2001 - Spring by Arkansas Blue Cross and Blue Shield

Nutrition information INSIDE inside ~ ~ NUTRITION

Spring 2001

' s e A n n B l u

W i l d

W o o l l Y

W e b

e S i t

weekly poll

A AboUt Blue

Healthy Goodies

Radio & TV "Rock" Games & Activities BlueAnn's ClubhouSe BlueAnn's Scrapbook

Fan Mail com'eWe'niCate

He y, pare nts!

One of the most lambtastic new “www” places to be is the “BlueAnn Ewe Wild and Woolly Web site” — just for kids! Log on at www.BlueAnnEwe.com

Kids can find all kinds of fun and educational health information and activities! They can: • Vote in my Kids Count weekly poll. • Check my appearance schedule. • Play games. • Print activity and coloring sheets. • Read about healthy goodies.

• Join my Health Club. • Watch my television commercials. • Listen to my radio spots. • Read my fan mail. • Write to me.

Who knows — they might see their own picture or letter there someday!

Have your kids visit me at www.BlueAnnEwe.com ... our award-winning Web site “just for kids”

Customer Service Numbers Little Rock Toll-free Number (501) Number

Category

State/Public School Employees 378-2437 1-800-482-8416 e-mail: publicschoolemployees@arkbluecross.com stateemployees@arkbluecross.com Medi-Pak (Medicare supplement)

378-3062 1-800-338-2312

Medicare (for beneficiaries only): Part A (hospital benefits) Part B (physician benefits)

378-3151 1-877-356-2368 378-2320 1-800-482-5525

UniqueCare, UniqueCare Blue, Blue Select®, BlueCare PPO & PPO Plus (individual products) 378-2010 1-800-238-8379 Group Services

378-2070

1-800-421-1112

BlueCard®

378-2127 1-800-880-0918

Federal Employee Program (FEP)

378-2531 1-800-482-6655

Health Advantage

221-3733 1-800-843-1329

Medi-Pak HMO (Health Advantage) 954-5200 1-800-354-9904 USAble Administrators

378-3600 1-800-522-9878

For information about obtaining coverage, call: Category

Little Rock Toll-free Number (501) Number

Medi-Pak (Medicare supplement)

378-2937 1-800-392-2583

UniqueCare Blue, Blue Select®, BlueCare PPO & PPO Plus (individual products) 378-2937 1-800-392-2583 Medi-Pak HMO (Health Advantage) 378-6987 1-800-588-5706

Regional Office locations: Central Northeast Northwest South Central Southeast Southwest West Central

Little Rock Jonesboro Fayetteville Hot Springs Pine Bluff Texarkana Fort Smith

Customers who live in these regions may contact the regional offices or call the appropriate toll-free telephone numbers above.

Web sites:

www.arkansasbluecross.com, www.healthadvantage-hmo.com, www.BlueAnnEwe.com

is published four times a year by the Arkansas Blue Cross and Blue Shield Advertising and Communications Division for the company’s members, health care professionals and other persons interested in health care and wellness. Opinions expressed herein do not necessarily reflect the views of Arkansas Blue Cross or any of its publics.

INSIDE THIS ISSUE

~SPRING 2001~

A diet for life ............................................ 4-5 Water anyone? ............................................. 5 Healthy food, healthy pregnancy .............. 6-7 Eating tips for seniors .............................. 8-9 Very vital vitamins ................................ 10-11 Kids and healthy eating ............................. 12 Food addictions ......................................... 13 Cancer and your diet ................................. 14 Food Guide Pyramid ................................... 14 Counting calories ...................................... 15 Food allergies ............................................ 16 Ageless Heroes honored ............................ 17 Preventive Health Guidelines ..................... 18 Health Advantage Web info ........................ 19 Women’s Health and Cancer Rights Act ..... 20 ScriptSave ............................................ 20-21 Emergency action plan .............................. 21 Health Advantage customer info ................ 22 Searcy docs open free clinic ..................... 22 Blue & Your Community ............................. 23 Blue Online ................................................ 24

Vice President of Advertising and Communications Patrick O’Sullivan Editor Kelly Whitehorn — BNYou-Ed@arkbluecross.com Designer Gio Bruno Contributors Mark Carter, Janice Drennan, Damona Fisher and Kathy Luzietti

A diet for life – --------------------------I

“There are no unhealthy foods per se, just unhealthy portions. If you eat too many calories, it leads to excess fat storage.”

t’s springtime, and you are either well on your way to reaching the weight loss goal you set at the beginning of the new year … or you have already given up and gone back to your old eating habits. Chances are that if you are in the first category, you decided to eat a balanced diet complete with food from all food groups, control your portion size and limit your intake of sweets. If you are in the second category, you probably tried a “fad” diet, became tired of eating or drinking the same types of food, and gave up. According to a recent report by the U.S. Food and Drug Administration, most diets can help people lose weight, but only moderate-fat, wellbalanced weight-reduction plans seem to keep the pounds off for good. The report, which is the first in an ongoing review of the more popular diets, casts doubt on the new, alternative approaches to weight loss, such as a high-protein, low-carbohydrate diet regimen. Traditional programs, recommended by organizations such as the American Heart Association and Weight Watchers, have scientific evidence to back up their success rates. Approximately half of all Americans are considered overweight or obese, putting them at

an increased risk for a variety of serious medical problems. This statistic has prompted the federal government to study weight-loss programs promoted through organizations, books and weight-loss “experts.” So, why does a high-protein diet seem to work for some people? It is because in the short run, these diets produce a greater loss of body water than of fat, but the water is regained when the diet ends. There is no evidence to support that blood cholesterol or blood sugar levels improve under a high-protein diet. If dieters stick to a high-protein diet plan, despite the side effects which include foul acidic breath, fuzzy thinking and fatigue — additional pounds will come off. However, the majority of the loss is muscle, not fat, leaving the dieter with a higher percentage of body fat. Carbohydrates are essential to the body because they are broken down into glucose and used for energy or stored as glycogen. Glucose provides about half of the body’s energy daily. Low-carbohydrate and highprotein weight loss plans are temporary fixes because they are not teaching healthier behavior. The diets are not sustainable or healthy. Anne McGilvray, a registered dietitian and instructor with the BAPTIST HEALTH

Avoid fad diets and learn to eat sensibly Health Management Center weightloss program in Little Rock, encourages her patients to balance their meals and control bad eating habits. “People need to find a program that they can stick with for a lifetime,” she added. “There are no unhealthy foods per se, just unhealthy portions. If you eat too many calories, it leads to excess fat storage. People need to change their eating habits,” McGilvray added. “Many people are rushing to bookstores to purchase the latest diet books in hopes of losing weight fast. Many try out these diets without a full understanding of the negative consequences they may acquire in

the long term,” she said. McGilvray pointed out that highprotein, low-carbohydrate dieters may experience mild dehydration

(which may cause headaches, fatigue and increased strain on the kidneys). High-protein diets also are known to increase urinary calcium loss, which adds to the risk of osteoporosis. High-protein levels also may aggra-

vate existing gout, kidney stones and gall bladder colic. “Carbohydrates do not make people fat. They are full of essential vitamins and fiber that our bodies need to ward off disease,” she said. “Too many calories and too little physical activity cause people to store fat and gain weight. No one single food is bad for your health; all foods can fit into your diet in moderation.” McGilvray pointed out that it is important to remember that quick weight loss does not mean long-term weight loss. “The key to weight loss is moderation and increased physical activity. Remember, if the diet sounds too good to be true, it probably is.”

