Employer Group News

One-stop destination for all things maternity

If one of your employees is expecting an addition to their family, HAP has extensive resources available. Your employees can find tips for every stage of the journey. They can spend less time navigating their health plan and more time focusing on what’s most important – the new addition to their family.

Your employees have access to:

  • Tips on planning for pregnancy
  • How to find an OB-GYN
  • A tracker for a child’s health milestones
  • Tips for postpartum and beyond

Plus, parents-to-be can easily find articles for every step of the pregnancy journey. Check out hap.org/maternityblog for a full list of articles.

 

 

Resource center available with content you can share

We often get requests for content about plans and health and wellness tips. So, we developed an online resource center. Now, you can share important information and tips directly with your employees.

This one-stop shop provides useful content in the form of blog posts, videos, infographics, flyers and more. The next time you need information to post on your intranet or include in a company newsletter, head to our Employee Health Resources page.

If you don’t see a topic you’d like to cover, let us know by emailing jfuhrman@hap.org. We’re happy to help you out.

 

 

Referrals and prior authorizations

Your employees deserve to get the care they need when they need it. This overview of referrals and prior authorizations can help make the process easier for them.

Referrals for HMO plans

If your employee needs to see a specialist, HAP doesn’t require them to get a referral from their primary care physician. However, some specialists may require it. Many specialists are booked months in advance and may only accept patients whose PCP believes specialty care is needed.

Referrals for PPO and EPO plans

Employees with PPO and EPO plans are never required to get a referral.

  • With a PPO plan, your employees have the flexibility to get care from doctors in and out of their network. But, they may pay more if they choose a doctor outside of their network.
  • With an EPO plan, your employees have the flexibility to get care from doctors within the EPO's network.
  • Their PCP is still a good resource to find a specialist who is right for them.

Prior authorization

HAP works with primary care physicians and specialists to ensure patients receive the right treatment, at the right time and in the right setting. That’s why we want your employees to check with us so we can help manage their care.
This is called prior authorization. If services require prior authorization, your employees’ doctor will handle it on their behalf.

Both HMO and PPO members may need preauthorization before getting certain services.

Here’s a prior authorization example:
After Mary has an appointment with the ear, nose and throat specialist, a surgical procedure was recommended. Before she has the surgery, the ENT’s office must contact HAP and provide clinical information to get prior authorization to make sure the service is covered and that it’s medically necessary.

For hospital stays

For inpatient hospital stays, your employees’ doctor will get prior authorization from HAP. Emergency room visits don’t require prior authorization. The facility your employee is admitted to should notify HAP within 48 hours of the emergency admission.

 

 

Health and wellness in your pocket

HAP has launched a new app, Wellness at Your Side™. It gives users easy access to HAP’s digital wellness manager, iStrive® for Better Health, from any digital device.

The new app gives members access to their iStrive account with their data already populated, allowing them to view their information from any location. As information is updated in iStrive, it’s automatically updated within the app.

By integrating HAP’s iStrive digital wellness manager with the Wellness at Your Side app, HAP members can seamlessly track their health and manage their well-being. The new app makes it easy for members to track progress and stay focused on their goals, while also providing a positive and user-friendly experience.

The Wellness at Your Side app is available in the Apple or Google Play app stores. For more information, visit hap.org/istrive.

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