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Healthy YouKnowledge is power

Fall ~ 2019

Tame your tension headaches

How to live better with diabetes

Treat yourself while watching your waistline

2 © 2019 United HealthCare Services, Inc.

About this magazine“Healthy You” magazine is published as an educational resource for UMR members and provides information about tools and resources available from UMR as a part of our member online services.

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CONTENTS

WHY KNOWLEDGE IS POWER 6Fall is the perfect time to learn something new, starting right here, right now.

MAKE SENSE OF 10 NUTRITION NEWS Before you act on food-related claims, keep these pointers in mind.

LIVING WELL WITH DIABETES 12Follow these steps to feel better and avoid problems down the road.

OPIOID USE: KNOW THE FACTS 14How to take opioids safely, signs of overuse and other options for managing your pain.

CT SCANS: 27 WHAT YOU NEED TO KNOWLearn why you might need a CT scan, what to expect during the procedure and how to minimize the cost.

4 TIPS FOR TAMING 8 TENSION HEADACHESThese useful strategies may help you finally find headache relief.

TIPS AND TRICKS FOR 18 TREATING YOURSELFIndulge a little without losing sight of your health goals.

STAYING A STEP AHEAD 24 OF PNEUMONIA Find out how to lower your risk of catching this potentially dangerous infection.

UMR ON THE GO 3

WHERE TO GET CARE 21

ASK A NURSE 26

INTRODUCING MY TASKBAR 31

BREAST CANCER TESTING 32

FIND A DOCTOR OR HOSPITAL 33

MEAL MAKEOVER 34

EN ESPAÑOL 35

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6 © 2019 United HealthCare Services, Inc. 6

Why knowledge

is power



While you might not be headed back to school this year, fall is the time when many parts of the world turn their focus back to learning. Although you may not be donning a backpack and boarding the bus, we encourage you to embrace an educational mindset and learn something new this season. Whether it’s taking a course, acquiring a new skill or researching a topic that you want to know more about, lifelong learning is a key to happiness and growth. Business or pleasure: Your choice!

For our part, in this issue of Healthy You, we’ve focused on educating you about some timely and important health topics: Diabetes. Pneumonia. Opioids. Nutrition. Tension headaches.

And while, yes, some of these topics may seem “heavy,” we believe it’s our duty to bring you

information about the issues that are most likely to affect you and your loved ones.

Because when you’re informed, you can:

Take care of your own health problems. When you feel like you know the ins and outs of your own health conditions, you’re more empowered to seek the help you deserve and advocate for what you need.

Help others. If you’re confident in your knowledge about the health concerns of friends and family, you’ll be better equipped to support and encourage them.

Practice better self-care. Feeling like you have a handle on your overall health can allow you the freedom to prioritize preventive care, exercise, rest and nutrition.

Knowledge is power, and we’re lucky we live in an age where so much information is at our fingertips. Therefore, we challenge you to brush up on those topics you’re curious about – or even scared of – so you and your loved ones can be healthy and happy.

letter from the editor


You may find these strategies helpful with headache relief:

* Treatment with cold or heat may not be advised for people with diabetes, circulation problems or loss of feeling.

** Hydration needs can vary based on health conditions you have and medications you’re taking. Talk with your doctor about what’s right for you.

Not all headache remedies come in a pill. Some simple lifestyle strategies might help you manage – or head off – the minor tension headaches we all get from time to time.

You know the type: They tend to hit in the middle of the day. You might feel the pain in your forehead, neck or sides of the head – or as a “band” around your head. And while they’re often mild, they’re certainly annoying.

tension headaches4 tips for taming

Women take note

Headaches may hit women hardest. Surveys suggest they are more than twice as likely as men to have had a severe headache or migraine in the past three months.

Use heat or cold*

Apply a heating pad or a hot water bottle to your neck or the back of your head to help relieve muscle tension. Or take a warm shower. For some people, cold may work better. Use a cold pack – or wrap some ice in a towel and apply it to your head.

Hit the pillow on time

Getting enough rest can help stop headaches before they start.

Drink plenty of water**

A headache can be a sign that you’re a bit dehydrated. One way to help tell if you’re drinking enough? Check your urine. If it’s dark yellow, you may need more fluids.

Soothe your stress

When you can’t avoid stress, try a relaxation strategy. That can be as simple as closing your eyes and breathing deeply for a few minutes.


What’s behind your headaches?Keeping a headache diary might reveal clues your doctor needs. Visit Headaches.org and search for “diary” to learn more.

