Tag Archives: counseling

Well-Child Visits

Well-Child Visits – Ages 5 to 10

Getting your kids to their yearly well-child visits helps them be their healthiest. These visits with your doctor are for a full checkup to make sure they’re healthy and developing normally. This is different from other visits for sickness or injury.

What Happens at Well-Child Visits

Your child needs to have yearly well-child visits with their doctor to focus on their development, health, and wellness. At the appointment, some of the basics your doctor will cover are:

  • Checking that your child is developing at a healthy rate and tracking their history
  • Getting a physical exam
  • Staying up to date with their preventive care
  • Getting education and counseling
  • If needed, setting health goals

Your Child’s Development

Your child’s doctor can help you keep track of your child’s key developmental milestones, which can include physical, mental, and social skills.

At each visit, your doctor will ask you questions to help make sure your child is reaching milestones on schedule. This can help them recognize signs of problems early on and put your mind at ease.

Each child grows differently. Some kids take longer to open up or learn to read and write. Most of these aren’t a sign that something’s wrong. Your doctor can help you understand what differences could be because of something serious.

Developmental milestones for most kids ages 5 to 10 include:

  • Skills for school, like paying attention, reading, and math
  • Listening, waiting their turn to talk, and having full conversations
  • Bathing, brushing their teeth, and getting dressed themselves
  • Learning to try again in the face of a mistake or failure
  • Becoming friends with other kids
  • Joining teams and activities, like sports, ballet, or music lessons, to develop skills and spend time with other kids
  • Helping with easy chores around the house, like picking up after themselves
  • Following rules at home

See more milestones for kids ages 3 to 5, 6 to 8, or 9 to 11.

Health Information & History

At well-child visits, your doctor will ask you to answer some questions about your kid’s health, and maybe even your family history.

  • Health questions, like:

    • Do they ever complain of headaches, stomachaches, or other kinds of pain?
    • Do they have trouble breathing or always get sick at a certain time of year?

  • Eating habit questions, like:

    • What do they eat on a normal day?
    • Are they a picky eater?

  • Activity questions, like:

    • What do they like to do on the weekends and after school?
    • Do they participate in any physical activities?
    • Do they spend time with friends?

  • School questions, like:

    • Do they like going to school?
    • Are they having any trouble with learning, paying attention, or following directions in class?
    • Are they being bullied?

  • And family questions, like:

    • Have there been any changes in the family, like a new sibling?
    • Have you given them responsonsibilities, like simple chores, at home?

Physical Exam

At your child’s appointments, you can expect their doctor to:

  • Measure their height, weight, and blood pressure
  • Check their body and limbs
  • Take their temperature
  • Check their vision and hearing
  • Give them any shots or screenings they need

Education, Counseling & Health Goals

Your child’s doctor can help you with important information about caring for your child, managing any conditions or diseases they might have, and preventing future problems.

Their doctor might have valuable handouts, websites, and advice to help or might want to refer you to a specialist who can help with specific issues further.

Their doctor can also help you set health goals to maintain or improve your child’s health, like maintaining a healthy weight.

Prepare for Well-Child Visits

Preparing yourself with questions to ask and answers to your doctor’s questions can help you make the most of your well-child visits.

Know Your Family and Child’s History

Make sure you bring any medical records you have that the doctor might not, especially to a first appointment with a new doctor, like a record of shots and screening results.

You should also make a list of any important changes in your child’s life, like being sick or hurt, a new brother or sister, the death of a loved one, a big move, or a new school.

Your family’s history of health and wellness is also an important part of your child’s health record. Histories of illness and disease can help doctors look out for issues that run in families and more.

This family health history tool can help you track your family’s health, so that you’re always organized to talk to your child’s doctor. Not sure about your family history? Filling this out is the perfect time to talk to family members for firsthand details.

