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Recommendations and Reasons on why/when to where face masks:

 

• The virus can spread between people interacting in close proximity (ex: speaking, coughing, or sneezing), even if those people are not exhibiting symptoms.


• The Center for Disease Control (CDC) recommends wearing cloth face coverings when:
.   -   In public settings where other social distancing measures are difficult to maintain (ex: grocery stores and                    pharmacies), especially in areas of significant community-based transmission
   -   Showing symptoms of the Coronavirus to help prevent the spread of the disease to others
   -   Working as a health workers or taking care of someone in a close setting.

 

If you are wanting to find out more information regarding mask use, check out the CDC's website for more details at www.cdc.gov,  or check with your healthcare provider.

Telehealth, also known as virtual visits or telemedicine, makes it easy to access care from a board-certified doctor, via a secure video or phone appointment, from your home or on the go. Doctors may even be able to prescribe medication.

 

Telehealth services can be rendered using visual and audio (web cam, FaceTime, etc.) or audio only (phone call)

 

Here are some things to know in relation to the Coronavirus:

 

Costs:

 

•Member cost share is waived for par/participating providers for COVID-19 services.
•Humana will also cover out-of-network telehealth claims related to COVID-19 services.

   (If you were to see a non-Par provider for a non COVID related visit, you would be responsible for their copayment/cost share; if it is COVID related and non-par/participating, it is waived).
• Medical necessity, as well as applicable CMS guidelines and other plan rules will continue to apply. 

 

COVID Testing:

 

• Telehealth providers can create an order for local COVID testing, if deemed necessary. They may also refer members to seek local testing resources.
- DOD (Doctor on Demand) will help find a testing location.
- Any other Telehealth provider could, but is at their discretion.
• Telehealth providers can not guarantee local testing locations will have tests and/or have capacity to complete the testing.
• You can also check with your state or local health department, or health provider for approved local testing sites, due to the potential for fraud.

 

How to register/receive care:

 

Phone Apps:

You can download the telehealth app on your phone:

   • For Apple phones, search in the App Store.
   • For Android phones, search in the Google Play Store.

      - For Doctor on Demand (Commercial/Employer Group plans), search for Doctor on Demand (with spaces).

 

More information can be found here:

 

Doctor on Demand (Employer Group Members):

Doctor on Demand 

 

Your primary care provider:

Some primary care physicians have the technology necessary to perform telehealth services. However, we do not have this information available to us.  You would want to contact the physician's office to determine whether telehealth services are available.

 

Potential for longer wait times:

 

• Due to the safety benefits of seeing a telehealth provider during the coronavirus outbreak, more patients than normal are using telehealth services, This increase has led to longer than usual wait times.


• If unsure of how long you can wait, scheduling a visit may be a better option.


• Callers can receive a message that the telehealth provider is not taking additional patients, and then be disconnected.       When disconnected, please try back periodically until you are placed in the queue.

 

Check out this link for more information:

 

Expanded Telehealth Coverage During Coronavirus Pandemic - Humana 

1099s are only issued if there were HSA disbursements (money used) during the tax year. The 5498 will be available beginning in May, but is not needed to file taxes.

 

If you had a health savings account (HSA) in 2019, your IRS 1099-SA Tax Form will be available by the end of January. You will receive an alert when your tax form is ready. If you chose to receive your form by mail, you will receive a printed copy to your mailing address in early February.

 

If you elected to receive your statement electronically, you can view, download and print it from this portal:

 

From the home page, (The HumanaAccess site Homepage - Humana Access Spending Accounts) click on Health Savings Accounts listed in the “Your Accounts” box, Select Tax Forms

 

or 

 

My Accounts - Benefit Account Summary - Account Resources Line, then click Tax Forms.


Click 1099-SA_1 to view, download or print your 2019 tax form.

 

NOTE: If your 2019 HSA distributions were $0, meaning you did not spend any HSA funds in 2019, you will not be issued a 1099-SA.

