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TIPS
FOR DECLUTTERING
YOUR HOME
& REFRESH
YOUR WORKOUT WITH BE FIT KEEP SICKNESS AWAY WITH THESE SIMPLE VACCINES
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Ready for a Refresh? Spring is in full bloom, and summer is right around the corner. It’s time to get back outside, plant some flowers, go for a walk, grab a golf club, gas up the grill and maybe even take the grandkids out for ice cream (in moderation of course).
Springtime is all about fresh starts and fun times. But along with having fun and enjoying the warmer weather, make some time to freshen up the way you think about your health. If you aren’t getting enough physical activity or want to change up your routine, you can squeeze more exercise into your life with our new fitness perk, Be Fit. Maybe it’s time for some spring-cleaning. Learn tips and the advantages of decluttering your house to give your home a fresh start heading into summer. Then, get to know one of our many helpful Medicare Liaisons. Along the way, you can also learn about dental benefits, long-term and transitioning care, important vaccines and ways to spend time with friends and family dealing with memory loss. Sit back and relax with this issue of House Calls while you plan your next refresh.
Inside This Issue 3 Be Fit with Your Flexible Fitness Benefit 4 Cut the Clutter This Spring 6 Vaccines Are Worth a Shot 7 Meet Community Liaison Jessica Arroyo 8 Spending Time with Someone Who Has Memory Loss 10 Learn about Long-Term Care 11 Supporting You from Hospital to Home 12 Essentials
Take Advantage of Your Dental Coverage Your plan covers up to a defined dollar amount for dental services, like cleanings, X-rays and more. You’ll have a copay for your first oral exam but no additional copays up to your defined amount. See your Evidence of Coverage (EOC) for more details. You can see any dentist of your choice. You pay your dentist and then send your receipt to us. If your dentist submits the claim for you, you don’t need to do anything. See your Evidence of Coverage or call the Member Services number on the back of your ID card for details.
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The gym you choose doesn’t have to be in our service area. You can hit the gym, anytime and anywhere.
Be Fit
with Your Flexible Fitness Benefit Staying active is important for healthy aging, and with our Be Fit fitness benefit, you have the flexibility to get fit at the gym of your choice. You choose where you want to work out, and we pay you back up to $30 per month for your gym membership or fitness class fees. If your fees are more than $30 per month, you pay the difference. If they’re less than $30 per month, we pay you back the amount you paid. Just send us your receipts, and we take it from there. You can submit receipts monthly, quarterly or at the end of the year. You can learn more and find the reimbursement form at HealthAllianceMedicare.org/Perks.
You also can request a reimbursement form by calling the Member Services number on the back of your ID card.
Be Fit does not cover services that require additional fees, like personal trainers or personal equipment. It applies to only standard fitness class and gym membership fees at non-residential commercial or community facilities.
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Cut the Clutter This Spring Going through boxes of mementos can be a fun trip down memory lane. But sometimes, the boxes pile up. Many people like to store their precious treasures and gather keepsakes throughout their lifetime. It can be rewarding. It also can become excessive, though, and when that happens, the clutter can have a negative effect on your well-being. It’s important to know what to do if your clutter has become too much to handle.
Along with creating tripping hazards, which could lead to broken bones or other injuries, clutter can put more pressure on your family, especially if your kids end up needing to go through your belongings when you’re not around. And it can collect dust, making the air quality worse in your home and lead to sneezing and other allergy symptoms. If your clutter reaches the level of hoarding (a disorder that makes those affected too distressed to throw things away) it could make moving around your house, cooking dinner, cleaning and hosting guests difficult. And it could also create a fire hazard.
Ready to Declutter? Start with a plan. Jumping in without thinking about it first could lead to more stress and a bigger mess. Here are some things to consider when coming up with your decluttering strategy. • Pick a day to go through your things. • Invite loved ones if you’d like help. Your children or grandchildren may be interested in some of the items you no longer want. • Make sure you have plenty of garbage bags, boxes and cleaning products. • Plan to sort in rooms with good lighting, or you can bring a lamp to a room that is too dark. • Decide which room you want to tackle first and what order you will go in for the rest of the house. • Pay attention to the forecast. Make sure it’s not too hot or too cold to comfortably and safely work. • Create a place to sort your items into categories (keep, donate, throw away, sell). As you declutter, go through one pile at a time and give yourself plenty of time. You can also schedule breaks so you don’t wear yourself out too soon.