More than a mere headacheDo you get headaches often? Do they interfere with your life? Do you use pain relievers more than twice a week? If so, talk with your doctor. Some headaches can be triggered by other conditions.

Plus, tension headaches, migraines and cluster headaches may have different symptoms and triggers. You and your doctor can work together to find the cause of your headaches – and the right treatment.

Sometimes a headache may indicate an emergency, like a stroke. For safety’s sake, call 911 if you notice any of these danger signs:

• A sudden, severe headache – the worst you’ve ever had

• A headache that won’t go away or is worsening

• A headache with fever, a stiff neck, seizures, confusion, or eye or ear pain

https://headaches.org/


• Eat plenty of produce, especially whole fruits and a variety of brightly colored veggies.

• Make sure half of your grains are whole grains.

• Choose fat-free or low-fat dairy products, such as milk, yogurt and cheese.

• Enjoy a variety of protein foods, including seafood, lean meats and poultry, eggs, legumes, seeds and nuts.

• Limit foods with saturated fats, trans fats, added sugar and sodium.

KEEP TO THE CLASSICS

When weighing what to eat, these tried-and-true guidelines are usually a safe bet:

Don’t eat anything white. Fast twice a week. Eggs are bad. No, wait, eggs are good ...

Does it seem like almost every day there’s more nutrition news to digest? And with headlines that often contradict each other, how do you know what to trust?

Perhaps the best advice is to use caution.

MAKE SENSE OF

NUTRITION NEWS

“ ”


LOOK IN THE MIRROR

RELY ON TRUSTWORTHY SOURCES

ONE STUDY DOESN’T CUT IT

Personal opinions aren’t evidence. And a diet or supple-ment that helped someone else is not guaranteed to help you, too.

Don’t change your diet because of a single study. There may be conflicting research, the current study may have flaws or it may need to be confirmed. Wait for experts to reach a consensus.

• Scientific journals

• Government health agencies

• Universities

• Hospitals

• Major public health organizations

Even promising findings may not apply to you. For example, that can be the case if the study volunteers aren’t the same gender or age as you – or don’t share your lifestyle. Studies with large, diverse groups of people are more credible.

WATCH OUT FOR WILD CLAIMSBe suspicious of sensational language and quick fixes. Phrases like “breakthrough” or “miracle cure” may be a tip-off that it’s too good to be true.

A headline (or tweet or soundbite) by itself may give a misleading impression.

7 WAYS TO SORT FACT FROM FICTION

Learn to protect yourself – and others. Visit fda.gov and search for “health fraud scams.”

Before you act on food-related claims, keep these pointers in mind:

GET A SECOND OPINIONBefore making changes to your eating habits, ask your doctor about the pros and cons – and what’s right for you.

“ ”STEER CLEAR OF TESTIMONIALS

DIG DEEPER

Don’t rely only

on headlines –

read the entire

news report.

https://www.fda.gov/


Living well with diabetes Type 2 diabetes puts you at risk for serious complications such as heart disease and vision loss. But

if you proactively manage your condition, you’ll be on a path to better health and a longer life. Follow

these simple steps so you can start to feel better – and even head off problems down the road.

If your doctor prescribes medicines for diabetes, blood pressure or cholesterol, be sure to take them as directed.

*Talk with your doctor before significantly increasing your activity level.

**Always check your benefit plan documents for complete benefit information and any exclusions that may apply.

By taking care of your condition and getting regular checkups, you can stay in tune with your body and identify problems before they become major issues.

Commit to better health

Ask your doctor for advice and guidance on how to manage your blood glucose level, blood pressure and cholesterol. You might be able to meet with a diabetes educator or take classes to learn more.**

Get educated

Have a healthy and balanced meal plan. Eating breakfast, managing your calories and speaking with your doctor or a nutritionist can help you to create a plan that’s right for you.

Eat healthy

Mind your medicines

Prepare to quit, if you smoke. Smoking raises your cholesterol and your blood pressure, putting you at a greater risk for a heart attack or stroke. Ask your doctor for help.

Quit smoking

Regular exercise can help you manage your weight and keep blood sugar in a healthy range.*

It also has added benefits of relieving stress, enhancing focus and improving circulation.

Be active

12


Diabetes affects your whole body. Here are some ways to help protect it:

EyesYearly dilated eye exams help protect your sight.

MouthYearly dental visits – plus daily brushing and flossing – help keep mouth problems in check.

