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About Smoke signals. (Grand Ronde, Or.) 19??-current | View Entire Issue (June 15, 2007)
f A Health Newsletter Brought to you by Risk Mciiitigement greeting Welcome to the first edition of Pathway To Health, a quarterly newsletter brought to you by Financial Risk Management. As a department of the Finance Division, it is the mission of the Risk Management Department is to protect the assets of the Tribe its people, property, and financial resources : so that the Tribe can continue to meet its obligations to its members. In that regard, FRM supports the mission of CTGR by administering a variety of insurance programs, including the self-insured medical payment plan offered to all tribal members and eligible elder spouses. This newsletter will focus on the Tribe's Medical Payment Plan with the goal of providing you with useful information associated to the plan and general health information. We're excited about spreading the word on new services, contacts, plan changes, fun health information and upcoming events. This newsletter was designed with you in mind and it is our goal to continue to be responsive to all members and families of our Tribe. So, please don't hesitate to contact us at 503-879-2487 with comments, kudos, ideas or questions. We'd love to hear from you! Sincerely, Debby Larsen FRM Manager tions PPO network, UMR will notify you by letter. Tribal members will have a 6 months grace period ending December 31, 2007 to tran sition care to in-network providers. For any services received from providers that are in network currently, but not an in-network UHC provider will be paid at the in-network benefit level until December 31. For any services to a non-participating provider received after December 31, benefits will be paid at the out-of-network benefit level. For out-of-network services, members may be responsible for charges over the Usual, Customary and Reasonable (UCR) in addition to deductibles and co-insurance. If your provider is not participating in the United Healthcare Op tions PPO Network, please have your provider call 1-877-812-3210 to initiate the contracting process. . If you have any questions, please contact United Medical Resources at 1-888-284-7236. um&7 Si The Confederated Tribes of Grand Ronde (CTGR) Health Plan is actively reviewed by the Confederated Tribes of Grand Ronde Financial Risk Management (FRM) Department to ensure that the plan is providing quality care and access for our Tribal members. The Confederated Tribes of Grand Ronde are pleased to announce a new provider network to the Tribal Member Health Plan (Medical Payment Plan) effective June 1, 2007. The new Preferred Provider Network, United Healthcare (UHC) Options PPO network (PPO) will provide for greater access for all Tribal members as well as a higher quality of care and financial savings to the Tribe. United Healthcare has the largest national network. Today, UHC provides access to high quality care from more than 470,000 physi cians and 4,500 hospitals across all 50 states and in four international markets. Currently, the CTGR Tribal member health plan uses several regional provider networks across the country. Utilizing the UHC Options PPO network will consolidate the provider networks and be more convenient for members. Effective June 1, regardless of what state you reside in, CTGR will utilize the United Healthcare Options PPO Network. The dental network is not affected and will remain PPOUSA. How do I know if my Provider is in the UHC Network? To verify that your current providers participate in the United Healthcare Options PPO network you can visit www.myumr.com. Look under My Menu, at PPO Links. Find a provider then choose United Healthcare Options PPO Network. You can also call UMR at 1-888-284-7236 to speak to a representative in the Provider Rela tions department. What if my current providers are not in the UHC Network? If any of your current preferred providers are not in the UHC Op- The Native American Medicine Wheel a sacred symbol representing the wholeness of life. East Mental South Spiritual West Emotional North Physical If heart disease, cancer or diabetes runs in your family, learning how to tailor your diet can increase your longevity. Everyone can benefit from eating a health-promoting diet that's rich in fruits, vegetables, whole grains, low-fat milk, lean meats and fish, and low in saturated and trans fats, cholesterol, salt and added sugars. "In fact, it's estimated that following that core diet, combined with exercising moderately for 30 to 60 minutes daily and avoiding harm ful substances such as tobacco, could prevent 80 percent of all heart disease, up to 90 percent of all diabetes and as much as 60 percent of all cancers," says David L. Katz, M.D., director and co-founder of the Prevention Research Center at the Yale University School of Medicine in Derby, Conn., and author of Dr. David Katz's Flavor-Full Diet. However, if you have a family history of a chronic condition, you can gain added protective benefits by personalizing your diet to prevent specific diseases. To simplify that task, here are three major health concerns and key food tactics to help stack the dietary deck in your favor. Halt Heart Disease What you eat and how you prepare food can strongly affect your heart disease risk. The following food prescriptions can help reduce your risk. - Use olive or canola oil. These plant oils contain heart-healthy monounsaturated fat, which can reduce blood cholesterol when used instead of saturated and trans fats, such as butter, vegetable shortening, lard and partially hydrogenated oil. Both satu rated fat and trans fat, which mimics saturated fat in the body, raise "bad" LDL choles terol more than anything else in your diet. Use heart-smart bread spreads. If you already have high LDL cholesterol, Katz suggests using spreads such as Take Control, Smart Balance or Benecol instead of butter or margarine. These spreads contain ingredients that help reduce LDL (bad) cho lesterol levels. Eat fish twice a week. Fish, especially cold-water fish such as salmon, albacore tuna, mackerel and herring, are rich sources of omega-3 fatty acids, which help reduce the rate for plaque buildup, decrease triglycerides and reduce blood pressure.