Most people are not considered hoarders, they simply like to keep items that are important to them. But even then, it’s important to be selective so you can avoid the falling and fire hazards, among other problems. Decluttering can allow you and your loved ones to relive some memories and share stories as you clean. It also can help you be more prepared to downsize if you decide to do so in the future and will help you become more organized so you can more easily find the items you need.
If you’re struggling to decide whether to keep or discard an item, think about the last time you used the item and if it could be useful in the future. If your piles have become bigger than you can handle and you need more help, you can contact a professional organizer. Enjoy the experience. It can be stressful, but the results will be rewarding. And the journey can be full of cherished memories. You might even make some new ones.
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Vaccines Are Worth a Shot
Vaccines help keep you from getting certain diseases and help stop the spread of those diseases overall. While you’re spring-cleaning and decluttering your house, it’s also a good time to take stock of your health and make sure you’re up to date on recommended shots. Spring and summer are not the best times for a flu shot, but it’s good to know you have coverage when flu season rolls around each fall. The Centers for Disease Control and Prevention (CDC) recommends getting the shot each year. Our Medicare Advantage plans cover both pneumococcal shots. These vaccines help protect you from pneumonia, meningitis and some other types of infections. The CDC recommends getting both pneumococcal shots.
You can get the flu and pneumococcal vaccines at any in-network provider or pharmacy that offers the shots, but you might have an office visit copay if you get them in a doctor’s office. The shingles shot, also known as Zostavax, and the Tdap vaccine, which helps prevent tetanus, diphtheria and pertussis (also known as whooping cough), fall under pharmacy coverage. If your Medicare Advantage plan includes prescription drug benefits, you can get the shots at any in-network provider or pharmacy that offers them. You pay Tier 4 coinsurance once you have met your deductible.
Check with your doctor to make sure you’ve gotten the vaccines you need. Call the Member Services number on the back of your ID card for coverage questions.
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Meet Community Liaison Jessica Arroyo
Medicare can be a little confusing even if your first language is English.
Jessica Arroyo, a community liaison at Health Alliance Northwest, knows what it’s like to have questions, so she sees value in helping others find answers every day. Growing up in a Spanish-speaking home in Washington, Jessica started kindergarten without knowing any English. But with some hard work and help from great teachers, she understood it by the end of kindergarten and could speak it well by the end of first grade. Her first-grade teacher spoke both English and Spanish, and Jessica credits her time in that dual-language classroom with helping her get to where she is today. Now she returns the favor. Through her work at Health Alliance Northwest, she gives back by teaching Englishspeaking and non-English-speaking people about Medicare and helps them understand how healthcare coverage works.
It’s almost as if she were trilingual, speaking Spanish, English and Medicare. “Medicare can be a little confusing even if your first language is English,” she says. “Having a language barrier makes it even more confusing. With this role, I can really guide people through their choices by speaking their language.” Jessica and her co-workers are always ready to step up to the challenge and help people find answers to their questions. “Always feel welcome to reach out, no matter how big or how small your problem is,” she says. “We can sit down and help you. That’s why we’re here.”
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Guest writer Kathy Rhoads, owner of Circle of Friends Adult Day Center, is a licensed clinical social worker and a certified dementia practitioner with a master’s degree in social work.
Spending Time with Someone Who Has Memory Loss If you have a friend or family member with memory problems, you know it can be hard to talk to them at times. You might miss the person they used to be or not know how to treat them now. Even though it might be difficult, you can maintain or renew a meaningful relationship with someone who has memory loss. The tips below can help. • Talk to the caregiver in advance to find out what the person with memory loss likes to do and anything important you should know to make the visit a success. • You may need to repeat your name, even if you’ve been friends for years. • If the person has trouble talking or making sense, just listen and go along with what they say. For example, if they say they are waiting to be picked up by their mother, don’t contradict them. Instead, you could say, “Tell me about your mom. Was she strict with you? Was she a good cook?” • Try not to use words like “don’t” or “stop.” For example, instead of saying, “Don’t go outside; you can’t go there,” say, “Before you go outside, let’s find your jacket. It’s cold out.” Then distract them with something else, like a game or a cup of coffee.
