Chapter 1: Health Care Files/Chapter...information about health insurance and related terms....

01Teacher ’s G uide

Chapter 1: Health Care

Chapter 1: Health Care02

Chapter 1: Health Care Teacher’s Guide

Learning Objectives: •Studentswilllistthreereasonsforvisitingadoctorfor

acheckup

•Studentswillrecognizeemergencyhealthcaresituations

andwhentocall911

•Studentswillbeabletoasktheirdoctorquestionsabouttheir

healthcare

•Studentswillknowwheretheycanfindlocalprogramsthey

cancontactforhelppayingforhealthcare

CASAS Competencies: 2.1.2 Identifyemergencynumbersandplaceemergencycalls

2.5.1 Locateandutilizeservicesofagenciesthatprovideemergencyhelp

2.5.3 Locatemedicalandhealthfacilitiesinthecommunity

2.5.4 Read,interpret,andfollowdirectionsfoundonpublicsignsanddirectories

3.1.3 Identifyandutilizeappropriatehealthcareservicesandfacilities,includinginteracting

withlocalproviders

4.9.3 Identifysourcesofinformationandassistance,andaccessresourceswithinasystem

7.4.4 Identifyorutilizeappropriateinformationalresources,includingtheInternet

Section 1: Discussing & Reading About Health Care

Suggestions for discussing the Theme Picture

1.Showthemepicturetointroducetopic. “Whatdoyousee?” “Wherearethey?” “Whataretheydoing?” “Why?”

2. Askquestionstostimulatediscussion. “Describeahospitalyouhavebeenin.” “HowareFloridahospitalsdifferentfromhospitalsinyourcountry?” “Whatkindofhelpcanyougetatahospital?”

ThischapterisanintroductiontotheU.S.healthcaresystem.Itemphasizestheconceptofgoingtothedoctorforcheckups.Whereandwhentoseekcarewhenyouaresickandinanemergencyarealsodiscussed.Finally,thechapterprovidesinformationabouthowtogetgoodhealthcarenomatteraperson’sneedsorabilitytopay.

Teacher ’s G uide 03

Suggestions for Teaching Key Vocabulary

Keyvocabularywordsareboldedinthetext.Mostarelistedwithsomevisualclueinvocabularyboxes,andlistedagainwithmoredetailintheglossary.Helpstudentslocateandpronouncethekeyvocabularybeforereadingthetext.

Suggestions for Teaching Health Content

•Beforereading,discussthepicturesonthepage. •Havestudentstaketurnsreadingselectparagraphsoutloud. •Discussvocabulary.Havestudentsusecontextcluestodefine keywords.

•Moreadvancedstudentsmaywanttounderlineorhighlight newinformation.

•Manyimmigrantsdonotgoforcheckupsorgetprimarycare. Itmaynotbepartofthewayhealthcareisdeliveredintheir country.Explorethisissuewithyourstudents.Askhowthings aredoneintheirhomecountryandwhattheirhabitsarehere intermsofusingthehealthcaresystem.Thismayhelpelicit discussionaboutdifferentculturalbeliefsandpractices relatedtoaccessinghealthcare.

•AskingstudentswhattheyalreadyknowabouttheU.S. healthcaresystemwillhelpthemintegratewhattheyknow aboutthetopicwiththenewinformationtheyencounter.

Issues to Address

•EmphasizethatthecustomhereintheU.S.istohaveadoctor andtoseethatdoctorregularlyevenwhenyouarenotsick. Explainthatiftheygoforregularcheckupstheyarelesslikely tohavetogototheemergencyroomforsomethingserious.

Key VocabularyClinicsCommunity Health CentersEmergencyCheckupWell VisitsHealth HistoryMedical HistoryScreeningsPap TestsCervical CancerExerciseImmunizationsPreventSymptomsAppointmentsAmbulanceRightResponsibilityInformation DeskLobby

Studentbookpage6

•Explainthathospitalsandhealthcentershavemanywaystohelppeoplethroughthesystem.AnyhealthcenterorhospitalthatreceivesFederalfundsisrequiredbylawtohavemedicalinterpretersandtomakethemavailabletopeoplewhoneedthem.