Have you had your WATER today? W

atch the TV phenomenon “Survivor” just once, and you’ll get an idea of how important water is. While it’s possible to live for weeks without food, a person can last only a few days without water. Water is the source of life. Up to 70 percent of the human body is made up of it. Body fluids that flow through all the blood vessels carrying nutrients and wastes are mostly water. Water fills cells and the spaces between them. It helps keep tissues healthy. Water also: • Is required for many of the body’s chemical reactions. • Dissolves vitamins, minerals and other nutrients. • Lubricates joints. • Helps regulate body temperature. Perspiration (hot body water) evaporates from the skin and cools the body, which helps keep body temperature within a tight range. Water may not taste like “the real thing,” but it’s important to drink it every day. Daily ingestion of water will help maintain good health. Adults should drink two quarts (eight cups) a day; children should drink four to

eight cups daily, depending on age and size. Other fluids and even some foods contain water, and these can help meet daily water needs. Milk, fruit juices and even carbonated drinks are good water sources. Choose decaffeinated colas though, because caffeine is a diuretic, which causes the body to lose water. One of water’s most important functions in the body is helping maintain fluid balance. Minerals called electrolytes dissolve in water, and they contain sodium, potassium and chloride. Electrolytes determine the balance of fluid inside cells and out. An imbalance isn’t healthy. Edema (fluid retention) is the condition by which too much water is inside the cells. Dehydration is actually the condition by which too much water exists outside the body’s cells. Fluid balance can be impacted by medical conditions and medications. For more information on how they may affect you, contact your physician. — Source: www.healthanswers.com

Healthy food choices G

ood eating habits are especially important if you are planning a pregnancy or are already pregnant. The foods that you eat are the main source of energy for your developing baby. Healthy food choices prepare the mother-to-be for childbearing and breastfeeding as well as helping ensure a healthy baby. An average nonpregnant woman needs between 1,800 and 2,200 calories each day. When you are pregnant, you need about 300 more calories each day to stay healthy and help your baby grow. Gaining the right amount of weight during pregnancy is important for the babyâ&#x20AC;&#x2122;s health and development. Pregnancy is not the time to lose weight. Discuss with your physician or nurse the right amount of weight gain for you. The amount of weight gained depends on your weight before pregnancy. Usually, you can expect to gain about 10 pounds during the first 20 weeks and about 1 pound per week during the rest of your pregnancy. Recommended Weight Gain in Pregnancy Condition Underweight Normal weight Overweight Carrying twins

Weight Gain (pounds) 28-40 25-35 15-25 35-45

Where does the weight go? In pregnancy, your body must store nutrients and increase the amount of blood and other fluids it produces. On average, here is where the weight goes: 7 pounds 4 pounds 4 pounds 2 pounds 2 pounds 6-8 pounds 2 pounds 1 1/2 pounds

Maternal stores (fat, protein and other nutrients) Increased fluid Increased blood Breast growth Uterus Baby Amniotic fluid (fluid around the fetus) Placenta (tissue inside the uterus that brings nourishment from the mother and takes waste away from the fetus)

for a healthy pregnancy Eating a healthy diet The best way to be sure you are getting a balanced diet and that your baby is getting the right nutrients is to follow the Food Guide Pyramid developed by the U.S. Department of Agriculture (see Food Guide Pyramid on Page 14). The pyramid stresses a diet that is well balanced and has vegetables, fruits and grain products. This is healthy advice for everyone, including pregnant women. Every diet should include proteins, carbohydrates (sugars and starches), vitamins, minerals and fats. Additionally, be sure and take a vitamin pill daily that has folic acid in it. Folic acid is a special vitamin that can help prevent birth defects of the brain and spine. Foods that have folic acid include orange juice, green vegetables, fortified breakfast cereals and enriched rice and whole wheat bread. Vegetarian diets A vegetarian diet that includes milk, cheese, eggs, cereals, nuts and seeds in addition to vegetables and fruits can be adequate for a pregnant woman. Pregnant women on vegan diets (consuming no animal products) may need vitamin B12, vitamin D and zinc supplements prescribed by their physicians. Cravings Pregnant women sometimes have cravings for certain foods. On occasion, giving in to a craving should cause no problems as long as the rest of the woman’s diet is well balanced and what she eats is not harmful. Some women, however, have a strong desire to eat things that are not foods, such as clay or laundry starch. This craving is called pica. If you have this kind of craving, talk to your physician. Breast-feeding Mother’s milk is the most balanced food for babies and helps them resist disease and allergies.

During pregnancy, your body stores extra nutrients to prepare you to nurse. Even so, while you are breast-feeding, you’ll need food for your own body plus extra food to produce milk for your baby. You will need about 200 more calories than you needed during pregnancy or 500 more calories than you needed before pregnancy. It is important to maintain your protein and calcium intake and drink plenty of fluids while breastfeeding.

Eating right and exercising during your pregnancy are two of the best things you can do for yourself and your baby. If you are pregnant or thinking about getting pregnant, talk to your physician and start eating healthy today. — Sources: Baylor College of Medicine and The American College of Obstetricians and Gynecologists.

Did you know ... ? … that the Federal Drug Administration has standardized content-related terms for use on food labels? Examples include: • Fat-free means that the product contains no amount of, or only trivial amounts of one or more of these components: fat, saturated fat, cholesterol, sodium, sugars and calories. • Low-fat means that the food contains three grams of fat or less per serving. • Reduced-fat means the food contains at least 25 percent less fat per serving than the original food. • Lite/light means that the food contains at least 50 percent less fat per serving than the original food. • High can be used if the food contains 20 percent or more of the Daily Value for a particular nutrient in a serving. • Good source means that one serving of a food contains 10 to 19 percent of the Daily Value for a particular nutrient.

Eating healthy as we age G

etting proper nutrition can be a challenge for people of all ages, but it is especially challenging for the elderly. The elderly are faced with needing nutrientdense diets, but require fewer calories because of the decline in their activity levels and energy needs. Studies show that diet quality slowly declines for people past age 74. Common factors that contribute to malnutrition in the elderly: • No appetite. Loneliness, inactive lifestyles and depression can contribute to a decrease in appetite. Decreased senses of taste, smell and vision can result in less enjoyment of food. Often medication can affect the sense of taste, irritate the stomach lining or have other unpleasant side effects that might suppress the appetite. • Difficulty in chewing. Ill-fitting dentures can inhibit chewing. Physical disabilities also can cause problems eating or swallowing without assistance. • Upset stomach. Upset stomach and bloating are commonly experienced among the elderly. As a result, foods like milk, cabbage or broccoli that may cause an upset stomach, should be avoided. • Unable to shop. Grocery shopping might be a problem for an older person if they