• Break activities into simple steps. Instead of saying, “Let’s play cards,” start with, “Let’s stand up and find a deck of cards.” • Don’t be afraid to visit. They are still a person—a person who happens to have memory problems. Your visit can also help the caregiver, who might be feeling isolated. • If you visit often and feel comfortable, let the caregiver take a break and leave while you’re there.
Activity Ideas • Share memories about the good old days. This may trigger a memory and give you a topic to discuss. • Bring pictures or photo books to look through together. • Bring a well-behaved pet if the person likes animals. • Take them for a car ride and stop at a drive-thru for a snack. • Go for a walk together if they are able. • Play a game at their ability level. If they can’t play cards anymore, take out the deck and match colors or numbers. Do an easy puzzle. Talk about their favorite childhood game.
• Ask one question at a time and allow time for them to respond before asking something else.
• Do an activity together that they enjoy, like painting, watching sports or folding clothes.
• Stay for a short time. You don’t have to be there all day.
• Sing their favorite songs.
• Focus on enjoying the time together, not finishing the activity. • Don’t just do things for them. If they are struggling with a task, ask if you can help. • Be flexible. If an activity isn’t working, try something else.
• Bring a silly joke book to read to them. Laughter is the best medicine! • Ask for their help. “Can you please help me with this project? Or, “I need your advice.” • Bring a friend so you can all interact with one another.
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Learn about Long-Term Care Long-term care refers to the medical and non-medical services a person needs for an extended period of time, either at home or in a facility.
The time frame for long-term care ranges widely. Someone recovering from an injury, illness or surgery might only need care for a few weeks, while someone with a chronic condition, like dementia, or who has had a stroke might need care for years. Long-term care is divided into two categories: skilled and custodial. Skilled Care • Medically necessary care that can only be provided by or under the supervision of a licensed medical professional • Usually takes place in a skilled nursing facility but can also be received at home • Examples: wound care, catheter care, intravenous injections, physical therapy Custodial Care • Non-medical care that can be safely provided by a non-licensed caregiver • Can take place at home or in a long-term facility
• Examples: help with daily tasks like getting in and out of bed, bathing, dressing, eating • Most long-term care is custodial care, and nursing homes are the most common places it is received. We follow federal guidelines for coverage of long-term care. • Medicare plans don’t cover custodial care if it’s the only care you need. Some people choose to buy separate long-term care insurance to help with the cost. Call your State Health Insurance Assistance Program to learn more about these policies. • If you need daily skilled care and also need custodial care, both are covered as long as the care continues to meet the criteria for a covered skilled care stay. ∙∙Criteria: you need daily skilled care from a licensed medical professional that could not be provided at a lower level of care. • You might be able to get certain kinds of skilled care at home rather than in a facility if you need the service fewer than five times a week.
If you need help arranging custodial care or related services, like transportation or meal delivery, call your local senior center. If you are transitioning from a skilled nursing facility to home, the facility should have a case manager or social services coordinator who can help you find community resources, too.
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Supporting You from Hospital to Home Being in the hospital or an acute care center is no fun, but sometimes leaving is just as tough. Even if you’re glad to be going home, you might feel nervous to leave the nurses and doctors behind or worried about following your discharge instructions correctly. We have a care transition intervention (CTI) program to support you after you go home so you don’t feel like you’re on your own. Once we are notified that you’ve been discharged, a CTI case manager will call you within 24 hours. Most of our case managers are registered nurses. This is included in your Medicare Advantage plan at no extra cost, and it’s a perk you wouldn’t get with Original Medicare or a Medicare Supplement plan. Your case manager’s main goal is to make sure you have the care and support you need to stay healthy and avoid going back to the hospital. Clay Johnson, a senior CTI case manager, says the program has been a success in the five years since it began. “Members are usually very appreciative of the call after they’re discharged and for the case manager’s help, whether it’s dealing with a prescription issue or setting up follow-up appointments,” he says. “We want to ensure that everyone has a comprehensive care team working together
to support them, and the response has been very positive from our members.” Here are some topics your case manager will discuss with you. • Discharge instructions • Medications • Follow-up appointments • Warning signs to watch for • Any potential setbacks • Helpful resources The best way to prepare for the initial call is to have your meds and discharge instructions handy. Also, write down any questions or concerns you have so you’ll be ready to discuss them. After the first call, the case manager will most likely call you once a week for the next three weeks to see how you’re doing. The timing and frequency of the calls vary and depend on your specific needs. To learn more about the CTI program, call the Member Services number on the back of your ID card.
