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Nearly half of adults in the United States have high blood pressure, but only 1 in 4 adults have their condition under control.
Your race and biological sex can play a role with your blood pressure control.*
Did you know? In Pennsylvania, Hypertension impacts about 20-40% of adult residents.
A few facts about Blood Pressure Control:
• Men tend to have higher or uncontrolled blood pressure*
• High blood pressure is more common in non-Hispanic black adults than in Hispanic, non-Hispanic white or Asian adults.*
• Blood pressure control is highest among non-Hispanic white adults than in non-Hispanic black, non-Hispanic, Asian, or Hispanic adults.*
Some people use folk medicine to help improve their health. However, in folk medicine traditions, references to “High Blood” and “Low Blood” are NOT the same thing as High Blood Pressure. In folk medicine, “High Blood” conditions are treated with eating lots of salt. This is just the opposite of what should be done to treat High Blood Pressure. Have an honest discussion so that your doctor can develop a plan that works best for you and your beliefs. Be sure to tell your doctor about any herbs and supplements you use. Add these to your medication list.
Editor’s note: this article was submitted by Dr. Carla Huitt. Dr. Huitt is a Medical Director with PA Health & Wellness and may be reached at [email protected].
*Source: Centers for Disease Control and Prevention Hypertension Cascade: Hypertension Prevalence, Treatment and Control Estimates Among U.S. Adults Aged 18 Years and Older Applying the Criteria from the American College of Cardiology and American Heart Association’s 2017 Hypertension Guideline—NHANES 2015–2018. Atlanta, GA: U.S. Department of Health and Human Services; 2021. Accessed March 12, 2021.
You Don't Have to Face a Health Crisis Alone: How Vital Voice Healthcare Navigation Can Help. A serious health diagnosis can change your life in an instant. Whether you or someone you love has been diagnosed with cancer, is managing a chronic medical condition, preparing for surgery, or simply trying to understand complicated medical information, navigating the healthcare system can feel overwhelming. Suddenly, there are appointments to schedule, specialists to consult, test results to review, treatment options to consider, and important decisions to make. You may find yourself trying to understand unfamiliar medical terminology while managing fear, uncertainty, and concerns about what comes next. For many patients and families, the hardest part is not knowing where to turn for answers or how to make sense of everything happening around them. The good news is that you do not have to navigate these challenges alone. At Vital Voice Healthcare Navigation, the goal is to provide compassionate, personalized guidance to individuals and families facing healthcare challenges. Having someone knowledgeable by your side can help bring clarity to confusing situations, organize important information, and give you the confidence to become a more active participant in your healthcare journey. When Healthcare Becomes Overwhelming, Having an Advocate Matters The healthcare system can be complicated, especially when multiple medical professionals are involved in your care. Patients may receive information from several specialists, encounter different treatment recommendations, and struggle to understand what each step means for their health. Even routine medical appointments can become stressful when you are dealing with an unexpected diagnosis or trying to manage a long-term condition. You may find yourself asking: Am I asking my doctor the right questions? Do I fully understand my diagnosis? Are there other treatment options I should consider? Should I seek a second medical opinion? How do I coordinate care between multiple specialists? What should I do if I receive conflicting medical information? Am I making the best decisions for my health and quality of life? These are important questions, and you deserve to have the time and support needed to explore them. A healthcare advocate provides an additional layer of guidance, helping you organize your concerns, prepare for medical appointments, understand the information you receive, and identify appropriate resources. Rather than feeling like you are trying to figure everything out on your own, you have someone helping you navigate the process. Facing a Cancer Diagnosis: Finding Clarity During an Uncertain Time A cancer diagnosis can be one of the most frightening experiences a person and their family will ever face. Along with the emotional impact of the diagnosis, patients may need to undergo additional testing, meet with multiple specialists, consider treatment options, and make decisions about surgery, chemotherapy, radiation, or other therapies. The amount of information can be overwhelming. Patients may leave appointments with unanswered questions or struggle to remember everything their physicians discussed. Family members may also feel uncertain about how to help or what questions they should be asking. Having a healthcare advocate can make a meaningful difference during this difficult time. Support may include: Helping patients better understand medical terminology and diagnostic information. Preparing questions for appointments with oncologists and specialists. Organizing medical records, test results, and treatment information. Helping patients evaluate their satisfaction with their current healthcare team. Discussing when obtaining a second medical opinion may be appropriate. Providing a supportive presence during medical appointments, including virtual attendance when arranged. Helping patients and families identify additional resources and support services. Cancer treatment is rarely a simple or straightforward process. Having someone who can help you stay organized, ask important questions, and better understand your options can provide reassurance during an uncertain time. Most importantly, you deserve to feel heard and supported throughout your cancer journey. Managing a Chronic Condition: You Don't Have to Figure It All Out Alone Living with a chronic illness often means making healthcare decisions and managing medical responsibilities over an extended period. Conditions such as diabetes, lupus, heart disease, asthma, Alzheimer's disease, Hashimoto's disease, and multiple sclerosis may require ongoing appointments, medication management, testing, and communication with different healthcare professionals. Over time, the responsibilities can become exhausting. You may feel frustrated trying to coordinate multiple specialists or uncertain about whether your current treatment plan is meeting your needs. You may also have questions about new symptoms, lifestyle changes, or additional resources that could help improve your daily life. Healthcare navigation can provide support by helping you: Better understand your diagnosis and available information. Prepare questions for your healthcare providers. Organize medical records and treatment recommendations. Evaluate whether your current medical team is meeting your needs. Explore the possibility of a second opinion. Identify helpful educational materials and healthcare resources. Develop a more organized approach to managing your ongoing care. Living with a chronic condition can involve many adjustments, but having guidance and support can help make the process less confusing. You deserve to understand your healthcare choices and feel confident when discussing your needs with your medical team. Preparing for Surgery: Feel More Confident About the Road Ahead Preparing for surgery can bring a combination of emotions. You may feel hopeful that a procedure will improve your health while also experiencing anxiety about the surgery itself, recovery, and what to expect afterward. Whether you are preparing for a joint replacement, neck or back surgery, or another medical procedure, having a clear understanding of the process is important. Patients