What is Everside Health? Everside Health is a whole new approach to primary care for Bemis employees and dependents enrolled in the Bemis UnitedHealthcare health plan at no additional cost to join. Employees not enrolled in the health plan are eligible, however, will be charged a fee per visit. This option offers exclusive access to your own personal primary care doctor for primary and preventive care, chronic condition management, urgent care, and coordination with hospitals and specialists. Everside Health doctors are highly accessible at convenient locations and by cell phone for urgent health matters. They are held accountable for providing high-quality care to their patients. On average, our services are provided at a much lower cost than other doctors.
Why is my employer offering this benefit? Employees, employers and insurance companies have been seeing significant healthcare cost increases each year. Bemis is offering an additional choice to address the cost and quality of the healthcare you receive under your health plan coverage through this partnership with Everside Health. Through this program, you will receive high-quality, low- or no-cost primary care through your Everside Health doctor.* Ultimately, this innovative approach to primary care is designed to help you be healthier and to lower your overall healthcare costs. *Certain prescriptions and procedures, and tests sent to outside labs will be charged to your insurance.
Who is eligible to sign up for Everside Health? All Bemis Sheboygan Falls employees and their eligible dependents who are enrolled in the Bemis UnitedHealthcare health plan are eligible to receive Everside Health services. Employees who are not enrolled in the Bemis health plan are also eligible to enroll themselves.
Does choosing the Everside Health option increase my healthcare costs? No, it should do just the opposite. Most services that you receive from your primary care provider are available at no cost from your Everside Health doctor. There is also no charge for phone, email or other remote interactions with your doctor. Everside Health services cover a wide array of the most common tests and procedures. There are certain prescriptions and procedures, and tests sent to outside labs that will be charged to your primary insurance. Services not covered by Everside Health membership may be covered by your health plan.
What is different about Everside Health compared to my current primary care provider? Everside Health provides primary care services for you and your family, but is not just another primary care provider. As a Everside Health patient, you get access to your doctor via phone 24/7 for urgent needs. For urgent after hours needs, simply call the office scheduling number which will allow you to have your call directly and securely routed to your doctor. Everside Health doctors offer a scope of services that is broader than a typical primary care practice, so you?ll be able to receive more of your care provided through Everside Health. Your personal Everside Health doctor will be your health advocate and help you navigate the healthcare system when you need specialist services or care that cannot be provided at the Everside Health doctor?s office.
How experienced are Everside Health doctors? Everside Health doctors are dedicated, board-certified or board-eligible, usually with a minimum of eight to ten years of experience as a practicing doctor. Our doctors have approximately 70 percent fewer patients than a typical primary care doctor, allowing them to spend more time with you when you need it, start appointments on time and provide you with appointment availability in the timeframes that meets the urgency of your health issue.
I already have a long-standing primary care doctor, why would I change? Everside Health is an optional benefit as an add-on to your existing health plan. You do not need to switch doctors or stop seeing a preferred specialist. If you choose to enroll, we recommend that your Everside Health provider become your first point of contact. This means that rather than going directly to your specialist to receive care, you take advantage of the many convenient access points to your Everside Health doctor. As such, we recommend that immediately after signing up, you schedule your first appointment?the Comprehensive Patient Evaluation, which is available at no additional cost, even if you have already seen another doctor for an annual physical. Then take some time to see if this health benefit works for you.
What if I have a pediatrician for my children I already like? You do not need to switch doctors. While Everside Health doctors are fully trained in pediatrics, many parents have an established relationship with a pediatrician. You may choose to enroll your children but continue a relationship with their existing pediatrician. Your Everside Health doctor can be another option for your children?s healthcare?typically, it takes less time to get an appointment at the Everside Health office than it does in the pediatrician?s office. Also, your Everside Health doctor?not an answering service?is available by cell phone 24/7, including nights and weekends.
How is Everside Health different from an Urgent Care Clinic? As a Primary Care doctors office, we don?t have the long wait times that you may experience when going to a walk-in clinic. Scheduling your appointment for same or next day urgent needs allows you to get in at your scheduled appointment time instead of waiting behind the people in front of you.
Why should I sign up now for Everside Health? It never fails. Injuries and illnesses happen on weekends and evenings when most physician practices are closed. That is usually the time you most need access to a trusted medical professional. With Everside Health, you?ll receive your doctor?s personal cell phone for just this reason. However, it is important to first build a relationship with your care provider. You will want your doctor to know you, your medical history and your health concerns long before you get sick. Plus, Everside Health employs screening protocols that may catch a health issue that can be treated, preventing something from becoming an urgent situation.
Can I visit any Everside Health location? Am I only allowed to see my selected doctor? Your selected Everside Health doctor will be your primary point of contact and the medical professional overseeing your care. However, you may make an appointment at any of our Everside Health locations that are open to the public and choose to see another provider as needed. You may also email or call your doctor with your questions, or for consultation. You and your doctor will choose the option that is most appropriate for the situation.
Will my employer have access to my health information? First, we take your privacy and the confidentiality of your records very seriously. Under HIPAA?federal law? your Everside Health doctor cannot share your medical records or medical information with your employer, except in some specific instances (e.g., we may share information in order to verify your eligibility, or as a part of an aggregate view of the health of Bemis? population). There will be no personal health information shared with your employer. For example:
? In order to pay Everside Health for your membership, Bemis will need to know that you are enrolled. On a monthly basis, we will confirm with Bemis that you are currently enrolled in the Everside Health benefit. What will never be shared with your employer:
? Specific visit information, beyond what is required to administer your health benefits ? Test results or your health record ? Diagnoses or care plans