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For a Flu Shot – Doctor’s Office and Retail Clinics Offer the Most Convenience
The Centers for Disease Control recommends that most people get a flu vaccination. Members receive a flu vaccination with no copay or deductible. Coverage by plan for pharmacy administered vaccines is outlined here.
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Want to Get the Most Out of Your Annual Exam? Just Ask.
Take charge of your health by asking questions. Guest Editorial by Michael Sherman, M.D., Senior Vice President, Chief Medical Officer, Harvard Pilgrim Health Care
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Low Back Pain? Don’t and Do – Five Tips Each
Despite staying active and developing strong core muscles many of us will be affected by back pain. Here are tips on what to do and not do.
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The Case for Community Hospitals
Guest editorial by Steve Walsh, Former Legislator and current Executive Director of the Massachusetts Council of Community Hospitals.
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Choose Your Care Wisely – Choosing Wisely® Campaign Continues to Grow
Emergency Room physicians have joined the dozens of medical specialty groups that have led the charge to identify unneeded medical tests and procedures as part of the Choosing Wisely® Campaign. Here are tips for patients to ask if one of these procedures is ordered for you.
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Your PCP's Role in a Gated vs. Guided Model Health Plan
Paul Kasuba, M.D., Chief Medical Officer, Tufts Health Plan discusses Primary Care Providers’ role in gated and guided health plan models. -
The Importance of Having a Primary Care Physician
By Dr. Paul Mendis, Chief Medical Officer of Neighborhood Health Plan
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When Screening Tests Are and Are Not Covered Benefits
Helpful tips for patients when they visit their doctor and are getting screening tests.
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Be an Engaged Patient 18 Tests and Procedures Added to the “No Thank You Doctor” List
Unnecessary and often harmful tests and procedures.
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“No Thank You Doctor” When Saying No is Good for Your Health
Saying “no” to your doctor may not be easy. After all, he or she has a medical degree and you don’t. However, sometimes it’s important for your own health to question whether certain tests are necessary.
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Skilled Nursing Facility Benefits: Important, but Short-term
The Skilled Nursing Facility (SNF) benefit covers an important type of care, often referred to as transitional care. This article by Robert Sorrenti, M.D., of the UniCare State Indemnity Plan, provides an overview of this benefit.
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Facility Charges - How to Avoid These Unexpected Costs
If you visit a doctor at a hospital-based office, be aware that hospitals sometimes charge a facility charge in addition to the physician, x-ray and laboratory charges. These charges can range from $25 to hundreds of dollars per visit.
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Retail Clinics Offer an Alternative for Sick Visits
by Anton Dodek, M.D., Tufts Health Plan