You may be accustomed to shortening the year when you write out a date on a document - like 1/30/20 - but you might want to think twice before you abbreviate the year 2020. 

 

Abbreviating 2020 on checks or contracts could expose your to fraud risk. Bad actors are constantly looking for ways to alter documents for personal gain. The year 2020 presents an easy opportunity for fraudsters as the abbreviated form of the year allows a bad actor to fraudulently manipulate the duration of a contract or date on a check.

 

For example, if you write 1/1/20, it can easily be changed to 1/1/2021 and extend the life of a check or contract without your knowledge. Protect yourself by taking the extra second to write out the entire 2020 year.

 

 

For more information, check out this recent CNN article

You receive Form 1095 annually. Form 1095 provides proof of health coverage for you and any covered dependents for the applicable months/year.

 

Members on an Individual Health plan through the Health Insurance Marketplace (HIM) receive Form 1095-A from CMS.

 

Members on an Individual Health plan that is not part of the Federal Marketplace Exchange receives Form 1095-B from Humana.

 

Members on a Fully Insured Commercial Health Plan receive Form 1095-B from Humana.

 

Members on an ASO/Self-Insured Commercial Health Plan receive Form 1095-C from their Employer.

 

 

You do not have to wait for either Form 1095-B or 1095-C from your coverage provider or employer to file your individual income tax return. You can use other forms of documentation, in lieu of the Form 1095 information returns to prepare your tax return. Other forms of documentation that provide proof of your insurance coverage include:


Insurance cards,
Explanation of Benefits (EOB),
Statements from your insurer,
W-2 or payroll statements reflecting health insurance deductions,
Records of advance payment of the premium tax credit, and
Other statement including that you, or a member of your family, had healthcare coverage.

 

If you and your entire family are covered for the entire year, check the full-year coverage box on your return. If you or your family members did not have coverage for one or more months of the calendar year, you can claim an exemption or make an individual shared responsibility payment.

 

You do not need to send the IRS proof of your health coverage. However, keep any documentation with your other tax records such as records of your family's employer-provided coverage, premiums paid, and type of coverage.

communitymanager

Pharmacy Resources

Posted by communitymanager Moderator Nov 19, 2019

You probably have questions about when it’s the right time to start considering a Medicare plan. Maybe you’re still working and don’t have any plans to retire, but you’re close to turning 65, or you’re past your 65th birthday.

Questions you may have are:

  • Is Medicare better than my group plan coverage?
  • I'm not retiring, should I still consider a Medicare plan?
  • Will I save money switching to Medicare?
  • Can I keep my doctor if I switch plans?
  • Is there a Medicare enrollment period I need to be aware of?
  • When should I start planning my retirement Healthcare?
  • What kind of wellness programs do Humana Medicare plans offer?

We want you to have all the tools and resources you need so you can make a decision that’s best for you and your healthcare needs.

Resources just for you:

  1. Meet with a local licensed Humana Medicare sales agent when and where it’s convenient for you.

    Set up a meeting
  2. If you prefer to talk over the phone about your Medicare options, call our toll-free number to speak to a licensed Medicare sales agent.
    Call: 855-458-4820 (8am – 6pm EST. M- F. TTY: 711)
  3. Plan for Medicare – Understand Your Options(link opens in new window)
    This booklet will provide you with a complete overview of your Medicare options. It covers costs, enrollment details, the “coverage gap,” special needs plans and more. Download it today and read it at your convenience.
communitymanager

Doctor on Demand

Posted by communitymanager Moderator Jan 2, 2019

2020 is shaping up to be a big year for virtual visits, also known as "Telemedicine", and Humana’s behavioral health services through Doctor On Demand® are a major part of that—so be ready!

 

Beginning January 1, 2019, Doctor On Demand will be in network for Humana members to help treat non-emergent behavioral health issues like stress, trauma, depression, anxiety, and more. Members can securely video chat with board-certified psychiatrists and psychologists from wherever they feel most comfortable, and they can schedule appointments for one-time issues or ongoing treatment where they can choose to see the same clinician every time.

