp:button --><\/div>\n<!-- \/wp:buttons -->\n\n<!-- wp:spacer {\"height\":\"50px\"} -->\n<div style=\"height:50px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n<!-- \/wp:spacer -->",
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"post_date": "2022-11-03 10:34:24",
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"post_content": "<!-- wp:acf\/hero {\"name\":\"acf\/hero\",\"data\":{\"hero_version\":\"v1\",\"_hero_version\":\"field_hero_hero_version\",\"background_image_image\":29323,\"_background_image_image\":\"field_hero_background_image_image\",\"background_image\":\"\",\"_background_image\":\"field_hero_background_image\",\"heading\":\"\\u003cp\\u003eCommunity Centers\\u003c\/p\\u003e\",\"_heading\":\"field_hero_heading\",\"subheading\":\"\",\"_subheading\":\"field_hero_subheading\",\"text\":\"\\u003cp\\u003eVisit a VNS Health community center near you for a class, a health screening, or information about our programs and services. At VNS Health, we\u2019re more than your health care team. We\u2019re your neighbors.\\u003cbr \/\\u003e\\r\\n\\u003cbr \/\\u003e\\r\\nNow in Chinatown, Sunset Park, and Flushing.\\u003c\/p\\u003e\",\"_text\":\"field_hero_text\",\"button\":\"\",\"_button\":\"field_hero_button\",\"disable_left_circle_lg\":\"1\",\"_disable_left_circle_lg\":\"field_hero_disable_left_circle_lg\",\"disable_left_circle\":\"0\",\"_disable_left_circle\":\"field_hero_disable_left_circle\",\"disable_right_circle\":\"0\",\"_disable_right_circle\":\"field_hero_disable_right_circle\",\"id\":\"block_acf_6478a2cd0e6dc\"},\"mode\":\"edit\",\"id\":\"block_acf_6478a2cd0e6dc\"} \/-->\n\n<!-- wp:heading {\"textAlign\":\"center\",\"level\":3} -->\n<h3 class=\"has-text-align-center\" id=\"h-visit-a-vns-health-community-center\">Visit a VNS Health Community Center<\/h3>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p>VNS Health has a strong presence in New York City\u2019s Chinatown, Sunset Park, and Flushing neighborhoods. Our community centers offer health- and wellness-focused programs and services. Anyone can attend an event, talk with our team, or take advantage of the social services we provide. You do not have to be a member of one of our health plans. There\u2019s no cost to visit our centers.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:acf\/media-text {\"name\":\"acf\/media-text\",\"data\":{\"align_media_right\":\"0\",\"_align_media_right\":\"field_media-text_align_media_right\",\"bg_color\":\"white\",\"_bg_color\":\"field_media-text_bg_color\",\"is_youtube_video\":\"0\",\"_is_youtube_video\":\"field_media-text_is_youtube_video\",\"heading\":\"Get Care Information \",\"_heading\":\"field_media-text_heading\",\"body\":\"\\u003cp\\u003eStop by a center to get information to help you or your aging loved ones live safely and independently at home.\u00a0Dedicated team members work with you \u2014 at no cost \u2014 to see how you might qualify for or learn about VNS Health programs or services, including:\\u003c\/p\\u003e\\r\\n\\u003cul\\u003e\\r\\n\\t\\u003cli\\u003e\\u003ca href=\\u0022\/home\\u0022\\u003eHealth plans\\u003c\/a\\u003e\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003e\\u003ca class=\\u0022noExitNotifier\\u0022 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you.\\u003c\/p\\u003e\",\"_body\":\"field_media-text_body\",\"image\":25814,\"_image\":\"field_media-text_image\",\"caption\":\"\",\"_caption\":\"field_media-text_caption\",\"link\":\"\",\"_link\":\"field_media-text_link\",\"id\":\"block_acf_6478a2cd0e7a5\"},\"mode\":\"edit\",\"id\":\"block_acf_6478a2cd0e7a5\"} \/-->\n\n<!-- wp:acf\/banner-in-body {\"name\":\"acf\/banner-in-body\",\"data\":{\"background_color\":\"dark-blue-with-brand-accent\",\"_background_color\":\"field_banner-in-body_background_color\",\"heading\":\"View Our Community Calendar to Find an Event Near You\",\"_heading\":\"field_banner-in-body_heading\",\"subheading\":\"\",\"_subheading\":\"field_banner-in-body_subheading\",\"description\":\"\",\"_description\":\"field_banner-in-body_description\",\"button_heading\":\"\",\"_button_heading\":\"field_banner-in-body_button_heading\",\"button\":{\"title\":\"View Our Community Calendar\",\"url\":\"\/events\",\"target\":\"\"},\"_button\":\"field_banner-in-body_button\",\"id\":\"block_acf_6478a2cd0e7c5\"},\"mode\":\"edit\",\"id\":\"block_acf_6478a2cd0e7c5\"} \/-->\n\n<!-- wp:acf\/plan-set {\"name\":\"acf\/plan-set\",\"data\":{\"heading\":\"Visit One of Our Locations\",\"_heading\":\"field_plan-set_heading\",\"subheading\":\"All VNS Health Community Centers are open Monday - Friday, 9 am\u20135 pm, except for holidays.\",\"_subheading\":\"field_plan-set_subheading\",\"background_color\":\"none\",\"_background_color\":\"field_plan-set_background_color\",\"cards_0_top_border_color\":\"dark-blue\",\"_cards_0_top_border_color\":\"field_plan-set_cards_top_border_color\",\"cards_0_heading\":\"Chinatown, Manhattan*\",\"_cards_0_heading\":\"field_plan-set_cards_heading\",\"cards_0_subheading\":\"\",\"_cards_0_subheading\":\"field_plan-set_cards_subheading\",\"cards_0_description\":\"\\u003cp\\u003e\\u003ciframe style=\\u0022border: 0;\\u0022 src=\\u0022https:\/\/www.google.com\/maps\/embed?pb=!1m18!1m12!1m3!1d3024.1844264214346!2d-74.00111098380971!3d40.71395637933172!2m3!1f0!2f0!3f0!3m2!1i1024!2i768!4f13.1!3m3!1m2!1s0x89c25a269450e295%3A0x6ebc241cd5c383bf!2s7%20Mott%20St%2C%20New%20York%2C%20NY%2010013!5e0!3m2!1sen!2sus!4v1666204484566!5m2!1sen!2sus\\u0022 width=\\u0022100%\\u0022 height=\\u0022150\\u0022 allowfullscreen=\\u0022allowfullscreen\\u0022\\u003e\\u003c\/iframe\\u003e\\u003cbr \/\\u003e\\r\\n7 Mott Street, New York, NY 10013\\u003cbr \/\\u003e\\r\\nPhone: 1-212-619-3072\\u003cbr \/\\u003e\\r\\nFax: 1-212-619-3076\\u003c\/p\\u003e\",\"_cards_0_description\":\"field_plan-set_cards_description\",\"cards_0_use_button_selector\":\"0\",\"_cards_0_use_button_selector\":\"field_plan-set_cards_use_button_selector\",\"cards_0_button\":\"\",\"_cards_0_button\":\"field_plan-set_cards_button\",\"cards_0_small_links\":\"\",\"_cards_0_small_links\":\"field_plan-set_cards_small_links\",\"cards_0_disable_exit_notifier\":\"0\",\"_cards_0_disable_exit_notifier\":\"field_plan-set_cards_disable_exit_notifier\",\"cards_0_rich_text\":\"\",\"_cards_0_rich_text\":\"field_plan-set_cards_rich_text\",\"cards_1_top_border_color\":\"cyan\",\"_cards_1_top_border_color\":\"field_plan-set_cards_top_border_color\",\"cards_1_heading\":\"Sunset Park, Brooklyn\",\"_cards_1_heading\":\"field_plan-set_cards_heading\",\"cards_1_subheading\":\"\",\"_cards_1_subheading\":\"field_plan-set_cards_subheading\",\"cards_1_description\":\"\\u003cp\\u003e\\u003ciframe style=\\u0022border: 0;\\u0022 src=\\u0022https:\/\/www.google.com\/maps\/embed?pb=!1m18!1m12!1m3!1d3027.6372500256457!2d-74.00907658381112!3d40.63788117934003!2m3!1f0!2f0!3f0!3m2!1i1024!2i768!4f13.1!3m3!1m2!1s0x89c2454a84badfeb%3A0x5ea7f93678d46075!2s5521%208th%20Ave%2C%20Brooklyn%2C%20NY%2011220!5e0!3m2!1sen!2sus!4v1666204724342!5m2!1sen!2sus\\u0022 width=\\u0022100%\\u0022 height=\\u0022150\\u0022 allowfullscreen=\\u0022allowfullscreen\\u0022\\u003e\\u003c\/iframe\\u003e \\u003cbr \/\\u003e\\r\\n5521 8th Avenue, Brooklyn, NY 11220 \\u003cbr \/\\u003e\\r\\nPhone: 1-718-477-4733 \\u003cbr \/\\u003e\\r\\nFax: 1-718-477-4736\\u003c\/p\\u003e\",\"_cards_1_description\":\"field_plan-set_cards_description\",\"cards_1_use_button_selector\":\"0\",\"_cards_1_use_button_selector\":\"field_plan-set_cards_use_button_selector\",\"cards_1_button\":\"\",\"_cards_1_button\":\"field_plan-set_cards_button\",\"cards_1_small_links\":\"\",\"_cards_1_small_links\":\"field_plan-set_cards_small_links\",\"cards_1_disable_exit_notifier\":\"0\",\"_cards_1_disable_exit_notifier\":\"field_plan-set_cards_disable_exit_notifier\",\"cards_1_rich_text\":\"\",\"_cards_1_rich_text\":\"field_plan-set_cards_rich_text\",\"cards_2_top_border_color\":\"magenta\",\"_cards_2_top_border_color\":\"field_plan-set_cards_top_border_color\",\"cards_2_heading\":\"Flushing, Queens\",\"_cards_2_heading\":\"field_plan-set_cards_heading\",\"cards_2_subheading\":\"\",\"_cards_2_subheading\":\"field_plan-set_cards_subheading\",\"cards_2_description\":\"\\u003cp\\u003e\\u003ciframe style=\\u0022border: 0;\\u0022 src=\\u0022https:\/\/www.google.com\/maps\/embed?pb=!1m18!1m12!1m3!1d3022.06652772901!2d-73.83065258380883!3d40.760561479326434!2m3!1f0!2f0!3f0!3m2!1i1024!2i768!4f13.1!3m3!1m2!1s0x89c260104eb31eef%3A0x54550e3cda06d7bb!2s136-52%2039th%20Ave%2C%20Flushing%2C%20NY%2011354!5e0!3m2!1sen!2sus!4v1666204873127!5m2!1sen!2sus\\u0022 width=\\u0022100%\\u0022 height=\\u0022150\\u0022 allowfullscreen=\\u0022allowfullscreen\\u0022\\u003e\\u003c\/iframe\\u003e \\u003cbr \/\\u003e\\r\\n136-52 39th Avenue, Flushing, NY 11354 \\u003cbr \/\\u003e\\r\\nPhone: 1-718-321-7695 \\u003cbr \/\\u003e\\r\\nFax: 1-718-321-7696\\u003c\/p\\u003e\",\"_cards_2_description\":\"field_plan-set_cards_description\",\"cards_2_use_button_selector\":\"0\",\"_cards_2_use_button_selector\":\"field_plan-set_cards_use_button_selector\",\"cards_2_button\":\"\",\"_cards_2_button\":\"field_plan-set_cards_button\",\"cards_2_small_links\":\"\",\"_cards_2_small_links\":\"field_plan-set_cards_small_links\",\"cards_2_disable_exit_notifier\":\"0\",\"_cards_2_disable_exit_notifier\":\"field_plan-set_cards_disable_exit_notifier\",\"cards_2_rich_text\":\"\",\"_cards_2_rich_text\":\"field_plan-set_cards_rich_text\",\"cards\":3,\"_cards\":\"field_plan-set_cards\",\"button\":\"\",\"_button\":\"field_plan-set_button\",\"id\":\"block_acf_6478a2cd0f4d8\"},\"mode\":\"edit\",\"id\":\"block_acf_6478a2cd0f4d8\"} \/-->\n\n<!-- wp:paragraph -->\n<p>*Our community center in Chinatown is also home to the VNS Health Chinatown NNORC (Neighborhood Naturally Occurring Retirement Community). The Chinatown NNORC helps people who are 60 years or older and live in a 24-block area of Chinatown.<\/p>\n<!-- \/wp:paragraph -->",
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"ID": 11689,
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"post_date": "2021-09-07 09:47:02",
"post_date_gmt": "2021-09-07 13:47:02",
"post_content": "<!-- wp:heading {\"level\":3} -->\n<h3 class=\"wp-block-heading\" id=\"h-introduction\">Introduction<\/h3>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p><a href=\"https:\/\/providersearch.vnshealthplans.org\/#\/?plan=mapd\">Follow this link to use our online search directory.<\/a><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>The directory lists health care professionals (such as doctors, nurse practitioners, and psychologists), facilities (such as hospitals or clinics), and we also list the pharmacies that you may use to get your prescription drugs.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>The listings contain provider and pharmacy addresses, contact information as well as other details, such as hospital affiliation and languages.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>The directory is current as of the date noted as \u201cLast data update\u201d at the bottom of the <a href=\"https:\/\/providersearch.vnshealthplans.org\/#\/?plan=mapd\">online search tool<\/a> page. For more information, please call us at 1-866-783-1444 (TTY: 711), 7 days a week, 8 am \u2013 8 pm (Oct. \u2013 Mar.) Weekdays, 8 am \u2013 8 pm (Apr. \u2013 Sept.)<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p><br><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:acf\/faq {\"name\":\"acf\/faq\",\"data\":{\"heading\":\"\",\"_heading\":\"field_faq_heading\",\"is_modular\":\"0\",\"_is_modular\":\"field_faq_is_modular\",\"items_0_question\":\"What is the service area for VNS Health EasyCare and VNS Health EasyCare Plus?\",\"_items_0_question\":\"field_faq_items_question\",\"items_0_answer\":\"\\u003cp\\u003eThe counties in our service area are listed below.\\u003c\/p\\u003e\\r\\n\\u003cul\\u003e\\r\\n\\t\\u003cli\\u003eThe Bronx\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eKings (Brooklyn)\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eNassau\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eNew York (Manhattan)\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eQueens\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eRichmond (Staten Island)\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eSuffolk\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eWestchester\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eAlbany\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eRensselaer\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eSchenectady\\u003c\/li\\u003e\\r\\n\\u003c\/ul\\u003e\",\"_items_0_answer\":\"field_faq_items_answer\",\"items_1_question\":\"What are providers?\",\"_items_1_question\":\"field_faq_items_question\",\"items_1_answer\":\"\\u003cp\\u003eProviders are health care professionals and support providers such as doctors, nurses, pharmacists, therapists, and other people who provide care and services. Services include medical care, supplies, prescription drugs, equipment and other services.\\u003c\/p\\u003e\\r\\n\\u003cp\\u003eThe term providers also includes facilities such as hospitals, clinics, and other places that provide medical services and medical equipment.\\u003c\/p\\u003e\\r\\n\\u003cp\\u003eProviders that are a part of our plan\u2019s network are called network providers.\\u003c\/p\\u003e\\r\\n\\u003cp\\u003eNetwork providers have contracted with us to deliver services to members of our plan. Network providers participate in our plan. That means they accept members of our plan and provide services our plan covers. The providers in our network generally bill us directly for care they give you.\\u003c\/p\\u003e\\r\\n\\u003cp\\u003eA primary care provider (PCP) is a network physician or nurse practitioner who gives you routine health care. Your PCP will keep your medical records and get to know your health needs over time.\\u003c\/p\\u003e\\r\\n\\u003cp\\u003eSpecialists are doctors who provide health care services for a specific disease or part of the body. There are many kinds of specialists. Here are a few examples:\\u003c\/p\\u003e\\r\\n\\u003cul\\u003e\\r\\n\\t\\u003cli\\u003eOncologists care for patients with cancer.\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eCardiologists care for patients with heart conditions.\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eOrthopedists care for patients with certain bone, joint, or muscle conditions.\\u003c\/li\\u003e\\r\\n\\u003c\/ul\\u003e\",\"_items_1_answer\":\"field_faq_items_answer\",\"items_2_question\":\"How can I choose a primary care provider (PCP)?\",\"_items_2_question\":\"field_faq_items_question\",\"items_2_answer\":\"\\u003cp\\u003eYou can get services from any provider who is in our network and accepting new members.\\u003c\/p\\u003e\\r\\n\\u003cp\\u003eWhen you become a member of our plan, you will choose a PCP who is part of our plan network. This provider will be your PCP.\\u003c\/p\\u003e\\r\\n\\u003cp\\u003eIf you did not choose a PCP or would like to make a change to your PCP, go to the \\u003ca href=\\u0022https:\/\/providersearch.vnshealthplans.org\/#\/?plan=mapd\\u0022\\u003eonline search tool\\u003c\/a\\u003e, and choose a provider:\\u003c\/p\\u003e\\r\\n\\u003cul\\u003e\\r\\n\\t\\u003cli\\u003ethat you use now\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003ewho has been recommended by someone you trust\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003ewhose offices are easy for you to get to\\u003c\/li\\u003e\\r\\n\\u003c\/ul\\u003e\\r\\n\\u003cp\\u003eIf you need help in choosing a PCP, please call us at the number at the top of this page.\\u003c\/p\\u003e\\r\\n\\u003cp\\u003eIf you do not select a network PCP, one will be assigned to you.\\u003c\/p\\u003e\\r\\n\\u003cp\\u003eIf you have questions about whether we will pay for any medical service or care that you want or need, call us at the number at the top of this page and ask before you get the service or care.\\u003c\/p\\u003e\",\"_items_2_answer\":\"field_faq_items_answer\",\"items_3_question\":\"How can I identify providers in VNS Health EasyCare and VNS Health EasyCare Plus\u2019s network?\",\"_items_3_question\":\"field_faq_items_question\",\"items_3_answer\":\"\\u003cp\\u003eYou must get all your covered services from providers within our network. If you go to providers who are not in the plan\u2019s network (without prior authorization or approval from us), you will have to pay the bill.\\u003c\/p\\u003e\\r\\n\\u003cp\\u003eA prior authorization is an approval from the plan before you can get a specific service, drug, or see an out-of-network provider. The plan may not cover the service or drug if you don\u2019t get approval.\\u003c\/p\\u003e\\r\\n\\u003cp\\u003eThe exceptions to this rule are when you need urgent or emergency care or dialysis and cannot get to a provider in the plan, such as when you are away from home. Emergency care can always be obtained in or out of the service area from the nearest available provider. When in the service area, you must use plan providers for urgent care. In addition, when out of the service area, you can obtain dialysis treatment from any qualified dialysis provider. You can also go outside the plan for other non-emergency services if the plan gives you permission first.\\u003c\/p\\u003e\\r\\n\\u003cul\\u003e\\r\\n\\t\\u003cli\\u003eYou may change providers within the network at any time during the year. If you have been going to one network provider, you do not have to keep going to that same provider. You may change your primary care provider (PCP) at any time during your enrollment in the plan. You may choose only PCPs in the network. To change your PCP, please call us at the number at the top of this page.\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eThe plan works with all the providers in our network to accommodate the needs of people with disabilities. As applicable, the list of network providers in this directory includes information about the accommodations they provide.\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eIf you need to see a provider and are not sure if they offer the accommodations you need, we can help you. Talk to your Care Team for assistance.\\u003c\/li\\u003e\\r\\n\\u003c\/ul\\u003e\",\"_items_3_answer\":\"field_faq_items_answer\",\"items_4_question\":\"How can I find VNS Health EasyCare and VNS Health EasyCare Plus providers in my area?\",\"_items_4_question\":\"field_faq_items_question\",\"items_4_answer\":\"\\u003cp\\u003eOur directory includes providers for Medicare services.\\u003c\/p\\u003e\\r\\n\\u003cp\\u003eTo find a provider near you, or that fits your specific need, select the type of provider you are looking for, and filter by location.\\u003c\/p\\u003e\\r\\n\\u003cp\\u003eIcons in the provider listings will indicate additional information such as if a provider is wheelchair accessible, speaks other languages, accepts new patients, and more. To see the full detailed information for a provider while using the \\u003ca href=\\u0022https:\/\/providersearch.vnshealthplans.org\/#\/?plan=mapd\\u0022\\u003eonline provider search\\u003c\/a\\u003e, click the View Full Profile button on the listing. The Map button will provide you with access to ways you may be able to get to the provider\u2019s office.\\u003c\/p\\u003e\\r\\n\\u003cp\\u003eIf you have questions about this plan or need assistance in selecting a primary care provider, please call us at the number at the top of this page.\\u003c\/p\\u003e\",\"_items_4_answer\":\"field_faq_items_answer\",\"items_5_question\":\"How can I access out-of-network providers?\",\"_items_5_question\":\"field_faq_items_question\",\"items_5_answer\":\"\\u003cp\\u003eYou may obtain services from out-of-network providers in the following situations:\\u003c\/p\\u003e\\r\\n\\u003cul\\u003e\\r\\n\\t\\u003cli\\u003eYou are out of the service area and need dialysis.\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eYou are in need of a special service that is not available from one of the in-network providers.\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eYou have an emergency or are in need of urgent care.\\u003c\/li\\u003e\\r\\n\\u003c\/ul\\u003e\\r\\n\\u003cp\\u003eExcept in an emergency, you must obtain authorization from the plan. Call us at the number at the top of this page for more information or to arrange for services.\\u003c\/p\\u003e\",\"_items_5_answer\":\"field_faq_items_answer\",\"items_6_question\":\"How can I access specialty providers?\",\"_items_6_question\":\"field_faq_items_question\",\"items_6_answer\":\"\\u003cp\\u003eAs a member of VNS Health EasyCare or VNS Health EasyCare Plus, you do not need a referral from your PCP for network specialists or hospital. Your PCP may provide you with assistance if you need help selecting a specialist or hospital. In some instances, your physician may request that you receive additional diagnostic tests or procedures. In these instances, your physician will need to obtain prior authorization from the plan.\\u003c\/p\\u003e\\r\\n\\u003cp\\u003eYou can get additional information on how to access specialty care by calling us at the number at the top of this page.\\u003c\/p\\u003e\",\"_items_6_answer\":\"field_faq_items_answer\",\"items_7_question\":\"Appointment Wait Time Standards\",\"_items_7_question\":\"field_faq_items_question\",\"items_7_answer\":\"\\u003cp\\u003eAppointment wait times standards for primary care and behavioral health services are as follow:\\u003c\/p\\u003e\\r\\n\\u003cul\\u003e\\r\\n\\t\\u003cli\\u003eUrgently needed services or emergency\u2014immediately;\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eServices that are not emergency or urgently needed, but the enrollee requires medical attention\u2014within 7 business days; and\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eRoutine and preventive care\u2014within 30 business days.\\u003c\/li\\u003e\\r\\n\\u003c\/ul\\u003e\",\"_items_7_answer\":\"field_faq_items_answer\",\"items_8_question\":\"How can I find a network pharmacy?\",\"_items_8_question\":\"field_faq_items_question\",\"items_8_answer\":\"\\u003cp\\u003eThe \\u003ca href=\\u0022https:\/\/providersearch.vnshealthplans.org\/#\/?plan=mapd\\u0022\\u003eonline search tool\\u003c\/a\\u003e provides a listing of pharmacies in the VNS Health EasyCare and VNS Health EasyCare Plus\u2019s network. These network pharmacies are pharmacies that have agreed to provide prescription drugs to you as a member of the plan.\\u003c\/p\\u003e\\r\\n\\u003cp\\u003eYou may access pharmacies outside of the plan\u2019s service areas through our nationwide pharmacy network linked below:\\u003c\/p\\u003e\\r\\n\\u003cp\\u003e\\u003ca href=\\u0022https:\/\/openenrollment.medimpact.com\/#\/plancode?VNS01202401\\u0022\\u003eFor VNS Health EasyCare Members\\u003c\/a\\u003e\u00a0\\u003c\/p\\u003e\\r\\n\\u003cp\\u003e\\u003ca href=\\u0022https:\/\/openenrollment.medimpact.com\/#\/plancode?VNS01202402\\u0022\\u003eFor VNS Health EasyCare Plus Members\\u003c\/a\\u003e\\u003c\/p\\u003e\\r\\n\\u003cul\\u003e\\r\\n\\t\\u003cli\\u003eVNS Health EasyCare and VNS Health EasyCare Plus members must use network pharmacies to get prescription drugs.\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eYou must use network pharmacies except in emergency or urgent care situations.\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eIf you go to an out-of-network pharmacy for prescriptions when it is not an emergency, you will have to pay out-of-pocket for the service. Read your Evidence of Coverage\/Member Handbook for more information.\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eFor up-to-date information about the VNS Health EasyCare and VNS Health EasyCare Plus network pharmacies in your area, please go to our \\u003ca href=\\u0022https:\/\/providersearch.vnshealthplans.org\/#\/?plan=mapd\\u0022\\u003eonline search tool\\u003c\/a\\u003e or call us at the number at the top of this page.\\u003c\/li\\u003e\\r\\n\\u003c\/ul\\u003e\\r\\n\\u003cp\\u003e\\u003cstrong\\u003eFor VNS Health EasyCare Members:\\u003c\/strong\\u003e To get a complete description of your prescription coverage, including how to fill your prescriptions, please review your VNS Health EasyCare Evidence of Coverage\/Member Handbook and Formulary. You can find these materials \\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/easycare-member-resources\/2024-plan-materials\/\\u0022\\u003e\\u003cstrong\\u003ehere\\u003c\/strong\\u003e\\u003c\/a\\u003e.\\u003c\/p\\u003e\\r\\n\\u003cp\\u003e\\u003cstrong\\u003eFor VNS Health EasyCare Plus Members: \\u003c\/strong\\u003eTo get a complete description of your prescription coverage, including how to fill your prescriptions, please review your VNS Health EasyCare Plus Evidence of Coverage\/Member Handbook and Formulary. You can find these materials \\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/easycare-plus-member-resources\/2024-plan-materials\/\\u0022\\u003e\\u003cstrong\\u003ehere\\u003c\/strong\\u003e\\u003c\/a\\u003e.\\u003c\/p\\u003e\",\"_items_8_answer\":\"field_faq_items_answer\",\"items_9_question\":\"What types of pharmacies are in the VNS Health EasyCare and VNS Health EasyCare Plus network?\",\"_items_9_question\":\"field_faq_items_question\",\"items_9_answer\":\"\\u003cp\\u003eAlong with retail pharmacies, your plan\u2019s network of pharmacies includes:\\u003c\/p\\u003e\\r\\n\\u003cul\\u003e\\r\\n\\t\\u003cli\\u003eMail-order pharmacies send covered prescription drugs to members through the mail or shipping companies.\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eHome infusion pharmacies prepare prescription drugs that are given through a vein, within a muscle, or in another non-oral way by a trained provider in your home.\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eLong-term-care pharmacies serve residents of long-term-care facilities, such as nursing homes.\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eIndian Health Service\/Tribal \/Urban Indian Health Program (I\/T\/U) pharmacies\\u003c\/li\\u003e\\r\\n\\u003c\/ul\\u003e\\r\\n\\u003cp\\u003eYou are not required to continue going to the same pharmacy to fill your prescriptions. You can go to any of the pharmacies in our network.\\u003c\/p\\u003e\\r\\n\\u003cp\\u003eThe directory listings are current as of the date noted as the \u201cLast data update\u201d at the bottom of the \\u003ca href=\\u0022https:\/\/providersearch.vnshealthplans.org\/#\/?plan=mapd\\u0022\\u003eonline search tool\\u003c\/a\\u003e page.\\u003c\/p\\u003e\\r\\n\\u003cp\\u003eYou can get prescription drugs shipped to your home through our network mail-order delivery program, which is called Birdi\u2122. For more information, please call us at the number at the top of this page, or see the mail-order pharmacies section under \u201cWhat are the different types of pharmacies in the EasyCare and EasyCare Plus network?\u201d\\u003c\/p\\u003e\",\"_items_9_answer\":\"field_faq_items_answer\",\"items_10_question\":\"What are the different types of pharmacies in the VNS Health EasyCare and VNS Health EasyCare Plus network?\",\"_items_10_question\":\"field_faq_items_question\",\"items_10_answer\":\"\\u003cul\\u003e\\r\\n\\t\\u003cli\\u003eRetail pharmacies \u2014 You can go to any of the pharmacies in our network.\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eMail-order pharmacies \u2014 You can get prescription drugs shipped to your home through our network mail-order delivery program, which is called Birdi\u2122. To enroll in this program, please call us at the number at the top of this page. Or visit our Medications page (\\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/easycare-member-resources\/drug-benefits-and-resources-for-members\/#can-i-get-prescriptions-mailed-to-my-home\\u0022\\u003efor EasyCare members\\u003c\/a\\u003e or \\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/easycare-plus-member-resources\/drug-benefits-and-resources-for-members\/#can-i-get-my-prescriptions-mail-to-my-home\\u0022\\u003efor EasyCare Plus members\\u003c\/a\\u003e).\\u003cbr \/\\u003e\\r\\n\\u003cbr \/\\u003e\\r\\nTypically, you should expect to get your prescription drugs within 14 days from the time that the mail-order pharmacy gets the order. If you do not get your prescription drugs within this time, or if you need to ask for a refund for prescriptions you got that you did not want or need, please call us at the number at the top of this page.\\u003c\/li\\u003e\\r\\n\\u003c\/ul\\u003e\\r\\n\\u003cul\\u003e\\r\\n\\t\\u003cli\\u003eHome infusion pharmacies \u2014 We will cover home infusion therapy if:\\r\\n\\r\\n\\u003cul\\u003e\\r\\n\\t\\u003cli\\u003eYour prescription drug is on our plan\u2019s formulary, or a formulary exception has been granted for your prescription drug.\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eOur plan has approved your prescription for home infusion therapy.\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eYour prescription is written by an authorized prescriber.\\u003c\/li\\u003e\\r\\n\\u003c\/ul\\u003e\\r\\n\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eLong-Term Care Pharmacies \u2013 Residents of a long-term care facility may access their prescription drugs covered under VNS Health EasyCare or VNS Health EasyCare Plus through the facility\u2019s long-term care pharmacy or another network long-term care pharmacy.\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eIndian Health Service \/ Tribal \/ Urban Indian Health Program (I\/T\/U) Pharmacies \u2013 Only Native Americans and Alaska Natives have access to I\/T\/U pharmacies through VNS Health EasyCare or VNS Health EasyCare Plus pharmacy network. Those other than Native Americans and Alaskan Natives may be able to go to these pharmacies under limited circumstances (e.g., emergencies).\\u003c\/li\\u003e\\r\\n\\u003c\/ul\\u003e\\r\\n\\u003cp\\u003ePlease refer to the \\u003ca href=\\u0022https:\/\/providersearch.vnshealthplans.org\/#\/?plan=mapd\\u0022\\u003eonline search tool\\u003c\/a\\u003e for a list of home infusion, long-term care and I\/T\/U pharmacies that are in the plan\u2019s network. If you need additional services, please call us at the number at the top of this page.\\u003c\/p\\u003e\\r\\n\\u003cp\\u003e\\u0026nbsp;\\u003c\/p\\u003e\",\"_items_10_answer\":\"field_faq_items_answer\",\"items\":11,\"_items\":\"field_faq_items\",\"id\":\"block_acf_65e5f7cd5858c\"},\"mode\":\"edit\",\"id\":\"block_acf_65e5f7cd5858c\"} \/-->\n\n<!-- wp:paragraph -->\n<p><\/p>\n<!-- \/wp:paragraph -->",
"post_title": "VNS Health EasyCare (HMO) and VNS Health EasyCare Plus (HMO D-SNP) Provider and Pharmacy Directory",
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"ID": 32189,
"post_author": "3",
"post_date": "2023-05-26 16:14:55",
"post_date_gmt": "2023-05-26 20:14:55",
"post_content": "<!-- wp:paragraph -->\n<p><a><strong>May 26, 2023<\/strong><\/a> \u2013 On Friday, May 12, 2023, VNS CHOICE doing business as VNS Health Health Plans (\u201cVNS\u201d) was notified by Healthplex Inc. (\u201cHealthplex\u201d) of a data event involving one of its vendors. Healthplex manages dental claims and appeals for certain VNS members. Healthplex informed VNS that its vendor Managed Care of North America, Inc. Dental Plan (\u201cMCNA\u201d), which provided Healthplex with certain shared service operations and IT support, had recently experienced a cyber security attack. VNS is providing additional information about the event and about MCNA\u2019s response based on the information Healthplex and MCNA have provided to VNS.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p><strong>What Happened?<\/strong> According to MCNA, on March 6, 2023, MCNA became aware that an unauthorized party had accessed certain MCNA computer systems. On the same day it discovered the unauthorized activity, MCNA took immediate steps to contain the threat and engaged a third-party forensic firm to investigate the incident and assist with remediation efforts. MCNA subsequently discovered that certain systems within the network may have been infected with malicious code. Through its investigation, MCNA determined that an unauthorized third party was able to access certain systems and remove copies of some personal information between February 26, 2023 and March 7, 2023.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p><a><\/a><a><strong>What Information was Affected? <\/strong><\/a>The types of impacted information vary by individual and could have included: demographic information to identify and contact the individual, such as full name, date of birth, address, telephone and email; Social Security number; driver\u2019s license number or government-issued identification number; health insurance information, such as name of plan\/insurer\/government payor, member\/Medicaid\/Medicare ID number, plan and\/or group number, and Healthplex ID card information (such as effective date, copay and Rx coverage); information regarding dental\/orthodontic care, such as medical record number, patient number, dates of service, provider names, medical\/dental status and history, chief complaint or reason for visit, x-rays\/photographs, and other assessment, visit, diagnosis, prescription, procedure and treatment information and records; financial information, such as bank account and credit card information; and billing and claims information, such as account statements and\/or claim status, appeals, reviews, billing and diagnostic codes, and payor information. For some individuals, one or more of these data elements regarding the member\u2019s parent, guardian, or guarantor may also have been involved. Please note that not all data elements were involved for all individuals.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>In accordance with best practices, we encourage you to review your account statements, explanations of benefits, and credit reports carefully for unexpected activity and to report any questionable activity to the associated institutions immediately.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p><strong>What MCNA Is Doing. <\/strong>Healthplex has informed VNS that, in response to the incident, MCNA took necessary and appropriate steps to prioritize the continued protection of VNS\u2019 and its members\u2019 data. In response to this incident and as part of its ongoing effort to stay ahead of evolving threats, MCNA has further enhanced its security and monitoring practices and further strengthened its systems to minimize the risk of a similar incident occurring in the future.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>MCNA will be mailing notices to impacted individuals. In addition, MCNA has posted substitute notice online at: <a href=\"https:\/\/response.idx.us\/MCNA-Information\">https:\/\/response.idx.us\/MCNA-Information<\/a>.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>VNS is providing this substitute notice to supplement MCNA\u2019s notices.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p><strong>What Affected Individuals Can Do. <\/strong>We encourage potentially affected individuals to remain vigilant against incidents of identity theft and fraud by reviewing their account statements, explanations of benefits, and credit reports carefully for unexpected activity and to report any questionable activity to the associated institutions immediately. Additional information can be found below in the <em>Steps You Can Take to Protect Information<\/em>.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>MCNA will also offer complimentary credit and identity monitoring services to affected individuals through IDX. Impacted individuals will also be provided with a toll-free number to contact as well as a reference guide providing instructions regarding how to monitor accounts, place security freezes, etc.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p><strong>For More Information. <\/strong>For individuals seeking additional information regarding this event, a toll-free assistance line has been established. Individuals may call 1-888-220-5006 toll-free Monday through Friday from 9 a.m. to 9 p.m. Eastern Time, excluding major U.S. holidays.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>VNS sincerely regrets any concern this incident may cause for any VNS member. VNS takes information security very seriously. Note that Healthplex has indicated that it terminated its relationship with MCNA in 2021. Therefore, MCNA is no longer providing services on behalf of VNS. VNS is monitoring this matter and will continue to take all appropriate action with respect to this incident. <\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p><strong>Steps You Can Take To Protect Information<\/strong><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p><strong><u>Provide Any Updated Personal Information to Your Health Care Provider<\/u><\/strong><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>Your health care provider\u2019s office may ask to see a photo ID to verify your identity. Please bring a photo ID with you to every appointment if possible. Your provider\u2019s office may also ask you to confirm your date of birth, address, telephone, and other pertinent information so that they can make sure that all of your information is up-to-date. Please be sure and tell your provider\u2019s office when there are any changes to your information. Carefully reviewing this information with your provider\u2019s office at each visit can help to avoid problems and to address them quickly should there be any discrepancies.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p><strong><u>Order Your Free Credit Report<\/u><\/strong><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>To order your free annual credit report, visit www.annualcreditreport.com, call toll-free at (877) 322-8228, or complete the Annual Credit Report Request Form on the U.S. Federal Trade Commission\u2019s (\u201cFTC\u201d) website at www.ftc.gov and mail it to Annual Credit Report Request Service, P.O. Box 105281, Atlanta, GA 30348-5281. The three credit bureaus provide free annual credit reports only through the website, toll-free number or request form.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>Upon receiving your credit report, review it carefully. Look for accounts you did not open. Look in the \u201cinquiries\u201d section for names of creditors from whom you have not requested credit. Some companies bill under names other than their store or commercial names; the credit bureau will be able to tell if this is the case. Look in the \u201cpersonal information\u201d section for any inaccuracies in information (such as home address and Social Security Number). <\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>If you see anything you do not understand, call the credit bureau at the telephone number on the report. Errors may be a warning sign of possible identity theft. You should notify the credit bureaus of any inaccuracies in your report, whether due to error or fraud, as soon as possible so the information can be investigated and, if found to be in error, corrected. If there are accounts or charges you did not authorize, immediately notify the appropriate credit bureau by telephone and in writing. Information that cannot be explained should also be reported to your local police or sheriff\u2019s office because it may signal criminal activity.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p><strong><u>How to Enroll in IDX Credit and Identity Monitoring Services<\/u><\/strong><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>As a safeguard, you may enroll, at no cost to you, in an online credit monitoring and identity restoration service provided by IDX. To enroll in this service, please call 888-220-5006 or visit https:\/\/response.idx.us\/MCNA-Information and follow the instructions for enrollment.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>The monitoring included in the membership must be activated to be effective. Please note that credit monitoring services may not be available for individuals who have not established credit or an address in the United States (or its territories) and a valid Social Security number. Enrolling in this service will not affect your credit score. If you need assistance, IDX will be able to assist you.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>We encourage you to take advantage of these protections and remain vigilant for incidents of potential fraud and identity theft, including regularly reviewing and monitoring your credit reports and account statements. <\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p><strong><u>Contact the U.S. Federal Trade Commission<\/u><\/strong><strong> <\/strong><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>If you detect any unauthorized transactions in any of your financial accounts, promptly notify the appropriate payment card company or financial institution. If you detect any incidents of identity theft or fraud, promptly report the matter to your local law enforcement authorities, state Attorney General and the FTC.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>You can contact the FTC to learn more about how to protect yourself from becoming a victim of identity theft by using the contact information below:<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>Federal Trade Commission<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>Consumer Response Center<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>600 Pennsylvania Avenue, NW<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>Washington, DC 20580<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>1-877-IDTHEFT (438-4338)<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>www.ftc.gov\/idtheft\/<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p><strong><u>Place a Fraud Alert on Your Credit File<\/u><\/strong> <\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>To protect yourself from possible identity theft, consider placing a fraud alert on your credit file. A fraud alert helps protect against the possibility of an identity thief opening new credit accounts in your name. When a credit grantor checks the credit history of someone applying for credit, the credit grantor gets a notice that the applicant may be the victim of identity theft. The alert notifies the credit grantor to take steps to verify the identity of the applicant. You can place a fraud alert on your credit report by calling any one of the toll-free fraud numbers provided below. You will reach an automated telephone system that allows flagging of your file with a fraud alert at all three credit bureaus.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:table -->\n<figure class=\"wp-block-table\"><table><tbody><tr><td>Equifax<\/td><td>P.O. Box 105069 Atlanta, Georgia 30348 <\/td><td>1- 888-766-0008<\/td><td>www.equifax.com<\/td><\/tr><tr><td>Experian<\/td><td>P.O. Box 9554 Allen, Texas 75013<\/td><td>1-888-397-3742<\/td><td>www.experian.com <\/td><\/tr><tr><td> TransUnion<\/td><td> P.O. Box 2000 Chester, PA 19016<\/td><td> 1-800-680-7289<\/td><td> www.transunion.com<\/td><\/tr><\/tbody><\/table><\/figure>\n<!-- \/wp:table -->\n\n<!-- wp:paragraph -->\n<p><strong><u>Security Freezes<\/u><\/strong><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>You have the right to request a credit freeze from a consumer reporting agency, free of charge, so that no new credit can be opened in your name without the use of a PIN number that is issued to you when you initiate a freeze. A security freeze is designed to prevent potential credit grantors from accessing your credit report without your consent. If you place a security freeze, potential creditors and other third parties will not be able to get access to your credit report unless you temporarily lift the freeze. Therefore, using a security freeze may delay your ability to obtain credit. <\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>Unlike a fraud alert, you must separately place a security freeze on your credit file at each credit bureau. To place a security freeze on your credit report you must contact the credit reporting agency by phone, mail, or secure electronic means and provide proper identification of your identity. The following information must be included when requesting a security freeze (note that if you are requesting a credit report for your spouse, this information must be provided for him\/her as well): (1) full name, with middle initial and any suffixes; (2) Social Security number; (3) date of birth; (4) current address and any previous addresses for the past five years; and (5) any applicable incident report or complaint with a law enforcement agency or the Registry of Motor Vehicles. The request must also include a copy of a government-issued identification card and a copy of a recent utility bill or bank or insurance statement. It is essential that each copy be legible, display your name and current mailing address, and the date of issue.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>Below, please find relevant contact information for the three consumer reporting agencies:<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:table -->\n<figure class=\"wp-block-table\"><table><tbody><tr><td>Equifax Security Freeze<\/td><td>P.O. Box 105788 Atlanta, GA 30348 <\/td><td>1-800-685-1111<\/td><td>www.equifax.com<\/td><\/tr><tr><td>Experian Security Freeze<\/td><td>P.O. Box 9554 Allen, TX 75013<\/td><td>1-888-397-3742<\/td><td>www.experian.com <\/td><\/tr><tr><td> TransUnion<\/td><td> P.O. Box 160 Woodlyn, PA 19094 <\/td><td> 1-888-909-8872<\/td><td> www.transunion.com<\/td><\/tr><\/tbody><\/table><\/figure>\n<!-- \/wp:table -->\n\n<!-- wp:paragraph -->\n<p>Once you have submitted your request, the credit reporting agency must place the security freeze no later than 1 business day after receiving a request by phone or secure electronic means, and no later than 3 business days after receiving a request by mail. No later than five business days after placing the security freeze, the credit reporting agency will send you confirmation and information on how you can remove the freeze in the future.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p><strong><u>For Residents of New York<\/u><\/strong><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>You may also obtain information about security breach response and identity theft prevention and protection from the New York Attorney General\u2019s Office:<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>Office of the Attorney General, The Capitol, Albany, NY 12224-0341, 1-800-771-7755, www.ag.ny.gov.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>ATTENTION: If you speak English, language assistance services, free of charge, are available to you. Call 1-855-699-6262 (TTY: 1-800-955-8771).<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>ATENCI\u00d3N: si habla espa\u00f1ol, tiene a su disposici\u00f3n servicios gratuitos de asistencia ling\u00fc\u00edstica. Llame al 1-855-699-6262 (TTY: 1-800-955-8771).<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>ATANSYON: Si w pale Krey\u00f2l Ayisyen, gen s\u00e8vis \u00e8d pou lang ki disponib gratis pou ou. Rele 1-855-699-6262 (TTY: 1-800-955-8771)<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>CH\u00da \u00dd: N\u1ebfu b\u1ea1n n\u00f3i Ti\u1ebfng Vi\u1ec7t, c\u00f3 c\u00e1c d\u1ecbch v\u1ee5 h\u1ed7 tr\u1ee3 ng\u00f4n ng\u1eef mi\u1ec5n ph\u00ed d\u00e0nh cho b\u1ea1n. G\u1ecdi s\u1ed1 11-855-699-6262 (TTY: 1-800-955-8771).<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>ATEN\u00c7\u00c3O: Se fala portugu\u00eas, encontram-se dispon\u00edveis servi\u00e7os lingu\u00edsticos, gr\u00e1tis. Ligue para 1-855-699-6262 (TTY: 1-800-955-8771).<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>\u6ce8\u610f:\u5982\u679c\u60a8\u4f7f\u7528\u7e41\u9ad4\u4e2d\u6587\uff0c\u60a8\u53ef\u4ee5\u514d\u8cbb\u7372\u5f97\u8a9e\u8a00\u63f4\u52a9\u670d\u52d9\u3002\u8acb\u81f4\u96fb1-855-699-6262 (TTY: 1-800-955-8771)\u3002<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>ATTENTION : Si vous parlez fran\u00e7ais, des services d'aide linguistique vous sont propos\u00e9s gratuitement. Appelez le 1-855-699-6262 (ATS : 1-800-955-8771).<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>PAUNAWA: Kung nagsasalita ka ng Tagalog, maaari kang gumamit ng mga serbisyo ng tulong sa wika nang walang bayad. Tumawag sa 1-855-699-6262 (TTY: 1-800-955-8771).<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>\u0412\u041d\u0418\u041c\u0410\u041d\u0418\u0415: \u0415\u0441\u043b\u0438 \u0432\u044b \u0433\u043e\u0432\u043e\u0440\u0438\u0442\u0435 \u043d\u0430 \u0440\u0443\u0441\u0441\u043a\u043e\u043c \u044f\u0437\u044b\u043a\u0435, \u0442\u043e \u0432\u0430\u043c \u0434\u043e\u0441\u0442\u0443\u043f\u043d\u044b \u0431\u0435\u0441\u043f\u043b\u0430\u0442\u043d\u044b\u0435 \u0443\u0441\u043b\u0443\u0433\u0438 \u043f\u0435\u0440\u0435\u0432\u043e\u0434\u0430. \u0417\u0432\u043e\u043d\u0438\u0442\u0435 1-855-699-6262 (\u0442\u0435\u043b\u0435\u0442\u0430\u0439\u043f: 1-800-955-8771).<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>\u0645\u0644\u062d\u0648\u0638\u0629: \u0625\u0630\u0627 \u0643\u0646\u062a \u062a\u062a\u062d\u062f\u062b \u0627\u0630\u0643\u0631 \u0627\u0644\u0644\u063a\u0629\u060c \u0641\u0625\u0646 \u062e\u062f\u0645\u0627\u062a \u0627\u0644\u0645\u0633\u0627\u0639\u062f\u0629 \u0627\u0644\u0644\u063a\u0648\u064a\u0629 \u062a\u062a\u0648\u0627\u0641\u0631 \u0644\u0643 \u0628\u0627\u0644\u0645\u062c\u0627\u0646. \u0627\u062a\u0635\u0644 \u0628\u0631\u0642\u0645 1-855-699-6262 (\u0631\u0642\u0645 \u0647\u0627\u062a\u0641 \u0627\u0644\u0635\u0645 \u0648\u0627\u0644\u0628\u0643\u0645: 1-800-955-8771).<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>ATTENZIONE: In cask la lingua palatal said litigant, so no disponibili servizi di assistenza linguistica gratuiti. Chiamare il numero 1-855-699-6262 (TTY: 1-800-955-8771).<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>ACHTUNG: Wenn Sie Deutsch sprechen, stehen Ihnen kostenlos sprachliche Hilfsdienstleistungen zur Verf\u00fcgung. Rufnummer: 1-855-699-6262 (TTY: 1-800-955-8771).<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>\uc8fc\uc758: \ud55c\uad6d\uc5b4\ub97c \uc0ac\uc6a9\ud558\uc2dc\ub294 \uacbd\uc6b0, \uc5b8\uc5b4 \uc9c0\uc6d0 \uc11c\ube44\uc2a4\ub97c \ubb34\ub8cc\ub85c \uc774\uc6a9\ud558\uc2e4 \uc218 \uc788\uc2b5\ub2c8\ub2e4. 1-855-699-6262 (TTY: 1-800-955-8771)\ubc88\uc73c\ub85c \uc804\ud654\ud574 \uc8fc\uc2ed\uc2dc\uc624.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>UWAGA: Je\u017celi m\u00f3wisz po polsku, mo\u017cesz skorzysta\u0107 z bezp\u0142atnej pomocy j\u0119zykowej. Zadzwo\u0144 pod numer 1-855-699-6262 (TTY: 1-800-955-8771).<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p><strong>\u0ab8\u0ac1\u0a9a\u0aa8\u0abe<\/strong><strong>: <\/strong><strong>\u0a9c\u0acb<\/strong><strong> <\/strong><strong>\u0aa4\u0aae\u0ac7<\/strong><strong> <\/strong><strong>\u0a97\u0ac1\u0a9c\u0ab0\u0abe\u0aa4\u0ac0<\/strong><strong> <\/strong><strong>\u0aac\u0acb\u0ab2\u0aa4\u0abe<\/strong><strong> <\/strong><strong>\u0ab9\u0acb<\/strong><strong>, <\/strong><strong>\u0aa4\u0acb<\/strong><strong> <\/strong><strong>\u0aa8\u0abf<\/strong><strong>:<\/strong><strong>\u0ab6\u0ac1\u0ab2\u0acd\u0a95<\/strong><strong> <\/strong><strong>\u0aad\u0abe\u0ab7\u0abe<\/strong><strong> <\/strong><strong>\u0ab8\u0ab9\u0abe\u0aaf<\/strong><strong> <\/strong><strong>\u0ab8\u0ac7\u0ab5\u0abe\u0a93<\/strong><strong> <\/strong><strong>\u0aa4\u0aae\u0abe\u0ab0\u0abe<\/strong><strong> <\/strong><strong>\u0aae\u0abe\u0a9f\u0ac7<\/strong><strong> <\/strong><strong>\u0a89\u0aaa\u0ab2\u0aac\u0acd\u0aa7<\/strong><strong> <\/strong><strong>\u0a9b\u0ac7<\/strong><strong>. <\/strong><strong>\u0aab\u0acb\u0aa8<\/strong><strong> <\/strong><strong>\u0a95\u0ab0\u0acb<\/strong><strong> <\/strong> 1-855-699-6262 (TTY: 1-800-955-8771).<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>\u0e40\u0e23\u0e35\u0e22\u0e19: \u0e16\u0e32\u0e49 \u0e04\u0e38\u0e13\u0e1e\u0e14\u0e39 \u0e20\u0e32\u0e29\u0e32\u0e44\u0e17\u0e22\u0e04\u0e38\u0e13\u0e2a\u0e32\u0e21\u0e32\u0e23\u0e16\u0e43\u0e0a\u0e1a\u0e49 \u0e23\u0e34\u0e01\u0e32\u0e23\u0e0a\u0e48\u0e27\u0e22\u0e40\u0e2b\u0e25\u0e37\u0e2d\u0e17\u0e32\u0e07\u0e20\u0e32\u0e29\u0e32\u0e44\u0e14\u0e1f\u0e49 \u0e23\u0e35 \u0e42\u0e17\u0e23 1-855-699-6262 (TTY: 1-800-955-8771).<\/p>\n<!-- \/wp:paragraph -->",
"post_title": "VNS Health Health Plans Notice of Data Event Involving Downstream Vendor: Managed Care of North America, Inc. Dental Plan (\u201cMCNA\u201d)",
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"post_content": "<!-- wp:paragraph -->\n<p>December 8, 2023<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>On August 14, 2023, VNS Health Health Plans (\u201cVNS\u201d) became aware of an incident involving unauthorized access to employee email accounts. VNS is committed to protecting the privacy and security of the information we maintain. As such, we are providing details of the incident, our response, and resources available to impacted individuals to help protect their personal health information from possible misuse.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p><strong>What Happened?<\/strong> Unauthorized access to certain employee email accounts and associated files took place between August 10, 2023, and August 14, 2023. Upon learning of the incident, VNS secured the accounts involved, commenced an internal investigation, and worked with a third-party cybersecurity firm to determine the scope of the unauthorized access. On September 14, 2023, the ongoing investigation discovered that the incident may have involved access to some files containing patient information. Significantly, the incident appears to have been related to attempts to defraud individual VNS personnel, and we have no reason to believe it was for the purpose of obtaining member information.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p><strong>What Information Was Affected?<\/strong> VNS Health has conducted an extensive review and analysis of the potentially accessed files, and has now determined these files may have contained some or all of the following information: names, dates of birth, addresses, phone numbers, diagnosis and treatment information, and health insurance information. Please note that not all data elements were involved for all impacted individuals. <\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p><strong>What VNS Is Doing<\/strong>. VNS takes this incident very seriously and sincerely regrets any concern this may cause. To help prevent something like this from happening again, we have implemented additional safeguards and measures to further protect and monitor our systems, including technical systems enhancements, updated security policies and protocols, and staff education.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p><strong>What Affected Individuals Can Do<\/strong>. For members whose information may have been involved in the incident, we recommend that they review the statements they receive from VNS and their healthcare providers and immediately contact VNS or the provider that issued the statement if they see services that they did not receive. Should you have questions, please contact 888-983-0692, Monday through Friday, at 9:00 AM-9:00 PM Eastern Standard Time.<\/p>\n<!-- \/wp:paragraph -->",
