Individual care to help you control asthma or COPD symptoms.
Do you have trouble managing asthma or COPD symptoms? A nurse who specializes in breathing issues can really help. You’ll get a customized treatment plan and medicine to:
Help you stay active.
Do you or a loved one have a serious health problem? If so, our case managers are in your corner. They will:
Explain medical terms in plain language.
Coordinate your doctor appointments.
Provide your care team with your medical records.
Your case manager will stay with you on your medical journey. He or she will:
Think beyond your medical needs.
Make sure you have support at home.
So you can focus on getting better.
Choice of Doctor
You get a primary care physician (PCP) who is your main doctor. Use the Doctor Lookup tool to see if your doctor is in our network.
If you don't have a doctor or if your doctor is not in our network, we can help you find a new one close to you.
Your PCP is your main doctor for:
Treatment if you are sick or injured.
Referrals to specialists for certain conditions.
Checkups, routine and emergency care are covered.
Exams and cleanings every six months help keep teeth and gums strong and healthy. If there is a dental problem that needs to be fixed, that's covered as well.
Equipment and Supplies
Your health and safety at home are important.
Our plan covers medical equipment ordered by your doctor or case manager. This includes:
Walker or wheelchair.
An ounce of prevention can be worth a pound of cure. It can also be worth great rewards.
You can earn great gifts for things like:
Getting your yearly wellness exam.
Getting lab tests.
Completing a program for weight management or diabetes.
Home Meal Delivery
Proper nutrition is essential to good health. Yet you may not be able to safely fix meals for yourself at home. So we’ll arrange for home meal delivery.
This plan pays for all expenses related to a hospital stay, so you can rest and heal.
Room and board.
Supplies and equipment.
Treatment and therapies.
Diagnostic tests and exams.
After you leave the hospital, you are not alone. We make sure you get follow-up care to continue healing at home.
Your doctor and you need to understand each other. Not speaking English well makes this difficult. We can arrange for a medical interpreter to be at your appointment.
We have people at our phone centers that speak more than one language. A service lets us connects with others that speak hundreds of languages.
You can ask to receive information in another language. Then anything we write to you will only be in that language. This is provided at no cost to you.
We make getting your medicine easy.
There are no copays for covered drugs. You can fill your prescriptions at:
Services that deliver routinely right to your door.
We also cover over-the-counter medicines with a written order from your doctor.
Sometimes you might need a little help understanding your health care options. With us, you have someone you can call 24/7. We’ll answer your questions simply and completely.
We can also help you find:
Home care providers.
Dentists and vision providers.
Adult Day Health Centers.
Mental health is as important as physical health. That's why we have the same coverage for both.
Required care is 100% covered with no copay. This includes:
Substance abuse treatment.
You pay nothing for covered services.
While your health care is low-cost or free, the care quality is high. You get:
Care from highly skilled and compassionate doctors.
Treatments at respected hospitals and clinics.
Prescription drugs and over-the-counter medicines.
Medical questions and situations come at inconvenient times. When you have questions about your health or your child's health, you can call a trained nurse 24 hours a day, 7 days a week.
Our NurseLine nurses will:
Listen to the symptoms.
Guide you on self-care.
Advise you about getting care at a doctor visit or an urgent care center.
Suggest you go right to the emergency department.
You know the bad health effects of smoking. You know you need to quit. We will support you while you quit with coaches and supplies. The only thing you won't get from us is a lecture.
Do you have family members or friends who care for you at home? If so, we want to support their hard work too. That's why we provide respite care to give your caregivers a rest. Respite care offers caregivers time away from their loved one who is ill or has special care needs.
Our members' safety is our focus. For members who need extra care, like after a major illness, we'll visit them at home to make sure they're doing okay.
During this visit we:
Understand the member’s personal needs.
See if the residence needs minor modifications, such as ramps and bathroom safety devices.
Set up emergency monitoring.
Arrange for a personal care attendant, if needed.
You'll get the care, eyeglasses and treatment that let you see life more clearly. Coverage includes $105 each year toward frames or contact lenses.
This benefit is offered by certain stores and retailers.
Get 10 vouchers toward local Weight Watchers programs.
Weight Watchers encourages a healthy approach for eating and living. The program helps you change your eating habits and become more active. Weekly meetings give you advice and support. So you can stay on track and meet your goal.