What is Everside Health?
Everside Health is a provider of primary care services that is at the forefront of innovation in healthcare. It operates patient-centered medical homes where patients can get most of the medical services they need from an experienced physician, usually at little to no cost to the patient. Everside Health physicians are dedicated to serving an employer?s population, are highly accessible at convenient clinic locations and are held accountable for delivering great care and service. These physicians provide a personal level of service and are available around the clock via cell phone for urgent health matters. 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.
Who is eligible to sign up for Everside Health?
All employees and their eligible dependents that are enrolled in Skookum?s Everside Health?s Plan are eligible to receive Everside Health services. Does choosing the Everside Health option increase my healthcare costs? No, it should do just the opposite. Most services are at little to no cost for preventive and non-preventive services. There is also no charge for phone, email or other remote interactions with your physician. Everside Health services cover a wide array of the most common tests and procedures. There are some tests and procedures that are billed to your primary insurance at rates that are usually much lower than with other providers. Services that may not be covered by Everside Health membership will be covered by Skookum?s insurance 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 your physician?s cell phone number to call 24/7 for urgent needs. Everside Health physicians 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 the Everside Health clinic. You?ll also get help and assistance in navigating the healthcare system when you need specialist services or care that cannot be provided at the Everside Health clinic.
How experienced are Everside Health physicians?
Everside Health physicians are dedicated, board-certified or board-eligible, usually with a minimum of eight to ten years of experience as a practicing physician. Our physicians have 70 percent fewer patients than a typical primary care physician, 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 PCP, 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 physician. As such, we recommend that immediately after signing up, you schedule your first appointment?the comprehensive 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 physicians 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 physician can be another option for your children?s healthcare?typically, it takes less time to get an appointment at the Everside Health clinic than it does in the pediatrician?s office. Also, your Everside Health physician?not an answering service?is available 24/7, including nights and weekends.
What happens if I am experiencing an urgent health issue after hours? Or I am away from home?
Simply call your Everside Health physician?s cell phone. Your physician will respond to your concerns no matter where you are or when you call. He or she is directly available to you for urgent situations 24 hours a day, every day of the week, including holidays.
I take a lot of medications. How does Everside Health help make it easier for me to manage refills and changes in dosages?
At many of its clinics, Everside Health dispenses approximately 50 commonly prescribed medications, including medications for chronic conditions. This means that you can walk out of your appointment with most of the medications you need for treatment in-hand. The costs for these medications are usually lower than if obtained through a pharmacy. Additionally, many refill requests and many dosage adjustments can be handled remotely with your physician and called in to your pharmacy of choice without the need for an in-person office visit.
Why is Skookum offering this benefit?
Employees, employers and insurance companies have been seeing significant healthcare cost increases each year. Skookum is offering an additional choice to address the cost and quality of the healthcare you receive through this partnership with Everside Health. Through this program, you will receive high-quality, low- or no-cost primary care through your Everside Health physician.* Ultimately, this innovative approach to primary care is designed to help you be healthier and to lower your overall healthcare costs.
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 your Everside Health membership, you?ll receive your physician?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 physician 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 physician?
Your selected Everside Health physician 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 clinics that are open to Skookum or the public and choose to see another provider as needed. You may also email or call your physician with your questions, or for consultation. You and your physician will choose the option that is most appropriate for the situation.
How do I enroll?
First, contact Skookum?s Benefit Department and select the Everside Health Plan option. Then, visit members.eversidehealth.com to create your online account and get started. Or, contact Everside Health Member Services at 1-866-808-6005 or firstname.lastname@example.org.
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 that is required to manage the health plan, pay for your membership or administer your benefits with authorized administrators of your health plan).
In order to pay for your membership, your employer needs to know that you are enrolled. On a monthly basis, we will confirm with your employer 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
*Certain prescriptions, procedures or tests sent to outside labs will be charged to your insurance. For active HSA contributors: all preventive services are at no cost and acute/non-preventive services are provided, on average, at a lower cost than other providers. All telemedicine services are free.