often have questions about surgical recommendations, recovery expectations, medications, rehabilitation, and follow-up care. A healthcare advocate can help you prepare for these conversations and organize the information you receive from your medical team. Support may include: Preparing a list of questions for your surgeon. Helping you understand the information provided about your procedure. Organizing medical instructions and important documents. Helping identify concerns that should be discussed with your healthcare providers. Providing a supportive listener during virtual appointments. Helping you understand follow-up instructions and recovery recommendations. Having someone help you prepare for surgery can make you feel more informed and less overwhelmed. It can also help family members better understand how they can support you during recovery. The Importance of Having Someone in Your Corner During Medical Appointments Medical appointments are important opportunities to ask questions, discuss symptoms, review test results, and understand treatment recommendations. Unfortunately, patients sometimes leave appointments feeling that they did not get all the answers they needed. When you are worried about your health, it can be difficult to remember every question or process all the information being discussed. This is especially true when receiving unexpected medical news or meeting with several different specialists. Having an additional person involved can provide valuable support. Vital Voice Healthcare Navigation offers remote appointment support, allowing an advocate to participate virtually as a supportive listener and note-taker when arranged with the patient and provider. This additional set of ears can help you: Remember important information discussed during the appointment. Keep track of questions and concerns. Identify information that may need further clarification. Review notes and instructions after the visit. Develop follow-up questions for your healthcare team. Sometimes, simply having someone help you organize your thoughts before an appointment can make the entire experience more productive. You should never feel uncomfortable asking your doctor to explain something again or clarify information you do not understand. Your healthcare journey should include your voice, your questions, and your concerns.
Why Coordinating Your Healthcare Team Is Important for Better Patient Care Managing your health often involves more than visiting a single doctor. Depending on your medical needs, you may work with a primary care physician, several specialists, surgeons, nurses, pharmacists, therapists, and other healthcare professionals. Each provider plays an important role in helping you maintain your health, diagnose medical conditions, and develop appropriate treatment plans. However, when multiple healthcare professionals are involved in a patient's care, keeping everyone informed and on the same page can become challenging. Medical records may be spread across different offices, appointments may overlap, and treatment recommendations may not always be communicated clearly between providers. This is why coordinating your healthcare team is so important. Effective communication and coordination among healthcare professionals help ensure that everyone involved understands the patient's medical history, current health concerns, medications, and treatment goals. When providers work together, patients are better positioned to receive consistent, informed, and comprehensive care. Whether you are managing a chronic illness, recovering from surgery, dealing with a serious diagnosis, or simply trying to maintain your overall health, having a coordinated healthcare team can make a meaningful difference in your medical journey. What Is Healthcare Team Coordination? Healthcare coordination is the process of organizing and connecting the different healthcare professionals, services, and resources involved in a patient's medical care. The goal is to ensure that everyone responsible for treating a patient has access to the information they need and understands their role in the overall treatment plan. For example, someone managing heart disease may receive care from a primary care physician, cardiologist, nutritionist, and other specialists. If the patient also develops diabetes, an endocrinologist may become part of the healthcare team. Each professional focuses on a different aspect of the patient's health, but their recommendations and treatment plans need to work together. Effective healthcare coordination helps prevent communication gaps, reduces confusion, and makes it easier for patients to understand what needs to happen next. It also helps ensure that patients and their families remain informed and involved in important healthcare decisions. The Important Roles Within a Healthcare Team A patient's healthcare team may include several professionals, depending on their medical conditions and individual needs. Understanding the responsibilities of each provider can help patients better navigate their care. Primary Care Physicians A primary care physician (PCP) often serves as the central point of contact for a patient's overall healthcare. Primary care providers help manage routine health concerns, monitor ongoing medical conditions, conduct preventive screenings, and identify when additional specialized care may be necessary. They also help coordinate referrals to specialists and review information from other healthcare professionals. Maintaining a relationship with a primary care physician is especially important for patients managing multiple medical conditions because the provider can help maintain a broader understanding of their overall health. Medical Specialists Specialists focus on specific areas of medicine and provide advanced knowledge and treatment for particular health conditions. Depending on a patient's needs, specialists may include: Cardiologists who treat heart and cardiovascular conditions. Oncologists who diagnose and treat cancer. Neurologists who treat conditions affecting the brain and nervous system. Endocrinologists who manage hormonal conditions and diabetes. Rheumatologists who treat autoimmune diseases and arthritis. Pulmonologists who specialize in lung and respiratory conditions. Specialists work alongside primary care physicians to address specific medical concerns. Sharing information between these providers helps ensure that specialized treatments are considered within the patient's overall healthcare plan. Surgeons and Surgical Teams Patients undergoing surgery often work with surgeons, anesthesiologists, nurses, and other healthcare professionals. Before surgery, communication between the surgical team and the patient's other providers is important for reviewing medical history, medications, allergies, and potential health risks. After surgery, coordination continues as patients transition into recovery. Their primary care physician, surgeon, physical therapist, and other providers may all play a role in monitoring progress and addressing complications. Clear communication helps ensure that everyone understands the recovery plan and any necessary follow-up care. Nurses and Care Coordinators Nurses play an essential role in patient care. They monitor health conditions, provide treatment instructions, administer medications, and help patients understand their care plans. Care coordinators may also assist with organizing appointments, communicating with different providers, arranging referrals, and helping patients access appropriate healthcare services. These professionals often serve as important connections between patients, families, and medical teams. Pharmacists and Therapists Pharmacists help patients understand prescription medications, identify potential drug interactions, and answer questions about proper medication use. Physical, occupational, and speech therapists may also become important members of a patient's healthcare team, particularly during rehabilitation or recovery from