don’t drive anymore or do not have transportation. Difficulty standing for long periods of time or walking also can be a chore for them. • Difficulty cooking. Holding cooking utensils and pots and pans can be a challenge for older people with physical disabilities. Also, they might not be able to stand for long periods of time. • Not enough money. Living within the financial constraints of a fixed income can result in the elderly spending their grocery money on rent, utilities or other necessities, and buying cheap foods with little nutritional value. How can the elderly develop better eating habits? • Make eating a social event and eat with family and friends whenever possible. • Participate in senior citizen group meal programs in your community or have meals delivered to your home. • Ask your doctor which medications you are taking that might affect your appetite, and ask if you could take substitute medications. • Try adding spices and herbs to foods to add flavor. • If chewing or swallowing your food is a problem, try other foods. For example, instead of fresh fruit, try fruit juices and soft canned fruits. Rather than eating raw vegetables,

~~~~~~~~ drink vegetable juices and eat creamed and mashed vegetables. Eat ground meat or other highprotein foods like eggs, milk, cheese and yogurt. Instead of sliced bread, try cooked cereals, rice or bread pudding. • Rather than avoiding foods like milk, cabbage and broccoli that tend to cause an upset stomach, try substituting cream soups, pudding, yogurt and cheese for milk. Green beans, carrots and potatoes make great substitutes for cabbage and broccoli. • If you have problems shopping or can’t drive, check with your local food store about making deliveries to your home. Check with your church or synagogue for volunteers; ask a family member or neighbor to help or consider hiring someone. • If cooking is difficult for you, try buying frozen dinners or foods already prepared by the store (that are low in fat and sodium) that you can cook or heat in a microwave oven. Ask a family member or friend

if they might cook for you or, if possible, move to a facility that will prepare meals for you. • You can save money by buying lowcost foods like dried beans and peas, rice and pasta that are very nutritious. Use money-saving coupons,

look for sales and buy store-brand foods since they often cost less. Choose the right foods Always read food labels. Try to select foods that are low in fat and cholesterol, reduce your sodium intake, include adequate fiber in your diet and drink at least eight cups daily of water or liquids (like fruit juice and milk) that contain water and other nutrients. By eating the recommended daily servings of foods from each of the five food groups in the Food Guide Pyramid (see Page 14), people of all ages should receive the necessary nutrients needed for a healthy diet. Vitamin/mineral supplements are necessary only if you are not eating enough foods to meet your nutritional needs and only then after consulting with your doctor. Find a solution Just remember that even the most nutritious meals are of no value if left uneaten. So, if you or someone you know is not getting proper nutrition, identify the source of the problem and then work toward a solution and remember … there is a solution if you’re willing to find it. For more information about nutrition programs in your area or organizations that provide home-delivered meals to the elderly, contact your local Area Agency on Aging. Consult your doctor before beginning any diet plan and always follow your doctor’s advice. — Sources: Nutrition News Focus and the Columbia-Presbyterian Medical Center in New York City

VERY VITAL 10 ow do vitamins affect H your health? What foods

supply the vitamins you need? Vitamin A — Vitamin A is necessary for normal eyesight, body tissues, growth and bone formation and resistance to infection. Vitamin A is found in liver, fish liver oils, whole or fortified milk, eggs, carrots and dark-green leafy vegetables. Signs of deficiency include poor night vision, loss of appetite, susceptibility to infection and changes in skin and teeth. Vitamin B-1 — Vitamin B-1 (thiamin) is vital for the normal functioning of all body cells, especially nerves. It also helps the body break down carbohydrates, protein and fat for energy. Vitamin B-1 is found in oysters, green peas, organ meats, lean cuts of pork, dried beans and peas, collard greens, oranges, whole-grain breads and cereals, peanuts and peanut butter. Signs of deficiency include fatigue, loss of appetite, weight loss, nausea and weakness. Vitamin B-2 — Vitamin B-2 (riboflavin) is necessary for the normal release of energy from carbohydrate, protein and fat in food. It also is important for normal growth and development. Vitamin B-2 is found in dairy products, meat, poultry, fish, enriched and fortified grains, cereals and bakery products, and green vegetables, such as broccoli, turnip greens, asparagus and spinach. Signs of deficiency include soreness of the mouth, lips and tongue; burning and itching of the eyes; loss of vision; and sensitivity to light. Vitamin C — Vitamin C is necessary for the formation of collagen, a protein that gives structure to bones, cartilage, muscles and blood vessels, and contributes to the proper maintenance of capillaries, bones and teeth. Vitamin C promotes the healing of wounds, bone fractures, bruises, hemorrhages and bleeding gums. Vitamin C is found in green and red peppers, collard greens, broccoli, spinach,

tomatoes, potatoes, strawberries, oranges and other citrus fruits. Signs of deficiency include bleeding gums, nosebleeds and wounds that are slow to heal.

Vitamin D — Vitamin D is essential in the formation and maintenance of bones and teeth by regulating the absorption and use of calcium and phosphorus, and it also aids in the maintenance of a healthy nerve and muscle system. Vitamin D is found in sunlight, fortified milk and margarine, eggs and butter. A prolonged lack of Vitamin D results in changes in the bones of children and adults. Vitamin E — Vitamin E protects fats and Vitamin A in the body from ruin by destructive oxygen fragments. It stabilizes cell membranes and protects tissues found throughout the body. Vitamin E is found in vegetable oils, margarine, nuts, wheat germ and green leafy vegetables. Signs of deficiency include anemia in infants and nerve damage in adults. Biotin — Biotin is used by the body to manufacture and break down fats, amino acids and carbohydrates. Biotin is found in liver, egg yolk, soy flour, cereals and yeast. Signs of deficiency include skin inflammation, depression, conjunctivitis, hair loss, elevated blood levels of cholesterol, anemia, loss of appetite, tingling and numbness in the hands and feet, nausea, lethargy, muscle pain and enlargement of the liver. Folate — Folate (folacin, folic acid) is necessary for the normal growth and maintenance of all cells, and its main function is to maintain the cells’ genetic code. Folate is found in many foods, but sometimes much of it is destroyed during cooking or food processing. Folate is especially rich in liver, legumes and green, leafy vegetables. Signs of deficiency include anemia, poor growth, digestive disorders, malnutrition, diarrhea, loss of appetite, weakness, irritability, sore tongue, headaches, heart palpitations and behavioral disorders.

VITAMINS 11 Pantothenic Acid — Pantothenic Acid is a B-complex vitamin required for the breakdown of fats, carbohydrates, and protein for energy. It also functions in the production of fats, cholesterol, bile, vitamin D, red blood cells and some hormones and neurotransmitters. Pantothenic Acid is found in meat, poultry, fish, whole grain cereals and legumes. Signs of deficiency include fatigue, heart and digestive problems, respiratory infections and skin inflammation. Lack of coordination may develop under severe conditions. — Source: www.WebMD.com

All about fiber

Fiber, also called roughage, can be found in whole-grain breads, popcorn, fresh fruit, raw vegetables and legumes. A diet rich in fiber reduces the risk of disease by decreasing the time it takes for food to exit the gastrointestinal tract. This action may reduce cholesterol levels, help in the control of blood-sugar levels and lower the risk of cancer. Everyone should try and get between 20 and 30 grams of fiber in their diet per day, slightly more for those over age 65. The American Dietetic Association recommends that seniors, or those who have had gastrointestinal surgery, seek the advice of their physician when adding fiber to their diets.

Why is calcium important in your diet? I