 

Check out the following resources for more information:

 

Doctor On Demand app or 

 

The web at: Virtual Visit Doctors and Psychologists - Doctor On Demand 

 

*Cost will be determined by your benefit plan selection.

By Len Canter

HealthDay Reporter

TUESDAY, Dec. 18, 2018 (HealthDay News) -- If you've ever come home from a brisk walk feeling reinvigorated, you're not alone. Research shows that this is just one of many benefits of exercising outdoors.

 

Working out in a natural environment can also be more physically challenging, making your body work harder and bringing greater fitness results. This happens when, for instance, you're walking, hiking or running on natural terrain, which can vary in evenness and require more exertion than on a flat surface, such as a treadmill.

According to the American Council on Exercise, other outdoor factors, like wind resistance, actually enable you to burn more calories. If, on the other hand, the wind is at your back, pushing you along a bit, you engage certain muscle fibers needed to develop strength and definition.

One study found that people get a variety of psychological boosts from building up a sweat outdoors. Participants were in a better mood and had more energy and less stress afterwards. They simply liked doing the same form of exercise more when they did it outdoors, in nature.

 

There are also benefits from the social interaction of exercising outside with a friend or in a group -- the enjoyment you feel makes it more likely that you'll plan more outdoor workouts.

 

If you have children, exercise with them to show them that fitness activities are fun. Family hikes and ski trips are great, but just being active with them at a park or playground counts, too.

 

And if you're caregiving for elderly parents, they, too, will benefit from time spent outdoors.

 

Get the entire family involved.

 

More information

https://www.usnews.com/news/health-news/articles/2018-12-18/take-it-outside-the-benefits-of-exercising-outdoors 

November 07, 2018

Know your numbers. We hear that a lot. But what happens when that statement becomes all too real? Well, one Humana Employer Group associate found out recently and it helped save a member’s life.

 

Working as a Consumer Engagement Professional in Phoenix, Zoila's role is to engage group commercial clients in Go365. This can often be challenging when employers don’t understand the return on investment (ROI) or the employees don’t understand the value the program offers.

 

As part of that role, Zoila sets up an onsite biometric screening at these employers’ offices to meet with our members and share the benefits of Go365.

Recently, while at an on-site event for a small group, Zoila was able to engage with several employees, get them signed up for Go365 and have them take their biometrics to earn the first of their points. At the end of the day, while packing up, a member came by and asked if he could do his biometric screening. Never one to turn down a member, Zoila gladly helped him.

 

The on-site nurse began the screening and soon became concerned while taking the member’s blood pressure. To be sure, she checked his blood pressure on his other arm. His readings were 248/143 and 258/143, respectively. The nurse knew right away that our member was in danger of a heart attack.

The member was advised to go to the Emergency Room immediately. There, he was treated right away and had to be administered IV fluids to bring his blood pressure down. He was then admitted to the hospital where he spent three days in ICU.

 

His doctor was stunned and didn’t know how he made it to the ER in time and that he was still alive.

 

Having concern for the member, Zoila called to check in on him. During that call, the member said, “Thank you for saving my life.”

 

The member was very thankful to Humana for hosting the onsite biometric screening that saved his life. He assumed what he was feeling was stress related to work.

 

Now when people ask Zoila what is the ROI for participating in Go365, her answer is simple, “You can save an employee’s life, there is no better ROI than a life!”

Beginning January 1, 2019, your Humana Spending Accounts will transition to a new technology platform known as Humana Access®. Humana Access will provide you with a simple, easy-to-use way to pay for eligible out-of-pocket healthcare and dependent care expenses. You will continue to get the same great tax advantages along with an improved debit card and more digital tools to manage your account(s).


What does the transition mean for you?


 A new debit card that can be used with all the spending account(s) in which you’ve enrolled including the dependent care flexible spending account.