illness, injury, or surgery. When these professionals communicate with the patient's other providers, they can help ensure that recommendations support the patient's overall treatment goals. Why Communication Between Healthcare Providers Matters One of the most important elements of coordinated healthcare is effective communication. When several medical professionals are treating the same patient, each provider needs accurate and current information to make appropriate decisions. Without good communication, important details may be missed, treatment recommendations may conflict, or patients may receive unclear instructions. Consider a patient who sees several specialists and takes multiple prescription medications. If one physician changes a medication without the other providers being informed, there may be concerns about drug interactions, duplicate prescriptions, or conflicting treatment instructions. Similarly, if a specialist orders testing but the results are not shared with the primary care physician, important information may not be considered during future appointments. Communication helps prevent these gaps by allowing providers to share relevant information and work toward consistent treatment goals. Benefits of effective communication include: Better access to accurate medical information. More consistent treatment recommendations. Improved medication management. Fewer misunderstandings about care instructions. Better coordination of follow-up appointments. Greater awareness of changes in a patient's condition. More informed healthcare decisions. Patients should not have to act as the only connection between multiple medical offices. Although patients can help keep their records organized, healthcare providers should communicate with one another when coordination is needed and appropriate. Reducing Medication Errors and Conflicting Treatment Recommendations Medication management can become complicated when patients receive prescriptions from several different healthcare providers. For example, someone with heart disease, diabetes, and arthritis may take medications prescribed by a cardiologist, endocrinologist, and rheumatologist. Without proper communication, providers may not always have a complete picture of the patient's current medications. This can increase the risk of duplicate prescriptions, potential drug interactions, or confusion about dosage instructions. Coordinated healthcare helps reduce these risks by encouraging providers to review current medication lists and communicate changes. Patients can also help by maintaining an updated list of all prescription medications, over-the-counter products, vitamins, and supplements they take. Pharmacists can be valuable resources for reviewing medications and identifying potential concerns. If you receive conflicting medication instructions, contact your healthcare providers or pharmacist for clarification rather than making changes on your own. Better Management of Chronic Health Conditions Patients living with chronic illnesses often benefit significantly from having a coordinated healthcare team. Conditions such as diabetes, heart disease, lupus, multiple sclerosis, kidney disease, and arthritis may require ongoing treatment from several specialists. Each provider focuses on a particular aspect of the condition, but successful long-term management requires looking at the patient's overall health. For example, someone with diabetes and heart disease may need coordinated treatment to manage blood sugar levels, monitor cardiovascular health, review medications, and address lifestyle factors. When providers communicate regularly, they can better understand how one condition or treatment may affect another. Healthcare coordination can help patients: Keep up with routine testing and screenings. Monitor changes in symptoms. Understand treatment recommendations. Manage multiple medications. Schedule necessary specialist appointments. Identify additional services or resources. Maintain a more organized long-term care plan. Having a healthcare team that works together can help reduce confusion and make managing a chronic condition more manageable. The Importance of Coordination Before and After Surgery Surgery often requires involvement from several different healthcare professionals, making communication especially important. Before a procedure, the surgical team needs accurate information about the patient's medical history, medications, allergies, previous surgeries, and existing health conditions. The patient's primary care physician and specialists may also need to provide information to help determine whether the patient is medically prepared for surgery. After surgery, coordination becomes equally important. Depending on the procedure, patients may need assistance from: Surgeons and surgical nurses. Primary care physicians. Physical and occupational therapists. Home healthcare providers. Pharmacists. Rehabilitation specialists. Patients must understand their recovery instructions, medication schedules, activity restrictions, and follow-up appointments. When everyone involved understands the recovery plan, patients and caregivers can feel more confident about the next steps. Clear communication is also important when a patient experiences unexpected symptoms or complications after surgery so that appropriate medical attention can be provided. Improving the Patient Experience and Reducing Stress Navigating the healthcare system can be stressful, particularly when patients are dealing with serious medical conditions or unexpected diagnoses. Having to repeat medical histories, explain previous test results, track down records, and coordinate appointments between different offices can become exhausting. Patients may also feel uncertain about which provider to contact when they have questions or concerns. A coordinated healthcare team can make the experience easier by creating a more organized approach to care. When providers communicate effectively, patients are less likely to feel caught between different medical offices or confused about treatment recommendations. They also have a better opportunity to understand their healthcare plan and know who to contact when questions arise. For patients and families, this additional organization can provide reassurance during what may already be a difficult time. How Patients Can Help Coordinate Their Healthcare Team Although healthcare providers play an important role in coordinating care, patients can also take steps to help keep their medical information organized. Being proactive can improve communication and make appointments more productive. Here are several practical ways to stay involved: 1. Maintain an Updated Medical History Keep a record of your diagnoses, previous surgeries, allergies, medications, and important test results. Make sure your healthcare providers have accurate information. 2. Keep a List of Your Healthcare Providers Maintain the names and contact information of your primary care physician, specialists, surgeons, and other professionals involved in your care. 3. Share Information Between Providers Ask whether your medical records and test results are being shared with the appropriate members of your healthcare team. Do not assume every provider automatically has access to information from another office. 4. Prepare for Medical Appointments Write down questions, concerns, and changes in your symptoms before each visit. Bring relevant medical records and an updated medication list. 5. Ask Questions When Instructions Are Unclear If two providers give you different recommendations, ask them to clarify how those instructions should work together. 6. Use Patient Portals When Available Many healthcare systems offer online portals where patients can review test results, communicate with providers, request prescription refills, and manage appointments. 