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Essentials Health Alliance Medicare Services is Here to Help We can help you with questions about claims, coverage, appeals, pharmacy issues, preauthorization, utilization management and information about the doctors, clinics and hospitals we work with. After normal business hours, leave a message, and we will return your call the next business day. Please note that all non-urgent review requests received after normal business hours will be recorded as being received the next business day. Please call us if any of your personal information has changed, including: • Name
• Find a doctor or hospital • Pay your monthly premium • View your deductible and find your copayments or coinsurance • View the Drug Formulary • Connect to our Prescription Benefits program to evaluate drug interactions and determine financial responsibility for prescriptions • View your plan materials and see which benefits and services are included and excluded from your coverage in and out of the service area
• Phone number
• Look at medical and pharmaceutical management policies and procedures, including how we review new technology
• Other insurance
• Read our notices of privacy practices
• Address
• Primary care physician (PCP) You can call Health Alliance Medicare Services at 1-877-750-3350, Monday–Friday, 8 a.m. to 8 p.m. CT. TTY users call 711. Keep Your Member Materials Handy To make the most of your benefits, read your member materials, including your annual Evidence of Coverage book and any materials you received when you became a member. These materials are a convenient source for quick information about your coverage. If you need additional copies of your member materials, please contact Health Alliance Medicare Services at 1-877-750-3350, Monday–Friday, 8 a.m. to 8 p.m. TTY users call 711.
Our websites also have information about your coverage and our processes, such as: • Our most recent HEDIS® and CAHPS® scores • RallySM**, our health management tool • How to get emergency care, primary care, specialty care and behavioral health services during and after normal business hours in and out of the service area • How to get information about in-network physicians and hospitals, including searching for providers • How to file a complaint or appeal, including your right to involve an external review organization To sign up for a username and password, go to YourHealthAlliance.org and register as a member.
*If you don’t have Internet access, you can request Take Charge Online* printed copies of the materials on our website by Find convenient answers to your questions online anytime, calling Member Services. anywhere with YourHealthAlliance.org. Register today to: **If you don’t have internet access, health surveys, • Review member rights and responsibilities self management tools and rewards are also available by • View eligibility mail or phone. To participate, call the number on the back of your ID card. • Check the status of a claim • Order a new ID card • Learn how to submit a claim
HEDIS® is a registered trademark of the National Committee for Quality Assurance (NCQA). CAHPS® is a registered trademark of the Agency for Healthcare Research and Quality (AHRQ).
We Speak Your Language If you are more comfortable speaking a language other than English, try our telephone translation service, Language Line. We provide access to interpreters who speak 200 different languages. Simply call Health Alliance Medicare Services and state which language you speak.
HEDIS is the measurement tool used by the nation’s health plans to evaluate performance in terms of clinical quality and customer service. CAHPS® is a nationally recognized survey tool that measures members’ satisfaction with their health plan. To view our most recent HEDIS and CAHPS® scores, go to HealthAllianceMedicare.org/Why-Choose-Us.
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Health and Wellness Si usted necesita un interprete para traducir esta información, por favor llamar al teléfono gratis 1-877-750-3350 y pregunte To help you achieve and maintain your best possible health, por la “Language Line.” Health Alliance offers disease management programs for members with asthma, diabetes and high blood pressure. Documents may be available in alternate formats or For more information or to enroll, call 1-800-851-3379, languages. Please call 1-877-750-3350, Monday–Friday, extension 8112, and select option 2. 8 a.m. to 8 p.m. TTY users call 711. Managing a major health condition is never easy. You have Better Service, Better Care full access to our case management programs and will not Health Alliance Quality and Medical Management departments go through your health journey alone. Our highly skilled continually strive to provide programs and tools to help nurse case managers personally help members improve their members and providers promote healthy lifestyles. Our health and reduce their medical cost spend by coordinating goals are to identify special needs of the populations we quality and cost effective health services. For more serve, establish clinical care and service standards for those information or to enroll, members or their caregivers may call populations based on industry standards and measure 1-800-851-3379, extension 8112 and select option 1. performance outcomes while adhering to regulatory and plan requirements. After improvement opportunities are identified, Other great resources are available to you on our Health we respond with appropriate interventions to improve care and and Wellness page: service and then measure their effectiveness. Through regular • Quit For Life® smoking cessation program monitoring and an annual evaluation, we continue to meet the • More information about Rally, our health goals we have set. To view HEDIS scores and learn about the management tool that helps motivate you with Quality Improvement Program, go to HealthAllianceMedicare. online missions, support and rewards org/Why-Choose-Us. • Immunization Program for adults and children Clinical Guidelines • More information about our case and disease Health Alliance encourages our doctors to consult nationally management programs recognized standards, called clinical guidelines, when • Our blog featuring articles on health, wellness and providing care to our members. These evidence-based insurance subjects treatment suggestions have been developed to help doctors • Exclusive discounts at various gyms, health clubs choose appropriate healthcare treatment for specific medical and weight loss centers conditions. Doctors can review the guidelines on the Health Alliance website or call 1-800-851-3379, ext. 8112 (Monday– • Nutrition information and recommended Friday, 8 a.m. to 5 p.m.) for a hard copy. TTY users call 711. preventive services NCQA® Accreditation We participate in a health plan accreditation program with the National Committee for Quality Assurance (NCQA®). This ensures we meet a rigorous set of nationally recognized standards for quality and service to our members and providers. For more information, visit the NCQA® website at NCQA.org.