"post_title": "VNS Health Health Plans Notice of Data Security Incident",
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"post_date": "2021-09-22 18:14:06",
"post_date_gmt": "2021-09-22 22:14:06",
"post_content": "<!-- wp:acf\/hero {\"name\":\"acf\/hero\",\"data\":{\"background_image_image\":\"\",\"_background_image_image\":\"field_hero_background_image_image\",\"background_image_caption\":\"\",\"_background_image_caption\":\"field_hero_background_image_caption\",\"background_image\":\"\",\"_background_image\":\"field_hero_background_image\",\"heading\":\"Grievances and Appeals\",\"_heading\":\"field_hero_heading\",\"subheading\":\"\",\"_subheading\":\"field_hero_subheading\",\"text\":\"\",\"_text\":\"field_hero_text\",\"button\":\"\",\"_button\":\"field_hero_button\",\"id\":\"block_acf_64f0c6ecbb129\"},\"mode\":\"edit\",\"id\":\"block_acf_64f0c6ecbb129\"} \/-->\n\n<!-- wp:heading -->\n<h2 class=\"wp-block-heading\" id=\"h-vns-health-easycare-hmo-and-vns-health-easycare-plus-hmo-d-snp-grievances-and-appeals\">VNS Health EasyCare (HMO) and VNS Health EasyCare Plus (HMO D-SNP) Grievances and Appeals<\/h2>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p>If you have Medicare and get assistance from Medicaid, the information below applies to <strong>all <\/strong>of your Medicare and Medicaid benefits. You do not have to use one process for your Medicare benefits and a different process for your Medicaid benefits. This is sometimes called an \u201cintegrated process\u201d because it integrates Medicare and Medicaid processes.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:heading {\"level\":3} -->\n<h3 class=\"wp-block-heading\" id=\"h-filing-an-organization-determination-also-known-as-a-coverage-decision-or-an-action\">FILING AN ORGANIZATION DETERMINATION (ALSO KNOWN AS A \u201cCOVERAGE DECISION\u201d OR AN \u201cACTION\u201d)<\/h3>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p>An Organization Determination is when the plan, or a delegated vendor, has made a decision about whether items or services are covered or how much you have to pay for covered items or services. Organization determinations are called \u201ccoverage decisions.\u201d \u00a0 You, your representative, or any provider that furnishes, or intends to furnish, services to you may request an organization determination by filing a request with VNS Health Health Plans.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:heading {\"level\":3} -->\n<h3 class=\"wp-block-heading\" id=\"h-filing-a-part-d-exception-which-is-also-a-coverage-decision-or-an-action\">FILING A PART D EXCEPTION (WHICH IS ALSO A \u201cCOVERAGE DECISION\u201d OR AN \u201cACTION\u201d)<\/h3>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p>If a drug is not covered in the way you would like it to be covered, you can ask VNS Health Health Plans to make an \"exception.\" An exception is a type of coverage decision. Similar to other types of coverage decisions, if we turn down your request for an exception, you can appeal our decision.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>When you ask for an exception, your doctor or other prescriber will need to explain the medical reasons why you need the exception approved. We will then consider your request. Here are three examples of exceptions that you or your doctor or other prescriber can ask us to make:<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:list -->\n<ul><!-- wp:list-item -->\n<li>Covering a Part D drug for you that is not on our plan's <em>List of Covered Drugs<\/em> <em>(Formulary)<\/em><\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li>Removing a restriction on the plan's coverage for a covered drug<\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li>Changing coverage of a drug to a lower cost-sharing tier<\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list -->\n\n<!-- wp:heading {\"level\":4} -->\n<h4 class=\"wp-block-heading\" id=\"h-timeframes-for-coverage-decisions\">TIMEFRAMES FOR COVERAGE DECISIONS<\/h4>\n<!-- \/wp:heading -->\n\n<!-- wp:list -->\n<ul><!-- wp:list-item -->\n<li>Standard Coverage Decision - Generally, on a request for a medical item or service, we will give you our answer within <strong>14 calendar days<\/strong> after receiving your request. If your request is for a Medicare Part B prescription drug, we will give you an answer <strong>within 72 hours <\/strong>of receiving your request.<\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li>For a Medical Item or Service - A Fast Coverage Decision is called an integrated expedited determination. A fast coverage decision means we will answer within <strong>72 hours<\/strong> of your request for a medical item or service. If your request is for a Medicare Part B prescription drug, we will answer within <strong>24 hours.<\/strong><\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li>For a coverage decision about the drug(s) or payment - A Fast Coverage Decision is called an expedited coverage determination. We will give you an answer within <strong>24 hours<\/strong> after we receive your doctor's statement.<\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li>Claim Coverage Determinations - Notification of a decision will be made within <strong>30 calendar days<\/strong> of receipt if they are submitted by you, or on your behalf, or are claims that are not furnished under a written agreement between the plan and the provider. Claims from noncontracted providers must be paid or denied within <strong>60 calendar days<\/strong> from the date of the request.<\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list -->\n\n<!-- wp:heading {\"level\":3} -->\n<h3 class=\"wp-block-heading\" id=\"h-filing-an-appeal\">FILING AN APPEAL<\/h3>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p>If we say no to your coverage decision, you have the right to ask for an appeal. Asking for an appeal means asking us to reconsider \u2014 and possibly change \u2014 the decision we made. You may also ask for an appeal if you disagree with our decision to stop services that you are receiving. For example, you could file an appeal if:<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:list -->\n<ul><!-- wp:list-item -->\n<li>We refuse to cover or approve a service you think we should cover.<\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li>We refuse to pay for a service that was provided to you and you think we should pay for the service.<\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li>We reduce or cut back on a service you have been receiving.<\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li>You think we are stopping your coverage for a service too soon.<\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list -->\n\n<!-- wp:heading {\"level\":4} -->\n<h4 class=\"wp-block-heading\" id=\"h-timeframes-for-appeals\">TIMEFRAMES FOR APPEALS<\/h4>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p>You must make your appeal request within <strong>60 calendar day<\/strong>s<strong> <\/strong>from the date on the written notice we sent to tell you our answer to your request for a coverage decision. If you miss this deadline and have a good reason for missing it, we may give you more time to make your appeal. Please include your reason in your appeal request.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>Our timeframes to respond to your appeal are as follows:<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:list -->\n<ul><!-- wp:list-item -->\n<li>\u201cFast\u201d Appeal: When we are using the fast deadlines, we must give you our answer <strong>within 72 hours after we receive your appeal<\/strong>; this includes \"fast appeals\" for Medicare Part B drugs.<strong> <\/strong>If you ask for more time, or if we need to gather more information that may benefit you, we <strong>can take up to 14 more calendar days <\/strong>if your request is for a medical item or service. If we decide to take extra days to make the decision, we will tell you in writing. We can\u2019t take extra time to make a decision if your request is for a Medicare Part B prescription drug or a payment appeal.<\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list -->\n\n<!-- wp:list -->\n<ul><!-- wp:list-item -->\n<li>Standard Appeals: If we are using the standard deadlines, we must give you our answer on a request for a medical item or service <strong>within 30 calendar days<\/strong> after we receive your appeal if your appeal is about coverage for services you have not yet received. If your request is for a Medicare Part B prescription drug, we will give you our answer <strong>within 7 calendar days <\/strong>after we receive your appeal if your appeal is about coverage for a Part B prescription drug you have not yet received. We will give you our decision sooner if your health condition requires us to.<\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list -->\n\n<!-- wp:list -->\n<ul><!-- wp:list-item -->\n<li>If you ask for more time or if we need to gather more information that may benefit you, we can take up to <strong>14 more calendar days<\/strong> if your request is for a medical item or service. If we decide we need to take extra days to make the decision, we will tell you in writing. We can\u2019t take extra time to make a decision if your request is for a Medicare Part B prescription drug or a payment appeal.<\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list -->\n\n<!-- wp:list -->\n<ul><!-- wp:list-item -->\n<li>If you believe we should not take extra days, you can file a \u201cfast complaint\u201d about our decision to take extra days. When you file a \"fast complaint,\" we will give you an answer to your complaint within <strong>24 hours<\/strong>.<\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list -->\n\n<!-- wp:list -->\n<ul><!-- wp:list-item -->\n<li>If we do not give you an answer by the applicable deadlines above (or by the end of the extended time we took on your request for a medical item or service), we are required to send your request on to Level 2 of the appeals process. Then an independent outside organization will review it. For more information, please refer to your Member Handbook or call your Care Team.<\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list -->\n\n<!-- wp:list -->\n<ul><!-- wp:list-item -->\n<li>Provider Claim Appeals: Please refer to the <a href=\"https:\/\/www.vnshealthplans.org\/for-health-professionals-overview\/claims-billing-and-payments\/\">Claims, Billing, and Payments page<\/a>.<br><\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list -->\n\n<!-- wp:heading {\"level\":3} -->\n<h3 class=\"wp-block-heading\" id=\"h-filing-a-complaint-also-known-as-filing-a-grievance\">FILING A COMPLAINT (ALSO KNOWN AS \u201cFILING A GRIEVANCE\u201d)<\/h3>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p>A complaint is a process our members can use for certain types of problems <em>only.<\/em> This includes problems related to quality of care, waiting times, and the customer service you receive. If your problem is related to benefits, coverage decisions, or payment, please refer to the coverage decision and appeal sections above. Some examples of problems that would follow the complaint process are:<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:list -->\n<ul><!-- wp:list-item -->\n<li>You are treated rudely by anyone connected with your care such as your doctors, pharmacy, other health care providers, or plan representatives.<\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li>You are unable to reach someone by phone or get the information you need.<\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li>You are unhappy with the quality of care you received from a doctor or health care facility such as a clinic or hospital.<\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li>You have a problem with your doctor\u2019s office, whether it is the condition or cleanliness of the doctor's office, or you are kept too long in the waiting room.<\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li>We took too long to answer your coverage decision request, or appeal.<\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list -->\n\n<!-- wp:paragraph -->\n<p>For more information, see Common Questions about Filing an Appeal or Complaint, below.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:heading {\"level\":4} -->\n<h4 class=\"wp-block-heading\" id=\"h-timeframes-for-filing-complaints\">TIMEFRAMES FOR FILING COMPLAINTS<\/h4>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p>Whether you call or write, you should contact us right away. The complaint must be made <strong>within 60 calendar days<\/strong> after you had the problem you want to complain about. We recommend that you file your complaint as soon as you are able to and provide as much information as you can to help us understand your problem and help resolve it sooner.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>Our timeframes to respond to complaints are:<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:list -->\n<ul><!-- wp:list-item -->\n<li>\u201cFast\u201d Complaints: If you are making a complaint because we denied your request for a \u201cfast coverage decision\u201d or a \u201cfast appeal,\u201d or if we extended the timeframe of your coverage decision or appeal, we will automatically give you a \u201cfast complaint\". If you have a \u201cfast\u201d complaint, it means we will give you an answer within <strong>24 hours<\/strong>.<\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list -->\n\n<!-- wp:list -->\n<ul><!-- wp:list-item -->\n<li>Standard Complaints: Notification of a decision will be given within <strong>30 calendar days<\/strong> of receiving the written or oral complaint. VNS Health EasyCare or EasyCare Plus may extend the <strong>30 calendar day<\/strong> timeframe by up to <strong>14 calendar days <\/strong>if you or a provider on your behalf (written or oral) requests the extension or if VNS Health justifies a need for additional information because it is in your best interest. <\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list -->\n\n<!-- wp:heading {\"level\":3} -->\n<h3 class=\"wp-block-heading\" id=\"h-common-questions-about-filing-a-coverage-decision-appeal-or-complaint\"><strong>COMMON QUESTIONS ABOUT FILING A COVERAGE DECISION, APPEAL, OR COMPLAINT<\/strong><\/h3>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p>Below are frequently asked questions about filing an appeal or complaint.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:acf\/faq {\"name\":\"acf\/faq\",\"data\":{\"heading\":\"\",\"_heading\":\"field_faq_heading\",\"is_modular\":\"0\",\"_is_modular\":\"field_faq_is_modular\",\"items_0_question\":\"What is the difference between a \u201cstandard\u201d and a \u201cfast\u201d or \u201cexpedited\u201d coverage decision for Medical Care? \",\"_items_0_question\":\"field_faq_items_question\",\"items_0_answer\":\"\\u003cp\\u003eYou can ask for a fast coverage decision only if you or any doctor believes that waiting for a standard coverage decision could cause serious harm to your health or hurt your ability to function. Fast decisions apply only to requests for medical care. You cannot get a fast decision on requests for payment for care you have already received.\\u003c\/p\\u003e\",\"_items_0_answer\":\"field_faq_items_answer\",\"items_1_question\":\"What if my request for an expedited review is denied?\",\"_items_1_question\":\"field_faq_items_question\",\"items_1_answer\":\"\\u003cp\\u003eIf VNS Health Health Plans denies your request to file an expedited coverage decision, we will process the request under the standard timeframe and make a decision within \\u003cstrong\\u003e14 calendar days\\u003c\/strong\\u003e. The Plan will notify you orally and in writing within \\u003cstrong\\u003e3 calendar days\\u003c\/strong\\u003e that your expedited request will be handled under the standard timeframe, the member\u2019s right to file an expedited complaint; including the process and timeframe, the right to resubmit a request for an expedited determination and that if the member obtains any physician support indicating that applying the standard timeframe for making a determination could cause serious harm to you or hurt your ability to function, the request will be expedited.\\u003c\/p\\u003e\",\"_items_1_answer\":\"field_faq_items_answer\",\"items_2_question\":\"What if I want to appeal a discharge from Facility Based Care?\",\"_items_2_question\":\"field_faq_items_question\",\"items_2_answer\":\"\\u003cp\\u003eYou have the right, by law, to ask for a review (an appeal) of a discharge date from the Hospital, Skilled Nursing Facility, Home Health Aide services, or Comprehensive Outpatient Rehabilitation Facility. You must contact the Quality Improvement Organization (QIO) for review. If you believe that you are being discharged too soon and appeal, you will receive a Detailed Notice of Discharge. The Detailed Notice of Discharge explains the specific reasons for the discharge. You can see a sample notice online at\u00a0\\u003ca href=\\u0022https:\/\/www.cms.gov\/Medicare\/Medicare-General-Information\/BNI\/HospitalDischargeAppealNotices.html\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noreferrer noopener\\u0022\\u003ewww.cms.gov\/Medicare\/Medicare-General-Information\/BNI\/HospitalDischargeAppealNotices.html\\u003c\/a\\u003e.\\u003c\/p\\u003e\\r\\n\\u003cp\\u003eIf you do not ask the QIO for a \\u0022fast appeal\\u0022 by the deadline (no later than\u00a0\\u003cstrong\\u003enoon\u00a0\\u003c\/strong\\u003eon the day after the date your Medicare coverage ends), you may ask VNS Health EasyCare or EasyCare Plus for a \\u0022fast appeal\\u0022 of the discharge. For more information on member appeal and complaint rights, please refer to the \\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/easycare-member-resources\/2023-plan-materials\/\\u0022\\u003eEasyCare Member Handbook (Evidence of Coverage)\\u003c\/a\\u003e or the \\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/easycare-plus-member-resources\/2023-plan-materials\/\\u0022\\u003eEasyCare Plus Member Handbook (Evidence of Coverage\\u003c\/a\\u003e), or\u00a0\\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/contact-us\/\\u0022\\u003econtact us\\u003c\/a\\u003e.\\u003c\/p\\u003e\",\"_items_2_answer\":\"field_faq_items_answer\",\"items_3_question\":\"How do I File a Complaint or Appeal?\",\"_items_3_question\":\"field_faq_items_question\",\"items_3_answer\":\"\\u003cp\\u003eTo file a complaint or request an appeal, please either: Call us at \\u003cstrong\\u003e\\u003ca href=\\u0022tel:1-866-783-1444\\u0022\\u003e1-866-783-1444\\u003c\/a\\u003e\\u003c\/strong\\u003e (TTY: \\u003cstrong\\u003e\\u003ca href=\\u0022tel:711\\u0022\\u003e711\\u003c\/a\\u003e\\u003c\/strong\\u003e). 8 am\u20138 pm, weekdays; or,\\u003cbr \/\\u003e\\r\\nMembers may also submit their appeals or complaints in writing and mail or fax to:\\u003cbr \/\\u003e\\r\\n\\u003cbr \/\\u003e\\r\\nMedicare Grievance \\u0026amp; Appeals\\u003cbr \/\\u003e\\r\\nP.O. Box 445\\u003cbr \/\\u003e\\r\\nElmsford, NY 10523\\u003cbr \/\\u003e\\r\\nFax: 1-866-791-2213\\u003c\/p\\u003e\\r\\n\\u003cp\\u003eIf you are not satisfied with the outcome of your appeal, details regarding your right to further appeal and your next steps will be included in your decision letter. Please refer to the \\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/easycare-member-resources\/2023-plan-materials\/\\u0022\\u003eEasyCare Member Handbook (Evidence of Coverage\\u003c\/a\\u003e, the \\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/easycare-plus-member-resources\/2023-plan-materials\/\\u0022\\u003eEasyCare Plus Member Handbook (Evidence of Coverage\\u003c\/a\\u003e), the \\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/easycare-member-resources\/2023-plan-materials\/\\u0022\\u003eEasyCare Summary of Benefits\\u003c\/a\\u003e, or the \\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/easycare-plus-member-resources\/2023-plan-materials\/\\u0022\\u003eEasyCare Plus Summary of Benefits\\u003c\/a\\u003e; or for more information, please contact us. To appoint a representative to act on your behalf, please use the Appointment of Representative form (CMS-1696) \\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2022\/01\/Appointment-of-Representative-form_CMS-1696-English.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noreferrer noopener\\u0022\\u003ein English\\u003c\/a\\u003e, \\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2022\/01\/Appointment-of-Representative-form_CMS-1696_Spanish.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noreferrer noopener\\u0022\\u003een espa\u00f1ol\\u003c\/a\\u003e, or \\u003ca class=\\u0022leading-none text-base text-gray-dark hover:text-tertiary-dark transition\\u0022 href=\\u0022https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2022\/01\/Appointment-of-Representative-form_CMS-1696_Chinese.pdf\\u0022\\u003e\u4e2d\u6587\\u003c\/a\\u003e.\\u003c\/p\\u003e\",\"_items_3_answer\":\"field_faq_items_answer\",\"items_4_question\":\"How do I file an external complaint?\",\"_items_4_question\":\"field_faq_items_question\",\"items_4_answer\":\"\\u003cp\\u003eYou or your authorized representative may also file an external complaint with the Centers for Medicare and Medicaid Services (CMS) by:\\u003c\/p\\u003e\\r\\n\\u003cp\\u003ePhone:\\u003cstrong\\u003e \\u003ca href=\\u0022tel:1-800-633-4227\\u0022\\u003e1-800-MEDICARE \\u003c\/a\\u003e(\\u003ca href=\\u0022tel:1-800-633-4227\\u0022\\u003e1-800-633-4227\\u003c\/a\\u003e)\\u003c\/strong\\u003e, 24 hours a day, 7 days a week. TTY\u00a0users should call \\u003cstrong\\u003e\\u003ca href=\\u0022tel:1-877-486-2048\\u0022\\u003e1-877-486-2048\\u003c\/a\\u003e\\u003c\/strong\\u003e.\\u003c\/p\\u003e\\r\\n\\u003cp\\u003eSubmit complaints:\u00a0\\u003ca href=\\u0022file:\/\/\/C:\/Users\/35166\/AppData\/Local\/Microsoft\/Windows\/INetCache\/Content.Outlook\/DYNAHDXZ\/www.medicare.gov\/MedicareComplaintForm\/home.aspx\\u0022\\u003ewww.medicare.gov\/MedicareComplaintForm\/home.aspx\\u003c\/a\\u003e.\\u003c\/p\\u003e\",\"_items_4_answer\":\"field_faq_items_answer\",\"items_5_question\":\"How do I file a Marketing Complaint?\",\"_items_5_question\":\"field_faq_items_question\",\"items_5_answer\":\"\\u003cp\\u003eIf you have a marketing complaint about VNS Health Medicare or a sales agent or broker who represents us, we want to know so we can improve! Please call us at 1-866-783-1444 (TTY: 711), weekdays, 8 am\u20138 pm. You can also use this \\u003cspan style=\\u0022text-decoration: underline;\\u0022\\u003e\\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/contact-us\/\\u0022\\u003esecure online form\\u003c\/a\\u003e\\u003c\/span\\u003e to contact us 7 days a week, 24 hours a day. If your complaint is about an agent or broker, please be sure to provide their name.\\u003c\/p\\u003e\\r\\n\\u003cp\\u003eIf you wish to submit a marketing complaint to Medicare, you can use their online form \\u003ca href=\\u0022https:\/\/www.medicare.gov\/my\/medicare-complaint\\u0022\\u003ehttps:\/\/www.medicare.gov\/my\/medicare-complaint\\u003c\/a\\u003e or call 1-800-MEDICARE (1-800-633-4227), TTY: 1-877-486-2048, 24 hours a day, 7 days a week, except some federal holidays. If your complaint is about an agent or broker, please be sure to provide their name.\\u003c\/p\\u003e\",\"_items_5_answer\":\"field_faq_items_answer\",\"items_6_question\":\"How can I obtain the total number of complaints, appeals, and exceptions filed with the plan?\",\"_items_6_question\":\"field_faq_items_question\",\"items_6_answer\":\"\\u003cp\\u003eTo obtain the total number of complaints, appeals, and exceptions filed with the plan, please call us at \\u003cstrong\\u003e\\u003ca href=\\u0022tel:1-866-783-1444\\u0022\\u003e1-866-783-1444\\u003c\/a\\u003e\\u003c\/strong\\u003e (TTY: \\u003cstrong\\u003e\\u003ca href=\\u0022tel:711\\u0022\\u003e711\\u003c\/a\\u003e\\u003c\/strong\\u003e), 8 am\u20138 pm, weekdays. \\u003cbr \/\\u003e\\r\\n\\u003cbr \/\\u003e\\r\\nOr reach us by mail at: \\u003cbr \/\\u003e\\r\\nVNS Health\\u003cbr \/\\u003e\\r\\nHealth Plans - Medicare Grievance \\u0026amp; Appeals\\u003cbr \/\\u003e\\r\\nP.O. Box 445\\u003cbr \/\\u003e\\r\\nElmsford, NY 10523 \\u003cbr \/\\u003e\\r\\n\\u003cbr \/\\u003e\\r\\nFor more information, please refer to the \\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/easycare-member-resources\/2023-plan-materials\/\\u0022\\u003eEasyCare Member Handbook (Evidence of Coverage\\u003c\/a\\u003e or the \\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/easycare-plus-member-resources\/2023-plan-materials\/\\u0022\\u003eEasyCare Plus Member Handbook (Evidence of Coverage\\u003c\/a\\u003e),\\u003c\/p\\u003e\",\"_items_6_answer\":\"field_faq_items_answer\",\"items_7_question\":\"Who can I contact if I have questions about the process, or if I have status questions?\",\"_items_7_question\":\"field_faq_items_question\",\"items_7_answer\":\"\\u003cp\\u003eCall your Care Team at \\u003cstrong\\u003e\\u003ca href=\\u0022tel:1-866-783-1444\\u0022\\u003e1-866-783-1444\\u003c\/a\\u003e\\u003c\/strong\\u003e (TTY: \\u003cstrong\\u003e\\u003ca href=\\u0022tel:711\\u0022\\u003e711\\u003c\/a\\u003e\\u003c\/strong\\u003e), weekdays, 8 am\u20138 pm.\\u003c\/p\\u003e\",\"_items_7_answer\":\"field_faq_items_answer\",\"items_8_question\":\"What are my protections in this plan?\",\"_items_8_question\":\"field_faq_items_question\",\"items_8_answer\":\"\\u003cp\\u003eAll Medicare Advantage Plans agree to stay in the program for a full year at a time. 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"post_date": "2020-12-14 11:31:35",
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"post_content": "<!-- wp:paragraph -->\n<p>VNS Health Medicare is one of a handful of designated Centers for Medicare and Medicaid Services (CMS) Innovation Center Model participants for the Hospice Benefit Program, which is designed to increase patient access to hospice services and improve coordination between hospice providers and other clinicians at the patient\u2019s end of life. The hospice benefit component of the Value-Based Insurance Design Model is an opportunity for VNS Health Medicare, physicians, and hospice providers to collaborate and improve care coordination, transparency, and quality of life for our Medicare members at the end of life.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:acf\/faq {\"name\":\"acf\/faq\",\"data\":{\"heading\":\"Frequently Asked Questions\",\"_heading\":\"field_faq_heading\",\"is_modular\":\"0\",\"_is_modular\":\"field_faq_is_modular\",\"items_0_question\":\"I am a physician with a VNS Health Medicare patient in hospice care. Whom do I bill for my services?\",\"_items_0_question\":\"field_faq_items_question\",\"items_0_answer\":\"\\u003cp\\u003eIf you are a physician who ordinarily provides primary or specialty care services to a patient who is now in hospice, you should bill us directly. You do not need to bill both CMS and VNS Health Medicare unless you are specifically a hospice provider or facility.\u00a0\\u003c\/p\\u003e\",\"_items_0_answer\":\"field_faq_items_answer\",\"items_1_question\":\"I am a hospice provider. How are notices and claims submitted for beneficiaries in participating plans?\",\"_items_1_question\":\"field_faq_items_question\",\"items_1_answer\":\"\\u003cp\\u003eClaims must be submitted to both VNS Health Medicare and to CMS.\\u003c\/p\\u003e\\r\\n\\u003cp\\u003e\\u003cstrong\\u003ePlease note:\\u003c\/strong\\u003e In addition to your usual Notice of Election (NOE) and Notice of Termination\/Revocation (NOTR) submission to CMS, all providers are also required to submit the NOE to us within 5 days of hospice election and the NOTR within 5 days of hospice termination. Please submit all hospice NOE and NOTR materials to \\u003ca href=\\u0022mailto:[email protected]\\u0022\\[email protected]\\u003c\/a\\u003e.\\u003cbr \/\\u003e\\r\\n\\u003cbr \/\\u003e\\r\\nOr you can mail your NOE to:\\u003cbr \/\\u003e\\r\\nVNS Health\\u003cbr \/\\u003e\\r\\nHealth Plans \u2012 Membership Eligibility Unit\\u003cbr \/\\u003e\\r\\n220 East 42nd Street\\u003cbr \/\\u003e\\r\\nNew York, NY 10017\\u003c\/p\\u003e\",\"_items_1_answer\":\"field_faq_items_answer\",\"items_2_question\":\"Where are these services offered?\",\"_items_2_question\":\"field_faq_items_question\",\"items_2_answer\":\"\\u003cp\\u003eThese services are offered in Bronx, Kings, Nassau, New York, Queens, Richmond, Suffolk, and Westchester counties.\\u003c\/p\\u003e\",\"_items_2_answer\":\"field_faq_items_answer\",\"items_3_question\":\"Who should I contact if I have questions?\",\"_items_3_question\":\"field_faq_items_question\",\"items_3_answer\":\"\\u003cp\\u003e\\u003cstrong\\u003eHospice Network Administrative Contact\\u003cbr \/\\u003e\\r\\n\\u003c\/strong\\u003eJames Biebel\\u003cbr \/\\u003e\\r\\n\\u003ca href=\\u0022mailto:[email protected]\\u0022\\[email protected]\u00a0\\u003c\/a\\u003e\\u003cbr \/\\u003e\\r\\n1-646-477-4265\\u003c\/p\\u003e\\r\\n\\u003cp\\u003e\\u003cstrong\\u003eClinical and Patient Support Contact\\u003cbr \/\\u003e\\r\\n\\u003c\/strong\\u003eEsther Conteh \\u003cbr \/\\u003e\\r\\n\\u003ca href=\\u0022mailto:[email protected]\\u0022\\[email protected]\\u003c\/a\\u003e\u00a0\\u003cbr \/\\u003e\\r\\n1-917-817-5013\\u003c\/p\\u003e\",\"_items_3_answer\":\"field_faq_items_answer\",\"items\":4,\"_items\":\"field_faq_items\",\"id\":\"block_acf_6541133bc50fa\"},\"mode\":\"edit\",\"id\":\"block_acf_6541133bc50fa\"} \/-->\n\n<!-- wp:paragraph -->\n<p> View up-to-date information on the <a href=\"https:\/\/innovation.cms.gov\/innovation-models\/vbid-hospice-benefit-overview\" target=\"_blank\" rel=\"noreferrer noopener\">CMS Model's website<\/a>. <\/p>\n<!-- \/wp:paragraph -->",
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"post_content": "<!-- wp:paragraph -->\n<p><strong>Thank you for being a member! <\/strong><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>We\u2019re happy to have you.\u00a0Your\u00a0expert Care Team,\u00a0connected to\u00a0one\u00a0of New York\u2019s\u00a0oldest and most respected\u00a0home care\u00a0organizations,\u00a0is dedicated to\u00a0coordinating for\u00a0you the\u00a0support, services, and supplies you need to keep you safe in the comfort of your home.\u00a0We know\u00a0your\u00a0home is\u00a0where you want to be.\u00a0<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:heading -->\n<h2 class=\"wp-block-heading\">Latest News<\/h2>\n<!-- \/wp:heading -->\n\n<!-- wp:acf\/banner-in-body {\"name\":\"acf\/banner-in-body\",\"data\":{\"background_color\":\"gray-200\",\"_background_color\":\"field_banner-in-body_background_color\",\"heading\":\"MLTC Member Newsletter - Spring 2024 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"ID": 1417,
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"post_date": "2020-08-12 16:02:45",
"post_date_gmt": "2020-08-12 16:02:45",
"post_content": "<!-- wp:paragraph -->\n<p>Make sure Medicaid has your current contact information.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:heading -->\n<h2 class=\"wp-block-heading\" id=\"h-what-you-need-to-do\">What You Need To Do<\/h2>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p>Please contact your Medicaid office to give them your current address, phone number, and email address.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:list -->\n<ul><!-- wp:list-item -->\n<li>If you live in New York State outside of New York City, call your local Medicaid office<\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li>If you live in one of the five boroughs of New York City, call Medicaid at the number below:<br><strong><a href=\"tel:18886926116\">1-888-692-6116<\/a> (TTY: <a href=\"tel:711\">711<\/a>)<\/strong><br>Monday\u2013Friday, 8 am\u20135:30 pm<\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list -->\n\n<!-- wp:group {\"style\":{\"color\":{\"background\":\"#d8f0fe\"}},\"layout\":{\"type\":\"constrained\"}} -->\n<div class=\"wp-block-group has-background\" style=\"background-color:#d8f0fe\"><!-- wp:heading {\"textAlign\":\"center\"} -->\n<h2 class=\"wp-block-heading has-text-align-center\" id=\"h-watch-out-for-medicaid-scams\">Watch Out for Medicaid Scams!<\/h2>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p>Be on the alert for scammers who ask for a fee to help you renew or recertify your Medicaid coverage. Never give out your Medicare or Social Security Numbers over the phone or in a text.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>VNS Health and\/or your local Medicaid office will send you notices about the renewal process, which may include reminders to update your contact and income information. <strong>But we will never ask for money to renew or apply for Medicaid.<\/strong><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>If you get a text, phone call or email that you think may be a fraud, contact your local Medicaid office.<\/p>\n<!-- \/wp:paragraph --><\/div>\n<!-- \/wp:group -->\n\n<!-- wp:acf\/faq {\"name\":\"acf\/faq\",\"data\":{\"heading\":\"\",\"_heading\":\"field_faq_heading\",\"is_modular\":\"0\",\"_is_modular\":\"field_faq_is_modular\",\"items_0_question\":\"Why Is This Important?\",\"_items_0_question\":\"field_faq_items_question\",\"items_0_answer\":\"\\u003cp\\u003eMedicaid must have your current contact information to mail you your Medicaid renewal notice. If you do not renew on time, you could lose your Medicaid and be disenrolled from your health plan.\\u003c\/p\\u003e\",\"_items_0_answer\":\"field_faq_items_answer\",\"items_1_question\":\"What Happens Next?\",\"_items_1_question\":\"field_faq_items_question\",\"items_1_answer\":\"\\u003col\\u003e\\r\\n\\t\\u003cli\\u003eFour months before it\u2019s time to renew your Medicaid, we will send you important information about the renewal process. Look for the big blue envelope from us in the mail.\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eOver the next 11 months, 60 days before it\u2019s time to renew, your local Medicaid office will send you a renewal notice. Please follow the instructions inside the packet.\\u003c\/li\\u003e\\r\\n\\u003c\/ol\\u003e\",\"_items_1_answer\":\"field_faq_items_answer\",\"items\":2,\"_items\":\"field_faq_items\",\"id\":\"block_acf_661fdec3bba49\"},\"mode\":\"edit\",\"id\":\"block_acf_661fdec3bba49\"} \/-->\n\n<!-- wp:columns -->\n<div class=\"wp-block-columns\"><!-- wp:column {\"verticalAlignment\":\"top\",\"width\":\"33.33%\"} -->\n<div class=\"wp-block-column is-vertically-aligned-top\" style=\"flex-basis:33.33%\"><!-- wp:image {\"id\":31182,\"sizeSlug\":\"full\",\"linkDestination\":\"none\"} -->\n<figure class=\"wp-block-image size-full\"><img src=\"https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2023\/03\/VNSHealth_Call_Center_Icon_rgb.png\" alt=\"\" class=\"wp-image-31182\"\/><\/figure>\n<!-- \/wp:image --><\/div>\n<!-- \/wp:column -->\n\n<!-- wp:column {\"verticalAlignment\":\"center\",\"width\":\"66.66%\"} -->\n<div class=\"wp-block-column is-vertically-aligned-center\" style=\"flex-basis:66.66%\"><!-- wp:paragraph -->\n<p>If you have any questions, need clarification on your Medicaid recertification or need someone to walk you through the process, please call us at the number below. We are here to help.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph {\"style\":{\"typography\":{\"fontStyle\":\"normal\",\"fontWeight\":\"700\"}}} -->\n<p style=\"font-style:normal;font-weight:700\">Medicaid Recertification Team<br><strong><a href=\"tel:18773578544\">1-877-357-8544<\/a> Option 4 (TTY: <a href=\"tel:711\">711<\/a>)<br>Monday \u2013 Friday, 9 am \u2013 5 pm<\/strong><\/p>\n<!-- \/wp:paragraph --><\/div>\n<!-- \/wp:column --><\/div>\n<!-- \/wp:columns -->",
"post_title": "Don't Lose Your Medicaid Coverage!",
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"ID": 809,
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"post_date": "2020-07-27 21:43:31",
"post_date_gmt": "2020-07-27 21:43:31",
"post_content": "<!-- wp:paragraph -->\n<p>VNS Health MLTC members often ask these questions about benefits and services. If you don\u2019t see an answer to your question here, please call us at <a href=\"tel:1-888-867-6555\"><strong>1-888-867-6555<\/strong><\/a> (TTY: <a href=\"tel:711\"><strong>711<\/strong><\/a>), Monday\u2013Friday, 9 am\u20135 pm. We\u2019re here to help! <\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:acf\/faq {\"name\":\"acf\/faq\",\"data\":{\"heading\":\"Contacting Us\",\"_heading\":\"field_faq_heading\",\"is_modular\":\"0\",\"_is_modular\":\"field_faq_is_modular\",\"items_0_question\":\"What information will I need when I call my Care Team?\",\"_items_0_question\":\"field_faq_items_question\",\"items_0_answer\":\"\\u003cp\\u003eTo protect your privacy, we will always ask you to provide three pieces of information to identify yourself. You can use any three of the following:\\u003c\/p\\u003e\\r\\n\\u003cul\\u003e\\r\\n\\t\\u003cli\\u003eMLTC member ID number\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eFirst and last name\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eDate of birth\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eFull address\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003ePhone number\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eNew York Medicaid ID number\\u003c\/li\\u003e\\r\\n\\u003c\/ul\\u003e\",\"_items_0_answer\":\"field_faq_items_answer\",\"items_1_question\":\"How can I give others access to my health information?\",\"_items_1_question\":\"field_faq_items_question\",\"items_1_answer\":\"\\u003cp\\u003eFor your protection, we do not allow others to see your health information without your permission. There are three ways you can give others permission to see information about your care and services:\\u003c\/p\\u003e\\r\\n\\u003col\\u003e\\r\\n\\t\\u003cli\\u003eCall your Care Team with the person you want to have access your information, and give your permission over the phone. Your representative will have access to your information for 14 days from the date of the call.\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eIf you want someone to see all your information, you can download this Authorization for Release of Health Information Pursuant to HIPAA form (\\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2020\/07\/Auth-Release-Health-Info-HIPAA_Eng.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noreferrer noopener\\u0022\\u003eEnglish\\u003c\/a\\u003e,\u202f\\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2020\/07\/Auth-Release-Health-Info-HIPAA_Sp.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noreferrer noopener\\u0022\\u003eSpanish\\u003c\/a\\u003e,\u202f\\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2020\/07\/Auth-ReleaseHealth-Info-HIPAA_Ch.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noreferrer noopener\\u0022\\u003eChinese\\u003c\/a\\u003e,\u202for \\u003ca href=\\u0022https:\/\/c\/wp-content\/uploads\/2020\/07\/Auth-Release-Health-Info-HIPAA_Ru.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noreferrer noopener\\u0022\\u003eRussian\\u003c\/a\\u003e). Fill out the form, and send it to us for processing.\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eIf you want to allow someone to see just some of your information, write a letter saying that you give your permission to that person to speak on your behalf. Tell us their name, their relationship to you, and the sort of information you are allowing them to see. Send the letter to your Care Team for processing at this address: \\u003cbr \/\\u003e\\r\\nVNS Health \\u003cbr \/\\u003e\\r\\nHealth Plans - Care Team \\u003cbr \/\\u003e\\r\\n220 East 42nd Street\\u003cbr \/\\u003e\\r\\nNew York, NY 10017\\u003c\/li\\u003e\\r\\n\\u003c\/ol\\u003e\",\"_items_1_answer\":\"field_faq_items_answer\",\"items_2_question\":\"What if my address or telephone number changes? Can I keep my plan if I move?\",\"_items_2_question\":\"field_faq_items_question\",\"items_2_answer\":\"\\u003cp\\u003eIf your home address or other contact information changes, please call us. You will also need to notify your local department of social services of your new contact information. To find the number for your local office, visit the \\u003ca href=\\u0022https:\/\/www.health.ny.gov\/health_care\/medicaid\/ldss.htm\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noopener\\u0022\\u003eNew York State Department of Social Services\\u003c\/a\\u003e website.\\u003c\/p\\u003e\\r\\n\\u003cp\\u003eIf your new address is within our service area, your coverage will not be affected. If you move outside of the service area, you may no longer be eligible for our plan, in which case you would be disenrolled. \\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/our-plans\/vns-health-mltc\/service-area\/\\u0022\\u003eSee the counties we serve.\\u003c\/a\\u003e\\u003c\/p\\u003e\",\"_items_2_answer\":\"field_faq_items_answer\",\"items_3_question\":\"How can I stop my services if I\u2019m going to be away from home for a while?\",\"_items_3_question\":\"field_faq_items_question\",\"items_3_answer\":\"\\u003cp\\u003eIf you need your services put on hold because you will not be at home \u2014 for example, if you go away on vacation or have to go into the hospital \u2014 please contact your Care Team. To suspend your home health aide services while you're away, please contact the agency that provides your aide.\\u003c\/p\\u003e\",\"_items_3_answer\":\"field_faq_items_answer\",\"items_4_question\":\"How can I change my home health aide?\",\"_items_4_question\":\"field_faq_items_question\",\"items_4_answer\":\"\\u003cp\\u003eIf you are dissatisfied with the quality of care you get from your aide, please contact their home care agency. If you are dissatisfied with the agency, please call us at \\u003cstrong\\u003e\\u003ca href=\\u0022tel:1-888-867-6555\\u0022\\u003e1-888-867-6555\\u003c\/a\\u003e\\u003c\/strong\\u003e (TTY: \\u003cstrong\\u003e\\u003ca href=\\u0022tel:711\\u0022\\u003e711\\u003c\/a\\u003e\\u003c\/strong\\u003e).\\u003c\/p\\u003e\",\"_items_4_answer\":\"field_faq_items_answer\",\"items\":5,\"_items\":\"field_faq_items\",\"id\":\"block_acf_6616c112ee839\"},\"mode\":\"edit\",\"id\":\"block_acf_6616c112ee839\"} \/-->\n\n<!-- wp:acf\/faq {\"name\":\"acf\/faq\",\"data\":{\"heading\":\"My Coverage\",\"_heading\":\"field_faq_heading\",\"is_modular\":\"0\",\"_is_modular\":\"field_faq_is_modular\",\"items_0_question\":\"How can I find a network provider?\",\"_items_0_question\":\"field_faq_items_question\",\"items_0_answer\":\"\\u003cp\\u003eYou can use any doctor you choose for services that are not covered by the plan. However, if you are a member of a Medicare HMO plan, you may have to use doctors and specialists who are part of that plan's network.\\u003c\/p\\u003e\\r\\n\\u003cp\\u003eFor services covered by MLTC, you can use our online \\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/find-a-doctor\/\\u0022\\u003eProvider Search tool\\u003c\/a\\u003e. Or you can find a list of providers in the\u00a0Provider \\u0026amp; Pharmacy Directory.\\u003c\/p\\u003e\\r\\n\\u003cp\\u003eIf you need help identifying a provider who meets your needs, you can also contact your Care Team.\\u003c\/p\\u003e\",\"_items_0_answer\":\"field_faq_items_answer\",\"items_1_question\":\"How can I check to see if a service has been authorized?\",\"_items_1_question\":\"field_faq_items_question\",\"items_1_answer\":\"\\u003cp\\u003eIf you have any questions or concerns about getting authorizations for medical services, please contact your Care Team at \\u003cstrong\\u003e\\u003ca href=\\u0022tel:1-888-867-6555\\u0022\\u003e1-888-867-6555\\u003c\/a\\u003e\\u003c\/strong\\u003e (TTY: \\u003cstrong\\u003e\\u003ca href=\\u0022tel:711\\u0022\\u003e711\\u003c\/a\\u003e\\u003c\/strong\\u003e), and we can help you.\\u003c\/p\\u003e\",\"_items_1_answer\":\"field_faq_items_answer\",\"items_2_question\":\"I got a bill for something I thought you would cover. What should I do?\",\"_items_2_question\":\"field_faq_items_question\",\"items_2_answer\":\"\\u003cp\\u003eCall us. Please have the bill with you when you call, because the representative will ask you for specific information found on the bill. The representative will work with you and your doctor to clarify the bill and determine whether you may be responsible for any charges.\\u003c\/p\\u003e\",\"_items_2_answer\":\"field_faq_items_answer\",\"items_3_question\":\"What is Medicaid spenddown?\",\"_items_3_question\":\"field_faq_items_question\",\"items_3_answer\":\"\\u003cp\\u003eSome New Yorkers with monthly incomes above the Medicaid limit can be eligible for Medicaid in certain circumstances. The amount above the Medicaid level is called spenddown \u2014 also known as surplus or \u201cexcess income\u201d \u2014 because it must be \u201cspent down\u201d in order to meet the income level requirement for Medicaid. You may receive a bill for this monthly amount, or it may be covered in some other way. Talk to your local social services department for more information. Or call us, and ask to speak with a Medicaid eligibility specialist.\\u003c\/p\\u003e\",\"_items_3_answer\":\"field_faq_items_answer\",\"items_4_question\":\"How do I pay my Medicaid spenddown?\",\"_items_4_question\":\"field_faq_items_question\",\"items_4_answer\":\"\\u003cp\\u003eThere are a couple of ways to pay your Medicaid spenddown.\\u003c\/p\\u003e\\r\\n\\u003cul\\u003e\\r\\n\\t\\u003cli\\u003eOne way is online through our partner, InstaMed. It is fast, easy, and secure. You can pick the way you want to pay (credit card, debit card, or bank account). You can also view your payment history and receipts, and set up automatic payments. Visit \\u003ca href=\\u0022https:\/\/pay.instamed.com\/Form\/PaymentPortal\/Default?id=vnshealthplans\\u0022\\u003evnshealthplans.org\/paybill\\u003c\/a\\u003e on your phone, computer, or laptop to get started.\\u003cbr \/\\u003e\\r\\n\\u003cbr \/\\u003e\\r\\n\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eOr you can send us the payment by mail. When you receive a bill for your spenddown, a pre-paid envelope will be included with the statement. Use the envelope to mail us your payment. Include the payment stub from the statement so we can credit your account. If you no longer have the envelope, please use the address below.\\u003c\/li\\u003e\\r\\n\\u003c\/ul\\u003e\\r\\n\\u003ccenter\\u003eVNS Health MLTC\\u003cbr \/\\u003e\\r\\nPO Box 8700\\u003cbr \/\\u003e\\r\\nNew York, NY 10117\\u003c\/center\\u003e\",\"_items_4_answer\":\"field_faq_items_answer\",\"items_5_question\":\"I have a question about my Medicaid spenddown. Who can I contact?\",\"_items_5_question\":\"field_faq_items_question\",\"items_5_answer\":\"\\u003cp\\u003eIf you have any questions about your spenddown, please call:\\u003cbr \/\\u003e\\r\\n\\u003ca href=\\u0022tel:1-877-357-8544\\u0022\\u003e\\u003cstrong\\u003e1-877-357-8544\\u003c\/strong\\u003e\\u003c\/a\\u003e (TTY: 711) Monday \u2013 Friday, 9 am \u2013 4:30 pm.\\u003c\/p\\u003e\",\"_items_5_answer\":\"field_faq_items_answer\",\"items_6_question\":\"Where can I get help creating or using an InstaMed account?\",\"_items_6_question\":\"field_faq_items_question\",\"items_6_answer\":\"\\u003cp\\u003eIf you have any questions about using InstaMed, please call:\\u003cbr \/\\u003e\\r\\n\\u003ca href=\\u0022tel:1-877-357-8544\\u0022\\u003e\\u003cstrong\\u003e1-877-357-8544\\u003c\/strong\\u003e\\u003c\/a\\u003e (TTY: 711) Monday \u2013 Friday, 9 am \u2013 4:30 pm.\\u003c\/p\\u003e\",\"_items_6_answer\":\"field_faq_items_answer\",\"items\":7,\"_items\":\"field_faq_items\",\"id\":\"block_acf_6616c112ee966\"},\"mode\":\"edit\",\"id\":\"block_acf_6616c112ee966\"} \/-->\n\n<!-- wp:acf\/faq {\"name\":\"acf\/faq\",\"data\":{\"heading\":\"Referring Someone to MLTC\",\"_heading\":\"field_faq_heading\",\"items_0_question\":\"I know someone who could benefit from your services. How can I refer them?\",\"_items_0_question\":\"field_faq_items_question\",\"items_0_answer\":\"\\u003cp\\u003eThat\u2019s great! Please tell them to call us at \\u003ca href=\\u0022tel:1-855-282-4642\\u0022\\u003e\\u003cstrong\\u003e1-855-282-4642\\u003c\/strong\\u003e\\u003c\/a\\u003e (TTY: \\u003ca href=\\u0022tel:711\\u0022\\u003e\\u003cstrong\\u003e711\\u003c\/strong\\u003e\\u003c\/a\\u003e). This line is specifically for people interested in joining. The health plan advisors can answer questions about eligibility and explain the enrollment process.\\u003c\/p\\u003e\",\"_items_0_answer\":\"field_faq_items_answer\",\"items\":1,\"_items\":\"field_faq_items\",\"id\":\"block_acf_6616c112ee9aa\"},\"mode\":\"edit\",\"id\":\"block_acf_6616c112ee9aa\"} \/-->",
"post_title": "Frequently Asked Questions",
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"ID": 795,
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"post_date": "2020-07-27 21:21:47",
"post_date_gmt": "2020-07-27 21:21:47",
"post_content": "<!-- wp:paragraph -->\n<p>Register for your secure <a href=\"https:\/\/www.vnshealthplans.org\/account\/\">online account<\/a> to check health plan details, view your Care Team, and much more. You can also communicate with your Care Team at any time. Just like an email, you can send and receive messages that are saved all in one place.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>If you have specific questions about your plan, scroll down to see who to contact. Call the main number during business hours to get answers to general questions.<br><strong><a href=\"tel:18888676555\">1-888-867-6555<\/a><\/strong> (TTY: 711), Monday\u2013Friday, 9 am\u20135 pm.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>To protect your privacy, we will always ask you to provide three pieces of information to identify yourself. You can use any three of the following:<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:list -->\n<ul><!-- wp:list-item -->\n<li>MLTC member ID number<\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li>First and last name<\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li>Date of birth<\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li>Full address<\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li>Phone number<\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li>New York Medicaid ID number<\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list -->\n\n<!-- wp:paragraph -->\n<p><strong>IMPORTANT: If you have an emergency and need to visit the emergency room, always call 911<\/strong>.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>We understand that you may need someone else to call on your behalf. To learn more about how to allow someone to represent you, visit our <a href=\"https:\/\/www.vnshealthplans.org\/easycare-member-resources\/frequently-asked-questions\/#how-can-i-appoint-someone-to-act-on-my-behalf\">FAQs<\/a> page.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:heading {\"level\":3} -->\n<h3 class=\"wp-block-heading\" id=\"h-not-sure-who-to-call-or-when\">Not Sure Who to Call or When?<\/h3>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p>Check below, so we can help make sure your question gets to the right person.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:group -->\n<div class=\"wp-block-group\"><!-- wp:acf\/faq {\"name\":\"acf\/faq\",\"data\":{\"heading\":\"\",\"_heading\":\"field_faq_heading\",\"is_modular\":\"0\",\"_is_modular\":\"field_faq_is_modular\",\"items_0_question\":\"Calling about transportation\",\"_items_0_question\":\"field_faq_items_question\",\"items_0_answer\":\"\\u003cp\\u003eTo arrange non-emergency medical transportation, you or you provider must contact the Statewide Transportation Broker, Medical Answering Services (MAS):\\u003c\/p\\u003e\\r\\n\\u003cul\\u003e\\r\\n\\t\\u003cli\\u003e\\u003ca class=\\u0022exitNotifierLink\\u0022 href=\\u0022https:\/\/www.medanswering.com\/\\u0022\\u003eOnline\\u003c\/a\\u003e\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eCall 844-666-6270 (New York City, Long Island, Westchester, and Putnam counties), 24 hours a day, 7 days a week\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eCall 866-932-7740 (upstate), 24 hours a day, 7 days a week\\u003c\/li\\u003e\\r\\n\\u003c\/ul\\u003e\\r\\n\\u003cp\\u003eVisit our\u00a0\\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/total-member-resources\/transportation\/\\u0022\\u003etransportation page\\u003c\/a\\u003e\u00a0for more information.\u00a0\\u003c\/p\\u003e\",\"_items_0_answer\":\"field_faq_items_answer\",\"items_1_question\":\"Questions about your home health services\",\"_items_1_question\":\"field_faq_items_question\",\"items_1_answer\":\"\\u003cp\\u003e\\u003cstrong\\u003eWhen to Call Your Home Health Agency\\u003c\/strong\\u003e\\u003c\/p\\u003e\\r\\n\\u003cp\\u003eWrite down the name and number of the agency your home health aide comes from and keep the information handy. You\u2019ll need it when:\\u003c\/p\\u003e\\r\\n\\u003cul\\u003e\\r\\n\\t\\u003cli\\u003eYou have to change your aide\u2019s schedule \u2014 the day or time of their visit.\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003e\u00a0You need to temporarily stop your home health services because of a vacation or hospital stay.\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003e\u00a0You have a problem or concern about your aide\u2019s performance.\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eYou want a different aide from the same agency.\\u003c\/li\\u003e\\r\\n\\u003c\/ul\\u003e\\r\\n\\u003cp\\u003e\\u003cstrong\\u003eWhen to Call Your Care Team\\u003c\/strong\\u003e\\u003c\/p\\u003e\\r\\n\\u003cul\\u003e\\r\\n\\t\\u003cli\\u003eYou need to temporarily stop all other services and deliveries because of a vacation or hospital stay. (You must also call your home health agency to suspend your home health services.)\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003e\u00a0You have a problem or concern about the agency your aide comes from.\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003e\u00a0You want to change to a different home health agency.\\u003c\/li\\u003e\\r\\n\\u003c\/ul\\u003e\",\"_items_1_answer\":\"field_faq_items_answer\",\"items_2_question\":\"Ordering medical supplies\",\"_items_2_question\":\"field_faq_items_question\",\"items_2_answer\":\"\\u003cp\\u003eYour care manager or Care Team can give you the number of the company that sends you your medical supplies. You can call them directly when you need to reorder, as long as the delivery date is at least 30 days from the date of your last order. To check the status of an existing order, just call your Care Team.\\u003c\/p\\u003e\\r\\n\\u003cp\\u003eFor more information about ordering medical supplies, go to our \\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/mltc-member-resources\/medical-supplies\/\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noopener\\u0022\\u003eMedical Supplies\\u003c\/a\\u003e page.\\u003c\/p\\u003e\",\"_items_2_answer\":\"field_faq_items_answer\",\"items_3_question\":\"Refer a friend\",\"_items_3_question\":\"field_faq_items_question\",\"items_3_answer\":\"\\u003cp\\u003eHave a friend who could use the services of MLTC? Tell them to give us a call, toll free, at\\u003cstrong\\u003e\\u003ca href=\\u0022tel:1-855-282-4642\\u0022\\u003e 1-855-282-4642\\u003c\/a\\u003e\\u003c\/strong\\u003e\u00a0(TTY: \\u003cstrong\\u003e\\u003ca href=\\u0022tel:711\\u0022\\u003e711\\u003c\/a\\u003e\\u003c\/strong\\u003e), Monday\u2013Friday, 9 am\u20135 pm.\\u003c\/p\\u003e\",\"_items_3_answer\":\"field_faq_items_answer\",\"items_4_question\":\"Scheduling an in-home flu vaccination\",\"_items_4_question\":\"field_faq_items_question\",\"items_4_answer\":\"\\u003cp\\u003eYou can get the flu shot in the comfort of your own home through our partner EMS. The vaccine is free, safe, and available. Please call \\u003ca href=\\u0022tel:5166559460\\u0022\\u003e\\u003cstrong\\u003e516-655-9460\\u003c\/strong\\u003e\\u003c\/a\\u003e Monday through Friday, 9 am to 5 pm to schedule your appointment.\\u003c\/p\\u003e\",\"_items_4_answer\":\"field_faq_items_answer\",\"items\":5,\"_items\":\"field_faq_items\",\"id\":\"block_acf_65bd569a64ac0\"},\"mode\":\"edit\",\"id\":\"block_acf_65bd569a64ac0\"} \/--><\/div>\n<!-- \/wp:group -->",
