We designed this eNewsletter to make it convenient for you to forward the information to your employees so they are aware of the programs and resources that ODS has to offer.This newsletter has only been sent to OEBB school administrative staff.
|CDC recommends vaccination before height of flu season|
Vaccinations are some of the most important tools available for preventing disease, according to the U.S. Centers for Disease Control and Prevention. The CDC's Advisory Committee on Immunization Practices (ACIP) recommends Universal Annual Influenza Vaccination for all people aged six months and older. Through your ODS pharmacy benefit, you can receive convenient immunization services at network pharmacies.
Common influenza causes fever, sore throat, cough, chills, headache and muscle aches. The best time to get your flu shot is in October or November, before the height of flu season; however, vaccination later in the season also can help protect against the flu. The current influenza vaccine includes protection against H1N1, as well as the common flu, in a single vaccine. Covered products include inhalation and injectable formulations. High-dose and nasal influenza vaccines are covered for specific age ranges, based on FDA guidelines.
ODS plans cover this immunization at no copay when members use a network pharmacy.
Call ahead of time to make sure the pharmacy has the vaccine you need. Show your ODS ID card to the pharmacist for billing before receiving a vaccine - otherwise, it may not be covered. The following participating chain pharmacies provide vaccines:
- Fred Meyer
- Rite Aid
For more information on the flu vaccine billing process, a complete list of network pharmacies, or if you have questions, please call ODS Pharmacy Customer Service at 866-923-0411.
ODS Plan 4 offers quality, cost-effective community care
ODS Plan 4 is the Community Care Plan. ODS has partnered with select local providers to form a Community Care Network of providers to deliver the most cost-effective benefits to our members. When members seek care within our Community Care Network they receive high-quality, individualized care and integrated support from an interconnected group of providers that deliver proven results. The plan benefits are the same as Plan 5, but are offered at a lower premium. For Plan 4, a smaller network of providers - the ODS Community Care Network - is used.
Members who join the ODS Community Care Network have access to six systems of care, including Adventist Health, Legacy Health, Oregon Health Sciences University (OHSU), Salem Health, St. Charles Medical Center and PeaceHealth, along with their affiliated clinics. We continue to evaluate systems of care in other geographic areas to expand the reach of the Community Care Plan. To locate participating providers, please visit www.odscompanies.com/oebb and click on Find Care.
Access to digital Summary of Benefits and Coverage
To comply with new federal regulations aimed at making healthcare more understandable and user friendly, ODS has made digital Summary of Benefits and Coverage (SBCs) available to our OEBB entities.
The SBCs allow members to review details about what their individual plan covers and what it costs, including:
- Overall deductibles
- Deductibles for specific services
- Copayment information by plan
- Out-of-pocket limit on expenses
- Services not covered by plan
- And much more
The SBCs are now posted on the ODS OEBB member website. Employees can also access their individual SBCs through their personal myODS account.
|ODS partners with Costco to offer hearing aid benefit |
ODS and Costco have teamed up to provide reimbursement for the purchase of hearing aids from any Costco Hearing Aid Center.
To qualify for the benefit, individuals must:
- have an active Costco membership
- be an ODS member with a current hearing aid benefit
The first step is to take a free hearing test at a Costco Hearing Aid Center. If the member then chooses to buy a hearing aid, they must pay Costco the full amount upfront and then complete and submit a reimbursement claim form, along with their paid receipt, to ODS. Reimbursement will be based on the in-network benefit at the time of purchase.
The program is part of an ongoing effort by ODS to partner with companies such as Quest Diagnostics and Coram to offer our members convenient, cost-effective healthcare benefits that meet their individual health and budget needs.
For questions, please contact ODS Customer Service toll-free at 866-923-4909.
Please refer to your Member Handbook for plan-specific information.
| Ask a health question and enter to win a $25 gift card
ODS eDoc provides unlimited access to board-certified healthcare professionals who are available around the clock to answer your health-related questions. eDoc allows you to have a personal dialogue with highly qualified physicians, pharmacists, psychologists, dentists, dietitians and fitness experts. By simply asking any eDoc provider a question during September or October 2012, you will be entered to win a $25 gift card to giftcertificates.com.*
Each month, 10 people will win a $25 gift card. To access ODS eDoc and ask your question, log into your myODS account today.
*All ODS members are eligible for this offer.
| HCR legislation updates |
For the latest on federal reform laws, please click on the
and learn more about:
● New ACA fees
● Summary of Benefits
● Women's preventive
Electronic Explanation of Benefits (EOBs) are now available. Members can sign up for eEOBs by logging into their myODS account at www.odscompanies.com/oebb.
Help us spread the word and conserve resources. A downloadable PDF
is also available for your convenience.
myODS, your personal health resource
Don't forget to check out myODS, your resource for health education, advice, tools and trusted answers to healthcare questions.
Visit ODS eDoc. You can email non-urgent health concerns to a doctor, pharmacist, dentist, psychologist, dietitian or fitness expert.
Contact a nurse 24/7 with health-related concerns at: 866-321-7580.
|To view past issues of our newsletter visit our website|