L I F E , H E A LT H & W E L L N E S S
A P U B L I C AT I O N O F
FA L L 2 0 21
The Next Chapter with John McGivern Member John McGivern explains why he chose Network Health when he turned 65.
life. health. wellness. C
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8 October is Breast Cancer Awareness Month
27 When Will I Get My 2022 Plan Materials?
10 Managing Chronic Pain
28 Preventing Falls
11 Behavioral Health
29 Staying Active During the Cold Winter Months
FEATURE STORY 12 The Next Chapter with John McGivern
12 3 Letter from the President and CEO 4 Evaluating New Technologies 4 Making the Member Portal Easier to Use 5 Keep Yourself Safe from Medicare Fraud 6 Why Should I Complete a Health Risk Assessment? 7 Palliative Care
EDITORIAL STAFF President and CEO Chief Administrative Officer
Strategic Marketing and Communications Manager Senior Strategic Marketing and Communications Coordinator Visual Design Lead
17 Do You Love Your Network Health Medicare Advantage Plan? 18 Customer Service is Member Experience 20 The Annual Enrollment Period 21 Achieving Coronavirus Herd Immunity Protection in Wisconsin
29 Know Your Member Rights and Responsibilities 30 Talk to Your Doctor About Urinary Incontinence 31 What is Chronic Kidney Disease? BACK COVER Get Social (For Real)
22 When Should I Call A Network Health Pharmacist 23 Lessons Learned from Last Year's Flu Season 24 The Service You Deserve 25 Videos for Health and Wellness 26 Is an Ambulatory Surgical Center Right for You?
Coreen Dicus-Johnson Penny Ransom Romi Norton
Becky Pashouwer Debra Sutton
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ASK NETWORK HEALTH If you have questions about anything you read in this issue of Concierge, call the member experience team at 800-378-5234 (TTY 800-947-3529) Monday–Friday, 8 a.m. to 8 p.m. You can also learn more at networkhealth.com. Concierge is a biannual publication of Network Health. The health information contained in Concierge is meant to supplement, not replace, the advice of health care professionals. © 2021 Network Health Insurance Corporation. No portion of this newsletter may be reproduced without written permission from Network Health Insurance Corporation.
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Letter from the President and CEO We are fast approaching the Medicare Annual Enrollment Period. Reflecting on this past year we are humbled by the stories shared by many members about the difference Network Health made in their lives. Our members’ stories are about the compassion we have shown and the exceptional service we provide. This is a testament to how we take extra steps to do the right thing, even when things are difficult. As a member you tell our story the best, because you know firsthand how important it is to have a health insurance plan that helps you make the most of your coverage. This issue of Concierge features Wisconsin celebrity John McGivern, who shares why he chose a Network Health Medicare Advantage Plan when he turned 65. This issue also contains a plan brochure with benefit enhancements for our 2022 Medicare Advantage plans. Hang onto this brochure because it will be referenced in our virtual Experience Network Health Member Events. We hope you join us, because you will like what you see. I want to take this moment to thank you for being a valued member and being a part of our Network Health community. We appreciate your membership and value your feedback about our programs and services, so we can continue offering options that work for you. We look forward to serving you in 2022 and beyond. Continue to stay safe and well throughout your holiday season and into the new year. Sincerely,
Coreen Dicus-Johnson President and Chief Executive Officer
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life. health. wellness.
Evaluating New Technologies
How We Decide to Add or Change Benefits
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etwork Health’s Medical Policy Committee evaluates new technology or new application of existing technologies. The evaluation process considers effectiveness of the technology, its appropriate use and evidence base.
Making decisions about technologies is based on, but not limited to, the following. • Scientific evidence • Information from appropriate government regulatory bodies • Risk/benefit analysis • Manufacturer information • Assessments done by agencies specializing in technology assessments • Opinion of provider experts The following technology assessments have been completed over the past 12 months. • ZioXT/ZioPatch - Network Health Medical Directors reviewed and decided Network Health will use the MCG Health guideline, Patch-Type Cardiac Monitors. If you have a question about a technology assessment, call our utilization management department at 866-709-0019 (TTY 800-947-3529), Monday–Friday from 8 a.m. to 5 p.m.
Making the Member Portal Easier to Use Network Health member portal was built based on Your your feedback. And, we update it when we get requests and comments from you. We recently updated the quick link buttons on the landing page to make them more intuitive. Now, when you go into your portal, the buttons are named to show the specific page you’ll go to when you click them. Below are the pages that you can get to through the quick link buttons. • • • • • • • *
Benefits Overview
My YTD Cost
Benefits Overview – Gives general information about your plan, Pick Your Perks EOB including maximum out-of-pocket and benefit coverage Pick Your Perks* – Brings you directly to the Employee Benefits Corporation dashboard where you can submit your electronic Pick Your Perks reimbursement form My Health Questionnaire – Opens your health risk assessment so you can complete or update it Wellness Rewards* – Provides information about the wellness rewards program, if your plan has one My Claims – Shows your medical claims and can be searched by service date, status or claim ID My YTD Cost – Shows your year-to-date out-of-pocket costs EOB – Contains your medical Explanation of Benefits documents
My Benefits
My Health Questionnaire
If your plan offers this benefit, it will be reflected in your member portal. It is not available on all plans.
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Keep Yourself Safe from Medicare Fraud Medicare fraud costs American taxpayers billions of dollars each year and results in higher medical costs for everyone. Keep your personal information safe by following these guidelines. DO Protect your Medicare card by keeping it in a safe place and treating it like a credit card
DON’T Don’t accept any medical supplies you didn’t order
Don’t give your Social Security number, Medicare number, Read each Explanation of Benefits carefully and make sure all financial information, Network Health member ID number or services listed are services you received credit card information to someone you don’t know Use a calendar to keep track of your health care appointments
Don’t share personal financial information on social media websites (like Facebook) or through email
Ask questions about your medical care and understand how Don’t sign blank insurance forms services are billed Watch your credit card and bank statements for any improper Don’t accept money or gifts for free medical care billing or fraudulent activity Monitor your credit report regularly Report suspected instances of fraud
What If I’m scammed?
