1.
|
Who is eligible?
|
|
|
ASTHMA & CHRONIC OBSTRUCTIVE PULMONARY DISEASE (COPD) HEALTH EDUCATION PROGRAM:
Available for eligible enrollees age 5 and older diagnosed with asthma or members 30 years
and older with COPD (COPD includes chronic bronchitis and emphysema) who are enrolled in the
Horizon FEHBP Basic and Standard Option Plans. Asthma program effective November 2004. COPD
program effective February 2006.
(Call: 1-866-697-9696)
|
|
|
DIABETES HEALTH EDUCATION PROGRAM:
Available for eligible enrollees age 18 and older, diagnosed with diabetes and who are enrolled
in Horizon FEHBP Basic and Standard Option Plans. Effective November 2004.
(Call: 1-866-697-9696)
|
|
|
CORONARY ARTERY DISEASE HEALTH EDUCATION PROGRAM:
Available for eligible enrollees age 18 and older who have been hospitalized for cardiovascular
conditions like Angina (chest pain), Heart attack (AMI - acute myocardial infarction) or had
procedures such as CABG (Coronary Artery Bypass Graft Surgery), PTCA (Percutaneous Transluminal
Coronary Angioplasty) and Stent. Available for eligible enrollees enrolled in Horizon FEHBP
Basic and Standard Option Plans. Effective November 2004.
(Call: 1-866-697-9696)
|
|
|
END STAGE RENAL DISEASE (ESRD) HEALTH EDUCATION PROGRAM:
All eligible enrollees diagnosed with End Stage Renal Disease (ESRD) age 18 and older who are
enrolled in Horizon FEHBP Basic and Standard Option Plans. Effective November 2004.
(Call: 1-866-697-9696)
|
|
|
HEART FAILURE HEALTH EDUCATION PROGRAM:
All eligible enrollees age 18 and older, diagnosed with Heart Failure, who are enrolled in the
Horizon FEHBP Basic and Standard Option Plans. Effective November 2004.
(Call: 1-866-697-9696)
|
|
|
HEPATITIS C VIRUS (HCV) HEALTH EDUCATION PROGRAM:
Available for eligible enrollees age 18 and older diagnosed with Hepatitis C Virus, who are enrolled
in the Horizon FEHBP Basic and Standard Option Plans. Effective February 2006.
(Call: 1-866-697-9696)
|
|
|
MULTIPLE SCLEROSIS HEALTH EDUCATION PROGRAM:
All eligible enrollees age 18 and older diagnosed with Multiple Sclerosis, who are enrolled in the
Horizon FEHBP Basic and Standard Option Plans. Effective February 2006.
(Call: 1-866-697-9696)
|
|
|
WEIGHT MANAGEMENT HEALTH EDUCATION PROGRAM:
Available for eligible enrollees age 12 and older diagnosed with Obesity, who are enrolled in the
Horizon FEHBP Basic and Standard Option Plans. Effective February 2006.
(Call: 1-866-697-9696)
|
2.
|
How was I identified for this program?
|
|
|
You may have been identified either through our confidential review of claims, pharmacy data,
your doctor's referral, or our case management activities.
|
3.
|
Is the program free?
|
|
|
Yes, to eligible Horizon FEHBP enrollees (please see #1 above for listing of programs). Participation
in the programs will not directly affect your premium or your status with the Horizon FEHBP Plan.
|
4.
|
What are the program benefits?
|
|
|
The program provides tools to help participants with chronic conditions to better manage their health
and improve their quality of life in collaboration with their physician's plan of care.
|
5.
|
What providers can I see?
|
|
|
You should continue to choose providers as you usually do under your Horizon FEHBP Plan.
|
6.
|
Do you have a list of preferred providers?
|
|
|
You may search for a provider through our web site www.fepblue.org
or provider directory, or contact customer service at 1-800-624-5078.
|
7.
|
Who can I contact with questions or to self enroll in a health education program?
|
|
|
You can contact us at 1-866-697-9696 for the following health education programs:
- Asthma Program
- Coronary Artery Disease (CAD) Program
- Diabetes Program
- End Stage Renal Disease (ESRD) Program
- Heart Failure Program
- Chronic Obstructive Pulmonary Disease (COPD) Program
- Hepatitis C Program
- Multiple Sclerosis Program
- Weight Management Program
|
8.
|
My spouse/friend/family member has a chronic condition and would like to participate in this program. Can they?
|
|
|
Yes, if the individual meets the eligibility mentioned under question #1.
|
9.
|
What if I join the program and then decide to not participate?
|
|
|
Participation in the programs is completely voluntary. At any time, you can contact us at 1-866-697-9696
and disenroll from the program. Customer service will be able to transfer calls to pilot number x59691
while on the call effective 10/29/04.
|
10.
|
Are Durable Medical Equipment (DME) and drugs covered?
|
|
|
You are covered for DME and prescription drugs as outlined in your Service Benefit Plan Brochure.
|
11.
|
Is my health information kept confidential?
|
|
|
Yes. We always work to ensure that all member personal health information remains confidential.
|
12.
|
Who will be answering the phone? What hours are the phones available?
|
|
|
The care specialists within the health education programs are registered nurses, social workers,
or dietitians. They will be answering the phone when a program participant calls. Our care
specialists will be available Monday through Friday from 8:00 a.m. to 7:00 p.m. Eastern Time,
except holidays. You are also able to leave a voicemail message after office hours.
|
13.
|
How quickly will the call be returned?
|
|
|
All calls will be returned within 24 hours from the time the message was left during the business week.
If the message is left on Friday after hours, or over the weekend, a return call will be made on Monday
of the following week.
|
14.
|
How often will I receive information?
|
|
|
All members who are determined to be eligible to participate in the programs will receive an introductory
letter and brochure informing them about the programs and the how participation in the program can help
them improve management of their chronic condition. All members will receive quarterly educational
materials and high-risk members will receive telephonic education. ESRD (End Stage Renal Disease) members
will receive an on-site visit in their dialysis facility by a care specialist if they are treated in a
New Jersey facility.
|
15.
|
I received a Horizon Health and Wellness Education Program mailing in error, (I don't have the disease or condition) can you help me?
|
|
|
Yes, the direct number is 1-866-697-9696.
Your information will be taken and you will be removed from the mailing list. We apologize for any
inconvenience this may have caused.
|