7. Identify Your Main Point of Contact Ask your primary care physician or care team who you should contact when questions involve multiple specialists or aspects of your treatment. Taking these steps can help patients become more active participants in their healthcare while making it easier for providers to communicate. The Role of a Healthcare Advocate in Coordinating Care For patients managing multiple medical conditions or working with several healthcare providers, keeping everything organized can become a full-time responsibility. Between scheduling appointments, collecting medical records, understanding treatment recommendations, and communicating with different specialists, patients and family members may find themselves overwhelmed. A healthcare advocate can provide valuable assistance by helping patients navigate the healthcare system and organize the many details involved in their medical care. Depending on the services offered, a healthcare advocate may help with: Organizing Medical Information: Helping patients gather and organize medical records, test results, diagnoses, and medication information so important details are easier to access. Coordinating Appointments: Assisting with scheduling and tracking appointments with primary care physicians, specialists, and other healthcare professionals. Improving Communication: Helping patients prepare questions and communicate concerns to their healthcare providers. Understanding Treatment Recommendations: Helping patients organize information and better understand the instructions provided by their medical team. Supporting Transitions in Care: Helping patients and families navigate changes such as leaving the hospital, beginning rehabilitation, or arranging additional services at home. Identifying Healthcare Resources: Connecting patients with appropriate services and resources that may support their medical and personal needs. A healthcare advocate does not replace medical professionals or make treatment decisions. Instead, an advocate helps patients become better informed, more organized, and more confident when working with their healthcare team. For individuals facing complicated diagnoses or managing multiple specialists, this additional support can make navigating the healthcare system considerably easier. The Importance of Family Involvement in Coordinated Care Family members often play an important role in helping loved ones manage their healthcare, particularly when someone is dealing with a serious illness, recovering from surgery, or experiencing age-related health challenges. With the patient's permission, family members may attend appointments, help organize medical information, take notes, and assist with understanding treatment instructions. They can also help communicate changes in symptoms or concerns that the patient may have difficulty explaining. Family involvement is especially valuable when patients are managing complicated treatment plans or need assistance making healthcare decisions. However, it is important to respect the patient's independence, privacy, and preferences. Patients should remain involved in decisions about their own medical care whenever possible. When family members and healthcare providers work together, patients can benefit from a stronger network of support. Recognizing When Additional Healthcare Coordination Is Needed Some patients can manage their healthcare responsibilities with minimal assistance, while others may need additional support as their medical needs become more complicated. It may be time to consider additional coordination if: You regularly see several different specialists. You are having difficulty keeping track of appointments and medical records. You receive conflicting treatment recommendations. You take multiple medications prescribed by different providers. You have recently been diagnosed with a serious medical condition. You are transitioning from a hospital to home or rehabilitation. You are helping an aging parent or loved one manage complicated medical needs. You feel overwhelmed trying to understand and coordinate your healthcare. A primary care physician, hospital social worker, care manager, or healthcare advocate may help identify the resources and services that are appropriate for your situation. Getting assistance early can make it easier to manage healthcare responsibilities before they become overwhelming. Better Communication Leads to Better Coordinated Care Your healthcare team plays an important role in protecting your health, managing medical conditions, and helping you make informed decisions. However, when several healthcare professionals are involved, communication and coordination are essential. Primary care physicians, specialists, surgeons, nurses, pharmacists, therapists, and other providers each contribute important knowledge and services. When they share information and work together, patients are better positioned to receive consistent and organized care. Patients and families also benefit from understanding their roles, asking questions, and knowing where to turn when additional assistance is needed. You should never feel that you have to navigate a complicated healthcare system entirely on your own. Vital Voice Healthcare Navigation understands how challenging it can be to coordinate care among multiple medical professionals. Having knowledgeable support to help organize medical information, prepare for appointments, communicate with providers, and identify available resources can make a meaningful difference in your healthcare experience. Whether you are managing a chronic illness, facing a new diagnosis, preparing for surgery, or helping a loved one navigate medical decisions, having the right support can help you feel more informed, organized, and confident throughout your healthcare journey.
Living with a chronic illness can be challenging in many ways. Beyond managing symptoms and making lifestyle adjustments, individuals with long-term medical conditions often face the ongoing responsibility of navigating a complicated healthcare system. From scheduling appointments and coordinating with specialists to understanding treatment options and managing medications, keeping up with healthcare needs can quickly become overwhelming.Conditions such as diabetes, lupus, heart disease, multiple sclerosis, arthritis, and other chronic illnesses often require continuous medical attention. Patients may work with several healthcare providers, undergo routine testing, manage multiple prescriptions, and make important decisions about their treatment and long-term health.While managing a chronic illness can sometimes feel like a full-time job, understanding how to navigate the healthcare system can make the process easier. Having the right information, staying organized, communicating with healthcare professionals, and knowing where to find support can help patients take a more active role in their healthcare journey.Understanding the Challenges of Living With a Chronic IllnessA chronic illness is generally a health condition that lasts for an extended period and often requires ongoing medical management. Some conditions can be controlled with medication and lifestyle changes, while others may involve complex treatments, frequent appointments, and periods when symptoms become more severe.For example: Diabetes: Requires ongoing blood sugar monitoring, medication management, regular testing, and attention to nutrition and physical activity. Lupus: An autoimmune disease that can affect multiple parts of the body and may require care from several specialists. Heart Disease: Often involves monitoring heart health, managing medications, making lifestyle changes, and attending regular medical appointments. Multiple Sclerosis (MS): A neurological condition that may require specialized treatment, symptom management, rehabilitation, and ongoing monitoring. Arthritis: Can cause chronic pain, stiffness, and mobility challenges that require medication, physical therapy, and other forms of treatment. Although each condition is different, patients often face similar challenges when managing their healthcare.They may need to coordinate appointments with multiple