Do not be ashamed or embarrassed about being scammed, because it’s not your fault. Modern scammers are very good at what they do, which means we have to be even more diligent when keeping our personal information private. If you feel you are the victim of a Medicare scam, we are here to assist you. Call our member experience team at 800-378-5234 (TTY 800-947-3529), Monday–Friday from 8 a.m. to 8 p.m. or send an email to compliance@networkhealth.com. You can also call our Values Line at 800-707-2198 (TTY 800-947-3529) to report and discuss activities or incidents you believe are inappropriate. The hotline is confidential, and you may report concerns anonymously. You can reach the hotline 24 hours a day, seven days a week. Your concerns will be investigated, and proper action will be taken to address the problem.
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life. health. wellness.
Why Should I Complete a Health Risk Assessment? By Jennifer Stubbe, wellness coordinator at Network Health
What is a health risk assessment (HRA)? An HRA is a questionnaire that assesses your overall health and well-being, and gives you a snapshot of your health at the present time. It also identifies potential health risks, medical conditions and possible care gaps. This snapshot lets you reflect on the strong aspects of your health and acknowledges areas for improvement. By completing your HRA early in the year, you’ll have this valuable information, which gives you areas to focus on throughout the year.
Why does Network Health want me to complete an HRA? Our population health management team is made up of nurses, social workers and wellness coordinators. For no additional cost, they provide resources, support and accountability through one-on-one phone conversations. This team can help you review the results of your HRA and will provide guidance that supports your long-term health goals. In addition, completing your HRA is the first step to getting information about your health that you can share with your personal doctor at your annual wellness visit. At this visit, you can discuss your HRA findings and your current health status. It also facilitates discussion between you and your doctor, so you create a personalized plan that maximizes your well-being. It’s never too late to improve your health or find new ways to maintain your current healthy lifestyle. Completing an HRA is a great first step toward a healthier future.
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Palliative Care By Yvonne Morrow, RN, oncology care manager at Network Health
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alliative care is often misunderstood and confused with end-of-life care. It’s important to understand the difference, because palliative care may be necessary during a serious, long-term or life-threatening illness.
What is palliative care? Palliative care is specialized medical care for people who are living with a serious illness. This type of care focuses on providing relief from suffering or symptoms. Palliative care provides valuable benefits, including the following. • A resource for anyone living with a serious, long- term or life-threatening illness, such as cancer, heart failure, chronic obstructive pulmonary disease (COPD), dementia, Parkinson’s disease and many others • Helps you understand choices for medical treatment • The organized services available through palliative care may be helpful to anyone having a lot of general discomfort and disability late in life While palliative care is helpful at any stage of illness, it is best to receive it soon after you're diagnosed. The goal is to improve your quality of life and that of your family throughout diagnosis and treatment.
Who provides palliative care services? A palliative care team is a group of specially trained doctors, nurses, social workers, nutritionists and chaplains. This team works with you, your family, caregivers and providers to give medical, social, emotional and practical support.
To begin palliative care, you can get a referral from your doctor. If your provider doesn’t suggest it, and you feel you would benefit from these services, ask for a referral.
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How does my plan cover palliative care? Network Health Medicare Advantage Plans offer one annual home-based palliative care consultation and evaluation for members with an end-stage cancer diagnosis. This service is performed by a home care nurse and includes the below. • Pain and symptom assessment, including physical and psychological symptoms • Social and spiritual assessment • Evaluate understanding of diagnosis and treatment options • Review and determine barriers to care and treatment plan • Identify goals and wishes • Identify treatment options that match patient- identified goals • Advance care planning, including document education and completion, health care agent awareness, provider awareness, education, symptom management, code status, etc. • Recommended follow-up plan If additional palliative services are needed, they will be considered outpatient services. If you meet home care requirements, in-home palliative care may be covered under the home care benefit. If hospice is recommended, it is covered under Original Medicare. Network Health Care Managers can assist you as you navigate your health journey. We can help you understand diseases and diagnoses, clarify treatment goals and options, understand and support your ability to cope with illness and help coordinate your care. If you have questions about your health care, please call care management at 866-709-0019 (TTY 800-947-3529), Monday–Friday from 8 a.m. to 5 p.m.
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life. health. wellness.
October is Breast Awareness Month
Cancer
Don’t Forget to Schedule Your Mammogram
By Jennifer Footit-Tank, RN, CCP, quality care coordinator and Sam Clark, BS, CWP, senior wellness coordinator at Network Health
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hen the coronavirus pandemic began, many of us put preventive health care needs on hold. Now, clinics and hospitals are open and scheduling annual tests, including screening mammograms. This screening test is the most reliable way to detect breast cancer early.
What is a screening mammogram? A screening mammogram is an X-ray that radiologists use to look for signs of breast cancer. The American Cancer Society offers these recommendations for screening mammograms. • Annually for women 45 to 54 years old • Every other year for women 55 and older • Women between 40 and 44 years old can begin receiving a screening mammogram annually Mammograms can be done in several different facilities, including radiology and imaging centers, mammography clinics, hospital radiology departments, mobile vans and some physicians’ offices.
Traditional (2D) vs. tomosynthesis (3D) mammogram A traditional—or two-dimensional (2D)—mammogram is the most common type of screening mammogram. It takes an X-ray picture of the breast to get a single image. Most medical facilities offer 2D mammograms. A newer type of mammogram called digital breast tomosynthesis—or three-dimensional (3D) mammography—takes several pictures of the breast which allows the computer to create a three-dimensional picture of the breast. The Food and Drug Administration (FDA) approves 3D mammograms for women who have dense breasts. It’s important to note this option is not available at all breast imaging locations. If you have questions about which type of mammogram is best for you, ask your personal doctor.
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Preparing for a mammogram Use these recommendations to get ready for your mammogram. • Schedule your mammogram for when your breasts are least likely to be tender • If you’re going to a breast imaging center for the first time, bring a list of the places and dates of mammograms, biopsies or other breast treatments you’ve had • If you’ve had mammograms at another facility, try to bring those images with you or have them sent to the new facility so the radiologist can compare the new images to previous ones • Do not use deodorant, powder, lotions or creams on your breasts or under your arms prior to the mammogram • Discuss any recent changes or breast problems with your doctor before the mammogram
Screening mammogram after the coronavirus vaccine Recently, the Society of Breast Imaging (SBI) updated recommendations for women who plan to receive the coronavirus vaccination and have their scheduled mammogram. Studies have shown that women who received the Moderna or Pfizer vaccination reported a slightly higher chance of developing axillary adenopathy, which is swelling or change in size of lymph nodes in your body. This could cause mammograms to show false positives. When you schedule your coronavirus vaccination and your mammogram, it is recommended to space out the appointments. • Schedule your mammogram before the first dose of your coronavirus vaccination OR • Schedule your mammogram four to six weeks following the second dose of your vaccination
Mammogram results A computer compiles the images for a radiologist to read and compare to previous mammograms, if possible. A full report of the results will be sent to your personal doctor and he or she can discuss the results with you. It usually takes a week or two to receive your results, but this may vary.
