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QUARTERLY MAGAZINE SUMMER 2023 PHA HEALTH brought to you by Wellness Partners and Partners Health Alliance INCLUDES 3 SUMMER RECIPES WELLNESS ADVOCACY PREVENTION

Your Logo NEW NAME NEW LOOK SAME BENEFITS We heard you loud and clear Wellness Partners and Partners Health Alliance are merging together to become PHA Health Communicating a clear message to our members is a key priority By simplifying the process we can make sure you stay well informed Don t worry aside from some marketing strategy updates all of our member services and benefits will remain the same If you have an on going health condition an upcoming procedure need advice from one of our nurses or specialists on staff or take a prescription medication we are here to guide you towards being the healthiest version of you Please give us a call if you have any questions We look forward to serving you and making your health a priority Contact Us 01 PHATEAM WILCOXCOMPANIES COM PATIENTADVOCATE WILCOXCOMPANIES COM 308 742 9675 844 742 9675 Fax 833 424 1177 WWW WEBSITE COM SUMMER 2023

CONTENTS 01 NEW NAME NEW LOOK Previously Wellness Partners and Partners Health Alliance now PHA Health 03 OUR SERVICES We provide patient advocacy access to nurses and specialists and more 13 MENTAL HEALTH Get 4 Free Sessions through BetterHelp 04 SHRIMP SALAD 07 11 18 TELEMEDICINE Consult your health via smartphone from your home 27 RX SAVINGS PROGRAM Taking a prescription medication You could pay as little as 0 for your medication 18 MEET ONE OF OUR SPECIALISTS Paul Jacobson is our pharmacist at PHA Health he joined in the spring of 2021 27 THE BRIEF JULY 2023 Herbal Prescription Interaction Awareness Month GRILLED KABOBS GRANOLA PARFAIT 02 These grilled chicken kabobs are an easy summer dinner Made with marinated chicken and seasonal veggies A granola parfait is a quick and healthy snack or dessert to whip up on a hot day SUMMER 2023

HEALTH ADVOCACY Do you have a new or on going health condition Do you have an upcoming surgery or procedure Is your doctor recommending a specialist imaging a procedure or surgery Do you take medications Call PHA to determine if we can assist you with your medical needs or prescription cost If eligible your cost could be as low as 0 PHA may also provide lodging travel mileage and meals for you and a companion CONTACT OUR ADVOCACY TEAM 1 844 742 9675 PREVENTION Preventive Care Clinics PCC Receive comprehensive lab testing with over 40 tests including Vitamin D Testosterone and A1C Height weight blood pressure and a personalized Health Risk Assessment Contact your HR Dept about your upcoming PCC We Are Here For You Receive consults and coaching from our team of specialists Exercise Physiologist Registered Nurse Dietitian Pharmacist and Mental Health Free Confidential There is no cost to you and all conversations and reports are confidential CONTACT OUR PREVENTION TEAM 1 877 345 7775 03 SUMMER 2023

NEW OR RENEWING MEMBER Receive Your Member Card via USPS Contact PHA Health with new or on going conditions Contact PHA Health to find preferred doctors pharmacies Contact PHA Health to discuss high cost prescriptions See if your prescriptions have any requirements like prior authorization or step therapy before filling Contact your HR with any life changing events within 30days to make necessary changes Marriage divorce birth or adoption loss of other coverage death in family address change 04 Contact HR to attend your annual Preventive Care Clinic PCC Review your Explanation of Benefits EOB to ensure your responsibility matches the invoice from your provider SUMMER 2023

RECIPE O1 SHRIMP SALAD 4 Servings 15 minutes INGREDIENTS For the shrimp 2 pounds shrimp peeled and deveined 3 tbsp olive oil 2 tbsp finely chopped red onion 2 tbsp chopped parsley 1 clove garlic minced For the salad 3 hearts of sliced romaine 2 ears of corn husked 2 bell peppers chopped 1 large avocado diced 1 small cucumber chopped For the dressing 1 tbsp dijon mustard 2 tbsp white wine vinegar 1 2 tablespoons honey cup olive oil DIRECTIONS 1 Shrimp Add the parsley garlic red onion lemon zest olive oil and salt in a bowl Add the shrimp and stir to combine Let marinade for 10 15 minutes while you chop all the veggies and prepare the dressing Place 4 6 shrimp on wooden skewers before grilling 2 Dressing Whisk together the mustard vinegar and 1 tablespoon of honey with a pinch of salt Continue whisking as you stream in the olive oil Taste and adjust with an additional tablespoon of honey if you prefer your dressing a little sweeter 3 Grilling Preheat the grill and spray with cooking spray if desired Grill time will vary for the ingredients so start with the corn Spray the corn with cooking spray season with a pinch of salt 04 and roast turning every 4 5 minutes for about 15 18 minutes total Add the whole bell pepper next and grill for 1 minute or longer if you d like it to char a bit Add the shrimp skewers near the end of cooking time they ll take about 2 3 minutes per side Spray the romaine hearts with cooking spray and sprinkle with a tiny pinch of salt grill for about 2 3 minute on each side 4 Make the salad Add the chopped cucumbers and avocados to a large salad bowl Remove the stem from the romaine hearts and chop Chop the corn kernels off the cobb Dice the bell pepper Add all the ingredients to the bowl and toss with the dressing Serve immediately SUMMER 2023

