Keeping you healthy. Making you well.
As your health plan, our goal is to put you in control of your health care choices. We give you the resources you need to make intelligent health care decisions that will keep you healthy or make you well.
MyHealthProfile is a health risk assessment tool that provides you with a personalized health report. Once you are enrolled in a CareFirst health plan, you will receive a letter in the mail with your MyHealthProfile temporary username and password. You will then be able to log on to www.myhealthiq.com/carefirst and answer questions about your medical history, frequency of preventive services you are receiving, your emotional health as well as your current lifestyle choices.
After completing MyHealthProfile, you will receive a comprehensive health report that will alert you to possible health risks and provide you with recommendations on how to stay healthy. The report also includes a summary page that you can take to your doctor with questions about your health.
Our lifestyle management programs provide you with online health information based on your answers from MyHealthProfile. This information is customized just for you and can help you achieve a healthier lifestyle! We have lifestyle management programs to help you:
- Manage stress
- Keep a healthy diet
- Quit smoking
- Lose weight
- Maintain an exercise routine.
Once you enroll, you can:
- Read your personalized reports
- Take part in interactive exercises
- Access external resources with tracking tools, testimonials, quizzes and activities.
The lifestyle management tools are available only if you complete MyHealthProfile online. If you have any questions regarding MyHealthProfile or lifestyle management programs, please contact a health support representative at (866) 449-9705.
We also have a Healthy Lifestyle Coaching program that provides you with support if you could be at risk for a disease. While you may not have a disease, your MyHealthProfile report may determine that you could be at risk.
For example…
The MyHealthProfile report may identify you if you are a heavy smoker and also have asthma in your family history. If you were to acquire asthma, your condition may be severe because of smoking.
You could be invited to participate in health coaching sessions where a health coach helps you set goals to help you quit smoking-and not only that, but you can talk to your coach every step of the way until you’ve reached your goal(s). Call (866) 737-5569 if you have questions about the Healthy Lifestyle Coaching program.
 Visit My Care First for information that can help you manage your health.
At My Care First you will find:
- Information on more than 300 health-related topics
- Interactive health calculators that determine important measurements such as body mass index and target heart rate
Vitality, our quarterly health magazine, gives you updates on your health plan and includes health and wellness articles to help you achieve a healthier lifestyle. Each issue is filled with information such as food and nutrition, physical fitness and preventive health.
Our Options program offers discounts on wellness services such as fitness memberships and Weight Watchers Online.
When you need to be hospitalized or need therapy, your doctor will work with the Utilization Management team to ensure you receive the right care in the right place at the right time. If you are hospitalized, a Utilization Management nurse will review your information and assist with discharge planning or approve additional inpatient hospital days if necessary.
Taking prescription drugs can be confusing and overwhelming. Don’t worry - we have the tools to help you understand the complicated world of prescription drugs. Go to the Prescription Drug section where you can:
- Download pharmacy claim forms and mail order forms
- Search the drug database to determine your copay level
- Get the latest prescription drug news and updates to the preferred drug list
- And more!
 We know that there are many things to remember when you are living with a chronic condition. Our disease management programs can help you manage your condition and help you to avoid complications. We have nurses available to provide you with information and assist you in managing:
- Asthma
- Chronic Obstructive Pulmonary Disease (COPD)
- Coronary Artery Disease
- Diabetes
- Heart Failure
- Acid-related Disorders
- Atrial Fibrillation
- Decubitus (Pressure) Ulcers
- Fibromyalgia
- Hepatitis C
- Inflammatory Bowel
- Irritable Bowel Syndrome
- Low Back Pain
- Osteoporosis
- Osteoarthritis
- Urinary Incontinence
Once you enroll, you will:
- Be able to call a toll-free number 24 hours a day, seven days a week, to speak with a registered nurse
- Receive educational materials and quarterly newsletters with information about your condition
- Receive reminders and tools to help you manage your condition
These programs are free, voluntary and confidential. Call (800) 783-4582 to find out if you are eligible or to enroll in one of the programs.
 When faced with a serious diagnosis or condition, you and your family have many tough choices and decisions to make. The Case Management program can help you navigate the complex health care system and provide support during your time of need.
Some of the conditions/diseases most frequently case managed include (but are not limited to):
- Serious trauma
- Rehabilitation
- Cancer
- Special needs
Our case managers will:
- Work closely with you and your doctors to identify a treatment plan
- Coordinate necessary services
- Contact you regularly to see how you are doing
- Answer any of your questions
- Suggest community resources that may be available
This program is free, voluntary and confidential. To enroll or to find out more information, call 888-264-8648.
Great Beginnings provides you with information and resources to help you and your baby during pregnancy. This program is free, voluntary and confidential. To enroll or to learn more, call 888-264-8648.
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Prevention
Utilization Management
Disease Management
Case Management