To learn more, visit HealthAlliance.org/Health-and-Wellness.
Pharmacy (Part D) Benefits and Management Procedures The Health Alliance Medicare Part D formularies were created to assist in the management of ever-increasing costs of prescription medications. Formularies have successfully HEDIS® and CAHPS® helped health insurance organizations throughout the Health Alliance participates in the annual Healthcare country provide members and physicians with a reference Effectiveness Data and Information Set (HEDIS) and for cost-effective medical treatment. Consumer Assessment of Healthcare Providers and Systems (CAHPS®) data collection programs through NCQA®.
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providers and their denial rates. The utilization decisions our medical directors, nurse coordinators, pharmacy coordinators Our formularies also contain information on other and pharmacists make are based only on appropriateness pharmacy management procedures and processes, like step of care and service and the existence of coverage. There therapy, generic substitution, preauthorization, therapeutic are no incentives, financial or otherwise, to deny access to interchange, quantity limits and other limits or quotas. medically necessary services. To view our formulary online, visit HealthAllianceMedicare. We Respect Your Privacy org/Pharmacy. To search within the document, choose the Protecting your medical information is a responsibility search function or press Ctrl + F. we take very seriously. Health Alliance follows the Health For more information on your pharmacy benefits Insurance Portability and Accountability Act (HIPAA) and and our management procedures and processes, visit other applicable state and federal regulations to ensure that HealthAllianceMedicare.org/Pharmacy. your information is kept confidential. This means we will only use and disclose your information in ways that are Call us 8 a.m. to 8 p.m. weekdays. Toll-free permitted by law. For a complete copy of our website Privacy 1-877-750-3350, TTY 711. Policy or our Notice of Privacy Practices, please contact Health Alliance Medicare Services. This information is also Vaccine Options You can get a vaccine at any in-network pharmacy that available on our website at HealthAllianceMedicare.org. carries the vaccine you need. The pharmacy could require Planning Ahead a prescription for certain patients and for some vaccines. You have a right to accept or refuse treatment and to Call your pharmacy to ask if you need a prescription and to complete an advance directive. If you’re not satisfied with check that the pharmacy has the vaccine you need. To find how we’ve handled an advance directive, you have the right in-network pharmacies, call Customer Service at the number to file a complaint with the state survey and certification on the back of your ID card or visit HealthAllianceMedicare. agency. Information on advance directives and how to file a org/Pharmacy and choose the Find a Pharmacy button. complaint if your instructions are not followed are addressed in your Evidence of Coverage. You Have the Right to an Independent Review For members with Medicare Part C medical benefits, if we deny any part of your first appeal, the entire case, including your appeal letter, will automatically be forwarded for another review with a government-contracted independent review entity (IRE). For members with Medicare Part D prescription drug benefits, if we deny any part of your first appeal, you or your appointed representative may ask for a review by a government-contracted independent review entity (IRE). You must file a written appeal request within 60 calendar days after the date you were notified of the decision on your first appeal to the address included in the redetermination notice you receive from us. For more information, please read your Evidence of Coverage or call 1-800-500-3373, Monday–Friday, 8 a.m. to 5 p.m. TTY users call 711. Health Alliance Ensures Reasonable Access to Services Health Alliance is committed to providing you with efficient, cost-effective, quality healthcare coverage. Health Alliance never encourages underutilization of care. We do not give financial inducements or set quotas for denying care or coverage, nor do we keep statistics identifying individual
For more information, contact Health Alliance Medicare Services to request a copy of the brochure “Planning Ahead.”