Talk to Your Doctor and Help Your Child Get More Involved

Prepare for your well-child visits by knowing any questions or issues you want to talk about ahead of time. Some things you might want to ask about:

  • Worries about their development
  • Health conditions, like asthma, allergies, or speech problems
  • Mood changes
  • Getting ready to talk to them about puberty
  • Problems in school, like signs of dyslexia or bullying
  • Making sure your kids eat right and get enough exercise
  • Screen time and internet safety
  • Preventive care they need
  • What to do if they get sick or hurt

Once your child is 7 or older, as long as they’re comfortable, your child’s doctor will probably want to spend a few minutes alone with them. This will help them build trust with their doctor.

You can help by going over what they can expect to happen at the visit in advance. You should also encourage them to think of any questions they want to ask the doctor.

Know What’s Covered

Learn more about what immunizations are covered for your children. And log in to Your Health Alliance or search by your or your child’s member number to see what children’s preventive care your family’s plan covers.

You can use our general preventive care guidelines and prescription drugs to get an idea of what our plans cover.

If you’re not sure what’s covered and what you’ll need a preauthorization for, you can check your coverage and preauthorization lists at Your Health Alliance.

Now that you’re ready for your children’s physicals, log in to Your Health Alliance if you need to set a Primary Care Provider (PCP) for your child or start searching for doctors in our network.

Well-Child Visits

Well-Child Visits – Ages 1 to 4

Getting your kids to their well-child visits helps them be their healthiest. These visits with your doctor are for a full checkup to make sure they’re healthy and developing normally. This is different from other visits for sickness or injury.

Your child needs to go to these visits at:

  • 12 months old
  • 15 months old (1 year and 3 months old)
  • 18 months old (1 year and 6 months old)
  • 2 years old
  • 2 years and 6 months old
  • 3 years old
  • 4 years old

What Happens at Well-Child Visits

Your child needs to have regular well-child visits with their doctor to focus on their development, health, and wellness. At the appointment, some of the basics your doctor will cover are:

  • Checking that your child is developing at a healthy rate and tracking their history
  • Getting a physical exam
  • Staying up to date with their preventive care
  • Getting education and counseling
  • If needed, setting health goals

Your Child’s Development

Your child’s doctor can help you keep track of your child’s key developmental milestones, which can include physical, mental, social, and language skills.

At each visit, your doctor will ask you questions to help make sure your child is reaching milestones on schedule. This can help them recognize signs of problems early on, and put your mind at ease.

Each child grows differently. Some kids take longer to start talking than others. Most of these aren’t a sign that something’s wrong. Your doctor can help you understand what differences could be because of something serious.

By 12 months, most kids:

  • Have started to get their teeth in
  • Stand up by pulling on furniture
  • Walk with help or on their own
  • Copy animal noises
  • Say mama and dad and maybe a few other words
  • Can follow simple directions

See more milestones for 12-month-olds.

By 15 months, most kids:

  • Bend to the floor without falling
  • Can put blocks in a container
  • Make scribbles
  • Bring and show toys to you
  • Listen to stories and look at pictures

By 18 months, most kids:

  • Walk up steps
  • Run or try to run
  • Climb onto low furniture or chairs without help
  • Build short block towers
  • Use spoons and cups
  • Take off socks and hats
  • Point towards things they want
  • Play simple pretend, like feeding a doll

See more milestones for 18-month-olds.

By 2 years, most kids:

  • Have 16 or more teeth
  • Stand on tiptoe
  • Kick a ball
  • Can tell you they’re hungry or thirsty
  • Understand instructions with 2 steps
  • Copy others
  • Name things in a picture book

See more milestones for 2-year-olds.

By 2 years and 6 months, most kids:

  • Can point to different body parts when asked
  • Play simple games with other kids
  • Brush their teeth with help
  • Jump up and down in place
  • Put on clothing, although they may still need help

By 3 years, most kids:

  • Have all 20 of their baby teeth
  • Use the toilet during the day
  • Can copy simple shapes while drawing
  • Put one foot on each step to walk up the stairs
  • Speak in short sentences
  • Ask questions
  • Know their name, age, and if they’re a boy or girl

See more milestones for 3-year-olds.