KidneysYour doctor may order blood and urine tests every year to check for kidney problems.

Feet Check them daily for sores or cuts. Report any problems you spot and have your doctor examine your feet at every visit.

Blood Monitor your daily blood sugar levels at home. And ask how often you need A1C, blood pressure and cholesterol tests – and what your goals should be.

Love yourself from head to toe

If you’re one of them, that means you’re at risk

for type 2 diabetes.

But losing weight – by eating healthy and

being more active – may cut that risk in half.

1 in 3 U.S. adults has prediabetes –

but many don’t know it.

Get educated

Quit smoking

13

https://fhs.umr.com/print/UM0157.pdf


K N O W T H E F A C T S

O P I O I D U S E

Prescription opioids can be beneficial for treating the pain associated with some medical

conditions and are sometimes prescribed after a painful injury or surgery. But these potent

medications present a high risk for overuse. If you or a loved one has been prescribed

opioids, it’s important to take them as directed for only the recommended time period.

It’s also important to know the signs of opioid overuse.

• Morphine

• Codeine

• Methadone

• Oxycodone

• Hydrocodone

• Fentanyl

• Hydromorphone

• Buprenorphine

• The illegal drug heroin is also an opioid

What are opioids?

Opioids include prescription pain medications such as:

Opioids send signals to your brain to block

pain. You can become tolerant to them

over time and may need to take increasing

amounts of medication to achieve the same

response you had when you first starting

taking it to control your pain.


More than 115 Americans die every day – one person every 12 minutes – from misuse of and addiction to opioids, heroin and synthetic opioids.

Addiction, also known as Opioid Use Disorder, is defined as a pattern of use that causes significant impairment or distress with unsuccessful efforts to cut down or control use.

The right way to take opioidsIf you are prescribed opioids for pain:

• Never take more than the prescribed dosage

• Never sell, share or use someone else’s medication

• Keep opioids out of the reach of children, family and friends

• Safely dispose of unused medication

• Avoid using alcohol and other prescription or over-the-counter medications unless approved by your doctor

• Spending time alone/avoiding family and friends

• Losing interest in activities

• Practicing poor hygiene (not bathing, changing clothes or brushing teeth)

• Feeling very tired and sad

• Eating more or less than usual

• Acting overly energetic, talking fast and saying things that don’t make sense

• Being nervous or cranky

• Quickly changing moods

• Sleeping at odd hours

• Missing appointments

• Getting into trouble with the law

• Attending work or school on an erratic schedule

Adult overuse warning signs

One of the biggest clues that someone who is taking prescription opioids may be overusing them is

sudden changes in behavior. The following changes in yourself or others may be cause for concern:


Children and teen overuse warning signs

Adults aren’t the only ones who can misuse opioids. In 2017, about 75% of drug

overdoses among 15-24-year-olds were related to opioids. Signs of drug use in

children and teens include:

• Slipping grades or forgetting homework

• Skipping school

• Sudden change in friends

• Lack of interest in usual activities

• Lack of energy or motivation

• Neglect of hygiene and grooming habits

• Change in sleeping and eating habits

Who is at greater risk?

You may have a higher risk for opioid overuse or addiction if you:

• Have a history of drug misuse or overdose

• Suffer from mental health conditions such as anxiety or depression

• Have sleep apnea

• Are 65 or older

• Are pregnant

HOW TO GET HELP If you suspect that you or someone you know may have a problem with opioids, seek medical help. You can also contact the Substance Abuse and Mental Health Services Administration (SAMHSA) toll-free help line to find drug treatment near you: 1-800-662-HELP (4357). Or you can visit SAHMSA’s Behavioral Health Treatment Services Locator. There’s also a State Agencies webpage that helps you find state agencies that might have special programs. If someone overdoses call 911.


Physical therapy and exercise A physical therapist can teach you correct

posture and alignment and show you how to

do back and neck strengthening exercises.

Yoga and stretching Yoga can help stretch and strengthen all your

major muscle groups, including your back and

neck, which, with regular practice, may reduce

your pain.

Massage therapy While massage may not have long-term effects,

it may provide short-term relief when combined

with your doctor’s recommended treatments.

Chiropractic care A chiropractic adjustment involves trained

specialists using their hands or a small

instrument to apply controlled pressure to

a spinal joint. Chiropractic treatments may

provide short-term back and neck pain relief,

although multiple visits might be necessary.