•Encouragestudentstoaskquestionsattheinformationdesk.Theinformationdeskcanhelpstudentsfindtheirwayaroundahospitalorhealthcenter.Theycanalsoaskifthereisadepartmentthatcanhelpthemfindhealthinsurance,applyforMedicaid,andotherservices.

•Manydepartmentsinhospitalsarenamedafterfamouspeople,andthesignsleadingtothemhavetheperson’snameinlargeletters,andthetypeofdepartmentseemslikeanafterthought.(Forexample:theSUSANG.KOMENBreastHealthCenter.)Besurestudentslookoutforthis.

•Emphasizethatitismuchbettertohavehealthinsurancethantopayforhealthcareoutofpocket.Explainhowifsomeonegetsverysickorneedsanoperationorlong-termtreatment,itwillcostalotofmoneyiftheydonothaveinsurance.Explaintheconceptthat,whilepayingforhealthinsurancemayseemexpensiveifyouarenotsick,itmaybelessexpensiveinthelongrun.

•Onpage14ofthestudentbook,youwillfindbasicinformationabouthealthinsuranceandrelatedterms.Studentswhoareeligibleforemployer-sponsoredinsuranceplans,orwhocanaffordtopurchasetheirowninsuranceindividuallyshouldunderstandthatnotallinsuranceplansareequal.Theythereforeshouldfamiliarizethemselveswiththesetermsandmakesuretheyunderstandallaspectsoftheirinsurancepolicybeforesigningupforit.Shouldtheyneedhelpunderstandingtheinsuranceoptionsavailabletothem,theymaywishtomeetwithaninsuranceagentoraHumanResourcesrepresentativefromtheirworkplace.

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•InMay2008,GovernorCharlieCristsignedanewbillintolawthatallowsthesaleoflow-cost,bare-boneshealthinsurancepolicieseffectiveJanuary2009.Underthe“CoverFlorida”plan,residentsages19to64areabletopurchaselimitedhealthcoverageforaslittleas$150permonth.Insurersofferingsuchplansareexemptfromstatemandatesrequiringcoverageforarangeofitemsandprocedures.However,theplansarerequiredtoincludecoverageforsomeconditions,suchasdiabetes.Thepoliciescoverpreventivecareandofficevisitsbutnotcarefromspecialistsorlong-termhospitalizations.

•Emphasizethatstudentsneedtoadvocateforthemselves,andaskforhelpinfindingahealthinsuranceprogramtheycanafford.ReferyourstudentstotheFreeorLowCostServicessectiononpage17intheirstudentbooksforresourcesonfindingaffordablehealthinsurance.Studentscanalsocall211inmanyareastofindotherresources.ItwouldbehelpfultogetaMedicaidoutreachworkertocomeinandtalktoyourclass.SeethelistofAdditionalResourcesforhowtocontactaMedicaidoutreachworkerinyourarea.

•ExplaintostudentsthatCountyHealthDepartmentsoftenoperatefreeclinicsforuninsuredorunder-insuredpatientslivingintheircounties.Itmightbeusefulforyouand/oryourstudentstocontactyourlocalCountyHealthDepartmentdirectlytoobtaininformationaboutthefreeclinicsinyourarea.Inaddition,youmightbeabletoresearchnon-profitorganizationsthatprovidefreemedicalreferrals,organizeperiodichealthfairs,andprovidehealtheducationservicesinyourarea.Lastly,localhospitalsmightalsobeabletoprovideyouwithdirectionastowhereyouruninsuredstudentscangotoreceivefreeorlowcostmedicalcare.Refertopage32ofthestudentbookformoreonlineresourcesaboutwheretofindlocalfreeclinics.

