Healthy You magazine from UMR - July issue

HEALTHY YOU Your journey to wellness starts here

Bug Off! Keeping bugs at bay

Food Safety Don’t get sick

Beat the Heat Exercising in extreme heat

Hep C What baby boomers need to know

As we celebrate our nation’s independence, we are reminded that our freedom came at a price. To our members and employees who are serving and who have served, we would like to say: Thank you for your service.

As a UnitedHealthcare company, UMR would like to express our profound appreciation and gratitude for the dedication and service of our troops and their families.

UnitedHealthcare is proud to sponsor the Ride 2 Recovery Program, which benefits mental and physical rehabilitation programs for our country’s wounded veterans and healing heroes.

Links to sites providing assistance for veterans are available on our member Web site in the Health Center under Government organizations.

©2015 United HealthCare Services, Inc.

CONTENTS In this issue Getting care: What you need to know and where to go. 3 Bug off: Keeping bugs at bay. 6 Online tools: Information, resources and support. 7 Hepatitis C: What baby boomers need to know. 12 Foodborne illness: Don’t get sick. 15 Fitness tools: Tools to help you get moving! 18 Beat the heat: Exercising in extreme heat. 19

Go mobile Try “Healthy You” on your tablet or smart phone

First aid: Find resources for learning first aid basics. 20 Chronic conditions: Take action to improve your health. 21 Healthy living: Go social! 25 Preventive care: Get the facts! 26 Health tips for the entire family: Resources on men’s, women’s and kids’ health. 27

Register for online services to take advantage of all our online resources for members. Visit www.umr.com today!

©2015 United HealthCare Services, Inc.

For kids: Fun activities for kids. 31 En Español: 32

About this magazine “Healthy You” magazine is published as an educational resource for UMR members and to provide information about tools and resources available from UMR as a part of our member online services.

Available features and benefits are dependent on the products and features included in the plan design.

Not all members will have access to all features shown.

Copyright ©2015 United HealthCare Services, Inc. Reproduction in whole or part is not permitted without permission in writing from UMR. All information and links were accurate and functional at the time of publication. However, because this electronic publication contains links to third-party sites, information can change and become unavailable.

While using this electronic publication you may click on a link to other websites. We provide links to other websites that may contain information that may be useful or interesting to you. We do not endorse, and are not responsible for, the content and accuracy of linked websites operated by third parties or for any of your dealings with such third parties. You are solely responsible for your dealings with such third parties and we encourage you to read the terms of use and privacy policies on such third-party websites.

©2015 United HealthCare Services, Inc.

GETTING CARE What you need to know and where to go Your member ID card is your starting point for getting the care you need.

Finding a provider On the back of your member ID card, you’ll find your PPO network contact number and your pharmacy contact (if applicable).

You can also find a provider near you by visiting our Web site at www.umr.com.

Emergencies IMPORTANT: If you are severely ill and/or this is an emergency, call 911.

Not sure where to go?

Where you go for medical services can make a big difference in how much you pay and how long you wait to see a health care provider.

Explore the following information to help you decide the appropriate setting for your care. Š2015 United HealthCare Services, Inc.

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GETTING CARE What you need to know and where to go

Retail clinic/convenient care clinic Retail clinics, sometimes called convenient care clinics, are located in retail stores, supermarkets and pharmacies.

When to go: • Colds or flu • Vaccinations or screenings • Sinus infections • Allergies • Minor sprains, burns or rashes • Headaches or sore throats

Wait time to expect 15 minutes or less (on average) Cost $50-$100 (approximate cost per service for non-employer sponsored facilities)

Urgent care Urgent care centers, sometimes called walk-in clinics, are often open in the evenings and on weekends.

When to go: • Sprains and strains • Mild asthma attacks • Sore throats • Minor broken bones or cuts • Minor sprains, burns or rashes • Minor infections or rashes • Earaches

Note:

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Wait time to expect 20-30 minutes (approximate wait time) Cost $150-$200 average cost (for non-employer sponsored facilities)

Costs may vary based on your plan. Costs shown represent national averages. ©2015 United HealthCare Services, Inc.

GETTING CARE What you need to know and where to go Your doctor’s office Seeing your doctor is important. Your doctor knows your medical history and any ongoing health conditions.