Risks associated with a screening mammogram Mammograms expose you to small amounts of radiation. The 3D mammogram exposes you to a slightly longer dose of low radiation than the 2D mammogram. These levels are still within the recommended safe range per FDA guidelines and do not pose a health risk. Either type of mammogram screening may find abnormalities that aren’t cancer, such as cysts. And, neither type of mammogram is guaranteed to find all types of breast cancer. If you have additional questions about which mammogram is right for you or how to schedule a mammogram, call your personal doctor. If you have questions about what is covered by your Network Health Medicare Advantage Plan, call our member experience team at 800-378-5234 (TTY 800-947-3529), Monday–Friday from 8 a.m. to 8 p.m.
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life. health. wellness.
Managing Chronic Pain By Karlyn Raddatz, MPA, BSN, RN, manager of care management at Network Health
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hronic pain, or pain lasting for three months or longer, is common among older adults. For this reason, many people don’t talk to their doctor(s) about their pain. By believing pain is expected, or that you must live with it, you may not have important conversations to help you live your best life. Unfortunately, avoiding a conversation about pain with your personal doctor can lead to negative health consequences. People with chronic pain are at greater risk for decreased mobility, increased falls, reduced immunity, decreased concentration, malnutrition, insomnia and depression. It may be time to consider talking to your doctor if your chronic pain affects one or more of the following. • • • • • • • •
Your sleep and ability to rest Your mobility, and you notice you have changed your movement Your mood is depressed or irritable, and connected to how you feel physically Your thoughts largely focus on your pain and worries related to that pain You’re experiencing isolation as a result of your pain Family and/or friends have expressed concern You are using over-the-counter medications, which are not working You are using alcohol to alleviate pain or help you sleep
Discuss Your Pain With Your Personal Doctor
When you see your doctor, be clear about how your pain is affecting your quality of life. Your doctor will assess your needs and plan for your care. This may include prescription medications to ease your pain, so if you have concerns about pain medications, let your doctor know. Your doctor may offer these alternative treatments, which may be helpful for reducing chronic pain. • Physical therapy • Acupuncture • Cognitive behavioral therapy • Massage • Electrical nerve stimulation Network Health Care Managers are available to talk about your pain and its impact on your quality of life. You can contact care management by calling 866-709-0019 (TTY 800-947-3529), Monday–Friday from 8 a.m. to 5 p.m.
Before you meet with your doctor, create a log/diary about your pain including these details. • The severity of your pain—mild, moderate or severe • The location of the pain • When you experience the pain; for example, is it worse in the morning, or after a certain activity • What makes the pain better and what makes it worse
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Behavioral Health Follow Up After Hospitalization By Laura Becker, behavioral health care manager at Network Health
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hen you’ve been in the hospital, you expect to have follow-up appointments to make sure your recovery is going well. A behavioral health hospitalization is no different. You will need to receive follow-up care, and you may not know what type of care you need. It’s important to have timely follow-up care with trained mental health providers to decrease the likelihood of re-admission. Mental health providers, such as those listed below, are qualified to identify potential reactions to medication changes made during hospitalization. • Licensed counselor • Psychologist • Psychiatrist • Nurse practitioner These providers can also give you coping strategies to assist with transitioning back to school, work and home life.
Which provider should I see? It’s common for the hospital discharge planner, social worker or case manager to help you schedule followup appointments before you leave. It’s typically recommended to have a follow-up visit with a trained mental health provider, from seven to 30 days after discharge. These appointments can be virtual or inperson. If you do not have appointments scheduled, call your regular mental health provider’s office as soon as possible. Remember to always confirm your insurance benefits and determine if prior approval is needed before you schedule any appointments. A Network Health care manager will call after you have been discharged to check in, and can also help coordinate your follow-up needs. If you have questions or would like to discuss your follow-up care, call us at 866-709-0019 (TTY 800-947-3529), Monday–Friday from 8 a.m. to 5 p.m. We’re here to help your transition from the hospital go smoothly.
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COVER STORY
I’ve found that talking about family and real life aren’t neighborhoodspecific or Milwaukee-specific or even generation-specific. They’re universal human experiences that we all share.
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with John McGivern By Becky Pashouwer Photography by Beth DesJardin, Trove Photography
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COVER STORY
Chapter One – The Early Years Network Health Medicare member John McGivern grew up in an Irish Catholic family on the east side of Milwaukee. From a young age, John knew he was different from his brothers. “I have two older brothers and a younger brother. Sports were important in my family, so all three of my brothers were sports lovers, but I wasn't,” John said. That didn’t stop his parents from trying, though. “They put me in little league and basketball, assuming I was a late bloomer and would catch up to my brothers, which I never did,” John continued. “I was the boy who couldn’t throw a ball, which in my generation, and as part of a large Irish Catholic family, must mean that I have a calling to be a priest. So, my parents sent me to St. Lawrence Seminary in Mount Calvary for high school.” While he was in high school, John realized he was gay. “I came out to my family once I left seminary, and none of them were surprised. They’d known me my whole life, so they probably knew before I did,” John said with a laugh. After high school, John went to the University of Wisconsin-Oshkosh for two years then returned to St. Lawrence Seminary for another three and a half years. He left seminary to move with his brother to Florida, where he started studying theatre. Once he graduated, John took a job at The Academy Theatre in Atlanta as a directing intern. While working there, he learned he wasn’t very good at directing, but he was a decent actor, so he launched his acting career.
Chapter Two – The Start of Something Great In 1993, John had enough of the constant auditioning and rejection of acting, so he decided to try something new. He wrote a show about growing up in Milwaukee in the 1960s, called Midwest Side Story. His family and friends attended the premiere of the show in Chicago. “After the show, so many people said, ‘Tonight we
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witnessed the start of something great,’” John said. And, they were right. Three weeks later, he had offers from Comedy Central and HBO to do work for them. At 38 years old, John had found his calling. In 1994, John performed in Comedy Central’s special, Out There 2, which included stand-up and sketch comedy performances by LGBTQIA+ comedians. Dave Luczak, host of the morning radio show on Milwaukee-based station, WKLH, watched the special with his wife. “I often credit Dave for my success in this market, because when he saw the special and heard me talk about being from Milwaukee, Wisconsin, he found my agent, found me and asked me to be on his show,” John said. Since then, John has been a feature on Dave’s show every couple of weeks. They do a segment together called Topics, where John brings a list of things to talk about and Dave weaves them into his morning talk show.
