If you have chronic or high-risk illnesses, our disease management services are designed to support you.
We have special programs for:
Chronic obstructive pulmonary disease (COPD)
Coronary artery disease (CAD)
Congestive heart failure (CHF)
High Risk Pregnancy and Neonatal Intensive Care Unit
Sickle Cell Disease
Equipment and Supplies
Some members may need extra support to live safely at home.
Our plan covers medical equipment ordered by a member's doctor or care manager. This can include supplies like:
Walkers or wheelchairs.
We provide the exams needed to help keep feet in great shape. And for those with diabetes, good foot care can help prevent much more serious problems.
Our podiatry coverage includes:
Routine foot exams.
Tips about foot care and choosing the right shoes.
Information about nerve damage warning signs.
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.
And 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 appointments.
We also have people in member services who speak more than one language. Chances are, we have someone who speaks your language or they can connect you with our interpreter service which covers more than 170 languages.
You can receive information in your preferred language. Just ask. We also have people at our customer service centers who speak more than one language. Chances are, we have someone who speaks your language or they can connect you with our interpreter service which covers more than 170 languages.
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. to symptoms.
Medical questions and situations sometimes happen at inconvenient times. When you have questions about your health, you can call a nurse 24 hours a day, 7 days a week: 1-877-543-3409 (TTY 711).
Our NurseLineSM will:
Listen to the symptoms.
Guide you on self-care.
Advise you about getting care at a doctor visit or an urgent care center
Sometimes the basics are hard to do yourself after an illness or injury. If needed, we provide someone to help with:
Your pregnancy is a journey you'll want to make with the help of friends, family and a pregnancy doctor, or OB-GYN.
All recommended prenatal clinical visits and tests are covered by our plan.
At these visits, the clinic will:
Make sure both you and your baby are healthy.
Explain what to expect at each stage of your pregnancy.
Answer your questions.medical terms in plain language.
You know the bad health effects of smoking. You know you need to quit. We support you while you quit with coaches and supplies. The only thing you won't get from us is a lecture.
You’ll get the care, eyeglasses and treatment that let you see life more clearly. Coverage includes frames or contact lenses every two years.
This benefit is offered by certain stores and retailers.
Get 10 vouchers for local Weight Watchers meetings.
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.