"post_title": "Getting Help from Your MLTC Plan",
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"post_modified": "2024-02-02 15:54:51",
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{
"ID": 799,
"post_author": "3",
"post_date": "2020-07-27 21:33:21",
"post_date_gmt": "2020-07-27 21:33:21",
"post_content": "<!-- wp:paragraph -->\n<p>The list below includes links to a variety of materials for VNS Health MLTC members. You can get a printed copy of any member materials by calling <a href=\"tel:1-888-867-6555\"><strong>1-888-867-6555<\/strong><\/a> (TTY: <a href=\"tel:711\"><strong>711<\/strong><\/a>), Monday\u2013Friday, 9 am\u20135 pm.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:acf\/resources {\"name\":\"acf\/resources\",\"data\":{\"resource_groups_0_heading\":\"Plan Information\",\"_resource_groups_0_heading\":\"field_resources_resource_groups_heading\",\"resource_groups_0_resources_0_show_update\":\"1\",\"_resource_groups_0_resources_0_show_update\":\"field_resources_resource_groups_resources_show_update\",\"resource_groups_0_resources_0_update_date\":\"Automatic\",\"_resource_groups_0_resources_0_update_date\":\"field_resources_resource_groups_resources_update_date\",\"resource_groups_0_resources_0_is_external_resource\":\"0\",\"_resource_groups_0_resources_0_is_external_resource\":\"field_resources_resource_groups_resources_is_external_resource\",\"resource_groups_0_resources_0_heading\":\"Member 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"post_content": "<!-- wp:paragraph -->\n<p>Starting March 1, 2024, VNS Health MLTC will no longer cover transportation as part of your benefits. This won\u2019t affect any of your other benefits.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p><strong>Important: If you have a medical emergency and need an ambulance, always call 911.<\/strong><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:heading {\"level\":3} -->\n<h3 class=\"wp-block-heading\" id=\"h-how-to-schedule-transportation\"><strong>How to Schedule Transportation<\/strong><\/h3>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p>To arrange non-emergency medical transportation, you or your provider must contact the Statewide Transportation Broker, Medical Answering Services (MAS): <\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:list -->\n<ul><!-- wp:list-item -->\n<li><a href=\"https:\/\/www.medanswering.com\/\">Online<\/a><\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li>Call 844-666-6270 (New York City, Long Island, Westchester, and Putnam counties), Monday\u2013Friday, 7am\u20136pm <\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li>Call 866-932-7740 (upstate), Monday\u2013Friday, 7am\u20136pm <\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list -->\n\n<!-- wp:heading {\"level\":3} -->\n<h3 class=\"wp-block-heading\" id=\"h-\"><\/h3>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p>If possible, you or your provider should contact MAS at least three days before you need transportation. You should provide the following details:<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:list -->\n<ul><!-- wp:list-item -->\n<li>Appointment date, time, address<\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li>Provider\u2019s name<\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li>Medicaid identification number<\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li>Any special needs (if you use a wheelchair)<\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list -->\n\n<!-- wp:paragraph -->\n<p><br>Go to the New York State <a href=\"https:\/\/gcc02.safelinks.protection.outlook.com\/?url=https%3A%2F%2Fwww.health.ny.gov%2Fhealth_care%2Fmedicaid%2Fmembers%2Fmedtrans_overview.htm&data=05%7C02%7Ckendra.muckle%40health.ny.gov%7C48edd05a3d504e10367b08dc137c14b0%7Cf46cb8ea79004d108ceb80e8c1c81ee7%7C0%7C0%7C638406670843417983%7CUnknown%7CTWFpbGZsb3d8eyJWIjoiMC4wLjAwMDAiLCJQIjoiV2luMzIiLCJBTiI6Ik1haWwiLCJXVCI6Mn0%3D%7C3000%7C%7C%7C&sdata=e5QajIriO50IcslznPe112d5dO1ZFWhIy4ZDA6y48kg%3D&reserved=0\">Department of Health Transportation page<\/a> for more information.<\/p>\n<!-- \/wp:paragraph -->",
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"post_content": "<!-- wp:paragraph -->\n<p>As part of your health care plan, you may get a regular supply of medical items \u2014 such as undergarments and pads, catheters, rubber gloves, and glucose test strips \u2014 for your special conditions. You can keep receiving these items for as long as you need them. <\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>How do you\u00a0order them?\u00a0Your\u00a0Care Team can give you the number of the supply company, and you can call the company directly when you need to reorder,\u00a0as long as the delivery date is at least 30 days from the date of your last order.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>Your supplies should arrive within 48 hours. The company may call you before they deliver the order to make sure you are home, so please try to answer your phone when a delivery is expected. <\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>To check the status of an existing order, just call your Care Team at <a href=\"tel:1-888-867-6555\"><strong>1-888-867-6555<\/strong><\/a> (TTY:<a href=\"tel:711\"> <strong>711<\/strong><\/a>), Monday\u2013Friday, 9 am\u20135 pm.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p><strong>Note: An ordered item will be delivered only if valid documentation for the item is on file.<\/strong><br><\/p>\n<!-- \/wp:paragraph -->",
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"post_title": "VNS Health MLTC Newsletters",
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"post_date": "2020-08-03 19:31:31",
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"post_content": "<!-- wp:acf\/hero {\"name\":\"acf\/hero\",\"data\":{\"background_image_image\":\"\",\"_background_image_image\":\"field_hero_background_image_image\",\"background_image_caption\":\"\",\"_background_image_caption\":\"field_hero_background_image_caption\",\"background_image\":\"\",\"_background_image\":\"field_hero_background_image\",\"heading\":\"Grievances and Appeals\",\"_heading\":\"field_hero_heading\",\"subheading\":\"\",\"_subheading\":\"field_hero_subheading\",\"text\":\"\",\"_text\":\"field_hero_text\",\"button\":\"\",\"_button\":\"field_hero_button\",\"id\":\"block_acf_660eb7c0d1ca4\"},\"mode\":\"edit\",\"id\":\"block_acf_660eb7c0d1ca4\"} \/-->\n\n<!-- wp:heading -->\n<h2 class=\"wp-block-heading\" id=\"h-vns-health-total-hmo-d-snp-grievances-and-appeals\">VNS HEALTH TOTAL (HMO D-SNP) GRIEVANCES AND APPEALS<\/h2>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p>If you have Medicare and get assistance from Medicaid, the information below applies to <strong>all <\/strong>of your Medicare and Medicaid benefits. You do not have to use one process for your Medicare benefits and a different process for your Medicaid benefits. This is sometimes called an \u201cintegrated process\u201d because it integrates Medicare and Medicaid processes.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:heading {\"level\":3} -->\n<h3 class=\"wp-block-heading\" id=\"h-filing-an-organization-determination-also-known-as-a-coverage-decision-or-an-action\">FILING AN ORGANIZATION DETERMINATION (ALSO KNOWN AS A \u201cCOVERAGE DECISION\u201d OR AN \u201cACTION\u201d)<\/h3>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p>An Organization Determination is when the plan, or a delegated vendor, has made a decision about whether items or services are covered or how much you have to pay for covered items or services. Organization determinations are called \u201ccoverage decisions.\u201d You, your representative, or any provider that furnishes, or intends to furnish, services to you may request an organization determination by filing a request with VNS Health Health Plans.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:heading {\"level\":3} -->\n<h3 class=\"wp-block-heading\" id=\"h-filing-a-part-d-exception-which-is-also-a-coverage-determination-or-an-action\"><strong>FILING A PART D EXCEPTION (WHICH IS ALSO A \u201cCOVERAGE DETERMINATION\u201d OR AN \u201cACTION\u201d)<\/strong><\/h3>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p>If a drug is not covered in the way you would like it to be covered, you can ask VNS Health Health Plans to make an \u201cexception.\u201d An exception is a type of coverage determination. Similar to other types of coverage decisions, if we turn down your request for an exception, you can appeal our decision.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>When you ask for an exception, your doctor or other prescriber will need to explain the medical reasons why you need the exception approved. We will then consider your request. Here are three examples of exceptions that you or your doctor or other prescriber can ask us to make:<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:list -->\n<ul><!-- wp:list-item -->\n<li>Covering a Part D drug for you that is not on our plan\u2019s <em>List of Covered Drugs<\/em> <em>(Formulary)<\/em><\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li>Removing a restriction on the plan\u2019s coverage for a covered drug<\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list -->\n\n<!-- wp:heading {\"level\":4} -->\n<h4 class=\"wp-block-heading\" id=\"h-timeframes-for-coverage-decisions\">TIMEFRAMES FOR COVERAGE DECISIONS<\/h4>\n<!-- \/wp:heading -->\n\n<!-- wp:list -->\n<ul><!-- wp:list-item -->\n<li>Standard Coverage Decision - Generally, on a request for a medical item or service, we will give you our answer within <strong>14 calendar days<\/strong> after receiving your request. If your request is for a Medicare Part B prescription drug, we will give you an answer <strong>within 72 hours <\/strong>of receiving your request.<\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li>For a Medical Item or Service - A Fast Coverage Decision is called an integrated expedited determination. A fast coverage decision means we will answer within <strong>72 hours<\/strong> of your request for a medical item or service. If your request is for a Medicare Part B prescription drug, we will answer within <strong>24 hours.<\/strong><\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li>For a coverage decision about the drug(s) or payment - A Fast Coverage Decision is called an expedited coverage determination. We will give you an answer within <strong>24 hours<\/strong> after we receive your doctor's statement.<\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li>Claim Coverage Determinations - Notification of a decision will be made within <strong>30 calendar days<\/strong> of receipt if they are submitted by you, or on your behalf, or are claims that are not furnished under a written agreement between the plan and the provider. Claims from noncontracted providers must be paid or denied within <strong>60 calendar days<\/strong> from the date of the request.<\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list -->\n\n<!-- wp:heading {\"level\":3} -->\n<h3 class=\"wp-block-heading\" id=\"h-filing-an-appeal\">FILING AN APPEAL<\/h3>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p>If we say no to your coverage decision, you have the right to ask for an appeal. Asking for an appeal means asking us to reconsider \u2014 and possibly change \u2014 the decision we made. You may also ask for an appeal if you disagree with our decision to stop services that you are receiving. For example, you could file an appeal if:<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:list -->\n<ul><!-- wp:list-item -->\n<li>We refuse to cover or approve a service you think we should cover.<\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li>We refuse to pay for a service that was provided to you and you think we should pay for the service.<\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li>We reduce or cut back on a service you have been receiving.<\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li>You think we are stopping your coverage for a service too soon.<\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list -->\n\n<!-- wp:heading {\"level\":4} -->\n<h4 class=\"wp-block-heading\" id=\"h-timeframes-for-appeals\">TIMEFRAMES FOR APPEALS<\/h4>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p>You must make your appeal request within <strong>60 calendar days <\/strong>from the date on the written notice we sent to tell you our answer to your request for a coverage decision. If you miss this deadline and have a good reason for missing it, we may give you more time to make your appeal. Please include your reason in your appeal request.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>Our timeframes to respond to your appeal are as follows:<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:list -->\n<ul><!-- wp:list-item -->\n<li>\u201cFast\u201d Appeal: When we are using the fast deadlines, we must give you our answer <strong>within 72 hours after we receive your appeal<\/strong>; this includes fast appeals for Medicare Part B drugs.<strong> <\/strong>If you ask for more time, or if we need to gather more information that may benefit you, we <strong>can take up to 14 more calendar days <\/strong>if your request is for a medical item or service. If we decide to take extra days to make the decision, we will tell you in writing. We can\u2019t take extra time to make a decision if your request is for a Medicare Part B prescription drug or a payment appeal.<\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list -->\n\n<!-- wp:list -->\n<ul><!-- wp:list-item -->\n<li>Standard Appeals: If we are using the standard deadlines, we must give you our answer on a request for a medical item or service <strong>within 30 calendar days<\/strong> after we receive your appeal if your appeal is about coverage for services you have not yet received. If your request is for a Medicare Part B prescription drug, we will give you our answer <strong>within 7 calendar days <\/strong>after we receive your appeal if your appeal is about coverage for a Part B prescription drug you have not yet received. We will give you our decision sooner if your health condition requires us to.<\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list -->\n\n<!-- wp:list -->\n<ul><!-- wp:list-item -->\n<li>If you ask for more time or if we need to gather more information that may benefit you, we can take up to <strong>14 more calendar days<\/strong> if your request is for a medical item or service. If we decide we need to take extra days to make the decision, we will tell you in writing. We can\u2019t take extra time to make a decision if your request is for a Medicare Part B prescription drug or a payment appeal.<\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list -->\n\n<!-- wp:list -->\n<ul><!-- wp:list-item -->\n<li>If you believe we should not take extra days, you can file a \u201cfast complaint\u201d about our decision to take extra days. When you file a fast complaint, we will give you an answer to your complaint within <strong>24 hours<\/strong>.<\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list -->\n\n<!-- wp:list -->\n<ul><!-- wp:list-item -->\n<li>If we do not give you an answer by the applicable deadlines above (or by the end of the extended time we took on your request for a medical item or service), we are required to send your request on to Level 2 of the appeals process. Then an independent outside organization will review it. For more information, please refer to your Member Handbook or call your Care Team.<br><!-- wp:list -->\n<ul><!-- wp:list-item -->\n<li>Provider Claim Appeals: Please refer to the <a href=\"https:\/\/www.vnshealthplans.org\/for-health-professionals-overview\/claims-billing-and-payments\/\">Claims, Billing, and Payments page<\/a>.<\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list --><\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list -->\n\n<!-- wp:heading {\"level\":3} -->\n<h3 class=\"wp-block-heading\" id=\"h-filing-a-complaint-nbsp-also-known-as-filing-a-grievance\">FILING A COMPLAINT (ALSO KNOWN AS \u201cFILING A GRIEVANCE\u201d)<\/h3>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p>A complaint is a process our members can use for certain types of problems <em>only.<\/em> This includes problems related to quality of care, waiting times, and the customer service you receive. If your problem is related to benefits, coverage decisions, or payment, please refer to the coverage decision and appeal sections above. Some examples of problems that would follow the complaint process are:<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:list -->\n<ul><!-- wp:list-item -->\n<li>You are treated rudely by anyone connected with your care such as your doctors, pharmacy, other health care providers, or plan representatives.<\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li>You are unable to reach someone by phone or get the information you need.<\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li>You are unhappy with the quality of care you received from a doctor or health care facility such as a clinic or hospital.<\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li>You have a problem with your doctor\u2019s office, whether it is the condition or cleanliness of the doctor's office, or you are kept too long in the waiting room.<\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li>We took too long to answer your coverage decision request, or appeal.<\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list -->\n\n<!-- wp:paragraph -->\n<p>For more information, see Common Questions about Filing an Appeal or Complaint, below.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:heading {\"level\":4} -->\n<h4 class=\"wp-block-heading\" id=\"h-timeframes-for-filing-complaints\">TIMEFRAMES FOR FILING COMPLAINTS<\/h4>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p>There is no time limit to filing a complaint; you can make the complaint at any time after you had the problem. We do recommend however that you file your complaint as soon as you are able to and provide as much information as you can to help us understand your problem and help resolve it sooner.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>Our timeframes to respond to complaints are:<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:list -->\n<ul><!-- wp:list-item -->\n<li>\u201cFast\u201d Complaints: If you are making a complaint because we denied your request for a \u201cfast coverage decision\u201d or a \u201cfast appeal,\u201d or if we extended the timeframe of your coverage decision or appeal, we will automatically give you a \u201cfast complaint.\" If you have a \u201cfast complaint,\" it means we will give you an answer within <strong>24 hours<\/strong>.<\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list -->\n\n<!-- wp:list -->\n<ul><!-- wp:list-item -->\n<li>Standard Complaints: Notification of a decision will be given within <strong>30 calendar days<\/strong> of receiving the written or oral complaint. VNS Health Total may extend the <strong>30 calendar day<\/strong> timeframe by up to <strong>14 calendar days<\/strong> if you or a provider on your behalf (written or oral) requests the extension or if VNS Health Health Plans justifies a need for additional information because it is in your best interest. <\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list -->\n\n<!-- wp:heading {\"level\":3} -->\n<h3 class=\"wp-block-heading\" id=\"h-common-questions-about-filing-a-coverage-decision-appeal-or-a-complaint\">COMMON QUESTIONS ABOUT FILING A COVERAGE DECISION APPEAL OR A COMPLAINT<\/h3>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p>Below are frequently asked questions about filing an appeal or complaint.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:acf\/faq {\"name\":\"acf\/faq\",\"data\":{\"heading\":\"\",\"_heading\":\"field_faq_heading\",\"is_modular\":\"0\",\"_is_modular\":\"field_faq_is_modular\",\"items_0_question\":\"What is the difference between a \u201cstandard\u201d and a \u201cfast\u201d or \u201cexpedited\u201d coverage decision for Medical Care? \",\"_items_0_question\":\"field_faq_items_question\",\"items_0_answer\":\"\\u003cp\\u003eYou can ask for a fast coverage decision only if you or any doctor believes that waiting for a standard coverage decision could cause serious harm to your health or hurt your ability to function. 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The Plan will notify you orally and in writing within \\u003cstrong\\u003e3 calendar days\\u003c\/strong\\u003e that their expedited request will be handled under the standard timeframe, the member\u2019s right to file an expedited complaint; including the process and timeframe, the right to resubmit a request for an expedited determination and that if the member obtains any physician support indicating that applying the standard timeframe for making a determination could cause serious harm to you or hurt your ability to function, the request will be expedited.\\u003c\/p\\u003e\",\"_items_1_answer\":\"field_faq_items_answer\",\"items_2_question\":\"What if I want to appeal a discharge from Facility Based Care?\",\"_items_2_question\":\"field_faq_items_question\",\"items_2_answer\":\"\\u003cp\\u003eYou have the right, by law, to ask for a review (an appeal) of a discharge date from the Hospital, Skilled Nursing Facility, Home Health Aide services, or Comprehensive Outpatient Rehabilitation Facility. You must contact the Quality Improvement Organization (QIO) for review. If you believe that you are being discharged too soon and appeal, you will receive a Detailed Notice of Discharge. The Detailed Notice of Discharge explains the specific reasons for the discharge. You can see a sample notice online at\u00a0\\u003ca href=\\u0022https:\/\/www.cms.gov\/Medicare\/Medicare-General-Information\/BNI\/HospitalDischargeAppealNotices.html\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noreferrer noopener\\u0022\\u003ewww.cms.gov\/Medicare\/Medicare-General-Information\/BNI\/HospitalDischargeAppealNotices.html\\u003c\/a\\u003e.\\u003c\/p\\u003e\\r\\n\\u003cp\\u003eIf you do not ask the QIO for a \\u0022fast appeal\\u0022 by the deadline (no later than\u00a0\\u003cstrong\\u003enoon\u00a0\\u003c\/strong\\u003eon the day after the date your Medicare coverage ends), you may ask VNS Health Total for a \\u0022fast appeal\\u0022 of the discharge. \\u003cbr \/\\u003e\\r\\n\\u003cbr \/\\u003e\\r\\nFor more information on member appeal and complaint rights, please refer to the Member Handbook (Evidence of Coverage),\u00a0or\u00a0\\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/contact-us\/\\u0022\\u003econtact us\\u003c\/a\\u003e.\\u003c\/p\\u003e\",\"_items_2_answer\":\"field_faq_items_answer\",\"items_3_question\":\"How do I File a Complaint or Appeal?\",\"_items_3_question\":\"field_faq_items_question\",\"items_3_answer\":\"\\u003cp\\u003eTo file a complaint or request an appeal, please either: Call us at \\u003ca href=\\u0022tel:1-866-783-1444\\u0022\\u003e\\u003cstrong\\u003e1-866-783-1444\\u003c\/strong\\u003e\\u003c\/a\\u003e (TTY: \\u003cstrong\\u003e\\u003ca href=\\u0022tel:711\\u0022\\u003e711\\u003c\/a\\u003e\\u003c\/strong\\u003e). 8 am\u20138 pm, weekdays; or,\\u003cbr \/\\u003e\\r\\nMembers may also submit their appeals or complaints in writing and mail or fax to:\\u003cbr \/\\u003e\\r\\n\\u003cbr \/\\u003e\\r\\nVNS Health\u00a0\\u003cbr \/\\u003e\\r\\nHealth Plans - Medicare Grievance \\u0026amp; Appeals\\u003cbr \/\\u003e\\r\\nP.O. Box 445\\u003cbr \/\\u003e\\r\\nElmsford, NY 10523\\u003cbr \/\\u003e\\r\\nFax: 1-866-791-2213\\u003c\/p\\u003e\\r\\n\\u003cp\\u003eIf you are not satisfied with the outcome of your appeal, details regarding your right to further appeal and your next steps will be included in your decision letter. Please refer to the \\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/total-member-resources\/2023-plan-materials\/\\u0022\\u003eMember Handbook (Evidence of Coverage)\\u003c\/a\\u003e, the \\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/total-member-resources\/2023-plan-materials\/\\u0022\\u003eSummary of Benefits\\u003c\/a\\u003e, or for more information, please contact us. To appoint a representative to act on your behalf, please use the Appointment of Representative form (CMS-1696) \\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2022\/01\/Appointment-of-Representative-form_CMS-1696-English.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noreferrer noopener\\u0022\\u003ein English\\u003c\/a\\u003e, \\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2022\/01\/Appointment-of-Representative-form_CMS-1696_Spanish.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noreferrer noopener\\u0022\\u003een espa\u00f1ol\\u003c\/a\\u003e, or \\u003ca class=\\u0022leading-none text-base text-gray-dark hover:text-tertiary-dark transition\\u0022 href=\\u0022https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2022\/01\/Appointment-of-Representative-form_CMS-1696_Chinese.pdf\\u0022\\u003e\u4e2d\u6587\\u003c\/a\\u003e.\\u003c\/p\\u003e\",\"_items_3_answer\":\"field_faq_items_answer\",\"items_4_question\":\"How do I file an external complaint?\",\"_items_4_question\":\"field_faq_items_question\",\"items_4_answer\":\"\\u003cp\\u003eYou or your authorized representative may also file an external complaint with the Centers for Medicare and Medicaid Services (CMS) by:\\u003c\/p\\u003e\\r\\n\\u003cp\\u003ePhone: \\u003cstrong\\u003e\\u003ca href=\\u0022tel:1-800-633-4227\\u0022\\u003e1-800-MEDICARE \\u003c\/a\\u003e(\\u003ca href=\\u0022tel:1-800-633-4227\\u0022\\u003e1-800-633-4227\\u003c\/a\\u003e)\\u003c\/strong\\u003e, 7 days a week, 24 hours a day. TTY users, call: \\u003ca href=\\u0022tel:1-877-486-2048\\u0022\\u003e\\u003cstrong\\u003e1-877-486-2048\\u003c\/strong\\u003e\\u003c\/a\\u003e.\\u003c\/p\\u003e\\r\\n\\u003cp\\u003eSubmit complaints:\\u003ca href=\\u0022file:\/\/\/C:\/Users\/35166\/AppData\/Local\/Microsoft\/Windows\/INetCache\/Content.Outlook\/DYNAHDXZ\/www.medicare.gov\/MedicareComplaintForm\/home.aspx\\u0022\\u003e www.medicare.gov\/MedicareComplaintForm\/home.aspx\\u003c\/a\\u003e.\\u003c\/p\\u003e\",\"_items_4_answer\":\"field_faq_items_answer\",\"items_5_question\":\"How do I file a Marketing Complaint?\",\"_items_5_question\":\"field_faq_items_question\",\"items_5_answer\":\"\\u003cp\\u003eIf you have a marketing complaint about VNS Health Medicare or a sales agent or broker who represents us, we want to know so we can improve! Please call us at \\u003ca href=\\u0022tel:1-866-783-1444\\u0022\\u003e\\u003cstrong\\u003e1-866-783-1444\\u003c\/strong\\u003e\\u003c\/a\\u003e (TTY: \\u003cstrong\\u003e\\u003ca href=\\u0022tel:711\\u0022\\u003e711\\u003c\/a\\u003e\\u003c\/strong\\u003e), weekdays, 8 am\u20138 pm. You can also use this \\u003cspan style=\\u0022text-decoration: underline;\\u0022\\u003e\\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/contact-us\/\\u0022\\u003esecure online form\\u003c\/a\\u003e\\u003c\/span\\u003e to contact us 7 days a week, 24 hours a day. If your complaint is about an agent or broker, please be sure to provide their name.\\u003c\/p\\u003e\\r\\n\\u003cp\\u003eIf you wish to submit a marketing complaint to Medicare, you can use their online form \\u003ca href=\\u0022https:\/\/www.medicare.gov\/my\/medicare-complaint\\u0022\\u003ehttps:\/\/www.medicare.gov\/my\/medicare-complaint\\u003c\/a\\u003e or call 1-800-MEDICARE (1-800-633-4227), TTY: 1-877-486-2048, 7 days a week, 24 hours a day, except some federal holidays. If your complaint is about an agent or broker, please be sure to provide their name.\\u003c\/p\\u003e\",\"_items_5_answer\":\"field_faq_items_answer\",\"items_6_question\":\"How can I obtain the total number of complaints, appeals, and exceptions filed with the plan?\",\"_items_6_question\":\"field_faq_items_question\",\"items_6_answer\":\"\\u003cp\\u003eTo obtain the total number of complaints, appeals, and exceptions filed with the plan, please call us at \\u003ca href=\\u0022tel:1-866-783-1444\\u0022\\u003e\\u003cstrong\\u003e1-866-783-1444\\u003c\/strong\\u003e\\u003c\/a\\u003e (TTY: \\u003cstrong\\u003e\\u003ca href=\\u0022tel:711\\u0022\\u003e711\\u003c\/a\\u003e\\u003c\/strong\\u003e), weekdays, 8 am\u20138 pm. Or reach us by mail at: \\u003cbr \/\\u003e\\r\\nVNS Health\u00a0\\u003cbr \/\\u003e\\r\\nHealth Plans - Medicare Grievance \\u0026amp; Appeals\\u003cbr \/\\u003e\\r\\nP.O. Box 445 \\u003cbr \/\\u003e\\r\\nElmsford, NY 10523 \\u003cbr \/\\u003e\\r\\n\\u003cbr \/\\u003e\\r\\nFor more information, please refer to the \\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/total-member-resources\/2023-plan-materials\/\\u0022\\u003eMember Handbook (Evidence of Coverage)\\u003c\/a\\u003e or the \\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/total-member-resources\/2023-plan-materials\/\\u0022\\u003eSummary of Benefits\\u003c\/a\\u003e.\\u003c\/p\\u003e\",\"_items_6_answer\":\"field_faq_items_answer\",\"items_7_question\":\"Whom can I contact if I have questions about the process or if I have status questions?\",\"_items_7_question\":\"field_faq_items_question\",\"items_7_answer\":\"\\u003cp\\u003eCall your VNS Health Total Care Team at \\u003cstrong\\u003e\\u003ca href=\\u0022tel:1-866-783-1444\\u0022\\u003e1-866-783-1444\\u003c\/a\\u003e\\u003c\/strong\\u003e (TTY: \\u003cstrong\\u003e\\u003ca href=\\u0022tel:711\\u0022\\u003e711\\u003c\/a\\u003e\\u003c\/strong\\u003e), weekdays, 8 am\u20138 pm.\\u003c\/p\\u003e\",\"_items_7_answer\":\"field_faq_items_answer\",\"items_8_question\":\"What are my protections in this plan?\",\"_items_8_question\":\"field_faq_items_question\",\"items_8_answer\":\"\\u003cp\\u003eAll Medicare Advantage Plans agree to stay in the program for a full year at a time. Each year, the plans decide whether to continue for another year. Even if a Medicare Advantage Plan leaves the program, you will not lose Medicare coverage. If your plan decides not to continue, it must send you a letter at least \\u003cstrong\\u003e90 days\\u003c\/strong\\u003e before your coverage will end. The letter will explain your options for Medicare coverage in your area.\\u003c\/p\\u003e\\r\\n\\u003cp\\u003eIf you have Medicare and get assistance from Medicaid, the information below applies to\u00a0\\u003cstrong\\u003eall\u00a0\\u003c\/strong\\u003eof your Medicare and Medicaid benefits. You do not have to use one process for your Medicare benefits and a different process for your Medicaid benefits. This is sometimes called an \u201cintegrated process\u201d because it integrates Medicare and Medicaid processes.\\u003c\/p\\u003e\",\"_items_8_answer\":\"field_faq_items_answer\",\"items\":9,\"_items\":\"field_faq_items\",\"id\":\"block_acf_660eb7c0d3741\"},\"mode\":\"edit\",\"id\":\"block_acf_660eb7c0d3741\"} \/-->",
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"post_date": "2020-08-17 15:20:35",
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"post_content": "<!-- wp:heading {\"level\":3} -->\n<h3 class=\"wp-block-heading\" id=\"h-introduction\">Introduction<\/h3>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p><a href=\"https:\/\/providersearch.vnshealthplans.org\/#\/?plan=map\">Follow this link to use our online search directory<\/a>.<br><br>The directory lists health professionals (such as doctors, nurse practitioners, and psychologists), facilities (such as hospitals and clinics), and pharmacies that you may use to get your prescription drugs.<br><br>The listings contain provider and pharmacy address and contact information, as well as other details, such as days and hours of operation, specialties, and skills.<br><br>The directory is current as of the date noted as \u201cLast data update\u201d at the bottom of the web search tool page and in the left-hand column of the search tool. For more information, please contact us at <a href=\"tel:1-866-783-1444\"><strong>1-866-783-1444<\/strong><\/a> (TTY: <a href=\"tel:711\"><strong>711<\/strong><\/a>), 7 days a week, 8 am\u20138 pm.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p><br><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:acf\/faq {\"name\":\"acf\/faq\",\"data\":{\"heading\":\"\",\"_heading\":\"field_faq_heading\",\"is_modular\":\"0\",\"_is_modular\":\"field_faq_is_modular\",\"items_0_question\":\"What is the service area for VNS Health Total?\",\"_items_0_question\":\"field_faq_items_question\",\"items_0_answer\":\"\\u003cp\\u003eThe counties in our service area are listed below.\\u003c\/p\\u003e\\r\\n\\u003cul\\u003e\\r\\n\\t\\u003cli\\u003eAlbany\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eThe Bronx\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eKings (Brooklyn)\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eNassau\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eNew York (Manhattan)\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eQueens\u00a0\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eRensselaer\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eRichmond (Staten Island)\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eSchenectady\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eSuffolk\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eWestchester\\u003c\/li\\u003e\\r\\n\\u003c\/ul\\u003e\",\"_items_0_answer\":\"field_faq_items_answer\",\"items_1_question\":\"What is a Person Centered Service Plan (PCSP)?\",\"_items_1_question\":\"field_faq_items_question\",\"items_1_answer\":\"\\u003cp\\u003eA Person Centered Service Plan (PCSP) is a care plan developed by the member\u2019s care manager and based on his\/her assessment of the member\u2019s medical, social, and environmental needs and history, functional level and support systems.\\u003c\/p\\u003e\",\"_items_1_answer\":\"field_faq_items_answer\",\"items_2_question\":\"What are providers?\",\"_items_2_question\":\"field_faq_items_question\",\"items_2_answer\":\"\\u003cp\\u003eProviders are health professionals and support providers such as doctors, nurses, pharmacists, therapists, and other people who provide care and services. Services include medical care, long-term services and supports (LTSS), supplies, prescription drugs, equipment, and other services.\u00a0\\u003c\/p\\u003e\\r\\n\\u003cp\\u003eThe term \\u0022providers\\u0022 also includes facilities such as hospitals, clinics, and other places that provide medical services, medical equipment, and LTSS.\\u003c\/p\\u003e\\r\\n\\u003cp\\u003eProviders that are a part of our plan's network are called network providers.\\u003c\/p\\u003e\\r\\n\\u003cp\\u003eNetwork providers have contracted with us to deliver services to members of our plan. Network providers participate in our plan. That means they accept members of our plan and provide services that our plan covers. The providers in our network generally bill us directly for care they give you. A primary care provider (PCP) is a network physician or nurse practitioner who gives you routine health care. Your PCP will keep your medical records and get to know your health needs over time.\\u003c\/p\\u003e\\r\\n\\u003cp\\u003eA primary care provider (PCP) is a network physician or nurse practitioner who gives you routine health care. Your PCP will keep your medical records and get to know your health needs over time.\\u003c\/p\\u003e\\r\\n\\u003cp\\u003eSpecialists are doctors who provide health care services for a specific disease or part of the body. There are many kinds of specialists. Here are a few examples:\\u003c\/p\\u003e\\r\\n\\u003cul\\u003e\\r\\n\\t\\u003cli\\u003eOncologists care for patients with cancer.\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eCardiologists care for patients with heart conditions.\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eOrthopedists care for patients with certain bone, joint, or muscle conditions.\\u003c\/li\\u003e\\r\\n\\u003c\/ul\\u003e\",\"_items_2_answer\":\"field_faq_items_answer\",\"items_3_question\":\"How can I choose a primary care provider (PCP)?\",\"_items_3_question\":\"field_faq_items_question\",\"items_3_answer\":\"\\u003cp\\u003eYou can get services from any provider who is in our network and is accepting new members.\\u003c\/p\\u003e\\r\\n\\u003cp\\u003eWhen you become a member of our plan, you will choose a PCP who is part of our plan network. This provider will be your PCP.\\u003c\/p\\u003e\\r\\n\\u003cp\\u003eIf you did not choose a PCP or would like to make a change to your PCP, go to the \\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/find-a-doctor\/\\u0022\\u003esearch tool\\u003c\/a\\u003e, and choose a provider:\\u003c\/p\\u003e\\r\\n\\u003cul\\u003e\\r\\n\\t\\u003cli\\u003eThat you use now\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eWho has been recommended by someone you trust\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eWhose offices are easy for you to get to\\u003c\/li\\u003e\\r\\n\\u003c\/ul\\u003e\\r\\n\\u003cp\\u003eIf you need help in choosing a PCP, please call us.\\u003c\/p\\u003e\\r\\n\\u003cp\\u003eIf you do not select a network PCP, one will be assigned to you.\\u003c\/p\\u003e\\r\\n\\u003cp\\u003eIf you have questions about whether we will pay for any medical service or care that you want or need, call us at the number in the introductory paragraph at the top of this page and ask before you get the service or care.\\u003c\/p\\u003e\",\"_items_3_answer\":\"field_faq_items_answer\",\"items_4_question\":\"How can I identify providers in VNS Health Total\u2019s network?\",\"_items_4_question\":\"field_faq_items_question\",\"items_4_answer\":\"\\u003cp\\u003eYou must get all your covered services from providers within our network. If you go to providers who are not in our network (without prior authorization or approval from us), you will have to pay the bill.\\u003c\/p\\u003e\\r\\n\\u003cp\\u003eA prior authorization is an approval from the plan before you can get a specific service or drug or see an out-of-network provider. The plan may not cover the service or drug if you don\u2019t get approval.\\u003c\/p\\u003e\\r\\n\\u003cp\\u003eThe exceptions to this rule are when you need urgent or emergency care or dialysis and cannot get to a provider in the plan, such as when you are away from home. Emergency care can always be obtained in or out of the service area from the nearest available provider. When in the service area, you must use plan providers for urgent care. In addition, when out of the service area, you can obtain dialysis treatment from any qualified dialysis provider. You can also go outside the plan for other non-emergency services if the plan gives you permission first.\\u003c\/p\\u003e\\r\\n\\u003cul\\u003e\\r\\n\\t\\u003cli\\u003eYou may change providers within the network at any time during the year. If you have been going to one network provider, you do not have to keep going to that same provider. You may change your PCP at any time during your enrollment in the plan. You may choose only PCPs in the network. To change a PCP, please call us at the number noted at the top of this page.\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eThe plan works with all the providers in our network to accommodate the needs of people with disabilities. As applicable, the list of network providers in this directory includes information about the accommodations they provide.\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003e\u00a0If you need to see a provider and are not sure if they offer the accommodations you need, we can help you. Talk to your Care Team for assistance.\\u003c\/li\\u003e\\r\\n\\u003c\/ul\\u003e\",\"_items_4_answer\":\"field_faq_items_answer\",\"items_5_question\":\"How can I find VNS Health Total providers in my area?\",\"_items_5_question\":\"field_faq_items_question\",\"items_5_answer\":\"\\u003cp\\u003eOur directory includes providers for both Medicare services.\\u003c\/p\\u003e\\r\\n\\u003cp\\u003eTo find a provider near you, or that fits your specific need, select the type of provider you are looking for and filter by location.\\u003c\/p\\u003e\\r\\n\\u003cp\\u003eIcons in the provider listings will indicate additional information such as if a provider is wheelchair accessible, speaks other languages, accepts new patients, and more. To see the full detailed information for a provider while using the online \\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/find-a-doctor\/\\u0022\\u003esearch tool\\u003c\/a\\u003e, click the\u00a0View Full Profile button on the listing. The Map button will provide you with access to ways you may be able to get to the provider\u2019s office.\\u003c\/p\\u003e\\r\\n\\u003cp\\u003eIf you have questions about this plan or need assistance in selecting a PCP, please call us.\\u003c\/p\\u003e\",\"_items_5_answer\":\"field_faq_items_answer\",\"items_6_question\":\"How can I access out-of-network providers?\",\"_items_6_question\":\"field_faq_items_question\",\"items_6_answer\":\"\\u003cp\\u003eYou may obtain services from out-of-network providers in the following situations:\\u003c\/p\\u003e\\r\\n\\u003cul\\u003e\\r\\n\\t\\u003cli\\u003eYou are out of the service area and need dialysis.\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eYou are in need of a special service that is not available from one of the in-network providers.\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eYou have an emergency or are in need of urgent care.\\u003c\/li\\u003e\\r\\n\\u003c\/ul\\u003e\\r\\n\\u003cp\\u003eExcept in an emergency, you must obtain authorization from VNS Health. Contact us at the number noted at the top of this page for more information or to arrange for services.\\u003c\/p\\u003e\",\"_items_6_answer\":\"field_faq_items_answer\",\"items_7_question\":\"How can I access specialty providers?\",\"_items_7_question\":\"field_faq_items_question\",\"items_7_answer\":\"\\u003cp\\u003eAs a member of VNS Health Total, you do not need a referral from your primary care provider (PCP) for network specialists or hospitals. Your PCP may provide you with assistance if you need help selecting a specialist or hospital. In some instances, your physician may request that you receive additional diagnostic tests or procedures. In these instances, your physician will need to obtain prior authorization from VNS Health.\\u003c\/p\\u003e\\r\\n\\u003cp\\u003eYou can get additional information on how to access specialty care by calling us at the number in the introduction at the top of this page.\\u003c\/p\\u003e\",\"_items_7_answer\":\"field_faq_items_answer\",\"items_8_question\":\"Appointment wait time standards\",\"_items_8_question\":\"field_faq_items_question\",\"items_8_answer\":\"\\u003cp\\u003eAppointment wait times standards for primary care and behavioral health services are as follow:\\u003c\/p\\u003e\\r\\n\\u003cul\\u003e\\r\\n\\t\\u003cli\\u003eUrgently needed services or emergency\u2014immediately;\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eServices that are not emergency or urgently needed, but the enrollee requires medical attention\u2014within 7 business days; and\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eRoutine and preventive care\u2014within 30 business days.\\u003c\/li\\u003e\\r\\n\\u003c\/ul\\u003e\",\"_items_8_answer\":\"field_faq_items_answer\",\"items_9_question\":\"How can I find a network pharmacy?\",\"_items_9_question\":\"field_faq_items_question\",\"items_9_answer\":\"\\u003cp\\u003eThe \\u003ca href=\\u0022https:\/\/providersearch.vnshealthplans.org\/#\/?plan=map\\u0022\\u003eonline search tool\\u003c\/a\\u003e provides a listing of pharmacies in the VNS Health Total\u2019s network. These network pharmacies are pharmacies that have agreed to provide prescription drugs to you as a member of the plan.\\u003c\/p\\u003e\\r\\n\\u003cp\\u003eYou may access pharmacies outside of the plan\u2019s service areas through \\u003ca href=\\u0022https:\/\/openenrollment.medimpact.com\/#\/plancode?VNS01202403\\u0022\\u003eour nationwide pharmacy network\\u003c\/a\\u003e.\\u003c\/p\\u003e\\r\\n\\u003cul\\u003e\\r\\n\\t\\u003cli\\u003eVNS Health Total members must use network pharmacies to get prescription drugs.\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eYou must use network pharmacies except in emergency or urgent care situations.\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eIf you go to an out-of-network pharmacy for prescriptions when it is not an emergency, you will have to pay out-of-pocket for the service. Read your \\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/total-member-resources\/2024-member-materials\/\\u0022\\u003eEvidence of Coverage\/Member Handbook\\u003c\/a\\u003e for more information.\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eFor up-to-date information about the VNS Health Total network pharmacies in your area, please go to our \\u003ca href=\\u0022https:\/\/providersearch.vnshealthplans.org\/#\/?plan=map\\u0022\\u003eonline search tool\\u003c\/a\\u003e or call us at the number at the top of this page.\\u003c\/li\\u003e\\r\\n\\u003c\/ul\\u003e\\r\\n\\u003cp\\u003eTo get a complete description of your prescription coverage, including how to fill your prescriptions, please review your Evidence of Coverage\/Member Handbook and the VNS Health Total\u2019s Formulary. You can find these materials \\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/total-member-resources\/2024-member-materials\/\\u0022\\u003e\\u003cstrong\\u003ehere\\u003c\/strong\\u003e\\u003c\/a\\u003e.\\u003c\/p\\u003e\",\"_items_9_answer\":\"field_faq_items_answer\",\"items_10_question\":\"What are the types of pharmacies in the VNS Health Total network?\",\"_items_10_question\":\"field_faq_items_question\",\"items_10_answer\":\"\\u003cp\\u003eAlong with retail pharmacies, your plan\u2019s network of pharmacies includes:\\u003c\/p\\u003e\\r\\n\\u003cul\\u003e\\r\\n\\t\\u003cli\\u003eMail-order pharmacies send covered prescription drugs to members through the mail or shipping companies.\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eHome infusion pharmacies prepare prescription drugs that are given through a vein, within a muscle, or in another non-oral way by a trained provider in your home.\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eLong-term-care pharmacies serve residents of long-term-care facilities, such as nursing homes.\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eIndian Health Service\/Tribal\/Urban Indian Health Program (I\/T\/U) pharmacies\\u003c\/li\\u003e\\r\\n\\u003c\/ul\\u003e\\r\\n\\u003cp\\u003eYou are not required to continue going to the same pharmacy to fill your prescriptions. You can go to any of the pharmacies in our network.\\u003c\/p\\u003e\\r\\n\\u003cp\\u003eThe directory listings are current as of the date noted as \u201cLast data update\u201d at the bottom of the web search tool page and in the left-hand column of the search tool.\\u003c\/p\\u003e\\r\\n\\u003cp\\u003eYou can get prescription drugs shipped to your home through our network mail-order delivery program, which is called Birdi\u2122.\u00a0 For more information, please call us at the number at the top of this page, or see the mail-order pharmacies section under \u201cWhat are the different types of pharmacies in the VNS Health Total network?\u201d\\u003c\/p\\u003e\",\"_items_10_answer\":\"field_faq_items_answer\",\"items_11_question\":\"What are the different types of pharmacies in the VNS Health Total network?\",\"_items_11_question\":\"field_faq_items_question\",\"items_11_answer\":\"\\u003cul\\u003e\\r\\n\\t\\u003cli\\u003eRetail pharmacies \u2014 You can go to any of the pharmacies in our network.\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eMail-order pharmacies \u2014 You can get prescription drugs shipped to your home through our network mail-order delivery program, which is called Postal Prescription Services. To enroll in this program, please call us. Or visit our \\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/for-members-vnsny-choice-total\/medications\/\\u0022\\u003eMedications page\\u003c\/a\\u003e, and download the \\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2023\/05\/Birdi-Medication-Order-Form-8223V21.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noreferrer noopener\\u0022\\u003eprescription mail-order form\\u003c\/a\\u003e.\\u003cbr \/\\u003e\\r\\nTypically, you should expect to get your prescription drugs within 14 days from the time that the mail-order pharmacy gets the order. If you do not get your prescription drugs within this time, or if you need to ask for a refund for prescriptions you got that you did not want or need, please call us at the number noted at the top of this page.\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eHome infusion pharmacies \u2014 We will cover home infusion therapy if:\\r\\n\\r\\n\\u003cul\\u003e\\r\\n\\t\\u003cli\\u003eYour prescription drug is on our plan\u2019s formulary, or a formulary exception has been granted for your prescription drug.\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eOur plan has approved your prescription for home infusion therapy.\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eYour prescription is written by an authorized prescriber.\\u003c\/li\\u003e\\r\\n\\u003c\/ul\\u003e\\r\\n\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eLong-term-care pharmacies \u2014 Residents of a long-term-care facility may access their prescription drugs covered under VNS Health Total through the facility\u2019s long-term-care pharmacy or another network long-term-care pharmacy.\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eIndian Health Service\/Tribal\/Urban Indian Health Program (I\/T\/U) pharmacies \u2014 Only Native Americans and Alaska Natives have access to I\/T\/U pharmacies through the VNS Health Total pharmacy network. Those other than Native Americans and Alaskan Natives may be able to go to these pharmacies under limited circumstances (e.g., emergencies).\\u003c\/li\\u003e\\r\\n\\u003c\/ul\\u003e\\r\\n\\u003cp\\u003ePlease refer to the\u00a0\\u003ca href=\\u0022https:\/\/providersearch.vnshealthplans.org\/#\/?plan=map\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noopener\\u0022\\u003esearch tool\\u003c\/a\\u003e for a list of home infusion, long-term-care, and I\/T\/U pharmacies that are in the plan\u2019s network. If you need additional services, please call us at the number noted at the top of this page.\\u003c\/p\\u003e\",\"_items_11_answer\":\"field_faq_items_answer\",\"items\":12,\"_items\":\"field_faq_items\",\"id\":\"block_acf_65e5f86613a73\"},\"mode\":\"edit\",\"id\":\"block_acf_65e5f86613a73\"} \/-->\n\n<!-- wp:paragraph -->\n<p><\/p>\n<!-- \/wp:paragraph -->",