Studentbookpage14


Programs to Help Florida Residents Pay for Health Care

Thischartisinthestudentbookonpage15.ItbrieflydescribesprogramstohelpFloridaresidentspayforhealthcare.Youcanusethischarttohelpstudentslearntoreadcharts,butalsofortheinformationandguidelinestheyprovide.ManyFloridaguidelinesandapplicationsareavailableinatleastthreelanguages:English,Spanish,andHaitianCreole.Findandprintoutinformationfromthesewebsitesbeforeyourclass.SeetheInternetlistingsattheendofthisteachingunitformoreresources.

Programs to Help Florida Residents Pay for Health Care

Program Purpose Who Is Eligible Things to Know For More Information

Florida KidCare

Fourhealthinsuranceprogramsforchildrenfrombirthto18yrs

• MediKids:1-4years• Healthy Kids:5-18years• Children’s Medical

Services Network:kidswithspecial&ongoinghealthproblems

• Medicaid:birth-18years

• ParentsareNOTrequiredtogive theirlegalstatus

• Child’slegalstatusdocumentsARErequired

• 1-888-540-5437• onlineinEnglish, Spanish,orHaitianCreole www.floridakidcare.org

Florida WIC Anutritionprogramforwomen,infantsandchildren

• WICusesincomeguidelines,basedonmonthlyincome/

• mustbeaFLresidentbutyouareNOTrequiredtogiveyourlegalstatus

• mustprovechild’sage

• Provideshealthyfoods,counseling,breastfeeding support,referralsforhealthcare,immunizations, othercommunityservices

• 1-800-342-3556• onlineinEnglish,Spanish,or HaitianCreole www.doh.state.fl.us/family/wic

Florida Discount

Drug Card

Helpstopayforprescriptiondrugs

• 60&olderwithnoprescriptiondrugcoverage(PartD)or

• under60withlowyearlyfamilyincome

• Coversnearlyallprescriptiondrugs

• 1-866-341-8894• online www.floridadiscountdrugcard.com

MedicareAnational healthinsuranceprogram

• 65&olderor• under65withcertaindisabilities

• personsofanyagewithpermanentkidneyfailurerequiringdialysisoratransplant

• SomeofMedicare isfree

• Somepartsyoupay formonthly

• 1-800-633-4227• onlineinseverallanguages www.medicare.gov

• IfyouarenotaU.S.citizenoralawfullyadmittedalienwhohaslivedintheU.S.continuouslyforafive-yearperiod,contactSocialSecurityat1-800-772-1213foryourMedicareenrollmentandeligibility.

MedicaidProvidesmedicalcoveragetolowincomeindividualsandfamilies

• Lowincomefamilieswithchildren

• Children• Pregnantwomen• Non-citizenswithmedicalemergencies

• Agedand/ordisabledindividualsnotreceivingSupplementalSecurityIncome(SSI)

• Familyincomeis keytoeligibility

• Childrenunder12 andpregnantwomenwithhigherincomesmayalso beeligible

• 1-866-762-2237• www.dcf.state.fl.us/ESS/ medicaid.shtml

• Informationavailableonline inseverallanguages


Section 2: Activities Pickanduseasneededtodevelopskills.

Pronunciation Activity: Tap the Stress (X = LOUD tap, x = softer tap)

Teaching Steps: 1. You tap or clap the rhythm of the group being studied.TaploudlyforabigXandsoftly forasmallx.Forexample,taptherhythmX x likethis:TAP tap, TAP tap, TAP tap.Once youhavesettherhythm,havestudentsjoinyouintappingtherhythm.Keeptapping withoutsayinganythinguntileveryoneistappinginunison.Then:

2. You say each word in time to the tapping.Havestudentscontinuethebeatasthey repeateachwordinunisonafteryou.Repeateachworduntilstudents’rhythmand pronunciationareacceptable.Donotdrag:keepupthetempo.

X xhealthcare

systemclinic

doctorchronicflushot

checkupsymptomsentrance

lobbyX-ray

x X xinsuranceassistanceexpensesimportantpreventivecontagiousdiseases

departmentinfectiousobstetricsinternal

expensive

X x xmedicalhistory

hospitalnursinghome

heartattackmedicineaccident

ambulanceprimary

waitingroom

x x X xinformationvaccinationdiabetes

orthopedicspediatrics

x x x X ximmunizationstuberculosis

Whatismyproblem?Whereistheclinic?

