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Special programs

You have access to special programs to help you get the care you need. And prevent health issues in the future. Read on to learn more about these programs. 

Learn more about your benefits

You can learn more about each program listed below and choose to opt in or out of the programs by calling Member Services at 1-855-232-3596 (TTY: 711) or by contacting your Care Manager.

Need help using your benefits? 

If you need help using your benefits, you can call us at 1-855-242-0802 (TTY:711). Then, ask to speak with a care manager. 

If you need help using your benefits, you can call us at 1-855-242-0802 (TTY:711). Then, ask to speak with a care manager. 

  • We’ll help you learn more about health screenings and wellness programs. And how they can help you get and stay healthier. We’ll also provide health info through community events.  

     

    Learn more about how to stay healthy 

     

    Want to learn more about wellness? Just register for MyActiveHealth℠. You can get healthy living tips, watch videos about wellness, learn about a healthy lifestyle and more. 

  • Are you expecting a child? We’ll help you get the care you need through: 

     

    • Screenings 
    • Proven treatments 
    • Collaboration with providers 

    Did you know that you can earn rewards for pregnancy and birth care? Check it out.

  • Let our care management team take care of you. Our nurses work with different providers, agencies and groups to get you the care you need. 

     

    Learn more about care management 

  • We help our members with chronic conditions be as healthy as they can. We’ll mail you health info to help you manage your condition.  

     

    Learn more about chronic condition management 

     

    Want to learn more about managing your condition? Just register for MyActiveHealth℠. You can get healthy living tips, watch videos about wellness, learn about a healthy lifestyle and more.

  • Get these screenings each year to help manage your diabetes: 

     

    • A1C
    • Low-density lipoprotein (LDL) cholesterol
    • Dilated eye exam 
    • Kidney function exam, nephropathy

    Did you know that you can earn rewards for these screenings? Check it out.

     

  • If you have uncontrolled asthma, we may be able to help you manage it better. Our program:

     

    • Helps you identify triggers in your home
    • Provides education about managing asthma
    • Explains why and how to use controller medication as prescribed 

    We’ll contact you if you may be a good fit for this extra help. This is based on:

     

    • The number of trips you’ve made to the emergency room
    • The number of inpatient hospital stays you’ve had
    • Your rescue inhaler use 

    Once you enroll in the program, you can also get a no-cost, in-home environmental assessment.

  • High blood pressure is dangerous because often, it has no symptoms. That’s why you need to know if you have it. You can check your blood pressure at home or have it checked at your doctor’s office or pharmacy.  

     

    Did you know that you can earn rewards for refilling your blood pressure medication? Check it out.

     

    Earn rewards

     

    You can also get a digital blood pressure monitor (one per household) with a prescription and a copay. You can order it: 

     

    Learn more about high blood pressure

  • It can be hard to figure out the type of care you or your family members may need. We can help you decide whether to go to the ER or urgent care.  

     

    24/7 Nurse Line

    This doesn’t take the place of your PCP. But if it’s late at night or you can’t reach your PCP, a nurse can help you decide what to do. You can reach a nurse at 1-855-242-0802 (TTY: 711).

     

    Behavioral health crisis

    Mental and behavioral health are part of your whole health. Call 911 or go to the nearest hospital if:

     

    • You’re thinking about hurting yourself or someone else
    • You have an urgent behavioral health emergency 

    You can use any hospital for emergency care, even if it’s not in our network. Just show your member ID card. 

     

    You can also call our behavioral health crisis line 24 hours a day, 7 days a week: 1-855-242-0802 (TTY: 711). Choose the option for a behavioral health crisis. We’ll connect you to our licensed mental health professionals.

     

    Care management after acute care

    Have you or your child had a hospital stay recently? If so, you may get a call from our care management team. They’ll ask if you: 

     

    • Scheduled a follow-up appointment with a PCP or specialist 
    • Were able to get any prescribed medicine 
    • Understood the discharge instructions 
    • Have any other needs, so they can refer you to one of our care managers   

    Check out some of these articles to learn more about getting the right care at the right time:  

     

  • Our goal is to help you stay well by stopping the spread of diseases. We do this by providing vaccines at no cost.

     

    COVID-19 shots

    In late 2019, a new type of coronavirus began making people sick with flu-like symptoms. The COVID-19 virus spreads easily. It can be more serious in some people, while others have no symptoms at all. 

     

    To help prevent the spread of COVID-19, health experts recommend:

     

    • Getting a COVID-19 vaccine
    • Washing your hands frequently
    • Covering your mouth and nose when you sneeze or cough 
    • Avoiding close contact with people who are sick 

     

    Flu shots

    Most members 6 months and older can get a flu shot every year. Studies show which flu viruses may be the most common during the upcoming season. Seasonal flu shots protect against those three or four flu viruses. Just ask your doctor about getting the shot.

     

    You can also earn rewards, so it pays to avoid the flu.

