Programas especiales
You have access to special programs to help you get the care you need. And prevent health issues in the future. Read on to learn more about these programs.
You can learn more about each program listed below and choose to opt in or out of the programs by calling Member Services at 1-855-232-3596 (TTY: 711) or by contacting your Care Manager.
If you need help using your benefits, you can call us at 1-855-242-0802 (TTY:711). Then, ask to speak with a care manager.
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 learn more about wellness? Just 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:
Did you know that you can earn rewards for pregnancy and birth care? Check it out.
Let our care management team take care of you. Our nurses work with different providers, agencies and groups to get you the care you need.
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.
Learn more about chronic condition management
Want to learn more about managing your condition? Just register for MyActiveHealth℠. You can get healthy living tips, watch videos about wellness, learn about a healthy lifestyle and more.
Get these screenings each year to help manage your diabetes:
Did you know that you can earn rewards for these screenings? Check it out.
If you have uncontrolled asthma, we may be able to help you manage it better. Our program:
We’ll contact you if you may be a good fit for this extra help. This is based on:
Once you enroll in the program, you can also get a no-cost, in-home environmental assessment.
High blood pressure is dangerous because often, it has no symptoms. That’s why you need to know if you have it. You can check your blood pressure at home or have it checked at your doctor’s office or pharmacy.
Did you know that you can earn rewards for refilling your blood pressure medication? Check it out.
You can also get a digital blood pressure monitor (one per household) with a prescription and a copay. You can order it:
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.
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. You can reach a nurse at 1-855-242-0802 (TTY: 711).
Mental and behavioral health are part of your whole health. Call 911 or go to the nearest hospital if:
You can use any hospital for emergency care, even if it’s not in our network. Just show your member ID card.
You can also call our behavioral health crisis line 24 hours a day, 7 days a week: 1-855-242-0802 (TTY: 711). Choose the option for a behavioral health crisis. We’ll connect you to our licensed mental health professionals.
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:
Check out some of these articles to learn more about getting the right care at the right time:
Our goal is to help you stay well by stopping the spread of diseases. We do this by providing vaccines at no cost.
In late 2019, a new type of coronavirus began making people sick with flu-like symptoms. The COVID-19 virus spreads easily. It can be more serious in some people, while others have no symptoms at all.
To help prevent the spread of COVID-19, health experts recommend:
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.
You can also earn rewards, so it pays to avoid the flu.
HPV is a virus that can cause genital warts, as well as cancers of the:
Everyone aged 9 to 26 should get the HPV vaccine. It works best if given at ages 11–12. Be sure to talk with your doctor or your child’s doctor about the HPV vaccine.
Two types of pneumococcal vaccines protect against a type of illness in your respiratory system (lungs and airways). Health experts recommend this shot for all:
Be sure to talk with your doctor or child’s doctor about your situation.
A sexually transmitted disease (STD) passes from one person to another during sexual activity. The more common term today is sexually transmitted infections (STIs). This is because people may have no symptoms, but still have an infection that needs treatment.
You know your body best. See your doctor if you have any unusual symptoms. Pain, swelling, burning and discharge are some examples. You have coverage for testing and treatment of STIs, so don’t delay.
This is a common STI that can infect both men and women. Chlamydia spreads through sex with someone who has the infection. Antibiotics treat chlamydia.
This is another common STI that can infect both men and women. Gonorrhea spreads through sex with someone who has the infection. Antibiotics treat gonorrhea.
This is a viral infection that causes liver inflammation. It spreads through contaminated blood. This infection can be short-term or long-term, and can lead to liver failure, liver cancer or chronic liver disease (cirrhosis). Talk with your doctor or your child’s doctor about screening at your annual well visit.
HIV is a virus that attacks the body’s immune system. Without treatment, it can lead to AIDS. Talk with your doctor about regular testing.
What is the Start It! Louisiana campaign? The goal is to mobilize, normalize and support Louisiana citizens in their sexual health. This campaign and its resources can help members prevent, treat and manage HIV.
A well-woman checkup can help catch problems early, when they’re easier to treat. A woman’s health can change quickly, and cancer doesn’t always have signs or symptoms. So talk with your doctor at your well-woman checkup.
Most well-woman checkups include a breast exam, Pap test and plans for a mammogram. Be sure to check out the rewards you can earn for these screenings.
Screening to find breast cancer includes a:
Two screening tests can help prevent cervical cancer or find it early:
You’ll want to start getting Pap tests at age 21. Talk with your doctor about which option is right for you:
Your doctor may say that you don’t need screening if:
You can call your primary care physician (PCP) or your OB/GYN. No necesita una derivación de otro médico.
Colorectal cancer usually starts with abnormal growths (polyps) in the colon or rectum. Tests can find these polyps:
Starting at age 45, screening is the key to preventing colorectal cancer and finding it early. Some people may need screening earlier or more often than other people, if:
If you think you’re at more risk for colorectal cancer, talk with your doctor about:
Substance use disorders happen when the repeated use of alcohol or drugs causes impairment. This includes:
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.
If you’re thinking of hurting yourself or someone else, get help right away. You can call:
Louisiana Crisis Hub (LCH): 855-24CARE5 (855-242-2735)
Louisiana Crisis Hub (LCH) Website
The Louisiana Crisis Hub is an access point to many crisis services that make up the Louisiana Crisis Response System.
If you or someone you know needs help with a behavioral health crisis, please call the Louisiana Crisis Hub at 855-24CARE5 (855-242-2735).
The Louisiana Crisis Hub (LCH) is free and available 24/7. We are here to help anyone in Louisiana who is having a crisis. You get to decide what a “crisis” means for you. Our friendly specialists can:
When you call, our specialists will listen to understand what you need. You choose what kind of help works best for you. Sometimes, we can even connect you directly with the care you choose so that you can get help fast.
All calls are private, and we follow privacy laws. Although our help is free, other services or resources might have costs.
All trademarks are the property of their respective owners.