Acupuncture Studies have shown that acupuncture, which

involves inserting very thin needles through a

person’s skin at specific points on the body,

can help relieve back and neck pain.

Cognitive behavioral therapy This psychological, goal-directed approach helps

patients learn how to modify the physical, behav-

ioral and emotional triggers of pain and stress.

Transcutaneous electrical nerve stimulation (TENS) In this type of therapy, electrodes that deliver

tiny electrical impulses are placed on your skin

near the affected areas to reduce pain.

Non-opioid pain relievers There are other medications that can assist with

pain management that are not opioid-based.

Some of these medications, such as anti-seizure

drugs, may help manage pain. Talk to your

provider about other options that are available.

In addition, over-the-counter pain relievers such

as acetaminophen, ibuprofen or naproxen may

be strong enough to give you the relief you need.

Alternative pain managementWhen you’re suffering from chronic back and neck pain, you may feel like taking opioids is the only way to get relief. But there are alternative therapies that may help ease your pain and improve your quality of life. Here are some options to try.*

* Consult your medical provider before starting any new exercise or therapy regimen or taking any new medications.


TIPS AND TRICKS FOR TREATING YOURSELF THIS HOLIDAY SEASON

TIPS AND TRICKS FOR TREATING YOURSELF THIS HOLIDAY SEASON

From fun-size candy to seasonal pies to beloved cookies, treats are a big

part of what makes the holiday season special. But if you’re trying to

lose or maintain a healthy weight, treating yourself to delicious desserts

might feel like a setback. Fortunately, there are a few tricks that will allow

you to indulge in moderation without losing sight of your health goals.

18


TRICKKeep a food and exercise journal to reveal patterns and opportunities about your diet and routine that you might not be aware of.

TRICKCommit to 30 minutes of walking to burn up to 200 calories per day. Does 30 minutes sound like a lot? You can always break your workout down into two 15-minute sessions or three 10-minute sessions.

Design your dayIncorporating good habits into your daily routine will help you stay on track:

Plan for exerciseThe key to maintaining a healthy weight is to move more and eat less. So if you’re eating more, you need to move more!

Ideally, you should work in some form of

physical activity every day. Knowing the

amount of time and type of activity you

would like to commit to will reveal the

number of calories you will actively burn

each day. The average woman burns about

1,800 calories per day while the average

man burns 2,000. We burn these calories in

a passive manner. It is the active commit-

ment that makes the big difference.

Begin your day with breakfast Eating three meals a day keeps the body invigorated while activating your digestive system, which burns calories.

Move it to lose it Take the stairs and park farther from the entrance to work in extra steps.

Go the distance Commit to 20-30 minutes of exercise each day.

Drink up Drink eight 8-ounce glasses of water per day to stay hydrated and feel refreshed.

Sleep When sleeping, the average person burns about 60 calories per hour, so make sure you’re getting the recommended hours of shut-eye.

https://issuu.com/umr-healthyyou/docs/healthy_you_from_umr___winter_2019/14

https://issuu.com/umr-healthyyou/docs/healthy_you_from_umr___winter_2019/14


520

5 ways to burn 100 calories

Count the calories

When you have a treat in mind, check the calorie content. Then balance out the treat calories with an activity. Here’s how to walk it off:

1. Stretching

Doing basic yoga poses for 30 minutes

can make you more flexible while

helping you relax and use up calories.

2. Taking the stairs

Whether you’re at work or out and

about, always opt for the stairs.

Walking up and down the stairs for

10 minutes is a quick calorie fix.

3. Cleaning One hour of deep cleaning is the

trick to enjoying those treats later on.

Now host that party!

4. Jumping rope While this one might take you back

to elementary school, it’s also one of

the fastest (and cheapest) ways to

sweat it off – just seven minutes and

you’re all set.

5. Dancing Have a 30-minute dance party and

watch those calories crumble.

TRICKDid you know that for every minute you stand, you burn 10 calories? Do your favorite superhero pose and stand with pride. Don’t worry if someone sees you – maybe it will make them laugh. Laughter can burn up to 40 calories. Now, remain standing and laughing for 15 minutes. We dare you.

TRICKChoose either a dessert or a drink to minimize your calorie intake. Alcoholic beverages can go down quickly while carrying about 120 calories per serving – as much as or more than some desserts!

or

TREAT AVERAGE CALORIES

TIME TO WALK IT OFF

One sugar cookie with icing 100 15 minutes

Three pieces of chocolate 210 30 minutes

Six Halloween candy corns

20 to 95 calories 7 to 15 minutes

One slice of apple pie 290

50 minutes or walk up and down the stairs

for 30 minutes


Find your member ID card

Know where to go when someone is sick or in a crisis situation.

