Issue 5 | Summer 2021
What's New 

Recommendations for Those Fully Vaccinated for COVID-19

As we move into a new stage of the pandemic, many of us have questioned when we'll be able to be mask-free. It's normal to have questions regarding mask mandates, and we're here to help guide you along the journey. The Centers for Disease Control and Prevention (CDC) announced on March 8, 2021, that fully vaccinated Americans may discontinue wearing face masks and social distancing with other fully vaccinated people while indoors in small groups. Those who are fully vaccinated may also discontinue masking and social distancing when visiting with unvaccinated people from a single household, who are at low risk for severe COVID-19 disease, while indoors.

According to the CDC, people are considered fully vaccinated:
  • Two (2) weeks after their second dose of the Pfizer or Moderna 2-dose series of vaccines, or
  • Two (2) weeks after the single-dose Johnson & Johnson Janssen vaccine
Fully vaccinated people can resume activities without wearing a mask or socially distancing, except where required by federal, state, local, tribal, or territorial laws, rules, and regulations, including local business and workplace guidance.

If you are fully vaccinated, and have a known exposure to someone with COVID-19, the CDC says that you may refrain from quarantine and testing if you are asymptomatic. However, it is recommended to continue to monitor for symptoms for 14 days after exposure.

For more information, see our full list of questions and answers on our website or visit one of the following sites below:
  • CDC General Information on COVID-19
  • WHO General Information on COVID-19
  • CDC Information on Travel
  • CDC Videos on COVID-19
  • CDC Print Resources
Upcoming Events

You're Invited: Virtual Member Event

Learn how to get the most from your 2021 Ascension Complete benefits by joining us for a virtual member orientation meeting.

We'll show you how to:
  • Save money using your 2021 medical benefits
  • Access additional money-saving programs
  • Find specialists and other in-network providers
  • Earn rewards in the My Health Pays® Rewards program
Meetings will be held the second Tuesday of each month through September. Look for an invitation in your email inbox around the first of each month. Registration is required to attend.

If you would like to attend, and have not received an invitation, please send us an email at CompleteCommunity@AscensionComplete.com. We'll reply with the information you need.

We look forward to seeing you online at our next virtual meeting!

 
Reminders 

Your Annual Notice of Changes (ANOC) Booklet to Arrive to Your Mailbox in September

Each year, all Medicare Advantage and Prescription Drug Plans are required to send their members an updated ANOC, which outlines benefits for the upcoming plan year. As an Ascension Complete member, you can expect to receive your ANOC booklet in the mail before Medicare's Annual Enrollment Period (AEP), which begins October 15.

The ANOC booklet explains your benefits for the year, including plan costs. Changes outlined in the ANOC booklet can affect each Ascension Complete member differently, which is why we suggest reviewing your booklet with your own personal healthcare needs in mind.

As you review your ANOC, we urge you to pay special attention to these key areas:
  1. Out-of-pocket costs; premiums, deductibles, and copayments
  2. Benefit and supplemental coverage changes
  3. Process modifications such as prior authorization requirements
If you have questions about your ANOC booklet, we're here to help! Just call the Member Services phone number on the back of your member ID card. We’ll help you understand the type of plan updates you can expect from Ascension Complete in the upcoming year.
 

How to Use Your Transportation Benefit

Ascension Complete offers transportation coverage on certain plans* through our contracted vendor, ModivCare, formerly known as LogistiCare. This benefit will help you get to your doctor and other medical appointments at no additional cost to you. We want to make sure you're able to use this benefit when you need it the most.

We've created a fun, interactive quiz to see how much you already know about your transportation benefit.

True or False: You must confirm your ride with the transportation vendor or they will not show up.
Answer: True! Yes, that’s right. Just like your doctor, the transportation vendor will call you the day before, or the morning of your appointment, to confirm you will still need transportation to your appointment. If you do not answer or if you miss the call, you must call them back to confirm or they will not come to pick you up.

True or False: The transportation vendor can provide transport for your wheelchair.
Answer: True! Just be sure to let the scheduler know you will be bringing your wheelchair, if you have one. Please also let them know if you have other physical needs so they can arrange for the appropriate accessible vehicle to pick you up.

Question: Which of the following plan-approved locations can our transportation vendor take you?
  1. Your primary care physician's office
  2. Your Silver & Fit fitness center
  3. An Ascension Complete local hospital or medical center
  4. An Ascension Complete network pharmacy
  5. All of the above
Answer: e. All of the above. All plan-approved locations listed above offer curb-to-curb transport.