Howcanthishelpme?Howcanthishurtme?

x x X x xradiologycardiology

dermatologygynecology

opthamology


GRAMMAR

Grammar Activity: Direction Words

Thisactivitywillhelpbeginningstudentsgainpracticeandconfidenceinaskingandgivingdirections.

Askstudentstolookatthehospitalfloorplanonpage11intheirstudentbooks.Thenaskthemdirections,suchas:“I am in the lobby. How do I get to the radiology department?”

Where is the ?

Left Right Straight ahead Up Down


MATH

Math Activity: All About the Florida Discount Drug Card

Thesemathactivitieswillgivestudentspracticereadingcharts,locatingamounts,andmakingcomparisons.Itwillalsogivethempracticeinunderstandingeligibilityrulesandcomparingprices.EmphasizethattheFloridaDiscountDrugCardisforprescriptiondrugs,only.

Havestudentsreadthecharttoanswerthefollowingquestions.Seestudentworksheetattheendofthisteachingunit.

1. Albertis64yearsold.Hehasprescriptiondrugcoverageunderhismedicalplan. Isheeligible? NO

2. Janelivesaloneandis37yearsold.Shedoesnothaveprescriptiondrugcoverage. Shemakes$31,000ayear.Issheeligible? NO

3. Juanhasawifeand2youngchildren.Hedoesnothaveprescriptiondrugcoverage. Theirtotalfamilyincomeforayearis$35,112. Isheeligible? YES Ishiswifeeligible? YES

4. AreyoueligiblefortheFloridaDrugDiscountCard?

Chart 1: Who is Eligible for the Florida Discount Drug Card?Welcome to the Florida Discount Drug Card Program

TheFloridaDiscountDrugCardisdesignedtolowerthecostofprescriptionsforFloridaresidentswhoare:

•Age60andolderAND without prescription drug coverage ORwhofallintotheMedicare

PrescriptionDrugCoveragegap;OR

•Underage60,without prescription drug coverage,ANDwithanannualfamilyincomeofless

than300%oftheFederalPovertyLevel.Qualifyingincomesincludethosebelowthefollowing:

• $30,636(foranindividual)

• $41,076(forafamilyoftwo)

• $61,956(forafamilyoffour)


Chart 2: How Much Does It Cost?

Retail Price - without Florida Discount Drug Card

Drug Name Qty Days PriceHYDROCHLOROTHIAZIDETAB25MG 30 30 $5.25

Mail Order Price - Florida Discount Drug Card


1. Howmuchdoesitcosttobuy30pillsattheretailprice–withoutthecard? $5.25

2. Howmuchwoulditcosttobuy90pillsattheretailprice–withoutthecard?$15.75

3. Howmuchdoesitcosttobuy90pillsatthemailorderprice–withthecard? $4.38

4. Howmuchmoneydoesitsaveyoutobuy90pillswiththecard? $11.37

Comprehension Activity :

Places-in-the-hospital Bingo Makebingocardswithpictogramsand/orkeywordsforcertainhospitaldepartments.Theteacherasks“Wherewillyougoifyourchildissick?(Answer:Pediatrics)“Putapennyonthecorrectcard.”andthendiscuss:“Whatareothernamesforthis?”(Answer:PediatricClinic,pediatriccenter,children’sclinic)


Places-in-the-hospital ConcentrationHaveonesetofcardswithwordsonlyandanothersetwithpictograms/universalsymbols.Inpairsorteams,studentsplayconcentration,matchingthevisualwiththeword.Example:

TE

CHNOLOGY Technology Activity: All About the Florida Discount Drug Card

ThechartsusedintheMathActivity:AllAbouttheFloridaDiscountDrugCardarefrom http://www.floridadiscountdrugcard.comsothisactivitycanalsobedoneasanInternetexercise.Tocompletethe“HowMuchDoesItCost”exercisestudentswillneedtoclickon“DrugPricing”,findthenameofthedrug,andthenclickon“GetPrices”.