Where you go for medical services can make a big difference in how much you pay and how long you wait to see a health care provider. Explore the following information

to help you decide the appropriate

setting for your care.

What you need to do:

Find a providerOn your member ID card, you’ll find: • Your PPO network• Contact number • Pharmacy contact,

if applicable

You can also visit our website at umr.com.

! If you are severely ill and/or it’s an emergency, call 911.

FIND OUT WHERE TO GO ON THE NEXT PAGE

1

2

5

http://umr.com


Note: Costs may vary based on your plan. Costs shown represent national averages.

RETAIL CLINICRetail clinics, sometimes called convenient care clinics, are located in retail stores, supermarkets and pharmacies. You can find over-the-counter medications and you can talk to your pharmacist for help.

TIMES TO GO:

• Vaccinations or screenings• Sinus infections• Minor sprains, burns or rashes• Headaches or sore throats

DOCTOR’S OFFICESeeing your doctor is important. Your doctor knows your medical history and any ongoing health conditions.

TIMES TO GO:

• Preventive services and vaccinations

• Medical problems or symptoms that are not an immediate, serious threat to your health or life

Expect to wait15 minutes or less

Expect to wait1 day to 1 week or more for an appointment

Average cost$50-$100 (per service for non-employer sponsored facilities)

Average cost$100-$150

COLD, FLU OR ALLERGIES

NOT FEELING WELL (NOT URGENT)


URGENT CAREUrgent care centers, sometimes called walk-in clinics, are often open in the evenings and on weekends.

TIMES TO GO:

• Sprains and strains• Sore throats• Minor broken bones or cuts• Minor burns • Minor infections or rashes• Earaches

EMERGENCY ROOMVisit the ER only if you are badly hurt. If you are not seriously ill or hurt, you could wait hours, and your health plan may not cover non-emergency ER visits.

TIMES TO GO:

• Sudden weakness, trouble talking or blurred vision

• Large open wounds• Difficulty breathing• Severe head injury

• Heavy bleeding• Spinal injuries• Chest pain• Major burns• Major broken

bones

Expect to wait20-30 minutes

Expect to wait3-12 hours (for non-critical cases)

Average cost$150-$200 (for non-employer sponsored facilities)

Average cost$1,200-$1,500

MILD ASTHMA ATTACK

SUDDEN HEALTH CHANGES

Determine the severity of the symptoms and choose the provider that works for you.

3


Staying a step ahead of pneumonia

Like clockwork each year, the fall season arrives with a message to arm ourselves and our families with protection against the flu. We make flu shot appointments, obsessively wash our hands and avoid those around us with cold symptoms or coughs, hoping to ward off the dreaded virus. But how many of us have other important vaccines top of mind as we move into the germiest season?

Discover if the vaccines are right for you

getting to know pneumoniaLet’s consider the pneumonia vaccine. Sometimes overlooked and often under- estimated, this virus lands many people in the hospital each year.

It’s easy to jump right to pneumonia when thinking about why one would vaccinate, but the pneumococcal vaccines actually prevent a whole host of unwelcome visitors – ranging from ear and sinus infections to actual pneumonia, meningitis and blood-stream infections.

If you’re between the ages of

2 and 64 and considered to be at increased risk for pneumococcal disease, you may

also be vaccinated.

Pneumonia is an infection of the lungs that may be caused by bacteria, viruses, or fungi.


preventing pneumoniaThe pneumococcal vaccines are effective to help prevent pneumonia, hospital visits and other infections, but what can you do if you aren’t a candidate for the vaccines?

Here are four easy tips to practice immediately in the hopes of steering clear of illnesses.

navigating pneumoniaChildren under two and adults over 65 are the two groups most at risk for contracting pneumococcal infections, however anyone with a compromised immune system may also be a candidate for the vaccines.

Two types of pneumonia vaccines are used to target these groups. The first, the peumococcal conjugate vaccine, is part of the routine childhood immunization schedule. This vaccine – along with the pneumococcal polysaccharide vaccine – is recommended for adults 65 years and older.

Prioritize the flu shot. The flu can ultimately lead to pneumonia, so make sure you get your shot when the vaccine becomes available each year. It’s a first line of defense against pneumonia and other infections.

