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Cigna Covered Benefits 3. Reach and maintain a healthy weight 5. Avoid heavy lifting or learn good form to THE THREE MOST COMMON TYPES OF DIABETES: TYPE 1, TYPE 2 AND Staying at a healthy weight lowers your risk of back protect your bac2 GESTATIONAL DIABETES.2 2 pain. It can help reduce the stress and strain on ift things with your legs, not your back. › your back. eep your back straight and bend at your knees TYPE 2 DIABETES › TYPE 1 DIABETES or hips. Develops most often in young people, but it can also If you have type 2 diabetes, your body does not make or Get help if the load is too heavy for you to lift alone. use insulin well. It develops most often in middleaged › develop in adults. With type 1 diabetes, the body’s UNDERSTANDING immune system has attacked and destroyed the cells and older people, but it can also affect people at any . Relieve stress that make insulin, thus decreasing the body’s insulin age – even children. eople who are overweight and FIGHT BACK AGAINST production. have a family history of diabetes are also more likely to Get soe eercise, socialie, go to a ovie or try DIABETES develop type 2 diabetes. BACK PAIN editating to help you relieve tension and shrug off the GESTATIONAL DIABETES stresses of every day. an develop when a woman is pregnant. regnant women make hormones that can lead to insulin resistance. ll women have insulin resistance late in their pregnancy, but some e perience it earlier on. Tips to help prevent back pain. If the pancreas doesn’t make enough insulin during pregnancy, a woman develops gestational diabetes. While gestational diabetes typically goes away after the baby is born, a woman who has had gestational diabetes is more Start with the basics. likely to develop type 2 diabetes later in life. WHAT ARE THE SIGNS AND SYMPTOMS?4 Did you now that . million people in the nited tates have diabetes, and an estimated ­ million people age Some people with diabetes don’t have any signs or symptoms at all, so it’s important to see your doctor and get 1. Eercise relarl  € years or older have prediabetes‚ ƒnd, one in four people who have diabetes don’t even now they have it. your blood work. If you do experience symptoms, here are some of the most common. Regular, low-impact exercise increases balance and strength. It also helps That’s why it’s so important to understand what diabetes is, and how to recogni„e the signs. ƒfter all, the more 4. Practice good posture when seated, you now, the more informed decisions you can mae about your health. keep your back and abdominal muscles strong. Always talk to your doctor standing and sleeping2 before starting any exercise program. 2 Good posture can help prevent back pain. What is diabetes? › 1, Your doctor may recommend one or more of the following. Try not to slouch when standing and sitting. The simple definition of diabetes is a disease that happens when you have a high level of glucose (also called › › Strength training: ork in back-strengthening and stretching exercises at INCREASED THIRST INCREASED HUNGER FFREQUENT ATIGUE UNEXPLAINED Sit up straight with your back against the back of Calci­ is found in dairy blood sugar) in your blood. But to truly understand what diabetes is, it’s helpful to understand how it occurs. › least two days a week. URINATION WEIGHT LOSS your chair and your feet flat on the floor. If possible, products (milk, cheese › Balance exercises: ai chi or yoga can help increase your balance. and yogurt), green leafy keep your knees slightly higher than your hips. HERE’S AN AT-A-GANE EW ­ › Aerobic exercise: ast-walking and swimming are good examples of vegetables such as kale Stand tall with your head up and shoulders back. . uit smoing › low-impact, aerobic actiities that get your heart pumping and keep your and collard greens, tofu, ? If you can, switch between standing and sitting so Soking reduces the blood flow and nutrients to the › heart rate up while youre exercising. ry getting at least 1 ­ minutes of and calcium-fortified Blood glucose is …nsulin, a hormone …f your body doesn’t …f your blood you aren’t in the sae position for too long. lower back. It also slows healing. Talk with your doctor your main source of moderate-intensity aerobic actiity €such as brisk walking‚ a week. You products such as made by the produce enough glucose levels get about ways to €uit. SLOW HEALING PINS AND NEEDLES DRY, ITCHY L OSS OF FEELING BLURRY EYESIGHT can een do 1­ minutes at a time. energy. …t comes from orange uice, soy milk SORES FEELING IN YOUR FEET SKIN IN YOUR FEET If