How It Works:
  • Call ModivCare at least 72 hours (3 days) before you need a ride to make a reservation. ModivCare can be reached at 1-877-718-4201 (TTY: 1-866-288-3133), Monday–Friday, 8 a.m. to 6 p.m. You can also call Ascension Complete's Member Services at the phone number on the back of your member ID card.
  • When scheduling a ride, provide ModivCare with a working phone number. They will call to confirm your reservation the day of your scheduled ride, or in some cases, the day prior to your reservation (if you have an early pick-up time scheduled).
  • Check your plan documents for the number of trips per calendar year for which you’re eligible**
For more information on your transportation benefits, call Member Services at the phone number on the back of your member ID card.

Please Note:
  • If a need arises within the 72-hour advanced notice, please call to see if you can still be accommodated.
  • Pick-up times can be up to 2 hours prior to your scheduled appointment.
*Check your Summary of Benefits and Evidence of Coverage to see if you are covered.
**Mileage limits may apply.

 

The Importance of Your Annual Wellness Visit

Your annual wellness visit is one of the most important appointments you need to make for yourself and your overall health. During your annual wellness visit, your doctor will check things like your blood pressure, height, and weight. They will also review your medical, social and family history, and may recommend:
  • A review of your vaccination status and may suggest additional ones based on current adult vaccine guidelines
  • Colon, breast and/or prostate cancer screenings
  • Diabetes, high cholesterol tests, and a review of any cardiovascular risks
  • Screenings for osteoporosis, lung cancer, hepatitis C, and abdominal aorta aneurysm may be required for certain situations
  • Detection of any cognitive impairment
  • Updating your consultant lists and reviewing your advance directive planning
In addition, by receiving your annual wellness visit and getting qualified vaccines and health screenings, you can earn anywhere from $15 to $100 per activity for each activity you complete. Your reward(s) will be loaded onto a Visa® gift card and sent to you. You can check your reward balance at any time by calling the number on the back of your MyHealth Pays® Rewards card. That number is 1-866-809-1091 (TTY: 711). To learn more about the MyHealth Pays® Rewards program, and how it works, log into the Ascension Complete member portal and click on "Rewards" or go to AscensionComplete.com/Rewards.

Guidelines often change from year to year. Scheduling a routine, preventive visit lets your doctor apply evidence-based recommendations to your individual wellness. To schedule your annual wellness visit, please contact your doctor's office.

 

Help Us Serve You Better

We believe in serving our members with the same level of service we would want for ourselves and the members of our families. As a reminder, our offices are closed over the weekends this time of year. This gives our employees a break so we can be refreshed each Monday, ready to provide exceptional customer service.

During weekends and after 8 p.m. on Monday through Friday, you can still reach our Clinical Care Line to speak with a nurse. You can also perform other activities using our Integrated Voice Response (IVR) system, such as requesting an ID card, scheduling a ride, filing an appeal or complaint, and checking eligibility status. You can always call to simply leave us a message, and we'll contact you on the next business day. If you need to reach us due to a medical emergency, go to the nearest Emergency Room (ER) or call 911. Beginning October 1, we will be open seven (7) days a week.

We want to make sure you are happy with your Ascension Complete Medicare Advantage plan. If there's something we can do to provide you with a better experience, give us a call today at
1-833-623-0771 (TTY: 711) so we can help.

Protecting Your Privacy

At Ascension Complete, the security of your health information is vitally important to us. Our dedicated team of Member Services representatives is committed to helping keep your health plan information safe.

We've created this easy guide to help you understand what we do to keep your health information and online accounts protected.

Your Health Care Information

Ascension Complete is required by law under the Health Insurance Portability and Accountability Act of 1996 (HIPAA) to keep the privacy of your protected health information (PHI). This privacy rule requires us to verify the identity of any person requesting PHI. The rule for telephone calls requires the requester's full name and two identifying pieces of information, such as date of birth, address, phone number, or the last four digits of the member's social security number. If you have a legally authorized representative make a request on your behalf, we must confirm we have written authority from you on file. We must verify your full name and two identifying pieces of information, just as we do for you. We do all of this for your privacy.

Here's a reminder of some simple, effective steps you can take regarding the protection of your PHI online.

