StaniSlauS County

POMCO TransitionEffective August 1, 2015 all medical claims administration was transitioned from Capitol Administrators to POMCO. POMCO is now responsible for processing of all medical claims regardless of the date when medical services were performed. POMCO representatives may be reached at 1-844-344-8045 or members may register at www.MyPOMCO.com to get benefits, look up historical claims, or check deductible balances. POMCO also has an “on-site” member relations representative at the Stanislaus County Employee Benefits office at 1010 10th Street, Suite 5900 Modesto, CA 95354. Members should feel free to stop by between the hours of 8 a.m. - 5 p.m. Monday-Friday or call 209-525-5717 to make an appointment to meet with the on-site POMCO representative.

FEEL BETTER Wellness ProgramStanislaus County is excited to launch the employee wellness program during the benefits open enrollment sessions this year called “Stanislaus County – Feel Better”. As way of introduction to some of the components of the “Stanislaus County – Feel Better” wellness program members will have an opportunity to complete “My Passport To Better Health” during the open enrollment sessions and then be eligible for door prizes including Apple Fitbits, headphones, and other health related products! We encourage all Stanislaus County team members to stop by open enrollment this year and begin participating in the “Stanislaus County – Feel Better” wellness campaign! To find out more about “Stanislaus County – Feel Better” go to www.scpartnersinhealth.org/wellness or call Stanislaus County’s Employee Benefits office at 209-525-5717.

NEWS

Benefits/Claim StatusPOMCO (844) 344-8045 www.MyPOMCO.com Provider QuestionsSCPH Providers(877) 830-7470www.scpartnersinhealth.org

First Health Providerswww.firsthealthcomplementary.com

Nurse Care Advocate/ 24-Hour Nurse Line (855) 279-1545

Health Bridges (209) 996-1296 www.healthbridgesofnorcal.com Rx Drug CoverageCVS Caremark (800) 875-0867www.caremark.com

Important Phone Numbers

Fall 2015

StaniSlauS County

www.MyPOMCO.com

StaniSlauS County

FEEL BETTER

www.scpartnersinhealth.org

Open Enrollment Meetings A reminder that open enrollment meetings are ongoing through November 4 at the following times and locations.

November 2, 2015 9:00 a.m. - 11:00 a.m. Agricultural Commissioner (Ag Center) – Conference Rooms D & E 3800 Cornucopia Way Modesto, CA 95358

November 3, 2015 8:30 a.m. - 3:30 p.m. Community Services Agency – Large Training Room 251 E. Hackett Rd Modesto, CA 95358

November 4, 2015 7:00 a.m. - 9:00 a.m. Sheriff ’s Department – Conference Room #152 250 East Hackett Rd. Modesto, CA 95358

www.scpartnersinhealth.org

Special Note: Please be advised that Memorial Medical Center in Modesto, CA, and Sutter Gould Medical Foundation Practitioners are not part of the SCPH provider network. Members seeking care from these providers will require special authorization before services are paid as in-network benefits.

Find a Doctor in the Network

Preventive Care vs. Diagnostic Care

Preventive• You don’t have signs

of a problem, or your doctor just wants to make sure you’re okay with an annual exam or screening.

• In many cases preventive care is covered 100%, but check the details of your plan to be sure.

Go online• Use the SCPH

Provider Directory Search on the SCPH website

Ask your doctor• Call your doctor

to see if they are In-Network before making an appointment

Call SCPH• Contact SCPH

Member Services at 1.877.830.7470 for help if you have questions

Diagnostic• You have symptoms or

an ongoing problem and your doctor wants to do testing to find the cause.

• Coverage depends on your plan, so you may pay a larger portion of the costs.

1. Make sure your doctor is in the network.

2. Know if your visit to the doctor is preventive care or diagnostic care.

3. Have a list of health care questions or any new health issues to review with your doctor.

4. Write down any medicines, vitamins and supplements you are currently taking.

5. Be sure to have your current member ID card.

Make Your Doctor’s Visits Easier on Everyone

There’s a difference between preventative and diagnostic care, so check how each fits in with your plan.

Using a doctor in the network can help you save money.