By 4 years, most kids:

  • Hop on one foot or balance for a short time
  • Can use child-safe scissors
  • Count to 4 or higher
  • Ask a lot of questions
  • Play with imaginary friends
  • Can name some colors
  • Play simple board and card games

See more milestones for 4-year-olds.

Health Information & History

At well-child visits, your doctor will ask you to answer some questions about your kid’s health, and maybe even your family history.

  • Health questions, like:

    • Do they ever complain of headaches, stomachaches, or other kinds of pain?
    • Do they have trouble breathing?

  • Eating habit questions, like:

    • What do they eat on a normal day?

  • Activity questions, like:

    • Do they play pretend and how?

  • Safety questions, like:

    • Do they ride in a car seat?

  • And family questions, like:

    • Have there been any changes in the family, like a new sibling?

Physical Exam

At your child’s appointments, you can expect their doctor to:

  • Measure their height, weight, and blood pressure
  • Check their body and limbs
  • Take their temperature
  • Check their vision
  • Give them any shots or screenings they need

Education, Counseling & Health Goals

Your child’s doctor can help you with important information about caring for your child, managing any conditions or diseases they might have, and preventing future problems.

Their doctor might have valuable handouts, websites, and advice to help or might want to refer you to a specialist who can help with specific issues further.

Their doctor can also help you set health goals to maintain or improve your child’s health, like maintaining a healthy weight.

Prepare for Well-Child Visits

Preparing yourself with questions to ask and answers to your doctor’s questions can help you make the most of your well-child visits.

Know Your Family and Child’s History

Make sure you bring any medical records you have that the doctor might not, especially to a first appointment with a new doctor, like a record of shots and screening results.

You should also make a list of any important changes in your child’s life, like being sick or hurt, changing caregivers, or starting daycare.

Your family’s history of health and wellness is also an important part of your child’s health record. Histories of illness and disease can help doctors look out for issues that run in families and more.

This family health history tool can help you track your family’s health, so that you’re always organized to talk to your child’s doctor. Not sure about your family history? Filling this out is the perfect time to talk to family members for firsthand details.

Talk to Your Doctor

Prepare for your well-child visits by knowing any questions or issues you want to talk about ahead of time. Some things you might want to ask about:

  • Worries about their development
  • Growth and normal development
  • Sleep schedule
  • Getting enough physical activity
  • Healthy weight
  • Getting them to try different foods
  • Getting siblings to get along
  • Disciplining them
  • Screen time
  • Preventive care they need
  • What to do if they get sick

Know What’s Covered

Learn more about what immunizations are covered for your children. And log in to Your Health Alliance or search by your or your child’s member number to see what children’s preventive care your family’s plan covers.

You can use our general preventive care guidelines and prescription drugs to get an idea of what our plans cover.

If you’re not sure what’s covered and what you’ll need a preauthorization for, you can check your coverage and preauthorization lists at Your Health Alliance.

Now that you’re ready for your children’s physicals, log in to Your Health Alliance if you need to set a Primary Care Provider (PCP) for your child or start searching for doctors in our network.

Well-Baby Visits

Well-Baby Visits

Getting your babies to their well-baby visits helps them be their healthiest. These visits with your doctor are for a full checkup to make sure they’re healthy and developing normally. This is different from other visits for sickness or injury.

Your baby needs to go to these visits at:

  • 1 month old
  • 2 months old
  • 4 months old
  • 6 months old
  • 9 months old

What Happens at Well-Baby Visits

Your child needs to have regular well-baby visits with their doctor to focus on their development, health, and wellness. At the appointment, some of the basics your doctor will cover are:

  • Checking that your child is developing at a healthy rate and tracking their history
  • Getting a physical exam
  • Staying up to date with their preventive care
  • Getting education and counseling
  • If needed, setting health goals

Your Baby’s Development

Your baby’s doctor can help you keep track of your baby’s key developmental milestones, which can include physical, mental, social, and language skills.

At each visit, your doctor will ask you questions to help make sure your baby is reaching milestones on schedule. This can help them recognize signs of problems early on and put your mind at ease.