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"post_content": "<!-- wp:table -->\n<figure class=\"wp-block-table\"><table><tbody><tr><td>The Bronx<\/td><td>Queens<\/td><\/tr><tr><td>Kings (Brooklyn)<\/td><td>Richmond (Staten Island)<\/td><\/tr><tr><td>Nassau<\/td><td>Suffolk<\/td><\/tr><tr><td>New York (Manhattan)<\/td><td>Westchester<\/td><\/tr><\/tbody><\/table><\/figure>\n<!-- \/wp:table -->",
"post_title": "VNS Health Total (HMO D-SNP) Service Area",
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"post_content": "<!-- wp:acf\/hero {\"id\":\"block_624b648efd4f0\",\"name\":\"acf\/hero\",\"data\":{\"hero_version\":\"v2\",\"_hero_version\":\"field_hero_hero_version\",\"background_image_image\":18206,\"_background_image_image\":\"field_hero_background_image_image\",\"background_image_caption\":\"\",\"_background_image_caption\":\"field_hero_background_image_caption\",\"background_image\":\"\",\"_background_image\":\"field_hero_background_image\",\"slanted_image_effect\":\"1\",\"_slanted_image_effect\":\"field_hero_slanted_image_effect\",\"image_to_edge\":\"1\",\"_image_to_edge\":\"field_hero_image_to_edge\",\"rating\":\"\",\"_rating\":\"field_hero_rating\",\"heading\":\"Thank you for contacting us!\",\"_heading\":\"field_hero_heading\",\"subheading\":\"We will get in touch with you shortly.\",\"_subheading\":\"field_hero_subheading\",\"subheading_size\":\"Small\",\"_subheading_size\":\"field_hero_subheading_size\"},\"align\":\"\",\"mode\":\"edit\"} \/-->\n\n<!-- wp:paragraph {\"align\":\"center\"} -->\n<p class=\"has-text-align-center\">In the meantime, please check out some more information about <br>VNSNY CHOICE EasyCare Plus (HMO D-SNP).<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:buttons {\"layout\":{\"type\":\"flex\",\"justifyContent\":\"center\"}} -->\n<div class=\"wp-block-buttons\"><!-- wp:button {\"className\":\"is-style-outline\"} -->\n<div class=\"wp-block-button is-style-outline\"><a class=\"wp-block-button__link\" href=\"https:\/\/www.vnshealthplans.org\/our-plans\/what-is-vnsny-choice-medicare-easycare-plus-hmo-d-snp\/\">Learn more about EasyCare Plus<\/a><\/div>\n<!-- \/wp:button --><\/div>\n<!-- \/wp:buttons -->\n\n<!-- wp:spacer {\"height\":\"50px\"} -->\n<div style=\"height:50px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n<!-- \/wp:spacer -->",
"post_title": "VNSNY CHOICE EasyCare Plus: Thank You",
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"post_date": "2021-07-02 10:16:14",
"post_date_gmt": "2021-07-02 14:16:14",
"post_content": "<!-- wp:acf\/hero {\"name\":\"acf\/hero\",\"data\":{\"hero_version\":\"v1\",\"_hero_version\":\"field_hero_hero_version\",\"background_image_image\":\"\",\"_background_image_image\":\"field_hero_background_image_image\",\"background_image\":\"\",\"_background_image\":\"field_hero_background_image\",\"heading\":\"We Would Like Your Feedback\",\"_heading\":\"field_hero_heading\",\"subheading\":\"Thank you for choosing our health plans. If you or a loved one had a positive experience with us, we ask that you leave an online review for us, and let others know about it.\",\"_subheading\":\"field_hero_subheading\",\"text\":\"\",\"_text\":\"field_hero_text\",\"button\":\"\",\"_button\":\"field_hero_button\",\"disable_left_circle_lg\":\"0\",\"_disable_left_circle_lg\":\"field_hero_disable_left_circle_lg\",\"disable_left_circle\":\"0\",\"_disable_left_circle\":\"field_hero_disable_left_circle\",\"disable_right_circle\":\"0\",\"_disable_right_circle\":\"field_hero_disable_right_circle\"},\"mode\":\"edit\"} \/-->\n\n<!-- wp:paragraph -->\n<p>Positive reviews go a long way toward helping us spread the word about the services our health plans provide. Please click on the button below to leave your Google review! As a reminder, Google reviews can be viewed by anyone. Do not include any sensitive information (for example, a medical diagnosis) that you do not want to reveal publicly.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:image {\"align\":\"center\",\"id\":10384,\"sizeSlug\":\"medium\",\"linkDestination\":\"custom\",\"className\":\"not-full-width\"} -->\n<figure class=\"wp-block-image aligncenter size-medium not-full-width\"><a href=\"https:\/\/www.google.com\/maps\/place\/VNSNY+Choice\/@40.9308906,-73.616319,9z\/data=!4m7!3m6!1s0x89c259a8c532ba5d:0xf049db6f3c34fb7b!8m2!3d40.9312094!4d-73.0559056!9m1!1b1\" target=\"_blank\" rel=\"noopener\"><img src=\"https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2021\/07\/review-choice-on-google-300x203.png\" alt=\"review-choice-on-google\" class=\"wp-image-10384\"\/><\/a><\/figure>\n<!-- \/wp:image -->\n\n<!-- wp:paragraph -->\n<p>If you would like to leave a Google review for our health plans but need assistance creating a Google account, please see our <a href=\"https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2021\/12\/Create-new-Google-account.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">how-to create a Google account guide<\/a>.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>If we did not meet your expectations in any way, please fill in this form\u00a0with your feedback and concerns so we can improve the quality of each member's experience. <\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:html -->\n<div align=\"center\"><iframe src=\"https:\/\/forms.office.com\/Pages\/ResponsePage.aspx?id=AL-L0-142E2gZbphh3tPUBm0EylDKvJHiTqh7hEqG29UM05aQTFXVEtCV0ZGTk9TUkpKRDBaS1dLWi4u&embed=true\" marginwidth=\"0\" marginheight=\"0\" style=\"border: none; max-width:100%; max-height:100vh\" allowfullscreen=\"\" webkitallowfullscreen=\"\" mozallowfullscreen=\"\" msallowfullscreen=\"\" width=\"640px\" height=\"880px\" frameborder=\"0\"> <\/iframe><\/div>\n<!-- \/wp:html -->\n\n<!-- wp:paragraph -->\n<p><\/p>\n<!-- \/wp:paragraph -->",
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"post_date": "2022-05-16 16:10:16",
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"post_content": "<!-- wp:acf\/hero {\"name\":\"acf\/hero\",\"data\":{\"hero_version\":\"v1\",\"_hero_version\":\"field_hero_hero_version\",\"background_image_image\":22917,\"_background_image_image\":\"field_hero_background_image_image\",\"background_image\":\"\",\"_background_image\":\"field_hero_background_image\",\"heading\":\"\\u003cp\\u003eWelcome to Members!\\u003c\/p\\u003e\",\"_heading\":\"field_hero_heading\",\"subheading\":\"Choose your plan to learn more about member benefits and services.\",\"_subheading\":\"field_hero_subheading\",\"text\":\"\\u003cp\\u003eVisit our \\u003cspan style=\\u0022text-decoration: underline;\\u0022\\u003e\\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/contact-us\/\\u0022\\u003eContact Us\\u003c\/a\\u003e\\u003c\/span\\u003e page to connect with your Care Team.\\u003c\/p\\u003e\\r\\n\\u003cp\\u003eHave you created your \\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/account\/\\u0022\\u003eonline account\\u003c\/a\\u003e? It\u2019s a safe and easy way to stay up to date with your health plan information. \\u003cbr \/\\u003e\\r\\n\\u003cbr \/\\u003e\\r\\nAlready registered? \\u003ca href=\\u0022https:\/\/memberportal.vnshealthplans.org\/login-redirect\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noopener\\u0022\\u003eLog-in\\u003c\/a\\u003e to your account.\u00a0\\u003c\/p\\u003e\",\"_text\":\"field_hero_text\",\"button\":\"\",\"_button\":\"field_hero_button\",\"disable_left_circle_lg\":\"0\",\"_disable_left_circle_lg\":\"field_hero_disable_left_circle_lg\",\"disable_left_circle\":\"0\",\"_disable_left_circle\":\"field_hero_disable_left_circle\",\"disable_right_circle\":\"0\",\"_disable_right_circle\":\"field_hero_disable_right_circle\",\"id\":\"block_acf_650daedec7a80\"},\"mode\":\"edit\",\"id\":\"block_acf_650daedec7a80\"} \/-->\n\n<!-- wp:paragraph {\"align\":\"center\"} -->\n<p class=\"has-text-align-center\"><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:acf\/plan-set {\"name\":\"acf\/plan-set\",\"data\":{\"heading\":\"\",\"_heading\":\"field_plan-set_heading\",\"subheading\":\"\",\"_subheading\":\"field_plan-set_subheading\",\"background_color\":\"none\",\"_background_color\":\"field_plan-set_background_color\",\"cards_0_top_border_color\":\"dark-blue\",\"_cards_0_top_border_color\":\"field_plan-set_cards_top_border_color\",\"cards_0_heading\":\"VNS Health \\u003cbr\\u003eEasyCare (HMO) \",\"_cards_0_heading\":\"field_plan-set_cards_heading\",\"cards_0_subheading\":\"\",\"_cards_0_subheading\":\"field_plan-set_cards_subheading\",\"cards_0_description\":\"\\u003cp\\u003eA Medicare Advantage plan that offers more than regular Medicare, including benefits to make healthy living easier. 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"post_content": "<!-- wp:acf\/hero {\"name\":\"acf\/hero\",\"data\":{\"hero_version\":\"v1\",\"_hero_version\":\"field_hero_hero_version\",\"background_image_image\":22048,\"_background_image_image\":\"field_hero_background_image_image\",\"background_image\":\"\",\"_background_image\":\"field_hero_background_image\",\"heading\":\"Why Choose Us?\",\"_heading\":\"field_hero_heading\",\"subheading\":\"See why we're the right choice for so many New York residents.\",\"_subheading\":\"field_hero_subheading\",\"text\":\"\",\"_text\":\"field_hero_text\",\"button\":{\"title\":\"See Our Plans\",\"url\":\"https:\/\/www.vnshealthplans.org\/our-plans\/\",\"target\":\"\"},\"_button\":\"field_hero_button\",\"disable_left_circle_lg\":\"0\",\"_disable_left_circle_lg\":\"field_hero_disable_left_circle_lg\",\"disable_left_circle\":\"0\",\"_disable_left_circle\":\"field_hero_disable_left_circle\",\"disable_right_circle\":\"0\",\"_disable_right_circle\":\"field_hero_disable_right_circle\",\"id\":\"block_acf_65bbb608d2fa1\"},\"mode\":\"edit\",\"id\":\"block_acf_65bbb608d2fa1\"} \/-->\n\n<!-- wp:heading {\"level\":3} -->\n<h3 class=\"wp-block-heading\" id=\"h-why-choose-our-plans\">Why Choose Our Plans?<\/h3>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p>Here are six reasons to trust us with your health coverage: <\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:list {\"ordered\":true} -->\n<ol><!-- wp:list-item -->\n<li><strong>Compassion <\/strong><br>For 130 years, VNS Health has been providing compassionate care to help people live their best lives, in their homes and communities.<br><\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li><strong>Expertise<\/strong><br>Our members benefit from our deep, broad knowledge of health care for adults, including those with complicated health needs. <br><\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li><strong>Excellence<\/strong><br>We have long-standing relationships with many of New York\u2019s finest doctors, hospitals, pharmacies, and other providers.<br><\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li><strong>Accessibility<\/strong><br>Our health plans offer members easy access to the full range of VNS Health\u2019s extensive services.<br><\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li><strong>Advocacy<\/strong><br>Members get personalized support from our nurses, social workers, health coaches, and pharmacists.<br><\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li><strong>Support<\/strong><br>We know that health care journeys have their ups and downs. We\u2019re here to help you through every step. <\/li>\n<!-- \/wp:list-item --><\/ol>\n<!-- \/wp:list -->\n\n<!-- wp:acf\/media-text {\"name\":\"acf\/media-text\",\"data\":{\"align_media_right\":\"1\",\"_align_media_right\":\"field_media-text_align_media_right\",\"bg_color\":\"gray\",\"_bg_color\":\"field_media-text_bg_color\",\"is_youtube_video\":\"1\",\"_is_youtube_video\":\"field_media-text_is_youtube_video\",\"heading\":\"Hear from a member\",\"_heading\":\"field_media-text_heading\",\"body\":\"\\u003cp\\u003e\\u0022I think it\u2019s important for people to know that they care. They make you feel good about yourself!\\u0022*\\u003c\/p\\u003e\",\"_body\":\"field_media-text_body\",\"youtube_embed\":\"https:\/\/vimeo.com\/788426503\/3c288772a7?share=copy\",\"_youtube_embed\":\"field_media-text_youtube_embed\",\"caption\":\"*Jeanette was a longtime member who passed away in December 2021. She was a remarkable person. With this video, we honor her spirited approach to life.\",\"_caption\":\"field_media-text_caption\",\"link\":{\"title\":\"Watch Jeanette talk about what her plan means to her.\",\"url\":\"https:\/\/vimeo.com\/788426503\/3c288772a7\",\"target\":\"_blank\"},\"_link\":\"field_media-text_link\",\"id\":\"block_acf_65bbb608d3000\"},\"mode\":\"edit\",\"id\":\"block_acf_65bbb608d3000\"} \/-->\n\n<!-- wp:heading {\"textAlign\":\"center\"} -->\n<h2 class=\"wp-block-heading has-text-align-center\" id=\"h-\"><\/h2>\n<!-- \/wp:heading -->\n\n<!-- wp:columns -->\n<div class=\"wp-block-columns\"><!-- wp:column {\"width\":\"33.33%\"} -->\n<div class=\"wp-block-column\" style=\"flex-basis:33.33%\"><\/div>\n<!-- \/wp:column -->\n\n<!-- wp:column {\"width\":\"66.66%\"} -->\n<div class=\"wp-block-column\" style=\"flex-basis:66.66%\"><\/div>\n<!-- \/wp:column --><\/div>\n<!-- \/wp:columns -->\n\n<!-- wp:acf\/stats {\"name\":\"acf\/stats\",\"data\":{\"heading\":\"Just Some of the Reasons Why We Stand Out\",\"_heading\":\"field_stats_heading\",\"description\":\"\",\"_description\":\"field_stats_description\",\"number_of_columns\":\"3\",\"_number_of_columns\":\"field_stats_number_of_columns\",\"layout\":\"vertical\",\"_layout\":\"field_stats_layout\",\"background_color\":\"gray\",\"_background_color\":\"field_stats_background_color\",\"cards_0_icon\":20337,\"_cards_0_icon\":\"field_stats_cards_icon\",\"cards_0_superheading\":\"Expertise\",\"_cards_0_superheading\":\"field_stats_cards_superheading\",\"cards_0_stat\":\"\\u003cp\\u003eMedicare and Medicaid\\u003c\/p\\u003e\",\"_cards_0_stat\":\"field_stats_cards_stat\",\"cards_0_description\":\"Helping your benefits work for you\",\"_cards_0_description\":\"field_stats_cards_description\",\"cards_1_icon\":20340,\"_cards_1_icon\":\"field_stats_cards_icon\",\"cards_1_superheading\":\"Excellence\",\"_cards_1_superheading\":\"field_stats_cards_superheading\",\"cards_1_stat\":\"\\u003cp\\u003eQuality Care\\u003c\/p\\u003e\",\"_cards_1_stat\":\"field_stats_cards_stat\",\"cards_1_description\":\"Choice of outstanding doctors and hospitals\\r\\n\",\"_cards_1_description\":\"field_stats_cards_description\",\"cards_2_icon\":20354,\"_cards_2_icon\":\"field_stats_cards_icon\",\"cards_2_superheading\":\"Advocacy\",\"_cards_2_superheading\":\"field_stats_cards_superheading\",\"cards_2_stat\":\"\\u003cp\\u003eOn Your Side\\u003c\/p\\u003e\",\"_cards_2_stat\":\"field_stats_cards_stat\",\"cards_2_description\":\"Champions for you and your loved ones\",\"_cards_2_description\":\"field_stats_cards_description\",\"cards\":3,\"_cards\":\"field_stats_cards\",\"button\":\"\",\"_button\":\"field_stats_button\",\"id\":\"block_acf_65bbb608d4682\"},\"mode\":\"edit\",\"id\":\"block_acf_65bbb608d4682\"} \/-->\n\n<!-- wp:acf\/quotes {\"name\":\"acf\/quotes\",\"data\":{\"quotes_0_text\":\"Our care representative was professional and had great communication. I would refer others for services with VNS Health.\",\"_quotes_0_text\":\"field_quotes_quotes_text\",\"quotes_0_source\":\"Member from Manhattan\",\"_quotes_0_source\":\"field_quotes_quotes_source\",\"quotes_1_text\":\"Our plan representative is extremely patient, helpful, polite, professional, and a pleasure to speak to. I really appreciate her patience and assistance with my father\u2019s case.\",\"_quotes_1_text\":\"field_quotes_quotes_text\",\"quotes_1_source\":\"Daughter of a member\",\"_quotes_1_source\":\"field_quotes_quotes_source\",\"quotes\":2,\"_quotes\":\"field_quotes_quotes\",\"id\":\"block_acf_65bbb608d46cc\"},\"mode\":\"edit\",\"id\":\"block_acf_65bbb608d46cc\"} \/-->",
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"post_date": "2023-08-02 10:20:21",
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"post_content": "<!-- wp:acf\/link-mantel {\"name\":\"acf\/link-mantel\",\"data\":{\"circle_image\":\"1\",\"_circle_image\":\"field_link-mantel_circle_image\",\"images_0_image\":32709,\"_images_0_image\":\"field_link-mantel_images_image\",\"images\":1,\"_images\":\"field_link-mantel_images\",\"heading\":\"Welcome to Your Online Account\",\"_heading\":\"field_link-mantel_heading\",\"heading_second_line\":\"\",\"_heading_second_line\":\"field_link-mantel_heading_second_line\",\"subheading\":\"It\u2019s a safe and easy way to stay up to date with your health plan information.\",\"_subheading\":\"field_link-mantel_subheading\",\"text\":\"\",\"_text\":\"field_link-mantel_text\",\"center_additional_links\":\"1\",\"_center_additional_links\":\"field_link-mantel_center_additional_links\",\"additional_links_0_link_heading\":\"\\u003cp\\u003eAlready have an account?\\u003c\/p\\u003e\",\"_additional_links_0_link_heading\":\"field_link-mantel_additional_links_link_heading\",\"additional_links_0_link_text\":\"\\u003cp\\u003e\\u003ca href=\\u0022https:\/\/memberportal.vnshealthplans.org\/login-redirect\\u0022\\u003eLog in\\u003c\/a\\u003e*\\u003c\/p\\u003e\",\"_additional_links_0_link_text\":\"field_link-mantel_additional_links_link_text\",\"additional_links_1_link_heading\":\"\\u003cp\\u003eNeed to create an account?\\u003c\/p\\u003e\",\"_additional_links_1_link_heading\":\"field_link-mantel_additional_links_link_heading\",\"additional_links_1_link_text\":\"\\u003cp\\u003e\\u003ca href=\\u0022https:\/\/memberportal.vnshealthplans.org\/registration\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noopener\\u0022\\u003eRegister\\u003c\/a\\u003e*\\u003c\/p\\u003e\",\"_additional_links_1_link_text\":\"field_link-mantel_additional_links_link_text\",\"additional_links_2_link_heading\":\"\\u003cp\\u003eForgot username?\\u003c\/p\\u003e\",\"_additional_links_2_link_heading\":\"field_link-mantel_additional_links_link_heading\",\"additional_links_2_link_text\":\"\\u003cp\\u003e\\u003ca href=\\u0022https:\/\/memberportal.vnshealthplans.org\/forgot-username\\u0022\\u003eHave it sent\\u003c\/a\\u003e\\u003c\/p\\u003e\",\"_additional_links_2_link_text\":\"field_link-mantel_additional_links_link_text\",\"additional_links_3_link_heading\":\"\\u003cp\\u003eSee how easy it is!\\u003c\/p\\u003e\",\"_additional_links_3_link_heading\":\"field_link-mantel_additional_links_link_heading\",\"additional_links_3_link_text\":\"\\u003cp\\u003e\\u003ca href=\\u0022https:\/\/www.vnshealthplans.org\/account\/#register-video\\u0022\\u003eWatch video\\u003c\/a\\u003e\\u003c\/p\\u003e\",\"_additional_links_3_link_text\":\"field_link-mantel_additional_links_link_text\",\"additional_links\":4,\"_additional_links\":\"field_link-mantel_additional_links\",\"button\":\"\",\"_button\":\"field_link-mantel_button\",\"disable_left_circle_lg\":\"0\",\"_disable_left_circle_lg\":\"field_link-mantel_disable_left_circle_lg\",\"disable_left_circle\":\"0\",\"_disable_left_circle\":\"field_link-mantel_disable_left_circle\",\"disable_right_circle\":\"0\",\"_disable_right_circle\":\"field_link-mantel_disable_right_circle\",\"id\":\"block_acf_660eb63e2ad5f\"},\"mode\":\"edit\",\"id\":\"block_acf_660eb63e2ad5f\"} \/-->\n\n<!-- wp:heading {\"textAlign\":\"center\"} -->\n<h2 class=\"wp-block-heading has-text-align-center\" id=\"h-why-use-an-online-account\">Why Use an Online Account?<\/h2>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph {\"align\":\"center\"} -->\n<p class=\"has-text-align-center\">Your online account puts you in control. 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You will need to enter your member ID number or your Medicare or Medicaid ID number. You'll also need to enter an email address or a phone number. You can enter your home phone number, but if you want to receive text alerts, we'll need your cell phone number.\\u003cbr \/\\u003e\\r\\n\\u003cbr \/\\u003e\\r\\n*\\u003cem\\u003eFor a language other than English, please make sure you\u2019ve set your web browser to your preferred language.\\u003c\/em\\u003e\\u003c\/p\\u003e\",\"_body\":\"field_media-text_body\",\"youtube_embed\":\"\\u003ciframe src=https:\/\/player.vimeo.com\/video\/859902584?h=e896c69677 width=\\u0022640\\u0022 height=\\u0022360\\u0022 frameborder=\\u00220\\u0022 allow=\\u0022autoplay; fullscreen; picture-in-picture\\u0022 allowfullscreen\\u003e\\u003c\/iframe\\u003e\",\"_youtube_embed\":\"field_media-text_youtube_embed\",\"caption\":\"\",\"_caption\":\"field_media-text_caption\",\"link\":{\"title\":\"Create an account\",\"url\":\"https:\/\/memberportal.vnshealthplans.org\/registration\",\"target\":\"_blank\"},\"_link\":\"field_media-text_link\",\"id\":\"block_acf_660eb63e2af2c\"},\"mode\":\"edit\",\"id\":\"block_acf_660eb63e2af2c\"} \/-->\n\n<!-- wp:acf\/divider {\"name\":\"acf\/divider\",\"data\":{\"less_vertical_space\":\"0\",\"_less_vertical_space\":\"field_divider_less_vertical_space\",\"id\":\"block_acf_660eb63e2af48\"},\"mode\":\"edit\",\"id\":\"block_acf_660eb63e2af48\"} \/-->\n\n<!-- wp:paragraph {\"align\":\"center\"} -->\n<p class=\"has-text-align-center\"><\/p>\n<!-- \/wp:paragraph -->",
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"post_content": "<!-- wp:heading {\"level\":3} -->\n<h3 id=\"h-medimpact-pharmacy-portal\">MedImpact Pharmacy Portal<\/h3>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p>The MedImpact Pharmacy Portal is your resource for keeping track of your pharmacy benefits and finding pharmacies within your network.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:html -->\n<div class=\"wp-block-button is-style-outline wp-block-buttons aligncenter\"><a class=\"wp-block-button__link\" href=\"https:\/\/www.medimpact.com\" target=\"_blank\" rel=\"noopener noreferrer\">Go to the Portal Registration Page <\/a><\/div>\n<!-- \/wp:html -->\n\n<!-- wp:list -->\n<ul><li>To register, you will need to enter your member ID number, first name, last name, and date of birth. Your member ID number is on the front of your member ID card on the line under your name.<br><\/li><li>After entering your member ID number, first name, last name, and date of birth, click \u201cContinue.\u201d<br><\/li><li>Enter your email address, and create a username and password. Instructions for how to create a username and password are on the registration page.<br><\/li><li>When you have created your username and password, agree to the legal statements and conditions before clicking \u201cFinish.\u201d<br><\/li><li>An email will be sent to the email address you entered asking you to confirm your email address. Click on the link provided.<br><\/li><li>Now you can start using the portal. Go to the login page and sign in.<\/li><\/ul>\n<!-- \/wp:list -->\n\n<!-- wp:heading {\"level\":3} -->\n<h3 id=\"how-to-get-the-pharmacy-mobile-app\">MedImpact Mobile App<\/h3>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p>The MedImpact mobile app does everything you can do with the portal and more. The app\u2019s Medicine Chest feature also allows you to manage your daily medications, set reminders to take your medications on a schedule, and order refills.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:list -->\n<ul><li>To download the app, go to the <a href=\"https:\/\/apps.apple.com\/us\/app\/medimpact\/id1442487898\">App Store<\/a> if you have an iPhone, an iPad, or a Mac computer; or go to <a href=\"https:\/\/play.google.com\/store\/apps\/details?id=com.medimpact.cpp\">Google Play<\/a> if you have an Android phone.<\/li><li>You must <a href=\"https:\/\/www.medimpact.com\/members\/resources\/member-resources\/next-generation-rx-portal\">register for the MedImpact Pharmacy Portal<\/a> before you can start using the mobile app. See the registration instructions above.<\/li><\/ul>\n<!-- \/wp:list -->",
"post_title": "Your Pharmacy Portal User Guide",
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"post_date": "2020-09-23 10:30:00",
"post_date_gmt": "2020-09-23 10:30:00",
"post_content": "<!-- wp:image {\"id\":4597,\"sizeSlug\":\"large\"} -->\n<figure class=\"wp-block-image size-large\"><img src=\"https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2020\/09\/older-man-getting-good-night-sleep.jpg\" alt=\"Close-up of a senior African American man sleeping peacefully in bedroom at home\" class=\"wp-image-4597\"\/><\/figure>\n<!-- \/wp:image -->\n\n<!-- wp:paragraph -->\n<p>You know that a bad night\u2019s sleep can make you cranky, but did you know that how well you sleep can affect your physical health, too? As you sleep, your mind and body repair themselves. For example, say you\u2019re coming down with an infection. While you are asleep, your immune system will release proteins called cytokines. These proteins do two things: They fight the infection and they regulate deeper sleep. So the more sleep you get, and the deeper that sleep is, the better you\u2019ll be able to fight the infection.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>If you consistently don\u2019t sleep well, you are at greater risk for chronic health conditions. You may be more likely to develop diabetes, high blood pressure, or heart disease. You may also suffer from stress, depression, and anxiety.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>So how do you get a good night\u2019s sleep? It takes a little TLC\u2014Timing, Limits, and Comfort.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:heading -->\n<h2 class=\"wp-block-heading\" id=\"h-timing\"><strong>TIMING<\/strong><\/h2>\n<!-- \/wp:heading -->\n\n<!-- wp:list -->\n<ul><!-- wp:list-item -->\n<li>Try to go to bed and wake up at the same time every day.<\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li>Create a bedtime routine, such as reading, taking a warm bath, or doing gentle stretches. Doing the same thing every night lets your mind know that it\u2019s time to wind down.<\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list -->\n\n<!-- wp:heading -->\n<h2 class=\"wp-block-heading\" id=\"h-limits\"><strong>LIMITS<\/strong><\/h2>\n<!-- \/wp:heading -->\n\n<!-- wp:list -->\n<ul><!-- wp:list-item -->\n<li>If you\u2019re a napper, keep naps to 30 minutes and no later than mid-afternoon.<\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li>Exercise can lead to better sleep. If you find it energizes you, do slower activities in the afternoon or evenings.<\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li>Do you smoke? Remember that nicotine is a stimulant. Alcohol can also interfere with sleep.<\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li>Light from computer, smartphone, and TV screens can interfere with sleep. Shut off devices about two hours before bed and switch to a book or magazine.<\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li>Change bedroom lights to low-watt bulbs. Block light from windows and electrical devices, like digital clocks or cell phones.<\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li>If you have to get up to use the bathroom at night, use a flashlight. Try not to turn on bright lights. It will be easier to fall back asleep.<\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list -->\n\n<!-- wp:heading -->\n<h2 class=\"wp-block-heading\" id=\"h-comfort\"><strong>COMFORT<\/strong><\/h2>\n<!-- \/wp:heading -->\n\n<!-- wp:list -->\n<ul><!-- wp:list-item -->\n<li>Do you need a pitch-dark room and no noise at all, or is the whirr of a fan reassuring to you? Make sure your bedroom meets your needs.<\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li>Be sure your mattress and pillow aren\u2019t keeping you up at night. (One sign: You wake up feeling more refreshed after a night in a hotel than you do in your own bed.)<\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li>Find ways to manage stress. Taking care of yourself and making time to relax can help to put your mind at ease.<\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list -->",
"post_title": "3 Steps to Getting a Good Night's Sleep",
"post_excerpt": "If you consistently don\u2019t sleep well, you are at greater risk for chronic health conditions. So how do you get a good night\u2019s sleep? It takes a little TLC\u2014Timing, Limits, and Comfort.",
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"post_date": "2023-10-11 16:08:23",
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"post_content": "<!-- wp:image {\"id\":65,\"sizeSlug\":\"large\"} -->\n<figure class=\"wp-block-image size-large\"><img src=\"https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2020\/07\/4-tips-for-slowing-memory-loss.jpg\" alt=\"An elderly woman writing \" class=\"wp-image-65\"\/><\/figure>\n<!-- \/wp:image -->\n\n<!-- wp:heading {\"level\":3} -->\n<h3><strong>WAYS TO KEEP YOUR MIND SHARP AS YOU GET OLDER<\/strong><\/h3>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p>As we age, our <strong>cognitive skills<\/strong> may decline. Just as physical exercise helps to keep your body strong and flexible, activities that make the brain work are an important way to maintain mental <strong>agility<\/strong>.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>If your loved one has problems with memory, be sure to find activities he or she can manage. Here are some ways to build mental muscle:<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:list {\"ordered\":true} -->\n<ol><li>Puzzles. Word games like jumbles and cryptograms, crosswords, and Sudoku can challenge the mind, and so can jigsaw puzzles.<\/li><li>Games. Board games, including backgammon, chess, and checkers require strategy. Parlor games such as Charades require the mind to make connections, which helps with memory.<\/li><li>Game shows. Trivia and matching games are a fun way to test memory. And it can be reassuring to see that contestants don\u2019t always get the answers!<\/li><li>Conversation. Do your parents have trouble telling you about their day? Asking about recent things requires short-term memory, which is often the first to fade. Instead, look through old photo albums or scrapbooks. Ask for stories about the people or objects.<\/li><\/ol>\n<!-- \/wp:list -->\n\n<!-- wp:paragraph -->\n<p>Remember that physical and artistic activities are also important to keeping the mind sharp. Drawing, using clay, even listening to music provide intellectual stimulation. Activities like gardening and walking the dog help build blood vessels that bring oxygen to the brain and other parts of the body.<\/p>\n<!-- \/wp:paragraph -->",
"post_title": "4 Tips for Slowing Memory Loss",
"post_excerpt": "As we age, our cognitive skills may decline. Just as physical exercise helps to keep your body strong and flexible, activities that make the brain work are an important way to maintain mental agility. If your loved one has problems with memory, be sure to find activities he or she can manage. Here are some ways to build mental muscle.",
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"ID": 48,
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"post_date": "2023-10-11 16:08:20",
"post_date_gmt": "2023-10-11 20:08:20",
"post_content": "<!-- wp:image {\"id\":393,\"sizeSlug\":\"large\"} -->\n<figure class=\"wp-block-image size-large\"><img src=\"https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2020\/07\/health-professional-preparing-vaccine_0-2.jpg\" alt=\"health-professional-preparing-vaccine\" class=\"wp-image-393\"\/><\/figure>\n<!-- \/wp:image -->\n\n<!-- wp:paragraph -->\n<p>Every year, thousands of older adults get sick with illnesses that could have been prevented by vaccines. And people over age 65 are <em>100 times<\/em> more likely to die from these preventable diseases than children are.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>These are the four vaccines that are most commonly recommended for older adults.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:list {\"ordered\":true} -->\n<ol><li><strong>Flu:<\/strong> Required yearly, as flu viruses change. Flu season peaks in February and lasts until May. It\u2019s best to get the flu shot in the fall for the most protection. There are many types of flu vaccines, including one called Fluzone High-Dose. It was created specifically for adults over age 65. Annual flu shots are covered by Medicare Part B.<\/li><li><strong>Pneumonia:<\/strong> Recommended for people with chronic conditions like asthma, heart disease, and diabetes. Usually just one shot will do it, but if you got the first before you were 65, you might need a second. Covered under Medicare Part B.<\/li><li><strong>Shingles: <\/strong>Shingles is a painful, blistering skin rash related to chicken pox. The one-time vaccine is strongly suggested for everyone age 60 and older. Medicare Part D prescription drug plans cover it, but copay\/coinsurance amounts vary.<\/li><li><strong>Tdap (tetanus-diphtheria-pertussis): <\/strong>Tetanus is also known as \u201clockjaw.\u201d The common name for pertussis is \u201cwhooping cough.\u201d Most people get vaccines for these diseases as children. TD (tetanus and diphtheria) booster shots are necessary every ten years. Covered under most Medicare Part D plans.<\/li><\/ol>\n<!-- \/wp:list -->\n\n<!-- wp:paragraph -->\n<p>A doctor\u2019s advice is essential to making the right vaccine choices. People with some diseases should avoid certain vaccinations. People with other diseases may require additional doses for a vaccine to take effect.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>To help you research, the <a href=\"http:\/\/www.cdc.gov\/vaccines\/vpd-vac\/adult-vpd.htm#serious65\" target=\"_blank\" rel=\"noreferrer noopener\">Centers for Disease Control and Prevention<\/a> (CDC) also has some handy tools. Staying informed and up to date will help ensure the good health of your loved one.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p><\/p>\n<!-- \/wp:paragraph -->",
"post_title": "4 Vaccines for Older Adults",
"post_excerpt": "Staying informed and up to date will help ensure the good health of your loved one. These are the four vaccines that are most commonly recommended for older adults. ",
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"post_date": "2023-10-11 16:08:24",
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"post_content": "<!-- wp:image {\"id\":1308,\"sizeSlug\":\"large\"} -->\n<figure class=\"wp-block-image size-large\"><img src=\"https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2020\/08\/feet-on-pool-float-on-lake_0-1.jpg\" alt=\"feet-on-pool-float-on-lake\" class=\"wp-image-1308\"\/><\/figure>\n<!-- \/wp:image -->\n\n<!-- wp:heading {\"level\":3} -->\n<h3 class=\"wp-block-heading\" id=\"h-try-these-tips-to-manage-stress-and-anxiety\">TRY THESE TIPS TO MANAGE STRESS AND ANXIETY.<\/h3>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p>Caring for someone who is sick or elderly can be stressful. Here are five ways to lighten your load and reduce the risk of burnout:<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:list {\"ordered\":true} -->\n<ol><!-- wp:list-item -->\n<li><strong>Seek out information.<\/strong> Your loved one\u2019s VNS Health Care Manager is an expert who can provide tips and offer in-home care techniques, from safely moving your loved one to making sure medications are taken. You can also visit websites for specific diseases, such as <a href=\"http:\/\/www.alz.org\/\" target=\"_blank\" rel=\"noreferrer noopener\">Alzheimer\u2019s Association<\/a>, the <a href=\"http:\/\/www.cancer.org\/\" target=\"_blank\" rel=\"noreferrer noopener\">American Cancer Society<\/a>, or the <a href=\"http:\/\/www.diabetes.org\/\" target=\"_blank\" rel=\"noreferrer noopener\">American Diabetes Association<\/a>, for information that can help you manage symptoms and treatments.<\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li><strong>Get support.<\/strong>\u00a0Caregiver support groups allow you to connect with others who share your issues and concerns. Ask a VNS Health Care Manager or social worker to help you find a group in your community, or get information about local support groups from the\u00a0<a href=\"https:\/\/aging.ny.gov\/get-assistance\" target=\"_blank\" rel=\"noreferrer noopener\">New York State Office of the Aging<\/a>.<\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li><strong>Ask for help.<\/strong> Caregiving is hard work! Assistance from friends, family, and professional home health aides is often necessary. Don\u2019t be shy or feel guilty about asking for\u2014or accepting\u2014help.<\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li><strong>Get away.<\/strong> Once you have help you can trust, take a break. Go for a brief walk, get your hair cut, or visit with a friend.<\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li><strong>Take care of yourself<\/strong>. You aren\u2019t being selfish when you see to your needs. After all, if you get sick, who will care for your family member? Your loved one needs a happy, healthy caregiver, so take steps to stay strong physically and mentally. Eat right and exercise, keep any doctor's appointments you make for yourself, and continue to devote time to your hobbies and friends.<\/li>\n<!-- \/wp:list-item --><\/ol>\n<!-- \/wp:list -->",
"post_title": "5 Ways of Coping with Caregiving Stress",
"post_excerpt": "Coping with Stress Try these tips to manage stress and anxiety. Caring for someone who is sick ... or elderly can be stressful. Here are five ways to lighten your load and reduce the risk of burnout: Seek out ... and continue to devote time to your hobbies and friends. Care for Caregivers caregiving stress caregiving ...",
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"post_date": "2020-07-08 20:51:38",
"post_date_gmt": "2020-07-08 20:51:38",
"post_content": "<!-- wp:image {\"id\":88,\"sizeSlug\":\"large\"} -->\n<figure class=\"wp-block-image size-large\"><img src=\"https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2020\/07\/bulletin-board-colorful-post-its.jpg\" alt=\"A bulletin board with encouraging post it notes on it\" class=\"wp-image-88\"\/><\/figure>\n<!-- \/wp:image -->\n\n<!-- wp:heading {\"level\":3} -->\n<h3>3 KEY STEPS TO AVOIDING GUILT AND MEETING GOALS<\/h3>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p>Does this sound familiar? Something happens\u2014a milestone birthday, a crisis, or the calendar changes to a new year\u2014and you resolve to get into shape, to save money or to be a better person. But time passes and life gets in the way. The goals you set get forgotten until you step on the scale or have another unexpected expense. Over time, guilt and feelings of failure can build up.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>Often, how successful you are at meeting goals isn\u2019t a matter of willpower or dedication. Whether you meet the goals you set may have more to do with how you phrase them. You may be setting yourself up for failure without even realizing it! Next time you decide to do something, try using these three tips as you set your goals.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:list {\"ordered\":true} -->\n<ol><li>Goals need to be realistic. As you think about what you want to achieve, make sure it\u2019s something that fits into your life. You might decide to save $10,000. If your goal is to do that in one year, you\u2019ll need to put away $192 every week. If you can only afford to save $40 a week, you might want to make $10,000 a five-year goal.<\/li><li>Goals need to be specific. State your goals in concrete, specific words with measurable steps to achieve them. Say you get impatient when your elderly parent asks the same questions over and over. You might think, \u201cI need to be nicer. She can\u2019t help it.\u201d Being \u201cnicer\u201d is hard to measure. Instead, you might come up with three things you can do to help you manage stress so you can react more patiently. \u201cI\u2019ll get a better night\u2019s sleep so I won\u2019t be so tired and crabby. I\u2019ll listen to upbeat music instead of depressing news during my commute. And I\u2019ll count to 10 (and maybe think, \u2019patience,\u2019) before I react to Mom.\u201d<\/li><li>Goals need to be stated as a positive action. All too often, we state goals by saying what we won\u2019t do. We'll quit drinking soda, for example, or cut out junk food. But we don\u2019t say what we <em>will<\/em> do. Say your goal is to eat better. You\u2019ll want to be specific about what \u201cbetter\u201d means, and then come up a plan. \u201cThree days a week, I\u2019ll have soup and vegetables for lunch instead of a deli sandwich. The other two days, I\u2019ll have the sandwich, but I\u2019ll have grapes or baby carrots instead of chips.\u201d<\/li><\/ol>\n<!-- \/wp:list -->",
"post_title": "A Caregiver\u2019s Guide to Setting Goals",
"post_excerpt": "Does this sound familiar? Something happens\u2014a milestone birthday, a crisis, or the calendar changes to a new year\u2014and you resolve to get into shape, to save money or to be a better person. But time passes and life gets in the way. Next time you decide to do something, try using these three tips as you set your goals.",
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"post_date": "2020-07-08 21:43:43",
"post_date_gmt": "2020-07-08 21:43:43",
"post_content": "<!-- wp:image {\"id\":5485,\"sizeSlug\":\"large\"} -->\n<figure class=\"wp-block-image size-large\"><img src=\"https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2020\/10\/hdl-ldl-cholesterol-post-it-1024x683.jpg\" alt=\"\" class=\"wp-image-5485\"\/><figcaption>Good HDL and bad LDL cholesterol text on note with stethoscope and heartbeat rate, cardiogram and EKG concept.<\/figcaption><\/figure>\n<!-- \/wp:image -->\n\n<!-- wp:heading -->\n<h2 id=\"h-why-you-should-care-about-cholesterol\">WHY YOU SHOULD CARE ABOUT CHOLESTEROL<\/h2>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p>Too much cholesterol (pronounced \u201cko-LESS-ter-all\u201d) in your blood can lead to narrowing and blocking of the arteries. (Arteries are the vessels that carry blood from your heart throughout your body.) This problem, often called heart disease, is the leading cause of death in the U.S. So, it\u2019s very important that you understand cholesterol and how you can help control it.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:heading -->\n<h2 id=\"h-what-is-cholesterol\">WHAT IS CHOLESTEROL?<\/h2>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p>\u201cBlood cholesterol\u201d is found in all your body\u2019s cells and is very important to life. Your liver makes most of the cholesterol your body needs \u2013 a small amount. Some people naturally produce a lot of cholesterol. But many of our foods (such as meat, butter, eggs and cheese) contain fats that create blood cholesterol. This is often the reason why people have too much cholesterol in their blood. One out of four adults in New York have high cholesterol, but many don't know it.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:heading -->\n<h2 id=\"h-how-much-is-too-much\">HOW MUCH IS TOO MUCH?<\/h2>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p>Your doctor can do a simple blood test to check for total cholesterol. But there is not one single number that tells the whole story. A complete test includes not just total cholesterol, but also three other measures:<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:list -->\n<ul><li>LDLs (\u201cbad\u201d cholesterol)<\/li><li>HDLs (\u201cgood\u201d cholesterol)<\/li><li>Blood fats<\/li><\/ul>\n<!-- \/wp:list -->\n\n<!-- wp:paragraph -->\n<p>How these measures relate to each other is what\u2019s important. It can determine your risk of heart disease.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:heading -->\n<h2 id=\"h-other-risk-factors\">OTHER RISK FACTORS<\/h2>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p>There are many factors that may contribute to high blood cholesterol:<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:list -->\n<ul><li>Diet high in fats<\/li><li>Lack of physical activity<\/li><li>Heredity<\/li><li>Obesity<\/li><li>Age and gender<\/li><\/ul>\n<!-- \/wp:list -->\n\n<!-- wp:paragraph -->\n<p>And there are things which increase the chance that high cholesterol will lead to blocking the arteries:<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:list -->\n<ul><li>Smoking<\/li><li>Type 2 diabetes<\/li><li>High blood pressure<\/li><\/ul>\n<!-- \/wp:list -->\n\n<!-- wp:heading -->\n<h2 id=\"h-what-you-can-do-about-it\">WHAT YOU CAN DO ABOUT IT<\/h2>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p>High cholesterol can be treated and controlled. Take control by seeing your doctor and having your cholesterol checked yearly.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:list -->\n<ul><li>Take all cholesterol medication that your doctor orders, even if you feel fine. Call your doctor if you are bothered by any side effects of your medication.<\/li><li>Get regular exercise.<\/li><li>Don\u2019t overeat.<\/li><li>Reduce all fats in your diet, and use artery-friendly fats like olive oil instead of butter.<\/li><li>Eat more fiber (fruits, vegetables, whole grains) and fish for heart-healthy omega-3 fats.<\/li><li>And don\u2019t smoke!<\/li><\/ul>\n<!-- \/wp:list -->",
"post_title": "All About Cholesterol",
"post_excerpt": "Too much cholesterol (pronounced \u201cko-LESS-ter-all\u201d) in your blood can lead to narrowing and blocking of the arteries. (Arteries are the vessels that carry blood from your heart throughout your body.) This problem, often called heart disease, is the leading cause of death in the U.S. So, it\u2019s very important that you understand cholesterol and how you can help control it.",
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"post_date": "2020-07-08 20:47:49",
"post_date_gmt": "2020-07-08 20:47:49",
"post_content": "<!-- wp:image {\"id\":86,\"sizeSlug\":\"large\"} -->\n<figure class=\"wp-block-image size-large\"><img src=\"https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2020\/07\/chef-slicing-peppers.jpg\" alt=\"chef-slicing-peppers\" class=\"wp-image-86\"\/><\/figure>\n<!-- \/wp:image -->\n\n<!-- wp:paragraph -->\n<p>As we get older, we often eat less. So loss of appetite by disease or medical treatment can be a cause for concern. You want your loved one to get the nutrition he or she needs to maintain strength and to heal properly, so when food is found unappealing you may become frustrated and worried. <\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>Consider why your loved one isn\u2019t eating at all or isn\u2019t eating the \u201cright\u201d foods. If your father is balking at his new low-fat diet after a heart attack, it may be due as much to fear as to how \u201chorrible\u201d the new foods taste. Or perhaps your mother\u2019s appetite is fine, but dementia makes it difficult for her to focus on the task of eating. Or she craves sweets to the exclusion of more nutrient-rich foods. <\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>Here are some simple strategies for reducing your fears, and helping to increase your loved one\u2019s appetite:<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:list -->\n<ul><li>Minimize mealtime distractions. Turn off the TV and radio. If you go out to eat, choose a seat for your loved one that isn\u2019t facing the center of a busy restaurant.<\/li><li>Eat together. Create a relaxed atmosphere and linger at the table. Avoid clearing plates to encourage a few last bites.<\/li><li>Heavy meals can lead to nausea and discomfort, especially when combined with medications that list nausea or poor appetite as possible side effects. Aim for six to eight smaller meals a day.<\/li><li>If appetite loss is due to medication, change things up depending on the side effects. For example, if your loved one complains of the strong smell or taste of food, serve dishes that can be seasoned at the table. Some medications make food taste blander; in that case, you can add a lot of flavor with little additions of herbs, spices or lemon juice.<\/li><li>Cookbooks and websites are full of ways to sneak vegetables or protein into cookies or snacks. But if you think tricks might backfire, look for healthy versions of favorite dishes. Make small tweaks to boost nutrition or to meet the guidelines of a new diet:<ul><li>If you typically cook rice in water and then add butter and salt, simmer it in low-sodium broth. <\/li><li>Rather than steam vegetables, try roasting them, which caramelizes their natural sugars and gives them a richer flavor. <\/li><li>Spice blends and meat rubs can boost flavor, but read labels and avoid those that are high in sugar or salt.<\/li><\/ul><\/li><\/ul>\n<!-- \/wp:list -->",
"post_title": "Appetite Boosters",
"post_excerpt": "As we get older, we often eat less. Loss of appetite by disease or medical treatment can be a cause for concern. Here are some simple strategies for reducing your fears, and helping to increase your loved one\u2019s appetite.",
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"post_date": "2023-10-11 16:08:22",
"post_date_gmt": "2023-10-11 20:08:22",
"post_content": "<!-- wp:image {\"id\":34026,\"aspectRatio\":\"16\/9\",\"scale\":\"cover\",\"sizeSlug\":\"large\",\"linkDestination\":\"none\"} -->\n<figure class=\"wp-block-image size-large\"><img src=\"https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2023\/09\/212D1542-1-copy-1024x683.jpg\" alt=\"\" class=\"wp-image-34026\" style=\"aspect-ratio:16\/9;object-fit:cover\"\/><\/figure>\n<!-- \/wp:image -->\n\n<!-- wp:paragraph -->\n<p>There are more than 25.8 million people in the United States with diabetes, seven million of whom do not know they have it. Type 2 diabetes is the most common. (Type 1 diabetes occurs in only about 5% of people with diabetes.) Type 2 diabetes results when your body does not properly convert the sugar from the foods you eat into energy and the sugar builds up in the blood. Learn the risks for developing diabetes, and improve your chances of preventing or delaying type 2 diabetes.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:heading {\"level\":3} -->\n<h3 class=\"wp-block-heading\" id=\"h-risks-of-type-2-diabetes\">RISKS OF TYPE 2 DIABETES<\/h3>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p>As published by the American Diabetes Association<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>Are you...?<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:list -->\n<ul><!-- wp:list-item -->\n<li>45 years or older<\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li>Not getting regular exercise<\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li>Overweight<\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li>A smoker<\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li>A woman who has had gestational diabetes or a baby weighing more than 9 pounds<\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li>A brother, sister or child of a person with diabetes<\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li>Non-Hispanic Black, Hispanic-Latino American, Asian-American, Pacific Islander, American Indian or Alaska Native<\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li>Diagnosed with high blood pressure<\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li>Diagnosed with low HDL cholesterol<\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list -->\n\n<!-- wp:heading {\"level\":3} -->\n<h3 class=\"wp-block-heading\" id=\"h-lowering-your-risk\">LOWERING YOUR RISK<\/h3>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p>You can help prevent or delay type 2 diabetes if you:<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:list -->\n<ul><!-- wp:list-item -->\n<li>Reduce your weight by 5-10%<\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li>Are active for 30 minutes a day by walking, gardening or dancing<\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li>Quit smoking<\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li>Eat fewer processed foods, \u201cfast foods\u201d and sugary drinks like soda or juices<\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li>Eat more vegetables, whole grain foods, fresh foods, fish and lean meats and poultry<\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li>Keep blood pressure less than 120\/80<\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li>Have yearly physical check-ups<\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li>Work together with your health care provider to stay in control of your health<\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list -->\n\n<!-- wp:paragraph -->\n<p>More often than not, there are no symptoms of type 2 diabetes in the beginning. If you are at risk for type 2 diabetes, and\/or are having symptoms of uncontrolled diabetes \u2013 fatigue, frequent urination, unusual thirst, and unexplained weight loss \u2013 talk to your health care provider immediately about your risks and concerns.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:heading {\"level\":3} -->\n<h3 class=\"wp-block-heading\" id=\"h-what-does-a-little-sugar-mean\">WHAT DOES \u201cA LITTLE SUGAR\u201d MEAN?<\/h3>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p>\u201cA little sugar\u201d is sometimes used to describe a medical condition called prediabetes. Most people with type 2 diabetes start out with elevated prediabetes blood sugar levels. There are 79 million Americans who have prediabetes. If you\u2019ve been told you have a little sugar or prediabetes, you can delay or even prevent type 2 diabetes by losing weight, being active, quitting smoking, and eating better.<\/p>\n<!-- \/wp:paragraph -->",
"post_title": "Are You at Risk for Diabetes?",
"post_excerpt": "Type 2 diabetes results when your body does not properly convert the sugar from the foods you eat into energy and the sugar builds up in the blood. Learn the risks for developing diabetes, and improve your chances of preventing or delaying type 2 diabetes.",
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"post_date": "2023-10-11 16:08:17",
"post_date_gmt": "2023-10-11 20:08:17",