specialists, understand complicated medical information, keep track of treatment plans, and communicate changes in their symptoms. These responsibilities can become especially difficult when someone is already dealing with pain, fatigue, or other symptoms associated with their illness.Understanding how the healthcare system works and knowing how to access the right resources can make a meaningful difference.Build a Strong Relationship With Your Primary Care PhysicianOne of the most important steps in managing a chronic illness is establishing a good relationship with a primary care physician.Your primary care provider can serve as a central point of contact for your healthcare needs. They can help monitor your overall health, coordinate referrals, review medications, and communicate with specialists involved in your treatment.Even if you see several specialists, maintaining regular appointments with your primary care physician helps ensure that your overall health is not overlooked.A primary care physician can also help identify changes in your condition and determine whether additional testing or specialized care may be necessary.Patients should feel comfortable discussing their symptoms, concerns, and treatment goals with their physician. Open communication helps providers better understand individual needs and make appropriate recommendations.Understand Your Medical Condition and Treatment OptionsLiving with a chronic illness often means becoming familiar with medical terminology, test results, medications, and treatment recommendations.However, understanding complicated medical information can be difficult, particularly when patients are dealing with a newly diagnosed condition or an unexpected change in their health.Taking time to learn about your diagnosis can help you become a more informed participant in your healthcare decisions.Start by asking your healthcare provider questions such as: What exactly does my diagnosis mean? How will this condition affect my overall health? What treatment options are available? What are the potential benefits and risks of each treatment? What symptoms should I watch for? Are there lifestyle changes that could help manage my condition? How often should I schedule follow-up appointments? When should I contact my doctor if my symptoms change? Do not hesitate to ask your physician to explain something again if you do not understand it. You deserve to have your questions answered and to understand the recommendations being made about your health.It can also be helpful to request written instructions or reliable educational resources that you can review after your appointment.Coordinate Care Among Multiple SpecialistsMany people with chronic illnesses receive care from several different medical specialists.For example, someone with diabetes and heart disease may see an endocrinologist, cardiologist, primary care physician, and nutrition specialist. A patient with lupus may work with a rheumatologist, nephrologist, dermatologist, and other specialists depending on which parts of the body are affected.Although each provider contributes valuable expertise, coordinating care between multiple medical professionals can become complicated.Patients may receive different recommendations, have difficulty transferring medical records, or struggle to remember which provider is responsible for specific aspects of their treatment.To make coordination easier, consider the following steps:Keep a List of Your Healthcare Providers: Maintain an updated list of doctors, specialists, clinics, and other healthcare professionals involved in your care.Organize Your Medical Records: Keep copies of important test results, diagnoses, treatment plans, and medical reports in one accessible location.Share Important Health Information: Make sure each provider has accurate information about your medical history, current medications, allergies, and other relevant health concerns.Track Appointments and Follow-Ups: Use a calendar or scheduling application to keep track of appointments, testing, and recommended follow-up visits.Ask Who Is Coordinating Your Care: Find out which provider should be your primary contact when questions involve multiple aspects of your treatment.Effective communication among healthcare providers can help patients receive more coordinated care and reduce confusion when managing complex medical conditions.Keep Track of Your MedicationsMedication management is another important part of living with a chronic illness.Some patients take several medications to control symptoms, prevent complications, or manage multiple health conditions. Keeping track of prescriptions, dosage instructions, refill dates, and potential side effects can become challenging.To stay organized, maintain an updated medication list that includes: The name of each medication. The prescribed dosage. When and how often it should be taken. The reason it was prescribed. Any known medication allergies or reactions. The prescribing healthcare provider. Bring this list to medical appointments and update it whenever a medication is started, stopped, or changed.It is also important to tell your healthcare providers about vitamins, supplements, and over-the-counter medications you use, since these may interact with prescription medications.If you experience side effects or have concerns about your prescriptions, contact your healthcare provider or pharmacist. Never stop or change a prescribed medication without discussing it with the appropriate medical professional.Medication reminders, pill organizers, and pharmacy refill services can also help make medication management easier.Prepare for Medical AppointmentsWhen living with a chronic illness, medical appointments may become a regular part of your routine. Preparing ahead of time can help you make the most of each visit.Patients sometimes forget important questions or struggle to remember changes in their symptoms when speaking with their doctors.Before an appointment, consider writing down: Any new or worsening symptoms. Changes in pain, energy levels, or mobility. Questions about medications or treatment recommendations. Concerns about side effects. Results from recent testing. Changes in your daily activities or quality of life. If you monitor certain health measurements at home, such as blood pressure or blood glucose, bring relevant records to your appointment.You may also want to bring a trusted family member or friend who can help take notes, remember instructions, and provide additional support.Being prepared can help you communicate more effectively and ensure that important concerns are addressed.Learn How to Advocate for YourselfSelf-advocacy is an important part of managing a chronic illness. It means taking an active role in your healthcare by asking questions, expressing concerns, and making sure your needs are understood.Patients sometimes hesitate to speak up because they do not want to question their physician or appear difficult. However, asking questions and requesting clarification are important parts of receiving appropriate care.If something does not seem right, or if you do not understand a treatment recommendation, it is reasonable to ask for more information.Effective self-advocacy may include: Speaking up when symptoms change or become worse. Asking for clarification when medical instructions are confusing. Discussing treatment options and personal preferences. Requesting copies of medical records and test results. Asking how different treatments may affect daily life. Seeking another medical opinion when appropriate. Remember that you are an important member of your healthcare team. Your experiences, concerns, and treatment goals deserve to be heard.Consider Getting a Second Medical OpinionA chronic illness may require ongoing treatment and long-term medical decisions. In some situations, patients may benefit from receiving another professional opinion about their diagnosis or treatment plan.A second opinion can provide additional information, confirm an existing