23.10.2007 12:30:00
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Health Net's 'Take Care' Medicare Advantage Program Provides Member Advocates for Seniors
Health Net of the Northeast, Inc., the largest provider of Medicare
Advantage plans in Connecticut, today unveiled its new "Take
Care” program that features a dedicated unit
of health care advocates for its Medicare members. A variety of other
new program features have also been added to the company’s
Medicare plans, most at no extra cost beyond the monthly plan premium.
These features include:
Health Risk Questionnaire – to help
identify a specific plan of support for chronic illness with
educational materials and direct contact with an experienced case
manager.
Member Assist – to provide support
for mental and physical well-being. Services include emotional and
behavioral health consultations, elder care resources, and coaching,
daily living resources and referrals.
Healthy Lifestyles Education Program –
available to members with chronic obstructive pulmonary disease
(COPD), asthma, diabetes, coronary artery disease (CAD) and heart
failure, this program puts members in touch with a dedicated nurse who
will provide ongoing education, coaching, coordination and advocacy.
"It’s Your
Life” Wellsite –
available 24/7 at www.healthnet.com
and powered by WebMD, this site provides telephone access to Health
Coaches to answer health questions. There also is a Treatment Cost
Advisor database that lists services typically needed for common
medical conditions along with an estimated cost range for those
services and medication. Members also can access Health Net’s
Hospital Comparison Report to receive an independent analysis of area
hospitals, including their clinical outcomes, patient volume and
rankings based on a variety of patient criteria.
The goal of the "Take Care”
program is to provide satisfying issue resolution through personalized
and proactive interactions between Medicare members and Health Net. To
assure this experience, Health Net has enhanced critical member services
to meet the following criteria for every member:
Provide a human touch;
Offer issue resolution and quick turnaround;
Minimize confusion and maximize logic and clarity; and
Simplify the experience.
"Our members demand reassurance that
everything we do is designed specifically to meet their needs,”
said Steve Calabrese, head of Senior Programs for Health Net of the
Northeast, Inc. "We do this by removing the
anxieties associated with health care and simplifying their lives.”
Operationally, for example, this means speeding up the resolution of
coverage issues and providing access to registered nurses for chronic
conditions. Also new is wider access to pharmacy technicians to assist
with brand name drug alternatives. To smooth the transition from
hospital to home-based, skilled nursing or long-term care facilities,
Health Net also offers a specialized Transition Team.
"Nothing is more important than your health.
When you are healthy you want to stay healthy. And when you are sick or
have a chronic condition, you want to be surrounded by support from
people you can trust,” said Calabrese. "We
embrace this consumer-centric promise to our members through ‘Take
Care.’”
To help keep our promise to members, advocates guide members through all
of the new and existing programs developed for Medicare members. This
will help to ensure that those members with complex health issues
understand how to access case managers and other support services
available to them.
Another example can be seen in Health Net’s
pharmacy services. The pharmacy team will work to ensure that Medicare
members gain a full understanding of drug options and alternative
therapies.
Health Net Medicare Advantage plans are available throughout Connecticut
and consist of 12 distinctive products for 2008, including Individual
and Group Medicare Advantage plans, Private Fee-for-Service (PFFS), and
Medicare Prescription Drug Plan stand-alone coverage (commonly known as "Part
D” plans).
"We have been meeting the health care needs
of seniors and people with disabilities in Connecticut for more than 20
years,” said Steve Nelson, president of
Health Net of the Northeast, Inc. "As a
result, we have acquired a deep reservoir of trust and a keen
understanding of our Medicare members’ needs.”
As of June 30, 2007, Health Net had approximately 43,000 members
enrolled in Medicare Advantage Plans and 11,000 members enrolled in
Medicare Part D (stand-alone) programs in Connecticut. Information about
Health Net’s plans is available by calling
877-224-8870 or TYY 888-747-2424, or on the Web site www.abetterdecision.com.
About Health Net
Health Net, Inc. (NYSE:HNT) is among the nation’s
largest publicly traded managed health care companies. Its mission is to
help people be healthy, secure and comfortable. The company’s
health plans and government contracts subsidiaries provide health
benefits to approximately 6.6 million individuals across the country
through group, individual, Medicare, Medicaid and TRICARE and Veterans
Affairs programs. Health Net’s behavioral
health subsidiary, MHN, provides mental health benefits to approximately
7.0 million individuals in all 50 states. The company’s
subsidiaries also offer managed health care products related to
prescription drugs, and offer managed health care product coordination
for multi-region employers and administrative services for medical
groups and self-funded benefits programs.
For more information on Health Net, Inc., please visit the company’s
Web site at www.healthnet.com. Cautionary Statements
Health Net, Inc. and its representatives may from time to time make
written and oral forward-looking statements, including statements
contained in news releases, in Health Net’s
filings with the Securities and Exchange Commission, in the company’s
reports to shareholders and in meetings with investors and analysts,
within the meaning of Section 21E of the Securities Exchange Act of
1934, as amended, and Section 27A of the Securities Act of 1933, as
amended, that involve a number of risks and uncertainties. All
statements, other than statements of historical information provided
herein, may be deemed to be forward-looking statements. These statements
are based on management’s analysis, judgment,
belief and expectation only as of the date hereof, and are subject to
uncertainty and changes in circumstances. Without limiting the
foregoing, the words "believes,” "anticipates,” "plans,” "expects,” "may,” "should,” "could,” "estimate,” "intend”
and other similar expressions are intended to identify forward-looking
statements. Actual results could differ materially due to, among other
things, rising health care costs, negative prior period claims reserve
developments, trends in medical care ratios, issues relating to provider
contracts, litigation costs, operational issues, health care reform and
general business conditions. Additional factors that could cause actual
results to differ materially from those reflected in the forward-looking
statements include, but are not limited to, the risks discussed in the "Risk
Factors” section included within the
company's most recent Annual Report on Form 10-K and subsequent
Quarterly Reports on Form 10-Q filed with the SEC. Readers are cautioned
not to place undue reliance on these forward-looking statements. The
company undertakes no obligation to publicly revise these
forward-looking statements to reflect events or circumstances that arise
after the date of this release.
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