n the human body, calcium is king. It is one of the most important minerals for the growth, maintenance and reproduction of the human body. Your bones, teeth and blood all need calcium for growth and maintenance. Besides being necessary, calcium is the most plentiful mineral found in the human body. Teeth and bones contain the majority of the body’s calcium. Milk and dairy products are the most significant sources of calcium. Items such as yogurt, cheese and buttermilk contain a more efficiently absorbed form of calcium. Green, leafy vegetables such as broccoli, collards, kale, mustard greens, turnip greens and

bok choy or Chinese cabbage are good sources of calcium. Other sources include shellfish, almonds, Brazil nuts and dried beans. Examples • 8-ounce glass of milk = 300 milligrams of calcium • 2 ounces of Swiss cheese = 530 milligrams of calcium • 6 ounces of yogurt = 300 milligrams of calcium • 6 ounces of cooked turnip greens = 220 milligrams • 3 ounces of almonds = 210 milligrams

Side effects High calcium intake normally does not cause toxic effects. However, an increased risk of Recommended Daily Allowances (RDA) for Calcium kidney stones has been associated with Infants (0 to 6 months) 400 milligrams chronically high calcium intake. Low Infants (6 to 12 months) 600 milligrams calcium intake for prolonged periods of Toddlers and preschoolers (1 to 5 years) 800 milligrams time can lead to School age (6 to 10 years) 800 - 1,200 milligrams osteoporosis, loss Adolescents (11 to 24 years) 1,200 - 1,500 milligrams of the jaw bone Adult non-pregnant women (25 to 50 years) 1,000 milligrams and secondary Pregnant or breast-feeding women 1,200 milligrams oral health Postmenopausal women taking estrogen supplements 1,000 milligrams problems, Postmenopausal women NOT taking estrogen supplements 1,500 milligrams hypertension Adult men (25 to 65 years) 1,000 milligrams and other All men and women over 65 1,500 milligrams disorders.

12 Did you know ... ?

• One child out of every five is considered overweight. • During the last 20 years, the number of overweight children has increased by more than 50 percent. • The average American child spends approximately 24 hours each week watching television. • Overweight children are more prone to medical diseases, low self esteem, depression and rejection by peers. • Overweight children have an 80 percent chance of being an overweight adult if both parents are overweight. • The most common reasons children become overweight are genetic factors, lack of physical activity, unhealthy eating patterns or a combination of these factors.

Tips

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• • • • •

Quick and healthy breakfast ideas Cheese on toast with a juice box for kids Peanut butter on a flour tortilla and a carton of milk Yogurt topped with granola or fruit A breakfast bar and a box of calcium-fortified orange juice Slice of leftover cheese pizza and fresh orange slices

FA ST FA CTS

• Takeou t foods m ake up 35 family’s m percent of eals. the averag • Three o e r more ca ns of soda thirds of te a re consum enage boy ed daily b • Obesity s. y twoin childre n has more • A recen than doub t gove led since leaner and rnment report show the 1970s. ed that sc m o re n u tr • Studies hool lunch itious than show that es are they were kids who a decade better in s e a a t g o. a nutritiou cho s breakfas more likely ol, are more attenti t d o v e to , feel better engage in • Based o and are physical a n current ctivities. knowledg intake of e, 30 perc children o ent of the ver the ag caloric e of 2 sho uld come from fat.

— Source: USDA/ARS Children’s Nutrition Research Center at the Baylor College of Medicine in Houston, Texas.

Food Addictions: Real or Imagined ? M

any people cannot get going in the morning without a cup of coffee. Others openly confess to being “chocoholics.” Are these food addictions real? Are they physiological and based on the body’s needs for nutrients, or are they psychological and based on emotional and social needs? And whether real or imagined, are food addictions bad for you? Scientists and nutritionists disagree on the answers to these questions. Numerous studies have focused on the pros and cons of caffeine and chocolate consumption, but no consensus has surfaced. Consumers would be wise to follow the old adage, “everything in moderation,” as they sip their lattes and nibble on chocolate truffles. The American Dietetic Association warns that the more you avoid certain foods, the more you crave those foods. A dieter who has been disciplined for weeks might suddenly go on an ice-cream binge. Certain foods produce pleasurable reactions, the most popular of those being coffee, tea and chocolate. What is it about these foods we crave? Scientists have studied the effects of chocolate in recent years. The findings are, for the most part, that chocolate does have beneficial effects on people. The American Cocoa Research Institute has summarized those findings: • Fat: The fat in chocolate comes from cocoa butter, which is one of the highest natural sources of stearic acid. Numerous research studies have shown that stearic acid does not raise blood cholesterol. • Sugar: Chocolate candy does contain sugar but does not cause tooth decay. The tannic acid in chocolate inhibits the formation of dental plaque. • Caffeine: Chocolate contains caffeine but in much smaller amounts than tea or coffee. • Antioxidants: A 1997 study at the University of Scranton found high levels of polyphenolic antioxidants in cocoa products. Antioxidants are believed to help prevent heart attacks and may boost the immune system. Though chocolate has been implicated as a trigger for migraines and a cause of pimples, scientific studies

have not proven this is to be true. Recent scientific studies have shown no correlation between chocolate and migraines. So, now that you feel good about eating your chocolate, what about coffee? Again, the answer seems to lie in moderation. Caffeine is a stimulant that boosts energy, fights fatigue and temporarily increases your heart rate, but the effects are short-term. The American Dietetic Association warns that caffeine also acts as a diuretic. If your only fluid intake is caffeine-based, you may feel thirsty most of the time. Do not use coffee, tea and soft drinks in place of milk, juice and water. The good effects of caffeine include increased alertness and stamina (by stimulating the central nervous system); relief of certain types of headaches (by constricting blood vessels in the brain); and reduction of muscle tension (by increasing blood flow to muscle cells). Four out of five Americans have two to four cups of coffee per day. Americans consume 11 pounds of chocolate per person per year. Are those statistics good or bad? Research indicates that a little coffee, tea, cola or chocolate is not going to hurt you. Such activities as drinking coffee and eating chocolate contribute to an overall sense of well-being, reduce stress hormones and strengthen immune response. — Sources: American Dietetic Association, National Institutes of Health, American Cocoa Research Institute, American Chemical Society, University of Pennsylvania Women’s Health Newsletter, and Associates for Research into the Science of Enjoyment.

Research shows diet contributes to cancer risk A

ccording to the American Cancer Society, research suggests that about one-third of all deaths from cancer that occur in the U.S. each year is largely due to the adult diet, including its effect on obesity. That means that for those Americans who do not smoke, healthy eating habits and physical activity became the most important modifiable factors of cancer risk. Beginning a healthy diet and exercise practices, at any time from childhood to retirement, can promote health and probably reduce cancer risk. Dietary factors, such as types of foods, food preparation methods, portion sizes, food variety and overall caloric balance, can affect cancer risk. Cancer risk can be reduced by a diet that includes lots of plant foods (fruits, vegetables, grains and beans), limited amounts of meat, dairy and other high-fat foods, and a balance of caloric intake and physical activity. The American Cancer Society recommends: 1. Limit consumption of alcoholic beverages. Studies have noted an association between alcohol consumption and an increased risk of breast cancer.

