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PRESORTED STANDARD U.S. POSTAGE PAID PITTSBURGH, PA PERMIT NO. 3004 Gateway to Better Health 9370 McKnight Road Suite 300 Pittsburgh, PA 15237 Fall/Winter 2018 PAGE 2 Calling All Singers! Join Our Holiday Community Choir PAGE 2 Take 5: Do A Word Search! Fall Favorites PAGE 3 Did You Know? Surprising Health Tips PAGE 3 Member Orientation: Learn how to use your Gateway to Beer Health benefits. What does Gateway to Beer Health cover? One of the most common questions from Gateway to Beer Health (GBH) members is “what is covered?” Although we put this information in your member handbook, we know it is a lot to remember. Here are a couple of lists that highlight what we do and do not cover: Covered Services: • Primary care office visits (podiatry and eye exams included) • Limited dental services (cleanings, x-rays, pulling of diseased teeth ONLY) • Urgent care visits (maximum 5 visits per year at GBH provider) • Specialty care referrals (from your primary care doctor to contracted providers ONLY) • Non-emergency transportation (to and from GBH covered visits ONLY) • Generic prescriptions and brand name insulin and inhalers available at your health center Not-Covered Services: • Emergency room visits • Hospitalizations • Emergency or non-GBH related transportation • Extensive dental procedures (fillings, root canals, dentures, orthodontic work, etc.) • Dialysis • Durable medical equipment (glasses, contact lenses, oxygen, etc.) • Mental health & behavioral health • Brand name prescriptions (excluding insulin and inhalers) • Services from providers not contracted with GBH • Services from a provider not located in St. Louis City or County INSIDE Review Form Reminder Each year, Gateway to Beer Health members must complete a review in order to stay enrolled in the program. This review determines if you are still eligible for GBH. When you receive the review in the mail, please complete the form, sign it, and mail it back in the green envelope within 10 days. Failure to return the form will result in the loss of your Gateway to Beer Health benefits. If you have questions about the review form, please call the Gateway to Beer Health Call Center at 1.888.513.1417 for assistance. Spring/Summer 2017

Gateway to Better Health PRESORTED 9370 McKnight Road ... · Did you Know? • For each pound of weight loss, there is a 4 pound reduction in knee stress. This means that if you have

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Page 1: Gateway to Better Health PRESORTED 9370 McKnight Road ... · Did you Know? • For each pound of weight loss, there is a 4 pound reduction in knee stress. This means that if you have

PRESORTEDSTANDARD

U.S. POSTAGE

PAIDPITTSBURGH, PAPERMIT NO. 3004

Gateway to Better Health9370 McKnight RoadSuite 300Pittsburgh, PA 15237

Fall/Winter 2018

PAGE 2Calling All Singers!Join Our Holiday Community Choir

PAGE 2Take 5:Do A WordSearch! Fall Favorites

PAGE 3Did You Know? SurprisingHealthTips

PAGE 3Member Orientation:Learn how to use your Gateway to Better Health benefits.

What does Gateway to Better Health cover?One of the most common questions from Gateway to Better Health (GBH) members is “what is covered?” Although we put this information in your member handbook, we know it is a lot to remember. Here are a couple of lists that highlight what we do and do not cover:

Covered Services:• Primary care office visits (podiatry

and eye exams included)• Limited dental services (cleanings,

x-rays, pulling of diseased teeth ONLY)

• Urgent care visits (maximum 5 visits per year at GBH provider)

• Specialty care referrals (from your primary care doctor to contracted providers ONLY)

• Non-emergency transportation (to and from GBH covered visits ONLY)

• Generic prescriptions and brand name insulin and inhalers available at your health center

Not-Covered Services:• Emergency room visits• Hospitalizations• Emergency or non-GBH related

transportation• Extensive dental procedures (fillings, root

canals, dentures, orthodontic work, etc.)• Dialysis • Durable medical equipment (glasses,

contact lenses, oxygen, etc.)• Mental health & behavioral health• Brand name prescriptions (excluding

insulin and inhalers)• Services from providers not contracted

with GBH • Services from a provider not located in

St. Louis City or CountyIN

SIDE

Review Form Reminder

Each year, Gateway to Better Health members

must complete a review in order to stay enrolled in

the program. This review determines if you are still

eligible for GBH. When you receive the review in the

mail, please complete the form, sign it, and mail it

back in the green envelope within 10 days.