INFORMATION

EMERGENCY

RADIOLOGY


TE

CHNOLOGY

Technology Activity: Phone Call to 2-1-1

2-1-1isatoll-freephonenumbertogiveFloridianseasyaccesstolocalandcommunityhumanserviceinformation.Itisavailableinmost,butnotall,areasinFlorida.Call2-1-1yourselfbeforeclasstogetfamiliarwiththeprocess.Havestudentspracticetheirquestionsanddosomedialogstoprepare.Useaclassroomphoneifavailable,oracellphone.Putitonspeakerphoneandasksomestudentstovolunteertocallandaskforacertainkindofresource(suchaslow-costhealthinsuranceinformation,localfreeclinics,etc.)Asaclass, listentothecallthendiscussandmakenotesafterwards.

Seethissiteformoreinformation: http://www.flairs.org


TE

CHNOLOGY

Technology Activity: Web Search on 2-1-1 site

Ifyouhaveaccesstooneormorecomputers,gotothe2-1-1websitemaptofindfreeclinicsandotherservicesinyourcounty.

http://www.flairs.org/211%20map.htm

YoucanclickonthenameofyourcountyoritsoutlineontheFloridamap.Clickonthe“FindHelp”box,andwalkstudentsthrougha“BasicSearch”.Usethekeyword“MedicalCare”tofindlocalhealthservicesincludingfreeclinics.

Web Tip: What If You Don’t Have Computers for Your Students

Anythingyouseeonthecomputercanbeprintedoutandusedasahandout.Youcanprintouttables,partsofonlinegames,factsheets,brochures,etc.


Operator:911.Whatisyouremergency?Parent: Myboyfelloutofthetree.Operator:Isheconscious?Parent: Yes. Operator:Ishehurt?Parent: Ithinkhebrokehisleg.Operator: Anambulanceisonitsway.

Information Desk: MayIhelpyou?Patient: Yes,wheredoIgoforanX-Ray?Information Desk: Doyouhaveanappointment?Patient: Yes.Information Desk: That’sinRadiology.Gopastthegiftshopandturnright.LookfortheX-Raysign.You’llneedtosigninatthedesk.Patient: OK.Thanks.

Section 3: Dialog

Suggestions for Teaching the Dialog

Helpstudentsreadthedialog.Thenhavethempracticetherolesinpairs.Tochangethedialog,substituteotherappropriatewordsfortheunderlinedwords.Finally,encouragechaindrillsandfreeconversationsonthetopic.Thedialogsarelistedbydegreeofdifficulty.BeginningESLstudentsmayonlybeabletodoDialog1,buttheywillbenefitfromlisteningtoclassmatespracticetheothers.

Dialog 1

Dialog 2


Section 4: Check Your Learning

Suggestions for Checking Learning

Quiz:Havestudentslookattheposterandanswer thequestions.Seestudentworksheetattheendof thisteachingunit.

1. Whoissaying“Stayinghealthyisimportanttome.” m the man m theboy m theirdoctor m theman’swife

2. Whatdidhedotostayhealthy? m gotaprescriptionfilled m got a flu shot m gotanewkite m gotanX-ray

3. Howdoeshefeelabouthisfamily? m helovesthem m hewantstoprotectthem m he wants to protect himself and his family m helovestoflykiteswithhisgrandson


Sharing with Others: Havingstudentssharewhattheyhavelearnedwithothershelpsthemcheckandreinforcetheirlearning.Oneideaistohavestudentsbrainstormalistofgoodhealthcareresourcestheyhaveusedintheircommunity.Thenhavethemputtogetherabookletentitled“Health Care Resources That Worked For Us.”tosharewithothersintheirprogram.

Section 5: Additional Resources

Visitthesewebsitesformoreinformationonhealthcare.