2. Be physically active; achieve and maintain a healthy weight. An imbalance of caloric intake and energy output can lead to being overweight or obese, and an increased risk for cancers at several sites: colon and rectum, prostate, endometrium, breast (among postmenopausal women) and kidney. 3. Choose most of the foods you eat from plant sources. Eat five or more servings of fruits and vegetables each day and other foods from plant sources, such as breads, cereals, grain products, rice, pasta or beans. 4. Limit your intake of high-fat foods, particularly from animal sources. Choose foods low in fat; limit intake of meats, especially high-fat meats. High-fat diets have been associated with an increased risk of cancers of the colon and rectum, prostate and endometrium. Whether these associations are caused by the total amount of fat, the particular type of fat (saturated, monounsaturated or polysaturated), the calories contributed by fat, or some other factor in food fats, has not yet been determined. Based on scientific evidence, the American Cancer Society also recommends a diet consistent in principle with the U.S. Department of Agriculture Food Guide Pyramid (see below). Although no diet can guarantee against disease, the American Cancer Society believes by following the best nutrition advice available, Americans can reduce their risk of cancer.

Fo od Guide Pyra mid

The U.S. Department of Agriculture has established the Food Guide

Pyramid to help Americans make healthy eating choices. The Food Guide Pyramid recommends the following: six to 11 servings of bread, cereal, rice and pasta; three to five servings of vegetables; two to four servings of fruit; two to three servings per day of milk, yogurt and cheese; two to three servings of meat, poultry, fish, beans, eggs and nuts; and limited intake of oils, fats and sweets. Parents should remember â&#x20AC;&#x153;6-3-2-2-2â&#x20AC;? when planning servings per day for their children. The Department of Agriculture also stresses the importance of maintaining a healthy weight, limiting salt intake, and using alcoholic beverages in moderation.

Limited amounts 2-3 servings 3-5 servings 6-11 servings

2-3 servings 2-4 servings

CALORIES: W

How big are they,

e hear people talk about them all the time. They count them, worry over them, run from them. But just what are they, exactly, and how much of them do we really need? Calories are units of energy and the amount needed varies greatly per person. Just as an old steam engine relies on coal, the body burns calories to stay alive and to move. It also uses calories to measure potential energy in foods. Three nutrients provide calories in food — carbohydrate, fat and protein (while not a nutrient, alcohol contains calories too). All three can be found in each of the major food groups. Some foods may contain all three calorie-producing nutrients; some may have just one or two. But all three caloric nutrients provide energy to the body. During digestion, they are absorbed into the bloodstream and converted to glucose (blood sugar). Glucose, by way of calories, is actually what the body uses to operate. Calories are the coal to the body’s steam engine; glucose is the heat produced by that coal that actually makes the train run. Energy not needed right away is stored — some of it as fat, some of it as glycogen (stored glucose) in the liver and muscles. The body receives different amounts of calories from each nutrient: • Carbohydrates provide 4 calories per gram. • Fats provide 9 calories per gram. • Protein provides 4 calories per gram. (Alcohol provides 7 calories per gram). This is how calories-per-serving are calculated. Take a food consisting of only fat and containing 9 grams: 9 grams fat x 9 calories per gram of fat = 81 calories. So, now that we know what calories are and how to determine how many of them are in the foods we eat, how many do we need per day?

and why do we count them?

Active men and teenage boys require roughly 2,800 calories to provide the body the energy it needs. Going by the Food Guide Pyramid (see Page 14) issued by the departments of Agriculture and Health and Human Services, 2,800 calories would represent: • 11 servings from the bread group. • 5 servings of vegetables. • 4 servings of fruit. • 2-3 servings from the milk group (teens should have 3). • 3 servings (total of 7 ounces) from the meat group.

Active women, teenage girls, children and most men require about 2,200 calories per day. That, according to the food pyramid, would represent: • 9 servings from the bread group. • 4 servings of vegetables. • 3 servings of fruit. • 2-3 servings from the milk group (pregnant and breast feeding women should get 3 servings, while teenage girls and young adults through age 24 need 4) • 2 servings (6 ounces total) from the meat group.

Most women and some older adults need approximately 1,600 calories. Broken down by the food pyramid, that entails: • 6 servings from the bread group. • 3 servings of vegetables. • 2 servings of fruit. • 2-3 servings from the milk group. • 2 servings (5 ounces total) from the meat group. Remember, a healthy diet requires all three caloric nutrients. The American Heart Association recommends a diet in which calories come from: • 55-60 percent carbohydrates. • less than 30 percent fat (and less than 8-10 percent saturated fat).

No peanuts for me, thank you hether it’s peanuts or Gulf W Coast shrimp that don’t agree with

Children are more likely to outgrow allergies to milk or soy than to other foods.

you, a serious reaction to a specific type of food probably means you have a food allergy. A food allergy is an abnormal response to a food that is triggered by the immune system. A food intolerance is an adverse food-induced reaction that does not involve the immune system. Lactose (milk) intolerance is one example of food intolerance — a person who is lactose intolerant lacks an enzyme that is needed to digest milk sugar. The result may be gas, bloating and abdominal pain. With a food allergy, your body reacts to a certain food, usually by creating immunoglobulin E (IgE) antibodies to the food. When these antibodies react with food, histamine and other chemicals (called mediators) cause hives, asthma or other symptoms of an allergic reaction. If the same food were eaten a second time, the body would release massive amounts of chemicals and histamines in order to protect itself. In adults, the most common foods to cause allergic reactions include shellfish, such as shrimp, crayfish, lobster and crab; peanuts; walnuts; fish; and eggs. In children, the most common allergic reactions are eggs, milk and peanuts. Children are more likely to outgrow allergies to milk or soy than to other foods. Food allergies are treated by avoidance. Once the patient and his or her physician have identified the food to which the patient is sensitive, the food must be removed from the

patient’s diet. To do this, patients must read lengthy, detailed ingredient lists on each food they are considering eating. The federal Food and Drug Administration requires that all ingredients in a food appear on its label. The best treatment for a food allergy reaction is a prescription medication called epinephrine, also called adrenaline; however, any prescription medication should be discussed with your physician. There is no cure for food allergies. Strict avoidance is the only way to prevent a reaction. If you think you or someone in your family might have a food allergy, please contact your physician for more information. — Sources: The National Institute of Allergy and Infectious Diseases of the National Institutes of Health and the Food Allergy Network.

honorees named Northwest Arkansas honorees (left to right): Musick, Hurst, Cross, Schaffer, Porter, Freant, Sherwood and Dulan.

South Central honorees (left to right): Helms, Glenn, Williams, Hogue and Anderson.

Southwest Arkansas honorees (left to right): Elmore, Teeter, Cooley, McGraw and Jordan. Central Arkansas honorees (left to right): the Caristianos, Proue, John Hall for the late Flo Hall, Noller, Erdely, Moose, Sanders and Thompson.

n late 2000 and early 2001, exceptional mature individuals in Arkansas were honored as Ageless Heroes. Arkansas Blue Cross and Blue Shield and Health Advantage Medi-Pak HMO sponsored the program in Arkansas which is designed to honor inspirational mature individuals who set examples of living life fully, with vigor and health. Honorees were announced in six categories: “Vigor and Vitality” — demonstration of extraordinary physical or mental abilities; “Community Involvement” — commitment to a community and its members; “Love of Learning” — pursuit of knowledge by study or experience; “Bridging the Generations” — earns admiration of young person, able to reach into the future, connecting the generations; “Against the Odds” — overcoming all obstacles, whether disability, illness or hardship; and “Business Champion” — fostering healthy, active aging through business practices, products or communications. Northwest Arkansas honorees were: Elmo Hurst, 91, of Cotter; Don Pellmann, 84, of Mountain Home; Ethel Freant, 89, of Mountain Home; Dorothy Sherwood, 78, of Springdale; John F. Cross, 66, of Eureka Springs; Harold A. Dulan, Ph.D., 89, of Fayetteville; Pat Musick, 74, of Huntsville; Betty Schaffer, 72, of Bella Vista; and Howard Porter, 71, of Bentonville. South Central Arkansas honorees were: Callie Helms, 84, of Arkadelphia; Jim Hogue, 76, of Hot Springs; Mary Chestnutt, 83, of Hot Springs; Genevieve Williams, 70, of Hot Springs Village; Patricia Lang,