"post_content": "<!-- wp:image {\"id\":36,\"sizeSlug\":\"large\"} -->\n<figure class=\"wp-block-image size-large\"><img src=\"https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2020\/07\/all-living-well-drinking-water.jpg\" alt=\"Pouring bottle of water into a glass\" class=\"wp-image-36\"\/><\/figure>\n<!-- \/wp:image -->\n\n<!-- wp:paragraph -->\n<p>Water is essential for keeping your body working normally. It helps you stay hydrated and removes waste. Every day, your body loses about two quarts of water when you exhale, sweat, and urinate. Physical activity, and extreme heat and humidity in the summer months, can cause you to lose even more water. <\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>You may not always feel thirsty when you are dehydrated, so it is important to drink fluids even if you do not feel thirsty. Symptoms of dehydration include dry skin, dark-colored urine, dizziness, constipation, increased heart rate, muscle cramps and nausea.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:heading -->\n<h2>DRINK AND EAT TO STAY HYDRATED<\/h2>\n<!-- \/wp:heading -->\n\n<ul>\n<li class=\"p2\">Drink 6 to 8 glasses of fluid every day (this amount includes the water in foods and beverages).<\/li>\n<li class=\"p2\">Water is the best fluid for hydration because it has no calories, sugar, carbonation or preservatives.<\/li>\n<li class=\"p2\">Eat fruits and vegetables that are high in water, such as grapes, oranges, cantaloupe, honeydew, watermelon, apples, tomatoes, lettuce, cucumber and celery.<\/li>\n<li class=\"p2\">Limit fruit juices, sodas and fitness waters as they contain sugars that can make you feel thirstier.<\/li>\n<li class=\"p2\">Avoid or limit coffee, tea, alcohol and soda containing caffeine \u2013 these increase urination, causing you to lose water at a faster than normal rate.<\/li>\n<\/ul>\n\n<!-- wp:heading -->\n<h2>MAKE HYDRATION A PART OF YOUR DAILY ROUTINE<\/h2>\n<!-- \/wp:heading -->\n\n<ul>\n<li class=\"p2\">Have a glass of water when you wake up in the morning.<\/li>\n<li class=\"p2\">Keep a glass of water next to your bed at night.<\/li>\n<li class=\"p2\">Carry a water bottle with you if you are away from home for long periods of time.<\/li>\n<li class=\"p2\">Avoid the midday sun and limit physical activity when it is very hot outside.<\/li>\n<li class=\"p2\">Schedule outdoor activities in the morning or evening.<\/li>\n<\/ul>\n\n<!-- wp:paragraph -->\n<p>By drinking enough fluid every day and knowing the symptoms of dehydration, you can help your body stay healthy.<\/p>\n<!-- \/wp:paragraph -->",
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"post_excerpt": "in the morning or evening. By drinking enough fluid every day and knowing the symptoms of dehydration, you can ... more water. You may not always feel thirsty when you are dehydrated, so it is important to drink ... Stay Hydrated Water is essential for keeping your body working normally. It helps you stay ...",
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"post_date": "2023-10-11 16:08:16",
"post_date_gmt": "2023-10-11 20:08:16",
"post_content": "<!-- wp:image {\"align\":\"center\",\"id\":1333,\"sizeSlug\":\"large\"} -->\n<div class=\"wp-block-image\"><figure class=\"aligncenter size-large\"><img src=\"https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2020\/08\/medical-folder-in-file-cabinet-1.jpg\" alt=\"medical-folder-in-file-cabinet\" class=\"wp-image-1333\"\/><\/figure><\/div>\n<!-- \/wp:image -->\n\n<!-- wp:paragraph -->\n<p>Imagine that you\u2019re at work. You return from a meeting to find several messages from your mom\u2019s caregiver. As you listen to them, your worry turns to relief. Your mom is fine, but the caregiver couldn\u2019t find your mom\u2019s health insurance card.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:heading -->\n<h2><strong>MEDICAL AND EMERGENCY INFORMATION<\/strong><\/h2>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p>Keep vital information in one place can make caregiving easier. Depending on your parent\u2019s needs, you may wish to have two folders. One should have medical and emergency information available to all caregivers. The second should have private legal or financial information that primary caregivers may need.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>Keep the emergency folder near a calendar with medical appointments. There are many ways you can organize this folder. One way is to have personal and health information in one pocket and medical insurance documents in the other.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>Information to include in your medical folder:<\/p>\n<!-- \/wp:paragraph -->\n\n<ul>\n<li>Your parent\u2019s name, address, phone number, and date of birth. Include all information as it appears on insurance documents.<\/li>\n<li>List of doctors\u2019 names and specialties, addresses, and phone numbers.<\/li>\n<li>Name, address, and phone number of pharmacy.<\/li>\n<li>List of medications with dosages; copies of prescriptions.<\/li>\n<li>List of medical suppliers, including those who can send replacement supplies overnight in an emergency.<\/li>\n<li>Emergency phone numbers.<\/li>\n<li>An emergency plan of action.<\/li>\n<li>Your parent\u2019s health history. <\/li>\n<li>Clear, legible photocopies of both sides of all medical insurance cards. Consider enlarging the photocopies to make them easier to read.<\/li>\n<li>Name of health insurance company and phone numbers for customer service, billing, and claims.<\/li>\n<li>A few health insurance claims forms.<\/li>\n<\/ul>\n\n<!-- wp:heading -->\n<h2><strong>STORE MEDICAL RECORDS ONLINE<\/strong><\/h2>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p>Websites can be an effective way to manage your loved one\u2019s medical information. Numerous Personal Health Record (PHR) providers have sprung up in recent years to help patients consolidate health information. PHRs can store personal and family medical histories, immunization records, information about allergies and adverse drug reactions, lists of medications and dosage, and lab results and reports. <\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>PHRs can make it easy to track and share information. For example, some work with heart monitors and blood glucose devices. Your parent can upload vital signs that you or a physician can track. PHRs can also let you transfer medical records to and from doctors\u2019 offices and hospitals, and order prescriptions safely and securely.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:heading -->\n<h2><strong>FINANCIAL AND LEGAL INFORMATION<\/strong><\/h2>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p>Make a separate folder for information that should be kept private. It should include items like: <\/p>\n<!-- \/wp:paragraph -->\n\n<ul>\n<li>Your parent\u2019s Social Security number<\/li>\n<li>Copies of wills<\/li>\n<\/ul>",
"post_title": "Be Prepared: Create a Medical and Emergency Information Folder",
"post_excerpt": "Keeping vital information in one place can make caregiving easier. Depending on your parent\u2019s needs, you may wish to have two folders. One for medical and emergency information. And a second for private legal or financial information. There are many ways you can organize these folders. Here are a few suggestions.",
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"post_date": "2020-07-08 22:23:30",
"post_date_gmt": "2020-07-08 22:23:30",
"post_content": "<!-- wp:image {\"id\":122,\"sizeSlug\":\"large\"} -->\n<figure class=\"wp-block-image size-large\"><img src=\"https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2020\/07\/espresso-with-flower-foam-design.jpg\" alt=\"espresso-with-flower-foam-design\" class=\"wp-image-122\"\/><\/figure>\n<!-- \/wp:image -->\n\n<!-- wp:heading {\"level\":3} -->\n<h3 id=\"h-help-yourself-and-your-loved-one-by-carving-out-personal-time\">HELP YOURSELF AND YOUR LOVED ONE BY CARVING OUT PERSONAL TIME.<\/h3>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p>Taking a time-out when caring for a loved one can feel selfish. The truth is, you\u2019re actually helping yourself and your loved one when you take a break. As you might expect, caregivers who use respite care services were happier and less stressed. Respite care also helps your loved one. Patients who were involved in respite care had fewer behavior problems and slept better at night than those whose caretakers did not take an occasional break, according to a recent study in the <a href=\"http:\/\/psychsocgerontology.oxfordjournals.org\/content\/64B\/6\/788.full\" target=\"_blank\" rel=\"noreferrer noopener\"><em>Journals of Gerontology<\/em><\/a>.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>After the busy holiday season, you may need time for yourself. Ask your loved one\u2019s Care Manager about respite services. Or line up a friend or family member to take over for a few hours so you have some time to relax. Need inspiration? Here you go:<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:heading -->\n<h2 id=\"h-meet-up-with-a-friend\">MEET UP WITH A FRIEND<\/h2>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p>Grab a cup of coffee, do some window shopping, see a movie. Whatever you choose, doing it with someone who can make you laugh and smile is time well spent.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:heading -->\n<h2 id=\"h-take-a-walk\">TAKE A WALK<\/h2>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p>A quiet stroll in nature or through a museum may be the pause button your mind needs.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:heading -->\n<h2 id=\"h-color-yourself-calm\">COLOR YOURSELF CALM<\/h2>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p>It\u2019s no wonder that adult coloring books are the latest craze. These books offer the chance to escape without leaving your loved one alone. Bonus: Coloring is a great way to relieve stress and works like meditation.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:heading -->\n<h2 id=\"h-get-sweaty\">GET SWEATY<\/h2>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p>What\u2019s your favorite exercise? Biking, power walking, yoga, or tai chi will relax and invigorate you.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:heading -->\n<h2 id=\"h-rediscover-your-passion\">REDISCOVER YOUR PASSION<\/h2>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p>Get going on that scrapbook project you put on hold, try out some new recipes, or dig out your knitting needles. Carve out some time for the things you used to love to do.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:heading -->\n<h2 id=\"h-soak-the-stress-away\">SOAK THE STRESS AWAY<\/h2>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p>A warm bath helps calm your mind and muscles. Add Epsom salt and a few drops of essential oil like sleep-inducing lavender. <\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:heading -->\n<h2 id=\"h-take-a-nap\">TAKE A NAP<\/h2>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p>A short snooze might be the reboot you need. Limit your nap to 20 minutes, about eight hours before bedtime, to avoid feeling groggy or wide-awake at night.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:heading -->\n<h2 id=\"h-indulge-in-a-so-called-time-waster\">INDULGE IN A SO-CALLED TIME-WASTER<\/h2>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p>Caregivers are used to being \u201con\u201d all the time. Find a few minutes to escape with tabloid magazines, a silly iPad app, listening to show tunes, or doing a puzzle.<\/p>\n<!-- \/wp:paragraph -->",
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"post_excerpt": "Taking a time-out when caring for a loved one can feel selfish. The truth is, you\u2019re actually helping yourself and your loved one when you take a break. As you might expect, caregivers who use respite care services were happier and less stressed. ",
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"post_date": "2023-10-11 16:08:27",
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"post_content": "<!-- wp:image {\"id\":1316,\"sizeSlug\":\"large\"} -->\n<figure class=\"wp-block-image size-large\"><img src=\"https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2020\/08\/elderly-persons-apartment-1.jpg\" alt=\"elderly-persons-apartment\" class=\"wp-image-1316\"\/><\/figure>\n<!-- \/wp:image -->\n\n<!-- wp:paragraph -->\n<p>Living in a city has many benefits, but caring for someone who lives in an apartment can present special challenges. Here are some common issues you may encounter:<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:list -->\n<ul><li><strong>Clutter<\/strong>. Small spaces get cluttered quickly. Objects on floors are especially dangerous because they create the risk of tripping and falling. For example, be careful to put shoes away instead of letting them pile up by the door.<\/li><li><strong>Accessibility<\/strong>. If your loved one lives in a walk-up or has recently begun to use a cane, you may be concerned about stairs. To become more comfortable, have your loved one practice going up and down stairs while you or another caregiver is present. Going up stairs can be physically more demanding than walking a few blocks, so remind your parent or loved one to take a rest before becoming short of breath.<\/li><li><strong>Noise<\/strong>. Loud sounds like vehicles, sirens, and construction can\u2019t always be avoided. But be sure noise codes in your area are not being violated. Follow <a href=\"http:\/\/www1.nyc.gov\/nyc-resources\/categories\/environment\/noise\/index.page\" target=\"_blank\" rel=\"noreferrer noopener\">this link<\/a> to learn more about New York City\u2019s noise codes. A white-noise machine may help muffle sounds from neighboring apartments.<\/li><li><strong>Getting outdoors<\/strong>. Research shows that spending time outside can help you sleep better and improve your mood and overall health. Help your loved one make regular visits to a nearby park or community garden, or seek out a friendly neighbor who has a yard or garden apartment.<\/li><li><strong>Neighbor issues<\/strong>. If your loved one complains about neighbors\u2019 activities, speak to them about your loved one\u2019s concern and ask them for their help in finding a solution. If they are not willing to work with you, talk to the landlord, building management, or condo or coop board.<\/li><\/ul>\n<!-- \/wp:list -->\n\n<!-- wp:paragraph -->\n<p>New York State publishes a helpful <a href=\"http:\/\/www.ag.ny.gov\/sites\/default\/files\/pdfs\/publications\/Housing_Guide_for_Seniors_2011.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">Housing Guide for Senior Citizens<\/a> that addresses many apartment living issues.<\/p>\n<!-- \/wp:paragraph -->",
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"post_excerpt": "Living in a city has many benefits, but caring for someone who lives in an apartment can present special challenges. Here are some common issues you may encounter.",
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"post_date": "2023-10-11 16:08:27",
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"post_content": "<!-- wp:image {\"id\":397,\"sizeSlug\":\"large\"} -->\n<figure class=\"wp-block-image size-large\"><img src=\"https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2020\/07\/daughter-comforting-mother-gazing-distance-1.jpg\" alt=\"Daughter comforting a mother gazing into the distance \" class=\"wp-image-397\"\/><\/figure>\n<!-- \/wp:image -->\n\n<!-- wp:heading -->\n<h2>HOW CAREGIVERS CAN AVOID ARGUMENTS AND FRUSTRATION<\/h2>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p>Caring for someone with memory loss can be extremely frustrating. People with Alzheimer\u2019s and other forms of dementia often experience delusions and hallucinations. <em>Delusions <\/em>are false beliefs, such as thinking a relative is stealing from them. <em>Hallucinations <\/em>are false perceptions, such as hearing or seeing something that isn\u2019t there.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>The natural instinct is to reassure the person that these thoughts or perceptions aren\u2019t real. But correcting or reasoning rarely work and usually just cause frustration for both people. Instead,<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:list -->\n<ul><li>Listen to what the person is saying<\/li><li>Acknowledge his or her feelings<\/li><li>Reassure him or her<\/li><li>Redirect attention or distract when you can<\/li><\/ul>\n<!-- \/wp:list -->\n\n<!-- wp:paragraph -->\n<p>For example, your father might think that strangers are watching him through his bedroom window. Instead of telling him that he is wrong, agree how scary that would be. Assure him that he\u2019s safe with you, then suggest you go to the kitchen for a snack. Consider closing the curtains before he goes back into the bedroom. Similarly, if your wife is convinced you stole her wallet, offer to help her look for it. Other tips that can help:<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:list -->\n<ul><li>Reduce distractions that might cause or add to confusion. Bright lighting can minimize shadows that might be misinterpreted, and keeping TVs or music at a low volume can reduce background noises that may add to confusion.<\/li><li>A gentle touch, such as a pat on the arm, can help bring someone back to the present time and place.<\/li><li>Take your loved one\u2019s concerns seriously. Let him or her know you care. Your tone of voice and facial expressions matter.<\/li><li>Don\u2019t be upset or angry if you\u2019re accused. A smile and encouragement can go a long way in comforting a person with dementia.<\/li><\/ul>\n<!-- \/wp:list -->\n\n<!-- wp:paragraph -->\n<p>Keep in mind that your loved one may experience delusions and hallucinations that provide comfort. If that\u2019s the case, you may not need to address them. Also, remember that it is possible that your loved one might be a victim, so watch for signs of abuse and check out any suspicions or accusations that could be true.<\/p>\n<!-- \/wp:paragraph -->",
"post_title": "Communicating and Dementia",
"post_excerpt": "Caring for someone with memory loss can be extremely frustrating. The natural instinct is to reassure the person that their unsettling thoughts or perceptions aren\u2019t real. But correcting or reasoning rarely work and usually just cause frustration for both people. Instead, follow these tips.",
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"post_date": "2023-10-11 16:08:23",
"post_date_gmt": "2023-10-11 20:08:23",
"post_content": "<!-- wp:image {\"id\":36807,\"sizeSlug\":\"large\",\"linkDestination\":\"none\"} -->\n<figure class=\"wp-block-image size-large\"><img src=\"https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2023\/10\/GettyImages-1218115713-1024x683.jpg\" alt=\"\" class=\"wp-image-36807\"\/><figcaption class=\"wp-element-caption\">Senior women exercising at home<\/figcaption><\/figure>\n<!-- \/wp:image -->\n\n<!-- wp:paragraph -->\n<p>Almost anyone, at any age, can safely do some kind of exercise or physical activity.\u00a0You can be active even if you have a long-term condition like heart disease, diabetes or arthritis. And almost nothing is more important to your health.\u00a0Physical activity helps you feel good and look good, too. It can:<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:list -->\n<ul><!-- wp:list-item -->\n<li>Help you maintain and improve physical strength and fitness.<\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li>Help improve your ability to do the everyday things you care about.<\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li>Help improve your balance.<\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li>Help you manage conditions like diabetes, heart disease and osteoporosis (weakening of your bones).<\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li>Help reduce feelings of depression and improve your mood.<\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list -->\n\n<!-- wp:heading -->\n<h2 class=\"wp-block-heading\" id=\"h-getting-started\">GETTING STARTED<\/h2>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p>Staying safe while you exercise is always important, but especially so when you\u2019re starting a new activity or haven\u2019t been active for a long time.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:list -->\n<ul><!-- wp:list-item -->\n<li>Check with your doctor before starting any new exercise program.<\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li>Wear loose-fitting, comfortable clothing and proper shoes that provide support.<\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li>Drink water before, during and after exercise.<\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li>Make sure you stretch after you exercise.<\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list -->\n\n<!-- wp:heading -->\n<h2 class=\"wp-block-heading\" id=\"h-making-a-realistic-plan\">MAKING A REALISTIC PLAN<\/h2>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p>You shouldn\u2019t set unrealistic goals for yourself. Make a sensible plan based on how active you are now. Try to do a variety of exercises that help with endurance, flexibility, strength and balance. And it\u2019s good to change your exercises from day to day.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:list -->\n<ul><!-- wp:list-item -->\n<li>Duration: exercise should last at least 15 minutes, ideally 30 minutes.<\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li>Frequency: a minimum of twice a week, more if possible.<\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li>Space: large enough for outstretched arms, room to walk around a chair; floor should be flat and stable; good air flow and cool temperature; nothing on the floor to trip over.<\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li>Be sure to give yourself time to cool down after your workout; this will slow your breathing and your heart rate.<\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li>And most of all, have some fun! Exercise should be enjoyable and give you more zest for living.<\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list -->",
"post_title": "Exercise as Part of Your Life",
"post_excerpt": "Almost anyone, at any age, can safely do some kind of exercise or physical activity. You can be active even if you have a long-term condition like heart disease, diabetes or arthritis. And almost nothing is more important to your health. Physical activity helps you feel good and look good, too. Here are some tips to help you get started.",
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"post_date": "2020-07-02 19:39:32",
"post_date_gmt": "2020-07-02 19:39:32",
"post_content": "<!-- wp:image {\"id\":35088,\"sizeSlug\":\"large\",\"linkDestination\":\"none\"} -->\n<figure class=\"wp-block-image size-large\"><img src=\"https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2023\/10\/GettyImages-1252714652-1024x683.jpg\" alt=\"\" class=\"wp-image-35088\"\/><\/figure>\n<!-- \/wp:image -->\n\n<!-- wp:heading -->\n<h2 class=\"wp-block-heading\" id=\"h-mobility-issues-exercise\">MOBILITY ISSUES & EXERCISE<\/h2>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p>Regular exercise has many benefits. Exercising can reduce blood pressure and blood sugar levels, improve cholesterol and memory, and lower the risk of arthritis and osteoporosis. Older people who exercise regularly have fewer age-related illnesses and often report feeling happier.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>However, up to 75 percent of senior adults miss out on these health benefits. Someone who has trouble walking or is afraid of falling may think they can't exercise. What happens is they get weaker and even less mobile, and their fear and risk of injury increases.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>A visit to the physician is the best place to start. A doctor can refer you to a physical therapist. This person will work to create a problem that meets your needs and abilities.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>You also might want to change your definition of exercise. You don't need to run or jog for an hour or lift heavy weights. Chair exercises, such as stretching arms overhead and pointing and flexing toes, can provide benefits! A physical therapist might also suggest Tai Chi to improve balance, or modified Pilates to increase flexibility.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>Doctors recommend at least 30 minutes of daily exercise for most people, but short sessions will help. So think of 30 minutes as a goal, not a starting point.<\/p>\n<!-- \/wp:paragraph -->",
"post_title": "Exercising with Limited Mobility",
"post_excerpt": "Someone who has trouble walking or is afraid of falling may think they can't exercise. What happens is they get weaker and even less mobile, and their fear and risk of injury increases. But you don't need to run or jog for an hour or lift heavy weights. ",
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"post_date": "2020-07-08 21:47:56",
"post_date_gmt": "2020-07-08 21:47:56",
"post_content": "<!-- wp:image {\"id\":104,\"sizeSlug\":\"large\"} -->\n<figure class=\"wp-block-image size-large\"><img src=\"https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2020\/07\/all-healthy-living-blood-pressure.jpg\" alt=\"all-healthy-living-blood-pressure\" class=\"wp-image-104\"\/><\/figure>\n<!-- \/wp:image -->\n\n<!-- wp:heading {\"level\":3} -->\n<h3>WHAT IS HIGH BLOOD PRESSURE?<\/h3>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p>Blood pressure (BP) refers to the force of blood against the walls of the arteries, the blood vessels that carry blood from the heart to other parts of the body. The medical term for high blood pressure is hypertension.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>When blood pressure is too high, the heart has to work harder than normal to get blood to all parts of the body, and there is also increased pressure on all of the blood vessels.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:heading {\"level\":3} -->\n<h3>WHAT IS NORMAL BLOOD PRESSURE?<\/h3>\n<!-- \/wp:heading -->\n\n<!-- wp:list -->\n<ul><li>The top number (Systolic BP) lower than 120 mmHg<\/li><li>The bottom number (Diastolic BP) lower than 80-85 mmHg<\/li><li>If you have diabetes or kidney disease and hypertension, goal BP is lower than 130\/80<\/li><\/ul>\n<!-- \/wp:list -->\n\n<!-- wp:paragraph -->\n<p>Blood pressure readings that are usually higher than 120\/80 are considered too high and unhealthy.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:heading {\"level\":3} -->\n<h3>HOW DO YOU FIND OUT IF YOU HAVE HIGH BLOOD PRESSURE?<\/h3>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p>Generally, people with high blood pressure do not feel any symptoms. The only way to know if you have high blood pressure is to have your blood pressure checked \u2013 which you should do at least once a year. Usually, it takes three readings to determine a diagnosis of high blood pressure.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:heading {\"level\":3} -->\n<h3>WHAT INCREASES YOUR RISK FOR HIGH BLOOD PRESSURE?<\/h3>\n<!-- \/wp:heading -->\n\n<!-- wp:list -->\n<ul><li>Family history of high BP<\/li><li>Age<\/li><li>Obesity or being overweight<\/li><li>Smoking<\/li><li>Lack of exercise<\/li><li>African Americans are at a very high risk of developing high BP<\/li><\/ul>\n<!-- \/wp:list -->\n\n<!-- wp:heading {\"level\":3} -->\n<h3>CAN HIGH BLOOD PRESSURE BE CURED?<\/h3>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p>High blood pressure has no cure, but it can be treated and controlled. Take control of high blood pressure by seeing your doctor regularly and:<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:list -->\n<ul><li>Take all medication that your doctor orders for high BP, even if you feel fine. Call your doctor if you are bothered by any side effects of your medication<\/li><li>Maintain a healthy weight<\/li><li>Eat a diet rich in fruits and vegetables and low fat dairy; lower your intake of saturated fats and salt (sodium)<\/li><li>Stop smoking<\/li><li>Exercise in moderation three times a week for 20 minutes; walking is an excellent and safe exercise<\/li><li>Manage stress<\/li><li>Limit or stop drinking alcohol<\/li><\/ul>\n<!-- \/wp:list -->\n\n<!-- wp:paragraph -->\n<p>Prolonged and untreated high blood pressure increases the risk of heart failure, stroke, heart attack and kidney disease. If you haven\u2019t had your blood pressure checked recently, make an appointment to see your doctor today. Keep your blood pressure low and enjoy a full active life!<\/p>\n<!-- \/wp:paragraph -->",
"post_title": "Facts About High Blood Pressure",
"post_excerpt": "When blood pressure is too high, the heart has to work harder than normal to get blood to all parts of the body, and there is also increased pressure on all of the blood vessels. What are the risks for high blood pressure and how can it be treated and controlled?",
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"post_date": "2020-09-23 10:26:00",
"post_date_gmt": "2020-09-23 10:26:00",
"post_content": "<!-- wp:image {\"id\":126,\"sizeSlug\":\"large\"} -->\n<figure class=\"wp-block-image size-large\"><img src=\"https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2020\/07\/all-living-well-flu-season.jpeg\" alt=\"a nurse giving a flu shot\" class=\"wp-image-126\"\/><\/figure>\n<!-- \/wp:image -->\n\n<!-- wp:paragraph -->\n<p>There is no cure for the flu, so it is important that you take steps to avoid getting the flu. Prepare to fight the flu by taking preventive action and getting vaccinated. You can get your flu shot at your doctor\u2019s office or at a local pharmacy.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:heading -->\n<h2 class=\"wp-block-heading\" id=\"h-get-vaccinated\">Get Vaccinated<\/h2>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p>One flu shot will protect you from the most common flu viruses of that year. It is especially important for:<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:list -->\n<ul><!-- wp:list-item -->\n<li>Anyone with a chronic health condition like asthma, diabetes or heart and lung disease<\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li>People over 65 years old<\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li>Young children<\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li>Pregnant women<\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list -->\n\n<!-- wp:heading -->\n<h2 class=\"wp-block-heading\" id=\"h-take-preventive-action\">Take Preventive Action<\/h2>\n<!-- \/wp:heading -->\n\n<!-- wp:list -->\n<ul><!-- wp:list-item -->\n<li>Cover your nose and mouth with a tissue when you sneeze or cough<\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li>Do not touch your eyes, nose or mouth too much<\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li>Wash your hands often with soap and water, especially after you cough or sneeze or shake hands<\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li>Drink plenty of water <\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li>Avoid close contact with sick people<\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list -->\n\n<!-- wp:heading -->\n<h2 class=\"wp-block-heading\" id=\"h-know-the-symptoms-of-the-flu\">Know the Symptoms of the Flu<\/h2>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p>Unlike a cold that comes on gradually, the flu begins suddenly with a headache, chills, and a cough. It is immediately followed by fever, loss of appetite, muscle aches and tiredness. You can also have a runny nose and a sore throat. Most people recover from the flu within 7-10 days, although tiredness can last longer. <\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>If you come down with flu-like symptoms, ask your nurse or doctor whether you should take medication for your symptoms. Stay at home for at least 24 hours after your fever is gone (except to get good medical care).<\/p>\n<!-- \/wp:paragraph -->",
"post_title": "Get Ready For Flu Season",
"post_excerpt": "There is no cure for the flu, so it is important that you take steps to avoid getting the flu. Prepare to fight the flu by taking preventative action and getting vaccinated. You can get your flu shot at your doctor\u2019s office or at a local pharmacy.",
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"post_modified": "2023-06-14 09:33:01",
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"post_date": "2023-12-08 09:00:00",
"post_date_gmt": "2023-12-08 14:00:00",
"post_content": "<!-- wp:image {\"id\":35969,\"sizeSlug\":\"large\",\"linkDestination\":\"none\"} -->\n<figure class=\"wp-block-image size-large\"><img src=\"https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2023\/12\/Mammogram-featured-image-1024x536.jpg\" alt=\"\" class=\"wp-image-35969\"\/><\/figure>\n<!-- \/wp:image -->\n\n<!-- wp:paragraph -->\n<p>Breast cancers found during routine screening are more likely to be smaller and less likely to have spread outside the breast. This makes them easier to treat and improves the chance of being cured.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>Low-dose X-rays of the breast called mammograms are the most common screening exams. The American Cancer Society recommends that women ages 55 and older get a mammogram every two years.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>If you haven\u2019t already, ask your primary care provider (PCP) about scheduling a mammogram.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph {\"fontSize\":\"small\"} -->\n<p class=\"has-small-font-size\">This article was featured in our Winter 2023 member newsletters. You can download the newsletters here:\u00a0<a href=\"https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2023\/12\/ECECP_2023_Winter_Newsltr_Comb_EN.pdf\">EasyCare\/EasyCare Plus<\/a>,\u00a0<a href=\"https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2023\/12\/Total_2023_Winter_Newsltr_Comb_EN.pdf\">Total<\/a>,\u00a0<a href=\"https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2023\/12\/MLTC_2023_Winter_Newsltr_Comb_EN.pdf\">MLTC<\/a><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph {\"fontSize\":\"small\"} -->\n<p class=\"has-small-font-size\"><em>Source: <a href=\"https:\/\/www.cancer.org\/cancer\/types\/breast-cancer.html\">cancer.org\/cancer\/types\/breast-cancer<\/a><\/em><\/p>\n<!-- \/wp:paragraph -->",
"post_title": "Getting a Mammogram Could Save Your Life",
"post_excerpt": "Breast cancers found during routine screening are more likely to be smaller and less likely to have spread outside the breast. This makes them easier to treat and improves the chance of being cured.",
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"ID": 111,
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"post_date": "2020-07-08 22:07:00",
"post_date_gmt": "2020-07-08 22:07:00",
"post_content": "<!-- wp:image {\"id\":112,\"sizeSlug\":\"large\"} -->\n<figure class=\"wp-block-image size-large\"><img src=\"https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2020\/07\/bread-oil-pasta-cheese-on-table_0.jpg\" alt=\"bread-oil-pasta-cheese-on-table\" class=\"wp-image-112\"\/><\/figure>\n<!-- \/wp:image -->\n\n<!-- wp:paragraph -->\n<p>A big dish of pasta, a sandwich on whole-wheat bread, even a bowl of oatmeal are all healthy choices, right? If you are allergic to gluten, those foods could be very bad for you.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>Gluten is a protein found mostly in wheat. (It is sometimes found in other grains like rye or oats.) Many foods we eat every day contain wheat. It is used to make pasta, pizza crusts, bread, and other baked goods. It is also found in foods you may not think of, like soup mixes and soy sauce.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>For most of us, gluten doesn\u2019t cause problems. But people with gluten allergies or celiac disease get very sick when eat foods that contain gluten. Their bodies respond to gluten in a way that damages their intestines. Researchers are looking into whether a similar type of response causes symptoms like inflammation and pain in people with in rheumatoid arthritis (RA).<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>In one study, patients with RA were put on a gluten-free vegan diet. Other patients were put on a non-vegan diet that included gluten. At the end of the study, 40.5 percent of the gluten-free group showed an improvement in the symptoms of RA, compared to 4 percent in the gluten group.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>If you think you might be allergic to gluten, talk to your doctor. He or she can conduct a test for wheat allergy or celiac disease. Your doctor may suggest a diet that cuts out gluten to see if your symptoms improve.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>But think twice about switching to a gluten-free diet otherwise. Gluten-free baked goods often have less fiber and are rarely fortified. They are still high in fat and refined sugar.<\/p>\n<!-- \/wp:paragraph -->",
"post_title": "Gluten & Arthritis: What's the Connection?",
"post_excerpt": "A big dish of pasta, a sandwich on whole-wheat bread, even a bowl of oatmeal are all healthy choices, right? If you are allergic to gluten, those foods could be very bad for you.",
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"ID": 123,
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"post_date": "2020-07-08 22:24:57",
"post_date_gmt": "2020-07-08 22:24:57",
"post_content": "<!-- wp:image {\"id\":124,\"sizeSlug\":\"large\"} -->\n<figure class=\"wp-block-image size-large\"><img src=\"https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2020\/07\/my_plate.original.cropped.jpg\" alt=\"A plate of chicken, salad and rice r\" class=\"wp-image-124\"\/><\/figure>\n<!-- \/wp:image -->\n\n<!-- wp:heading {\"level\":3} -->\n<h3>WHAT IT IS, WHAT IT ISN\u2019T, AND HOW TO EAT RIGHT DESPITE CONFLICTING INFORMATION<\/h3>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p>Making sense of nutrition information often seems impossible. Whole grains are supposed to be good for you\u2014but whole wheat has gluten, which is bad. High-protein diets are good for losing weight\u2014but they may increase your risk for cancer. One doctor tells you to avoid eggs entirely, another says they\u2019re okay once in a while. When experts can\u2019t agree on what \u201chealthy eating\u201d is, how are you supposed to know?<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p><strong>Eat a variety of foods<\/strong><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>It\u2019s easy to get into a rut of eating what we like and what we know how to cook. But eating many kinds of food is important. It reduces your exposure to any harmful chemicals like pesticides. It also means you are eating many different vitamins and minerals. When it comes to fruits and vegetables, for example, eat as many colors as you can. The yellow pigments in corn have been shown to protect against certain eye diseases. The purple and blue pigments found in some berries, red and black grapes, red cabbage, and beets protect against some types of cancer.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p><strong>Eat a balanced diet<\/strong><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>Here\u2019s an easy way to make sure you are eating the right amounts of protein, carbs, and fat. When you fill your plate, cover about half of it with fruits or vegetables (or both). Cover about one-fourth of it with whole grains or starches like potatoes or brown rice. The remaining fourth should be a lean protein. If half your plate is covered with a pork chop and the other half with egg noodles or white rice, you may not be getting enough fiber. Fiber comes from plants like whole grains, vegetables, and fruits.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p><strong>Eat in moderation<\/strong><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>Moderation means \u201cdon\u2019t go overboard\u201d\u2014and this is good advice for any food. Carrots are good for you, but eating too many can turn your skin orange! You need many different nutrients to be healthy. Eating too much of one food, or one type of food, means you might not be getting all the nutrients your body needs. A single 100-calorie packet of a treat is a moderate amount. If you eat three or four, you may be too full to eat healthy foods.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p><strong>Getting back on track<\/strong><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>When you\u2019re watching what you eat, going off your diet can make you sad or angry. It\u2019s easy to think, \u201cI might as well eat whatever I want.\u201d But don\u2019t give up! Don\u2019t add to your stress by telling yourself you're a failure. Instead, make a point of choosing healthy foods over the next few days to balance things out. If you have some cake at a friend's birthday lunch, remind yourself that you had your treat for the day. Save the chips or cookies for later in the week.<\/p>\n<!-- \/wp:paragraph -->",
"post_title": "Healthy Eating 101",
"post_excerpt": "Making sense of nutrition information often seems impossible. When experts can\u2019t agree on what \u201chealthy eating\u201d is, how are you supposed to know?",
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"ID": 35961,
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"post_date": "2023-12-05 13:54:29",
"post_date_gmt": "2023-12-05 18:54:29",
"post_content": "<!-- wp:image {\"id\":35962,\"sizeSlug\":\"large\",\"linkDestination\":\"none\"} -->\n<figure class=\"wp-block-image size-large\"><img src=\"https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2023\/12\/Healthy-Habits-Featured-1024x536.jpg\" alt=\"Home Health Aide assisting with cooking for a patient as they look on.\" class=\"wp-image-35962\"\/><\/figure>\n<!-- \/wp:image -->\n\n<!-- wp:paragraph -->\n<p>Heart disease, high blood pressure, and diabetes are among the most common health problems in<br>the US.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>Luckily these healthy habits can help you prevent or live better with all three:<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:list -->\n<ul><!-- wp:list-item -->\n<li>Eat more fresh fruits and vegetables, whole grains, fish, lean meats, and poultry.<\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li>Be physically active for 30 minutes, 5 days a week.<\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li>Stay at a healthy weight.<\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li>Don\u2019t smoke. Ask your primary care provider (PCP) if you need help quitting.<\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li>See your PCP for check-ups and take medications if they tell you to.<\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list -->\n\n<!-- wp:heading {\"level\":3} -->\n<h3 class=\"wp-block-heading\" id=\"h-in-addition-it-s-important-to-know-your-numbers\"><strong>In addition, it\u2019s important to know your numbers!<\/strong><\/h3>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p>If you have high blood pressure, your PCP may ask you to check your blood pressure at home.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>If you have diabetes, they may ask you to check your blood sugar and\/or your A1C (a measure of your average blood sugar levels over the past few months).<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>Follow your PCP\u2019s directions on when to test. Write down your results in a notebook or on your<br>phone so that you can share them. <\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>This information can help you understand how to best treat your disease<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph {\"fontSize\":\"small\"} -->\n<p class=\"has-small-font-size\">This article was featured in our Winter 2023 member newsletters. You can download the newsletters here: <a href=\"https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2023\/12\/ECECP_2023_Winter_Newsltr_Comb_EN.pdf\">EasyCare\/EasyCare Plus<\/a>, <a href=\"https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2023\/12\/Total_2023_Winter_Newsltr_Comb_EN.pdf\">Total<\/a>, <a href=\"https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2023\/12\/MLTC_2023_Winter_Newsltr_Comb_EN.pdf\">MLTC<\/a><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph {\"fontSize\":\"small\"} -->\n<p class=\"has-small-font-size\"><em>Sources: <a href=\"http:\/\/www.cdc.gov;\">www.cdc.gov;<\/a> <a href=\"http:\/\/www.diabetes.org\">www.diabetes.org<\/a>; <a href=\"https:\/\/health.clevelandclinic.org\/\">health.clevelandclinic.org<\/a><\/em><\/p>\n<!-- \/wp:paragraph -->",
"post_title": "Healthy Habits Help with Three Common Diseases",
"post_excerpt": "Heart disease, high blood pressure, and diabetes are among the most common health problems in\nthe US. Luckily these healthy habits can help you prevent or live better with all three:",
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"post_date": "2020-07-08 21:00:52",
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"post_content": "<!-- wp:image {\"id\":35982,\"sizeSlug\":\"large\",\"linkDestination\":\"none\"} -->\n<figure class=\"wp-block-image size-large\"><img src=\"https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2020\/07\/older-couple-shopping-1024x684.jpg\" alt=\"\" class=\"wp-image-35982\"\/><\/figure>\n<!-- \/wp:image -->\n\n<!-- wp:heading {\"level\":3} -->\n<h3 class=\"wp-block-heading\" id=\"h-practical-tips-for-streamlining-tasks\">PRACTICAL TIPS FOR STREAMLINING TASKS<\/h3>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p>Are your parents able to live on their own but still need help with finances or shopping? You may be overwhelmed by the additional work. And it isn\u2019t just the tasks that take time and energy. If your parent has dementia, you may spend hours looking for misplaced bills or a lost checkbook. Or you may need to make an extra trip to their house before grocery shopping to see what they need.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>These tips may make it easier for caregivers to help:<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:heading -->\n<h2 class=\"wp-block-heading\" id=\"h-finances\">FINANCES<\/h2>\n<!-- \/wp:heading -->\n\n<!-- wp:list -->\n<ul><!-- wp:list-item -->\n<li>If your parents have accounts with several banks, consolidate them.<\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li>Hold joint accounts or have signing privileges on your parents\u2019 accounts. As their health declines, have statements and account information sent to you.<\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li>Request third-party notification for all of your parents\u2019 bills.<\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li>If your parents own their home, make a note of when taxes and insurance premiums are due.<\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li>Convert passbook accounts to statement savings so you can transfer funds easily.<\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li>Consider giving your parent a \u201cdummy\u201d passbook or checkbook and keep the real ones at your home.<\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list -->\n\n<!-- wp:heading -->\n<h2 class=\"wp-block-heading\" id=\"h-shopping\">SHOPPING<\/h2>\n<!-- \/wp:heading -->\n\n<!-- wp:list -->\n<ul><!-- wp:list-item -->\n<li>Look into grocery delivery services like Peapod or Fresh Direct. Or order online from a local supermarket for in-store pickup or delivery.<\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li>If your parents have in-home care, ask the aide to keep track of supplies. Otherwise, make a habit to check when you visit (don\u2019t forget cleaning supplies, toothpaste, batteries, and light bulbs).<\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li>Download an app like Out of Milk and create a list for your parents. Or bypass the list entirely: Peapod\u2019s app includes a scanner. Simply scan an item\u2019s bar code and the app will add it to your online shopping cart.<\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li>Consider buying nonperishables in bulk (or online) once a month. Buy fresh produce, dairy, and meat each week.<\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li>If you choose to do one large shopping trip for your family and for your parents, here are ways to keep their items separate from yours:<!-- wp:list {\"ordered\":true} -->\n<ol><!-- wp:list-item -->\n<li>Have your spouse or an older child use a second cart to collect your parents\u2019 items.<\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li>Pack them in easily identifiable bags, and load bags in a separate spot in your car.<\/li>\n<!-- \/wp:list-item --><\/ol>\n<!-- \/wp:list --><\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list -->\n\n<!-- wp:paragraph -->\n<p>If necessary, your helper can keep your parent occupied while you put grocery items away.<\/p>\n<!-- \/wp:paragraph -->",
"post_title": "Helping Parents with Shopping and Finances",
"post_excerpt": "Are your parents able to live on their own but still need help with finances or shopping? You may be overwhelmed by the additional work. These tips may make it easier for caregivers to help.",
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"post_date": "2020-07-08 21:36:25",
"post_date_gmt": "2020-07-08 21:36:25",
"post_content": "<!-- wp:image {\"sizeSlug\":\"large\"} -->\n<figure class=\"wp-block-image size-large\"><img src=\"https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2020\/07\/GettyImages-1028834348.jpg\" alt=\" Fall-Risk-Bracelet\"\/><\/figure>\n<!-- \/wp:image -->\n\n<!-- wp:heading -->\n<h2 class=\"wp-block-heading\" id=\"h-5-important-steps-for-safety\">5 IMPORTANT STEPS FOR SAFETY<\/h2>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p>Did you know? Falls are the most common fatal injury among older Americans. Every year, 2.5 million older adults are treated in emergency rooms for injuries from a fall, more than 734,000 are hospitalized, and more than 21,700 die after a fall.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>Falls can be prevented. There are many ways to help seniors reduce the risk of falling. But even with safety measures in place, a fall can happen. Since falls are so common, it\u2019s crucial for caregivers to be prepared and know what to do.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>When a person falls, they may be embarrassed and want to get up as quickly as possible. And it's natural to help them up. But in some cases, this can make things worse. A fallen person should get up slowly, and caregivers should encourage them to be careful. Here are five steps safety experts recommend that anyone follow when they see someone fall:<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:list {\"ordered\":true} -->\n<ol><!-- wp:list-item -->\n<li>See if the person is in pain. Look for visible injuries or facial grimaces.<\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li>If you do not notice or find injuries and the person feels they can get up, place a sturdy chair in front of them, or instruct them to crawl to the nearest stable piece of furniture.<\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li>Let the fallen person use the chair to kneel first, then partially stand. Gently guide them if they need help.<\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li>If necessary, help them turn slowly and carefully so they can sit in the chair.<\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li>Once they are seated, look again for injuries and, if necessary, call emergency services or the person\u2019s doctor.<\/li>\n<!-- \/wp:list-item --><\/ol>\n<!-- \/wp:list -->\n\n<!-- wp:paragraph -->\n<p>If the fallen person is injured or unable to get up, call for medical help immediately.<\/p>\n<!-- \/wp:paragraph -->",
"post_title": "Helping Someone Who Fell",
"post_excerpt": "When a person falls, they may be embarrassed and want to get up as quickly as possible. And it's natural to help them up. But in some cases, this can make things worse. A fallen person should get up slowly, and caregivers should encourage them to be careful. Here are five steps safety experts recommend that anyone follow when they see someone fall.",
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"post_date": "2020-07-08 21:49:45",
"post_date_gmt": "2020-07-08 21:49:45",
"post_content": "<!-- wp:paragraph -->\n<p>Heat waves can be very dangerous for people over age 65 or those with chronic medical conditions.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:image {\"id\":106,\"sizeSlug\":\"large\"} -->\n<figure class=\"wp-block-image size-large\"><img src=\"https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2020\/07\/nyctaxi.original.jpg\" alt=\"A taxi in a city during summer \" class=\"wp-image-106\"\/><\/figure>\n<!-- \/wp:image -->\n\n<!-- wp:heading {\"level\":3} -->\n<h3>WHEN TEMPERATURES RISE, SO DO RISKS FOR THE ELDERLY.<\/h3>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p>Heat waves are never easy, but they\u2019re very brutal in cities. Pavement and metal trap the heat, so cities can be 10 degrees hotter than suburbs! Heat waves can be very dangerous for people over age 65 or those with chronic medical conditions.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>Setting an air conditioner (AC) to 78*F is the best way to avoid heat-related illness. Your loved one might not have an AC. Or the AC may break down or stop working during extreme heat. Open windows, but pull shades as low as possible to keep out the sun. Use fans night and day to keep air moving.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>Here are other tips:<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:list -->\n<ul><li>Be sure the AC vents and filters are clean.<\/li><li>Have plenty of liquids on hand. If your family member has heart, kidney, or liver disease, check with the doctor about how much is safe.<\/li><li>Make sure your family member wears light, loose-fitting garments.<\/li><li>New York City opens cooling centers when the heat index is dangerously high. Call 311 (TTY: 212-504-4115) or go to <a href=\"http:\/\/gis.nyc.gov\/oem\/cc\/index.htm\" target=\"_blank\" rel=\"noreferrer noopener\">http:\/\/gis.nyc.gov\/oem\/cc\/index.htm<\/a> during a heat emergency to find one near you. Libraries, senior centers, and community centers often serve as cooling centers during heat waves.<\/li><li>If your family member lives alone, be sure to have a neighbor or friend check to make sure they are ok.<\/li><li>Limit cabin fever by going outdoors in the morning and late afternoon. Go to an air-conditioned place, like a bookstore or a movie theater.<\/li><\/ul>\n<!-- \/wp:list -->\n\n<!-- wp:paragraph -->\n<p>Leg or stomach cramps are often the first sign of heat-related illness. Treat mild cramps immediately with rest and fluids. If cramps are severe or accompanied by nausea, seek medical attention.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>Fatigue, headache, dizziness, confusion, weak pulse, and shallow breathing are signs of heat exhaustion and heat stroke. With heat exhaustion, the skin is clammy or sweaty. With heat stroke, it is flushed, hot, and dry.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>Treat heat exhaustion by putting feet up, placing cool wet cloths on the skin, and giving water or electrolyte solutions. If these don\u2019t help, seek medical attention. Heat exhaustion can lead to heat stroke. Heat stroke is a medical emergency. Call 911 at once!<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>Even if the heat does not bother you, it may cause problems in an older person. Conditions that can cause heat cramps in a teen may cause heat exhaustion in a 40-year-old and heat stroke in someone over 60.<\/p>\n<!-- \/wp:paragraph -->",