diagnosis, or help patients better understand alternative treatment options.This may be particularly helpful when: You have received a complicated or unexpected diagnosis. Your current treatment is not producing the expected results. You are considering a major medical procedure. You are experiencing significant side effects. You want to explore additional treatment approaches. You feel uncertain about the recommendations you have received. Seeking a second opinion does not mean you distrust your current physician. It is simply another opportunity to become informed and feel confident about your healthcare decisions.A healthcare advocate may also help patients understand the process of obtaining another opinion and organizing the medical records needed for a consultation.Use Technology to Manage Your HealthcareTechnology has made it easier for many patients to access medical information and stay connected with their healthcare providers.Patient portals, mobile applications, and telehealth services can help individuals manage some of the everyday responsibilities associated with chronic illness.Depending on the healthcare provider and available services, technology may allow patients to: Review laboratory results and medical records. Request prescription refills. Schedule appointments. Send secure messages to healthcare providers. Participate in virtual medical visits. Track health measurements and symptoms. Receive appointment reminders. Some patients also use mobile applications to monitor blood pressure, blood glucose, physical activity, medication schedules, or other health information.These tools can help patients stay organized and provide useful information to share with their medical team.However, technology should complement, not replace, communication with healthcare professionals. Patients should discuss concerning symptoms and unexpected changes with their providers rather than relying solely on information from an application.Understand Your Health Insurance and Healthcare CostsManaging a chronic illness can involve significant financial responsibilities. Regular appointments, specialist visits, medications, laboratory testing, medical equipment, and treatment procedures can add up over time.Understanding your health insurance coverage can help you avoid unexpected expenses and make more informed decisions about your care.Important things to review include: Your insurance plan's coverage for specialist visits. Prescription medication coverage and pharmacy requirements. Deductibles, copayments, and out-of-pocket maximums. Whether referrals are required to see specialists. Coverage for physical therapy and other supportive services. Available financial assistance programs. If you are unsure about coverage, contact your insurance company or healthcare provider's billing department for clarification.Hospital and clinic social workers may also be able to connect patients with financial assistance programs, medication resources, and community organizations.Understanding your options can help reduce financial stress while ensuring you have access to the services you need.The Role of a Healthcare Advocate in Managing Chronic IllnessNavigating the healthcare system can be especially challenging when managing a long-term medical condition. Patients may spend considerable time coordinating appointments, communicating with specialists, understanding treatment recommendations, and organizing medical information.For individuals who feel overwhelmed by these responsibilities, working with a healthcare advocate may provide valuable support.A healthcare advocate helps patients understand and navigate the healthcare system while keeping their needs and preferences at the center of the process.Depending on the services offered, a healthcare advocate may help with:Understanding Medical Information: Helping patients organize information about their diagnosis, treatment recommendations, and healthcare options so they can have more informed conversations with their physicians.Coordinating Appointments: Assisting with scheduling and organizing appointments with multiple specialists and healthcare providers.Preparing for Doctor Visits: Helping patients identify questions, organize medical records, and prepare for important healthcare discussions.Improving Communication: Helping patients communicate concerns and understand instructions from their medical team.Exploring Additional Resources: Identifying support services, community programs, and other resources that may help patients manage their condition.Supporting Informed Decisions: Helping patients understand the information available so they can discuss treatment choices and personal preferences with their healthcare providers.A healthcare advocate does not replace a physician, diagnose medical conditions, or make treatment decisions. Instead, they provide guidance and support to help patients become more confident and informed participants in their healthcare journey.For patients managing multiple medical conditions or working with several specialists, having someone help organize the process can make a meaningful difference.Build a Support System to Help Manage Your ConditionLiving with a chronic illness can sometimes feel isolating, particularly when symptoms interfere with everyday activities or require ongoing lifestyle changes.Having a reliable support system can make managing a long-term condition easier.Family members and friends may be able to provide transportation, help with household responsibilities, attend medical appointments, or offer emotional encouragement.Patients may also benefit from connecting with support groups and organizations focused on their specific medical condition.For example, individuals living with diabetes, lupus, heart disease, or multiple sclerosis may find educational resources and support communities through national health organizations and local programs.In addition, counselors, social workers, registered dietitians, and other healthcare professionals may provide specialized assistance depending on individual needs.Having people who understand your challenges and are willing to help can reduce stress and make it easier to stay engaged in your healthcare.Take an Active Role in Your Long-Term HealthLiving with a chronic illness requires ongoing attention, patience, and commitment. While some days may be more challenging than others, taking small steps to stay organized and informed can make a significant difference.Understanding your diagnosis, maintaining communication with your healthcare providers, keeping track of medications, and coordinating appointments can help you feel more in control of your medical care.It is also important to remember that you do not have to manage every aspect of your healthcare alone. Family members, medical professionals, support organizations, and healthcare advocates can all play valuable roles in helping you navigate the process.You Don't Have to Navigate Chronic Illness AloneManaging a chronic illness involves much more than attending medical appointments and taking prescribed medications. It requires ongoing coordination, communication, decision-making, and adjustments to everyday life.For patients living with conditions such as diabetes, lupus, heart disease, multiple sclerosis, and other long-term illnesses, the healthcare system can sometimes feel complicated and overwhelming.Having the right support can help make the journey easier.A knowledgeable healthcare advocate can help patients understand medical information, prepare for appointments, coordinate care, and identify resources that may improve their healthcare experience.Vital Voice Healthcare Navigation understands that managing a chronic illness can be challenging. Having someone to help you navigate the healthcare system, communicate with medical professionals, and better understand your healthcare options can make a meaningful difference. You deserve to feel informed, supported, and confident as you take an active role in managing your long-term health.
