Health and Wellness Services
We invite you to take advantage of the wealth of information and services offered here to enhance your well-being. Within the health and wellness pages, you will find a number of links to various wellness and disease management sites.
Behavioral Health Services
Our staff is responsible for the entire behavioral health process of care. We field questions from you and your provider, receive and evaluate requests for treatment, manage your follow-up care, and process your claims. If you need to seek treatment and have never seen a behavioral health provider, refer to your provider list to locate and make an appointment with a participating provider. Visit our behavioral health page to see more information. If you need assistance or have any questions regarding behavioral health, please call our office at 1.877.221.9295 (24 hours a day) and we will help you.
Disease Management Programs
We currently manage members with diabetes, asthma, chronic obstructive pulmonary disease (COPD), congestive heart failure (CHF), and coronary artery disease (CAD). Visit our disease management area to find out more information.
Member Case Management Referral
For members experiencing a critical illness or injury, The Health Plan provides specially trained registered nurses in case management to assist in coordinating care and services. If you believe you could benefit from this program, you can contact the case managers by submitting a form online, calling our Medical Department toll-free at 1.800.624.6961, ext. 7644 or 7643.
Nurse Information Line
If you need someone to talk to about a health concern you may have, our nurse information line will help you to get in touch with one of our many nurses, 24 hours a day, 7 days a week.
If you need any written information provided by The Health Plan in an alternate language or format due to special needs such as vision, reading impairments, or language translation difficulties, please contact our Customer Service Department toll-free at 1.888.613.8385, Monday through Friday, 8:30 am to 5:00 pm.
Prenatal and Pregnancy
The ultimate outcome of the pregnancy program is have a healthy mom and healthy baby. The Health Plan focuses on reducing NICU admissions and reducing all costs associated with preterm birth and other complications of pregnancy.
Our utilization management program focuses on maintaining quality care for inpatient and outpatient services in a cost-effective manner. We continually evaluate the medical necessity, appropriateness, and efficiency of the use of health care services, procedures and facilities.
Learn what an advance directive is, how to complete one based on the state you reside in, and more.