Each child grows differently. Some babies barely crawl and transition right to walking. Most of these situations aren’t a sign that something’s wrong. Your doctor can help you understand what differences could be because of something serious.

By 1 month, most babies:

  • Are growing and gaining weight
  • Move their arms and legs the same on both sides
  • React to sounds
  • Have the reflex to suck

By 2 months, most babies:

  • Lift their heads when lying on their stomachs
  • Look at faces and close objects
  • Smile at people
  • Touch their mouth with their hands
  • Make soft sounds, like cooing

See more milestones for 2-month-olds.

By 4 months, most babies:

  • Roll over from stomach to back
  • Reach for and grab toys
  • Have different cries for different feelings
  • Babble
  • Copy expressions and sounds
  • Recognize parents’ voices and touch

See more milestones for 4-month-olds.

By 6 months, most babies:

  • Start sitting without support
  • Roll over from both stomach to back and back to stomach
  • Sleep through 6 to 8 hours
  • Begin teething
  • Show interest in and reach for objects
  • Respond to their names and look at themselves in mirrors
  • Recognize if someone is a stranger

See more milestones for 6-month-olds.

By 9 months, most babies:

  • Crawl
  • Can sit for a long time
  • Feed themselves with their fingers
  • Have favorite toys they throw, shake, and play with
  • Play games like peek-a-boo
  • Understand “no” and wave goodbye

See more milestones for 9-month-olds.

Health Information & History

At well-baby visits, your doctor will ask you to answer some questions about your baby’s health, and maybe even your family history.

  • Health questions, like:

    • How many diapers do they go through each day?
    • Do they spend time around smokers?

  • Eating habit questions, like:

    • How are you feeding them, and how often do they eat?
    • How is breastfeeding going?

  • Activity questions, like:

    • How often do you read to them?
    • Do they copy your movements and sounds?

  • Safety questions, like:

    • Has your home been inspected for lead?
    • Does your water have fluoride?
    • Do you have a car seat?
    • Have you baby-proofed your home yet?

  • And family questions, like:

    • Who can you count on to help you with childcare?
    • Do you have a family history of any serious childhood illnesses?

Physical Exam

At your child’s appointments, you can expect their doctor to:

  • Measure their height, weight, and the size of their head
  • Check their body and limbs
  • Take their temperature
  • Check their eyes and hearing
  • Give them any shots or screenings they need

Education, Counseling & Health Goals

Your baby’s doctor can help you with important information about caring for your baby, managing any conditions or diseases they might have, and preventing future problems.

Their doctor might have valuable handouts, websites, and advice to help or might want to refer you to a specialist who can help with specific issues further.

Their doctor can also help you set health goals to maintain or improve your baby’s health, like maintaining a healthy weight.

Prepare for Well-Baby Visits

Preparing yourself with questions to ask and answers to your doctor’s questions can help you make the most of your well-baby visits.

Know Your Family and Baby’s History

Make sure you bring any medical records you have, especially to their first appointment, including a record of shots and newborn screening results.

You should also make a list of any important changes in your baby’s life, like being sick or hurt, changing caregivers, or starting daycare.

Your family’s history of health and wellness is also an important part of your baby’s health record. Histories of illness and disease can help doctors look out for issues that run in families and more.

This family health history tool can help you track your family’s health, so that you’re always organized to talk to your baby’s doctor. Not sure about your family history? Filling this out is the perfect time to talk to family members for firsthand details.

Talk to Your Doctor

Prepare for your well-baby visits by knowing any questions or issues you want to talk about ahead of time. Some things you might want to ask about:

  • Worries about your baby’s development
  • Growth and normal development
  • Sleep or activity schedule
  • Changes you can expect in the coming months
  • Breastfeeding and if they’re getting enough to eat
  • How and when to start solid foods
  • How to brush their teeth
  • Home safety
  • Preventive care they need
  • What to do if they get sick

Know What’s Covered

Learn more about what immunizations are covered for your children. And log in to Your Health Alliance or search by your or your child’s member number to see what children’s preventive care your family’s plan covers.