you’re a side sleeper, place a pillow between pancreas, helps insulin or the insulin too high, this can › the food you eat. your knees. ƒe sure to warm up to help your muscles transition from cold to warm, and and cereals glucose from food get doesn’t wor the way cause diabetes or help preent in„ury. into your cells to be it should, glucose can prediabetes. If you sleep on your back, place a pillow under › €ita­in ‚ is made in used for energy. stay in your blood and your knees. your skin through the not reach your cells. . Eat a health iet absorption of sunlight Have quests  es aut u ­aetes s€‚ Yes, what you eat can affect the health of your spine. †o, fill your plate with ou can also get this ­alk with your doctor, who can make the appropriate plenty of eggies, fruits, whole grains and lean proteins. In particular, important nutrient from recommendations based on your health history. calcium and ˆitamin ‰ can help keep your bones strong and preent foods such as salmon,  tuna, eggs, cheese and osteoporosis, which can lead to bone fractures that cause back pain. What is prediabetes? fortified dairy products, †rediabetes is when the amount of glucose in your blood is higher than normal, but Sources: orange uice and cereals Sources: not ‡uite high enough to be considered diabetes. ˆith prediabetes your chances of 1. National Institute of Arthritis and Musculoskeletal and Skin Diseases. “What is back pain?” https:.nias.nih.ohealthtopicsbackpain last reieed ­ul€ ‚ƒ1„…. 1. National Institute of Diabetes and Digestive and Kidney Diseases. “Diabetes.” https://www.niddk.nih.gov/health-information/diabetes (accessed November 9, 2016) ‚. †.S. Departent of ‡ealth and ‡uan Serices. “ˆreent ‰ack ˆain.” https:healthfinder.o‡ealth‹opicsŒateor€eer€da€health€liinsafet€preentbackpain last updated 2. National Institute of Diabetes and Digestive and Kidney Diseases. “What is Diabetes?” https://www.niddk.nih.gov/health-information/diabetes/overview/what-is-diabetes (November 2106) getting type  diabetes are higher. …f caught early enough, you can delay or prevent ­anuar€ Žƒ‘ ‚ƒ1„…. ‰ 3. National Institute of Diabetes and Digestive and Kidney Diseases. “Preventing Type 2 Diabetes.” https://www.niddk.nih.gov/health-information/diabetes/overview/preventing-type-2- the development of diabetes by maing healthy lifestyle changes. Ž. WebMD. “Sleepin Well With ’o ‰ack ˆain.” https:.ebd.cobackpainsleepandbackpain“‚ last reieed Ma€ 1”‘ ‚ƒ1„…. diabetes (November 2016) •. Ma€o Œlinic. “‰ack pain: –erie.” https:.a€oclinic.ordiseasesconditionsbackpains€ptoscausess€c‚ƒŽ”„„ƒ” Auust •‘ ‚ƒ1—…. 4. National Institute of Diabetes and Digestive and Kidney Diseases. “Symptoms and Causes of Diabetes.” https://www.niddk.nih.gov/health-information/diabetes/overview/symptoms-causes ‹his is eneral health inforation and not edical adice or serices. ˜ou should consult €our doctor for edical adice or serices‘ includin seekin adice prior to undertakin a ne diet or (November 2016) e™ercise prora. This is intended to be general health information and not medical advice or services. Always consult your doctor for appropriate examinations, treatment, testing, and health care recommendations. All Œina products and serices are proided e™clusiel€ b€ or throuh operatin subsidiaries of Œina Œorporation‘ includin Œina ‡ealth and ’ife Insurance Œopan€‘ Œonnecticut šeneral ’ife All Cigna products and services are provided exclusively by or through operating subsidiaries of Cigna Corporation, including Cigna Health and Life Insurance Company, Connecticut General Life Insurance Œopan€‘ Œina ‰ehaioral ‡ealth‘ Inc.‘ Œina ‡ealth Manaeent‘ Inc.‘ and ‡M– or serice copan€ subsidiaries of Œina ‡ealth Œorporation. ‹he Œina nae‘ loo‘ and other Œina Insurance Company, Cigna Behavioral Health, Inc., Cigna Health Management, Inc., and HMO or service company subsidiaries of Cigna Health Corporation. The Cigna name, logo, and other Cigna arks are oned b€ Œina Intellectual ˆropert€‘ Inc. All pictures are used for illustratie purposes onl€. marks are owned by Cigna Intellectual Property, Inc. —››ƒ‚Ž b 1ƒ1„ © ‚ƒ1„ Œina. Soe content proided under license. 903502 02/17 © 2017 Cigna. Some content provided under license. 