Dave said he looked me up because my stories felt like home to him. And that’s something I get a lot. “I’ll do shows around the country and all over the state and people say to me, ‘It was a different street or different name, but the feeling around what you talked about was the exactly same,’’’ John said. “I’ve found that talking about family and real life aren’t neighborhood-specific or Milwaukee-specific or even generation-specific. They’re universal human experiences that we all share.”
Chapter Three – A Flourishing Career Once John started writing his own material using his experiences, his career took off. He began doing live one-man shows around the country, where he would talk about growing up in Milwaukee. The topics of these shows varied from holidays to nightly bedtime
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routines, but they always got the audience laughing and reminiscing about their own childhoods. From 2012-2019, John hosted Around the Corner with John McGivern, which won him five regional Emmys. Each season had 13 episodes where John would travel to different Wisconsin cities and talk to locals to learn about life in that community. To the dismay of many, the show was canceled in 2020 due to economic reasons related to the coronavirus pandemic. John’s fans are happy to learn that he’ll be returning to TV. His new show, John McGivern’s Main Streets will air in January of 2022. It has a similar premise to Around the Corner with John McGivern, where he’ll visit different Midwest neighborhoods and talk with residents to learn about life in that community. To learn more about this new show, visit mainstreets.tv. While producing his TV shows, John still finds time to perform his one-man comedy shows. He also gets a lot of requests for corporate work, doing things like performing for company corporate retreats and teachers at schools. John plans to continue working for as long as he can. “I’ll perform as long as people are still watching my TV show and coming to my in-person shows,” John said.
Chapter Four – The Next Chapter In 2019, John was 64 years old and reaching Medicare eligibility. “I was excited about turning 65 and joining Medicare. I was paying so much for my health insurance that I knew Medicare would be a relief financially,” John said. Like many people aging into Medicare, John received a lot of solicitations from health insurance companies. “Each company said, ‘I’m the one you should choose.’ It got very confusing for me. I didn’t know anything about Medicare, and I didn’t know where to start,” John said. Luckily, John’s brother-in-law is eight months older than him, so he had to navigate the Medicare system first. John tapped into his brother-in-law as a resource to start his Medicare journey.
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life. health. wellness. He found a broker and told me I needed to talk to him. So, when I met with [the broker] Ken, he sat me down and talked to me like I was in third grade. He had big, beautiful, color charts that explained everything so well. Everybody needs someone like Ken in their life. During their meeting, Ken asked John about his medications and his lifestyle—how physically active and healthy he was. “Eventually, we talked about the companies that offer Medicare insurance. When he [Ken] mentioned that Network Health is Wisconsinbased, I knew I had to pick this company. It made so much sense to me because my whole life has been about getting back to Wisconsin. Now, I have a job and TV show that celebrate Wisconsin. And there’s this Medicare plan that’s Wisconsin-based. It was a no brainer for me,” John said.
My experience with Network Health has been remarkable. I called, and a person answered the phone. I didn’t have to push a whole bunch of buttons or wait on hold to talk to someone. And, the person that I talked to at Network Health, called me back. It was the same person. I couldn’t believe it. 16 | C oncierge
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In John’s first year on a Network Health Medicare Advantage Plan, he received a call from a health coach. “I loved this call. First of all, I thought she was going to ask for money,” John said with a laugh. “I didn’t realize she just wanted to talk about my health and how I stay active. She wanted to know how she could help me.” John continued, “When you’re new, you don’t realize this is included in your plan and that it will cost you nothing.” John’s not alone. Many people don’t know about all the benefits available to them through their Network Health Medicare Advantage Plan. Extras—like health coaching, care management, one-on-one medication reviews with our in-house pharmacists and more—are all available at no cost to Network Health Medicare Advantage members. This is in addition to the Wisconsin-based member experience team that takes extra steps to do the right thing—like John’s experience, when he received a call back from the same person he talked to earlier. As John walks down the street in Milwaukee, saying hi to everyone he passes, he embodies the spirit, honesty and personality of Wisconsin, just like his health insurance company.
Do You Love Your Network Health Medicare Advantage Plan?
If you love the high-quality service and support you get from Network Health, recommend us to your friends. Our Medicare member referral program allows you to earn gift cards for sharing Network Health with your friends and family. You can earn up to four $15 gift cards for a variety of stores each year.
The people you refer must meet these criteria.* Have Medicare Parts A and B
Reside in our service area
Are not already enrolled in a Network Health plan
Simply have your friends or family members call our Wisconsin-based sales advisors at 844-850-5284 (TTY 800-947-3529), Monday–Friday from 8 a.m. to 8 p.m. From October 1–March 31, they’re available every day from 8 a.m. to p.m. When you refer someone to Network Health, you’ll receive a phone call from a Network Health employee to determine which gift card you want. *Licensed agents who are appointed with Network Health are not eligible for these gift cards
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life. health. wellness.
Customer
Service is
Member
Experience I
n fall 2020, our health care concierge team changed its name to the member experience team. This name change more accurately reflects the impact our representatives have on our members. When you interact with our knowledgeable team, right here in Wisconsin, it’s about more than standard customer service. It’s about making sure you, as a Network Health member, have an exceptional health insurance experience. Our member experience representatives answer your questions about benefits, claims, authorizations, pharmacy and more, in a way that is clear. They provide knowledge, personalized service and outstanding follow-through so can you spend less time trying to get answers and more time enjoying life.
Meet the Member Experience Representatives Mary F. I’ve been at Network Health just over two years. I love talking to members each day because each caller is unique. No two calls are ever the same and I often learn something new. I especially appreciate that I’m encouraged to take extra time to help resolve any issues a member may be experiencing. Most companies have time limits that their customer service departments have to meet, but not Network Health. We’re more focused on supporting our members.
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Beth S. I’ve worked at Network Health for nine years, and I’ve been a Medicare member experience representative the whole time. I love helping people, and it gives me great satisfaction to know I can make a difference in someone’s day by giving clear, understandable answers to Medicare questions. More importantly, members know they can call me any time they have questions or plan issues and I will get back to them in a timely manner. Network Health allows us to take one call at a time and focus on that member’s needs, without time constraints. You don’t get that type of service at other companies.