MENTAL HEALTH IS TOTAL HEALTH We Provide Mental Health Therapy Anxiety Stress Management Relaxation Better Sleep Tobacco Cessation Depression or Suicidal Thoughts Abuse domestic verbal sexual etc BetterHelp 05 Receive one month FREE up to 4 sessions Providers are licensed vetted and professional To continue sessions please give us a call Follow the link and instructions you received in the introductory email Didn t receive an email No problem Give us a call to get signed up Your web link will never expire SUMMER 2023 MENTAL HEALTH IS NOT A DESTINATION BUT A PROCESS IT S ABOUT HOW YOU DRIVE NOT WHERE YOU RE GOING NOAM SHPANCER Call us today at 877 345 7775 for more details

CONSULT YOUR HEALTH VIA SMARTPHONE FROM HOME Virtual Care Providers Urgent Non Urgent Medical Conditions Rx Refills Cold Flu Symptoms Allergies Sore Throat CallonDoc https www callondoc com Virtual visits start at 40 DrAlexa https doctoralexa com Virtual visits start at 59 99 Duke Health Anywhere https www dukehealth org treatments virtu al urgent care Virtual visits start at 59 Dr Reese Miller 06 Consult Now SUMMER 2023

RECIPE O2 GRILLED KABOBS 4 servings 30 minutes INGREDIENTS 1 pound boneless skinless chicken breasts cut into 1 inch pieces 1 4 cup olive oil 1 3 cup soy sauce 1 4 cup honey 1 tsp minced garlic salt and pepper to taste For the veggies 1 red bell pepper cut into 1 inch pieces 1 yellow bell pepper cut into 1 inch pieces 2 small zucchini cut into 1 inch slices 1 red onion cut into 1 inch pieces 1 4 pound mushrooms of choice 1 tablespoon chopped parsley DIRECTIONS 1 Place the olive oil soy sauce honey garlic and salt and pepper in a large bowl 2 Whisk to combine 3 Add the chicken bell peppers zucchini and red onion to the bowl Toss to coat in the marinade 4 Cover and refrigerate for at least 1 hour or up to 8 hours 07 5 Soak wooden skewers in cold water for at least 30 minutes SUMMER 2023 6 Preheat grill or grill pan to medium high heat 7 Thread the chicken and vegetables onto the skewers 8 Cook for 5 7 minutes on each side or until chicken is cooked through 9 Sprinkle with parsley and serve

PHA HEALTH HEALTH DRUG SAVINGS PROGRAM Are you having trouble affording your prescription PHA can help You could pay as little as ZERO dollars for the following medications when they are distributed by a PHA contracted pharmacy Call PHA today for more details CONTACT US TODAY Call or Email the PHA team to learn more about our cost saving programs 844 742 9675 RXHelp partnershealthalliance org INSULIN Apidra Basaglar FIASP Humalog Humalog 50 50 Humalog 75 25 Humulin R Humulin N Humulin 70 30 Lantus Levemir Novolog Novolog 70 30 Toujeo Tresiba Xultophy ANTICOAGULANTS Eliquis Xarelto Pradaxa INHALERS Trelegy Ellipta CARDIOVASULAR MEDICATIONS Entresto Multaq OTHER DIABETIC MEDICATIONS Invokamet Xigduo XR Synjardy Jentadueto Janumet Januvia Trulicity Victoza Ozempic Bydureon Farxiga Invokana Jardiance Synjardy Steglatro Rybelsus SPECIALTY MEDICATIONS Humira Stelara Cosentyx Orencia Biktarvy Truvada Fasenra 04 Rebif This is not an all inclusive list If you don t see your medication listed please call 1 844 PHA WORKS and a representative can check for savings options on your specific prescription SUMMER 2023

GET TO KNOW ONE OF OUR SPECIALISTS PAUL JACOBSON R PH Paul Jacobson is our pharmacist here at PHA Health He is a graduate of Drake University College of Pharmacy and Health Sciences in Des Moines Iowa His first pharmacy job was as a delivery boy for Sipes Pharmacy in Des Moines It is here where he learned the importance of good customer service as he was many times the only person from the company the customers would see as they were homebound or otherwise unable to make the trip to the pharmacy He served as a pharmacy intern while in school Shortly after graduating from Drake Cassady Pharmacy was opened and Paul had his first pharmacy manager position at the age of 22 and stayed with the company for nearly 20 years He later served in pharmacy management National Operation Management roles for Osco Drug and CHI Mercy Des Moines for over a decade Paul joined Wellness Partners Partners Health Alliance in the spring of 2021 and is enjoying the opportunity to interact and assist patients with their medication plans Paul and his wife Janet reside in Bellevue Nebraska where they spend time with their daughter s family which includes 2 grandsons and a 3rd one is expected soon If you have questions regarding your prescription medications you can contact Paul at pjacobson partnershealthalliance org The latest 15 years of his career was spent as Manager of Pharmacy Operations for 2 09 Critical Access Hospitals It is in this Pharmacists are setting where he honed his clinical skills required to pass SUMMER 2023 and provided guidance to physicians National and State regarding the dosing of medications licensure exams to including antibiotics renally dosed medications as well as chemotherapy and monoclonal antibody medications practice in their respective country

