# **Upperline Plus for total health** Upperline Plus is an innovative healthcare program that helps providers work together to coordinate your care. If you have Medicare, Medicare Advantage, or are under 65 and seek a comprehensive health management solution, we have an appropriate Upperline Plus program for you. Medicare Advantage availability varies by plan. ## Upperline Plus Benefits By signing a Voluntary Alignment Form and enrolling in Upperline Plus, you become eligible for the following healthcare benefits that make it easier to stay on top of your health. If you have Medicare, there is **no change to your existing healthcare coverage**, no change to your doctors, and no restrictive networks. - Unlimited telehealth visits - 24/7 provider access by phone - Urgent care visits at our locations - Pharmacist consultations - Remote biometric monitoring - Home visits - Mental health services - Nutritional assessments & dietician - Community resources connections - Personal patient navigator - Remote wound monitoring - One-on-one texting and email ## The Upperline Plus Team Meet the members of the Upperline Plus team that support your total health. ### Nurse Practitioners Nurse Practitioners are available 24/7 to treat you virtually, in your home, or in our clinics. Get help fast when you’re not feeling well. ### Social Workers Social workers provide mental health counseling and connect you with community resources to make your life easier. ### Dieticians Clinical dieticians develop personalized nutrition plans and help you track your progress. ### Care Navigators Your Care Navigator is your primary point of contact. Call them 24/7 with questions or concerns and get connected with our care team. ### Health & Wellness Coordinators Health and Wellness Coordinators work in our podiatry clinics and will connect you to our extended care team during your next visit. ### Pharmacists Pharmacists answer questions about your medications, help you find better prices for your prescriptions, and collaborate with your other providers. ## **Why Upperline Plus?** - Healthcare today can be complex, inefficient, and frustrating for patients and providers. - Despite advancements in healthcare, patients wait until they are sick before seeking medical care, resulting in a triage approach to healthcare. - Upperline Plus is a value-based, total-patient approach designed to keep patients well. ## **Get the help you need with Upperline Plus:** - **Navigate the health system** and manage your conditions. - **Enjoy increased comfort and access** to telehealth, post-acute home care, urgent care, and help with co-pays. - **Access remote services and providers**, including mental health, social workers, nutritionists, pharmacist consults, and monitoring devices. - **Keep all your regular doctors** while adding specialists you may need. - **Enhance your health without cost** or impact on your existing Medicare coverage. ## Frequently Asked Questions ### Why is Medicare offering this program? Medicare seeks to improve the coordination of care on your behalf. They also want to expand access to care in underserved areas. These benefits are achieved by connecting doctors and patients through an ACO REACH organization like Upperline Plus. ### Who can join? Any Medicare beneficiary can join online here or during your next Upperline visit. Fill out the form to see if you are eligible for Upperline Plus. ### Is there a cost for the program? There is no additional cost and no change to your Medicare benefits. You will continue to have access to any Medicare-enrolled provider or supplier. ### Will my doctor change? Medicare is not changing your doctors. You can still see any provider enrolled in Medicare. The program expands your access to healthcare and helps your doctor and providers coordinate care. ### Can I still see my specialists and preferred hospital? You can receive care from any doctor, hospital, or other healthcare provider that is enrolled in Medicare. Your providers will continue recommending specialists and hospitals for your specific health needs. ### How does Medicare ensure quality of care? Providers must meet Medicare’s robust quality standards based upon patient outcomes, care coordination, and other measures. ### What does Upperline Plus do with my health information? Medicare will send medical billing information to Upperline Plus. This information will be used by those involved in your treatment to coordinate care, identify risks, recommend screenings, suggest vaccinations, or offer health education. ### Can I change my designation of main place of care? Yes, you can make that change by phoning the Upperline Plus phone number or via [MyMedicare.gov](http://mymedicare.gov/). ### How is Upperline Plus different from Medicare Advantage? Medicare Advantage is delivered by private health plans. This ACO REACH program serves Medicare beneficiaries who are free to go to any Medicare doctor and are not restricted to a health plan’s in-network rules. ### Can I receive care when I’m out of the area? You can receive care from any doctor, hospital, or other healthcare provider enrolled in Medicare. ### Is Upperline Plus the best plan for me? This is not a health plan. You remain in Medicare with all the same benefits. ### Can I benefit from Upperline Plus if I am under 65? Yes. Upperline Plus is also offered as a standalone program to help younger members coordinate their providers and better manage their healthcare.