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Barbara M. I’ve been a member experience representative at Network Health for three years. I’m grateful to be part of an organization like Network Health that treats employees, members and providers with great respect. I not only get to work at an enjoyable place, but I also have a personal sense of satisfaction at the end of each day knowing I helped someone and, in most cases, made him/her laugh. Generally, I find that there are not many problems, just misunderstandings. I really feel that I am an advocate for our members. I don’t just answer questions, I pursue answers and follow up on situations instead of just advising them who to call and what to do.
Katy C. I have been a member experience representative at Network Health for three years. In my role, I’ve learned so much about Medicare and insurance and enjoy sharing that information with members who call. I like that I can take time to answer members’ questions thoroughly and in a way they understand. It’s a great feeling when I can help reduce someone’s confusion or frustration.
Susan W.
In my five and a half hears at Network Health, I’ve been in two different departments—claims and member experience. As a senior member experience representative, I get the unique opportunity to help members and providers and support our internal representatives. Having this variety means every day is different and I learn a lot that I can pass on to my peers. Network Health has great company values and truly cares about our members, providers and employees. Our service is unmatched in the industry, and it shows, because once members join Network Health, they rarely leave. And, if they do leave, they almost always come back because they miss the support we provide.
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It’s like when you go to a hairdresser or see the same lady at the grocery store for 20 years. I started to trust Craig, because anytime I would call, I’d get an answer I could understand. Barb R., Network Health member
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life. health. wellness.
The Annual Enrollment Period
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ach year from October 15 through December 7, is the annual enrollment period for Medicare health insurance, which gives you the chance to review your current Medicare plan. You can take this opportunity to ensure your benefits still work for you and your health care needs. Then, you can determine if you want to stay with your current plan or enroll in a different Network Health Medicare Advantage Plan.
What should I consider when reviewing my plan?
When doing your annual plan review, you’ll want to think about the benefits that are most important to you. Think about services you use the most and what they cost. Below are some important factors to consider. Out-of-pocket maximum – This is the yearly limit on costs for your medical services covered under Medicare Parts A and B. It’s one of the most important things to consider when reviewing your plan for the upcoming year. Primary care services – This is the cost to see your personal doctor. Consider this if you regularly see your doctor for things other than your annual wellness exam. Specialist services – The cost for specialist visits may be especially important if you see a specialist to help manage your health care needs. Medication deductible – The amount you must spend on Part D medications before the plan begins paying. Network Health Medicare Advantage Plans do not have a Part D deductible on Tier 1 and 2 medications. Medication copayments – The out-of-pocket cost you would pay for Part D medications when you pick up your prescriptions at the pharmacy, prior to meeting the coverage gap. Travel benefit – If you regularly travel within the United States or internationally, you’ll want to ensure your plan has a travel benefit, so you’re covered no matter where you go. Network Health plans are great for this. Extra benefits – This includes benefits beyond medical and prescription coverage, like dental, vision, hearing, fitness and Network Health’s Pick Your Perks flexible reimbursement program. If you’re happy with your current plan, you don’t have to do anything. It’s that easy. You will automatically be re-enrolled in the same plan for 2022.
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If you would like to change plans, you can take one of the below actions.
Call your health insurance agent for assistance
Visit networkhealth.com/medicare/ change-my-plan
Call 866-623-1855 (TTY 800-947-3529) seven days a week, 8 a.m. to 8 p.m. to speak with a sales advisor who can complete your plan change for you.
If you have questions about the plan that’s best for you, contact your local agent or call our sales advisors at the number listed above for assistance.
What’s that? Coverage gap – Also called the donut hole, you reach the coverage gap when total drug costs reach $4,130 (in 2021) and $4,430 (in 2022). Total drug costs include the amount both you and your plan pay for a drug. That means, if you pay $2 for a drug and your plan pays $8, $10 goes toward your total drug costs.
Achieving Coronavirus Herd Immunity Protection in Wisconsin By Beth Coopman, PharmD, pharmacist at Network Health Wisconsinites are familiar with hard work. Now we face a new challenge—achieving the goal of coronavirus herd immunity. Herd immunity is when the spread of an infectious disease within a population is reduced due to the fact that a significant portion of the population has become immune to the infection from previous exposure or vaccination. When herd immunity is achieved, people unable to get the vaccine or those who don’t get full protection from the vaccine are less likely to come in contact with infected individuals and as a result, are less likely to become sick.
Where is Wisconsin now? According to the Wisconsin Department of Health Services (DHS), the state goal is to immunize
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approximately 80 percent of the eligible population. As of August 10, 2021, about 49.8 percent of Wisconsin residents are fully vaccinated and over 84 percent of people over age 65 have received at least one dose. This data is changing daily. For the most current data, visit dhs.wisconsin.gov/covid-19/ vaccine-data.htm#summary. The rush to vaccinate is also important to get ahead of the more contagious coronavirus variants. Visit the DHS website at dhs.wisconsin.gov/covid-19/vaccine-get.htm for information about where and how to get a vaccine. You can also call 844-684-1064 for vaccine help and sign up.
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When Should I Call A
Network Health Pharmacist? By Sarah Wilczek, PharmD, pharmacist at Network Health
One of the perks of being a Network Health Medicare Advantage Plan member is that you can reach a local pharmacist by phone when you have a question.
What kind of questions can I call about? Anytime you want the advice of a pharmacist, you can call. Our in-house pharmacists are available to help you with a variety of medication-related questions, including the below.
Medication Costs We can work with you and your doctor to find a therapeutic alternative that can save you money. Examples include inhalers, blood thinners, diabetic medications and Parkinson’s medications. Are you on a brand name medication? If so, we can help you find generic or lower-cost alternative medications or find available manufacturer assistance programs for your medication. Are you in the coverage gap? We can review your medication list and look for ways to save on your out-of-pocket costs.
New Medications Did your doctor mention you may need a new medication? Give us a call and we can estimate the cost, suggest more cost-effective alternatives, if available, and answer any questions you may have.
Upcoming Doctor Visit Do you have an upcoming visit with your doctor? We can review your medication list, so you are prepared with questions to ask at your appointment.
Medication Side Effects Do you have a question about your medication side effects or how it is working for you? We are here to help. To take advantage of this unique benefit, call the Network Health Pharmacist line at 888-665-1246 (TTY 800-947-3529), Monday–Friday from 8 a.m. to 5 p.m.
