As a member, you have access to services that can help improve your health and wellness.
The Healthy Adults program promotes health screenings and wellness programs for improved health in all adult members.
Our goal is to increase the number of adult members who receive health screenings for issues such as:
We’ll send you health info and reminder mailers. Some members can earn rewards for completing certain healthy activities, like health screenings.
Other ways we promote wellness include:
The Healthy Kids program focuses on preventive health and follows the Early and Periodic Screening, Diagnostic and Treatment (EPSDT) recommendations. This advice is from the Centers for Medicare & Medicaid Services.
Preventive services, screening and counseling can help improve health and find any issues earlier, when they’re easier to treat.
Centers for Disease Control and Prevention (CDC) immunization schedules
Maternity Matters is our program for new parents. You can earn points and use them to buy baby supplies like diapers, baby food, wipes and more. You’ll be able to track how many points you have. And spend them online or in stores with a preloaded credit card.
Our NAS program offers care for moms and infants who need it. NAS is a form of drug withdrawal in newborn babies. It can happen when a mom uses certain medicines or drugs during pregnancy.
We connect moms at risk with a case manager, who’ll help them get special care during pregnancy. And special care for the baby after birth. Need to learn more? Just call us at 1-855-772-9076 (TTY: 711).
The Health Homes Program (HHP) provides services for members with certain chronic health conditions. This program helps coordinate certain services, like:
You may qualify if one of these things applies to you:
Covered HHP services
We’ll connect you with a care coordinator and care team. They’ll work with you to coordinate care with your health care providers, like:
Some HHP services include:
Diabetes prevention is a program that may help you adopt healthy habits, lose weight and reduce your risk of type 2 diabetes. You can take part at no cost to you.
The program focuses on eating healthier, increasing your physical activity and managing the challenges of lifestyle changes.
Members work with a personal coach and small group support to focus on healthy food choices and more activity. You may also qualify for tools such as wireless scales or activity trackers.
Opioids are a type of medicine for short-term relief from severe pain, usually after:
Even if you have a prescription, opioids can cause serious problems, like:
To keep yourself and your family safe:
This program can help you better manage opioids or stop using them. We can also help you:
You can start or stop the program any time. Want to learn more? Just call 1-855-772-9076 (TTY: 711). Then, ask to talk with a care manager.
What is palliative care?
Palliative care is a way to improve quality of life for someone with a serious illness. To “palliate” means to ease symptoms like:
Emotional and spiritual support for patients and their loved ones is part of palliative care. It happens at the same time as standard medical care. Active treatment for the illness doesn’t stop. Patients and their families help lead the plan of care with the provider team.
Goals of palliative care
Ease symptoms that cause distress
Easing symptoms is the main goal. Symptoms can affect a person’s ability to eat, be active or spend time with others. Providers use medicines, as well as other ways to ease these symptoms. This gives people a better quality of life during treatment for an illness.
This means that all the providers know the goals of care. The care team communicates regularly to ensure they can meet these goals.
Meet emotional and spiritual needs
The care team helps both patients and families cope with emotions. Illness can lead to stress, depression, anxiety and other issues. If desired, patients and families can set up meetings with a counselor or spiritual advisor.
Give info and help with decisions
Care providers can help people and their families get the info they need. They can also help with making care decisions.
Create an advance care plan
This plan includes legal documents with a person’s wishes for their future. When people can’t speak for themselves, providers and families can still carry out their wishes.
Working with your palliative care team
A team of people give palliative care. They focus on the physical, emotional, and mental and social parts of a serious illness. The team may include:
To get the most of palliative care, both patients and their loved ones have a role.
What patients can do
Tell your health care provider that you’re thinking about palliative care. Ask what services you can get in your area.
To ensure the best care, learn what you can about your illness and the goals of your care. Are you having pain and other symptoms? Just ask your health care provider for a palliative care referral.
Treating these symptoms is best for your health and quality of life. If you need support in other ways, speak up. Your care team is here to help you get what you need.
What families can do
Talk with the palliative care team often. Do your best to understand your loved one’s illness and goals of care. When you need to act, do so based on your loved one’s wishes. And if you have a concern or question, speak up.
You can help ensure that your loved one has the best quality of life possible. Need to learn more? Just call us at 1-855-772-9076 (TTY: 711).
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