 A new website and mobile app that offer a familiar online banking experience with more self-service tools so you can easily manage your account(s) anytime, anywhere.
(Please note: you will continue to manage your medical, dental and vision plans through MyHumana.com and the MyHumana mobile app.)
 Online tutorials, videos and interactive calculators to answer your questions and help you get the most value from your spending account(s).
 The same knowledgeable service you have always received from our Customer Care Center.


What happens next?


 You will receive detailed information about this transition and what it means for you in a few weeks.
 In late December, you will receive your new Humana Access Mastercard® debit card to replace your current Humana Access Visa® debit card.
 On January 1, 2019, you can begin using your new debit card. You will also receive information on how to register your account on the Humana Access website and mobile app at that time.


We are excited to provide you a better way to manage your healthcare and dependent care costs. Please stay tuned for more information. If you have any questions about the transition in the meantime, you can contact our Customer Care Team at 1-800-604-6228 (TTY: 711), 8:00 AM - 7:00 PM Eastern.

It may be Halloween, but that doesn’t mean you have to ghost your diet. Read on to explore our selection of healthy Halloween treats.

 

We get it: Halloween isn’t necessarily the time of year you’re most concerned with healthy eating. After all, “trick-or-treat” is basically just another way of saying “trick-or-eat unhealthy things.”

Nevertheless, there are plenty of delicious Halloween foods that you can enjoy this year without absolutely trashing your diet in the process. So sit back, relax, and check out some of our favorite Halloween foods for health-conscious revelers.

Healthy pumpkin pie

Sounds like a bit of a contradiction, doesn’t it? Well, there are plenty of ways you can take the sinful pumpkin pie and make it healthy. After all, the pumpkin itself is a remarkably healthy ingredient, containing boatloads of fiber, iron, and vitamins—there’s no need to stuff it up with useless carbs.

So, what’s the secret to a dreamy Halloween pumpkin pie? Well, there’s one very simple method: just take the crust off. That’s an awesome way to slash carbs, helping you to create a Halloween treat that won’t make your diet do a runner. Check out a couple more frightfully healthy pumpkin recipes in Country Living. From pumpkin oat cookies to a pumpkin smoothie bowl, they’ve got you covered for pumpkin goodness!

Dark chocolate + apples

Okay, it’s not going to win any healthy eating awards, but the winning combination of apples dipped in dark chocolate may help to improve your heart health. With potential health benefits including a reduced risk of atherosclerosis (hardened heart arteries), better defense against blood clots, and improved circulation, this is one Halloween treat that may work as a perfect replacement for candy or chocolate. Plus, it’s really delish.

Word of warning: some of the reports suggesting that “chocolate may actually be good for you” are, to put it mildly, dubious. However, that doesn’t necessarily mean that all of chocolate’s purported health benefits are bogus, and since a recent study has indicated that eating chocolate may be linked to lower risk of cardiovascular health, there could be something to the idea that dark chocolate + apples = a healthy heart. That said, it’s always best to exercise a bit of common sense when you encounter health claims that run counter to received wisdom.

Baked apples

Speaking of apples, why not really embrace one of the classic fall flavors and bake up a tray of apples — topped with oats and cinnamon, of course! Not only does this make for a ghoulishly tasty dessert, but it’s also great for anyone looking for a healthy alternative to traditionally sugary Halloween dishes. There are loads of different ways to customize your baked apple dish. Add in raisins and lemon zest or soak it in cider brandy for a slightly boozier take on this stunning Halloween treat.

Popcorn

Anyone who saw Scream—maybe the ultimate Halloween movie—at a formative age will have the memory of Jiffy Pop popcorn seared into their retinas. Okay, so we’re probably stretching the definition of “healthy” Halloween food to the breaking point with this one, but with its high fiber and low calorie content, homemade popcorn may actually have a variety of health benefits. From “apple pie” flavor to “lemony kale,” this list by Greatistis a great source of ideas for healthy popcorn.