M.D., 73, and Bill Glenn, 72, both of Hot Springs; Kathy Paul, 74, of Malvern; and Ruth Anderson, 70, of Hot Springs. Central Arkansas honorees were: Bertalan M. Erdely, 90, of Conway; Arthur Sanders, 92, of Little Rock; Ruth Vest, 81, of Bald Knob; Charles Thompson, 81, of Little Rock; May Hope Moose, 92, of Morrilton; Marge and George Caristianos, 76 and 80, of Hot Springs Village; Edwin Noller, 78, of Little Rock; Mary Proue, 69, of Little Rock; and the late Flo Hall of North Little Rock. Southwest Arkansas honorees were: Vance Elmore, 86, of Magnolia; William Dean Tommey, 80, of El Dorado; John W. Teeter, 80, of Prescott; Frances McGraw, 86, of Ashdown (who was a 1999 recipient as well); Steuart Cooley, 79, of Nashville; and J. Fred Jordan, CPA, 79, of Magnolia. Northeast Arkansas honorees were: (left) Dr. William Bell, 77, of Jonesboro; (right) Rosetta Lockhart, 72, of Gregory; Elixa Morgan, 78, of Forrest City; J.D. Coleman, 77, of Black Oak; and the late Frank Wilson Sr. of Wynne. We celebrate all of the individuals who were nominated for the Ageless Heroes Award program. We are proud to have such unique and special individuals in our communities. These Ageless Heroes demonstrate how all stages of life can be fulfilling.

The r ecipe for healthy living Follow the Preventive Health Guidelines at www.healthadvantage-hmo.com

hat are the ingredients to a healthy life? Eating a balanced diet and regular exercise may help Health Advantage members (and others) feel and look better. Preventive health care, visiting your physician regularly and having recommended care before you become ill complete the recipe. Health Advantage has implemented Preventive Health Guidelines to promote wellness among its members. The guidelines, adopted from recommendations of the U.S. Department of Health and Human Services and other leading clinical authorities and originally released in 1996, outline the minimum preventive health screening criteria. The guidelines were revised and distributed to Health Advantage primary care physicians in November 2000. Additionally, the complete set of guidelines is available on the Health Advantage Web site at www.healthadvantage-hmo.com. The list below includes recommended tests, assessments and immunizations. The associated frequency and age requirements also are included. Guidelines that were upgraded or added in 2001 are pneumococcal conjugate vaccine for children 0-24 months, hearing screenings for newborns and bone mineral density screenings for those 65 and older. Age 2 months — Exam, pneumococcal conjugate vaccine, diphtheria/tetanus/pertussis (DTP), oral polio vaccine (OPV), hepatitis B vaccine (HBV), height and weight. Age 4 months — Exam, hearing screening, diphtheria/ tetanus/pertussis (DTP), oral polio vaccine (OPV), hepatitis B (HBV), weight and height.

Age 6 months — Exam, diphtheria/tetanus/pertussis (DTP), hepatitis B (HBV), weight and height. Age 12-18 months — Hemoglobin and Hematocrit, vision screening, exam, hearing screenings, diphtheria/ tetanus/pertussis (DTP), oral polio vaccine (OPV), varicella vaccine (VZV/chicken pox), flu vaccine (Hib), weight and height. Ages 2-6 — Measles/mumps/rubella (MMR), exam (per physician). Four to six years: diphtheria/tetanus/ pertussis (DTP), oral polio vaccine (OPV), weight and height, blood pressure, urinalysis, hearing and vision

screenings, and hemoglobin and hematocrit (once 1-5 years). Ages 7-12 — Exams (per physician), hearing screening, height, weight and blood pressure. Ages 13-18 — Exams (per physician), hearing screening, tetanus-diphtheria booster (14-16 years), height, weight, blood pressure, and hemoglobin and hematocrit (once 14-16 years). Ages 19-39 — Exams, tetanus-diphtheria booster (every 10 years), height, weight, blood pressure, cholesterol screening, pap test (for females, every one to three years), and periodic clinical breast exams. Ages 40-64 — Exams, tetanus-diphtheria booster (every 10 years), height, weight, blood pressure, cholesterol screening, pap test (every one to three years), clinical breast exam and mammogram (every one to two years). After age 50, a sigmoidoscopy (every four years) and fecal blood occult (annually) is recommended. Age 65 and older (annual visit) — Exam, flu and pneumonia vaccine, tetanus-diphtheria booster (every 10 years), height, weight, blood pressure, urinalysis, vision check, hearing check, cholesterol screening, pap test (every one to three years), breast exam and mammogram (annually), and bone mineral density screening. If you are new to Health Advantage, or have not visited your primary care physician, please make an appointment and establish yourself and your family as patients. Be sure to provide your physician with any pertinent information about your health because if, at any time, you or your family need emergency care, your physician then will be able to coordinate your care more efficiently.

Health Advantage Web site V goes LIVE isitors to www.healthadvantage-hmo.com will find a totally new Web site with special sections for guests, members, employers, providers and agents. The design of the new site, which went live in February, is similar to the new www.arkansasbluecross.com site, which went live in January. Guests Guests are directed to sections of the site of particular interest to them, including “About Us” for company information and “Health Plans & Services.” Members Health Advantage members will find several new features under their gateway. For example, information on appropriate referrals to in-network providers. Arkansas public school employees and Arkansas state employees have sections designed specifically for them. Members also are linked to Blue & You for extensive health information for members and their families. Employers Employers may find group administrator manuals for Health Advantage. Providers Information for providers includes provider manuals for Health Advantage and Medi-Pak HMO, a list of network development representatives, an introduction to AHIN, a BlueCard® guide and the publications for providers — Providers’ News and Network. Providers also have access to “Clinical Practice Guidelines” on depression, cardiovascular disease, high-risk pregnancy, diabetes, hypertension and migraines. Agents Agents may benefit from archived issues of Agent Update and links to sections of the site that should help them serve their customers. Preventive Health Information The “Preventive Health Information” section contains a schedule of services recommended for the prevention and early detection of disease.

Provider Directory The “Provider Directory” has a new look and more functionality. Members can select their health plan and then choose to search for in-network physicians or other health practitioners, hospitals or other health facilities, or pharmacies. They may search by city, county, region or name of the participating provider or facility. If they want to do a quick search for an in-network provider or facility without having to choose a health plan, they can type the name into a box on the “Search” page.

Preferred Drug List Another section of the Web site should help members understand why some drugs cost more than others. The “Preferred Drug List” section explains how the three-tier formulary works and lists the drugs that have the highest cost. A condensed version of the Preferred Drug List provides a guide for asking a physician to prescribe a generic or lower-cost medication. Health Plans and Services The “Health Plans and Services” section describes group health plans and Medi-Pak HMO. Services available to members, such as Special Delivery for expectant mothers, also are described under “Health Plans and Services.” Customer Service Under the “Customer Service” section, site visitors will find: • “Wellness Discounts,” a directory of providers of discounts for health clubs, weight-loss programs and sporting goods. • “Glossary,” a list of health insurance terms. • “Fraud & Abuse,” information about how to report insurance fraud, which drives up costs for everyone. FAQ The “FAQ” (frequently asked questions) section answers the most common questions our customer service representatives receive about our products and services. If customers don’t find answers there, they can go to “Contact Us,” where they will find phone numbers and e-mail addresses. About Us “About Us” contains information about Health