Information Managed Care and Youhttp://www.women.state.vt.us/pdfs/guide.pdfCenter for Medicaid and Medicare Services http://www.cms.hhs.gov/apps/contacts/Florida Department of Health http://www.doh.state.fl.us/Floridians.htmlFlorida Healthfinderhttp://www.floridahealthfinder.gov/medical-help-resources/medical-resources.shtmlFlorida Alliance for Information and Referral Serviceshttp://www.flairs.org

ActivitiesPicture Story about Emergencyhttp://www.cal.org/caela/esl_resources/Health/healthindex.html#EmergencyHealthy Roads Mediahttp://www.healthyroadsmedia.org/index.htm


Free or Low Cost Services County Health Departments (for local free clinics contact information)http://www.doh.state.fl.us/chdsitelist.htmHealth Resources and Services Administration (to find low-cost health insurance)http://ask.hrsa.gov/pc/Insure Kids Now (to find free and low-cost health insurance for kids) http://www.insurekidsnow.gov/Access Florida (information about food stamps, Temporary Cash Assistance, and other programs)http://www.dcf.state.fl.us/ess/orcall1-866-762-2237211 Service (Referrals to local human services)http://www.211.org/referweb/mainform.aspxorcall211Florida SHINE (information about state insurance programs for elders) http://www.floridashine.orgorcall1-800-963-5337

Asyouworkthroughthetopicofhealthcarewithyourstudents,keepalistofotherresourcesyoufindhelpful.

OtherResources

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•

•

•

•

•


Section 6:

Student Worksheets

Teacher ’s G uide

Student Worksheet: Check Your Learning

Look at the poster and answer the questions.1. Whoissaying“Stayinghealthyisimportant tome.”

m theman m theboy m theirdoctor m theman’swife

2. Whatdidhedotostayhealthy? m gotaprescriptionfilled m gotaflushot m gotanewkite m gotanX-ray

3. Howdoeshefeelabouthisfamily? m helovesthem m hewantstoprotectthem m hewantstoprotecthimselfandhisfamily m helovestoflykiteswithhisgrandson

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Student Worksheet: All About the Florida Discount Drug Card

Read the chart then answer the questions that follow.

1. Albertis64yearsold.Hehasprescriptiondrugcoverageunderhismedicalplan. Isheeligible?

2. Janelivesaloneandis37yearsold.Shedoesnothaveprescriptiondrugcoverage. Shemakes$31,000ayear.Issheeligible?

3. Juanhasawifeand2youngchildren.Hedoesnothaveprescriptiondrugcoverage. Theirtotalfamilyincomeforayearis$35,112. Isheeligible? Ishiswifeeligible?

4. AreyoueligiblefortheFloridaDrugDiscountCard?

Chart 1: Who is Eligible for the Florida Discount Drug Card?Welcome to the Florida Discount Drug Card Program

TheFloridaDiscountDrugCardisdesignedtolowerthecostofprescriptionsforFloridaresidentswhoare:

•Age60andolderAND without prescription drug coverage ORwhofallintotheMedicare

PrescriptionDrugCoveragegap;OR

•Underage60,without prescription drug coverage,ANDwithanannualfamilyincomeofless

than300%oftheFederalPovertyLevel.Qualifyingincomesincludethosebelowthefollowing:

• $30,636(foranindividual)

• $41,076(forafamilyoftwo)

• $61,956(forafamilyoffour)

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Teacher ’s G uide

Student Worksheet: All About the Florida Discount Drug Card

Read the chart then answer the questions that follow.

1. Howmuchdoesitcosttobuy30pillsattheretailprice–withoutthecard?

2. Howmuchwoulditcosttobuy90pillsattheretailprice–withoutthecard?

3. Howmuchdoesitcosttobuy90pillsatthemailorderprice–withthecard?

4. Howmuchmoneydoesitsaveyoutobuy90pillswiththecard?

Chart 2: How Much Does It Cost?

Retail Price - without Florida Discount Drug Card


Mail Order Price - Florida Discount Drug Card


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Chapter 1: Health Care Files/Chapter...information about health insurance and related terms....

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