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PREGNANT? Follow us on Twitter @UHCPregnantCare. You can get useful tips, info on what to expect and important preg- nancy reminders. Tweets are now available in Spanish as well at @UHCEmbarazada. We’re here to make taking care of yourself and your baby a little easier. Visit bit.ly/ uhc-pregnancy. AMC-031-TN-CAID PRSRT STD U.S. Postage PAID United Health Group ¡VOLTEE PARA ESPAÑOL! | SUMMER 2014 Health TALK THE KEY TO A GOOD LIFE IS A GREAT PLAN What to expect Don’t forget your postpartum checkup. It’s easy for a new mom to neglect her own health. But it’s very important to see your doctor or midwife six weeks after you give birth. If you had a cesarean section, you should also go two weeks after you give birth. At your postpartum checkup, your provider will: check to make sure you are healing well from childbirth. screen you for postpartum depression. do a pelvic exam to make sure your reproductive organs are returning to your pre-pregnancy state. let you know if you are ready to start hav- ing sex again and talk about birth control options. answer questions about breastfeeding and examine your breasts. Pregnant? Join Healthy First Steps. This free program provides support and information. Call 1-800- 599-5985 (TTY 711) to learn more. UnitedHealthcare Community Plan 8 Cadillac Drive, Suite 100 Brentwood, TN 37027

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Page 1: Health THE KEY TO A GOOD LIFE IS A GREAT PLAN TALK...This makes some bacteria resistant to antibiotics. When this happens, the medicine does not help when it is needed. People get

PREGNANT?Follow us on Twitter @UHCPregnantCare. You can get useful tips, info on what to expect and important preg-nancy reminders. Tweets are now available in Spanish as well at @UHCEmbarazada. We’re here to make taking care of yourself and your baby a little easier. Visit bit.ly/uhc-pregnancy.

AMC-031-TN-CAID

PRSRT STD U.S. Postage PAID

United Health Group

¡VOLTEE PARA ESPAÑOL! | SUMMER 2014

Health TALKT H E K E Y T O A G O O D L I F E I S A G R E A T P L A N

What to expectDon’t forget your postpartum checkup.

It’s easy for a new mom to neglect her own health. But it’s very important to see your doctor or midwife six weeks after you give birth. If you had a cesarean section, you should also go two weeks after you give birth. At your postpartum checkup, your provider will:�� check to make sure you are healing well from childbirth. �� screen you for postpartum depression.�� do a pelvic exam to make sure your reproductive organs are returning to your pre-pregnancy state.�� let you know if you are ready to start hav-ing sex again and talk about birth control options. �� answer questions about breast feeding and examine your breasts.

Pregnant? Join Healthy First Steps. This free program provides support and information. Call 1-800-599-5985 (TTY 711) to learn more.

UnitedHealthcare Community Plan8 Cadillac Drive, Suite 100Brentwood, TN 37027

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2 HEALTH TALK

Crush cancerAre you due for a screening?

Cancer screenings can help catch common cancers early. When caught early, they are most treatable. Some cancers can even be prevented with screenings. For people at average risk, the American Cancer Society recommends:

WHAT: MammographyWHY: To catch breast cancer earlyWHEN: Annual mammograms and clinical breast exams for women starting at age 40. Clinical breast exams every three years for women in their 20s and 30s.

WHAT: ColonoscopyWHY: To catch or prevent colorectal cancer WHEN: Colonoscopy for men and women every 10 years beginning at age 50. Other tests for colorectal cancer are also available; intervals vary.

WHAT: Pap and HPV screeningWHY: To catch or prevent cervical cancerWHEN: Pap screening for women every three years beginning at age 21. Testing can end at age 65 for women with a history of normal Pap results. HPV tests should also be done every five years between ages 30 and 65.

Are you at risk? Do you have a family history of cancer? Are you obese, or do you smoke? You may be at higher risk for cancer. Ask your doctor if you need to begin screenings at a younger age or get them more often.

You can do it!Do you want to get healthier? Do you need to change your eating habits? You can do it! Start by setting simple healthy eating goals. If you set goals you cannot reach, it’s unlikely you will be successful.�� Be sure the goals are realistic.�� Set short term goals.

�� Write the goals down.�� Keep the goals simple.