Introducing PA Health & Wellnessyour partner for successWe understand how important you and your familys healthcare needs are. Its important to us, too. PA Health & Wellness provides quality Medicaid & health insurance plans in Pennsylvania. Our coverage options include a variety of Pennsylvania insurance benefits, member handbooks, and wellness information.Established to deliver quality healthcare in the state of Pennsylvania through local, regional and community-based resources, PA Health & Wellness is a Managed Care Organization and subsidiary of Centene Corporation (Centene). PA Health & Wellness exists to improve the health of its beneficiaries through focused, compassionate and coordinated care. Our approach is based on the core belief that quality healthcare is best delivered locally. Invest in you and your familys health by enrolling in Pennsylvania Medicaid or Medicare today.Medicaid and Medicare for PANothing is more important than taking care of your healthcare needs. PA Health & Wellness is a health plan serving both Medicaid and Medicare members in Pennsylvania. We offer benefits to support those who qualify for Medicare, receiving long-term care services, or those that qualify for both Medicare and Medicaid (also known as Dual Eligibles). Choose PA Health & Wellness as your partner in healthcare today!Your Doctor, Your ChoiceGet unlimited doctor visits with no copays.24-Hour Nurse Advice LineOur Nurse Advice Line is ready to answer your health questions 24 hours a day.Personalized SupportGet the support you need through our MemberConnections team. The team is here to help choose a doctor, navigate plan benefits, establish a healthy lifestyle, and much more.Affordable Medicare Advantage CoverageOriginal Medicare only pays for 80% of your hospital and medical costs and it does not include prescription coverage. But you can get more coverage for less with Allwell-a Medicare Advantage plan that includes prescription coverage.Save Money on Monthly PremiumsYoull have a $0 monthly premium and will have prescription coverage at no additional monthly premium.Extra Benefits All benefits of Original Medicare are covered. You may also get extra benefits like vision, dental and hearing care and gym membership. Benefit offerings may vary by plan.Comprehensive Medical CareAmbetter from PA Health & Wellness offers quality, affordable healthcare coverage with options to fit your health needs and your budget.MyHealth PaysOur rewards program helps you earn rewards for taking care of yourself.Get the Most out of Your Health InsuranceAmbetter health insurance plans offer several levels of plan options, each one representing a different type of coverage and payment. However, no matter which Ambetter plan you choose, you can always count on access to high quality, comprehensive care that delivers services, support and all of your Essential Health Benefits.
PA Health & Wellness provides quality Medicaid & health insurance plans in Pennsylvania. Our coverage options include a variety of Pennsylvania insurance benefits, member handbooks, and wellness information.
PA Health & Wellness Community HealthChoices (CHC) Helping Pennsylvanians Get the Care and Support They NeedHelping You Stay Healthy, Safe and IndependentAs we get older, everyday activities can become more difficult. Getting dressed, preparing meals, managing health problems or getting to medical appointments may not be as easy as they once were. For family members, making sure a loved one has the right care can also become a challenge.PA Health & Wellness understands that getting older or living with a disability should not mean giving up your independence.Through Pennsylvania's Community HealthChoices (CHC) program, PA Health & Wellness helps eligible older adults and adults with physical disabilities receive health care benefits and, when they qualify, long-term care services and support.Whether you need help understanding your health coverage, finding doctors or arranging care at home, PA Health & Wellness works to make getting the right services easier.The goal is simple: Help people receive the care they need while supporting their health, independence and quality of life.What Is Community HealthChoices (CHC)?Community HealthChoices, often called CHC, is a Pennsylvania Medicaid health care program for eligible adults age 21 and older.It is designed for people who have both Medicare and Medicaid, as well as certain adults who need long-term care services because of a disability or ongoing health condition.PA Health & Wellness is one of the health plans that provides Community HealthChoices coverage in Pennsylvania.CHC helps people manage their health care benefits. For those who qualify for additional long-term support, the program may also help arrange services at home or in the community.These services can make a real difference for someone who wants to remain in familiar surroundings but needs extra assistance.For example, an older adult may be able to manage most activities independently but need help bathing, dressing or preparing meals. Another person may need nursing care, medical equipment or assistance after a serious illness.Community HealthChoices is designed to help eligible individuals get the right level of care based on their personal needs.Who Can Qualify for PA Health & Wellness Community HealthChoices?You may qualify for Pennsylvania Community HealthChoices if you are age 21 or older and meet the state's Medicaid eligibility requirements.The program generally serves:Adults who have both Medicare and Medicaid. These individuals are sometimes called "dual eligible" because they receive benefits from both programs.Older adults who need long-term care. This may include people who need ongoing help with everyday activities or have health conditions that make independent living more difficult.Adults with physical disabilities. Eligible individuals who need long-term services and support may qualify even if they are younger than 65.People receiving qualifying Medicaid long-term care services. This can include care provided at home, in the community or in a nursing facility.Not everyone enrolled in Community HealthChoices qualifies for home care or other long-term services. Eligibility for these additional benefits is determined through Pennsylvania's assessment and approval process.If you are unsure whether you or a family member qualifies, the first step is to check your eligibility.What Services Are Available Through Community HealthChoices?PA Health & Wellness offers a range of health care benefits through its Community HealthChoices plan.For participants who qualify for Long-Term Services and Supports (LTSS), additional services may be available to help with everyday living.The services a person receives depend on their health, individual needs and approved benefits.Help With Everyday Activities at HomeFor many older adults, staying in their own home is important. Being surrounded by familiar belongings, neighbors and family can bring comfort and peace of mind.Eligible Community HealthChoices participants may qualify for personal assistance services that help with everyday tasks such as:Bathing and personal hygieneGetting dressedMoving safely around the homePreparing meals and eatingOther daily activities that have become difficultThese services can help individuals continue living at home while receiving the support they need.Home Health Care and Nursing ServicesSome individuals need more than help with daily activities. They may also need medical care because of an illness, injury or ongoing health condition.Depending on eligibility and medical needs, covered services may include home health nursing, home health aide services and certain types of therapy.These services can help people manage their health and receive appropriate care without having to leave home for every need.Help With Meals and NutritionEating healthy meals is an important part of staying well, especially for older adults managing medical conditions.For eligible individuals receiving long-term services, Community HealthChoices may provide home-delivered meals or nutritional counseling when these services are part of an approved care plan.This can be especially helpful