Call us 8 a.m. to 8 p.m. weekdays. Toll-free 1-877-750-3350 TTY 711 HealthAllianceMedicare.org
Give a Gold Star Have you had a great experience with somebody at Health Alliance Medicare? If so, you can give that person a Gold Star as a special way to say thanks. We’ll share your story with that person and his or her manager and peers. And we might even use it in ongoing employee recognitions. You can thank someone today at HealthAlliance.org/GoldStar.
15 DISCRIMINATION IS AGAINST THE LAW Health Alliance complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability or sex. Health Alliance does not exclude people or treat them differently because of race, color, national origin, age, disability or sex. Health Alliance: • Provides free aids and services to people with disabilities to communicate effectively with us, such as: o Qualified sign language interpreters o Written information in other formats (large print audio, accessible electronic formats, other formats) • Provides free language services to people whose primary language is not English, such as: o Qualified interpreters o Information written in other languages If you need these services, contact customer service. If you believe that Health Alliance has failed to provide these services or discriminated in another way on the basis of race, color, national origin, age, disability, or sex, you can file a grievance with: Health Alliance Medicare, Member Services, 301 S. Vine Street, Urbana, IL 61801 or 316 Fifth Street, Wenatchee, WA 98801, telephone for members in Illinois, Indiana, Iowa and Ohio: 1-800-965-4022; telephone for members in Washington: 1-877-750-3550 TTY: 711, fax: 217-337-3425, MemberServices@healthalliance.org. You can file a grievance in person or by mail, fax or email. If you need help filing a grievance, Member Services is available to help you. You can also file a civil rights complaint with the U.S. Department of Health and Human Services, Office for Civil Rights, electronically through the Office for Civil Rights Complaint Portal, available at https://ocrportal.hhs.gov/ocr/portal/lobby.jsf, or by mail or phone at: U.S. Department of Health and Human Services, 200 Independence Avenue SW, Room 509F, HHH Building, Washington, DC 20201, 1-800-368-1019, TTY: 1-800-537-7697. Complaint forms are available at http://www.hhs.gov/ocr/office/file/index.html. ATENCIÓN: Si habla Español, servicios de asistencia lingüística, de forma gratuita, están disponibles para usted. IA, IL, IN, OH: Llame 1-800-965-4022, WA Llame: 1-877-750-3550 (TTY: 711). 注意：如果你講中文，語言協助服務，免費的，都可以給你。IA, IL, IN, OH: 呼叫 1-800-965-4022, WA: 呼叫 1-877-750-3550(TTY: 711)。 UWAGA: Jeśli mówić Polskie, usługi pomocy języka, bezpłatnie, są dostępne dla Ciebie. IA, IL, IN, OH: Zadzwoń 1-800-965-4022, WA: Zadzwoń 1-877-750-3550 (TTY: 711). Chú ý: Nếu bạn nói Tiếng Việt, các dịch vụ hỗ trợ ngôn ngữ, miễn phí, có sẵn cho bạn. IA, IL, IN, OH: Gọi 1-800-965-4022, WA: Gọi 1-877-750-3550 (TTY: 711). 