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Lessons Learned from Last Year’s Flu Season By Beth Coopman, PharmD, pharmacist at Network Health
T
he 2020-2021 flu season was a mild one. Due to the coronavirus pandemic, many people received the flu vaccine, stayed home when sick, washed their hands regularly, practiced social distancing and wore a mask when in public. Not only did this keep people safe from coronavirus, it proved to be an effective way to stop the spread of the flu. According to the Centers for Disease Control and Prevention (CDC), 2,038 flu cases were reported from September 27, 2020 to April 24, 2021. In contrast, about 38 million people were sick with the flu during the 20192020 season. These are great nationwide trends. We achieved this incredible decrease by doing the below. • Vaccination rates increased for 2020-2021 flu season. The CDC shows that over 80 million U.S. adults received flu vaccines in the 2020-2021 flu season, compared to 72 million in the 2019-2020 season. • Employers, more than ever, promoted staying home from work when ill. Working from home, when possible, was normalized. • More focus was placed on maintaining or improving both mental and physical health. People began eating healthier diets, following doctor-recommended daily exercise routines, meditating for stress relief and talking to their doctor about mental health concerns. All these healthy initiatives promote a healthy immune system.
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• Hygiene improved, like washing hands more frequently and wiping down commonly shared surfaces. Individuals and companies invested time and money into sanitizing to stop the spread of illness. Using what we learned last year, we can determine which practices are sustainable to avoid a severe flu season in 2021. This year, we recommend continuing the following practices to keep yourself healthy this flu season. • Focus on improving or maintaining overall health and strengthening your immune system • Start or continue getting your flu vaccine for the 2021-2022 flu season • Stay home when you’re sick • Wear a mask if you’re sick and have to go into public • Let businesses know you value shopping in clean stores with frequently sanitized shared surfaces— like keypads—and wipes to use on shopping carts • Consider using social distancing floor marks or stay six feet apart when waiting in lines • Wash hands frequently and avoid touching your face with unwashed hands Not every physical and social barrier we experienced in the last year is sustainable; however, we can continue the good habits that make sense. Doing this may help us prevent flu or other infectious disease complications in the future.
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life. health. wellness.
The Service You Deserve At Network Health, we work to ensure you’re receiving the service you need and deserve. If concerns arise, it's important for you to understand all your options.
When do I file an appeal?
You have the right to file an appeal if you do not agree with Network Health’s decisions about your health care. You can call or submit an appeal in writing within 60 calendar days of the date of your determination. Your written appeal should include your full name, member ID and information about what you are appealing. You may also include any comments, documents, records or other information you would like Network Health to consider in its review.
Examples of situations appropriate for an appeal include the following. • • •
Network Health did not approve care it should cover Network Health is stopping care you still need Network Health has denied payment for services or items you have received, and you think they should be covered
Who may file an appeal? You or someone you name to act for you (called your representative) may file an appeal. To name your representative, visit networkhealth.com/medicare/ member-resources and scroll down to the Appointment of Representative form. Simply complete this form and send it to us. A Durable Power of Attorney agreement can work in place of an Appointment of Representative form.
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What happens after I file an appeal? If you appeal, we will review our decision. If your request for service or claim payment is still denied after our review, we will automatically forward your Part C appeal to the Medicare independent review contractor. This process ensures you will receive a new and impartial review of your appeal. If you disagree with the independent review decision, you will be notified of further appeal rights.
How are medication appeals handled? Medication appeals are reviewed by a Network Health pharmacist and Network Health medical director, as needed. The pharmacist communicates with the prescribing provider if additional information is needed, or he/she may discuss alternative covered medications.
When do I file a grievance?
If you’re dissatisfied with the service or quality provided by your plan or doctor, we’re here to work with you through any issues. You have the right to file a grievance (a formal complaint) about the services provided by Network Health, our vendors or contracted providers.
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Examples of situations appropriate for a grievance include the following.
• • • •
Concerns about the quality of care or services provided Interpersonal aspects of care (for example, rudeness of a provider or staff) Difficulty getting through on the phone Failure to respect your rights
To submit an Appointment of Representative Form Fax: 920-720-1832 Write: Network Health Attn: Medicare Advantage Plans P.O. Box 120 Menasha, WI 54952
To submit Appeals and Grievances Fax: 920-720-1832 Write: Network Health Attn: Appeals and Grievances P.O. Box 120 Menasha, WI 54952
If you have questions, call the member experience team at 800-378-5234 (TTY 800-947-3529), Monday–Friday from 8 a.m. to 8 p.m.
Videos for Health and Wellness Emmi® offers free interactive videos on a variety of health topics. You can view these animated, online programs on your computer, smartphone or tablet as many times as you like. Find all the topics for this issue of Concierge at this link https://www.my-emmi.com/SelfReg/ FALL2021. Note: This URL is case-sensitive.
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life. health. wellness.
Is an Ambulatory Surgery Center the Right Choice for You? By Sarah Dencker, vice president of care services at Network Health
A
mbulatory surgery centers (ASCs) have changed the outpatient experience for a lot of people in the U.S. By providing patients a convenient alternative to hospital-based outpatient procedures, ASCs have given people more control over their health care.
What is an ASC? ASCs are modern health care facilities focused on providing same-day surgical care, including diagnostic and preventive procedures. This means that patients treated at an ASC do not require admission to a hospital following their procedure. Sometimes referred to as outpatient surgery centers or same-day surgery centers, ASCs do not offer emergency services and usually do not offer overnight stays.
Why choose an ASC? ASCs and hospital outpatient departments (HOPDs) may offer identical services, but they can vary greatly in cost. ASCs offer many of the same surgical procedures as HOPDs—joint replacement, rotator cuff repair and knee arthroscopy, as well as other services, like MRIs and injections. However, ASCs generally offer these at a significantly lower cost than HOPDs. In fact, outpatient joint replacements performed in an ASC may cost as much as 40 percent less than those performed in a hospital. Other procedures, such as rotator cuff repair and knee arthroscopy, may cost over 50 percent less. Lower costs are a potential benefit of using an ASC. Check your Summary of Benefits or Evidence of Coverage to see if the fee you pay (your copayment) is less for a procedure at an ASC. It is important to understand the quality of health care provided by surgery centers is equal to, if not higher than, the quality of outpatient procedures offered by hospitals. Keep in mind that surgeons have the same credentials to operate in both hospitals and outpatient surgery centers.