     

     

    Human papillomavirus (HPV) shots

    HPV is a virus that can cause genital warts, as well as cancers of the:

     

    • Cervix
    • Vagina 
    • Penis
    • Anus
    • Mouth
    • Throat

    Everyone aged 9 to 26 should get the HPV vaccine. It works best if given at ages 11–12. Be sure to talk with your doctor or your child’s doctor about the HPV vaccine.

     

    Learn more about HPV (PDF)

     

    Pneumococcal shots

    Two types of pneumococcal vaccines protect against a type of illness in your respiratory system (lungs and airways). Health experts recommend this shot for all:

     

    • Kids younger than 2 years old
    • Adults 65 or older

    Be sure to talk with your doctor or child’s doctor about your situation. 

     

    Learn more about vaccines

  • A sexually transmitted disease (STD) passes from one person to another during sexual activity. The more common term today is sexually transmitted infections (STIs). This is because people may have no symptoms, but still have an infection that needs treatment.

     

    You know your body best. See your doctor if you have any unusual symptoms. Pain, swelling, burning and discharge are some examples. You have coverage for testing and treatment of STIs, so don’t delay.

     

    Chlamydia

    This is a common STI that can infect both men and women. Chlamydia spreads through sex with someone who has the infection. Antibiotics treat chlamydia. 

     

    Gonorrhea 

    This is another common STI that can infect both men and women. Gonorrhea spreads through sex with someone who has the infection. Antibiotics treat gonorrhea.

     

    Hepatitis C

    This is a viral infection that causes liver inflammation. It spreads through contaminated blood. This infection can be short-term or long-term, and can lead to liver failure, liver cancer or chronic liver disease (cirrhosis). Talk with your doctor or your child’s doctor about screening at your annual well visit.

     

    Human immunodeficiency virus (HIV) and acquired immunodeficiency syndrome (AIDS)

    HIV is a virus that attacks the body’s immune system. Without treatment, it can lead to AIDS. Talk with your doctor about regular testing.

     

    What is the Start It! Louisiana campaign? The goal is to mobilize, normalize and support Louisiana citizens in their sexual health. This campaign and its resources can help members prevent, treat and manage HIV.

  • Get a well-woman checkup every year

    A well-woman checkup can help catch problems early, when they’re easier to treat. A woman’s health can change quickly, and cancer doesn’t always have signs or symptoms. So talk with your doctor at your well-woman checkup.

     

    Most well-woman checkups include a breast exam, Pap test and plans for a mammogram. Be sure to check out the rewards you can earn for these screenings.

     

    Breast cancer screening

    Screening to find breast cancer includes a:

     

    • Breast exam
    • Mammogram for women over 40 years old

    Cervical cancer screening (Pap test) 

    Two screening tests can help prevent cervical cancer or find it early:

     

    • The Pap test (or Pap smear) looks for precancers — cell changes on the cervix that might become cervical cancer without treatment
    • The HPV test looks for the virus (human papillomavirus) that can cause these cell changes 

    You’ll want to start getting Pap tests at age 21. Talk with your doctor about which option is right for you:

    • A Pap test only: If your result is normal, your doctor may say that you can wait three years until your next one.
    • An HPV test only/primary HPV test: If your result is normal, your doctor may say that you can wait five years until your next one.
    • A Pap test with an HPV test/co-test: If both of your results are normal, your doctor may say that you can wait five years until your next one.

    If you’re older than 65

    Your doctor may say that you don’t need screening if:

     

    • You’ve had normal screening tests for several years
    • You’ve had your cervix removed as part of a total hysterectomy for non-cancerous conditions, like fibroids

     
    You can call your primary care physician (PCP) or your OB/GYN. You don’t need a referral. 

     

    Colorectal cancer screening

    Colorectal cancer usually starts with abnormal growths (polyps) in the colon or rectum. Tests can find these polyps:

     

    • So your doctor can remove them 
    • Before they turn into cancer
    • Earlier, when they’re easier to treat 

    Starting at age 50, screening is the key to preventing colorectal cancer and finding it early. Some people may need screening earlier or more often than other people, if:

     

    • You or a close relative have had colorectal polyps or colorectal cancer
    • You have an inflammatory bowel disease, such as Crohn’s disease or ulcerative colitis
    • You have a genetic syndrome such as familial adenomatous polyposis (FAP) external icon or hereditary non-polyposis colorectal cancer (Lynch syndrome)

    If you think you’re at more risk for colorectal cancer, talk with your doctor about:

     

    • When to start screening
    • Which test is right for you
    • How often to get screening

    Find a provider

  • Substance use disorders happen when the repeated use of alcohol or drugs causes impairment. This includes:

     

    • Health problems
    • Disability
    • Failure to meet major responsibilities at work, school or home

    These illnesses are common, serious and tend to repeat. But many people recover with treatment.

     

    If you need help with mental health or a substance use disorder, we’re here for you. We offer behavioral health treatment to our members who need it. We’ll also connect you with local resources for more support.  

     

     

    What to do if you’re having a crisis 

    If you’re thinking of hurting yourself or someone else, get help right away. You can call:  

     

     

  • Crisis Line (PDF)

     

  • PSS flyer (PDF)

  • Permanent Supportive Housing Referral (PDF)

  • Employment support services (PDF)

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