Once your healthy eating goals are set, be sure to follow them to help keep you on track. Here are some ways to get you on the road to a healthier you.�� Eat fruits and vegetables.�� Choose whole grain foods.�� Choose fat-free or low-fat (1 percent) milk, yogurt or cheese.

�� Drink water instead of drinks with sugar.�� Choose lean meats. �� Choose foods with less sodium.�� Pay attention to the portion size.

Lastly, check your body mass index (BMI). This gives you an idea of how much body fat you have. Too much body fat leads to health problems. Your BMI can give you an idea of your healthy weight, but other things are important too, such as age, sex and race. Ask your doctor if you have questions about your BMI.

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SUMMER 2014 3

We care for youUnitedHealthcare Community Plan provides care management to members with special needs. Care managers work with the health plan, your physician and outside agencies. They help members get the special services and care they need. Care management helps people who have:�� physical disabilities�� serious mental illness�� complex health problems�� other special needs

Finding Dr. RightYour partner in health

When you joined your health plan, you chose a primary care provider (PCP). Your PCP will provide or coordinate all your health care. If you need tests or treatments that your PCP can’t provide, he or she will give you a referral.

You should feel comfortable with your PCP. If you are not, choose a new one.

When you see your PCP, tell him or her about any drugs, vitamins or over-the-counter medication you take on a regular basis. Bring a written list with you.

It’s important that your PCP knows about all your health care. Tell him or her about other providers you see, such as specialists. Include mental health or substance abuse care if you get it. Mention any medi-cations or treatments other providers have prescribed for you. Ask other providers to send copies of any test results or findings to your PCP.

What’s your type? For a list of participating providers, see UHCCommunity Plan.com.

THE RIGHT DOSEDepression is a serious, but treatable, condition. It is very common. Many people are helped by medicine for depression. Antidepres-sants are one of the most commonly used kinds of drugs. If your doctor suggests antidepressants, keep in mind:1. You might need to try more than one drug. Some people feel

better on the first one they try. Others need to try different drugs until they find the one that works best for them.

2. They usually take a while to work. Some drugs take at least six weeks until they make you feel better. Be patient, and keep taking your medicine as directed.

3. Most people notice side effects. However, they usually go away after a few weeks. Talk to your doctor if they don’t.

4. Don’t quit your medicine suddenly. You need to work with your doctor to taper your dose. If you quit suddenly, you might feel sick.

Follow up. If you are getting treatment for mental health, it’s important to keep your follow-up appointments. If you were hospitalized, see your mental health provider within seven days after you leave the hospital.

Help is here. Do you have special needs or need help managing a chronic illness? Call Customer Services at 1-800-690-1606 (TTY 711). Ask about programs that can help you.

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4 HEALTH TALK

Oh, baby — not the flu!When you’re pregnant, your lungs need more air. Your heart is working harder too. At the same time, you’re more likely to get sick with the flu and other illnesses. Talk with your doctor about getting up to date on your flu vaccine. EXPECT A

TDAP SHOTWhooping cough has made a comeback lately. It’s very contagious. It can lead to months of severe coughing spells. If you’re pregnant, the Tdap shot can protect you

and your baby against whooping cough. It also protects against a serious infection

called diphtheria and tetanus, a dis-ease that affects muscles.

Ask Dr. Health E. HoundQ: Why doesn’t the doctor want to give my child antibiotics?

A: Since antibiotics were discovered, many lives have been saved. Antibiotics kill bacteria that cause certain illnesses and infections. However, experts say sometimes they are used too much. This makes some bacteria resistant to antibiotics. When this happens, the medicine does not help when it is needed. People get sicker and can even die.

Most illnesses are not caused by bacteria. Antibiotics do not help with these illnesses. Only time will make them better. This includes colds and flu, which are caused by viruses. Many ear infec-tions, bronchitis and sinus infections are also caused by viruses.

Ask the doctor. Talk to your child’s doctor about what is making him or her sick. Keep in mind that antibiotics often won’t help. Ask how you can help your child feel better while he or she recovers.

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Bringing up babyEvery well-baby visit is important.

Babies grow and change quickly. That’s why it’s important for your baby to have regular visits with his or her primary care provider. By age 2, your child should have 10 well-baby visits. These well-baby visits are sometimes called Early and Periodic Screening, Diagnosis and Treatment (EPSDT).