"post_title": "Helping the Elderly Stay Cool in High Temperatures",
"post_excerpt": "Heat waves are never easy, but they\u2019re very brutal in cities. Pavement and metal trap the heat, so cities can be 10 degrees hotter than suburbs! Heat waves can be very dangerous for people over age 65 or those with chronic medical conditions.",
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"ID": 39,
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"post_date": "2023-10-11 16:08:22",
"post_date_gmt": "2023-10-11 20:08:22",
"post_content": "<!-- wp:image {\"id\":391,\"sizeSlug\":\"large\"} -->\n<figure class=\"wp-block-image size-large\"><img src=\"https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2020\/07\/sunglasses-on-poolside-deck_0-1.jpg\" alt=\"Sunglasses sitting on a beach chair at the pool\" class=\"wp-image-391\"\/><\/figure>\n<!-- \/wp:image -->\n\n<!-- wp:heading {\"level\":3} -->\n<h3>9 PLANNING TIPS FOR TAKING SENIORS ON VACATION.<\/h3>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p>If you\u2019re a caregiver you might think it\u2019s too much trouble to take a vacation with an elderly parent who requires special care. In fact, with a little planning, you can still get away and have an enjoyable time. Here are some helpful tips:<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:list {\"ordered\":true} -->\n<ol><li>Keep it simple. If your parent has limited mobility, renting a one-story lake-front cottage a few hours away will be more enjoyable than a trip overseas or a cross-country road trip with several stops. <\/li><li>Take care of special needs. If driving, consider renting a larger vehicle to accommodate equipment or for comfort. Inform your airline or hotel about special requirements, such as a wheelchair, meals, or first floor lodging or adjoining suites.<\/li><li>Think ahead. Find out as much as you can about your destination before you go. Locate medical facilities, pharmacies, and grocery stores.<\/li><li>Bring prescriptions. If your trip involves flying, be sure that medication is in its original container. And double-check with the pharmacist about any side effects, such as exposure to the sun or interaction with certain foods.<\/li><li>Pack appropriately. Take along support stockings for extended road trips or flights and a backup of medical supplies. Have snacks and plenty of water on hand.<\/li><li>Minimize distractions and maximize familiarity. Being away from home may be confusing to a parent with dementia. Bring a few favorite objects to create a sense of home, and try to maintain your loved one\u2019s routine as much as possible.<\/li><li>Plan shifts. You might be the primary caregiver at home, but remind your family that this is your vacation, too. Set up a schedule so that everyone who\u2019s old enough has a few hours where he or she is responsible for your parent.<\/li><li>Line up help at your destination. If your parent needs help with personal care or has a condition that requires skilled nursing care, contact a home health care agency to arrange for services from a home health aide or nurse. And check in as to whether there are any adult day care centers nearby.<\/li><li>Pace yourself. Your elderly relative might not be able to keep up with certain activities, so be sure to schedule rest and downtime into your trip. And don\u2019t forget to take full advantage of the lulls, too\u2014after all, you\u2019re on vacation.<\/li><\/ol>\n<!-- \/wp:list -->",
"post_title": "How to Plan Summer Travel with Seniors",
"post_excerpt": "If you\u2019re a caregiver you might think it\u2019s too much trouble to take a vacation with an elderly parent who requires special care. In fact, with a little planning, you can still get away and have an enjoyable time. Here are some helpful tips.",
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"post_date": "2020-07-06 20:15:29",
"post_date_gmt": "2020-07-06 20:15:29",
"post_content": "<!-- wp:image {\"id\":81,\"sizeSlug\":\"large\"} -->\n<figure class=\"wp-block-image size-large\"><img src=\"https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2020\/07\/Is_organic_food_worth_the_cost.original_0.jpg\" alt=\"Organic food at a farmers market \" class=\"wp-image-81\"\/><\/figure>\n<!-- \/wp:image -->\n\n<!-- wp:heading {\"level\":3} -->\n<h3>WHEN TO SAVE, WHEN TO SPEND<\/h3>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p>Organic foods often cost up to 30 percent more than regular foods. But are they worth the higher price? Let\u2019s take a look.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p><strong>Is organic food better for you?<\/strong><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>Some studies have shown that organic milk and organic meat are higher in omega-3s (a type of healthy fat) than regular milk and meat. Organic produce may be higher in vitamins or compounds that may help protect against diseases. In almost all studies, however, the differences were very small. <\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p><strong>Does organic food taste better?<\/strong><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>Organic foods are often grown on small farms and sold locally. They may be very fresh when you eat them. Food often tastes better when it is fresh. So the taste may be due to freshness, not how it was grown.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p><strong>Is organic food better for the planet?<\/strong><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>Organic farming almost always uses methods that conserve soil and water, and that take less energy . However, if you\u2019re buying organic foods that are trucked cross-country or imported, pollution from shipping will affect the environment.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p><strong>Is organic food safer?<\/strong><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>Organic foods are almost always lower in pesticides. Organic meat, eggs, and dairy are usually lower in drug-resistant bacteria. But all foods must meet federal standards for safety.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p><strong>What\u2019s the bottom line?<\/strong><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>About 75 percent of Americans don\u2019t eat enough fruits or vegetables. If your grocery budget allows for it, buy organic. But most experts agree that it is better to eat more fruits and vegetables regardless of how they were grown, with three exceptions:<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:list {\"ordered\":true} -->\n<ol><li>If you buy a lot of imported produce. Many countries have different standards about use of pesticides.<\/li><li>If you\u2019re pregnant or nursing, or if you feed small children. Pesticides are more likely to harm infants and children under age 12.<\/li><li>If you eat a lot of fruits and vegetables that don\u2019t have peels (such as berries) or that you don't peel before eating (such as tomatoes, grapes or raisins, zucchini, peaches, and apples).<\/li><\/ol>\n<!-- \/wp:list -->",
"post_title": "Is Organic Food Worth the Cost?",
"post_excerpt": "Organic foods often cost up to 30 percent more than regular foods. But are they worth the higher price? Let\u2019s take a look.",
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"ID": 33,
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"post_date": "2023-10-11 16:08:16",
"post_date_gmt": "2023-10-11 20:08:16",
"post_content": "<!-- wp:image {\"id\":390,\"sizeSlug\":\"large\"} -->\n<figure class=\"wp-block-image size-large\"><img src=\"https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2020\/07\/older-man-whistful-expression-1.jpg\" alt=\"Older man with sad, pensive look\" class=\"wp-image-390\"\/><\/figure>\n<!-- \/wp:image -->\n\n<!-- wp:paragraph -->\n<p>Research shows that 10 to 20 percent of older patients seen by a primary care physician suffer from depression \u2013 and among the homebound, that figure may be as high as 46 percent. Even more worrisome: The elderly represent 13 percent of the population but 16 to 20 percent of the nation's suicide rate, with the highest rates in males 80 years and older.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>Yet despite these statistics, depression in the elderly is frequently ignored. Seniors themselves may ignore the symptoms, believing their suffering is a result of growing older. But depression is not a normal part of aging. Keep an eye out for these warning signs of depression:<\/p>\n<!-- \/wp:paragraph -->\n\n<ul>\n<li>Persistent sadness or anxiety<\/li>\n<li>Sleeping too much or too little, awakening frequently<\/li>\n<li>Reduced or increased appetite and\/or changes in weight<\/li>\n<li>Loss of interest or pleasure in activities<\/li>\n<li>Fatigue, loss of energy, irritability or restlessness<\/li>\n<li>Difficulty thinking or concentrating, remembering or making decisions<\/li>\n<li>Thoughts of death or suicide, including suicide attempts<\/li>\n<li>Feeling inappropriate guilt, hopelessness or worthlessness.<\/li>\n<\/ul>\n\n<!-- wp:heading {\"level\":3} -->\n<h3>TALKING WITH YOUR LOVED ONE<\/h3>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p>If you see any of these warning signs in a loved one, don\u2019t remain silent \u2013 but approach the subject in a way that won\u2019t make them uncomfortable. Instead of asking your dad if he\u2019s depressed, ask him how he\u2019s feeling or what is bothering him. Give him an opportunity to speak, and listen to what he says. Depressed older adults often talk about the physical symptoms of depression first (\u201cI\u2019m not sleeping well,\u201d or \u201cI\u2019m just not hungry.\u201d). Reassure him that with a little help, he can enjoy life again. And talking about it is the first step. Keep in mind he may be holding back because he doesn\u2019t want to create an additional burden for the person who is caring for him.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:heading -->\n<h2>GET AN ASSESSMENT<\/h2>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p>Most importantly, talk to your loved one\u2019s physician and request an assessment. There are many ways to treat depression in the elderly, from cognitive behavioral therapy to medications.<\/p>\n<!-- \/wp:paragraph -->",
"post_title": "Is Your Loved One Depressed?",
"post_excerpt": "Research shows that 10 to 20 percent of older patients seen by a primary care physician suffer from depression \u2013 and among the homebound, that figure may be as high as 46 percent. \nYet despite these statistics, depression in the elderly is frequently ignored. Keep an eye out for these warning signs of depression.",
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"post_date": "2020-07-08 21:52:15",
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"post_content": "<!-- wp:image {\"id\":108,\"sizeSlug\":\"large\"} -->\n<figure class=\"wp-block-image size-large\"><img src=\"https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2020\/07\/similing-woman-holding-asthma-inhaler.jpg\" alt=\"similing-woman-holding-asthma-inhaler\" class=\"wp-image-108\"\/><\/figure>\n<!-- \/wp:image -->\n\n<!-- wp:paragraph -->\n<p>In the summer, pollen and smoke are likely to cause asthma attacks. Asthma is a disease that causes airways in the lungs to become inflamed and makes it hard to breathe. Allergies can make asthma worse.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>Asthma affects about 8 percent of Americans. Seniors are often surprised to learn that they can develop asthma at an older age. But two million Americans over the age of 65 have asthma. Asthma can be particularly dangerous for aging adults. They may be at higher risk for infections. They may already have trouble breathing.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>For a safe and healthy summer, speak to your health care provider if you have trouble breathing. Follow these tips to help prevent asthma attacks and reduce allergens:<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p><strong>Maintain a Clean Home.<\/strong> Household cleaners can have perfumes or toxic fumes that can trigger wheezing, shortness of breath, and coughing. Look for cleaning products with non-toxic ingredients. Open the windows after cleaning with chemicals, especially with bleach.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p><strong>Make Your Home Fur-Free.<\/strong> Keep pets with fur or hair out of the home. If you can\u2019t let go of a family pet, make sure to keep it out of bedrooms.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p><strong>Keep Food in the Kitchen.<\/strong> Food kept in open places like a living room or bedroom can attract roaches. Roach waste is an allergen that can irritate lungs.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p><strong>Avoid Scented Products.<\/strong> Incense, air fresheners, and fresh paint can make asthma worse. So can perfume or scented creams.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p><strong>Be Smoke-Free.<\/strong> Households with asthmatic family members should be \u201cno smoking\u201d zones. Secondhand cigarette smoke can result in severe asthma attacks.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p><strong>Turn on the A\/C.<\/strong> Use air conditioners when possible. Avoid humidifiers. Pollen, bacteria, and mold thrive in warm, humid air. They are known to cause lung infections.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p><strong>Get a Flu Shot.<\/strong> A bout of summer flu can be very dangerous for older adults. It is especially serious for those with asthma. As we age, our immune systems weaken. Seniors have a higher risk for infection. Something like the flu can lead to pneumonia. It is important for adults with asthma to get the flu shot every year.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p><strong>Wash Up.<\/strong> Frequent hand washing by all members of a household can lessen the risk of spreading germs. Remind your loved ones to maintain good hygiene and healthy habits\u2014and be sure you\u2019re washing your hands too. <\/p>\n<!-- \/wp:paragraph -->",
"post_title": "Keep Asthma at Bay During Summer Allergy Season",
"post_excerpt": "For a safe and healthy summer, speak to your health care provider if you have trouble breathing. Follow these tips to help prevent asthma attacks and reduce allergens.",
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"post_date": "2023-10-11 16:08:29",
"post_date_gmt": "2023-10-11 20:08:29",
"post_content": "<!-- wp:image {\"id\":1303,\"sizeSlug\":\"large\"} -->\n<figure class=\"wp-block-image size-large\"><img src=\"https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2020\/08\/two-older-women-park-bench_0.jpg\" alt=\"two-older-women-park-bench\" class=\"wp-image-1303\"\/><\/figure>\n<!-- \/wp:image -->\n\n<!-- wp:heading {\"level\":3} -->\n<h3>WHAT TO EXPECT AND HOW TO MANAGE YOUR CONDITION<\/h3>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p>Alzheimer\u2019s disease affects how your brain works. You might have trouble remembering how to do things. You might struggle to remember names for friends or familiar objects. You might have trouble concentrating.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>Alzheimer\u2019s is a progressive disease. This means that symptoms are mild at first and become more noticeable over time. As your disease progresses, you might feel angry or frustrated. You may feel confused or scared or sad.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:heading -->\n<h2><strong>TREATMENT<\/strong><\/h2>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p>Alzheimer\u2019s disease cannot be cured. Instead, doctors help patients control the disease. Your doctor will come up with a treatment plan to help you with symptoms. Your plan may include:<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:list -->\n<ul><li>Medications. These can help with memory loss, sleep problems, or agitation.<\/li><li>Finding ways to reduce stress. Stress can make many symptoms of Alzheimer\u2019s worse.<\/li><li>Eating a nutritious diet and exercising regularly.<\/li><li>Helping you and your caregivers find support.<\/li><\/ul>\n<!-- \/wp:list -->\n\n<!-- wp:paragraph -->\n<p>Your doctor will also come up with a schedule for check-ups. Be sure to have your vision and hearing checked regularly. Problems in these areas can make you feel even more confused or disoriented.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:heading -->\n<h2><strong>STAYING WELL<\/strong><\/h2>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p>Organizing your life and your home are important, too. A consistent routine can provide comfort. Eat meals, sleep, and do chores at regular times. Schedule activities so you do difficult tasks when you feel best. Also, be sure to do things you enjoy. Activities that stimulate the brain may slow the progression of Alzheimer\u2019s. Talking to friends and listening to music keep your mind healthy.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>Make things easy to find at home. Remove clutter. Organize cupboards, closets, and drawers. Attach labels that describe contents.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>Take steps to improve your ability to do everyday activities. When you can follow the treatment plan your doctor recommends, you can enhance your quality of life for as long as possible.<\/p>\n<!-- \/wp:paragraph -->",
"post_title": "Living with Alzheimer's Disease",
"post_excerpt": "Alzheimer\u2019s disease cannot be cured. Instead, doctors help patients control the disease. Your doctor will come up with a treatment plan to help you with symptoms. Here's what to expect and how to manage your condition.",
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"post_content": "<!-- wp:image {\"id\":36486,\"sizeSlug\":\"large\",\"linkDestination\":\"none\"} -->\n<figure class=\"wp-block-image size-large\"><img src=\"https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2023\/10\/GettyImages-1175589703-1-1024x683.jpg\" alt=\"\" class=\"wp-image-36486\"\/><\/figure>\n<!-- \/wp:image -->\n\n<!-- wp:heading {\"level\":3} -->\n<h3 class=\"wp-block-heading\" id=\"h-what-to-expect-and-tips-for-staying-well\">WHAT TO EXPECT AND TIPS FOR STAYING WELL<\/h3>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p>If you or a loved one has heart disease, your heart isn\u2019t working as well as it should. It may not be getting enough blood, or it isn\u2019t able to pump enough blood through the body.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:heading {\"level\":3} -->\n<h3 class=\"wp-block-heading\" id=\"h-signs-and-symptoms\">SIGNS AND SYMPTOMS<\/h3>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p>Heart disease or heart failure can lead to chest pain (also called angina), irregular heartbeats, increased sweating, shortness of breath, weakness, or dizziness. Or they can trigger a heart attack with symptoms such as chest pain, shortness of breath, vomiting, lightheadedness, or pain that radiates to the back, jaw or arm. These symptoms should never be ignored, especially if you or a loved one has had a heart attack already. Other symptoms, such as sudden weight gain, shortness of breath, extreme fatigue, swelling in legs or abdomen, trouble sleeping, dry cough, or wheezing should also be watched, as these may indicate a heart condition is getting worse.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:heading {\"level\":3} -->\n<h3 class=\"wp-block-heading\" id=\"h-treatment\">TREATMENT<\/h3>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p>The way heart disease is treated depends on its severity and symptoms. Heart disease can\u2019t be cured, but it can be managed. Generally, your doctor will recommend a combination of steps to take, including:<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>Taking medications to treat high blood pressure, cholesterol, and angina, if necessary.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>Following a heart-healthy diet (such as eating less sodium and fat), avoiding or limiting alcohol, and managing your weight.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>Adjusting your lifestyle to get more rest, quit smoking, and exercise as recommended by your doctor.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>Sometimes surgery is needed to repair a damaged heart, or bypass a blocked artery to increase blood flow to the heart. Recovery after heart surgery requires medical supervision in order to prevent complications.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:heading {\"level\":3} -->\n<h3 class=\"wp-block-heading\" id=\"h-staying-well\">STAYING WELL<\/h3>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p>By following your doctor\u2019s treatment plan, you may be able to keep heart disease from getting worse . Once you start treatment, your doctor will want to see you regularly. If you are having trouble with lifestyle changes, he or she will help you find ways to stick with them. Your doctor will also check to see how well these changes and your medications are controlling your heart disease. If you\u2019ve had a heart attack, your doctor may recommend a cardiac rehabilitation program, where you can get help you with exercises, stress management, nutritional counseling, and other ways of reducing your risk of future heart problems.<\/p>\n<!-- \/wp:paragraph -->",
"post_title": "Living with Heart Disease",
"post_excerpt": "If you or a loved one has heart disease, your heart isn\u2019t working as well as it should. It may not be getting enough blood, or it isn\u2019t able to pump enough blood through the body. Here is what to expect, plus tips for staying well.",
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"post_date": "2023-10-11 16:08:26",
"post_date_gmt": "2023-10-11 20:08:26",
"post_content": "<!-- wp:image {\"id\":396,\"sizeSlug\":\"large\"} -->\n<figure class=\"wp-block-image size-large\"><img src=\"https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2020\/07\/all-healthy-living-blood-pressure-1.jpg\" alt=\"A blood pressure cuff \" class=\"wp-image-396\"\/><\/figure>\n<!-- \/wp:image -->\n\n<!-- wp:heading {\"level\":3} -->\n<h3>WHAT TO EXPECT AND TIPS FOR STAYING WELL<\/h3>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p>High blood pressure, or hypertension, occurs when the force of your blood against the walls of your arteries is higher than it should be. High blood pressure means that your heart has to work harder than normal to pump blood to all the different parts of your body.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>Blood pressure is given in two numbers. Systolic pressure measures the pressure when your heart beats. It is the first number. Diastolic pressure measures the pressure when your heart rests between beats. It is the second number. High blood pressure is defined as 140 mm HG\/90 mm HG or higher.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:heading -->\n<h2><strong>SIGNS AND SYMPTOMS<\/strong><\/h2>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p>High blood pressure is often called the silent killer because most people don\u2019t have any symptoms until their blood pressure is extremely high. These symptoms include severe headaches, vision changes, fatigue, confusion, or nosebleeds. You may feel perfectly fine but still have high blood pressure.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>High blood pressure is a major risk factor for heart disease, stroke, kidney disease, peripheral artery disease, vision problems\u2014even premature death. And it\u2019s very common. An estimated one in three adults has high blood pressure, and more than 50 percent of people over the age of 65 have it.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:heading -->\n<h2><strong>TREATMENT<\/strong><\/h2>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p>In most cases, high blood pressure cannot be cured. It\u2019s important to get it under control. Your doctor will recommend a treatment plan to manage it. This usually involves:<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:list -->\n<ul><li>A heart-healthy diet. This includes eating plenty of fruits, vegetables, whole grains, and low-fat dairy. Avoiding sodium, fat, and sugar are important. You may also need to limit or avoid alcohol and caffeine.<\/li><li>Exercising for at least 30 minutes, five or more times per week. <\/li><li>Losing weight or maintaining a healthy weight.<\/li><li>Adjusting your lifestyle. Your doctor may want you to get more rest, quit smoking, or better manage stress (through relaxation or meditation exercises, for example).<\/li><li>Taking medications to treat high blood pressure.<\/li><\/ul>\n<!-- \/wp:list -->\n\n<!-- wp:paragraph -->\n<p>Combining these approaches is likely to give you much better results than relying on one. To ensure that your blood pressure is under control, you may be advised to measure your blood pressure and to track readings in a log.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:heading -->\n<h2><strong>STAYING WELL<\/strong><\/h2>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p>Once you begin treatment, your doctor will want to see you regularly to find out if you are having problems with diet, exercise, and lifestyle changes. Your doctor can make suggestions so they are easier to follow. Your doctor will also want to see how well these changes and any medications you\u2019re taking are controlling your blood pressure. Your doctor will also check to see if you have any complications related to high blood pressure, or that can make it harder to control.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>By following your doctor\u2019s treatment, you can control your blood pressure. You will feel better and enjoy life more. <\/p>\n<!-- \/wp:paragraph -->",
"post_title": "Living with High Blood Pressure",
"post_excerpt": "High blood pressure means that your heart has to work harder than normal to pump blood to all the different parts of your body. Your doctor will recommend a treatment plan to manage it. By following your doctor\u2019s treatment, you can control your blood pressure. ",
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"post_date": "2023-10-11 16:08:28",
"post_date_gmt": "2023-10-11 20:08:28",
"post_content": "<!-- wp:image {\"id\":1305,\"sizeSlug\":\"large\"} -->\n<figure class=\"wp-block-image size-large\"><img src=\"https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2020\/08\/lungs-1.jpg\" alt=\"A drawn photo of lungs\" class=\"wp-image-1305\"\/><\/figure>\n<!-- \/wp:image -->\n\n<!-- wp:heading {\"level\":3} -->\n<h3>WHAT TO EXPECT AND TIPS FOR MANAGING YOUR SYMPTOMS<\/h3>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p>If you or a loved one has been diagnosed with chronic obstructive pulmonary disease (COPD), the whole family may be breathing uneasily because you don\u2019t know what to expect. The two most common forms of COPD are chronic bronchitis and emphysema. Chronic bronchitis means that the airways leading to the lungs are inflamed and partially blocked with excess mucus. Emphysema is when the air sacs in the lungs are damaged and trap air. Many people with COPD have a combination of chronic bronchitis and emphysema.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:heading -->\n<h2><strong>SIGNS AND SYMPTOMS<\/strong><\/h2>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p>When less air gets into the lungs, a person can experience a number of symptoms.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:list -->\n<ul><li>difficulty breathing<\/li><li>shortness of breath<\/li><li>wheezing, coughing<\/li><li>weakness<\/li><li>exhaustion<\/li><li>weight loss<\/li><li>bluish lips and skin<\/li><\/ul>\n<!-- \/wp:list -->\n\n<!-- wp:paragraph -->\n<p>You also may get frequent colds or chest infections. Some people with COPD also have asthma.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:heading -->\n<h2><strong>TREATMENT<\/strong><\/h2>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p>COPD is a progressive, long-term disease. It cannot be cured but it can be managed, especially if you start treatment before the disease is advanced.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>Your doctor and your home care team can help you improve your symptoms, slow the disease\u2019s damage to your lungs, and lead a more active life. This usually involves:<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:list -->\n<ul><li>Quitting smoking and avoiding secondhand smoke. Smoking is the leading cause of COPD.<\/li><li>Taking long-term and quick-acting medications. This includes using an inhaler properly.<\/li><li>Making changes to your home to remove possible lung irritants. This can help reduce breathing problems.<\/li><li>Making sure you eat a healthy diet, exercise, and manage stress, as recommended by your doctor.<\/li><\/ul>\n<!-- \/wp:list -->\n\n<!-- wp:paragraph -->\n<p>You are likely to get much better results by combining these approaches than relying on one exclusively. <\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:heading -->\n<h2><strong>STAYING WELL<\/strong><\/h2>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p>The best way to stay well is to follow your doctor\u2019s treatment plan. You can manage your symptoms and will feel better. You will also slow the disease\u2019s progression and prevent complications (such as respiratory infections, malnutrition, and depression).<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>Once you start treatment, plan to see your doctor regularly. Your doctor will check to see if your treatment plan is helping to relieve your breathing troubles. Your doctor will likely give you a simple breathing test called spirometry. This measures how well your lungs are functioning. If your symptoms get worse, your doctor also may order a chest X-ray or CT scan.<\/p>\n<!-- \/wp:paragraph -->",
"post_title": "Living with Pulmonary Disease",
"post_excerpt": "If you or a loved one has been diagnosed with chronic obstructive pulmonary disease (COPD), the whole family may be breathing uneasily. Here, you'll find information about what to expect and tips for managing your symptoms.",
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"post_date": "2020-07-08 21:45:10",
"post_date_gmt": "2020-07-08 21:45:10",
"post_content": "<!-- wp:image {\"id\":100,\"sizeSlug\":\"large\"} -->\n<figure class=\"wp-block-image size-large\"><img src=\"https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2020\/07\/older-man-cleaning-rain-gutter.jpg\" alt=\"An elderly man cleaning the house gutters \" class=\"wp-image-100\"\/><\/figure>\n<!-- \/wp:image -->\n\n<!-- wp:heading {\"level\":3} -->\n<h3>WHEN YOUR SPOUSE CAN NO LONGER DO A CHORE THAT\u2019S BEYOND YOUR ABILITIES, WHAT ARE YOUR OPTIONS?<\/h3>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p>Every marriage sees a division of labor. The problem, of course, isn\u2019t who does which job. It\u2019s who will take care of a task when the person who has done it is too old, too sick, or too frail to do it. For example, with Mom sick, how will Dad eat a healthy dinner when he can barely boil water?<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>Sometimes it\u2019s easy enough to take over a task or to learn a new skill. But if you\u2019re faced with a job that\u2019s beyond you physically or that requires a steep learning curve, here are some options to explore.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:heading -->\n<h2><strong>SEASONAL WORK<\/strong><\/h2>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p>For occasional or short-term chores that require strength or some skill\u2014cleaning the garage, installing or removing air conditioners, or cleaning gutters\u2014ask neighbors for recommendations for a reliable handyman. But they may not be able to fit you in when you need the work done. If so, what about neighborhood teens who might be happy to make a few extra dollars on a Saturday afternoon? Check with schools, churches, and even Scout troops. They can match you with teens who need volunteer or service work for college applications, confirmation, or merit badges.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:heading -->\n<h2><strong>MONEY MATTERS<\/strong><\/h2>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p>If you\u2019ve been happy to let your spouse pay the bills and balance the checkbook throughout your marriage, you may be extremely nervous at the thought of assuming financial responsibility. Relax! Many banks can walk you through the basics. Arrange an appointment at your local branch. They can also assist with setting up automatic bill-paying so nothing falls through the cracks.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:heading -->\n<h2><strong>COOKING<\/strong><\/h2>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p>Does your culinary expertise begin and end with pouring a bowl of cold cereal? You\u2019ll be happy to know there\u2019s a world of options beyond frozen dinners. The first step is to make a list of your favorite flavors and dishes. You can then either look for recipes (online as well as in cookbooks and magazines), or try the recipes your spouse used. If your initial attempts don\u2019t match your spouse\u2019s efforts, don\u2019t worry\u2014cooking is one area where practice pays off.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>If you\u2019re still overwhelmed, visit the supermarket during the day. This is when the meat, fish, and produce departments are likely to be staffed. Don\u2019t be afraid to ask questions. \u201cCan I use this in a salad?\u201d \u201cWhat kind of beef do I use for stew?\u201d \u201cWhat\u2019s the easiest way to cook salmon?\u201d Most staff will be happy to help, and grocery stores often have recipes you can look at to see what other ingredients you might need.<\/p>\n<!-- \/wp:paragraph -->",
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"post_excerpt": "Every marriage sees a division of labor. The problem, of course, isn\u2019t who does which job. It\u2019s who will take care of a task when the person who has done it is too old, too sick, or too frail to do it. Sometimes it\u2019s easy enough to take over a task or to learn a new skill. But if you\u2019re faced with a job that\u2019s beyond you physically or that requires a steep learning curve, here are some options to explore.",
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"post_date": "2023-10-11 16:08:26",
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"post_content": "<!-- wp:image {\"align\":\"center\",\"id\":3620,\"sizeSlug\":\"large\"} -->\n<div class=\"wp-block-image\"><figure class=\"aligncenter size-large\"><img src=\"https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2020\/07\/pharmacist-handing-medication-to-patient.jpg\" alt=\"\" class=\"wp-image-3620\"\/><\/figure><\/div>\n<!-- \/wp:image -->\n\n<!-- wp:paragraph -->\n<p>Medications play a big role in the daily lives of older Americans and those with chronic conditions. Four out of ten Americans age 65 and older take five or more medications regularly.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>It can be very hard to keep track of so many medications. Patients often don\u2019t take them as prescribed. This can lead to medicine-related hospital visits and even death!<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>It is very important to take your medications as directed. To help you keep track of your medications, here is a to-do list and five questions to ask your pharmacist or primary care doctor. Try to do these at least once a year.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p><strong>To Do<\/strong><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:list -->\n<ul><li>Make a complete list of your medications. Include name, condition you take it for, and dosage. This can be done with your pharmacist, your doctor, or your VNSNY CHOICE Care Manager. To help you compile the list, you may want to take your medicines with you to the pharmacy or primary care doctor. Take this list with you to all doctor appointments. This way, all of your doctors know what you are already taking.<\/li><li>Try to get all your prescriptions filled at the same pharmacy. That way, a pharmacist can make sure a new prescription will not interact with your existing medicines. (See question 2 below.)<\/li><li>Dispose of any old medications or ones the doctor tells you to stop taking. Talk to your pharmacist to make sure you get rid of them safely.<\/li><li>Let your doctor know if a medication causes side effects. If a new medicine makes you dizzy or hurts your stomach, you might decide to stop taking it. The doctor can often prescribe a similar medication that works better.<\/li><li>To keep from running out of medications that have to be specially authorized for insurance, call your doctor\u2019s office when you still have one refill left. If you do run out, ask your doctor about getting samples. That way, you will still be able to take your medication as you wait for your new prescription to be filled.<\/li><\/ul>\n<!-- \/wp:list -->\n\n<!-- wp:paragraph -->\n<p><strong>To Ask<\/strong><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:list {\"ordered\":true} -->\n<ol><li><em>What is this medication for, and how am I supposed to take it?<\/em>Over time, you can forget why you are taking a certain medication. Let your pharmacist remind you why and how to take the medicine. Some medicines should be taken on an empty stomach, and others a full stomach. Timing can be important, too. For instance, \u201cevery six hours\u201d means just that. You might have to wake up at night to stay with the schedule. It is not the same as \u201cfour times a day\u201d within waking hours.<\/li><li><em>Can these medicines interact with other things, including food?<\/em><br>Some medications can interact with others. This means they combine in ways that can be harmful. This is why it\u2019s important to make sure your pharmacist knows all the medications you are taking. Ask the pharmacist when adding a new medication. Medications can also interact with foods and beverages. Some blood pressure medicines cannot be taken with the salt-alternative Mrs. Dash. Lipitor cannot be taken with grapefruit juice.<\/li><li><em>Can I crush these pills? I have trouble swallowing.<\/em><br>It is not safe to crush some medications before you take them. Extended-release pills, for example, are designed so your body absorbs the medicine over time. If you crush them, the medicine will release too quickly and can have severe effects on your body. If you have trouble swallowing, ask your doctor if there is a liquid you can take. Or there may be a similar medication.<\/li><li><em>Do the medications my doctor wants me to take interact with any natural remedies or vitamins I take?<\/em><br>You might think that herbal supplements or teas are safe because they are \u201cnatural.\u201d They can still cause interactions and side effects. Ask your doctor or pharmacist if the natural medicines, supplements, or vitamins you take are safe to take with your prescriptions.<\/li><li><em>Can I stop this medication on my own?<\/em><br>Never stop a medication without talking with your physician. It\u2019s important to take all antibiotics, for example, to ensure that all the bacteria have been killed and won\u2019t return. And if side effects like nausea or trouble sleeping make you want to skip your medication, talk to your doctor right away. There may be other medications that may be easier for you to tolerate.<\/li><\/ol>\n<!-- \/wp:list -->\n\n<!-- wp:paragraph -->\n<p>After all, medicines can only help when you take them.<\/p>\n<!-- \/wp:paragraph -->",
"post_title": "Navigating Your Medications: Five Questions to Ask Your Pharmacist or Doctor",
"post_excerpt": "Medications play a big role in the daily lives of older Americans and those with chronic conditions. Four out of ten Americans age 65 and older take five or more medications regularly. It is very important to take your medications as directed. To help you keep track of your medications, here is a to-do list and five questions to ask your pharmacist or primary care doctor. Try to do these at least once a year.",
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"post_date": "2023-10-11 16:08:19",
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"post_content": "<!-- wp:paragraph -->\n<p>These nutrients are especially important for adults over age 65. If your diet falls short, here are tips to help ensure you get enough.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:image {\"id\":398,\"sizeSlug\":\"large\"} -->\n<figure class=\"wp-block-image size-large\"><img src=\"https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2020\/07\/older_adults_healthy_diet.original-1.jpg\" alt=\"A plate of healthy food \" class=\"wp-image-398\"\/><\/figure>\n<!-- \/wp:image -->\n\n<!-- wp:paragraph -->\n<p>Good nutrition is important for everyone, but eating a healthy, balanced diet often becomes more difficult with age. Older people may feel less hungry. They may need to avoid certain foods. They may have less money to spend on healthy food or have trouble getting to the store. More than half of adults over age 65 who are admitted to the hospital do not eat enough nutritious food. Over time, poor nutrition can make chronic diseases worse. It can also increase the risk of infection and slow down healing.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>These nutrients are especially important for older adults, with tips to ensure they are getting enough:<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p><strong>Vitamin B12<\/strong> may help protect against dementia, heart disease, and balance problems. Older adults may have trouble absorbing it from food.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:list -->\n<ul><li>Solution\u2014Eat more fish, lean meat, chicken, eggs, and dairy products. Consider a B12 supplement.<\/li><\/ul>\n<!-- \/wp:list -->\n\n<!-- wp:paragraph -->\n<p><strong>Calcium<\/strong> is important for healthy bones, muscles, and nerves. People tend to eat less calcium as they age.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:list -->\n<ul><li>Solution\u2014Three servings of low-fat milk or dairy products per day. Kale, broccoli, canned salmon (discard the skin, but mash in the bones), and calcium-fortified juices are other good sources. Homemade smoothies might tempt small appetites.<\/li><\/ul>\n<!-- \/wp:list -->\n\n<!-- wp:paragraph -->\n<p><strong>Vitamin D<\/strong> helps the body process calcium and maintain bone density. Our bodies make vitamin D when skin is exposed to sunlight. If you don\u2019t or can\u2019t go outside every day, your body might not produce enough.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:list -->\n<ul><li>Solution\u2014Three servings of vitamin D-fortified foods, such as milk or cereal, daily. The vitamin also occurs naturally in salmon, tuna, and eggs.<\/li><\/ul>\n<!-- \/wp:list -->\n\n<!-- wp:paragraph -->\n<p><strong>Potassium <\/strong>helps to lower blood pressure. Many older adults don\u2019t get the recommended amount.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:list -->\n<ul><li>Solution\u2014Fruits and vegetables at every meal. Avocados, oranges, dried beans (especially black beans), prunes, plums, and potatoes with skins are all very high in potassium.<\/li><\/ul>\n<!-- \/wp:list -->\n\n<!-- wp:paragraph -->\n<p><strong>Fiber <\/strong>helps to avoid constipation. It can also help lower heart disease risk and prevent type 2 diabetes. Most Americans get only about half the recommended amount of fiber.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:list -->\n<ul><li>Solution\u2014Eat lots of whole grains, nuts, beans, fruits, and vegetables.<\/li><\/ul>\n<!-- \/wp:list -->\n\n<!-- wp:paragraph -->\n<p><strong>Water <\/strong>is essential to good health. As we age, our sense of thirst decreases. Some medications increase dehydration risk.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:list -->\n<ul><li>Solution\u2014Drink five to eight glasses a day, even if you don\u2019t feel thirsty.<\/li><\/ul>\n<!-- \/wp:list -->",
"post_title": "Nutrition for Older Adults",
"post_excerpt": "These nutrients are especially important for adults over age 65. If your diet falls short, here are tips to help ensure you get enough.",
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"ID": 119,
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"post_date": "2020-07-08 22:21:46",
"post_date_gmt": "2020-07-08 22:21:46",
"post_content": "<!-- wp:image {\"id\":120,\"sizeSlug\":\"large\"} -->\n<figure class=\"wp-block-image size-large\"><img src=\"https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2020\/07\/all-living-well-optimism.jpeg\" alt=\"all-living-well-optimism\" class=\"wp-image-120\"\/><\/figure>\n<!-- \/wp:image -->\n\n<!-- wp:paragraph -->\n<p>Scientists are learning that positive thinking may be good for your health. Benefits may include:<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:list -->\n<ul><li>Living longer<\/li><li>Lower rates of depression<\/li><li>Lower risk of death from heart disease<\/li><li>Lower risk of stroke<\/li><li>Lower levels of distress<\/li><li>More resistance to the common cold<\/li><li>Feeling better mentally and physically<\/li><li>Better coping during times of stress<\/li><\/ul>\n<!-- \/wp:list -->\n\n<!-- wp:heading {\"level\":3} -->\n<h3>HOW DOES OPTIMISM WORK?<\/h3>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p>Science does not yet know for sure why people with positive attitudes have these health benefits. One theory is that optimistic people tend to live healthier lifestyles.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>Another theory has to do with stress. We know that stress produces harmful effects on your body. So, it may be that positive thinking helps reduce stress, and so reduces the damage it can do.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:heading {\"level\":3} -->\n<h3>REDUCING STRESS WITH A GOOD ATTITUDE<\/h3>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p>You can help control stress by following these common-sense rules:<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:list -->\n<ul><li>Eat and drink sensibly<\/li><li>Exercise regularly<\/li><li>Sleep soundly for as long as you need to feel rested<\/li><li>Keep in touch\u2014people who socialize tend to manage stress well<\/li><li>Go ahead and smile\u2014laughter really is great medicine<\/li><li>Allow yourself to be less than perfect<\/li><\/ul>\n<!-- \/wp:list -->\n\n<!-- wp:heading {\"level\":3} -->\n<h3>PRACTICE POSITIVE THINKING<\/h3>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p>If you\u2019re feeling depressed, you should see your doctor. But when you find yourself thinking negatively, there are some exercises you can do that really help:<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:list -->\n<ul><li><strong>Focus on what\u2019s going well<\/strong><em>.<\/em> Write down three events\u2014even small things like calling an old friend on the phone\u2014and give yourself credit for the role you played.<\/li><li><strong>Practice gratitude<\/strong><em>.<\/em> Write down three things that enrich your life and you\u2019re thankful for.<\/li><li><strong>Look on the bright side<\/strong><em>.<\/em> Write down a negative event from your past, then think of something positive that came out of it\u2014or might.<\/li><li><strong>Expect good things<\/strong><em>.<\/em> Imagine yourself doing something that feels good.<\/li><\/ul>\n<!-- \/wp:list -->",
"post_title": "Optimism Is Good For You!",
"post_excerpt": "Scientists are learning that positive thinking may be good for your health. One theory is that optimistic people tend to live healthier lifestyles. Another theory has to do with stress. ",
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"post_date": "2020-07-08 21:46:22",
"post_date_gmt": "2020-07-08 21:46:22",
"post_content": "<!-- wp:image {\"align\":\"left\",\"id\":102,\"height\":430,\"sizeSlug\":\"large\"} -->\n<div class=\"wp-block-image\"><figure class=\"alignleft size-large is-resized\"><img src=\"https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2020\/07\/couple-riverside-bench.jpg\" alt=\"An elderly couple sitting outside on a bench \" class=\"wp-image-102\" height=\"430\"\/><\/figure><\/div>\n<!-- \/wp:image -->\n\n<!-- wp:paragraph -->\n<p>Spending some time outside is good for us, mentally and physically. But you may be caring for someone who avoids leaving the house or apartment. Maybe mobility issues make your family member fearful. Or perhaps depression has sapped the energy to care that it\u2019s a beautiful day. Don\u2019t let those obstacles stop you. Instead, try these ideas to tempt your unwilling loved one into experiencing the benefits of time spent outdoors.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p><strong>Play a Game<\/strong><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>Bring an indoor pursuit outside. Set up a table on a porch or stoop for puzzles, board games, or cards. Books are another easily portable choice. Your loved one can relax with a favorite novel, or it could be fun to take turns reading out loud.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p><strong>Have a Picnic<\/strong><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>Food can be a pleasant motivator. A nearby park can make your picnic even more festive, but a simple bag lunch in the backyard can be just as satisfying. Make sure to pack a special treat!<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p><strong>Go Fishing<\/strong><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>Tossing a line in the water can be a wonderful way to unwind. Many piers and boats are wheelchair accessible, so do your homework first. <em>Bonus<\/em>: Most towns and cities offer free or discounted fishing licenses to folks over 65.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p><strong>Try Birding<\/strong><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>Bird watching doesn\u2019t have to include hiking or exotic travel. Hang a bird feeder in the yard to give your loved one a reason to check on feathered friends.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p><strong>Prospect for Gold<\/strong><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>Metal detecting can be done nearly anywhere. You probably won\u2019t strike it rich, but the possibility may be enough to get outdoors.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p><strong>Watch the People Parade<\/strong><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>People watching, whether from a park bench, at a mall, or sitting on a front stoop, can be very entertaining. Factor in the potential to see an old friend or neighbor or strike up conversation with a friendly stranger, and you have a recipe for success.<\/p>\n<!-- \/wp:paragraph -->",
"post_title": "Outdoor Activities for Seniors",
"post_excerpt": "Spending some time outside is good for us, mentally and physically. But you may be caring for someone who avoids leaving the house or apartment. Try these ideas to tempt your loved one into experiencing the benefits of time spent outdoors.",
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"ID": 26,
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"post_date": "2023-10-11 16:08:15",
"post_date_gmt": "2023-10-11 20:08:15",
