may 2017 / volume 14 / issue 1 luana i ke ola maika‘iluana i ke ola maika‘i may 2017 / volume 14...

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HMSA QUEST INTEGRATION: 948-6486 or 1 (800) 440-0640 toll-free TTY: 1 (877) 447-5990 • hmsa.com

PCP vs. Specialists: What’s the difference?

Get Healthy Now

Baby On the Way

Quit It!

Keep an Eye on Diabetes

Keiki CheckupIN THISISSUE

Enjoying good healthLuana i ke ola maika‘i

MAY 2017 / VOLUME 14 / ISSUE 1

Keep your keiki’s health care on track.

It’s important that they see their primary care provider (PCP) regularly, not just when they’re sick. The Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) program can help keep them healthy and fit. The program is a benefit of their HMSA QUEST Integration plan, so you pay nothing!

With EPSDT exams, your child’s PCP can:

• Monitor your child’s growth and development.

• Discuss nutrition, physical activity, and safety.

• Provide help for any medical or behavioral problems.

• Provide immunizations.

Keiki Checkup

How much does it cost?There’s no cost for EPSDT exams for QUEST Integration members up to age 21.

How often should my child get an exam?

Schedule EPSDT exams for the following ages:• 14 days• 1, 2, 4, 6, 9, 12, 15, and 18 months• 2, 3, 4, 5, 6,

and 8 years• 10, 12, 14, 16, 18, and 20 years


Are you pregnant? Congratulations on your growing family! Before that baby bump shows, see your PCP for a prenatal visit.

Your PCP can help keep you and your baby healthy. And it’s a chance for you to ask questions and find out what to expect during your pregnancy.

Your HMSA QUEST Integration plan pays for:

• Prenatal visits.

• Health care that’s part of your pregnancy.

• Delivery of your baby.

You’ll also receive support along the way. Ask us about:

• Pregnancy classes.

• Breast pump rentals.

• Breastfeeding support.

• And more.

Enroll in prenatal care services. Call 1 (855) 329-5461 toll-free. TTY users, call 1 (877) 447-5990 toll-free.

Baby on the Way

If you want to quit smoking, we have a program that can help you.

Quitting smoking is one of the hardest things to do. But it’s the best thing you can do for your health.

Why should I quit?Smoking can lead to cancer, breathing problems, and heart conditions. It can also lead to health problems for your loved ones and others who are near to you when you smoke.

How can I quit?It’s easier to quit when you have support and guidance. Enroll in QuitNet®, a program that’s a benefit of your health plan. With QuitNet, you’ll get:

• A personalized quit plan.

• Expert support over the phone or online.

• Medications recommended by the latest public health service guidelines.

Who do I contact?Call 1 (855) 329-5461 toll-free to learn more and enroll. For TTY, call 1 (877) 447-5990 toll-free.

You’re not aloneIf you’ve never tried a quit-smoking program or you’ve tried to quit in the past, give QuitNet a shot. We’re here to support you every step of the way.QuitNet® is trademark of Healthways, Inc. All rights reserved.Healthways, Inc.®, is an independent company that provides well-being programs to engage members on behalf of HMSA.

Quit It!

If you have diabetes, it’s important that you get your eyes checked once a year or as often as your PCP recommends. Even if you aren’t having eyesight problems now, vision loss can go unnoticed until it becomes serious and more difficult to treat.

Ask your PCP if you should see an eye specialist who can help:

• Test your vision with a retinal eye exam.

• Correct any problems.

• Prevent new problems.

Beat diabetes before it beats youPrevention is the key to controlling diabetes.

Three things you need to check:

What to check Why? How often? Goal?Blood sugar Measures

how well your diabetes is in control.

At least twice a year.

Below 7 percent or PCP’s recommendation.

Blood pressure

Checks your risk for heart disease.

Every PCP visit.

140/90 or PCP’s recommendation.

Cholesterol Checks your risk for heart disease.

At least once a year.

Your PCP’s recommendation.

We can helpLearn about diabetes and how to manage it. Sign up for Diabetes 101: Understanding Diabetes. For a schedule of this and other HMSA health education classes, visit hmsa.com/well-being/workshops/ or see the Around & About section of Island Scene magazine.

Keep an Eye on Diabetes


Taking small steps toward better health and well-being can lead to life-changing results. Our health education workshops can get you where you want to be.

These workshops are fun and informative. And there’s no cost to HMSA members. Tell your friends and family and bring them along. (Nonmembers can attend if space is available.)

Here are three workshops to get you started:

• Family Fitness. Exercise for the whole family can be fun.

• Meatless Alternatives. A new way to eat that’s so delicious, you won’t miss the meat.

• Stress Bucket. Live with less stress and experience a better life.

Check out a complete workshop schedule at hmsa.com/well-being/workshops/. Register early to reserve your seat. Classes fill up fast! Call 1 (855) 329-5461 toll-free. TTY users, call 1 (877) 447-5990 toll-free.

Get Healthy Now. We’ll Show You How.

Your PCP is your go-to person when you’re sick, for preventive screenings, and to answer general questions about your health. But there may be situations when your PCP refers you to a specialist who can treat a specific health condition.

When do I need a referral?Specialists your PCP may refer you to:

• Allergist for allergies.

• Dermatologist for acne.

• Cardiologist for heart disease.

Do I always need a referral to see a specialist?No, not always. Here are some services that don’t need a referral:

• Behavioral health services from a licensed psychiatrist, clinical social worker, or family therapist.

• Family planning.

• Vision care, including eye exams and fittings for eyeglasses.

• Women’s health for screenings such as breast exams, mammograms, Pap smears, and pelvic exams.

Find a providerIf you need a specialist, make sure you choose a specialist in the HMSA QUEST Integration provider network. To find a specialist, go to HMSA’s website at hmsa.com and click Find a Doctor on the home page.

PCP vs. Specialists: What’s the difference?

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P.O. BOX 3520Honolulu, HI 96811-9972


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Important Information About Your Health PlanHMSA complies with applicable federal civil rights laws. We don’t discriminate on the basis of:

• Race.• Color.•Nationalorigin.• Age.• Disability.• Sex.

ATTENTION: If you speak English, language assistance services, free of charge, are available to you. Call 1 (800) 440-0640 toll-free (TDD/TTY: 1 (877) 447-5990).

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may 2017 / volume 14 / issue 1 luana i ke ola maika‘iluana i ke ola maika‘i may 2017 / volume 14...

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