Embrace hand washing. If you have control over one thing, it’s washing your hands. Washing well before and after meals, and being mindful in public spaces, will go a long way toward warding off unwanted bugs.

Remember the basics. Adequate sleep, nutrition and movement can make all the difference when fighting off potential illnesses.

Avoid smoking. Inhaling smoke – even secondhand – weakens your immune system and makes you more susceptible to inflections.

Symptoms include a cough that may produce greenish, yellow or even bloody mucus.

Pneumonia can be spread via coughing, sneezing, touching or even breathing.


Email [email protected] and your question may be featured in a future issue of Healthy You.

We’ve made many strides in tobacco cessation over the past 30 years, and now have new tools that can help ease your transition from a smoker to a non-smoker. But first of all, we suggest speaking with your physician about your plans, as the process of quitting can affect a person’s health in a number of ways.

Your doctor can discuss with you the prescription medications available and whether they may be right for you. One common medicine is varenicline, or Chantix, which blocks the nicotine receptors in your brain. You cannot smoke while taking this medication, as it could lead to a dangerous condition called nicotine toxicity.

Another prescription medication is called buproprion, or Wellbutrin. This is actually an antidepressant found to help people stop smoking. You can use nicotine replacement therapies (NRT) and smoke while taking this medication. However, you should notice your crav-ings decrease, making it easier to stop using tobacco and then wean off any nicotine replacement products.

Some nicotine replacement options are available over-the-counter. NRT patches worn on the skin can reduce your cravings. They come in varying strengths and should be changed every 24 hours. NRT gum and lozenges offer similar relief, with the nicotine absorbed through your mouth. Nicotine replacement inhalers or nasal sprays are available with a prescrip-tion and can also be used while smoking.

One option not FDA approved as a tobacco cessation method is the use of vapes or e-cigarettes. Many unknown dangers still exist with these devices and may cause more harm than good.

As you can see, there are several options to choose from instead of quitting cold turkey, so it’s important to work with your physician or tobacco counselor.

I have smoked about a pack a day for the past 30 years. Would quitting cold turkey be safe and effective for me, or should I try cutting down on my smoking first?Carl in Indiana

LEARN MORE

Ask a nurse

mailto:[email protected]

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CT SCANS: WHAT YOU NEED TO KNOW

What is a CT scan?A computed tomography scan (also called a CT scan or CAT scan) is an imaging method that uses X-rays to create pictures of cross-sections of your body. A CT scanner emits a series of narrow beams through your body as it moves through an arc. While a CT scan uses X-ray technology, it is not the same thing as a standard X-ray. An X-ray sends just one radiation beam, while a CT scan produces multiple images from different angles representing “slices” of the body. This results in a more detailed final picture.

A motorized table moves you through a circular opening in the CT imaging system.

Health Literacy 101

If you’ve suffered an injury or have an ongoing health problem, your doctor might recommend a CT scan. On the one hand, it’s probably a relief to know that you could have answers about your health concerns soon. On the other hand, you probably have questions or even feel nervous about the procedure. You may be wondering:

• Why a CT scan? • How does a CT scan work? • What can it reveal? • And just how much will

it cost?

With so many diagnostic tests available today, it can be hard to understand why you need one vs. another.

READ ON TO LEARN:

• Why your health care provider may want you to schedule a CT scan

• What you can expect during the procedure

• How you can help limit your out-of-pocket expenses


How do you prepare for an CT scan?Preparation for a CT scan is minimal. It’s important to follow all instructions.

You may be asked to:

Why would you need a CT scan?CT scans are used to identify

injury or disease. They analyze

the internal structures of your

body, including organs, bones,

soft tissues and blood vessels.

CT scans are used to diagnose

many problems, from head

trauma to appendicitis. It’s a

non-invasive way to generate

high-resolution images of the

inside of your body. Some of

the most common things CT

scans are used for include:

• Diagnosing an infection

• Detecting internal injuries

and internal bleeding

• Detecting complex bone

fractures or bone tumors

• Guiding a doctor to the right

area during a biopsy

• Identifying masses and

tumors, including cancer

• Studying blood vessels

Health Literacy 101 CT SCANS - WHAT YOU NEED TO KNOW

• Remove anything metallic, including jewelry, hair accessories, glasses, underwire bras, removable dentures and hearing aids.

• Refrain from eating or drinking a few hours before the procedure.

• Tell your technician if you are (or may be) pregnant.

