[DATE]

[MEMBER NAME]

[MEMBER ADDRESS]

Dear [MEMBER NAME]:

As a HealthPartners® Inspire Special Needs Basic Care (SNBC) Care Coordinator, I have tried many times without success to reach you at [XXX-XXX-XXXX]. I will continue to try to get in touch with you. If you have a different phone number, or a special time of day that you would prefer that I call, please contact me at [XXX-XXX-XXXX].

At HealthPartners, we want all of our members to feel as well as possible. We encourage you to take advantage of these important services.

	An annual physical exam with your doctor. These visits are a simple and important way you can maintain your good health.

	An annual flu shot, an important part of your regular health care, can be taken care of during your annual exam.

	An annual dental exam, an important part of taking care of your health.

	An annual health assessment. This simple, private survey helps us learn about your needs and if more support might be helpful for you. I can help you complete this survey by meeting with you in person or on the phone.

This information is available in other forms to people with disabilities by calling HealthPartners Member Services at 952-967-7998 or toll free at 1-866-885-8880, Monday-Friday, 8:00 a.m.-5:00 p.m. TTY users call 952-883-6060 (TTY) or 1-800-443-0156 (toll free TTY).

Sincerely,

[CARE COORDINATOR NAME]

HealthPartners Inspire, Care Coordinator

Phone: [XXX-XXX-XXXX]

Toll – Free: [XXX-XXX-XXXX]

Enclosures: Statement of Nondiscrimination for Health Plan Members, Language Block, Business Cards

HPCare_98748 Approved 8/22/2016