Kale

Although it doesn’t necessarily sound like a Halloween staple, kale actually has a bit of a storied history when it comes to the spooky season. Once upon a time in Scotland, Halloween was an opportunity for young people to head out into the garden and pull up kale stalks, which were then used to predict your romantic future. It was said that the shape and length of the stalk could be used to determine your future lover’s height and physical appearance, while the amount of soil clinging to the roots represented the size of dowry you could expect to collect. This Halloween, why not honor this old tradition with a healthy (and surprisingly tasty) kale dish?

Want to boo-st your diet this fall? We hope this list has given you some inspiration when it comes to nutritious Halloween food. For a little extra help navigating Halloween’s scary food choices, check out our Halloween Food Pyramid.

 

Halloween treats that won’t spook your diet — Withings 

 

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My name is Emily Jokisch and I am a registered dietitian and certified strength and conditioning coach. I’m here to answer your nutrition-related questions.

How do you adjust your diet/exercise routine to help burn fat rather than just lose weight?

–Luke E.

I believe your question might be referring to gaining muscle while losing fat. There’s a lot of varying science behind it, but the idea is that if you want to lose weight, you need to burn more calories than you consume. However, when restricting calories, your body has to pull energy by “exciting” energy stores in your body – fat, glucose, and even muscle (protein). Although this allows your body to function properly, you will not only lose fat, but unfortunately some muscle as well.

Science does show that you can gain muscle while losing fat, but you have to focus on two main things: protein intake and weight lifting. Keep in mind that the number on the scale may not change much if you gain muscle while losing fat. Muscle is denser than fat, so in some cases the scale may even go up. The focus here is on decreasing body fat percentage.

To start, you need to figure out where you are now. If you already consume a lot of calories, you may need to cut back. If you do decide to cut calories don’t cut too much at once or you’ll be left with limited energy for exercise and with slowed metabolism. Skimping on protein in particular can leave next to nothing for your muscles to feed on after your workout. You don’t have to count calories; consider just eating mindfully and choosing filling, nutritious foods.

A recent study of 20 young men divided the subjects into two groups, with one group following a higher-protein diet than the other.* Both groups performed resistance and high-intensity interval training six days per week. By the end of four weeks, not only did the higher-protein group lose more body fat than the lower-protein group, but they also managed to gain muscle, despite eating fewer calories than their bodies needed.

However, this study focused on a small group of young men, and it may not work for you. It’s always a good idea to talk to a doctor and/or a dietitian before starting any exercise and diet regimen. However, here are a few suggestions to get you started:

  • Track your current food habits and activity; it’s always good to find a starting point.Decrease a SMALL number of calories if needed. Increase the percentage of calories coming from protein, and decrease the percentage from carbohydrates.
  • Protein recommendations vary by age, sex, size, and activity level, but should be somewhere between 1.2 and 2.4 grams per kilogram of body weight per day. This would equal out to roughly 20-35 grams of protein per meal.
  • Focus on lean protein sources, and try adding in vegetarian sources of protein.
  • Get a new way of thinking about exercise. Focus on more resistance training exercises and less on cardio.
    • Resistance training doesn’t need to be heavy weights; try body weight exercises as well.
    • Make sure your workouts are a balance of cardio (both low and high intensity), resistance training, and stretching.
    • During your workouts, focus on a heart rate (HR) that is between 60 to 85 percent of your max heart rate, especially during strength training sessions. (HR max = 220 minus your age in years)
    • Alternate between multi-joint exercises, such as squats, and single-joint exercises, like bicep curls. Get your heart rate up during the multi-joint exercise, and then catch your breath during the single-joint set. This method combines cardio with resistance training.
    • Give muscles time to heal. Resistance training causes damage to muscle fibers and you will need at least one recovery day per week.
  • Focus on protein for recovery. Have about 20 to 25 grams of protein about 30 minutes to 2 hours after a workout.  

There is no perfect diet or workout plan for everyone! So figure out what is good for you and stick with it! Start with something, even if it’s small. Ten minutes of resistance training is ALWAYS better than none. And remember that results do not happen overnight. Start with a small goal every couple weeks, learn to make it a habit, and you will create a healthier you!

 

Go365 — Ask a Nutritionist – October 2018 Edition