THE BRIEF JULY 23 Herbal Prescription Interaction Awareness Month by Paul Jacobson R PH One of the major concerns regarding the safety of dietary supplement ingredients is that interactions between a supplement and other ingested substances The list of side effects and drug interactions involving dietary supplements is quite long and complex and I certainly will not address all of that here e g drugs other dietary supplements conventional foods may result in adverse clinical outcomes due to an increase or decrease in the level of the dietary A couple examples include supplement an increase or decrease in the level of other medications or dietary supplements or combine toxicities For medications to be effective they much reach a certain blood level to obtain its effective Green tea extract or regular green tea contains enzymes which affect the metabolism breakdown of over 50 of the prescription drugs on the market today These enzymes may increase or concentration If the level is too low the medication will not be effective If the level is too high adverse decrease the blood level of the drugs to the point where they may not work at all or will produce a reactions side effects and potentially severe even fatal events may occur This is a delicate balance that is easily altered by the foods we consume as well as higher blood level to where side effects will be more prevalent to perhaps a level which is toxic other medications or supplements we take Grapefruit juice contains enzymes which break down the enzymes that metabolize cholesterol Prescription medications are inspected and approved by the Food and Drug Administration FDA It takes lowering drug class products referred to as statins This results in a higher blood level which can many years for a drug entity to receive approval by the FDA The process involves many phases of clinical trials showing its efficacy and safety as well as produce an increased number and severity of side effects determining how long the product is stable in its It is very important your provider as well as your container and what is the minimum and maximum pharmacist is aware of which dietary supplements you 10 dosing ranges A list of side effects and frequency of are taking The interactions between these products these effects is also required and your prescription items may be very serious or SUMMER 2023 Dietary supplements are NOT bound by the same requirements of FDA approved prescription drugs or may be of no significance at all It is good to know either way FDA approved over the counter medications Just because something is available without a prescription is natural or labeled as a dietary supplement does not make it guaranteed to be safe and effective

RECIPE O3 GRANOLA PARFAIT 6 servings 15 minutes INGREDIENTS 4 cups granola cereal 4 cups fresh fruit of choice 3 cups vanilla yogurt SUMMER 2023 DIRECTIONS 11 1 Divide ingredients between 6 of your favorite fancy glasses or jars I like to layer granola fruit yogurt and fruit then repeat until your container is full Use about 1 3 cup for each layer of granola and each double layer of fruit and about 1 4 cup for each layer of yogurt 2 Garnish with a little extra fruit and some sprinkles of granola

PREVENTATIVE HEALTHCARE SPECIALISTS As part of your medical plan you have access to health and wellness specialists at no cost to you From general health concerns to questions about diet and fitness they are just a phone call away REGISTERED NURSES Review Your Wellness Report Medical Condition Questions Lab Test Questions General Health Concerns Blood Sugar Management Blood Pressure Control NUTRITIONIST Individualized Nutrition Assessment Weight Management Healthy Eating Guidelines Meal Planning Shopping Tips Label Reading Recipes Healthy Eating on the Run Heart Health Cholesterol LDL Triglycerides Blood Pressure Blood Sugar Control Diabetes and PreDiabetes Kidney Health Nutritional Disease Management LICENSED MENTAL HEALTH PROVIDERS THROUGH BETTERHELP COM Anxiety Stress Management Relaxation Better Sleep Tobacco Cessation Depression or Suicidal Thoughts Abuse domestic verbal sexual etc REGISTERED PHARMACIST Medication Review Prescription Drug Questions Side Effect Concerns 04 Drug to Drug Interactions SUMMER 2023 EXERCISE PHYSIOLOGIST Personalized Fitness Plans Finding Time for Activity Overcoming Barriers Activities for the Family Increasing Mobility Targeting Muscle Groups Stretching Strengthening Disease Management through Activity Adding Movement to Your Daily Routine Not all services are available in every state Please call to determine if you quality PHAteam wilcoxcompanies com patientadvocate wilcoxcompanies com 308 742 9675 844 742 9675 Fax 833 424 1177

PHA Health is conducting a reader survey to learn more about our audience and your expectations WWW PHAHEALTH COM SURVEY You re opinion matters and will help us determine the content for future quarterly magazines Enter to win a chance at a 250 Visa Gift Card Responses must be submitted before September 1 2023 Only one entry per person PHA Health 106 West 3rd Street PO Box 26 McCook NE 69001 800 834 7767