(continued on Page 24)

Women’s Health and Z Cancer Rights Act

he Women’s Health and Cancer Rights Act of T 1998 introduced changes in current insurance coverage

for mastectomy. In accordance with the law, all group and individual health plans that provide medical and surgical benefits for mastectomy now will cover reconstructive breast surgery, if elected by the covered individual following mastectomy, including: • Reconstructive surgery on the breast on which the mastectomy was performed. • Reconstructive surgery on the unaffected breast needed to “produce a symmetrical appearance.” • Prostheses and treatment of complications of any stage of a mastectomy, including lymphedema. The provisions of the Women’s Health and Cancer Rights Act of 1998 apply to all group health insurance

coverage effective on the first day of the plan year (which in most cases is the anniversary date of the group contract) after Oct. 21, 1998. The law went into effect on all individual insurance policies (UniqueCare Blue, UniqueCare, etc.) issued, renewed or in effect on or after Oct. 21, 1998. These provisions apply to all policies issued by Arkansas Blue Cross and Blue Shield, Health Advantage and USAble Administrators and are subject to the applicable co-payments, coinsurance, benefit limitations, exclusions and benefit maximums. If you have questions about your insurance coverage, contact your group benefits administrator or a customer service representative at your local Arkansas Blue Cross office.

Advance Paradigm is now AdvancePCS - - - - - - - - A dvancePCS, formerly known as Advance Paradigm, Inc. (API), has a new name but the customers of Arkansas Blue Cross and Blue Shield and its subsidiaries will not notice a change in their service. The existing drug cards still are valid at participating pharmacies and all customer service numbers will remain the same.

Advance Paradigm and PCS Health Systems have combined to form AdvancePCS, the largest and most comprehensive health improvement organization in the United States. Arkansas Blue Cross, through AdvancePCS, contracts with more than 700 participating pharmacies within Arkansas.

Members save more than $400,000 with ScriptSave I n November, Arkansas Blue Cross and Blue Shield provided ScriptSave prescription drug discount cards to its 105,000 Medi-Pak members. In addition, Arkansas Blue Cross’ affiliate company, Health Advantage, gave the ScriptSave card to its approximate 10,000 Medi-Pak HMO members. Arkansas Blue Cross and Health Advantage recently received their first two monthly reports from ScriptSave reflecting the savings Medi-Pak and Medi-Pak HMO members have experienced in November and December 2000. Medi-Pak members have had 50,130 prescriptions

filled and saved $360,871.42, for an average savings of $7.20 per prescription. Medi-Pak HMO members have had 6,889 prescriptions filled and saved $43,108.21, for an average savings of $6.26 per prescription. Statewide Business Vice President Ron DeBerry said, “Clearly, the ScriptSave card is doing what we wanted it to do for our Medi-Pak members. It is helping defray the cost of prescription drugs. We can now begin addressing some misinformation that has been communicated about the ScriptSave program. As we do a better job of educating the ScriptSave participating pharmacists, we think

action plan Afornemergency situations

When you aren’t sure if it’s an emergency —

Common Emergencies

1) Call your primary care physician (PCP). He or she will help you decide whether you need emergency medical care. 2) Follow his or her instructions. You may be told how to treat your problem at home and/or call your PCP for an appointment. If it’s an emergency, your PCP will tell you to go to the emergency room.

An emergency medical condition is one of recent onset and severity, including severe pain, that would lead a prudent layperson, acting reasonably and possessing an average knowledge of health and medicine, to believe that the absence of immediate medical attention could reasonably be expected to result in: 1) Placing the health of the individual, or with respect to a pregnant woman — the health of the woman or her unborn child — in serious jeopardy. 2) Serious impairment to bodily function. 3) Serious dysfunction of any bodily organ or part.

Common non-emergencies If your problem is not an emergency, you do not need to seek emergency care. Problems that are usually not emergencies include the following: • Earache. • Cold and flu symptoms. • Sunburn or minor cooking burn. • Insect sting that does not cause breathing trouble. • Minor cut where the bleeding is under control (call your doctor to make sure your tetanus shot is up-todate). • Skin rash. • Fever without convulsions (uncontrollable shaking). The emergency room is not the right choice if you have a minor medical problem because you may have to wait since the most serious cases are treated first, medical records probably will not be available to help the doctor figure out what is wrong with you and, in certain limited circumstances, your plan may not pay for your emergency care.

our Medi-Pak members will enjoy even more savings.” One specific point to be clarified is that ScriptSave honors patient confidentiality and does not sell names, lists or any consumer information. Health Advantage CEO David Bridges said, “It has been a very positive experience to give our Medi-Pak HMO members something they’ve requested — help with their prescription drug costs — and have it work so well.” If you are a Medi-Pak or Medi-Pak HMO policyholder who has questions about the ScriptSave card or participating pharmacists, please call ScriptSave at 1-800-700-3957.

Emergencies often include the following: • Severe bleeding that does not stop after 15 minutes of direct pressure. • Sudden severe pain and swelling in a joint. • Blacking out (fainting). • Swallowing poison. • Choking. • A gaping wound (the edges don’t come together). • A broken bone. • Suddenly not being able to speak or move. • Severe chest pain along with sweating, shortness of breath, spreading pain, nausea (feeling sick to your stomach), vomiting (throwing up), dizziness or a fast or irregular heartbeat. For the reasons above, the emergency room is the best choice because you get treated right away. The emergency room staff is specially trained to handle these types of conditions, and a specialist (a doctor who is trained in a certain area of medicine) may be available if you need special care.

When you know it is an emergency — 1) Go to the emergency room. If necessary, call 9-1-1 or your police emergency number. (Use participating facilities as much as possible.) 2) Have the emergency room notify your PCP. Your doctor can call the emergency room with important health information or may come in and help with your care.

LAB WORK INFORMATION If you have laboratory or radiology work performed in your physician’s office and you are a Health Advantage member, please remind them that if they send off your tests to be read by another provider, they should use a Health Advantage network provider. If your physician’s office uses an out-ofnetwork provider, your claim may be denied or processed on the lower level of benefits if you are on a point-of-service plan. DEPO PROVERA As of Jan. 1, 2001, Depo Provera is no longer covered by Health Advantage. Members currently taking Depo Provera for birth control purposes have until the end of June 2001 to change to an oral contraceptive or have their physician send in information for prior authorization. (There may be an exception given for

ge Health Advanta members —

take note!

members taking Depo Provera for medical reasons.)

GET TO KNOW US Got a few minutes? If you are a new member or have recently reenrolled with Health Advantage, please read your benefit material mailed to you. Changes may have been made to your plan, and being familiar with your benefits will possibly avoid claims delays or denials. After reading your benefit material, if you have any questions about your plan, please contact the Health Advantage Customer Service Department or visit our Web site at www.healthadvantage-hmo.com. We are here to serve you.

provide members with MRI and CT services. If you or your physician do not use a participating Health Advantage hospital MRI or CT scan, these claims may not be eligible for coverage or would be processed at a lower level of benefits, if your plan is point-of-service.

