Health Management Programs
Value based benefits are becoming a trend in the healthcare industry. These benefits are designed to give members financial incentives such as, zero to low co-pays to cover condition specific costs, such as lab tests and medications. These incentives help individuals manage specific conditions so they can maintain a healthy way of life and have been proven to reduce the likelihood of a life altering event.
APWU Health Plan is proud to offer our members the opportunity to take part in our Health Management Program. APWU Health Plan primary health plan members who enroll in the management programs will be eligible for cost saving benefits to help them manage their specific condition. Currently the APWU Health Plan offers a Diabetes Management Program and Hypertension Management Program.
Diabetes Management Program
(High Option and Consumer Driven Option members)
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Zero co-pay for in-network medical office visits for diabetes management (this does not include visits to a Podiatrist or Opthalmologist)
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Zero coinsurance for in-network lab tests related to diabetes management
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Zero out-of-pocket costs for generic drugs from Medco by Mail
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Zero out-of-pocket costs for Insulin, test strips, lancets, syringes, and pen needles from Medco by Mail
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Zero out-of-pocket costs for Insulin pumps and supplies purchased in-network
Hypertension Management Program
(High Option members only)
- Zero co-pay for in-network office visits for the treatment of hypertension
- Zero coinsurance for in-network office visits for the treatment of hypertension
- Zero out-of-pocket costs for generic drugs from Medco by Mail for the treatment of hypertension
Weight Management Program
(High Option members only)
Starting in 2012, if you are an APWU Health Plan primary member enrolled in the CIGNA/CareAllies Weight Management Program and participate as required by the program, you may eligible for the following incentives for in-network services only:
- Zero co-pay for in-network office visits to a registered Dietician/Nutritionist
- To visit our directory of PPO providers click here, enter “Nutrition Services” in the search field and your zip code; or call CIGNA at 1-800-582-1314 for PPO providers.
High Option Members:
ENROLLMENT
To enroll please call 1-800-582-1314:
- Prompt 5 (for Diabetes Management Program)
- Prompt 6 (for Hypertension Management Program and Weight Management Program)
After you enroll and speak to a Health Coach, you will be mailed a letter and Diabetes Management Program ID card showing the effective date of entitlement to the $0.00 incentives. Show this card when you visit your in-network physician.
The Diabetes and Hypertension Management program is managed by CareAllies. Please visit their website for more information as well as more information on other services provided.
Consumer Driven Option Members:
ENROLLMENT
To join, you must be diagnosed with diabetes or pre-diabetes, or have a fasting blood sugar in range of either condition.
If you are not yet diagnosed but have risk factors: Make an appointment with your doctor to get screened. If your fasting blood sugar is 100 or over, you are eligible to register and enroll.
If you’re an existing UnitedHealthcare member, and have been treated for diabetes or pre-diabetes within the last 12 months or received a fasting blood sugar score of 100 or higher at a worksite screening, register online anytime at:
uhc.healthinsight.com/apwuhpdiabetesprogram
(you will have to register if you haven’t already done so)
or use the enrollment eligibility form, which can be found at:
If you’re new to UnitedHealthcare or recently visited your doctor and were diagnosed with diabetes or pre-diabetes, use the enrollment eligibility form.
For more information please call 1-800-718-1299.