When to go: • Preventive services and vaccinations • Medical problems or symptoms that are not an immediate, serious threat to your health or life

Wait time to expect 1 week or more (approximate wait time for an appointment) Cost $100-$150 average cost

Emergency room Visit the ER only if you are badly hurt. If you are not seriously ill or hurt, you could wait hours and your health plan may not cover non-emergency ER visits.

When to go: • Sudden change in vision • Sudden weakness or trouble talking • Large open wounds • Difficulty breathing • Severe head injury • Heavy bleeding • Spinal injuries • Chest pain • Major burns • Major broken bone ©2015 United HealthCare Services, Inc.

Wait time to expect 3-12 hours (approximate wait time for non-critical cases) Cost $1200-$1500 average cost

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BUG OFF! Keep bugs at bay

Don’t forget!

The warmer weather brings out all manner of pests, and some insects and other bugs can be more than mere annoyances. Ward off potentially disease-carrying mosquitoes and ticks by applying insect repellent to your clothing and exposed skin before spending time in the woods or areas with tall grass and weeds.

Wearing long-sleeved shirts and pants, particularly at dusk, can help keep mosquitoes at bay, and light-colored clothing makes it easier to see ticks on your body.

Download the infographic from the Centers or Disease Control

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Š2015 United HealthCare Services, Inc.

ONLINE TOOLS Health apps we love

OptumizeMe Challenge yourself and your friends to better health! Getting healthier can be a challenge.

Let OptumizeMe help make it fun. With OptumizeMe, you can challenge friends, family, co-workers and even total strangers to contests designed to help everyone get healthy.

Get the app: OptumizeMe app

Who can walk the most steps? Who can be first to run 100 miles? Who can eat 6 servings of vegetables a day? You can create your own health challenges based on your personal interests or you can pick from our list of existing health challenges. You can even join others’ challenges and then the fun really begins! OptumizeMe is an app that is built around the power of social networking.

You can invite friends, family or the entire state to be a part of your challenge. You can motivate your teammates or you can trash talk your opponents. You can post your progress to Facebook. You can make it high stakes by rewarding the winner with whatever prize you think would make the challenge worth winning. Best of all, you can make it fun. When challenges become fun, goals become realities. That’s what healthy is all about. ©2015 United HealthCare Services, Inc.

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ONLINE TOOLS Information at your fingertips

Register today for online services!

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What you can do

Useful tools

• • • •

• • • •

Find a provider Look up claims & benefits View, print or fax your ID card Visit the health center

Symptom checker Drug lookup Health education library Health cost estimator ©2015 United HealthCare Services, Inc.

ONLINE TOOLS

Go mobile! Visit our mobile site

On the go? Visit umr.com on your mobile device. Š2015 United HealthCare Services, Inc.

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ONLINE TOOLS Health apps we love

SmartPatient Get the most from your doctor visit. SmartPatient, from UnitedHealthcare, is the app that helps you manage your health. You can track your health numbers, appointments, and doctor’s orders. You can also find checklists of important questions for your doctor, video tips from Dr. Oz, and Smart Patient videos.

Download the SmartPatient app

Other helpful apps Ask Karen From the U.S. Department of Agriculture Ask Karen and get answers to your food safety questions while at the grocery store, farmers market, in your kitchen, or while at your barbecue grill.

SaferCar From the National Highway Traffic Safety Administration

NHTSA’s SaferCar app provides important information and functions that will help you make informed safety decisions involving your vehicle.

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©2015 United HealthCare Services, Inc.

Follow us on:

myUMRhealth and UHCTV

Need some ideas for dinner? Log in to umr.com and visit the health center to find healthy recipes and cooking videos.

Š2015 United HealthCare Services, Inc.

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HEPATITIS C What baby boomers need to know

Did you know?

Up to 75% of adults infected with Hepatitis C were born between 1945-1965 According to the CDC, baby boomers are at the highest risk for infection. Although the reason is not known, most boomers are believed to have been infected in the 1970s and 1980s when Hepatitis C rates were at their highest.

How is Hepatitis C spread?

Hepatitis C is spread when infected blood enters the blood of a noninfected person.

What are the symptoms?

Symptoms can include fever, fatigue, loss of appetite, nausea, vomiting, abdominal pain, dark urine, grey-colored stools , joint pain and/or jaundice.

