Additional Health Programs
Your health coverage extends beyond doctor visits and prescriptions. These additional benefits are designed to support your physical, mental, and emotional well-being, giving you more ways to stay healthy and get care when you need it most. From virtual visits and preventive screenings to specialized support for managing ongoing conditions, these resources help you take charge of your health every day.
You’ll also find programs that focus on healthy living and early care — helping you catch issues before they become serious and maintain balance in all areas of life. Explore what’s included with your plan and use these tools to feel your best year-round.
Specialized Medical Care Management
Accarent – comparison shop for medical procedures at top rated hospitals and get guidance on your treatment and diagnosis. Note: This program is separate from your Capital Blue Cross medical plan coverage. You don’t need to be enrolled in Capital Blue Cross to use this benefit.
Diabetes Prevention and Management
Weis Markets LiveWell Programs – The LiveWell with Diabetes Associate Program and the LiveWell with Hypertension Associate Programs are virtual programs to help associates manage their health. Through these programs, associates gain access to support and guidance from a Weis Dietitian and Weis Pharmacist. When you complete either program, you’re entered in a raffle for one day of vacation time! To enroll, email livewell@weismarkets.com.
Teladoc – Teladoc Health’s Cardiometabolic Program is a virtual resource to help you manage chronic conditions such as diabetes, hypertension, and obesity. The program includes personalized coaching and connected devices. If you register, you can earn $25 of Healthy Blue Rewards!
Womens Health Tool
Ovia – resources for women’s health, preventive care, family planning, pregnancy, postpartum recovery, and menopause.
Joint & Chronic Pain Support
Sword – physical therapy from the comfort of home to reduce joint pain and reduce risk of surgery.
Nurse Line
Registered nurses provide free advice 24/7 on when to seek urgent care, home treatments, understanding your medications, and how to make decisions on tests, medication, and procedures, as well as when to call a doctor.
Your Guide to Using Health Care
Care Coordination
The goal of coordinated care is to ensure that patients, especially the chronically ill, get the right care at the right time, while avoiding unnecessary duplication of services and preventing medical errors. Call Care Coordinators as your independent advocates to help you:
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Understand your prescriptions and connect to benefits and resources.
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Find in-network providers and specialists.
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Resolve claims and billing issues and get help with appeals.
Need a medical treatment? Request a personalized Cost Comparison Report for specific procedures, such as an X-ray, MRI or other scans, mammogram, colonoscopy, or elective surgery.
Care Coordinators research for you (including your preferred provider). When you choose a lower-cost provider from the report, you can earn a reward of 20% of the savings, up to $1,000! For questions, call 1-855-300-2273.
Second Opinion Services
For a fresh expert review of a new diagnosis or treatment plan, call Cleveland Clinic through Capital Blue Cross at 1-833-433-5914.
Blue Cross Care Management
This program helps you and your eligible family members understand health conditions and care options and can coordinate hospital visits and treatment plans so you can make informed choices and maintain your quality of life. Call 1-888-545-4512 for this free and confidential service.
Preauthorization: Know Before You Go
Certain services require preauthorization to ensure benefit payment. For example, if you’re having surgery, be sure to get a preauthorization letter from Capital Blue Cross first. For more information, visit capbluecross.com/preauthorization.
Examples of preauthorized services include inpatient admissions, diagnostic services, durable medical equipment, office and outpatient surgeries, therapy services, transplants, reconstructive and cosmetic services, medical injectables, investigational and new procedures and pharmaceuticals, and select outpatient behavioral health services. If you have questions, contact your Care Coordinator or call Capital Blue Cross at 1-800-471-2242.
Lab Work and Same-Day Surgery
Where you go for lab work and same day (outpatient) surgery is up to you. If you use independent labs, you pay lower coinsurance. Call a Care Coordinator to find and schedule convenient, quality, and cost-effective providers.
Blue Distinction Centers
This program includes health care facilities and providers that deliver specialty care and better patient results at a lower cost. You benefit when you choose a Blue Distinction Center for these procedures:
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Hip/knee replacement
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Bariatric (weight loss surgery)
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Spine surgery
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Transplants
Compare costs and get preauthorization to minimize surprises. Get help from a Care Coordinator or call Capital Blue Cross at 1-855-300-2273.
Mental Health Resources
Sometimes the hardest part about addressing a mental health issue is taking the first step. Telemedicine services from Capital Blue Cross and Teladoc can make that step a bit easier. Schedule a video or phone consultation with a provider anywhere, any time. Register now at virtualcarecbc.com and teladochealth.com before you need care.