Well-baby visits help the doctor get to know you and your child. They make sure your baby is healthy. They are also a good time for you to ask questions. Well-baby visits include:�� GROWTH CHECKS: Your child will be weighed and measured.�� TESTS: Your child will get needed tests. This includes lead tests by ages 1 and 2.�� SCREENINGS: Your child’s vision, hearing and development will be checked.�� SHOTS: By age 2, your child will get shots for 14 diseases. Some vaccinations are given in combined shots. Most shots are needed more than once.

WHEN TO GOAges for well-baby visits are:�� 3 to 5 days�� 1 month

�� 2 months�� 4 months�� 6 months�� 9 months

�� 12 months�� 15 months�� 18 months�� 24 months

SUMMER 2014 5

Baby BlocksAre you expecting? Your health is important. Staying healthy starts by going to the doctor. Your doctor can make sure your baby is growing well. After your baby is born, your baby’s doctor can help you keep baby safe and healthy. Give your baby a healthy start.

Join Baby BlocksTM to get rewards for having pregnancy and new baby care on time. You can get a $20 gift card or a cool diaper bag. Stay with the program after your baby is born to earn up to eight rewards in all. It’s easy to get started.1. ENROLL AT UHCBABYBLOCKS.COM. 

Get appointment reminders by text or email.

2. GO TO YOUR APPOINTMENTS and record them at UHCBabyBlocks.com.

3. CHOOSE YOUR REWARDS for going to the doctor.

Get rewarded. UnitedHealthcare Community Plan offers a rewards program for pregnant women and new mothers. It’s called Baby Blocks. You can earn rewards for going to prenatal, postpartum and new baby checkups. Visit UHCBabyBlocks.com to find out more.

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A trip to the dentistYour child’s dental home

Children and youth on TennCare should have dental checkups every six months at their dental home. A dental home is the dentist’s office where a child goes regularly. Visiting the dentist is easy if your child knows what to expect.1. Your child’s appointment starts in the waiting area where you check him

or her in. 2. During a regular checkup, your child will see a dental hygienist and

a dentist. 3. The hygienist may take X-rays. X-rays let the dentist look inside parts of his

or her mouth that sometimes can’t be seen. X-rays will also show cavities.4. The hygienist usually cleans and polishes your child’s teeth while he or she

sits in a large comfy chair. The hygienist may put fluoride on your child’s teeth. Fluoride is a mineral that makes teeth strong.

5. When the hygienist is done, the dentist will look at your child’s mouth and gums.

6. The dentist may make a treatment plan just for your child. If your child has any cavities or other dental problems, you may need to schedule another visit. The dentist will be happy to see your child and help him or her have

a healthy smile!

EVEN HEALTHY KIDS NEED CHECKUPSProtecting your child from preventable diseases will help keep him or her healthy and in school. In order to keep your child healthy, he or she needs routine preventive screenings (TENNderCare). This helps make sure he or she is growing normally.

It is also the time to get the vaccines your child needs to prevent illness. Vaccines are among the safest and most cost-effective ways to prevent disease. At your child’s next preventive health screening, talk to the doc-tor. Make sure your child gets the vaccines he or she needs when they are needed.

Call today. Call your child’s primary care pro-vider to schedule an appointment. If you need help making an appointment, call us at 1-800-690-1606.

Smile! Need help finding a dentist or scheduling an appointment? Call DentaQuest at 1-855-418-1622 (TTY 1-800-466-7566). Or visit their website at DentaQuest.com.

6 HEALTH TALK

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Play it safeYou can prevent injuries.

Regular visits with your doctor are important. They help keep you healthy. During your checkup you will also learn about preventing injury. That is why it is important to be safe in your activities and also get regular checkups. Your doctor can help you make a plan to:�� help prevent injury.�� eat healthy. �� stay at a sensible weight.

�� exercise regularly.�� not smoke or use drugs. �� manage stress.

There are also things you can do every day to lower your risk of  injury.�� Wear your seatbelt.�� Never text while driving.�� Stretch before any exercise.

�� Install smoke detectors.�� Use the right equipment when you exercise.

Take the timeUnitedHealthcare Community Plan knows that good health starts with prevention. We want you to play an active role in your health care. See your doctor once a year for a wellness visit. Take the time to get the recommended preventive screenings.