• Tell your technician if small spaces make you feel uncomfortable.


What can you expect during your CT scan?During a CT scan, you lie down on a narrow, motorized table, which slides

into a large donut-like tunnel. While the table moves you into the scanner,

detectors and the X-ray tube rotate around you. You may hear buzzing and

whirring noises. The procedure usually takes a few minutes – or about 30

from start to finish. It’s important to lay completely still so the images are

not blurry, and straps and pillows may be used to keep you in the correct

position.

A special dye called contrast material may be used to help improve the

quality and details of the images for certain types of scans. The contrast

material blocks X-rays and appears white on images, helping to highlight

blood vessels, intestines or other structures. You may be given contrast

material by mouth, by injection or by enema, depending on what part of

your body is being scanned. Your doctor or scheduler should talk to you

about this in advance.

An intercom in the room should allow you to speak to the technician at any

time. You may be asked to hold your breath briefly at certain times to ensure

a clear image.

After the procedure is over, the images will be sent to a radiologist, who

will analyze them and report the findings to the health care provider who

ordered your CT scan. Your provider will discuss the results and next steps,

if necessary, with you. There typically is no recovery period or restriction

after the procedure unless you were given a sedative to help you relax.

Where can you get a CT scan?For decades, CT scans were

only conducted at hospitals,

but today there are stand-

alone imaging centers that

specialize in CT scans and

similar diagnostic procedures.

Health care providers often

recommend a particular

hospital because they have

an affiliation or long-standing

relationship with the orga-

nization. However, a special-

ized imaging center may be

a quicker, more convenient

choice. And today’s patients

have the freedom to choose

the facility that works best

for them in terms of both

convenience and price.



How much does an CT scan cost?The price of a CT scan can vary from a few hundred to several thousand

dollars, depending on the type of scan you need.

Other factors that can impact the price include:

• WHERE YOU LIVE

The same type of CT scan may cost more or less depending on whether

it occurs in a rural, urban or suburban area.

• WHERE THE FACILITY IS LOCATED

Costs can vary among similar facilities located just miles apart.

• WHAT TYPE OF FACILITY YOU CHOOSE

Hospitals have more overhead costs than standalone imaging centers,

and this could be reflected in higher costs of services for patients.

• THE REPUTATION OF THE FACILITY IN THE MARKET

Some people are willing to pay more for a better consumer experience,

whether it’s upscale décor or a reputation for good bedside manner.

“It’s important to remember that you have the power – and the right –

to discuss your options with your health care provider and lead the

decision-making process,” says Barton R. Halling, Director of Activation

Strategies for UMR. “Educated, informed consumers inevitably make

better purchasing decisions.”

How can you get the best price?Unfortunately, it’s difficult to simply call up a facility and find out how

much a CT scan will cost you. Variables such as the type of health coverage

you carry, whether you’ve met your deductible or out-of-pocket limits,

your co-insurance, your provider network’s negotiated rate with the

facility, and whether you visit an in-network or out-of-network provider,

can all influence the final cost.

Fortunately, UMR can help take some of the guesswork out of the equation

– and put the purchasing power back into your hands. Visit umr.com to

access tools, such as the Health cost estimator, to find out how much you

are likely to pay for a CT scan or other procedure before your appointment.

“More than ever, consumers can have a tangible impact on their own wallet share in health care by making more optimal choices on where and how to get care.”

Barton R. Halling, Director of Activation Strategies for UMR

To learn more about CT scans, visit the

Health Education Library on umr.com.

Health education library


http://umr.com

http://umr.com


Introducing My taskbar on umr.com“Your” health care manager at your fingertips

My taskbar is fast and easy! Log on to umr.com to see a personalized to-do list that

highlights the steps YOU need to take to keep your benefits up to date. Personalization

is based on your company’s health benefits plan and the programs you’re eligible for.

Needs to be updated Marked complete. No more action needed!

- Provide/verify your email address

- Provide other insurance information

- Update security questions

- Review new claims

- Provide accident details

- Go paperless

- Get to know UMR

- Take your clinical health risk assessment (CHRA)

- Review wellness activities

My taskbar may prompt you to:

Visit umr.com today to take advantage of

this time-saving feature!

http://umr.com


The American Cancer Society recommends annual screenings starting at age 40-44 for women of average risk for breast cancer. Those at higher risk should receive a mammogram every year, typically starting at age 30.