You can use our general preventive care guidelines and prescription drugs to get an idea of what our plans cover.

If you’re not sure what’s covered and what you’ll need a preauthorization for, you can check your coverage and preauthorization lists at Your Health Alliance.

Now that you’re ready for your children’s physicals, log in to Your Health Alliance if you need to set a Primary Care Provider (PCP) for your child or start searching for doctors in our network.

Covered Pregnancy Preventive Care

Your Pregnancy Preventive Care

If you’re pregnant or may become pregnant, you also have access to specific pregnancy preventive care as part of your health insurance.

If you’re not pregnant, you can talk to your doctor about this care at your yearly well-woman visit.

If you think you’re pregnant or have a positive home pregnancy test, schedule an appointment with your doctor as soon as possible to confirm your pregnancy and get started with prenatal care. Your OB-GYN, who will be your primary doctor for your pregnancy, will help you with pregnancy-specific preventive care.

Preventive Care If You May Become Pregnant

  • Anemia screening – On a routine basis
  • Syphilis screening
  • Gonorrhea screening – For all women at higher risk
  • Urinary tract or other infection screening
  • Contraception – FDA-approved contraceptive methods, sterilization procedures, and patient education and counseling as prescribed by a healthcare provider for women who could get pregnant

Pregnancy Preventive Care

  • Child birth
  • Breastfeeding comprehensive support and counseling from trained providers and access to breastfeeding supplies – For pregnant and nursing women
  • Folic acid supplements – For women who may become pregnant
  • Expanded tobacco intervention and counseling – For pregnant tobacco users
  • Gestational diabetes screening – For women 24 to 28 weeks pregnant and those at high risk of developing gestational diabetes
  • Hepatitis B screening – For pregnant women at their first prenatal visit
  • Rh Incompatibility screening and follow-up testing for those at higher risk – For all pregnant women

Know What’s Covered

Log in to Your Health Alliance or search by your member number to see what preventive care your plan covers.

Or use our general preventive care guidelines and prescription drugs to get an idea of what our plans cover.

If you’re not sure what’s covered and what you’ll need a preauthorization for, you can also check your coverage and preauthorization lists at Your Health Alliance.

Log in to Your Health Alliance to find a covered doctor, or start searching for doctors in our network.

Going to Your Well-Woman Visit

You and Your Well-Woman Visit

Your insurance covers an annual well-woman visit. But what exactly does that mean?

Your yearly well-woman visit can be either a combination of your annual physical and care specific to you as a woman or a separate appointment for just that care.

Preventive Care at Your Well-Woman Visit

Your plan covers a lot of preventive care and screenings, many of which you’ll get at your yearly physical. But for some of the care, you’ll probably want to schedule a separate well-woman visit with a specialist, like a gynecologist, or even multiple appointments with your doctor and different specialists.

Depending on timing and what your doctor recommends, this care includes:

Screenings & Care
  • Osteoporosis screening – For women over age 60, depending on risk factors
  • Domestic and interpersonal violence screening and counseling
Cancer Screenings & Counseling
  • Breast cancer genetic test counseling (BRCA) – For women at higher risk
  • Breast cancer mammography screenings – Every 1 to 2 years for women over 40
  • Breast cancer chemoprevention counseling – For women at higher risk
  • Cervical cancer screening – For sexually active women
Sexually Transmitted Infection (STI) Screenings
  • Sexually transmitted infections counseling – For sexually active women
  • Chlamydia infection screening – For younger women and other women at higher risk
  • Gonorrhea screening – For all women at higher risk
  • HIV screening and counseling – For sexually active women
  • Human Papillomavirus (HPV) DNA test – Every 3 years for women with normal cytology results who are 30 or older
  • Syphilis screening – For women at increased risk

And if you’re pregnant or may become pregnant, there’s even more preventive care covered for you.

Prepare for Your Visit

Preparing with questions, and answers to your doctor’s questions, can help you make the most of your visit.