Password Security
  • Use strong, unique passwords for each of your accounts. Passwords using the first letter of a common sentence or phrase, which includes numbers, generate some of the strongest passwords. For example, let's use the sentence "I go to the market each week at 9:00 on Tuesdays." The password for this example would be "Igttmewa9oT."
  • If you suspect any unauthorized use of your information in the member portal, contact Member Services immediately. The phone number for Member Services can be found on the back of your ID card.
General Account Security
  • Secure your email accounts with strong, unique passwords
  • Protect your online data storage accounts (like iCloud) using the same suggested steps
  • Review security settings to confirm you're protecting the safety of your account as best as possible
Mobile Phone Device Security
  • Always keep your software up to date
  • If available, use anti-virus protection software to scan your device regularly
  • Protect your mobile phone number by asking your mobile provider to enable a SIM lock or port freeze
Here are several things to keep in mind if you are unsure about an interaction or offer:
  • Never let anyone convince you to download software that grants them access to your device(s)
  • Do not give out sensitive account information, such as usernames, passwords, or password recovery phrases
  • Do not give out confidential and/or personal information when receiving unsolicited phone calls. It's always best to ask the caller for a phone number, hang-up and call the company back using official phone numbers
Fraud Prevention

The most effective way to protect yourself against scams and fraud, like phishing, is to trust your judgement/intuition and use common sense. If an offer sounds too good to be true, it probably is. It's okay to question, refuse, or ignore requests – only scammers will try to rush or make you feel panicked.

Help Stop Fraud: Report It!

If you suspect fraud, waste and abuse in the Medicare program, report it using one of the below options:
  • Fraud Hotline: 1-866-685-8664 (TTY: 711)
  • Integrity Hotline: 1-888-866-1366 (TTY: 711)
  • Online: Help Fight Medicare Fraud
Please note: Our Fraud and Integrity Hotlines are available 24/7, and you can remain anonymous.

When and Why We May Call You
  • Within your first 30 days as our member
    Within your first 30 days as our member, we may try multiple times to reach you to welcome you to Ascension Complete. During this call, we will verify your Primary Care Provider (PCP). This initial call also gives you the opportunity to ask us any questions you may have.
  • Within your first 90 days as our member
    Within the first 90 days of enrollment in our Plan, we'll try to reach you multiple times to complete your Health Risk Assessment (HRA). Completing your HRA is very important, as it helps us understand your health care needs.
  • If you file a grievance or complaint with us
    If you file a grievance or complaint with Ascension Complete, we may reach out to you for more information.
  • To check in on you
    Ascension Complete will attempt to reach you twice a year to check in on you and to ask how you feel we're doing.


Managing Your Care

Your Envolve Dental Benefits

Did you know your dental benefits are contracted through Envolve Dental? Envolve Dental is part of a larger organization called Envolve Benefit Solutions. Envolve Dental supports one of the largest national Medicare dental networks to support our membership, especially in rural areas.

When you call to make your dental appointments, please be sure to tell them your insurance is Envolve Dental. To locate a dental provider near you, use our Find-a-Provider tool. If you need assistance locating a dental provider, contact Member Services using the phone number on the back of your ID card.

 

September is National Cholesterol Education Month

Your overall health is important to us! We want to help you stay as healthy as you can be, in order to live your best life. According to the Centers for Disease Control and Prevention (CDC), about 38% of American adults have high cholesterol. Having high cholesterol can put you at risk for various medical conditions, including heart disease and stroke.

Know Your Risks
  • Type 2 diabetes – Having diabetes causes you to have lower HDL or "good" cholesterol levels and raise your LDL or "bad" cholesterol levels. When your LDL levels are higher, it can increase your risk for heart disease and stroke.
  • Obesity – Being overweight or obese can cause you to have higher triglycerides, higher LDL levels, and lower your HDL levels. It also increases the risk for having high blood pressure, diabetes, and heart disease.
  • Poor Diet & Exercise – Eating foods high in calories, saturated fat, and sodium increases the risk for higher cholesterol levels, high blood pressure, diabetes, and heart disease.
  • Smoking – If you smoke, it can damage your blood vessels and increase the fatty deposits that affect your cholesterol levels.
Take Control of Your Health
  • Monitor Your Health – Check your blood pressure daily, go to your doctor for regular checkups, and take your medications as directed.
  • Stay Active – Getting physical activity most days can help you maintain a weight that is right for you. Aim for 2 hours and 30 minutes of moderate exercise every week. Activities such as a brisk walk, bicycling, or swimming.
  • Eat Healthy – Eating a balanced diet high in fiber, lower in saturated and trans fats, and limiting sodium intake can improve your cholesterol levels and prevent diabetes.
  • Don’t Smoke – If you smoke, quit. There are several resources and support groups to help you quit. It can greatly reduce your risk for heart disease, stroke, and high cholesterol.
Have Questions About Your Cholesterol or Other Medical Conditions?