주의 : 당신이한국어, 무료 언어 지원 서비스를 말하는 경우 사용할 수 있습니다. 1-800-965-4022 IA, IL, IN, OH: 전화 WA: 1-877-750-3550 전화 (TTY: 711). ВНИМАНИЕ: Если вы говорите русский, вставки услуги языковой помощи, бесплатно, доступны для вас. IA, IL, IN, OH: Вызов 1-800-965-4022, WA: Вызов 1-877-750-3550 (TTY: 711). Pansin: Kung magsalita ka Tagalog, mga serbisyo ng tulong sa wika, nang walang bayad, ay magagamit sa iyo. IA, IL, IN, OH: Tumawag 1-800-965-4022, WA: Tumawag 1-877-750-3550 (TTY: 711). : ﻭﻻﻳﺔ ﻭﺍﺷﻨﻄﻦ،1-800-965-4022 ﺍﺗﺼﻞ ﺑﺎﻟﺮﻗﻢ: ﺃﻭﻫﺎﻳﻮ، ﺇﻧﺪﻳﺎﻧﺎ، ﺇﻳﻠﻴﻨﻮﻱ.ً ﻓﺈﻥ ﺧﺪﻣﺎﺕ ﺍﻟﻤﺴﺎﻋﺪﺓ ﺍﻟﻠﻐﻮﻳﺔ ﻣﺘﻮﻓﺮﺓ ﻟﻚ ﻣﺠﺎﻧﺎ، ﺇﺫﺍ ﻛﻨﺖ ﺗﺘﻜﻠﻢ ﺍﻟﻌﺮﺑﻴﺔ:ﺍﻧﺘﺒﺎﻩ (711 )ﺇﺫﺍ ﻛﻨﺖ ﺗﻌﺎﻧﻲ ﻣﻦ ﺍﻟﺼﻤﻢ ﺃﻭ ﺻﻌﻮﺑﺔ ﻓﻲ ﺍﻟﺴﻤﻊ ﻓﺎﺗﺼﻞ ﻋﻠﻰ ﺍﻟﺮﻗﻢ1-877-750-3550 :ﺍﺗﺼﻞ ﺑﺎﻟﺮﻗﻢ Aufmerksamkeit: Wenn Sie Deutsch sprechen, Sprachassistenzdienste sind kostenlos, zur Verfügung. IA, IL, IN, OH: Anruf 1-800-965-4022, WA: Anruf 1-877-750-3550 (TTY: 711). ATTENTION: Si vous parlez français, les services d'assistance linguistique, gratuitement, sont à votre disposition. IA, IL, IN, OH: Appelez 1-800-965-4022, WA: Appelez 1-877-750-3550 (TTY: 711). ધ્યા: તમે વયત તો �ુજરયતી, ભયષય સહય્ સેવયઓ, મફત, તમયરય મયટ� ઉપલબ્ છે . IA, IL, IN, OH: કૉલ 1-800-965-4022, WA: કૉલ 1-877-750-3550 (TTY: 711). 注意：あなたは、日本語 、無料で言語支援サービスを、話す場合は、あなたに利用可能です。 1-800-965-4022 IA, IL, IN, OH: コール 1-877-750-3550 WA: コール（TTY: 711)。 LET OP: Als je spreekt pennsylvania nederlandse, taalkundige bijstand diensten, gratis voor u beschikbaar zijn. IA, IL, IN, OH: Bel 1-800-965-4022, WA: Bel 1-877-750-3550 (TTY: 711). УВАГА: Якщо ви говорите український, вставки послуги мовної допомоги, безкоштовно, доступні для вас. IA, IL, IN, OH: Виклик 1-800-965-4022, WA: Виклик 1-877-750-3550 (TTY: 711). ATTENZIONE: Se si parla italiano, servizi di assistenza linguistica, a titolo gratuito, sono a vostra disposizione. IA, IL, IN, OH: Chiamare 1-800-965-4022, WA: Chiamare 1-877-750-3550 (TTY: 711). cmp-nondiscnotice15MWWACombo-1216
PRSRT STD U.S. POSTAGE PAID CHAMPAIGN, IL PERMIT NO. 488
Health Alliance 316 Fifth Street Wenatchee, WA 98801
Calendar of Events Planning for Retirement June 5 • 4:30–5:30 p.m. Lacey Timberland Library 500 College St. S.E. | Lacey Downsize & Declutter June 13 • 1–2 p.m. Tenino Timberland Library 172 Central Ave. W. Tenino Medicare Supplement vs. Medicare Advantage June 13 • 6–7 p.m. Virginia Mason Memorial’s University of Excellence 2506 W. Nob Hill Blvd. Yakima
Medicare vs. Medicaid June 20 • 6–7 p.m. Virginia Mason Memorial’s University of Excellence 2506 W. Nob Hill Blvd. Yakima Vintiques Northwest Nationals Aug. 4 (9 a.m.–4 p.m.) Aug. 5 (8 a.m.–5 p.m.) Central Washington State Fairground 1301 S. Fair Ave. Yakima
Med-NWSpringHC-0317 • H3471_17_54563 • Approved