The information in this newsletter is meant to educate. It is not meant as
medical advice. Please check with your doctor for any advice about your
health. Your health plan may not cover some types of care. Check your
Member Handbook for details about what benefts your health plan covers and
what it does not cover.
With the exception of CommunityConnectHealthPlan.com, the websites
referred to in this newsletter are websites of independent entities and not
affliated with CommunityConnect HealthPlan.
Copies of any type of member information are made available (at no cost)
upon request for translation, Braille, large print or audio format. Just call the
Member Advocate Call Center (see phone number at left). We can answer
any of your questions about your plan. If you have hearing or speech loss,
call the TTY line (see phone number at left).
In southeastern Wisconsin: CommunityConnect HealthPlan is the trade name
used by Compcare Health Services Insurance Corporation for its insurance
policies offered through the BadgerCare Plus program.
© 2011
WPT27276c
If you want to reach us by phone:
Member Advocate Call Center................................ 1-888-279-1227
TTY Line............................................................... 1-800-947-3529
MedCall. .............................................................. 1-877-309-4884
MedCall TTY......................................................... 1-800-368-4424
Care Management................................................. 1-877-471-6656
CommunityConnectHealthPlan.com
25282WIMENCCH 1111
Checkups for all ages
Don’t let illness sneak up on you. We have a chart
that lists the checkups, shots and tests you need
at all ages, from child to adult. The chart is called
Preventive Health Care Guidelines. To see the chart, just
go to CommunityConnectHealthPlan.com. Click the
Members
tab at the top of the page. Choose
Health
and Wellness
from the left-hand menu. Then choose
Preventive Health Guidelines
at the bottom of the page.
When your doctor prescribes a certain drug, be sure
to fnd out what you need to know before you leave
the doctor’s offce.
•
•
Ask what the common side effects are.
•
•
Repeat back to the PCC doctor what you are told
about what the medicine is for and when and
how to take it. That way you know you understood
what the doctor told you.
•
•
When you see the doctor, bring along the bottles for
all medicines you take. Be sure to include any you
buy over the counter at the drug store (even those
for weight loss, cold, cough or allergy). Be sure to
list vitamins, herbs or homemade remedies too.
•
•
If you are afraid of a medicine or afraid of
becoming addicted to it, talk with your doctor.
•
•
Call the prescribing doctor if you think you are
having side effects or want to stop taking a
prescribed medicine.
Just what the
doctor prescribed!
If we decide a treatment or service is not covered
under your plan, you can use the appeals process to
help get your concern resolved fairly.
Please note that some of these steps must occur
within a certain time frame. You can fnd details
about the appeals process for your plan at
CommunityConnectHealthPlan.com, in your Member
Handbook or by calling us at the number on your
member ID card. Follow these key steps.
Step 1: Call the Member Advocate Call Center. We’ll
do our best to resolve your concern fairly and quickly
during this frst call.
Step 2: If you’re not satisfed with the frst response
to your concern, you can fle an appeal. We will tell you
how and let you know about any steps you must take
within a certain time frame.
Step 3: If the outcome of step 2 does not resolve
your concern, you may be able to appeal further. If
your plan offers a second level of appeal, we will let
you know of any specifc state rules or requirements.
We will let you know if there are other steps you
can take.
Step 4: In some cases, if benefts are denied at the
fnal internal appeal level, you may have the right to
request an independent external review.
What you can do
It’s important for all children to get a blood-lead test
at age 1 (12 months) and again at age 2 (24 months).
And the tests are free. Your child’s PCC can make sure
your child gets a blood-lead test on schedule. If you have
a 1-year-old or a toddler, ask your PCC for this free test.
If your child is older than 24 months and has never been
tested for lead, ask your child’s PCC right away for a test.
How to resolve your concerns
Lead is found in paint from homes built before 1978.
After 1978, the use of lead paint was banned in the
United States. It can cause lead poisoning in a young
child without anyone even knowing it.
Lead poisoning happens when you get too much lead in
the bloodstream. Lead is invisible and has no smell, but
it can hurt the body’s organs, even the brain.
Children under age 6 tend to touch everything and put
things into their mouths. This can be a problem if the
items have lead or lead dust on them.
You should:
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•
Keep kids away from peeling paint on other surfaces.
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Cover peeling paint with tape.
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Keep kids from eating candies from Mexico.
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Look for toys, cookware, house wares, jewelry and
crystal with labels that show they are lead-free.
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Wash kids’ hands and toys often.
Source: Centers for Disease Control and Prevention website: CDC.gov
Get the lead out!
Test toddlers for lead poisoning