Health
programs

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 get health coaching? Or just learn more about wellness? 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 pregnancy and after birth by: 

• Providing screenings 
• Offering proven treatments 
• Working closely with your providers 

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

• Pregnancy care
• Get tips on staying healthy while pregnant

Some medicines pass through the mother’s bloodstream to the baby’s blood. Severe drug withdrawal symptoms can happen after the baby is born. NAS is the medical name for this condition.

Do you use alcohol, street drugs or even prescription medicine? These can harm you and your baby. Stopping suddenly can also cause harm. So be sure to get help from your doctor. 

Questions? Just call Member Services at ${member_services_phone}.

Some members have special health care needs and medical conditions. Our care managers include nurses who can: 

• Work with different providers, agencies and groups to help you get the care you need 
• Help you make appointments
• Talk about your care with your doctor

[Care managers can also help members with: 

• High-risk pregnancy
• Neonatal intensive care (NICU) for babies after birth
• Treatment of substance use for women and their babies after birth]

If you think you need help from a care manager, call Member Services at ${member_services_phone}. Then, ask if you qualify for care management.

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. You may also get a call from a care manager, who can help you or your child manage chronic conditions like: 

• Asthma
• Diabetes
• COPD (chronic obstructive pulmonary disease)
• CAD (coronary artery disease)
• CHF (congestive heart failure)
• Mental health/depression

Questions about chronic condition management? Just call Member Services at ${member_services_phone}.

Chronic condition management

Want to get health coaching to help you manage your condition? Just register for MyActiveHealth. You can get healthy living tips, watch videos about wellness, learn about a healthy lifestyle and more.

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.  

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

24-Hour 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. 

To reach a nurse, just call [1-XXX-XXX-XXXX]. We’re here for you 7 days a week, 24 hours a day. And we can link you to the right resources. 

Behavioral health crisis

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 also call our behavioral health hotline at [1-XXX-XXX-XXXX]. We’re here for you 7 days a week, 24 hours a day. And we can link you to the right resources.

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:

Is it an emergency?

Where to go for quick medical care

Flu

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.

Learn how to protect yourself from the flu

COVID-19

Members [12 years and older] can get the vaccine for the coronavirus (COVID-19). You can ask your doctor about getting this shot. Or check with the Centers for Disease Control and Prevention (CDC) for more info about the COVID-19 vaccine.

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.  

• Find treatment for addiction
• Find resources in your community
• Learn more about your behavioral health benefits

Get help in a crisis

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

• Our crisis line: ${member_services_phone}. Choose the crisis option
• The National Suicide Prevention Lifeline: 1-800-273-8255 (TTY: 711)

• Get help with SUDs
• Read this article about SUDs