This includes women who:

• Have a personal or family history of breast cancer

• Have a known BRCA1 or BRCA2 gene mutation

• Have a first-degree relative (parent, brother, sister or child) with a BRCA1 or BRCA2 gene mutation

• Have had radiation therapy to the chest

Women age 40 and older are encouraged to talk to your physician about what is right for you.

Breast cancer testingRegular breast cancer screenings can help find signs of cancer early, when they are most treatable.

MONTHLYOBSERVANCES

OCTOBERDomestic Violence Awareness

Health Literacy

Breast Cancer Awareness Sudden Infant Death Syndrome (SIDS) Awareness

NOVEMBER American Diabetes Month

COPD Awareness

Great American Smokeout (11/21)

DECEMBERInfluenza Vaccination Week (12/1-12/7)

Handwashing Awareness Week (12/1-12/7)

http://www.ncadv.org/


https://www.cancer.org/cancer/breast-cancer.html



https://www.diabetes.org/diabetes/type-2

https://www.lung.org/lung-health-and-diseases/lung-disease-lookup/copd/

https://www.cancer.org/healthy/stay-away-from-tobacco/great-american-smokeout.html

https://www.cancer.org/healthy/stay-away-from-tobacco/great-american-smokeout.html

https://www.cdc.gov/flu/prevent/index.html

https://www.cdc.gov/flu/prevent/index.html

https://www.cdc.gov/features/handwashing/index.html

https://www.cdc.gov/features/handwashing/index.html


1 2 3Log in to umr.com

Once logged in, click on Find a provider

Search for a medical provider from your network listing

Finding a doctor or hospital on

umr.com

Make the most of your health care dollars when you use in-network doctors, hospitals,

pharmacies, labs and other providers.

Call us with any questionsFind the toll-free phone number for UMR member

services on the back of your health plan ID card.

http://umr.com


Want more recipes? Visit foodhero.org for other

easy leftover recipe ideas

Zesty Salsa Cornbread MuffinsUse your leftover salsa from “Taco Tuesday” and spice up your next

barbecue or chili night with a side of zesty salsa cornbread muffins.

DIRECTIONS

1. While the oven is heating to 400 degrees,

lightly spray muffin pans with cooking spray.

2. Whisk the ingredients in a large bowl until

combined: eggs, cornbread mix, cheese, milk,

salsa, oil, chopped pickled jalapeños, and salt.

3. Spoon about ¼ cup of batter into 16 of the

prepared muffin cups. Add one pickled

jalapeño slice to each muffin top.

4. Bake muffins about 22-25 minutes. Using a

toothpick, check the middle of the muffins to

make sure they’re done cooking. Let cool 15

minutes before eating.

• Cooking spray

• 2 eggs (large size)

• 1 cup shredded Monterey Jack cheese

• 1 cup whole milk

• 1 cup chunky salsa (homemade or store bought)

• 1 package (11½-ounce) yellow cornbread mix

• 2 tablespoons oil (vegetable or canola)

• 2 tablespoons pickled jalapeños (chopped)

• 2 tablespoons kosher salt

• 16 thinly-sliced pickled jalapeño slices (omit for

less spice)

Zesty Salsa Cornbread Muffins

INGREDIENTS

MEAL MAKEOVER

34

Yields 16 muffins

http://foodhero.org/recipes/healthy-recipes


En EspañolRecursos para ayudarle a vivir una vida más saludable

Visite umr.com y vaya a en Español en la sección a la izquierda del menú principal para acceder a los recursos en

español. O seleccione Member en el menú principal y vaya a Health Education Library (Biblioteca de Educación

en Salud) para obtener más información confiable.

Seleccione Español en el menú desplegable para aprender más

sobre las enfermedades comunes, los síntomas y los tratamientos.

https://www.umr.com/tpa-ap-web/?navDeepDive=MemberEnEspanolMenu

https://member.umr.com/tpa-ap-web/?navDeepDive=publicMemberHomeTile5Root

36

About us UMR is a third-party administrator (TPA), hired by your employer to help ensure your claims are paid correctly, so your health care costs can be kept to a minimum and you can focus on your health and well-being.

UMR is not an insurance company. Your employer pays the portion of your health care costs not paid by you.

UMR is a UnitedHealthcare company. ©2019 United HealthCare Services, Inc.

Visit our website at umr.com to learn more

https://www.umr.com/tpa-ap-web/

knowledge is power...2019 united healthcare services, inc. 5 go online register on umr.com to take...

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