CHOOSE WISELYWays to improve your health are all around you. Choosing to make good decisions is one way to help keep you healthy. Tobacco use, exces-sive alcohol use, illegal drug use or risky sexual behavior can endanger your health. Choosing to say NO to all of those harmful habits is good for your health!

Call today. Call your primary health care provider today. Make your appointment for your routine health screening. If you need help, please call 1-800-690-1606.

SUMMER 2014 7

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Take chargeCoaching can help you manage your condition.

Living with a chronic condition can be hard. You may feel overwhelmed. It helps to have a good understanding of your condition. By educating yourself and asking questions, you can become an expert in self care.

UnitedHealthcare Community Plan wants to help. We have many programs that could benefit you. We offer health coaches. They can help you better understand the condition(s) that you are living with. They will work with you to set goals. They will help you make lifestyle changes that can keep your condition under control. They will also help you to understand the tests you need to manage your condition.

Health coaches can work with you on the following topics:�� tobacco cessation�� exercise or increasing physical activity�� managing stress�� maintaining a healthy weight�� controlling use of alcohol or drugs

CANCER FREEA colonoscopy is a test that looks for — and prevents — colon cancer. A recent long-term study proves that this test saves lives. It showed that people who had the test were twice as likely to survive colorectal cancer as people who didn’t have the test. The people in the study all had polyps removed.

The test looks at the large intestine with a camera. It also removes polyps, which are small lumps. Polyps that are removed are tested for cancer. Most polyps are not cancer, but removing them prevents them from ever becoming cancer. If cancer is found, it is very treatable when caught early.

Get coached. If you would like to speak with a health coach, please call us at 1-800-690-1606, option 3.

Is it time? Have your first colonoscopy when you turn 50. It could be as long as 10 years until you need another one. If you have a family history of colorectal cancer, talk to your doctor about starting screening earlier.

8 HEALTH TALK

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LOVING LIFEMaintaining health and wellness is important to having a better quality of life. Healthy eating and active living can help you achieve it. So, choose a diet that includes lots of fruits and vegetables and exercise regularly.

Some of the benefits to eating well and staying fit include:�� a healthier heart�� stronger bones�� less anxiety�� maintaining a healthier weight�� lower blood pressureThese are only a few benefits of healthy eating and

active living. So jump right in and get started today! There is no better time to begin than NOW.

Long-Term Care CHOICESTennCare’s program for long-term care is called TennCare CHOICES. CHOICES helps with everyday things that you might not be able to do anymore. Maybe you need help because you have grown older or you have a disability. CHOICES can help you with things like preparing meals, bathing or dressing.

For long-term care services, you might live in a nursing home or you might live in your home or in the community and receive home and community-based services (HCBS).

Do you have questions about CHOICES and:�� you already have a CHOICES care coordinator? Call your care coordinator or call UnitedHealthcare Customer Ser-vices toll-free at 1-800-690-1606 (TTY 711).�� you are a UnitedHealthcare member, but you do not know if you are part of CHOICES ? Call UnitedHealthcare Customer Services toll-free at 1-800-690-1606 (TTY 711) and ask about CHOICES.�� you do not have TennCare yet? Call or visit the local Area Agency on Aging. The local Area Agency on Aging can start the paperwork. Call the area agencies toll-free at 1-866-836-6678. Visit their website for more information at state.tn.us/comaging/local area.html.

Get in touch. It’s easy to contact your CHOICES member advocate. Call UnitedHealthcare Customer Services toll-free at 1-800-690-1606 (TTY 711).

SUMMER 2014 9

Educate yourselfWe have joined together with the UT Extension and Department of Health to bring you group style classes that will help you learn about your chronic condition. These classes meet once a week for six weeks at different locations across the state. There are two types of classes. �� TAKING CHARGE OF YOUR DIABETES is just for members who are living with diabetes. In this class you will learn how to eat healthy, create an action plan, monitor your blood sugar and prevent complications. �� LIVING WELL WITH CHRONIC CONDITIONS is offered to anyone that suffers from any type of chronic condition. Maybe you have heart disease or chronic back pain. This class will teach you how you can manage your condition. These classes are offered at different times depend-

ing on where you live. When there is a class near you, we will make sure to let you know. We will send you a letter in the mail and may even try to call you. These classes are a great way to learn new tips and meet people who are facing some of the same things that you do. We hope to see you at a class soon!

