Pick Your Perks Reimbursement

By: Steven Pfaller, specialty contract manager at Network Health

At Network Health, we take your feedback in all forms to heart to improve our processes and create a positive experience. We’ve noticed an increase in the popularity of and feedback on the Pick Your Perks benefit and would like to offer some simple suggestions to make it easier for members with that benefit to use it and get their reimbursement faster. • Documentation, such as an itemized receipt, must be submitted for reimbursement within 120 days of the date of service or item's purchase. This is an important change to make note of for 2023. • The most common reason a reimbursement request isn’t approved is because an itemized receipt did not contain all the details required. The receipt must show the specific item purchased, the date of service and the amount paid. Submitting only a credit card payment receipt does not show the detail that is required. • If you request reimbursement for a massage, a referral from your doctor is required for the service, as well as an itemized receipt from the massage therapist which details the date of service and the amount paid. • Personal training sessions also require an itemized receipt for each session showing the date of service and proof of attendance for each session. When you are ready to submit a receipt for reimbursement, please keep in mind that not all items or procedures are eligible for Pick Your Perks. The list below highlights common over-the-counter items that are not covered under the Pick Your Perks benefit and are not eligible for reimbursement. Please save this chart for easy reference for future reimbursements.

At-home COVID tests Eye exams Baby wipes Hand soap Bar soap Hearing aids Batteries Homeopathic creams Bodywash Kleenex Cataract surgery Lotion without aloe CBD infused items, creams, snacks, oils Massager CeraVe® moisturizer Medical copayments Chiropractor services Mineral oil Coconut oil Mouthwash Collagen Prescriptions Conditioner Shampoo CPAP supplies Teeth whitening Curcumin Toilet paper Deodorant Turmeric Detergent Vision hardware protection plans Elderberry Walkers

Ensure drinks Wheelchairs The bold items or procedures may be covered under your Network Health medical benefit with some cost sharing. For more information about eligible expenses visit networkhealth.com/medicare/extra-benefits or call 888-831-4753.

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Health and wellness or prevention information

Exchange of Information

By: Mary Zamost, quality care coordinator at Network Health Many medical conditions can be related to other conditions or their treatments. Effective coordination of care depends upon clear and timely communication among patients, providers and facilities. Keeping an open line of communication helps to make the best decisions on treatments, decreases the potential for unwanted medication interactions and avoids test duplications, which increases your safety and helps to control cost.

Giving your doctor the full picture is the best way you can help.

• Discuss other provider visits. You two are a team. The best way to make your team stronger is by letting your personal doctor know about any visits you have with other providers, such as specialists and behavioral health providers. When your doctor has the full picture, they will be better equipped to help you.

• Keep up to date on your medications and doses. Providing your doctor with information on all the medications you take is another way of giving your doctor the full picture. This helps you avoid potential medication interactions and duplicative testing, leading to improved outcomes.

• Sign a release if you visit providers outside of the organization. When your personal doctor refers you to a specialist, outcomes are usually shared back to your personal doctor, as allowed by privacy laws. However, if you choose to seek services outside of your personal doctor’s organization, ask whether a release needs to be signed so that the information can be shared back to your personal doctor.