StaniSlauS County

Flu Shot ProgramThe flu shot program will be available again this year at both the open enrollment meetings as well as the retail clinic locations. This year, all members (including family members) only need to show their ID to get their flu shot at participating pharmacies. The flu shots will be at no cost to the Stanislaus County employees! This program is only designed for those people who work at Stanislaus County and their families.

StaniSlauS County

FEEL BETTER

www.scpartnersinhealth.org

Depend on Quest Diagnostics® for All Your Lab Tests When it comes to your health, you should never compromise on quality. You want an accurate diagnosis if you or your doctor has a concern. You can rest easy knowing that Quest Diagnostics is the world leader in laboratory testing.Quest Diagnostics wants to make getting a lab test quick and easy. There are more than 2,200 Quest Patient Service Centers.

The free MyQuest™ by Care360® app puts all of this at your fingertips:• Receive lab results after completing a test*†• Schedule lab appointments and find the

nearest Quest locations• Share medical information with healthcare

providers• Organize and track health information• Get medication reminders**Get more information and download the app at QuestDiagnostics.com/MyQuestIf your doctor recommends a lab test, be sure to get your test right away. Then make sure you follow up with your doctor to talk about your test results.* Must be 18 years or older. †Pre-employment drug screening results are not available. **Mobile app only. Quest Diagnostics, any associated logos, and all associated Quest Diagnostics registered or unregistered trademarks are the property of Quest Diagnostics

StaniSlauS County

www.scpartnersinhealth.org

Urgent care centers can provide members access to medical care for relatively simple medical conditions like colds, sore throats, sprains, and strains at a fraction of the cost of an emergency room visit. SCPH has contracted with most of the urgent care centers within Stanislaus County and are listed below:

Modesto Urgent Care1908 Coffee Rd. Suite 3 Modesto, CA 95355 Hours: M-F 10am-8pm; Sat-Sun 10am-6pm (209) 529-1542 Fax: (209) 529-1122

Express Lane Urgent Care711 E Hawkeye Suite 3 Turlock, CA 95380 Hours: 10am-9:30pm 7 days a week; Call for an appointment Call Paul Anderson: (209) 664-1550 Fax: (209) 664-1548

Turlock Urgent Care2010 Colorado Ave. Turlock, CA 95382 Hours: M-F 9am-8pm; Sat-Sun 9am-1pm (209) 634-3300 Fax:(209) 667-1719

California Urgent Care Center8001 Lorraine Ave. Stockton, CA 95210 Hours: 9am-9pm 7 days a week; No appointments necessary (209) 472-7400

Greenleaf Urgent Care4707 Greenleaf Ct. Suite A Modesto , CA 95356 Hours: M-F 9am-8pm; Saturday 10am-2pm (209) 338-1550 Fax: (209) 575-1101

Patterson Urgent Care1010 Sperry Ave. Suite D Patterson, CA 95363 Hours: M-F 9am-6pm; Closed for Lunch 1pm-2pm; Sat-Sun Closed (209) 892-3111

Urgent Care

Where to Get Care

When to access Urgent Care versus Emergency Room

NEW to SCPH:

I Need Routine Care > Doctor’s OfficeExamples: routine checkups, annual exams, flu vaccines and other minor aches and pains.

Always check with your doctor first, but if your doctor is not available, you can use this information for getting the care you need, where and when you need it.

Elite Urgent Care1524 McHenry Ave. Suite 340 Modesto, CA 95350(209) 846-3176

Find a location near you:• QuestDiagnostics.com/psc • Or call 866-MYQUEST

(866-697-8378)

Save time in the waiting room by scheduling an appointment ahead of time:• Visit QuestDiagnostics.com/

EZAppointment to schedule an appointment.

• Or call 866-MYQUEST (866-697-8378)

I Need Urgent Care > Urgent Care CenterExamples: X-rays, animal bites, severe cuts and other more significant injuries.

I Have An Emergency > Emergency RoomExamples: heart attack, chest pain, stroke symptoms, breathing trouble, severe bleeding.

Hours: M-F 8am-8pm; Sat-Sun 9am-6pmWalk-Ins Welcome