Talk with your doctor to determine what care is right for you. You can also learn more about cholesterol, risks associated with high cholesterol, and ways to prevent and manage high cholesterol at the CDC's website.

 

Urgent Care and Mental Health coverage when you need it

Ascension Online Care is here with convenient care that fits your schedule. No driving, no parking, and no waiting room. We work quickly to understand you and your unique situation so we can provide the care you need to get you feeling better faster.

Urgent care

No time for sick time? With Ascension Online Care, we can provide care online 24/7 for minor illnesses such as fever, cold, flu, seasonal allergies, urinary tract infections, eye infections, and more. These visits are as secure and confidential as a face-to-face visit and protected by the same patient policy rules. Use the video here to learn how to use the app for urgent care for you.

Mental health care

If you or a member of your family are struggling emotionally, Ascension Online Care offers virtual mental health services. You can video chat with an experienced psychiatrist, psychologist or counselor online, seven days a week. Whether you are dealing with anxiety, depression, or something else, we're here for you.

It's an easier way to see a doctor and get the care you and your family need at home, at work or on the go- using your smartphone, tablet or laptop. It's easy to use, private and secure. Below are some reasons to use Ascension Online Care for Urgent Care.

What symptoms can I get care for with virtual urgent care visit?
  • Cold and flu
  • Eye infections
  • Fever
  • Rash
  • Seasonal allergies
  • Sinus or upper respiratory infection
  • Sore throat, strep and cough
  • Urinary tract infection
When would I use Ascension Online Care?
  • I have a non-emergency condition and should probably see a doctor, but can't fit it in my schedule
  • The office is closed
  • It's difficult for me to get a therapy or doctor's appointment
  • I feel too sick to drive
  • I have children at home and don't want to bring them with me
  • I'm struggling emotionally and it's difficult to leave the house
Have questions?

Please call Member Services. Our Member Services telephone number is on the back of your member ID card From October 1 to March 31, you can call us 7 days a week from 8 a.m. to 8 p.m. From April 1 to September 30, you can call us Monday through Friday from 8 a.m. to 8 p.m. A messaging system is used after hours, weekends and on federal holidays.

 
Member Stories

We're Listening to You!

Our members continuously tell us how well we are doing. We can't claim that all responses are as wonderful as these. But, we read each and every response we receive and work diligently to improve our plan and our member experience. So keep your feedback coming! We're listening. Here are a few positive testimonials that we’ve received from our members. These were provided to us anonymously in response to a question asking what we can do better.
  • I'm very relieved to now have good insurance. Things like this are difficult for me to understand, but everyone has been really helpful.
  • I like the program and my wife will be on it later this year...
  • I like as you are.
  • So far, I have no complaints. I am satisfied with the services I have utilized.
  • I'm overwhelmed by all the perks with this plan and am very grateful for it and the people that work for this company are very friendly and helpful as well so I say keep doing what you’re doing it works for me!!!
  • For now, I'm satisfied.
  • Nothing. I love it.
  • No improvement needed.
We look forward to hearing more from you on our next survey. We always aim to provide the kind of care we would expect for ourselves.
 
Y0020_21_EnewsSum_C Internal Approved 07132021




Ascension Complete is contracted with Medicare for an HMO plan, and with some state Medicaid programs. Enrollment in Ascension Complete depends on contract renewal.

This information is not a complete description of benefits. Contact the plan for more information. Limitations, copayments and restrictions may apply. Benefits, premiums, and/or copayment/coinsurance may change on January 1 of each year.

You must continue to pay your Medicare Part B premium. However, for full-dual beneficiaries, the State will cover your Part B premium as long as you retain your Medicaid eligibility.

Ascension Complete complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. For more information, call 1-833-623-0771 (TTY: 711).

ATTENTION: If you speak Spanish, language assistance services, free of charge, are available to you. Call Member Services.

ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame a Servicios para Afiliados.

Premiums, copays, coinsurance, and deductibles may vary based on the level of Extra Help you receive. Please contact the plan for further details.

The Formulary, pharmacy network, and/or provider network may change at any time. You will receive notice when necessary.
 

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