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Because ASCs specialize in the procedures they perform, they are able to concentrate on patient safety and the patient experience. ASCs also have an excellent record of safety and quality outcomes for patients. The difference in price can be attributed to how outpatient surgery centers are structured and their ability to see more patients in a shorter amount of time.
What types of procedures can be done at an ASC? Many procedures can be safely done at an ASC. Some of the most common include the following. • Cataract surgery • Upper endoscopy (EGD) • Colonoscopies • Pain injections • Knee arthroscopies (scope) • Total knee and hip arthroplasties (replacement) • Carpal tunnel surgery
How can you tell the difference between an ASC and an HOPD? A hospital outpatient department is owned by, and typically attached to, a hospital. An ambulatory surgery center, however, is considered a standalone facility.
How do I know what’s right for me? Ultimately, the choice is up to you whether you want to use an ASC or an HOPD for a procedure. But before you make your decision, make sure you get the information necessary to choose wisely. Check your plan benefits, consult with your doctor and/or call Network Health’s member experience team at 800-378-5234 (TTY 800-947-3529), Monday–Friday from 8 a.m. to 8 p.m. to get your questions answered.
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When Will I Get My 2022 Plan Materials?
E
ach year, Network Health sends several materials to help you choose the right plan for you and effectively use your plan in the upcoming year. Below is a list of materials you will receive and when you can expect to get them.
Annual Notice of Change
The Annual Notice of Change (ANOC) contains information about changes to your current plan for the upcoming year. Network Health sends the ANOC in September. If you haven’t received your ANOC yet, please contact member experience.
Plan Brochure
The plan brochure arrives with this issue of Concierge. It lists all Network Health Medicare Advantage Plans available to you for the upcoming year, and shows the costs for common services. This document is also referenced during the Experience Network Health member events we host in October.
ID Card
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2022 Network PlatinumSelect PPO
Member <JOHN Q PUBLIC> Member ID
<123456789>00PC Health Plan (80840) Group 2001899
Network Copays In Out PCP $ <0> $ <0> Specialist $ <0> $ <0> Rx BIN: 003858 RxGrp: NHPA
RxPCN: MD
H5215_008
You use your Network Health member ID card when receiving medical services, picking up medications and using your plan’s extra benefits, like vision, dental and fitness*. In October, you will receive your 2022 ID card. You should continue using your 2021 ID card through December 31, 2021. Use your new ID card beginning January 1, 2022. If you change your plan for the upcoming year, you will receive a new ID card in December for your new plan. This is the ID card you should use beginning January 1, 2022.
Member Guide
The Network Health Member Guide explains how to make the most of your plan. It contains information about signing up for the member portal, using your extra benefits and accessing Network Health wellness programs. Your Member Guide will arrive in January of 2022. Remember, you can see your plan documents in your secure member portal at login.networkhealth.com. The member portal also allows you to do the following, and more. • View your claims • Make a premium payment (if applicable) • View your Explanations of Benefits • Update your communication preferences for communications you prefer to receive electronically so you’ll get less mail • Designate your personal doctor • Complete your health risk assessment *Not all plans have vision, dental and fitness. Check your Summary of Benefits or Evidence of Coverage documents to confirm your benefits.
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Preventing Falls
By Jennifer Footit-Tank, RN, CCP, quality care coordinator at Network Health
E
very year, the Centers for Medicare & Medicaid Services sends a Health Outcomes Survey (HOS) to randomly selected Medicare members. This survey asks you various health questions about your health outcomes. If you receive a survey, answer all the questions completely and honestly. The results are used to measure quality initiatives and identify areas for improvement. One important topic covered on the HOS is the risk of falling. The Center for Disease Control and Prevention (CDC) reports one out of four people age 65 and older falls each year, but less than half tell their doctor.
Falls and balance issues A fall is unintentionally landing on a lower level without being pushed. All falls are serious enough to discuss with your doctor, because falling is not a normal part of aging. While it may have felt like it only happened because a rug was in the wrong place, it may have been a combination of factors that lead to the fall. If you haven’t experienced a fall but have felt dizzy, lightheaded or had the sensation of the room spinning while walking or when still, this could be a sign of balance issues. Other indicators of balance issues include tripping while walking, leaning to one side or feeling like you are going to tip over when bending over. Without good balance you could be at increased risk for a fall or be unable to complete your daily activities, which results in decreased independence.
How can my doctor help me with falls or balance issues?
Your doctor will ask you about the events around the fall or unsteadiness to figure out why it happened. During this discussion you will talk about what could have prevented it and then work to develop a plan for preventing future falls and imbalance.
Prevention strategies include the following. • • • • •
Medication changes • Vision or hearing exam Wearing different shoes • Blood pressure management Bone density screening to assess your bone strength • Improve lighting and/or install handrails in your home Increase physical activity that focuses on balance • Use cane or walker, if needed Referral to community-based programs that specialize in falls prevention programs, such as wihealthyaging.org or Wisconsin Institute for Healthy Aging at 608-243-5690
Take charge of your health by reaching out to your doctor to discuss any concerns you may have about falls and balance. Contact Network Health’s Quality Health Integration Team at QI@networkhealth.com or 866-709-0019 (TTY 800-947-3529), Monday–Friday from 8 a.m.
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networkhealth.com
Staying Active During the Cold Winter Months
I
t can be hard to stay active when it’s cold, wet and dark outside. But, physical activity is essential to your health, and the release of endorphins can offset the winter blues which occur from lack of sunlight during the winter months. Exercise can also help balance any holiday overindulgence and put you on the path to a healthier 2022.
Check out these fun options to keep yourself active this winter
Participate in winter sports. Try an outside winter sport, such as ice skating, skiing (cross-country or downhill), ice fishing or snowshoeing.
Play an indoor sport. The winter months are a great time to play indoor sports. Many local fitness centers offer indoor basketball and volleyball courts.
Join a gym. Choose one that is conveniently located so the inconvenience of driving in the winter won’t keep you from going. Encourage a friend to go with you as a fun way to keep yourself motivated.
Join/start a step challenge. You can challenge your family and friends. This could be a longterm challenge (months) or short-term (one week).
Walk at the mall. Many malls, including the Fox River Mall in Appleton, the Bay Park Square Mall in Green Bay, the Mayfair Mall in Wauwatosa and the Brookfield Mall offer early morning access to people in the community. Malls are a great way to walk in the winter if you’re bored by treadmills or don’t have access to a gym. Exercise at home. Purchase a yoga mat and/or hand weights to create a home gym. Try using YouTube or fitness apps to find new exercise routines.