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Need to knowHow we can help you

FAIR TREATMENTWe do not allow unfair treatment in TennCare. No one is treated in a different way because of race, color, birthplace, religion, language, sex, age or disability. Do you think you’ve been treated unfairly? Do you have more questions or need more help? If you think you’ve been treated unfairly, call Tennessee Health Connection for free at 1-855-259-0701.

TennCare no permite el trato injusto. Nadie recibe un trato diferente debido a su raza, color de la piel, lugar de nacimiento, religión, idioma, sexo, edad o discapacidad. ¿Cree que lo han tratado injustamente? ¿Tiene más pre-guntas o necesita más ayuda? Si piensa que lo han tratado injustamente, llame gratis al Tennessee Health Connection al 1-855-259-0701.

HELP IN OTHER LANGUAGES OR FORMATS¿Habla español y necesita ayuda con esta carta? Llámenos gratis al 1-800-690-1606.

If you have a hearing or speech problem, you can call us on a TTY/TDD machine. Our TTY/TDD number is 711.

Si tiene problemas de audición o del habla, puede llamarnos a través de una máquina de TTY/TDD. El número de TTY/TDD es 711.

Need help in another language? You can call UnitedHealth-care Community Plan for any language assistance at 1-800-690-1606 or the numbers on the next page. Interpretation and translation services are free to TennCare members.

Do you need help with this information? Is it because you have a health, mental health or learning problem or a disability? Or, do you need help in another language? If so, you have a

right to get help, and we can help you. Call Customer Services at 1-800-690-1606 for more information.

¿Necesita ayuda con esta información? ¿La necesita por-que tiene una discapacidad o un problema de aprendizaje, de salud mental o una enfermedad? ¿O acaso necesita ayuda en otro idioma? Si es así, usted tiene derecho a obtener ayuda, y nosotros podemos brindársela. Llame a 1-800-690-1606 para más información.

Do you have a mental illness and need help with this infor-mation? The TennCare Advocacy Program can help you. Call them for free at 1-800-758-1638.

¿Tiene usted una enfermedad mental y necesita ayuda con esta información? En la línea telefónica de TennCare Advo-cacy pueden ayudarle. Llámelos gratis al 1-800-758-1638.

REPORTING FRAUD AND ABUSE To report fraud or abuse to the Office of Inspector General (OIG), you can call toll-free 1-800-433-3982 or go online to http://www.tn.gov/tenncare/fraud.shtml. To report provider fraud or patient abuse to the Tennessee Bureau of Investiga-tion’s Medicaid Fraud Control Unit (MFCU), call toll-free 1-800-433-5454.

Para reportar fraude o abuso a la Oficina del Inspector General (Office of Inspector General, OIG) nos puede llamar gratis al 1-800-433-3982. O visítenos en línea en http://www.tn.gov/tenncare/fraud.shtml. Para reportar fraude o maltrato de un paciente por parte de un proveedor a la Unidad de Control de Fraude Médico de la Oficina de Investigación de Tennessee (Tennessee Bureau of Investigation’s Medicaid Fraud Control Unit, MFCU), llame gratis al 1-800-433-5454.

10 HEALTH TALK

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3 pointsImportant Tennessee Medicaid changes

1. THE APPLICATION PROCESS HAS CHANGED. Starting January 1, 2014, you must apply for TennCare through the Health Insurance Marketplace. You can apply online at Healthcare.gov. Or you can call them at 1-800-318-2596. They can mail an application to you or help you apply online. If you do not have a com-puter and/or Internet access, you can apply at a kiosk at your local DHS office.

2. THERE IS A NEW SERVICE CENTER. The State of Tennessee opened a new service center to help you with TennCare. It’s called the Tennessee Health Connection. If you need any help with TennCare, call the Tennessee Health Connection for free. Their number is 1-855-259-0701.

3. THERE ARE NEW RULES ABOUT REPORTING CHANGES. State law says you must tell TennCare about changes that may affect your TennCare coverage. This includes changes to your address, family size or job. If you have TennCare Medicaid, you must report these changes within 10 days of the change. If you have TennCare Standard, you must report these changes within 30 days of the change. Call the Tennessee Health Connection right away if:��you move.��you change jobs.��your family size changes.��your income changes.