Know Your Family History

Talk to your family members, especially your mom, about your family’s history of women’s health issues. For example, as a woman, you’re more likely to get breast cancer if it’s genetic on your mom’s side of the family. So knowing this information can help your doctor keep an eye out for genetic issues you’re at risk for.

Talk to Your Doctor

Prepare for your appointment by knowing any questions or issues you want to talk to your doctor about. Some things you might want to ask include:

  • What immunizations or shots you need, like the HPV vaccine
  • If you should get STI screenings
  • Help getting pregnant or birth control options
  • How to do self-exams to regularly check for breast cancer
  • Mental and social health concerns, like relationship issues or domestic violence questions
  • Specific issues you might be having, like problems with your menstruation or abnormal pain or cramping

Know What’s Covered

Log in to Your Health Alliance or search by your member number to see what preventive care your plan covers.

Or use our general preventive care guidelines and prescription drugs or our Medicare preventive care guidelines to get an idea of what our plans cover.

If you’re not sure what’s covered and what you’ll need a preauthorization for, you can also check your coverage and preauthorization lists at Your Health Alliance.

Now that you’re ready to go to your well-woman visit, log in to Your Health Alliance to find a covered doctor, or start searching for doctors in our network.

Your Preventive Care

Your Yearly Preventive Care and Physical

Getting your yearly physical, where you can get covered preventive care and screenings, helps you be your healthiest. It’s important that you not only know what’s recommended for your age and what you need to stay up to date, but also that you get to the doctor for this each year!

What Happens at Your Physical

Each year, you should schedule a physical with your doctor to focus on your health and wellness. At the appointment, you can:

  • Keep track of your health habits and history
  • Get a physical exam
  • Stay up-to-date with preventive care
  • Get education and counseling and set health goals

Health Habits & History

One of the first things that happens at your annual appointment is a nurse or your doctor will ask you to answer some questions about your health and family history, including questions about:

  • Your medical history
  • Your family history
  • Your sexual health and partners
  • Your eating and exercise habits
  • Your use of alcohol, tobacco, and other drugs
  • Your mental health history, including depression
  • Your relationships and safety

This info can help you in the future. From getting diagnosed to being protected and helping you in an emergency, this information can help save your life.

Physical Exam

At your yearly physical, you can expect your doctors or nurses to:

  • Measure your height and weight
  • Calculate your body mass index (BMI) to check if you’re at a healthy weight
  • Take your blood pressure and temperature

From there, your doctor may give you your regular preventive care screenings and shots or refer you to a specialist for certain screenings, counseling, or care.

Preventive Care

As an adult, certain preventive care and screenings are covered for you, depending on timing and what your doctor recommends.

Immunizations (Shots)

Doses, recommended timing, and need for certain immunizations can vary based on your case:

  • Diphtheria
  • Flu shot
  • Hepatitis A
  • Hepatitis B
  • Herpes Zoster
  • Human Papillomavirus (HPV)
  • Measles
  • Meningococcal
  • Mumps
  • Pertussis
  • Pneumococcal
  • Rubella
  • Tetanus
  • Varicella (Chickenpox)
Condition Screenings & Care
  • Aspirin use – To prevent heart disease for adults of a certain ages
  • Cholesterol screening – For adults of certain ages or at higher risk
  • Blood pressure screening
  • Type 2 diabetes screening – For adults with high blood pressure
  • Colorectal cancer screening – For adults over 50
  • Depression screening
Weight Management
  • Obesity screening and counseling
  • Diet counseling – For adults at higher risk for chronic disease
Alcohol & Tobacco Use
  • Alcohol misuse screening and counseling
  • Tobacco use screening – For all adults and cessation interventions for tobacco users
  • Lung cancer screening – For adults 55 to 80 at high risk for lung cancer because they’re heavy smokers or have quit in the past 15 years
  •  Abdominal aortic aneurysm – A one-time screening for men of certain ages who have ever smoked
Sexually Transmitted Infection (STI) Screenings
  • Sexually transmitted infection (STI) prevention counseling  – For adults at higher risk
  • Hepatitis B screening – For people at high risk, including people from countries with 2% or more Hepatitis B prevalence, and American-born people not vaccinated as infants and with at least one parent born in a region with 8% or more Hepatitis B prevalence
  • Hepatitis C screening – For adults at increased risk and once for everyone born from 1945 to 1965
  • HIV screening – For everyone ages 15 to 65 and other ages at increased risk
  •  Syphilis screening – For adults at higher risk

Women also have some additional covered screenings and benefits. Get more details about this specific preventive care while learning about your well-woman visits.