Enjoy time outdoors. Embrace the change in seasons, and spend time outside with your grandchildren and build a snowman, make snow angels and/or go sledding. This will keep you moving while getting to spend quality time with your family. Staying active doesn’t have to be a chore. You can make it fun and keep it interesting by engaging in one or more of these activities. Take care of yourself by stretching before and after activity and drinking plenty of fluids while you’re being active. If you have any health issues, be sure to check with your doctor before starting any exercise program.
Know Your Member Rights and Responsibilities Network Health Medicare members have rights and responsibilities. To learn more about how we provide you with service that respects your rights, go to networkhealth.com/medicare/member-resources. On this page, you’ll find Member Rights and Responsibilities. You can also call the member experience team at 800-378-5234 (TTY 800-947-3529), Monday–Friday from 8 a.m. to 8 p.m. to request this information.
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Talk to Your Doctor About Urinary Incontinence
Julien Her, RN, BSN, quality care coordinator
U
rinary incontinence is the loss of bladder control that can cause unintentional urine leakage. This can affect people of all ages and genders; however, it is more common in older adults and women.
What are the different types of urinary incontinence? • Stress – Can be caused by pressure on the bladder due to activities such as lifting heavy objects, exercising, laughing and sneezing • Urge – The sudden need to urinate with possible frequent urine leakage • Mixed – A combination of stress and urge incontinence • Overflow – Urine leakage or dribbling when the bladder does not fully empty • Functional – Loss of control, which can be due to physical or mental impairment
What causes urinary incontinence? The health of your bladder can be impacted for a variety of reasons. Urinary incontinence can occur due to any of these risk factors. • Infections, such as urinary tract infection or vaginal infection • Medication • Enlarged or inflamed prostate • Being overweight • Age
• • • •
Constipation Weak or overactive bladder muscles Caffeine intake Smoking
What type of treatment is available? Different treatment options are available, depending on the cause of urinary incontinence. Some of the treatments include pelvic floor muscle exercises, medications, medical devices and surgery. If you are experiencing incontinence, your doctor may run some tests or refer you to a specialist.
How can I keep my bladder healthy? Use the tips below to maintain or improve your bladder health. Maintain a healthy weight Talk with your doctor • Extra weight can increase pressure and weaken the • Don’t be embarrassed to discuss the loss of muscles around the bladder. bladder control with your personal doctor. If Exercise you are experiencing any urinary incontinence or • You can do Kegel exercises to help strengthen the difficulty urinating, your doctor can give you bladder muscles. treatment options to help you manage or cure it. Urinate when you feel the urge and fully empty bladder Avoid constipation • Don’t hold your urine because that can weaken the • Eat high fiber foods and consume enough water muscles around the bladder. or fluids.
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networkhealth.com
What is Chronic Kidney Disease? By Rosanne Rott, RN, care manager at Network Health
W
e all have little filters in our blood called nephrons. The nephrons in someone with chronic kidney disease (CKD) aren’t functioning properly, so they let some waste and extra fluid stay inside the body, when it should be filtered out.
Who is at risk for chronic kidney disease? The following factors can cause a higher risk for developing kidney disease. • Diabetes • High blood pressure • Family history • Race
before you take any over-the-counter medications, including pain relievers, vitamins, herbal supplements, laxatives and antacids. When your kidneys aren’t working well, too much medicine can build up in the blood, which can be dangerous. • Make healthy lifestyle changes. Lifestyle changes can help slow down the progression of any disease, including kidney disease. These changes include quitting smoking, eating right, being active and staying at a healthy weight.
How is kidney disease diagnosed? Kidney damage happens slowly, over time and many people do not have any pain or problems until the damage is severe. This is why it’s important to have annual blood and urine tests, if you are at risk. Early detection and diagnosis can help keep kidney disease from getting worse.
Use these tips to improve your kidney health. • Take care of other health conditions. If you have high blood pressure or diabetes, work closely with your personal doctor to keep your condition under control. • Keep track of your A1c level. If you have diabetes, check your blood sugar often and keep track of your A1c. • Make and keep doctor appointments. It’s important to see your doctor regularly to monitor your health. • Take medications as prescribed. By taking your prescribed medications correctly, you will have better control over your health conditions. • If you have kidney disease, be careful with over-the-counter medications. Ask your doctor
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Where can I learn more about chronic kidney disease? • National Institute of Diabetes and Digestive and Kidney Diseases – niddk.nih.gov/health- information/kidney-disease • National Kidney Foundation – kidney.org • Centers for Disease Control and Prevention – cdc.gov/kidneydisease • American Kidney Fund – kidneyfund.org • Your local ADRC – dhs.wisconsin.gov/adrc/ consumer
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PRESORT STD US POSTAGE PAID PERMIT 1033 GREEN BAY, WI
1570 Midway Pl. Menasha, WI 54952
Health and wellness or prevention information
PPO, D-SNP, HMO
Get Social (For Real)
W
e want you to venture out, explore and be active, while staying safe. Below, you will find a brief highlight of special events in our community (most of which take place outside). For more fun, follow Network Health Wisconsin on Facebook. WHEN
WHAT
WHERE
Chain O' Lakes Blues Festival visitwaupacachainolakes.com/event/chain-o-lakes-blues-fest/2021-10-01
Waupaca
Sister Bay Fall Fest sisterbay.com/events/p/sisterbayfallfest
Sister Bay
October 16
Mosquito Hill Endurance Run calendar.ultrarunning.com/event/mosquito-hill-endurance-run
New London
October 17
Kenosha Hot Cider Hustle wisconsinruns.com/kenoshahotciderhustle
Kenosha
October 24
Green Bay Hot Cider Hustle Half/5K wisconsinruns.com/greenbayhotciderhustle
Green Bay
November 6
Houdini 10K runawayshoes.net/houdini10k
Appleton
November 13
Holiday Wonders Craft Show landkproductions.com/Shows/HolidayWonders.html
Oshkosh
November 25
Milwaukee Turkey Trot wisconsinruns.com/milwaukeeturkeytrot
Milwaukee
Yule Twinkle All the Way 5K localraces.com/events/oconomowoc-wi/yule-twinkle-all-the-way-5k
Oconomowoc
Husar's Diamond Dash 5K localraces.com/events/west-bend-wi/husars-diamond-dash-5k-run-walk
West Bend
Run Into the New Year wrsrunintothenewyear.com/event-info/
Hartford
October 15
December 5
December 31
Listed events are accurate at the time of printing.
