Health management programs for High Option members

Your High Option plan includes access to health management programs that help you protect your well-being and live a healthier life. Benefits include a 24-hour nurse line, along with other healthy extras, all with no out-of-pocket costs in most cases.

Confidential 24-hour nurse line

Speak with a registered nurse to discuss medical concerns and receive information about healthcare issues.

Call 1-800-582-1314

Call 911 for a true emergency.

Healthy Pregnancies, Healthy Babies®

When you’re expecting a baby, this program supports you throughout your pregnancy and in the weeks following your baby’s birth. You can speak to a maternity specialist by phone and receive education during your pregnancy about healthy weight, delivery options, birthing class, and maternity benefits.

Transition of care rules for members who are pregnant

If you are pregnant and you lose access to your specialist based on the circumstances listed below, you can continue to see your specialist and your PPO benefits will continue until the end of your postpartum care, even if it is beyond the 90 days:

  • Lose access to your specialist because we drop out of the Federal Employees Health Benefits (FEHB) Program and you enroll in another FEHB plan, or
  • Lose access to your PPO specialist because we terminate our contract with your specialist for reasons other than cause

You may be able to continue seeing your specialist and receiving any PPO benefits for up to 90 days after you receive notice of the change. Contact us, or if we drop out of the Program, contact your new plan.

Weight management

Getting to and maintaining a healthy weight can help prevent conditions like diabetes and high blood pressure. Benefits include a $0 copay for an in-network office visit to a registered dietician or nutritionist.

Tobacco cessation

A wellness coach can help you move beyond tobacco and take control of your health. The program includes counseling by phone, group therapy sessions, or educational sessions with a doctor. FDA-approved prescription drugs and over-the-counter drugs to treat tobacco dependence are also available for those age 18 or older.

Disease management

Get help managing chronic conditions with outpatient treatment and avoid unnecessary emergency care and inpatient admissions.