��you get insurance or can get insur-ance through your job or a family member’s job.

You must provide the proof needed to make the change. The Tennessee Health Connection will tell you the kinds of proof TennCare needs.

Questions? Call the Tennessee Health Connection for free at 1-855-259-0701.

Español

(Arabic) 1-800-758-1638(Bosnian) 1-800-758-1638(Kurdish-Badinani) 1-800-758-1638(Kurdish- Sorani) 1-800-758-1638(Somali) 1-800-758-1638(Spanish) 1-800-758-1638(Vietnamese) 1-800-758-1638

Call if you need help and need to speak with someone in one of these languages:

SUMMER 2014 11

WE SPEAK YOUR LANGUAGEUnitedHealthcare Community Plan wants to communicate with all of our members. This includes those who may not speak English as a first language. We are committed to helping you. We want all services to be available to our members who cannot read or speak English. We offer this newsletter and other materials in forms like Braille, large print and other languages.

We also have a Language Line. The Language Line provides a translator for phone calls with us. This is a free service for all mem-bers. Just let us know when you call if you need this service.

If you want to find a doctor that speaks a certain language, we can help with that. There is list of all of our doctors on our web-site that includes what languages they speak.

Just call. Need help in another language? Want to receive this newsletter

in Spanish or another format? Call 1-800-690-1606 (TTY 711). To find a provider who speaks your language, visit UHCCommunity Plan.com.

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12 HEALTH TALK

Who to callNumbers to know

UnitedHealthcare wants to hear from you. We are available to help you better understand your health plan. You can ask for help or voice an opinion. You will reach the right person to help you with questions and concerns. Answering your questions and hearing your input is important to us.

UNITEDHEALTHCARE RESOURCES

CUSTOMER SERVICES1-800-690-1606 If you have a hearing or speech problem, you can call us on a TTY/TDD machine. Our TTY/TDD number is 711. Hay una línea telefónica en español para los consumidores hispanos de TennCare. Llame a los servicio del cliente 1-800-690-1606 para más información.

OUR WEBSITES UHCCommunityPlan.comUse the online provider directory. Download a copy of your Member Handbook. Read this member newsletter online in English or Spanish. Find out about Healthy First Steps and other programs.

UHCRiverValley.com/just4teensGet health information just for teens.

NURSELINE 1-866-263-9168 Optum® NurseLine is available toll-free, 24 hours, every day. You’ll reach a nurse who can help you with health problems.

HEALTHY FIRST STEPS 1-800-599-5985 E-mail: [email protected] Healthy First Steps helps pregnant women and new mothers have healthy babies.

TRANSPORTATION East Tennessee: 1-866-725-6270 Shelby County: 901-405-0238 Middle Tennessee: 1-866-416-9209 West Tennessee: 1-866-405-0238

BABY BLOCKSJoin a rewards program for pregnant women and new moms. UHCBabyBlocks.com

TENNCARE RESOURCES

DENTAQUEST 1-855-418-1622 DentaQuest.com DentaQuest provides dental care for members under age 21.

HEALTH INSURANCE EXCHANGE Apply for TennCare. Healthcare.gov 1-800-318-2596

TENNCARE 1-866-311-4287 (TTY 1-877-779-3103)

TENNCARE ADVOCACY PROGRAM1-800-758-1638 (TTY 1-877-779-3103) Free advocacy for TennCare members. They can help you understand your plan and get treatment.

TENNESSEE HEALTH CONNECTIONGet help with TennCare or report changes. 1-855-259-0701

COMMUNITY RESOURCES

CARE4LIFEGet free text messages to help manage diabetes.Care4Life.com

TEXT4BABYGet free text messages to help you through pregnancy and your baby’s first year. Text BABY to 511411 or register at Text4baby.org.

TENNESSEE SUICIDE PREVENTION NETWORK 1-800-273-TALK (8255) TSPN.org

TENNESSEE TOBACCO QUITLINE Get free help quitting tobacco in English or Spanish. Special help is available for pregnant women.1-800-QUITNOW (1-800-784-8669) Quitline.com or 1-877-44U-QUIT (1-877-448-7848)

TENNESSEE DEPARTMENT OF HUMAN SERVICES 1-866-311-4287 Family Assistance Service Center Help Desk