And learn more about what preventive care the United States Preventive Services Task Force recommends you get and when.

Education, Counseling & Health Goals

Your doctor can help you manage your conditions or diseases and prevent future problems by talking to you about your life and health each year.

Your doctor might have valuable handouts, websites, advice, and information to help you take care of yourself or might want to refer you to a specialist who can help you further.

Your doctor is also the perfect person to help you set goals to maintain or improve your health. From quitting smoking and knowing how to self-check for cancer to changing your diet and exercise for your weight, cholesterol, or blood pressure, your doctor can help you plan to be your healthiest.

Prepare for Your Visit

Preparing yourself with questions to ask and answers to your doctor’s questions can help you make the most of your visit.

Know Your Family History

Your family’s history of health and wellness is an important part of your own health record. Histories of illness and disease can help doctors look out for issues that run in families and more.

This family health history tool can help you track your family’s health, so that you’re always organized to talk to your doctor. Not sure about your family history? Filling this out is the perfect time to talk to family members for firsthand details.

Talk to Your Doctor

Prepare for your appointment by knowing any questions or issues you want to talk about ahead of time. Some things you might want to ask:

  • What immunizations or shots you need
  • Your diet and eating healthy food
  • Advice for exercise and getting active
  • Mental health concerns, like depression and anxiety
  • Specific issues you might be having, like sore joints, back pain, migraines, and more

Know What’s Covered

Learn more about your covered immunizations. And log in to Your Health Alliance or search by your member number to see what preventive care your plan covers.

You can use our general preventive care guidelines and prescription drugs or our Medicare preventive care guidelines to get an idea of what our plans cover.

If you’re not sure what’s covered and what you’ll need a preauthorization for, you can check your coverage and preauthorization lists at Your Health Alliance.

Now that you’re ready to go to your annual physical, log in to Your Health Alliance if you need to set a Primary Care Provider (PCP) and find a covered doctor, or start searching for doctors in our network.

Who Can You Call? 2-1-1

Long View: Who You Gonna Call? Think Three Little Numbers

I have a good friend at Carle who seems to have all the answers. Let’s call her Sue. Sue is a great resource for me any time I have a question about Carle. She knows the department heads, where the various offices are and how things really work. She is a seasoned and respected contact for me (and many others, I am sure). It makes me wonder where average Joes can turn when they need information and resources.

It turns out there is a place to call – 2-1-1.

The program in Central Illinois is run by PATH, Inc. (Providing Access to Help), which provides services for seniors, people who are homeless and people in need of all ages. Their offices are located in beautiful Bloomington. The PATH website describes the 2-1-1 system this way: “United Way 2-1-1 is for times of crisis, as well as for everyday needs. 2-1-1 call specialists are available 24/7 to help individuals locate health and human services in their area—from mortgage, rent, and utility assistance to food, clothing, emergency shelter, counseling, and much more.”

I spoke to Jennifer Nettleton at PATH. She is the 2-1-1/Crisis Services program manager. Many times when we need help, we need it fast.

Nettleton told me, “2-1-1 helps stop the run-around between social service agencies. Rather than calling every agency in the phone book to find out if they have the services you need, you can now call one place to help get you that information.”

Funding for the program is provided in part by United Way organizations around the state. Our local service area covers 12 counties and one city with another 20 in the pipeline. Many other states have this program in place, so Illinois is making up for lost time.

Find out more about the program. I think many people in need, perhaps some of them Health Alliance Medicare members, will be comforted to know a resource is available 24/7. Of course I could just give Sue’s phone number to everyone, but I fear she might not be my friend anymore.