UPDATE YOUR CHARTS When you visit your physician, please remember to show your ID card, and ask them to update your chart or their system if their information doesn’t match your card. If they file a claim with Health Advantage and misspell your name, have the wrong ID number or date of birth, the claim cannot be processed. E-MAIL HEALTH ADVANTAGE When e-mailing inquiries to the Health Advantage Web site, please include your full name, member ID number and employer name. Insufficient information may cause a delay in responding to your inquiry.

MRIS AND CT SCANS Please note that Health Advantage contracts with hospitals to

Searcy physicians to staff free medical clinic B eginning the first Sunday in March, a group of physicians, nurses, social workers, psychologists and other volunteers began offering free medical care at a new clinic in Searcy, to those without insurance or other third-party payment options. Ronald Baker, M.D., who is a participant in several Arkansas Blue Cross and Blue Shield and Health Advantage provider networks and who is on staff at White County Medical Center in Searcy, serves as the medical director for the new clinic, Christian Health Ministries of White County. The walk-in clinic is open Sundays from 1 to 5 p.m. and all staff members are volunteers. The clinic is located at 104 E. Vine in Searcy,

and the phone number is (501) 305-3888. “This is the culmination of a two-year project,” said Dr. Baker. “We want to treat patients who are not getting medical care but who need treatment for chronic medical conditions such as diabetes and hypertension.” People with any form of insurance, Medicare or Medicaid are not eligible for treatment. Besides medical care, free medications are dispensed on site. “We want to treat the physical, emotional and spiritual needs of the patients,” said Dr. Baker. “We have social workers and psychologists available in addition to the nurses and physicians. We hope to establish a relationship with the patients.”

23 A

rkansas Blue Cross and Blue Shield strives to be a good corporate citizen. Our employees raise money and spend many hours helping those causes near and dear to the hearts of Arkansans.

ing of the event, but those who turned out left with a warm feeling inside. The money raised will be used to fund research, professional and public education, community service programs and support services.

Ribbons on the Rock Red Ribbon Week got off to a great start for the Arkansans for Drug Free Youth organization as businesses and service organizations came together for the annual “Ribbons on the Rock” carnival held Oct. 21. Hundreds of kids from around the state converged on the grounds of the Little Rock Zoo to play games and win prizes. The event is held each year to give youth a fun alternative activity and to celebrate kids who have chosen to be drug-free. Arkansas Blue Cross served as a corporate sponsor again this year and hosted a booth at the carnival. Kids had the opportunity to shoot hoops for prizes including BlueAnn’s “Wild and Woolly Health Tips for Kids” coloring book, bandages, funny masks or colorful spinning tops.

Healthy ClassAct Arkansas Blue Cross’ Northeast Regional Office staff along with St. Bernards Medical Center staff — and BlueAnn Ewe — helped kindergartners wrap up the fall semester on a happy note before the holidays with Healthy ClassAct presentations in several schools in Northeast Arkansas. BlueAnn and assistants took students through BlueAnn’s Dwayne Pierce, Northeast Regional coloring book Office, and BlueAnn Ewe, teach and gave health and safety to kindergartners at Blessed Sacrament School. them a chance to listen to BlueAnn’s heart, jump rope with her and brush her teeth. Students each received a personal copy of the coloring book to take home for a great holiday activity. Almost 1,000 kids were reached in December with a health and safety message ... just in time for New Year’s resolutions.

Hearty Walking Arkansas Blue Cross’ West Central Region staff greeted heart attack and stroke survivors to the annual American Heart Association’s Heart Walk in Fort Smith on Dec. 2. Arkansas Blue Cross was the exclusive Red Cap Sponsor for the event and as such, the staff distributed red caps and AHA pins to all survivors before the event began. In addition, the staff gave away red balloons to the survivors to carry during the walk and provided the children with other assorted balloons. The AHA estimated that about 3,000 walkers participated in the event, with between 75 and 100 being heart attack or stroke survivors — four of whom were under the age of 10 and one child who was 2 years old. Sandi Hightower and Shawn It was bitterly Adkins, West Central Regional cold the mornOffice, greet survivors.

BlueAnn Ewe wants you! To date, almost 10,000 elementary school-aged children have joined the free BlueAnn Health Club or BlueAnn Class Club through their homes or classrooms. The Clubs give parents and teachers resources to help teach children about healthy habits. The BlueAnn Health Club is recommended for elementary school-aged children (5 to 10 years old). The BlueAnn Class Club is recommended for kindergarten and first-grade classrooms. To join, just call toll-free 1-800-515-BLUE, and ask for the BlueAnn Club.

www.arkansasbluecross.com & www.healthadvantage-hmo.com

earching for a participating doctor, dentist, hospital or pharmacy is easy using www.arkansasbluecross.com or www.healthadvantage-hmo.com. The “Provider Directory” is accessible after entering any of the main sections (“Guests,” “Members,” “Employers,” “Providers,” “Agents”). Look for the link on the menu bar on the left side of the pages. The directory contains providers participating in Arkansas Blue Cross and Blue Shield, Health Advantage and Arkansas’ FirstSource health plans. To use the directory, click on the name of your plan. If you are unsure of which plan you have, look on your ID card. When you click on your plan, you will see a dropdown menu listing the type of searches available: • physician or other medical practitioner (i.e., optometrists, podiatrists, chiropractors and psychologists); • hospital or other medical facility/vendor (includes outpatient surgery centers, rehabilitation centers, home health agencies and providers of durable medical equipment); • dentist (school or state employees will not have this choice since their dental directory is accessible from the “Introduction” page.); and • pharmacy. Once you select a search type, you can enter a name, specialty, state, city, county or region. You can select only one location field. The radio button to the left of the field you select will “turn on.” If you want to search by region but don’t know which region to choose, use the map at the bottom of the page. If you click on Washington County, for example, the Region field automatically fills in with Northwest. If you want to know if a particular doctor participates in your health plan, you can search by name. You can search for providers named Jones in your city, for example. You also can search for providers by name without entering a location. If you are looking for a specialist, you can select the specialty and then select your state, city, county or region. The “Search Results” page will display a list of the specialists available in the location of your search for your health plan. For example, you can search for

obstetricians in Arkansas. You also can search by specialty without entering a location. Editor’s Note: The Provider Directory is updated frequently. However, the information could have changed since it was given to us. Even though a provider is listed in the directory, you might not be covered for that provider’s services. Consult your individual policy or group contract to determine whether you have dental, pharmacy or specific medical benefits. Also, remember that you must follow your health plan rules for referrals to specialists.

(continued from Page 19) Advantage, including its history, vision, financial strength and leadership. Special messages update visitors on company performance. Legislative/Regulatory Update “Legislative/Regulatory Update” keeps members updated on national and state legislation and issues that could affect health care coverage. A link to the Blue Cross and Blue Shield Association’s national health issues Web site enables visitors to search for their state or federal lawmakers. Visitors may submit a form to join the BlueLink Team to become more informed or more politically active.

Arkansas Blue Cross and Blue Shield P.O. Box 2181 Little Rock, AR 72203-2181