5X #1

Baby boomers Are 5 times more likely to Be infected with Hepatitis C

Cause of liver cancer Hepatitis C is the number one cause of liver cancer

Should I get tested?

If you were born between 19451965, it’s important to get tested.

Contact your health care provider to learn more.

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Š2015 United HealthCare Services, Inc.

At the highest risk 1945

1965

1900

2000

Persons born between

Learn more View and print infographic

Watch a video Hepatitis C Get the facts Hepatitis C The hidden disease

Š2015 United HealthCare Services, Inc.

Click logo to learn more

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FOOD SAFETY Keeping food safe and fresh at your next family gathering Cold Use two coolers: one for cold drinks and another for cold foods that can be kept sealed until it is time to eat.

Cook Cook meats to the proper temperature.

Clean Wash your hands or use hand sanitizer.

Keep cold foods cold and hot foods hot.

135⁰ Hot foods

Cold foods

41⁰

1 HOUR

90⁰

Clean Keep prep surfaces clean.

Bring two plastic cutting mats: one for meats and one for vegetables.

If it’s hot Keep food out for no more than 1 hour.

Throw it out If food has been out for longer than 2 hours or more than 1 hour if the temperature is over 90⁰.

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©2015 United HealthCare Services, Inc.

FOODBORNE ILLNESS Don’t get sick

Every year, 1 in 6 Americans becomes sick from a foodborne illness Most people who have experienced a foodborne illness will tell you that it is a very unpleasant experience. But many foodborne illness can be prevented by following these four simple steps.

Clean Wash hands and surfaces often for 20 seconds using soap and water.

Separate Don’t cross contaminate.

Keep meat, poultry, seafood and eggs separate from all other foods.

Cook Cook foods to the proper temperature and keep hot foods hot while the meal is being served.

Chill Keep foods that spoil quickly cold.

©2015 United HealthCare Services, Inc.

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FOODBORNE ILLNESS Avoid getting sick

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Illness

Cause

Symptoms

Botulism is caused by the bacteria Clostridium botulinum, a family of bacteria that lives in the soil and in low-oxygen conditions. The bacteria form spores that are dormant until exposed to conditions that support their growth.

Most often from improperly canned foods at home, however, some cases have resulted from improper canning in commercial settings.

Symptoms of botulism include doubled or blurred vision, droopy eyelids, slurred speech, dry mouth, trouble swallowing and muscle weakness. Symptoms of foodborne botulism usually turn up 18 to 36 hours after eating tainted food, but it can take up to 10 days for symptoms to occur.

Campylobacter is an illness caused by bacteria of the same name (it’s also sometimes called campylobateriosis). The bacteria is found in most of the poultry we eat, as it exists in birds and doesn’t make them sick.

Improper handling of raw chicken, contamination of other foods with raw chicken juices.

Campylobacter is the most common bacterial cause of diarrhea in the world, and the illness can be diagnosed from a stool culture. Most people get over the bacteria without medication. It usually goes away within two to five days.

E. Coli are bacteria that live in the guts of ruminant animals, most notably cattle, but also deer, elk, goats and sheep.

In the slaughtering process, the intestines can be cut, allowing the bacteria onto the meat. Vegetables can also be contaminated through contact with animal feces.

Diarrhea, which can be bloody, stomach cramps, vomiting and sometimes a low fever.

Listeria is found in soil and water and especially in places that have been fertilized with manure.

The bacteria is carried by animals it doesn’t harm, and it can contaminate animal products including meat, milk and cheese, as well as vegetables that come into contact with the bacteria.

Infections can be caused by uncooked meats, rawmilk cheeses, vegetables and cold cuts or soft cheeses that may be contaminated at the deli counter after processing.

Pasteurization and cooking kill listeria, but products can be contaminated after cooking and before packaging or through cross-contamination at the deli.

Fever, muscle aches, nausea or diarrhea are the most common symptoms, but the infection can spread to the nervous system, causing headaches, a stiff neck and convulsions. About 2,500 people become seriously ill in the United States each year from listeria, and about 500 die. Pregnant women, newborns, the elderly and persons with weakened immune systems are especially at risk.

©2015 United HealthCare Services, Inc.

FOODBOURNE ILLNESS Avoid getting sick

Illness

Cause

Symptoms

Salmonella is a bacteria that lives in the intestinal tracts of animals.