Failure to return the form will result in the loss of your Gateway to Better

Health benefits.

If you have questions about the review form, please

call the Gateway to Better Health Call Center at

1.888.513.1417 for assistance.

Spring/Summer 2017

Page 2: Gateway to Better Health PRESORTED 9370 McKnight Road ... · Did you Know? • For each pound of weight loss, there is a 4 pound reduction in knee stress. This means that if you have

Join the 2018 St. LouisHealthcare Community Choir

Join us as we celebrate the holidays and our region’s healthcare community with song on Saturday December 15, 2018, from 1-3 p.m.

Rehearsal Dates (10 a.m. to 12 p.m.):• Saturday, November 17, 2018• Saturday, November 24, 2018• Saturday, December 1, 2018• Saturday, December 8, 2018

This choir is OPEN to the St. Louis community. If you are interested in singing with the community choir, or attending the concert, please contact Rosetta Keeton at [email protected] or 314-446-6464.

Take 5:Do A Word Search!

Fall FavoritesN T P W O F P L R T H S C L S X E R U A Y E K R U T F L E T U L E M M P H G H A Z T L A O A Y I W W P J L N F H X A V O X L B A O Q K F R A P X B E B Y C O Z Y L X I N K R E T S A B V O F A R L K N E G O O O K B P H E E K S A V D Q S O C O N X I L P G R S H A R I F H N R F P E I K K Q S E Y V P P I W P G V N B F R T D W F V I Q A I I W O L L A M H S R A M M R N C T D H E C A M P F I R E G L E P W W G G F W T O C B F P W F R S O D H Y J C P T E H

Fall & Winter Health TipsColder weather is on its way! As we enter the fall and winter seasons, we have to protect ourselves against cold and flu season as well as dangerous weather conditions. Here are a few tips to make your fall and winter a safe and healthy one. • Wash your hands to prevent the spread of sickness. It takes 20 seconds of

scrubbing with soap and water to kill all of the germs. • If you use hand sanitizer, rub the sanitizer on your hands until it is completely

dry. You will still have germs on your hands if you don’t follow this routine.• If you have to walk in snowy or icy weather, wear good shoes, be aware of your

surroundings, and walk with small, shuffling, flat-footed steps to prevent falling.• When shoveling snow, keep these important things in mind:

Do not shovel after eating or while smoking Take it slow and stretch out before you begin Shovel only fresh, powdery snow; it's lighter Push the snow instead of lifting it If you do lift it, use a small shovel or only fill the shovel half way Lift with your legs, not your back Do not work to the point of exhaustion Don't pick up a shovel without a doctor's permission if you have a history of heart disease If you feel tightness in your chest or dizziness, stop immediately

TheFunnyBone

Member OrientationsIf you are a new Gateway to Better Health member, or if you would like more information about how to use your Gateway to Better Health coverage, please come to one of our scheduled member orientation sessions. To learn more, or to register for any of these sessions, please call the Gateway to Better Health Call Center at 1.888.513.1417.

Flu Shot ReminderFlu season is here, and we want you to be protected. Gateway to Better Health covers a flu shot at your primary care health center. Talk to your doctor about getting a flu shot today!

APPLE

BOOTS

CAMPFIRE

COZY

FAMILY

FOOTBALL

HALLOWEEN

LEAVES

MARSHMALLOW

ORANGE

PIE

PUMPKIN

SWEATERS

THANKSGIVING

TURKEY

Did you Know?• For each pound of weight loss, there

is a 4 pound reduction in knee stress. This means that if you have knee arthritis, losing 5 pounds feels like losing 20 pounds!

• The glow from screens on electronics (phones, tablets, etc.) can make it hard for you to fall asleep at night. Turn off all electronics one hour before going to bed.

When you talk on a cell phone while driving, you are more impaired than drunk drivers

with blood-alcohol levels over .08. Please be safe and don’t text or talk on your cell phone while driving.