"post_content": "<!-- wp:image {\"id\":1335,\"sizeSlug\":\"large\"} -->\n<figure class=\"wp-block-image size-large\"><img src=\"https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2020\/08\/doctor-taking-woman-blood-pressure-1.jpg\" alt=\"doctor-taking-woman-blood-pressure\" class=\"wp-image-1335\"\/><\/figure>\n<!-- \/wp:image -->\n\n<!-- wp:heading {\"level\":3} -->\n<h3>SIGNS YOUR AGING PARENTS MAY REQUIRE ADDITIONAL CARE AND SUPPORT<\/h3>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p>It may be hard to realize that your parents\u2014the people who took care of you\u2014may need help taking care of themselves. It may also be difficult to talk with them about their need for additional help. Starting the conversation early, while your parents are in good health and able to make decisions, lets you make plans and take steps to ensure that your parents get first-rate care and remain as healthy as possible, for as long as possible. <\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>As you help your aging parents, be alert and watch for changes in their physical and emotional health and their ability to take care of their own needs. Ask yourself the following questions about each parent:<\/p>\n<!-- \/wp:paragraph -->\n\n<ul>\n<li>Has your parent lost weight loss, especially without trying to?<\/li>\n<li>Does your parent have trouble getting safely around at home?<\/li>\n<li>Is your parent having trouble handling bathing, dressing, and grooming needs?<\/li>\n<li>Has your parent missed medical appointments?<\/li>\n<li>Has your parent\u2019s moods or personality changed suddenly or significantly? <\/li>\n<li>Does your parent have trouble performing regular activities?<\/li>\n<li>Does your parent fail to take medications as directed by a physician? <\/li>\n<li>Is your parent unable to drive safely?<\/li>\n<\/ul>\n\n<!-- wp:paragraph -->\n<p>If you answered \u201cyes\u201d to any of these questions, it\u2019s a good idea to ask your parent\u2019s doctor to assess their health and needs. In addition, you should continue to be on the lookout for major changes in your parents and discuss these changes together. Sooner or later, many elderly parents will struggle with physical or emotional challenges. If you have a plan in place to take care of these changes, you\u2019ll be in a better position to help your parents get the medical care needed and the most effective home care services.<\/p>\n<!-- \/wp:paragraph -->",
"post_title": "Planning for Your Loved One's Care",
"post_excerpt": "As you help your aging parents, be alert and watch for changes in their physical and emotional health and their ability to take care of their own needs. Ask yourself these questions about each parent.",
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"post_date": "2023-10-11 16:08:18",
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"post_content": "<!-- wp:paragraph -->\n<p>Inflammation isn\u2019t always a bad thing. It\u2019s how your body lets you know something is wrong. But when inflammation doesn\u2019t go away, it can become harmful. Find out how a healthy diet can reduce\u2014or even prevent\u2014chronic inflammation.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:image {\"id\":38,\"sizeSlug\":\"large\"} -->\n<figure class=\"wp-block-image size-large\"><img src=\"https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2020\/07\/Preventing-Inflammation_785x460.jpeg\" alt=\"Preventing-Inflammation-Food\" class=\"wp-image-38\"\/><\/figure>\n<!-- \/wp:image -->\n\n<!-- wp:heading {\"level\":3} -->\n<h3>4 TIPS TO REDUCING INFLAMMATION<\/h3>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p>Inflammation isn\u2019t always bad\u2014it\u2019s how your body lets you know something is wrong. But when inflammation doesn\u2019t go away, it can become harmful. In fact, many studies have found that it may play a serious role in a wide variety of diseases, including heart disease. The good news? The same habits that keep your heart healthy can help reduce your chances of developing chronic inflammation: Get regular exercise, don\u2019t smoke, and eat right. Here are specific foods that can help:<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:heading {\"level\":3} -->\n<h3>EAT PLENTY OF FRUITS AND VEGETABLES<\/h3>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p>Make it your goal to eat two cups (or two pieces) of fruit and two to three cups of vegetables every day. Deep orange fruits and vegetables, dark green leafy vegetables, and deep red or purple ones are particularly high in nutrients that can prevent inflammation, but all fruits and veggies will help. According to a 2001 Harvard University study, just one extra serving a day can reduce your risk of heart disease by four percent. <\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:heading {\"level\":3} -->\n<h3>PAY ATTENTION TO FATS<\/h3>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p>When it comes to fats, there are special types that can help to reduce inflammation. They are called omega-3 and omega-6 fatty acids. These are the \u201cbeneficial fats\u201d found in canola oil, flaxseed, walnuts, cruciferous vegetables (Brussels sprouts, kale, broccoli), and fatty fish. <\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:heading {\"level\":3} -->\n<h3>LIMIT TRANS FATS<\/h3>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p>This type of fat is found in processed and fried foods. It increases shelf life and adds flavor, but it also clogs arteries, contributes to weight gain, and causes inflammation. Avoid packaged baked goods like crackers and cookies (or stay within portion sizes) and limit fried foods or those made with shortening. <\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:heading {\"level\":3} -->\n<h3>GO WITH THE GRAIN<\/h3>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p>Whole grains can help protect against disease. They\u2019re packed with vitamins, minerals, and fiber, which are great at preventing and protecting against inflammation and keeping your heart healthy. <\/p>\n<!-- \/wp:paragraph -->",
"post_title": "Preventing Inflammation with a Healthy Diet",
"post_excerpt": "Prevent Inflammation with a Healthy Diet Inflammation isn\u2019t always a bad thing. It\u2019s how your body ... out how a healthy diet can reduce\u2014or even prevent\u2014chronic inflammation. 4 tips to reducing ... against inflammation and keeping your heart healthy. Healthy Living inflammation healthy diet healthy ...",
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"post_date": "2023-10-11 16:08:19",
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"post_content": "<!-- wp:image {\"id\":1323,\"sizeSlug\":\"large\"} -->\n<figure class=\"wp-block-image size-large\"><img src=\"https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2020\/08\/middle-aged-woman-in-yoga-pose-1.jpg\" alt=\"middle-aged-woman-in-yoga-pose\" class=\"wp-image-1323\"\/><\/figure>\n<!-- \/wp:image -->\n\n<!-- wp:paragraph -->\n<p>When you\u2019re responsible for someone else\u2019s care \u2013 whether it\u2019s an older parent, child, spouse, or another loved one \u2013 it can be far too easy to neglect your own health. But to do the best job as a caregiver, it\u2019s important to put yourself on the priority list. Staying physically and emotionally healthy can help you reduce your stress level, better manage the responsibilities of caregiving and improve your quality of life. <\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:heading -->\n<h2>DOCTOR VISITS AND MEDICAL TESTS<\/h2>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p>Medical appointments are essential for the person you\u2019re caring for \u2013 and they\u2019re just as essential for you. Making time to visit your doctor regularly can help you avoid problems before they arise. One way to ease the stress of medical visits is to find a doctor you feel comfortable talking to. You\u2019ll want to select a doctor who will help you take steps to prevent problems or catch them early, rather than wait to treat conditions after they arise. Once you have found the right doctor, schedule regular check-ups and make sure you get the appropriate vaccines and screening tests at the right times. These include regular weight checks, blood pressure readings at least every two years, and a complete blood lipid panel at least every five years. In addition, talk to your doctor about when you should have the following tests:<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:list -->\n<ul><li>A fasting blood sugar test (usually every three years after age 45)<\/li><li>Regular screenings for colon and rectal cancers, beginning at age 50<\/li><li>Regular skin exams to look for signs of skin cancer<\/li><li>An eye exam every three to five years<\/li><li>Dental check-ups twice a year<\/li><li>For men: Screening for prostate cancer (beginning at age 50)<\/li><li>For women: Screening for breast cancer (with a mammogram) every year or two (usually beginning at age 40); annual pelvic exams and a Pap test at least every two to three years; regular thyroid tests after age 45; and a bone density test after menopause.<\/li><\/ul>\n<!-- \/wp:list -->\n\n<!-- wp:heading -->\n<h2>HEALTH AND FITNESS<\/h2>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p>When it comes to general lifestyle, men and women alike should make an effort to develop and practice the same healthy habits, including:<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:list -->\n<ul><li>Eating a balanced, nutritious diet<\/li><li>Getting enough sleep<\/li><li>Quitting smoking<\/li><li>Managing stress and negative emotions<\/li><li>Striving to maintain a good work-life balance<\/li><li>Developing positive, supportive relationships<\/li><li>Exercising regularly<\/li><\/ul>\n<!-- \/wp:list -->",
"post_title": "Putting Yourself on the Priority List",
"post_excerpt": "When you\u2019re responsible for someone else\u2019s care, it can be far too easy to neglect your own health. But to do the best job as a caregiver, it\u2019s important to put yourself on the priority list. Staying physically and emotionally healthy can help you reduce your stress level, better manage the responsibilities of caregiving and improve your quality of life. ",
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"post_date": "2023-10-11 16:08:14",
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"post_content": "<!-- wp:image {\"id\":1337,\"sizeSlug\":\"large\"} -->\n<figure class=\"wp-block-image size-large\"><img src=\"https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2020\/08\/woman-with-massage-therapist-1.jpg\" alt=\"woman-with-massage-therapist-1\" class=\"wp-image-1337\"\/><\/figure>\n<!-- \/wp:image -->\n\n<!-- wp:heading {\"level\":3} -->\n<h3>ALTERNATIVE SOLUTIONS TO FEELING BETTER<\/h3>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p>About 100 million adults in the United States suffer from chronic pain, and it becomes more common with age. But many people don\u2019t want to use traditional medications for pain. What can they do instead? Important: It is essential to consult your doctor before you begin any alternative or complementary therapy. Here are six alternative methods to manage pain:<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p><strong>Acupuncture<\/strong><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>A key part of traditional Chinese medicine, it involves inserting very fine needles at specific points of the body. The <a href=\"http:\/\/apps.who.int\/medicinedocs\/pdf\/s4926e\/s4926e.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">World Health Organization (WHO)<\/a> lists pain as a condition that acupuncture can help, and one <a href=\"http:\/\/well.blogs.nytimes.com\/2012\/09\/11\/acupuncture-provides-true-pain-relief-in-study\/?_php=true&_type=blogs&_php=true&_type=blogs&_r=3\" target=\"_blank\" rel=\"noreferrer noopener\">study<\/a> offered strong support for acupuncture\u2019s effectiveness against pain. Acupuncture is generally considered safe when done by an experienced practitioner.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p><strong>Chiropractic Treatment<\/strong><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>Early <a href=\"http:\/\/nihseniorhealth.gov\/complementaryhealthapproaches\/researchonpainmanagement\/01.html\" target=\"_blank\" rel=\"noreferrer noopener\">NIH research<\/a> suggests this might help to relieve headaches and neck and lower back pain. Side effects are typically minor.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p><strong>Massage Therapy<\/strong><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>Studies indicate that massage can be helpful, especially for back and <a href=\"http:\/\/nccam.nih.gov\/research\/results\/spotlight\/060214\" target=\"_blank\" rel=\"noreferrer noopener\">neck pain<\/a>, and may also reduce stress. Some kinds of massage (such as deep-tissue massage) may not be okay for those with certain health conditions or taking certain medications (like blood thinners).<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p><strong>Tai Chi<\/strong><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>An ancient Chinese martial art, tai chi is sometimes referred to as \u201cmoving meditation.\u201d <a href=\"http:\/\/nihseniorhealth.gov\/complementaryhealthapproaches\/researchonpainmanagement\/01.html\" target=\"_blank\" rel=\"noreferrer noopener\">Research<\/a> suggests tai chi might help with fibromyalgia and osteoarthritis pain. Its low intensity makes it a particularly good fit for older adults. <\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p><strong>Yoga<\/strong><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>Yoga combines movements, breathing techniques, and meditation, and may reduce some kinds of pain. People with certain conditions, such as high blood pressure or glaucoma, must adapt or avoid some yoga positions. <\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p><strong>Relaxation Therapy<\/strong><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>Over time, stress can make some physical problems worse. show that meditation and other relaxation techniques may help to reduce pain caused by stress.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>Even though <a href=\"http:\/\/nccam.nih.gov\/health\/pain\/chronic.htm\" target=\"_blank\" rel=\"noreferrer noopener\">the hard science is not yet in<\/a> on many complementary health practices, the research looks promising. You or your loved one may <a href=\"http:\/\/www.webmd.com\/pain-management\/guide\/pain-management-alternative-therapy\" target=\"_blank\" rel=\"noreferrer noopener\">find these methods helpful in pain relief<\/a>. As long as the doctor approves, give an alternative therapy a try!<\/p>\n<!-- \/wp:paragraph -->",
"post_title": "Reduce Pain without Medicine",
"post_excerpt": "About 100 million adults in the United States suffer from chronic pain, and it becomes more common with age. But many people don\u2019t want to use traditional medications for pain. What can they do instead? Here are six alternative methods to manage pain.",
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"post_date": "2020-07-02 18:48:15",
"post_date_gmt": "2020-07-02 18:48:15",
"post_content": "<!-- wp:image {\"id\":35153,\"sizeSlug\":\"large\",\"linkDestination\":\"none\"} -->\n<figure class=\"wp-block-image size-large\"><img src=\"https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2023\/10\/GettyImages-1308292203-1024x683.jpg\" alt=\"\" class=\"wp-image-35153\"\/><\/figure>\n<!-- \/wp:image -->\n\n<!-- wp:heading -->\n<h2 class=\"wp-block-heading\" id=\"h-build-strength-increase-flexibility-and-feel-better\">Build Strength, Increase Flexibility, and Feel Better<\/h2>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p>Many people who have arthritis don\u2019t want to exercise. They think it will make their joint pain worse. In fact, the opposite is true. Regular exercise can ease arthritis pain and improve other symptoms. Exercise is also good for the rest of the body\u2014especially the heart and brain\u2014and can reduce the risk of type 2 diabetes, heart disease, and osteoporosis.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>According to the <a href=\"https:\/\/www.rheumatology.org\/Practice\/Clinical\/Patients\/Diseases_And_Conditions\/Exercise_and_Arthritis\/\">American College of Rheumatology<\/a>, people with arthritis who exercise regularly have less pain, more energy, and better sleep.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>Four types of exercise can help to reduce pain and help your joints move and work better. These exercises can also improve balance and coordination, and help with controlling weight.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>1. Flexibility exercises: These decrease the risk of injury and can improve posture. They help joints and surrounding muscles move easily. Range-of-motion and stretching exercises, including yoga and Pilates, are examples.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>2. Strengthening exercises: Stronger muscles do a better job of supporting joints. There is less pressure on your joints and that can mean less pain. Exercises that use resistance to work muscles build strength. Gravity can provide resistance (as with push-ups or lifting weights) so these are sometimes called \u201cweight-bearing\u201d exercises. Water can also provide resistance.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>3. Aerobic exercises: These exercises make your heart, lungs, and muscles stronger. Aerobics can also help improve mood and quality of sleep and control weight. Aerobic exercises include walking, dancing, swimming, bicycling, or exercising on equipment such as stationary bikes, treadmills, and elliptical trainers. Any activity, such as walking the dog or even vacuuming, can be intensified into an aerobic one.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>4. Body awareness exercises: This last form of exercise works to improve posture, balance, coordination, and relaxation. Tai chi and yoga are examples of exercises that incorporate elements of body awareness.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>The right exercise routine for you will depend on how old you are, how active you are, and how bad your arthritis is. Be sure to talk with your doctor to find out how to exercise safely.<\/p>\n<!-- \/wp:paragraph -->",
"post_title": "Relieve Arthritis With Exercise",
"post_excerpt": "Many people who have arthritis don\u2019t want to exercise. They think it will make their joint pain worse. In fact, the opposite is true. Regular exercise can ease arthritis pain and improve other symptoms. These four types of exercise can help to reduce pain and help your joints move and work better. ",
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"post_date": "2023-10-11 16:08:18",
"post_date_gmt": "2023-10-11 20:08:18",
"post_content": "<!-- wp:image {\"id\":395,\"sizeSlug\":\"large\"} -->\n<figure class=\"wp-block-image size-large\"><img src=\"https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2020\/07\/older-couple-holding-hands_0-1.jpg\" alt=\"An elderly couple holding hands\" class=\"wp-image-395\"\/><\/figure>\n<!-- \/wp:image -->\n\n<!-- wp:heading {\"level\":3} -->\n<h3 id=\"h-find-the-rewards-of-caring-for-a-loved-one\">FIND THE REWARDS OF CARING FOR A LOVED ONE<\/h3>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p>According to a\u00a0survey by AARP and the National Alliance for Caregiving, about 34 million Americans will serve as unpaid family caregivers each year. These caregivers spend anywhere from 20 to 60 hours per week performing their caregiving duties. Many caregivers also work or go to school.\u00a0All of these caregivers will feel stress. Some end up feeling trapped, and may even develop their own health problems. Others will find that caring for another person makes them feel better. They may feel that they are meeting challenges and helping to keep their family member safe and healthy. What are these people doing differently? Are there secrets to be learned from the way these caregivers approach their work?\u00a0<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:heading {\"level\":3} -->\n<h3 id=\"h-attitude-is-everything\">ATTITUDE IS EVERYTHING<\/h3>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p>The simple act of staying positive can have a major impact on emotional and physical health. Successful caregivers look on the bright side of their daily challenges. They try to find humor in their work, show compassion and take pride in what they are doing.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:heading {\"level\":3} -->\n<h3 id=\"h-staying-organized\">STAYING ORGANIZED<\/h3>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p>Caregivers have a lot to keep track of\u2014medications, doctor\u2019s appointments, bills, schedules, and so on. Successful caregivers know that having a system can lessen stress and free up time for things they enjoy. These caregivers: <\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:list -->\n<ul><li>keep important information and records up to date; <\/li><li>use family calendars so they don\u2019t miss appointments and to keep other caregivers in the loop; <\/li><li>find ways to make sure medications are taken; <\/li><li>take time to plan and set goals for what they must (and simply cannot) get done. <\/li><\/ul>\n<!-- \/wp:list -->\n\n<!-- wp:heading {\"level\":3} -->\n<h3 id=\"h-being-a-member-of-the-health-care-team\">BEING A MEMBER OF THE HEALTH CARE TEAM<\/h3>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p>Successful caregivers know that they have an important job. They are part of their loved one\u2019s health care team. They learn about their family member\u2019s medical condition. These caregivers make sure their family member gets regular check-ups and sees specialists when necessary. They look out for possible side effects from medications, and they alert health care workers of any changes they notice at home.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:heading {\"level\":3} -->\n<h3 id=\"h-taking-care-of-you\">TAKING CARE OF YOU<\/h3>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p>Successful caregivers know that caring for themselves is another part of the job. They find time to do things they enjoy, whether it\u2019s a night out with friends or a night in with a good book. They talk to their boss about changing their work schedule. They combat stress with meditation, exercise, and healthy eating. They also get regular check-ups to ensure their health is on track. And, perhaps most importantly, they ask for help when they need to\u2014enlisting family, friends, care professionals and support services. All of these things can give caregivers a sense of accomplishment and let them feel the emotional rewards and lasting benefits of caring for another.<\/p>\n<!-- \/wp:paragraph -->",
"post_title": "Secrets of Successful Caregivers",
"post_excerpt": "Some caregivers feel trapped, and may even develop their own health problems. Others find that caring for another person makes them feel better. What are these people doing differently? Are there secrets to be learned from the way these caregivers approach their work? ",
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"post_date": "2020-07-08 22:27:59",
"post_date_gmt": "2020-07-08 22:27:59",
"post_content": "<!-- wp:image {\"id\":128,\"sizeSlug\":\"large\"} -->\n<figure class=\"wp-block-image size-large\"><img src=\"https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2020\/07\/stop-sign.jpg\" alt=\" stop-sign\" class=\"wp-image-128\"\/><\/figure>\n<!-- \/wp:image -->\n\n<!-- wp:paragraph -->\n<p>Most caregivers have heard that taking care of themselves should be a top priority. After all, you can\u2019t be much help to someone else if you are sick or too tired. But when you have to do so much for someone else, how can you find the time for yourself? Setting limits is often hard. But it is very important for you and for your loved one.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>Here are some practical hints to help you do what must be done without getting overwhelmed:<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:heading -->\n<h2 id=\"h-make-a-plan\"><strong>Make a Plan<\/strong><\/h2>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p>Make a chart of all of your loved one\u2019s needs. Include how often those requirements must be met, and your ability to take care of them. Make another chart that outlines your obligations, such as work schedule, family commitments, or worship time. This is only a start, but it will give you a handle on what you will and will not be able to do. If your mom has a doctor\u2019s appointment on a day you can\u2019t take off of work, someone else will have to take her.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:heading -->\n<h2 id=\"h-get-help\"><strong>Get Help<\/strong><\/h2>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p>You can\u2019t do it all by yourself. Period. Enlist siblings, friends, neighbors, and professionals. And once they commit, make sure they follow through. Keep in mind that people don\u2019t always need to be close to help. Your brother who lives in another state might be the best choice to sort out insurance or pay bills, for example. The earlier you put this support network into place, the better, but it\u2019s never too late to ask for help. Remember, you are only one person and there are only so many hours in a day.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:heading -->\n<h2 id=\"h-reality-check\"><strong>Reality Check<\/strong><\/h2>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p>Caregiving will change. Medical and personal emergencies may occur. You may get hurt, or your loved one\u2019s health may decline. When situations and circumstances change, be flexible yet firm about finding solutions to meet evolving needs.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>Bottom line? Recognizing your own limits does not mean you\u2019re abandoning your loved one. And saying \u201cno\u201d does not mean \u201cI don\u2019t love you.\u201d The healthier and happier you are, the better you can care for others.<\/p>\n<!-- \/wp:paragraph -->",
"post_title": "Setting Boundaries and Saying \u201cNo\u201d as a Caregiver",
"post_excerpt": "Most caregivers have heard that taking care of themselves should be a top priority. After all, you can\u2019t be much help to someone else if you are sick or too tired. But when you have to do so much for someone else, how can you find the time for yourself? Setting limits is often hard. But it is very important for you and for your loved one.",
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"post_date": "2023-10-11 16:08:28",
"post_date_gmt": "2023-10-11 20:08:28",
"post_content": "<!-- wp:image {\"id\":1319,\"sizeSlug\":\"large\"} -->\n<figure class=\"wp-block-image size-large\"><img src=\"https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2020\/08\/heat_safety.original-1.jpg\" alt=\"Sunny Day\" class=\"wp-image-1319\"\/><\/figure>\n<!-- \/wp:image -->\n\n<!-- wp:heading {\"level\":3} -->\n<h3>FOLLOW THESE TIPS TO STAY SAFE AND HEALTHY WHEN THE WEATHER IS HOT<\/h3>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p>Hot weather can increase everyone\u2019s risk for heat exhaustion and dehydration, but it\u2019s especially dangerous for seniors. Follow these simple tips to keep older adults safe and healthy during hot and humid weather: <\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:heading {\"level\":3} -->\n<h3>DRINK UP<\/h3>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p>One of the most important ways to stay healthy during the summer is to drink enough fluids to avoid dehydration. Drink plenty of water and eat foods that contain a lot of water, such as fruits, vegetables, gelatin (Jell-O), and ice pops. Beware of coffee and alcohol, which can dehydrate the body of fluids. <\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:heading {\"level\":3} -->\n<h3>REMEMBER TO EAT<\/h3>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p>Though your appetite may decrease in summer months, it is important to continue to eat well. Be sure your daily meals contain lean protein (like chicken without skin or fish) and carbohydrates (such as vegetables and whole grains). Eat small, frequent meals to keep up your strength. <\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:heading {\"level\":3} -->\n<h3>ENJOY COOL BATHS AND SHOWERS<\/h3>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p>Take frequent cool (not cold!) baths and showers to keep your body temperature from rising too high. Be sure that the bathtub has a slip-resistant mat or safety bars to prevent slips and falls. <\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:heading {\"level\":3} -->\n<h3>CONSIDER A HOME HEALTH AIDE<\/h3>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p>For elderly people who live alone, regular home visits offer welcome companionship when a heat wave keeps you inside. A home health aide can also provide peace of mind for family members. <\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:heading {\"level\":3} -->\n<h3>SKIP THE SUN\u2019S PEAK HOURS<\/h3>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p>The hottest time of the day is between 10 AM and 2 PM. Avoid cooking and try to stay inside during these hours. If you must leave the house during a heat wave, wear loose, light-colored clothing and a wide-brimmed hat. Always keep a fresh bottle of water in the refrigerator and bring it with you when you leave the house. <\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:heading {\"level\":3} -->\n<h3>SEEK OUT COOL PLACES<\/h3>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p>Visit your local library, shopping center, movie theater, community center, or anyplace with air conditioning. Make sure you can get to important places like the police station, fire station, pharmacy and hospital, in case of an emergency. <a href=\"https:\/\/www.vnshealthplans.org\/living-well\/are-you-drinking-enough-water\">For more about Staying Hydrated, see \u201cAre You Drinking Enough Water?\u201d<\/a><\/p>\n<!-- \/wp:paragraph -->",
"post_title": "Stay Safe in Hot Weather",
"post_excerpt": "Hot weather can increase everyone\u2019s risk for heat exhaustion and dehydration, but it\u2019s especially dangerous for seniors. Follow these simple tips to keep older adults safe and healthy during hot and humid weather.",
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"post_date": "2020-07-08 21:54:12",
"post_date_gmt": "2020-07-08 21:54:12",
"post_content": "<!-- wp:image {\"id\":110,\"sizeSlug\":\"large\"} -->\n<figure class=\"wp-block-image size-large\"><img src=\"https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2020\/07\/diet_or_supplements.original.jpg\" alt=\"diet_or_supplements.original\" class=\"wp-image-110\"\/><\/figure>\n<!-- \/wp:image -->\n\n<!-- wp:heading -->\n<h2>SHOULD YOU TAKE VITAMINS?<\/h2>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p>Eating many different kinds of foods is an important way to stay healthy. Food contains nutrients that our bodies need. Sometimes, people don\u2019t eat enough foods that are high in nutrients. Supplements are an easy way to add nutrients to your diet. Daily vitamins, protein powders, or nutrition drinks are types of supplements.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>Experts recommend that healthy people eat nutrient-dense foods rather than take supplements. But busy caregivers may not have the time to purchase and prepare healthy meals. Or you may be caring for someone with little or no appetite. Supplements or fortified foods can help provide nutrients that you might be missing.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>Talk to your doctor if you answer \u201cyes\u201d to any of these questions:<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:list -->\n<ul><li>Do you eat fewer than 2 meals a day?<\/li><li>Is your diet restricted? (For example, you don\u2019t eat meat or dairy, or you eat fewer than 5 servings of fruit and vegetables every day.)<\/li><li>Do you eat most of your meals alone?<\/li><li>Have you gained or lost more than 10 pounds in the last six months without trying to?<\/li><li>Do you take 3 or more medications a day?<\/li><li>Do you have 3 or more alcoholic drinks a day?<\/li><\/ul>\n<!-- \/wp:list -->\n\n<!-- wp:paragraph -->\n<p>Never start taking a supplement without talking to your doctor! There are many reasons why:<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:list -->\n<ul><li>You may not need any.<\/li><li>Some vitamins and minerals may be harmful in large amounts.<\/li><li>Supplements are not tested or regulated.<\/li><li>Some can interact with medications.<\/li><\/ul>\n<!-- \/wp:list -->\n\n<!-- wp:paragraph -->\n<p>It is very important for anyone with a condition like diabetes, high blood pressure, or heart disease to get a doctor\u2019s OK before taking a supplement. Your doctor can tell you the dosage and form or source you should take (calcium, for example, comes in many forms from different sources).<\/p>\n<!-- \/wp:paragraph -->",
"post_title": "Supplements and Healthy Diets",
"post_excerpt": "Eating many different kinds of foods is an important way to stay healthy. Food contains nutrients that our bodies need. Sometimes, people don\u2019t eat enough foods that are high in nutrients. Supplements are an easy way to add nutrients to your diet. Daily vitamins, protein powders, or nutrition drinks are types of supplements.",
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"post_date": "2023-10-11 16:08:25",
"post_date_gmt": "2023-10-11 20:08:25",
"post_content": "<!-- wp:image {\"id\":69,\"sizeSlug\":\"large\"} -->\n<figure class=\"wp-block-image size-large\"><img src=\"https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2020\/07\/all-living-well-preventing-falls.jpg\" alt=\"A safety shower handle \" class=\"wp-image-69\"\/><\/figure>\n<!-- \/wp:image -->\n\n<!-- wp:list {\"ordered\":true} -->\n<ol><li>Wear shoes and slippers that have non-slip soles. Avoid wearing socks only \u2013 they might cause you to slip.<\/li><li>Consider installing handrails in your bathroom and non-slip strips or a rubber mat in your bathtub.<\/li><li>Consider using a hand-held shower head and handrails for support.<\/li><li>Don\u2019t leave any clothes, magazines, bags, or other objects lying around on the floor \u2013 you might trip over them.<\/li><li>Place loose electrical cords or telephone wires out of walking areas.<\/li><li>Prefer chairs with armrests \u2013 they\u2019re easier to get in and out of.<\/li><li>Remove or secure any loose rugs or mats.<\/li><li>Be sure hallways and staircases are well-lighted. When walking up or down stairs, hold onto a handrail.<\/li><li>Store most frequently used items on low shelves within easy reach.<\/li><li>Consider using a cordless phone and an answering machine with caller ID so missed calls can be returned.<\/li><\/ol>\n<!-- \/wp:list -->\n\n<!-- wp:paragraph -->\n<p>Taking these steps can help reduce your risk of falling and help you live safely in the comfort of your own home.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:heading {\"level\":3} -->\n<h3>HAVE YOU CONSIDERED A PERSONAL EMERGENCY RESPONSE SYSTEM?<\/h3>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p>A Personal Emergency Response System (PERS) is an electronic device that you can use to get help in an emergency, particularly if you are alone. You carry or wear a transmitter that is connected to your telephone. If you need help, you press the help button and it calls pre-selected emergency numbers to get help. Most PERS are programmed to call an emergency response center that will manage the situation until the crisis is resolved.<\/p>\n<!-- \/wp:paragraph -->",
"post_title": "Ten Home Safety Tips",
"post_excerpt": "Taking these steps can help reduce your risk of falling and help you live safely in the comfort of your own home.",
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"ID": 93,
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"post_date": "2020-07-08 21:10:26",
"post_date_gmt": "2020-07-08 21:10:26",
"post_content": "<!-- wp:image {\"id\":94,\"sizeSlug\":\"large\"} -->\n<figure class=\"wp-block-image size-large\"><img src=\"https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2020\/07\/older-woman-on-cordless-phone.jpg\" alt=\"older-woman-on-cordless-phone\" class=\"wp-image-94\"\/><\/figure>\n<!-- \/wp:image -->\n\n<!-- wp:paragraph -->\n<p><strong>Loneliness and Health<\/strong><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>Loneliness can cause health problems, no matter how old one is. And people are more likely to feel lonely as they get older. Retirement shrinks social networks; spouses, siblings, and friends pass away; changes in health limit mobility; and children often live far away. The health risks include physical and mental troubles, from depression to heart disease and even early death.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>Social support is clearly an important part to aging well. Does your loved one have any of these risk factors? <\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p><strong>Health and Mobility<\/strong><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>How is your family member's overall health? Is walking difficult? Does he or she no longer drive? These can severely restrict social interaction.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p><strong>Contact with Family and Friends<\/strong><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>How often does your loved one get visitors? What about phone calls? Do children and grandchildren live far away? Is the person comfortable using Facebook, email, or Skype to keep in touch with others?<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p><strong>Living Alone<\/strong><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>While this doesn\u2019t always mean trouble, it can be a red flag. Does your loved one talk about getting together with friends or family?<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p><strong>Money Issues<\/strong><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>Limited income can lead to fewer options for social activities.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p><strong>Sexual Orientation<\/strong><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>Lesbian, gay, bisexual, and transgender seniors are much more likely to live alone, have no children, and be cut off from their parents or siblings.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>It\u2019s important to keep in mind that everyone\u2019s needs are different. Some folks are happy to spend time alone. At the same time, living with someone is no guarantee against being lonely.<\/p>\n<!-- \/wp:paragraph -->",
"post_title": "The Health Risks of Being Lonely",
"post_excerpt": "Loneliness can cause health problems, no matter how old one is. And people are more likely to feel lonely as they get older. Does your loved one have any of these risk factors?",
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"ID": 89,
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"post_date": "2020-07-08 20:56:15",
"post_date_gmt": "2020-07-08 20:56:15",
"post_content": "<!-- wp:image {\"id\":5487,\"sizeSlug\":\"large\"} -->\n<figure class=\"wp-block-image size-large\"><img src=\"https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2020\/10\/blood-glucose-monitor-tape-measure-salad-1024x683.jpg\" alt=\"Fruit and vegetable salad and glucose meter with tape measure\" class=\"wp-image-5487\"\/><\/figure>\n<!-- \/wp:image -->\n\n<!-- wp:heading {\"level\":3} -->\n<h3 id=\"h-a-diet-high-in-carbohydrates-may-be-linked-to-mild-cognitive-impairment\">A DIET HIGH IN CARBOHYDRATES MAY BE LINKED TO MILD COGNITIVE IMPAIRMENT.<\/h3>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p>We know that a diet high in starchy foods can lead to diabetes and heart disease. Starchy foods are carbohydrates. Some studies show that this food group also may be linked to mild cognitive impairment (MCI). MCI may be an early form of Alzheimer\u2019s disease. MCI does not always lead to Alzheimer\u2019s, though.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>A recent study by the Mayo Clinic found that older people who ate a diet high in starchy foods were four times more likely to develop MCI. Eating a diet high in sugar increases the risk. The study also found that eating lean proteins and fats from healthful sources helped to keep the brain healthy. <\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>Researchers still do not know what causes Alzheimer\u2019s. Cognitive decline can be caused by many things. It is still a good idea to take a look at your diet and try to eat foods that can help keep your brain and body healthy.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p><strong>The Importance of Insulin<\/strong><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>Insulin is a hormone the body uses for many functions. One function is to keep brain cells healthy. <\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>Foods that contain carbohydrates, or carbs, raise blood glucose levels (glucose is a type of sugar). There are two types of carbs. Complex carbs take longer to digest. They cause blood sugar to rise slowly. Refined or simple carbs are digested quickly. They cause blood sugar levels to go up very quickly. Eating a diet that is high in refined carbs could lead to insulin resistance over time.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>Insulin resistance is when cells stop responding to insulin. When this happens, our bodies make more insulin. Insulin resistance can lead to type 2 diabetes. With Alzheimer\u2019s, parts of the brain become resistant to insulin. In fact, those with diabetes are twice as likely to develop Alzheimer\u2019s.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p><strong>Balance Your Plate<\/strong><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>Good sources of complex carbs are vegetables, fruits, dried beans and whole grains. These foods provide your body with energy. They contain fiber, vitamins and minerals. Refined carbs are those from sugar (even honey), fruit juices, white bread, white rice, pastries, sodas, and processed foods.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>To keep your brain healthy, avoid refined carbs and add healthy fats and proteins. Think of the proportions of your plate. Half should be filled with non-starchy vegetables like salad greens, broccoli, or bell peppers. One fourth should contain a heart-healthy protein like salmon, skinless chicken, turkey burger, lean beef or pork with the fat trimmed off. The last quarter of your plate should contain a high-fiber, complex carb like brown rice, whole wheat pasta, barley, quinoa, or even corn or peas. And when it comes to dessert, save the cake for a special treat and choose fresh fruit instead.<\/p>\n<!-- \/wp:paragraph -->",
"post_title": "The Link Between Carbohydrates, Insulin, and Alzheimer\u2019s",
"post_excerpt": "While researchers still do not know what causes Alzheimer\u2019s, cognitive decline can be caused by many things. It is still a good idea to take a look at your diet and try to eat foods that can help keep your brain and body healthy.",
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"post_date": "2023-10-11 16:08:20",
"post_date_gmt": "2023-10-11 20:08:20",
"post_content": "<!-- wp:paragraph -->\n<p>Learn some ways you can help reduce the \u201cbad\u201d cholesterol and increase the \u201cgood cholesterol\u201d in your blood by knowing which foods to avoid, which foods to eat more of and how to cook them.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:image {\"align\":\"center\",\"id\":45,\"sizeSlug\":\"large\",\"linkDestination\":\"none\"} -->\n<div class=\"wp-block-image\"><figure class=\"aligncenter size-large\"><img src=\"https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2020\/07\/healthy-meal-chicken-veggie-wrap-1.jpg\" alt=\"healthy-meal-chicken-veggie-wrap\" class=\"wp-image-45\"\/><\/figure><\/div>\n<!-- \/wp:image -->\n\n<!-- wp:paragraph -->\n<p>By choosing the right foods, you can help reduce the \u201cbad\u201d cholesterol (LDL) in your blood and increase the \u201cgood\u201d cholesterol (HDL), which helps your body get rid of the \u201cbad\u201d cholesterol. Planning a heart-healthy diet means knowing which foods to eat more of and which foods to avoid. It means steaming, broiling, or grilling instead of frying. It also means controlling your portion size, choosing nutrient-rich foods and limiting fats and alcohol.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:list -->\n<ul><li>Eat whole grains like oatmeal, whole grain cereals, brown rice, whole grain pasta, whole grain breads. AVOID muffins, doughnuts, biscuits, granola bars, cakes, pies, buttered popcorn, chips, cornbread if you have high triglyceride levels in your blood.<\/li><li>Eat fruits and vegetables. Choose good sources of high-fiber fresh and frozen vegetables and fruit, low-salt canned vegetables and canned fruit packed in juice or water. AVOID coconut, vegetables with cream sauces, breaded vegetables, canned fruit packed in heavy syrup.<\/li><li>Eat no-salt or reduced-salt (sodium) food like herbs and spices, salt substitutes, reduced-salt canned soups and prepared meals, reduced-salt ketchup and soy sauce. AVOID table salt, regular soy sauce, canned soups, frozen dinners.<\/li><li>Eat unsaturated or trans fat-free foods like olive and canola oils, soybean oil, trans fat-free margarine or cholesterol-free spreads, almonds, walnuts, and seeds. AVOID butter, lard, bacon, cream sauce, gravy, nondairy creamers, cocoa butter, trans fats found in hydrogenated margarine and shortening, cookies or crackers or chips with partially hydrogenated fats ingredients, palm oil and coconut oil.<\/li><li>Eat low-fat protein like skim or 1% milk, fat-free or low-fat dairy products, egg whites, soybean products, lean ground meat, skinless chicken breasts, beans, lentils and peas, salmon, tuna, mackerel, sardines and herring. AVOID full-fat milk and dairy products, liver, egg yolks, spareribs, cold cuts, frankfurters, sausage, bacon, fried or breaded or canned meats, marbled meats.<\/li><\/ul>\n<!-- \/wp:list -->\n\n<!-- wp:heading {\"level\":3} -->\n<h3 id=\"h-planning-heart-healthy-meals\">PLANNING HEART-HEALTHY MEALS<\/h3>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p>Plan your meals ahead of time to help ensure a healthy diet. Make a shopping list so that you have heart-healthy foods on hand. Consult with your doctor or a registered dietitian if you are not sure whether something is good or bad for your heart. And have your body mass index (BMI) checked next time you see your doctor. Eating right is the way to a healthy heart.<\/p>\n<!-- \/wp:paragraph -->",
"post_title": "The Way To Heart-Healthy Meals",
"post_excerpt": "Learn some ways you can help reduce the \u201cbad\u201d cholesterol and increase the \u201cgood cholesterol\u201d in your blood by knowing which foods to avoid, which foods to eat more of, and how to cook them.",
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"ID": 113,
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"post_date": "2020-07-08 22:08:17",
"post_date_gmt": "2020-07-08 22:08:17",
"post_content": "<!-- wp:image {\"id\":114,\"sizeSlug\":\"large\"} -->\n<figure class=\"wp-block-image size-large\"><img src=\"https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2020\/07\/open-chinese-food-cartons-on-table.jpg\" alt=\"open-chinese-food-cartons-on-table\" class=\"wp-image-114\"\/><\/figure>\n<!-- \/wp:image -->\n\n<!-- wp:heading {\"level\":3} -->\n<h3>WHAT TO DO WHEN CAREGIVING DUTIES ENCROACH ON YOUR TIME AT THE OFFICE.<\/h3>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p>The working caregiver looks like any other employee. She goes to work every day. She wants to focus on her job, but sometimes caregiving duties come up. She may have to call the doctor or check in with a home health aide. Despite her dedication, her productivity suffers.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>This lost productivity is called presenteeism. It is very costly for employers. But its cost is a problem for caregivers, too. When you know you aren\u2019t doing your best, you feel that much more under strain. You might try to make up for lost time by working through lunch. You might use vacation time for caregiving rather than relaxing. As a result, caregivers often become sick or run-down. Productivity may decline even more.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>What can a caregiver do to avoid presenteeism? The first step is to do what you can to ease caregiving.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>Try to figure out what you are concerned about. This will help you find solutions that work for you. That can help you to feel relaxed and focus on your job.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>Give yourself permission to take shortcuts. Have others do things at home so you can meet your work obligations. You might get a home health aide or have groceries delivered.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>If you can\u2019t afford to hire someone, reach out to a neighbor or family member who can help. Just as mothers who go back to work after having a child rely on a support network, lining up the right kind of help will free you to do what you need to do at work.<\/p>\n<!-- \/wp:paragraph -->",
"post_title": "The Working Caregiver: Productivity",
"post_excerpt": "The working caregiver looks like any other employee. She goes to work every day. She wants to focus on her job, but sometimes caregiving duties come up. She may have to call the doctor or check in with a home health aide. Despite her dedication, her productivity suffers. What can a caregiver do to avoid presenteeism?",
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"post_date": "2023-10-11 16:08:24",
"post_date_gmt": "2023-10-11 20:08:24",
"post_content": "<!-- wp:image {\"id\":395,\"sizeSlug\":\"large\"} -->\n<figure class=\"wp-block-image size-large\"><img src=\"https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2020\/07\/older-couple-holding-hands_0-1.jpg\" alt=\"An elderly couple holding hands \" class=\"wp-image-395\"\/><\/figure>\n<!-- \/wp:image -->\n\n<!-- wp:list {\"ordered\":true} -->\n<ol><li><strong>Don't try to do it alone. <\/strong>Daily caregiving can be very, very demanding. You may find it hard to go to work or even find the time to get prescriptions filled or go to the grocery store. So if a friend, family member or neighbor offers to help, accept.<\/li><li><strong>Take care of your own health. <\/strong>Try to get some exercise every day, even if it means just a few short walks or doing a DVD or videotape at home. Keep your own doctor's appointments\u2014many caregivers are so busy taking their family members to appointments that they neglect their own health. Remember to get a flu shot, a cholesterol screening, blood pressure check, and other annual exams.<\/li><li><strong>Get the training you need. <\/strong>As hospital care improves, patients often have shorter hospital stays. But when your loved one comes home from the hospital, you shouldn't be expected to know how to care for them without training. You will need to be taught how to keep a wound clean and change bandages; how to move your family member without hurting your back; and how to make sure your family member is taking medications correctly. Before your loved one goes home, ask a hospital nurse to instruct you in these tasks.<\/li><li><strong>Make time for a break. <\/strong>There are many programs that provide \u201crespite care\u201d \u2013 a break for caregivers \u2013 so you can run an errand, go to a movie with a friend or go to the gym. Your local Agency on Aging may have resources to send in a home attendant, or you may be able to place your loved one in an adult day care program.<\/li><li><strong>Join a caregiver support group. <\/strong>Connecting with others who share your situation can be the best way to manage your own emotions and prevent \"burnout\" and depression. If you can't leave your family member at home, join a telephone support group \u2013 you can still have a strong connection to other caregivers without having to arrange more care. It really helps!<\/li><\/ol>\n<!-- \/wp:list -->",
"post_title": "Tips for Avoiding Burnout and Exhaustion",
"post_excerpt": "Daily caregiving can be very, very demanding. You may find it hard to go to work or even find the time to get prescriptions filled or go to the grocery store. So if a friend, family member or neighbor offers to help, accept.",
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"post_date": "2020-07-08 22:29:18",
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"post_content": "<!-- wp:image {\"align\":\"center\",\"id\":130,\"width\":750,\"height\":430,\"sizeSlug\":\"large\"} -->\n<div class=\"wp-block-image\"><figure class=\"aligncenter size-large is-resized\"><img src=\"https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2020\/07\/goldfish-swimming-over-colorful-gravel.jpg\" alt=\"goldfish-swimming-over-colorful-gravel\" class=\"wp-image-130\" width=\"750\" height=\"430\"\/><\/figure><\/div>\n<!-- \/wp:image -->\n\n<!-- wp:heading {\"level\":3} -->\n<h3>ADOPT HEALTHIER WAYS TO COPE WITH THE STRESS FROM CAREGIVING.<\/h3>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p>It\u2019s no secret that caregiving is stressful. Caregivers also manage stress in less healthy ways. For instance, caregivers are more likely to smoke to help cope with the pressure of caring for a loved one. Sometimes caregivers do things to relieve stress that end up causing more worry. If you shop as a way to unwind, you may avoid opening your credit card statements.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>So, how can you relieve stress without causing more harm? Here are two techniques. These can help you change the way you react to stressful events.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:heading -->\n<h2><strong>Change Your Perspective<\/strong><\/h2>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p>When you are happy, a minor setback might not upset you. But when you are tense, a small mistake can seem like a big deal. Say you forget a doctor\u2019s appointment. A worried caregiver might tell herself, \u201cI\u2019m a bad caregiver.\u201d This type of thinking is dangerous. It can lead to depression. When you change how you look at your thoughts, you can respond with a healthier message. For instance, you might tell yourself, \u201cEveryone makes mistakes. Forgetting one appointment does not make me a bad caregiver.\u201d<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:heading -->\n<h2><strong>Relaxation Techniques<\/strong><\/h2>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p>The most important thing to remember is that small changes can go a long way. Try to find 15 minutes for yourself each day.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:list -->\n<ul><li>Practice deep breathing meditation. Take long, deep breaths through the belly, rather than short, shallow breaths from your upper chest.<\/li><li>Imagine yourself in a peaceful place. What does this place look like? Smell like? How do you feel? Fill in as much detail as you can.<\/li><li>Find a diversion. This activity can be anything that takes your attention away from worries and quiets your mind.<\/li><li>Get a pet. Some studies have shown owning pets can reduce stress. Watching a fish tank can be very relaxing.<\/li><li>Practice yoga or tai chi. Both help with flexibility and strength. They also use deep breathing techniques that can lower stress levels.<\/li><\/ul>\n<!-- \/wp:list -->",