903502 02/17 855023 b 10/19 1 | 2 1 | 2 PLAN FOR YOUR SCAN Learn how precertification works for high-tech imaging. Precertification is a review process that determines whether a procedure, treatment or service is medically appropriate. UNDERSTANDING CIGNA BEHAVIORAL High-tech imaging, such as computed tomography (CT), magnetic resonance imaging (M) and positron emission HEALTH VIRTUAL COUNSELING. tomography (PT) scans, reuires precertification. or certain plan types, precertification or high-tech imaging will direct you to a specific site o care in your area. e have this process in place to help protect you rom unnecessary We make it easy. cost, unnecessary radiation e­posure and surprise €ills. Here’s how it worƒs. Yo an €o r proier ecie €o nee a C‚ ƒR„ or P‚ scan. Yo r hea­th care proier m st comp­ete the neee information for reiew. Yo r precertification re… est is reiewe sing esta†­ishe meica­ criteria for that proce re. Have questions about accessing virtual counseling through …ow is a good time to go to m€Cigna.com to view in-networƒ solutions and Cigna’s network of providers* or your employee assistance To connect wit a compare pricing to help you find the €est site o care or you. program (EA** tart here hould you have any ita conseo in additional questions feel free to call the number on your Cina s netwok­ Cigna ­ card anytime Go to myCigna.com and APPRO „ou and your provider are notified NO‚ APPRO „ou and your provider are notified go to Find Care & Cost tab. € ‚hat kind of device can use Search for Virtual Counselor A.Use your smartphone, tablet or computer with camera for virtual under Doctor by Type. If you counseling. need assistance finding a € ‚ill the provider need to see me in person first provider call 800.244.6224. A.You can schedule virtual counseling appointments based on your Call to make an appointment Once approe Compare costs Consier a­ternaties isc ss or appea­ provider’s availability. Depending on your reason for treatment, your sche ­e €o r Cigna may call you to Contact your provider „our provider may provider might require that you been seen face-to-face first. with your selected provider, appointment discuss lower-cost or options speaƒ with Cigna’s € How much will it cost like you would for a face-to- settings medical director face visit. A.Access this care as part of your behavioral health benefits under your employer’s health plan – andor employee assistance program. Your Your provider will give you ‡ho is in charge of precertificationˆ (approved or denied) and the details o the decision. out-of-pocet cost is the same as a behavioral health outpatient office information on how to set up  your provider is in-networƒ, he or she will send in or more immediate notification, visit m€Cigna.com. visit. here’s no cost to you for A­ services, for the same number of virtual counseling according to your precertification reuest.†  you decide to use an emem€er, or urgent care center and emergency room covered A­ sessions.€€ treatments, precertification is not reuired. € ­oes this include telephone sessions the technology they are using. out-o-networƒ provider, you assume responsi€ility or the precertification process. „our health care provider At Cigna we’re with €o eer€ step of the wa€. A.‚irtual counseling is video-based and does not require a prior authoriƒation For EAP, go to myCigna.com can provide guidance on how to su€mit the reuest. For more information isit m€Cigna.com or ca­­ because it’s seen as a substitute for face-to face therapy. „owever, if phone and use employer ID ‰ow ­ong oes it takeˆ the n m†er on the †ack of €o r Cigna „ car. sessions are needed, a prior authoriƒation is required. (for initial registration): ‡nce your provider has completed and su€mitted your ee your EA materials or plan documents for a complete IAM paperworƒ, a routine review taƒes a€out five €usiness list of covered behavioral health services days.†† „ou will receive a letter with the decision * In certain cases, your provider will give this information to an ancillary company we work with that helps manage these requests. ** Timing assumes all necessary clinical information has been submitted by the provider. If information is missing, approval may be delayed. This time period may be shortened according to applicable state law. All Cigna products and services are provided exclusively by or through operating subsidiaries of Cigna Corporation, including Cigna Health and Life Insurance Company, Connecticut General Life Insurance Company, Cigna Behavioral Health, Inc., Cigna Health Management, Inc., and HMO or service company subsidiaries of Cigna Health Corporation. The Cigna name, logo, and other Cigna marks are owned by Cigna Intellectual Property, Inc. Offered by Cigna Health and Life Insurance Company, or its affiliates. 935644 a 02/20 © 2020 Cigna. Some content provided under license. 903608 e 01/20 *CLICK ON THE NUMBERS OR IMAGES ABOVE TO ENLARGE FLYERS 7

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