for someone who has difficulty shopping, cooking or preparing meals independently.Medical Equipment and Home SafetySometimes small changes can make a big difference in helping someone remain safe at home.Community HealthChoices may cover certain medical equipment, assistive technology or home modifications for eligible participants.Depending on a person's needs and approved benefits, this could include equipment that makes daily activities easier, a personal emergency response system or changes that improve access and safety in the home.These supports can help reduce everyday challenges and make independent living more manageable.Respite Care and Family Caregiver SupportCaring for a parent, spouse or loved one can be rewarding, but it can also be physically and emotionally demanding.Family caregivers often balance their caregiving responsibilities with work, children and other family needs.For eligible individuals receiving long-term services, respite care may be available. Respite provides temporary care for a loved one so their regular caregiver can take a break or attend to other responsibilities.PA Health & Wellness also offers caregiver information and resources to help families better understand and manage their loved one's care.What Is a Service Coordinator?One of the most helpful parts of Community HealthChoices for people receiving long-term services is having a service coordinator.A service coordinator helps eligible participants understand their needs, explore available services and put together a plan for care.Think of this person as someone who helps connect the pieces of your care.For example, if an older adult needs help at home, the service coordinator can work with that person to identify appropriate covered services and help arrange approved support.A service coordinator may also help with:Understanding available long-term care benefitsDeveloping a personal care planConnecting with approved service providersCoordinating services with doctors and other health professionalsReviewing needs when health or living circumstances changeFinding additional community resourcesThe participant plays an important role in deciding what services are best for their situation.Family members and caregivers may also be involved in planning care when the participant wants their help.Can Community HealthChoices Help Someone Avoid Moving Into a Nursing Home?Many older adults would prefer to remain at home for as long as possible.For some people, the right combination of personal care, medical services, home modifications and family support can make that possible.Community HealthChoices helps eligible participants explore care options that support living at home or in the community when appropriate.For example, a senior who needs assistance with bathing, dressing and meals may be able to receive approved services at home rather than relying entirely on family members.However, not everyone can safely remain at home, and Community HealthChoices does not guarantee that nursing home care can be avoided.The goal is to help each eligible participant receive care in a setting that meets their needs while respecting their preferences and independence.How Does Community HealthChoices Work With Medicare and Medicaid?Understanding Medicare and Medicaid can be confusing, especially when someone has both.Medicare is a federal health insurance program generally available to people age 65 and older and certain younger individuals with qualifying disabilities or conditions.Medicaid, also called Medical Assistance in Pennsylvania, helps eligible people with health care costs and may cover long-term care services that Medicare generally does not provide.For people enrolled in both programs, Community HealthChoices helps coordinate Medicaid benefits with Medicare coverage.This can make it easier to understand which services are available and how different parts of a person's health care fit together.PA Health & Wellness works with its network of health care providers and service professionals to help participants access covered care.It is important to remember that having Medicare and Medicaid does not automatically mean someone qualifies for every long-term care service. Additional eligibility requirements and assessments may apply.Helping Families Navigate Long-Term Care DecisionsWhen an older parent or loved one begins needing more help, families often have many questions.Who can help Mom safely stay at home? Does Medicaid pay for home care in Pennsylvania? What happens if Dad needs more assistance after leaving the hospital? Where can we turn if a family caregiver can no longer provide all the help that is needed?These are common concerns for families throughout Pittsburgh, Allegheny County, Beaver County, Butler County, Washington County, Westmoreland County and communities across Pennsylvania.PA Health & Wellness Community HealthChoices can be an important resource for eligible individuals navigating these decisions.Through health care coverage, care coordination and approved long-term services, the program helps participants and their families better understand available support.Whether someone is planning ahead or facing an immediate change in care needs, learning about Community HealthChoices can be a useful first step.How to Apply for PA Health & Wellness Community HealthChoicesIf you believe you or a loved one may qualify for Community HealthChoices, Pennsylvania offers several ways to begin the application process.Apply online: Visit Pennsylvania's COMPASS website at www.compass.state.pa.us to check eligibility and apply for benefits.Apply in person: Contact your local County Assistance Office for help applying for Medicaid benefits.Apply by mail: Complete a Pennsylvania Medical Assistance application and mail it to your County Assistance Office.Need long-term care services? If you are seeking help with personal care, nursing home care or other long-term services, Pennsylvania's Independent Enrollment Broker can assist with the eligibility and assessment process.Once eligibility is determined, individuals can review available Community HealthChoices health plans, including PA Health & Wellness.Choosing the right plan is an important decision. Families should consider their doctors, available providers, covered benefits and individual care needs.Why Consider PA Health & Wellness Community HealthChoices?Finding the right care should not feel like solving a puzzle.PA Health & Wellness works to help eligible Pennsylvanians understand their health benefits and connect with the services they need.As a Community HealthChoices health plan serving Pennsylvania, PA Health & Wellness provides access to covered medical services and helps coordinate long-term support for participants who qualify.For older adults, that may mean receiving assistance that makes daily living easier.For individuals with disabilities, it may mean access to services that support greater independence.For family caregivers, it may mean having additional resources and professional guidance when caring for someone they love.Every person's situation is different. PA Health & Wellness focuses on helping participants understand their options and receive care based on their individual needs.Learn More About PA Health & Wellness Community HealthChoicesIf you or someone you love has both Medicare and Medicaid, needs assistance with daily activities or is exploring Medicaid long-term care options in Pennsylvania, Community HealthChoices may be worth learning more about.PA Health & Wellness serves eligible Community HealthChoices participants throughout Pennsylvania.To learn more about available benefits, eligibility and enrollment, visit www.pahealthwellness.com.You can also contact PA Health & Wellness Participant Services at 1-844-626-6813 (TTY 711) for help understanding plan benefits and services.PA Health & Wellness Community HealthChoices Helping eligible Pennsylvanians access health care, long-term support and services that promote independence and quality of life.Coverage and services depend on individual eligibility, medical necessity, assessments and plan approval. Not all Community HealthChoices participants qualify for Long-Term Services and Supports.