"post_title": "Tips for Caregivers to Manage Stress",
"post_excerpt": "It\u2019s no secret that caregiving is stressful. Here are two techniques that can help you change the way you react to stressful events.",
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"post_date": "2023-12-11 07:23:00",
"post_date_gmt": "2023-12-11 12:23:00",
"post_content": "<!-- wp:image {\"id\":35972,\"sizeSlug\":\"large\",\"linkDestination\":\"none\"} -->\n<figure class=\"wp-block-image size-large\"><img src=\"https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2023\/12\/Tips-for-Caregivers-Featured-1024x536.jpg\" alt=\"\" class=\"wp-image-35972\"\/><\/figure>\n<!-- \/wp:image -->\n\n<!-- wp:paragraph -->\n<p>Caring for a loved one who can no longer care for themselves can get exhausting and frustrating. If you\u2019re a caregiver, make sure you take a break when you need one. If you\u2019re the one who needs care, reassure your caregiver that it\u2019s ok to step away sometimes.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p><strong>Here are some simple ways to recharge:<\/strong><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:list -->\n<ul><!-- wp:list-item -->\n<li>Take a walk.<\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li>Practice deep breathing.<\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li>Meditate.<\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li>Call a friend.<\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li>Spend time on a hobby you enjoy.<\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list -->\n\n<!-- wp:paragraph -->\n<p>Also, see the enclosed flyer for information about the <strong><a href=\"https:\/\/www.wearehelpful.com\/vnshealth?utm_source=vns_health_website&utm_medium=website&utm_campaign=2023_10_19\" target=\"_blank\" rel=\"noreferrer noopener\">Helpful app for caregivers<\/a><\/strong>.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph {\"fontSize\":\"small\"} -->\n<p class=\"has-small-font-size\">This article was featured in our <a href=\"https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2023\/12\/MLTC_2023_Winter_Newsltr_Comb_EN.pdf\">Winter 2023 MLTC member newslette<\/a>r.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph {\"fontSize\":\"small\"} -->\n<p class=\"has-small-font-size\"><em>Source: <a href=\"https:\/\/www.nia.nih.gov\/health\/caregiving\/taking-care-yourself-tips-caregivers\">nia.nih.gov\/health\/taking-care-yourself-tips-caregivers<\/a><\/em><\/p>\n<!-- \/wp:paragraph -->",
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"post_date": "2023-10-11 16:08:21",
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"post_content": "<!-- wp:image {\"id\":34028,\"aspectRatio\":\"16\/9\",\"scale\":\"cover\",\"sizeSlug\":\"large\",\"linkDestination\":\"none\"} -->\n<figure class=\"wp-block-image size-large\"><img src=\"https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2023\/09\/Drinking-water-1024x683.jpg\" alt=\"\" class=\"wp-image-34028\" style=\"aspect-ratio:16\/9;object-fit:cover\"\/><figcaption class=\"wp-element-caption\">Thirsty mature woman having a glass of water<\/figcaption><\/figure>\n<!-- \/wp:image -->\n\n<!-- wp:heading -->\n<h2 class=\"wp-block-heading\" id=\"h-identify-and-prevent-the-most-common-infection-in-older-adults\">IDENTIFY AND PREVENT THE MOST COMMON INFECTION IN OLDER ADULTS<\/h2>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p>Urinary tract infections (UTIs) are extremely common. Women of all ages are prone to them, but elderly men and people with limited mobility, suppressed immune systems, or blockages in the urinary tract due to enlarged prostate or kidney stones are also at high risk. These infections are easily cured, but untreated UTIs can lead to serious problems.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p><strong>Symptoms<\/strong><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>Classic UTI symptoms include cloudy, bloody, or strong-smelling urine, a frequent or urgent need to urinate, pain with urination, low-grade fever, night sweats, and cramping in the lower abdomen. Seniors may display none of those signs. So, also be on the lookout for:<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:list -->\n<ul><!-- wp:list-item -->\n<li>Confusion<\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li>Agitation<\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li>Extreme fatigue<\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li>Poor motor skills<\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li>Dizziness<\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li>Falling<\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li>Sudden urinary incontinence<\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li>Any abrupt changes in behavior, such as loss of energy or appetite, or the inability to get dressed.<\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list -->\n\n<!-- wp:paragraph -->\n<p>The single best sign of a UTI in an older person is often a sudden change in behavior.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p><strong>Preventive Measures<\/strong><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>Some simple steps to help prevent UTIs include:<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:list -->\n<ul><!-- wp:list-item -->\n<li>Drink at least 64 ounces (eight 8-ounce glasses, or four 16-ounce glasses) of water a day.<\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li>Urinate when the urge arises and empty the bladder completely. Holding it in can lead to bacterial growth.<\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li>Wipe from front to back.<\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li>Avoid alcohol and caffeine.<\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li>Urinate after sexual intercourse.<\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li>Wear cotton underwear. Change daily.<\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li>Avoid feminine hygiene products such as douches and powders.<\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li>Shower, rather than bathe, if possible. Always keep genital area clean.<\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li>Limit use of catheters in those with limited or no mobility.<\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list -->\n\n<!-- wp:paragraph -->\n<p>Avoiding UTIs altogether is, of course, the best. But knowing that they can show up in seniors without any hallmark symptoms can ensure treatment before more serious health problems develop. <\/p>\n<!-- \/wp:paragraph -->",
"post_title": "Urinary Tract Infections",
"post_excerpt": "Urinary Tract Infections Identify and Prevent the Most Common Infection in Older Adults Urinary ... serious health problems develop. Healthy Living urinary tract infections UTIs carousel ... tract infections (UTIs) are extremely common. Women of all ages are prone to them, but elderly men ...",
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"post_date": "2020-07-08 22:11:14",
"post_date_gmt": "2020-07-08 22:11:14",
"post_content": "<!-- wp:image {\"id\":116,\"sizeSlug\":\"large\"} -->\n<figure class=\"wp-block-image size-large\"><img src=\"https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2020\/07\/shower-chair.jpg\" alt=\"A shower chair in the bathroom\" class=\"wp-image-116\"\/><\/figure>\n<!-- \/wp:image -->\n\n<!-- wp:heading -->\n<h2>THESE ITEMS CAN HELP WITH MOBILITY AND BATHROOM USE.<\/h2>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p>Facing the loss of mobility and privacy is a challenge. Your dad might be just fine when you offer a hand as he gets up from his easy chair or crossing a busy street. But it may be harder to ask for help using the toilet or bathtub.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>Medical equipment is useful if your parent needs help bathing, toileting, or with mobility. Here are some tips to consider:<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p><strong>Bathing<\/strong><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>Tub seats or shower chairs fit in the tub so people who have trouble standing or balancing can continue to take baths in their bathrooms. Look for one that has back support.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>Tub benches go over the side of the tub\u2014you sit down outside the tub and lift your legs over the tub wall so you don\u2019t have to step over it.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>A hand-held shower will make bathing more convenient.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p><strong>Toileting<\/strong><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>Raised toilet seats lift the height of a toilet's sitting surface, which makes it easier to transfer oneself. Be sure to get one that can clamp and tighten onto the toilet. Some models are simply placed over the toilet. These may shift and someone may fall off. Raised toilet seats cannot be used with all toilets. You may need a toilet safety frame.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p><strong>Mobility<\/strong><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>A walker has two wheels and two feet. Rollators are similar to walkers but have four wheels. The additional wheels provide more speed and freedom, but they require more coordination and balance. Rollator brakes can wear out quickly, so try to order one from a vendor who offers free repairs.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>Walkers are better for people who only need to go short distances, who have difficulty with balance, or who would need help controlling a rollator.<\/p>\n<!-- \/wp:paragraph -->",
"post_title": "Useful Medical Equipment",
"post_excerpt": "Facing the loss of mobility and privacy is a challenge. Your dad might be just fine when you offer a hand as he gets up from his easy chair or crossing a busy street. But it may be harder to ask for help using the toilet or bathtub. Medical equipment is useful if your parent needs help bathing, toileting, or with mobility. Here are some tips to consider.",
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"ID": 35965,
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"post_date": "2023-12-07 08:59:00",
"post_date_gmt": "2023-12-07 13:59:00",
"post_content": "<!-- wp:image {\"id\":35966,\"sizeSlug\":\"large\",\"linkDestination\":\"none\"} -->\n<figure class=\"wp-block-image size-large\"><img src=\"https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2023\/12\/Preventing-Falls-Featured-1024x536.jpg\" alt=\"\" class=\"wp-image-35966\"\/><\/figure>\n<!-- \/wp:image -->\n\n<!-- wp:paragraph -->\n<p>There are steps you can take to prevent falls:<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:list -->\n<ul><!-- wp:list-item -->\n<li>See your primary care provider (PCP) if you sometimes feel dizzy or off-balance.<\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li>Get your eyes and ears checked regularly.<\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li>Ask your Care Team to help you schedule a home safety assessment.<\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list -->\n\n<!-- wp:paragraph -->\n<p>But even if you\u2019ve done all these things, you may still fall. What do you do then?<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:list -->\n<ul><!-- wp:list-item -->\n<li>Don't panic.<\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li>Notice if you have any new or unusual pain.<\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li>If you feel ok, get up slowly and safely.<\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li>If you\u2019re hurt, don\u2019t try to get up. Call for help using your phone or Personal Emergency Response System (PERS) if you have one.<\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li>Stay warm while you wait for help\u2014cover yourself with a blanket if you can and move any parts of your body that are not hurt.<\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list -->\n\n<!-- wp:paragraph -->\n<p>Following these directions may help you avoid making any injuries worse. Call your PCP if you have any concerns after a fall.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>If a fall occurs to a friend of loved one, see what you can do by following these steps for <a href=\"https:\/\/www.vnshealthplans.org\/helping-someone-who-fell\/\">helping someone who fell.<\/a><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph {\"fontSize\":\"small\"} -->\n<p class=\"has-small-font-size\">This article was featured in our Winter 2023 member newsletters. You can download the newsletters here:\u00a0<a href=\"https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2023\/12\/ECECP_2023_Winter_Newsltr_Comb_EN.pdf\">EasyCare\/EasyCare Plus<\/a>,\u00a0<a href=\"https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2023\/12\/Total_2023_Winter_Newsltr_Comb_EN.pdf\">Total<\/a>,\u00a0<a href=\"https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2023\/12\/MLTC_2023_Winter_Newsltr_Comb_EN.pdf\">MLTC<\/a><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph {\"fontSize\":\"small\"} -->\n<p class=\"has-small-font-size\"><em>Sources: <a href=\"https:\/\/www.nhsinform.scot\/healthy-living\/preventing-falls\">nhsinform.scot\/healthy-living\/preventing-falls<\/a>; <a href=\"https:\/\/www.cdc.gov\/falls\/\">cdc.gov\/falls<\/a><\/em><\/p>\n<!-- \/wp:paragraph -->",
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"post_date": "2020-07-08 20:42:44",
"post_date_gmt": "2020-07-08 20:42:44",
"post_content": "<!-- wp:paragraph -->\n<p>Delicious, nutritious produce to enjoy when it's cold<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:image {\"id\":84,\"sizeSlug\":\"large\"} -->\n<figure class=\"wp-block-image size-large\"><img src=\"https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2020\/07\/ThinkstockPhotos-481857785.jpeg\" alt=\"A plate of roasted carrots and parsnips \" class=\"wp-image-84\"\/><\/figure>\n<!-- \/wp:image -->\n\n<!-- wp:paragraph -->\n<p>It\u2019s easy to eat lots of fresh fruits and vegetables in the summer. Freshly harvested local produce is tastier and more nutritious than stuff that\u2019s been trucked cross country, and in-season produce is less expensive. When it\u2019s winter, you have options beyond pale, cottony, bland tomatoes or peaches from who knows where. Give these fruits and vegetables a place in your market basket:<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:heading -->\n<h2 id=\"h-cooking-greens\">COOKING GREENS<\/h2>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p>Some greens need to be cooked for best flavor and nutrition, and many of these are at their best in winter (frost makes them sweeter and more tender). <a href=\"http:\/\/blogs.vnsny.org\/2015\/02\/16\/kale\/\" target=\"_blank\" rel=\"noreferrer noopener\">Kale<\/a>, chard, bok choi, and collards are grown for their leaves. Turnips and beets are grown for their roots and their leaves. Look for these foods with leaves attached and take them off when you get home.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>Kale, Brussels sprouts, cauliflower, and broccoli are members of the cabbage family. They are high in sulfur compounds that provide many health benefits. These compounds smell bad when the vegetables are overcooked, especially if you boil them. Try roasting them instead. Some of them are also high in nutrients you might not expect. One cup of cooked <a href=\"http:\/\/ndb.nal.usda.gov\/ndb\/foods\/show\/2964\" target=\"_blank\" rel=\"noreferrer noopener\">collard greens<\/a>, for example, provides almost as much calcium as a cup of <a href=\"http:\/\/ndb.nal.usda.gov\/ndb\/foods\/show\/92?fg=&man=&lfacet=&format=&count=&max=25&offset=&sort=&qlookup=chocolate+milk\" target=\"_blank\" rel=\"noreferrer noopener\">chocolate milk<\/a>!<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:heading -->\n<h2 id=\"h-citrus\">CITRUS<\/h2>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p>Most citrus fruits are available year round. Clementines, tangerines, and blood oranges are usually in markets from December through March. Even the more common ones are at their peak in the winter.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>Citrus fruits are famous for their sky-high vitamin C content. They also supply folate, fiber, and nutrients that come from different pigments. Blood oranges and pink and red grapefruit, for example, are high in lycopene. This is a pigment that may help protect against some types of cancer.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:heading -->\n<h2 id=\"h-root-vegetables\">ROOT VEGETABLES<\/h2>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p>Plants store energy and nutrients in their roots to help them grow. Root vegetables like potatoes, carrots, beets, and parsnips, are often high in carbohydrates and other nutrients.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>Most root vegetables have thick cell walls. Cooking breaks these walls down and make it easier for the nutrients inside to get to our bodies. Roasting these vegetables is a way to make the most of their natural sweetness.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:heading -->\n<h2 id=\"h-onions-and-garlic\">ONIONS AND GARLIC<\/h2>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p>Vegetables in the allium family (garlic, leeks, scallions, shallots, and onions) almost never appear on \u201cbest sources of\u201d lists for vitamins or minerals, but that\u2019s okay. They\u2019re high in flavor compounds that can provide health benefits. Garlic alone contains more than 100 of these compounds! <a href=\"http:\/\/www.ncbi.nlm.nih.gov\/pubmed\/10594976\" target=\"_blank\" rel=\"noreferrer noopener\">Allicin<\/a> is one. It develops when it is exposed to oxygen. Heating garlic right after chopping it keeps the allicin from forming. If possible, chop or crush garlic about 10 minutes before you cook it.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>Many of the compounds in these vegetables make your eyes burn and your hands smell. Peel onions under running water to avoid tears. To get the smell off your hands, rub your hands on stainless steel as you wash them (either a sink, or a utensil like a pot or spoon).<\/p>\n<!-- \/wp:paragraph -->",
"post_title": "What to Eat in Winter",
"post_excerpt": "It\u2019s easy to eat lots of fresh fruits and vegetables in the summer. But even in winter, you have options beyond pale, cottony, bland tomatoes or peaches from who knows where. Give these fruits and vegetables a place in your market basket.",
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"ID": 7889,
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"post_date": "2021-03-16 10:00:38",
"post_date_gmt": "2021-03-16 14:00:38",
"post_content": "<!-- wp:image {\"id\":36683,\"sizeSlug\":\"large\",\"linkDestination\":\"none\"} -->\n<figure class=\"wp-block-image size-large\"><img src=\"https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2021\/03\/Dan_Savitt_Final-365-5400-1024x683.jpg\" alt=\"\" class=\"wp-image-36683\"\/><\/figure>\n<!-- \/wp:image -->\n\n<!-- wp:paragraph -->\n<p><em>City & State<\/em> has recognized outgoing VNSNY CEO & President Marki Flannery and incoming CEO Dan Savitt in the publication\u2019s \u201c2021 Health Power 100\u201d list. The list recognizes <span style=\"color: #333333; background: white;\">public officials, health care executives, advocates, activists, academics and labor leaders for their efforts in navigating the COVID-19 crisis and continuing care for patients during a global pandemic. <\/span><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>Read the full article at: <a href=\"https:\/\/www.cityandstateny.com\/articles\/power-list\/2021-health-power-100-51-100.html\" target=\"_blank\" rel=\"noopener\">https:\/\/www.cityandstateny.com\/articles\/power-list\/2021-health-power-100-51-100.html<\/a>.<\/p>\n<!-- \/wp:paragraph -->",
"post_title": "<i>City & State<\/i> Honors Incoming CEO Dan Savitt in Health Power 100 List",
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"post_date": "2020-09-14 20:20:47",
"post_date_gmt": "2020-09-14 20:20:47",
"post_content": "Do you get phone calls, text messages, or emails offering free face masks? Or have you seen Facebook ads that promise free COVID-19 testing kits or \"cures?\" \u00a0Be careful. Don\u2019t fall for it!\n\nSadly, scammers are using COVID-19 to try to steal your Medicare Number and other information. If anyone asks for your Medicare Number or personal information to send you something \u201cfree,\u201d you can bet it's a scam.\n\nStop scams before they happen. <a href=\"https:\/\/youtu.be\/jzt6MJLL9mA\" target=\"_blank\" rel=\"noopener noreferrer\">Watch this short video<\/a> and view <a href=\"https:\/\/www.medicare.gov\/Pubs\/pdf\/10111-Protecting-Yourself-and-Medicare.pdf\" target=\"_blank\" rel=\"noopener\">this booklet<\/a>\u00a0for tips on preventing Medicare scams and fraud. If you suspect fraud, call to report it at <a href=\"tel:1-800-633-4227\">1-800-MEDICARE<\/a> (<a href=\"tel:1-800-633-4227\">1-800-633-4227<\/a>), 24 hours a day, 7 days a week. TTY\u00a0users should call\u00a0<a href=\"tel:1-877-486-2048\">1-877-486-2048<\/a>.",
"post_title": "Beware of COVID-19 Scammers",
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"post_date": "2020-09-14 08:16:12",
"post_date_gmt": "2020-09-14 08:16:12",
"post_content": "In recognition of heroic work during the COVID-19 crisis, <strong><em>Crain's New York Business<\/em><\/strong> has included VNSNY CEO Marki Flannery and the VNSNY Hospice Bereavement and Emotional Support Team in their 2020 Notable in Healthcare Special Report.\u00a0This year\u2019s report shines a light on \"the people who helped bend the region\u2019s steep infection curve downward and are still working to alleviate the economic and humanitarian toll.\"\r\n\r\nRead the full article at: <a class=\"noExitNotifier\" href=\"https:\/\/www.crainsnewyork.com\/awards\/health-care-notables-2020\" target=\"_blank\" rel=\"noopener noreferrer\">https:\/\/www.crainsnewyork.com\/awards\/health-care-notables-2020<\/a>.",
"post_title": "Crain's Features Marki Flannery and VNSNY Hospice and Emotional Support Teams",
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"post_date": "2023-03-28 12:05:02",
"post_date_gmt": "2023-03-28 16:05:02",
"post_content": "<!-- wp:paragraph {\"fontSize\":\"medium\"} -->\n<p class=\"has-medium-font-size\"><strong>Your Care Team<\/strong><br><a href=\"tel:18888676555\">1-888-867-6555<\/a> (TTY: <a href=\"tel:711\">711<\/a>)<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>As a Medicaid recipient in New York, you need to take immediate action to make sure you don\u2019t lose your Medicaid and health plan coverage.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>The Public Health Emergency declared in March 2020 because of the COVID-19 pandemic is ending on <strong>June 30, 2023<\/strong>. This means that Medicaid auto-renewals that allowed people to keep their coverage active and enrolled in our plan will also end on June 30.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>Choose your plan below for more information <\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:list -->\n<ul><!-- wp:list-item -->\n<li><strong><a href=\"https:\/\/www.vnshealthplans.org\/easycare-plus-member-resources\/keeping-medicaid-active\/\">VNS Health EasyCare Plus (HMO D-SNP) <\/a><\/strong><\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li><strong><a href=\"https:\/\/www.vnshealthplans.org\/total-member-resources\/keeping-your-medicaid-active\/\">VNS Health Total (HMO D-SNP)<\/a><\/strong><\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li><strong><a href=\"https:\/\/www.vnshealthplans.org\/mltc-member-resources\/keeping-your-medicaid-active\/\">VNS Health MLTC<\/a><\/strong><\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list -->\n\n<!-- wp:paragraph {\"fontSize\":\"medium\"} -->\n<p class=\"has-medium-font-size\">Questions? Please call your Care Team. We\u2019re here to help<\/p>\n<!-- \/wp:paragraph -->",
"post_title": "Don\u2019t Lose Your Medicaid Coverage!",
"post_excerpt": "Make sure Medicaid has your current contact info. What you need to do: Please contact your Medicaid office to give them your current address, phone number, and email address...",
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"post_date": "2020-10-13 13:09:34",
"post_date_gmt": "2020-10-13 17:09:34",
"post_content": "<em>Medium<\/em> has featured VNSNY CHOICE Health Plans President Hany Abdelaal in an article that offers safety guidelines to help caregivers to prevent seniors from falling in the home--especially since older adults are being encouraged to isolate at home during the COVID-19 pandemic. The piece also highlights an advanced machine learning algorithm developed by the <a class=\"noExitNotifier\" href=\"https:\/\/www.vnsny.org\/for-healthcare-professionals\/vnsny-research-center\/staff\/\" target=\"_blank\" rel=\"noopener noreferrer\">VNSNY Data Science Team<\/a> that is used to identify members at risk for a fall within the next 90-day period.\n\nRead the full article: <a href=\"https:\/\/medium.com\/@hanyabdelaalvnsnychoice\/falls-prevention-making-sure-seniors-who-stay-home-can-stay-on-their-feet-710601b596e9\" target=\"_blank\" rel=\"noopener noreferrer\">https:\/\/medium.com\/@hanyabdelaalvnsnychoice\/falls-prevention-making-sure-seniors-who-stay-home-can-stay-on-their-feet-710601b596e9<\/a>.",
"post_title": "Falls Prevention: Seniors Who Stay Home Can Stay on Their Feet",
"post_excerpt": "Medium has featured VNSNY CHOICE Health Plans President Hany Abdelaal in an article that offers safety guidelines for caregivers to prevent falls in homebound seniors, especially during the COVID-19 pandemic as older adults are encouraged to isolate at home. ",
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"post_date": "2022-02-24 11:42:55",
"post_date_gmt": "2022-02-24 16:42:55",
"post_content": "<!-- wp:paragraph -->\n<p>Have you gotten robocalls, text messages, or emails offering COVID-19 tests in exchange for your Medicare Number? <strong>Be careful!<\/strong> <strong>Scammers are selling fake and unauthorized at-home COVID-19 test kits<\/strong> in exchange for your personal or medical information.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>Do not give out your Medicare Number for COVID-19 test kits! <strong>If you suspect fraud, call <a href=\"tel:1-800-MEDICARE\">1-800-MEDICARE<\/a> to report it.<\/strong> <\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>Over-the-counter or at-home tests are available for sale around the U.S. at many reputable and trustworthy retailers and pharmacies.<\/p>\n<!-- \/wp:paragraph -->",
"post_title": "Fraud Alert: Don\u2019t Fall for COVID-19 Test Kit Scams!",
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"post_date": "2023-08-28 11:19:06",
"post_date_gmt": "2023-08-28 15:19:06",
"post_content": "<!-- wp:paragraph -->\n<p>Beginning on January 1, 2024, your VNS Health EasyCare plan will include these benefits:<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:list -->\n<ul><!-- wp:list-item -->\n<li><strong>$0<\/strong> copays for primary care provider visits<\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li>An <strong>additional $17\/quarter <\/strong>on your Over-the-Counter (OTC) Card. That\u2019s up to <strong>$87\/quarter ($348\/year) <\/strong>to buy OTC health items.<\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list -->\n\n<!-- wp:paragraph -->\n<p>Plus, you can continue to enjoy the great benefits you have now, including: <strong><\/strong><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:list -->\n<ul><!-- wp:list-item -->\n<li>Monthly plan premiums as low as $0*<\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li>Dental, hearing, vision, acupuncture, and podiatry coverage<\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li>11 round trips\/year to approved health care locations<\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li>And more<\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list -->\n\n<!-- wp:paragraph -->\n<p><strong><a href=\"https:\/\/www.vnshealthplans.org\/our-plans\/vns-health-medicare-easycare\/\">Read more about your VNS Health EasyCare 2024 benefits<\/a><\/strong>.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p><em>*Depending on your level of LIS<\/em> <em>or Medicaid eligibility.<\/em><\/p>\n<!-- \/wp:paragraph -->",
"post_title": "Good News! Your VNS Health EasyCare Plan is Getting Even Better in 2024.",
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{
"ID": 33480,
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"post_date": "2023-08-28 11:23:46",
"post_date_gmt": "2023-08-28 15:23:46",
"post_content": "<!-- wp:paragraph -->\n<p>Beginning on January 1, 2024, your VNS Health EasyCare Plus (HMO D-SNP) plan will include these benefits:<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:list -->\n<ul><!-- wp:list-item -->\n<li>An <strong>additional $65\/month <\/strong>on your Over-the-Counter (OTC) and Grocery Card. That\u2019s up to <strong>$225\/month <\/strong>to buy OTC health items and groceries, including farm fresh produce boxes or prepared healthy meal boxes for home delivery.*<\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li>New! A Flex Card with up to <strong>$350\/year <\/strong>that you can use to help pay for <strong>utilities (electric, gas, phone, or internet)<\/strong> and certain dental, hearing, and vision expenses.* You choose how to use it!<\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list -->\n\n<!-- wp:paragraph -->\n<p>Plus, you can continue to enjoy the great benefits you have now, including: <strong><\/strong><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:list -->\n<ul><!-- wp:list-item -->\n<li><strong>$0 <\/strong>monthly plan premiums**<\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li><strong>$0 <\/strong>copays for doctor visits**<\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li><strong>$0 <\/strong>for prescription drugs**<\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li>Dental, hearing, vision, acupuncture, and podiatry coverage<\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li>Seven round trips\/year to approved health care locations<\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li>And more<\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list -->\n\n<!-- wp:paragraph -->\n<p><strong><a href=\"https:\/\/www.vnshealthplans.org\/our-plans\/vns-health-medicare-easycare-plus\/\">Read more about your VNS EasyCare Plus 2024 benefits.<\/a><\/strong><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p><em>*This benefit is part of special supplemental program for the chronically ill and not all members qualify. Other types of goods and services not eligible.<\/em><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p><em>**Benefits and costs depend on your level of LIS or Medicaid eligibility<\/em><\/p>\n<!-- \/wp:paragraph -->",
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"post_date": "2023-08-25 12:30:00",
"post_date_gmt": "2023-08-25 16:30:00",
"post_content": "<!-- wp:paragraph -->\n<p>Beginning on January 1, 2024, your VNS Health Total plan will include these benefits:<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:list -->\n<ul><!-- wp:list-item -->\n<li>An <strong>additional $34\/month<\/strong> on your Over-the-Counter (OTC) and Grocery Card. That's up to <strong>$266\/month<\/strong> to buy OTC health items and groceries, including farm fresh produce boxes or prepared healthy meal boxes for home delivery.*<\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li>An <strong>additional $10\/year<\/strong> on your Flex Card, for a total of up to <strong>$760\/year<\/strong>. Plus, you will be able to use your Flex Card to help pay for <strong>utilities (electric, gas, phone, or internet)<\/strong>, in addition to certain dental, hearing, and vision expenses.*<\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list -->\n\n<!-- wp:paragraph -->\n<p>And you can continue to enjoy the great benefits you have now, including: <\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:list -->\n<ul><!-- wp:list-item -->\n<li><strong>$0<\/strong> monthly plan premiums<\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li><strong>$0<\/strong> copays for doctor visits<\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li><strong>$0<\/strong> for prescription drugs<\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li>Dental, hearing, vision, acupuncture, and podiatry coverage<\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li>Unlimited transportation to approved health care locations<\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li>And more<\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list -->\n\n<!-- wp:paragraph -->\n<p><a href=\"https:\/\/www.vnshealthplans.org\/our-plans\/vns-health-total\/benefits\/\"><strong>Read more about your VNS Health Total 2024 benefits.<\/strong><\/a><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p><em>*This benefit is part of special supplemental program for the chronically ill and not all members qualify. Other types of goods and services not eligible.<\/em><\/p>\n<!-- \/wp:paragraph -->",
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"ID": 36391,
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"post_date": "2024-01-09 10:01:24",
"post_date_gmt": "2024-01-09 15:01:24",
"post_content": "<!-- wp:paragraph -->\n<p>If you are a member of <a href=\"https:\/\/www.vnshealthplans.org\/mltc-member-resources\/\">VNS Health MLTC<\/a><em> or<\/em> <a href=\"https:\/\/www.vnshealthplans.org\/total-member-resources\/\">VNS Health Total (HMO D-SNP)<\/a>, you can get your annual flu shot in the comfort of your home through our partner EMS. The vaccine is free and safe. Flu season lasts through February, so protect yourself and your loved ones now.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>To schedule your appointment, please call <strong><a href=\"tel:5166559460\">516-655-9460<\/a><\/strong> Monday through Friday, 9 am to 5 pm.<\/p>\n<!-- \/wp:paragraph -->",
"post_title": "In-Home Flu Vaccinations Available for You",
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"post_date": "2023-12-27 15:19:24",
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"post_content": "<!-- wp:paragraph -->\n<p>Flu season is in full swing until February 2024. Are you protected? If not, be aware that the flu can be dangerous and even deadly\u2014particularly for people 65 and older and people who have chronic health conditions.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>COVID-19 is also still a danger for people who have not had a booster shot. You may have heard that the latest booster doesn\u2019t protect against new strains of the virus. In fact, the booster does offer protection. Compared to people who do not get vaccinated, those who received the latest booster are\u00a0<a href=\"https:\/\/archive.cdc.gov\/#\/details?url=https:\/\/www.cdc.gov\/coronavirus\/2019-ncov\/vaccines\/safety\/bivalent-boosters.html\" target=\"_blank\" rel=\"noreferrer noopener\">three times less likely to wind up in the hospital and up to 19 times less likely to die from the virus<\/a>.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>It\u2019s not too late to get your flu shot, and it\u2019s never too late to get your COVID-19 booster. Talk to your doctor or Care Team about getting protected against the flu and COVID-19 today.<\/p>\n<!-- \/wp:paragraph -->",
"post_title": "It\u2019s Not Too Late to Get Your Flu Shot and COVID-19 Booster!",
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"post_date": "2023-06-08 15:16:21",
"post_date_gmt": "2023-06-08 19:16:21",
"post_content": "<!-- wp:paragraph -->\n<p>If your doctor has prescribed a liquid nutrition supplement (such as Ensure, Glucerna or Nestle Boost), be aware that the companies making these drinks are having inventory problems<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>This means that even if your health plan has approved your doctor\u2019s request for you to get a supplement, the specific drink your doctor prescribed may not be in stock. If that happens,\u00a0 we will let your doctor know so that they can suggest a different product. You can also ask your doctor to check what nutrition supplements are available when they submit your prescription.<\/p>\n<!-- \/wp:paragraph -->",
"post_title": "Nationwide Shortages of Nutrition Supplements",
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{
"ID": 27726,
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"post_date": "2022-12-01 18:31:14",
"post_date_gmt": "2022-12-01 23:31:14",
"post_content": "<!-- wp:image {\"id\":36681,\"sizeSlug\":\"large\",\"linkDestination\":\"none\"} -->\n<figure class=\"wp-block-image size-large\"><img src=\"https:\/\/www.vnshealthplans.org\/wp-content\/uploads\/2022\/12\/2022-12-05_Sunset_Park_Grand_Opening-68-1024x683.jpg\" alt=\"\" class=\"wp-image-36681\"\/><\/figure>\n<!-- \/wp:image -->\n\n<!-- wp:paragraph -->\n<p><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>VNS Health is excited to announce the opening of two new community centers in Sunset Park, Brooklyn, and Flushing, Queens. They join our Community Center in Chinatown in Manhattan as a resource for everyone in the community, whether or not you\u2019re a member or patient of VNS Health.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>Dedicated team members at our community centers will work with you and your family \u2014 at no cost \u2014 to see where you might qualify for VNS Health programs or services, including our health plans, home care, personal care, hospice care, or behavioral health.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>VNS Health Community Centers also offer free, public events where you can connect<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>with neighbors, participate in wellness activities, and learn about health and wellness topics.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>All VNS Health Community Centers are open Monday - Friday, 9 am\u20135 pm, except for holidays.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p><strong>To learn more about all of our community centers, visit <\/strong><a href=\"https:\/\/www.vnshealthplans.org\/visit-a-vns-health-community-center\">vnshealthplans.org\/visit-a-vns-health-community-center<\/a> <strong>or email <\/strong><a href=\"mailto:[email protected]\" target=\"_blank\" rel=\"noreferrer noopener\">[email protected]<\/a><strong>.<\/strong><\/p>\n<!-- \/wp:paragraph -->",
"post_title": "New Community Centers Open in Brooklyn and Queens",
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"post_date": "2024-02-07 13:18:00",
"post_date_gmt": "2024-02-07 18:18:00",
"post_content": "<!-- wp:paragraph -->\n<p>VNS Health Total (HMO D-SNP) and MLTC no longer covers transportation as part of your plan benefits. Non-emergency medical transportation services for members enrolled in a Medicaid Advantage Plus or Partial Capitation Plan will now be arranged by the Statewide Transportation Broker - Medical Answering Services (MAS). This will not change any of your other medical benefits. <\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>To arrange non-emergency medical transportation on or after March 1, 2024, you or your provider must contact MAS at <a href=\"https:\/\/www.medanswering.com\/\">https:\/\/www.medanswering.com\/<\/a> or call <a href=\"tel:+1844-666-6270\">844-666-6270<\/a> (Downstate) or <a href=\"tel:+1866-932-7740\">866-932-7740<\/a> (Upstate). If possible, you or your medical provider should contact MAS at least three days before your medical appointment and provide the details of your appointment (date, time, address, and name of provider) and your Medicaid identification number. <\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>Additional information is available on the <a href=\"https:\/\/gcc02.safelinks.protection.outlook.com\/?url=https%3A%2F%2Fwww.health.ny.gov%2Fhealth_care%2Fmedicaid%2Fmembers%2Fmedtrans_overview.htm&data=05%7C02%7Ckendra.muckle%40health.ny.gov%7C48edd05a3d504e10367b08dc137c14b0%7Cf46cb8ea79004d108ceb80e8c1c81ee7%7C0%7C0%7C638406670843417983%7CUnknown%7CTWFpbGZsb3d8eyJWIjoiMC4wLjAwMDAiLCJQIjoiV2luMzIiLCJBTiI6Ik1haWwiLCJXVCI6Mn0%3D%7C3000%7C%7C%7C&sdata=e5QajIriO50IcslznPe112d5dO1ZFWhIy4ZDA6y48kg%3D&reserved=0\">Department of Health Transportation Webpage<\/a>. <\/p>\n<!-- \/wp:paragraph -->",
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{
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"post_date": "2021-10-19 18:44:42",
"post_date_gmt": "2021-10-19 22:44:42",
"post_content": "<!-- wp:paragraph -->\n<p>VNSNY CHOICE is excited to announce two new plans joining<strong> VNSNY CHOICE Total (HMO D-SNP)<\/strong> in the CHOICE family of Medicare Advantage (MA) plans.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:list -->\n<ul><li><strong>VNSNY CHOICE EasyCare (HMO)<\/strong>, for people who have Medicare.<\/li><li><strong>VNSNY CHOICE EasyCare Plus (HMO D-SNP)<\/strong>, for people who have both Medicare & Medicaid.<\/li><\/ul>\n<!-- \/wp:list -->\n\n<!-- wp:paragraph -->\n<p>EasyCare and EasyCare Plus, which are designed to make it easier for New Yorkers to live healthier in their home and community, will begin serving members on January 1, 2022. The two new plans offer extra benefits that don\u2019t cost extra and connect members with convenient services, like home delivery of health supplies and personalized support from health coaches and pharmacists.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>Medicare Open Enrollment starts on October 15, but it\u2019s not too early to look into your options. If you or someone you know has Medicare, you can visit our plan pages right now to see if EasyCare or EasyCare Plus is the right fit.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>To learn more about what makes these plans special, start on this page: <strong><a href=\"https:\/\/www.vnshealthplans.org\/learn-about-our-plans-find-drug\/\">www.vnshealthplans.org\/our-plans\/<\/a><\/strong>.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>For more details on the launch of our two new plans, <a href=\"https:\/\/www.vnshealthplans.org\/vnsny-choice-launches-two-new-medicare-advantage-plans-for-2022\/\"><strong>read the full press release<\/strong><\/a>. <\/p>\n<!-- \/wp:paragraph -->",
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"post_date": "2022-10-21 16:50:05",
"post_date_gmt": "2022-10-21 20:50:05",
"post_content": "<!-- wp:paragraph -->\n<p><em>U.S. News and World Report<\/em> released its list of \"Best Medicare Advantage Companies\" for each state. VNS Health Medicare is pleased to announce that we were included as a top pick for New York State. <\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p><a href=\"https:\/\/frontline.vnshealth.org\/wp-content\/uploads\/2022\/10\/Beckers_1020.pdf\" target=\"_blank\" rel=\"noreferrer noopener\"><span style=\"text-decoration: underline\" class=\"underline\">Read more<\/span><\/a>. <\/p>\n<!-- \/wp:paragraph -->",
"post_title": "VNS Health Medicare Named in \"Best Medicare Advantage Plan Companies\" List",
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"post_date": "2022-10-20 11:22:37",
"post_date_gmt": "2022-10-20 15:22:37",
"post_content": "<!-- wp:paragraph -->\n<p>Every year Medicare rates plans based on a 5-star rating system and we\u2019re excited to announce that our Medicare health plans earned an overall rating of 4.5 out of 5 stars for 2023. We\u2019re pleased to offer the highest rated Medicare Advantage plans in NYC and Long Island.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p><a href=\"https:\/\/apnews.com\/press-release\/pr-newswire\/entertainment-health-access-to-care-new-york-city-db488a7398797cda40c6aec592a0a3d2\" target=\"_blank\" rel=\"noreferrer noopener\"><span style=\"text-decoration: underline\" class=\"underline\">Read more<\/span><\/a>. <\/p>\n<!-- \/wp:paragraph -->",
"post_title": "VNS Health Medicare Offers Highest Rated Medicare Advantage Plans in NYC and Long Island for 2023",
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{
"ID": 939,
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"post_date": "2020-07-31 14:23:44",
"post_date_gmt": "2020-07-31 14:23:44",
"post_content": "<strong><em>HIV Special Needs Plan\u00a0<\/em><\/strong><strong><em>Available for Medicaid-Eligible New York State Residents Living\u00a0<\/em><\/strong><strong><em>Outside<\/em><\/strong><strong><em>\u00a0of\u00a0<\/em><\/strong><strong><em>NYC, in Nassau and Westchester Counties\u00a0<\/em><\/strong>\r\n\r\n<strong>NEW YORK, NY<\/strong>,\u00a0<strong>October 23, 2019<\/strong>\u2014<a href=\"https:\/\/www.vnshealthplans.org\/\">VNSNY CHOICE SelectHealth<\/a>, a New York State Department of Health Special Needs Plan (SNP) for Medicaid-eligible New Yorkers living with HIV\/AIDS and\/or who identify as transgender or live in a Homeless shelter, will now be available for residents of Nassau and Westchester counties. SelectHealth is the first and only SNP of its kind to be available in New York State outside of New York City. Enrollment is available now.\r\n\r\nVNSNY CHOICE SelectHealth has consistently achieved high benchmarks (83% in 2018) for HIV viral load suppression (<200 copies\/ml) among its HIV-positive members who receive easy access to care through a team that includes a dedicated HIV-experienced primary care provider, care managers, pharmacists, and a wide variety of specialists in other fields. Similarly, SelectHealth has been successfully treating members with Hepatitis C (HCV) since 2015 with cure rates as high as 98%, comparable with those seen in clinical trial settings.\r\n\r\n\u201cToday it is entirely possible for people to enjoy long lives, and live\u00a0<em>well<\/em>\u00a0with HIV,\u201d said Hany Abdelaal, D.O., President of VNSNY CHOICE Health Plans. \u201cOur SelectHealth plan was designed from the beginning to break down common barriers to health care and promote adherence to proven treatment and wellness regimens. This expansion allows us to connect members of New York\u2019s HIV community with the experts and resources they need to lead active and fulfilling lives.\u201d\r\n\r\nFor more than 15 years, SelectHealth has worked closely with community physicians specializing in HIV and HCV care, and with clinics and Designated AIDS Centers to provide the most comprehensive care and education possible for those at risk for HIV\/AIDS or HCV infection. The plan\u2019s emphasis on inclusionary and proactive healthcare is aligned with NYS Governor Andrew Cuomo\u2019s \u201c<a href=\"https:\/\/www.health.ny.gov\/diseases\/aids\/ending_the_epidemic\/\" target=\"_blank\" rel=\"noopener noreferrer\">Ending the Epidemic<\/a>\u201d efforts, which are aimed at keeping viral loads suppressed, preventing further transmission and supporting the general wellness of people living with or at risk for HIV\/AIDS.\r\n\r\nSelectHealth is Platinum certified (the highest level awarded) by\u00a0<a href=\"https:\/\/www.sageusa.org\/\" target=\"_blank\" rel=\"noopener noreferrer\">SAGE<\/a>, the world\u2019s largest and oldest organization dedicated to improving the lives of lesbian, gay, bisexual, and transgender (LGBT) older people<strong>.<\/strong>\r\n\r\n<strong>About VNSNY CHOICE Health Plans<\/strong>\r\n\r\nCreated in 1998, VNSNY CHOICE is the managed care affiliate of the Visiting Nurse Service of New York and shares its mission of compassion and care for the poor, the chronically ill and elderly. Our guiding principle is to help the most vulnerable among us live safely and independently for as long as possible in their own homes and communities. On any given day, VNSNY CHOICE coordinates care for more than 25,000 members through its array of Medicare and Medicaid health plans, including Medicaid Long Term Care and Integrated Medicare-Medicaid Long Term Care Plans, and a HIV\/Special Needs Plan. With offices in Manhattan, Brooklyn and upstate New York, VNSNY CHOICE health plans are available in the New York City metropolitan area as well as on a plan basis in selected counties throughout New York State.\r\n\r\nMedicaid recipients living with HIV\/AIDS and\/or identifying as transgender or living in a Homeless shelter and residing in the Bronx, Brooklyn, Manhattan, Queens, Nassau or Westchester\u2014and that enrollee\u2019s dependents\u2014may be eligible to enroll in VNSNY CHOICE SelectHealth.\r\n\r\nFor more information, visit\u00a0<a href=\"https:\/\/www.vnshealthplans.org\/selecthealth\">https:\/\/www.vnshealthplans.org\/selecthealth<\/a>.",
"post_title": "VNSNY CHOICE SelectHealth Expands Service Area",
"post_excerpt": "VNSNY CHOICE SelectHealth, a New York State Department of Health Special Needs Plan (SNP) for Medicaid-eligible New Yorkers living with HIV\/AIDS and\/or who identify as transgender or live in a Homeless shelter, will now be available for residents of Nassau and Westchester counties.",
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"post_date": "2023-05-19 14:10:49",
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"post_content": "<!-- wp:paragraph -->\n<p>Be on the alert for scammers who ask for a fee to help you renew or recertify your Medicaid coverage. Never give out your Medicare or Social Security Numbers over the phone or in a text.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>VNS Health and\/or your local Medicaid office will send you notices about the renewal process, which may include reminders to update your contact and income information. <strong>But we will never ask for money to renew or apply for Medicaid.<\/strong> If you get a text, phone call or email that you think may be a fraud, contact your local Medicaid office.<\/p>\n<!-- \/wp:paragraph -->",
"post_title": "Watch out for Medicaid scams!",
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"post_date": "2024-04-08 14:48:01",
"post_date_gmt": "2024-04-08 18:48:01",
"post_content": "<!-- wp:paragraph -->\n<p>Join us at the Alzheimer's and Wellness Health Fair on Sunday, April 28. Food, drinks, and community resources will be available. For information about registration, please email <a href=\"mailto:[email protected]\">[email protected]<\/a> or call <a href=\"tel:3476319226\">347-631-9226<\/a> to learn more. <\/p>\n<!-- \/wp:paragraph -->",
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"post_date": "2024-04-08 14:52:00",
"post_date_gmt": "2024-04-08 18:52:00",
"post_content": "<!-- wp:paragraph -->\n<p>Join us for our monthly food distribution at our Chinatown Community Center on Friday, April 26. We will be handing out healthy foods to our community members. <\/p>\n<!-- \/wp:paragraph -->",
"post_title": "April 2024 Monthly Food Distribution at VNS Health Chinatown Community Center",
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"post_date": "2024-04-08 14:55:37",
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"post_content": "<!-- wp:paragraph -->\n<p>Join us for our monthly food distribution at our Flushing community center on Friday, April 19. We will be handing out healthy foods to our community members.<\/p>\n<!-- \/wp:paragraph -->",
"post_title": "April 2024 Monthly Food Distribution at VNS Health Flushing Community Center",
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"post_content": "<!-- wp:paragraph -->\n<p>Join us at the Highbridge Annual Family & Wellness & Resource Fair on Saturday, April 27. Food, drinks, community resources and more will be available. For information about registration, please email <a href=\"mailto:[email protected]\">[email protected]<\/a> or call <a href=\"tel:3476319226\">347-631-9226<\/a> to learn more. <\/p>\n<!-- \/wp:paragraph -->",
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"post_content": "<!-- wp:paragraph -->\n<p>Join us for our monthly food distribution at our Chinatown Community Center on Friday, March 29. We will be handing out healthy foods to our community members. <\/p>\n<!-- \/wp:paragraph -->",
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"post_content": "<!-- wp:paragraph -->\n<p>Join us for our monthly food distribution at our Flushing community center on Friday, December 29. We will be handing out healthy foods to our community members.<\/p>\n<!-- \/wp:paragraph -->",
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"post_content": "<!-- wp:paragraph -->\n<p>Join us at the Mt Ararat Church Community Health & Wellness Fair on Saturday, April 13. Food, drinks, community resources, and more will be available at the fair. For information about registration, email <a href=\"mailto:[email protected]\">[email protected]<\/a> or call <a href=\"tel:3476319226\">347-631-9226<\/a> to learn more. <\/p>\n<!-- \/wp:paragraph -->",
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