When feces comes in contact with food that isn’t cooked, the bacteria can be transmitted to humans.

Salmonella infection usually causes diarrhea, fever or abdominal cramps within 12 to 72 hours after infection.

The illness generally resolves itself on its own within four to seven days, but it’s important for people with salmonella to get plenty of fluids to make up for the diarrhea.

Norovirus is an illness caused by humans.

When your food preparer is sick with one of these viruses and goes to the bathroom but doesn’t wash his or her hands after, the illness can be transmitted to you. (You can also get it from touching surfaces with norovirus germs on them, then putting your hands in your mouth, or from direct contact with a person with the illness.)

Symptoms can begin as early as 12 hours or as many as 48 hours after exposure and usually include vomiting and diarrhea, abdominal pain, stomach aches and headaches, low fever and tiredness.

Staphylococcus aureus is a common bacterium found on the skin and in the noses of up to 25% of healthy people and animals.

Food workers who carry Staphylococcus and then handle food without washing their hands contaminate foods by direct contact.

Staphylococcal toxins are fast acting, sometimes causing illness in as little as 30 minutes after eating contaminated foods but symptoms usually develop within one to six hours. Patients typically experience several of the following: nausea, retching, vomiting, stomach cramps, and diarrhea.

Learn more: visit foodsafety.gov

©2015 United HealthCare Services, Inc.

Para información en Español click aquí

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FITNESS TOOLS Let’s get moving

Learn more Walk for Health Monthly Walking Log Top 10 Reasons to Take the Stairs SuperTracker from USDA.gov

Get moving!

It doesn’t matter if you choose to walk, ride a bike, play tennis or jump rope. What matters is that you are moving. Regular exercise helps you manage your weight, improves your mood and energy levels, helps you sleep better and it’s just plain fun. So let’s get moving!

Important: Always check with your provider before starting any new fitness/exercise program.

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©2015 United HealthCare Services, Inc.

BEAT THE HEAT Exercising in extreme heat

1

Limit outdoor activity, especially midday when the sun is hottest.

2

Wear and reapply sunscreen as indicated on the package.

3

Schedule workouts and practices earlier or later in the day when the weather is cooler.

4

Pace activity. Start activities slow and pick up the pace gradually.

5

6

7

8

Drink more water than usual and don’t wait until you’re thirsty to drink more. Muscle cramping may be an early sign of heat-related illness.

Wear loose, lightweight, lightcolored clothing.

When exercising with others, monitor your teammate’s condition, and have someone do the same for you.

Seek medical care immediately if you or a teammate has symptoms of heat-related illness.

Source: Keep your cool in hot weather

©2015 United HealthCare Services, Inc.

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FIRST AID Resources for life’s little accidents

Basic first aid Do you know how to treat a burn, clean a wound, or help someone if they are choking? Here are some great resources to help you learn more and be better prepared when accidents happen.

App: First Aid From the American Red Cross

Learn how Get first aid procedures and information from MedlinePlus, a service of the U.S. National Library of Medicine and the National Institutes of Health What to put in your first aid kit from FEMA, The Federal Emergency Management Agency

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Š2015 United HealthCare Services, Inc.

CHRONIC CONDITIONS Take action to improve your health

Find out how people just like you are making a change in managing diabetes

Videos

Š2015 United HealthCare Services, Inc.

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CHRONIC CONDITIONS Take action to improve your health

Diabetes resources American Diabetes Association

Lung health resources Build Your Defense Against Respiratory Infections

Keep on Track with Diabetes American Lung Association Carbohydrate Counting for Diabetes Management Eating Out Can Be Fun and Easy Even with Diabetes

National Heart, Lung, and Blood Institute Asthma and Allergy Foundation of America

What is the A1c test?

Mental health resources Tips for Managing Stress Depression Self-Assessment National Alliance on Mental Health

Cancer resources American Cancer Society Cancer resources and information From the Department of Health and Human Services Colonoscopy: The Gold Standard for Cancer Screening

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Š2015 United HealthCare Services, Inc.

CHRONIC CONDITIONS Take action to improve your health

Heart health resources By getting physical and being active for 30 minutes a day, you can reduce your risk and help build a strong and healthy heart. Follow these steps to reduce your risk: 1. Calculate your risk Calculate Your 10-Year Risk of Heart Attack 2. Get your life assessment with My Life Check from The American Heart Association Take the Assessment 3. Eat healthy and watch your weight Heart Healthy Recipes

Š2015 United HealthCare Services, Inc.

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CHRONIC CONDITIONS Take action to improve your health

4. Don't smoke It's Time to Quit 5. Walk for health!

Monthly Walking Log

Are you at risk for a heart attack? Calculate your risk. from The American College of Cardiology and The American Heart Association/ASCVD-Risk-Estimator/

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Š2015 United HealthCare Services, Inc.

HEALTHY LIVING Going social!

Involve family and friends from your community Everyone needs regular exercise. What could be more fun than to set aside some time every day for fitness with friends and family? Take it to the park, get outdoors, dive in! Your relationships will benefit, and so will your health.

Does your community struggle with obesity? Do you live in a rural area or inner city? Fitness opportunities are everywhere. Use these tools to get your whole community on the move!

Explore more National Get Outdoors Day Recreation.gov OptumizeMe

Š2015 United HealthCare Services, Inc.

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PREVENTIVE CARE Get the facts

Did you know?

As specified by health care reform law, most health plans typically cover preventive services. Explore these helpful links to learn more about preventive care.

Download the flyer! Preventive Care Services

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Š2015 United HealthCare Services, Inc.

WOMEN’S HEALTH Taking care of you Sometimes with our busy lives, it can be hard to really take the time to take care of ourselves. As women, it’s important to take that time. Here are some useful tools and information.

Learn more Staying Healthy at Every Stage in Life Women's Preventive Health Adult Screenings and Immunization Guidelines App: Early Detection Plan from the National Breast Cancer Foundation Have you had your mammogram?

©2015 United HealthCare Services, Inc.

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Source4Women Connect with us

Follow Source4Women® on Pinterest to discover inspirational women, health and wellness tips, and healthy recipes.

Follow Source4Women® on Facebook to find helpful tools and resources along with inspiration and encouragement.

Make more informed health care decisions.

When it comes to your family’s health, you need a resource you can turn to for information and support.

Source4Women® gives you answers to your health and wellness questions, in plain language.

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©2015 United HealthCare Services, Inc.

KIDS’ HEALTH Preventive care and immunization guidelines

Learn more

Healthy and well Regular preventive screenings and care can help ensure that your child stays healthy and well and that any causes for concern are identified early. Here are some helpful tools and information:

Š2015 United HealthCare Services, Inc.

Child Screening Guidelines and Immunization Schedule Healthychildren.org From the American Academy of Pediatricians Parenting From the U.S. Department of Health and Human Services

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FOR KIDS From UnitedHealthcare Children’s Foundation

The New "Oliver & Hope's Superhero Saturday" Storybook is Here!

Imagination takes flight when Oliver the bear, Hope the butterfly and Millie the barn owl join their friend Charlotte the fox on a superhero adventure! Bring them home, straight from the pages of UnitedHealthcare Children's Foundation's (UHCCF) newest storybook, “Oliver & Hope’s Superhero Saturday”. This book is the highly anticipated follow-up to the first two award-winning books in the Oliver & Hope ™ series: "Oliver & Hope's Amusing Adventure," and "Oliver & Hope's Adventure Under the Stars."

Find these books and stuffed animal characters on our website.

Proceeds support new UHCCF medical grants for kids.

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FOR KIDS Tell us what you’re looking forward to doing this summer

I can’t wait to…

©2015 United HealthCare Services, Inc.

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EN ESPAÑOL Cómo obtener atención

Recursos Seleccionar un médico de atención primaria Médicos de Atención Primaria Conocer sus números Conocer sus números Tomar sus medicamentos Apéguese a su guión Mis medicamentos diarios

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©2015 United HealthCare Services, Inc.

EN ESPAﾃ前L Cﾃｳmo obtener atenciﾃｳn

About Us UMR is a third-party administrator (TPA), hired by your employer to help ensure that your claims are paid correctly so that your health care costs can be kept to a minimum and you can focus on well-being.

UMR is not an insurance company. Your employer pays the portion of your health care costs not paid by you.

UMR is a UnitedHealthcare company. Š2015 United HealthCare Services, Inc. Visit our website at www.umr.com to learn more.