High Option Plan

Wellness and Other Special Features

Pamphlets and Flyers | Refer to the 2020 NALC Health Benefit Plan brochure (RI 71-009) for complete details.

Wellness and Other Special feature

 

24-hour help line for mental health and substance abuse

You may call 877-468-1016, 24 hours a day, 7 days a week, to access in-person support for a wide range of concerns, including depression, eating disorders, coping with grief and loss, alcohol or drug dependency, physical abuse and managing stress.

24-hour nurse line

Call CareAllies 24-Hour Nurse Line at 877-220-NALC (6252) to access a registered nurse 24 hours a day, 7 days a week. This nurse line seeks to influence consumer behavior by providing tools, education, counseling and support to help members make decisions with respect to their health and use of healthcare services.

Childhood Weight Management Resource Center

 

Visit our Web site for information and tips on weight management and overcoming childhood obesity. You can access numerous articles on food, nutrition, exercise and fitness specifically geared for children of all ages. You can also find recipes, meal suggestions, and a BMI chart designed for children from age 2 through 20.

Through this on-line tool, parents can sign up for a free OptumHealth Live and Work Well monthly email newsletter that can be tailored to their child’s age and special interests.

Disease management programs

- Your Health First

Through a clinical identification process, individuals are identified who have a chronic medical conditions uch as asthma, COPD, depression, diabetes, heart disease, and musculosketletal disorders. Health advocates trained as nurses, coaches, nutritionists and clinicians use a one-on-one approach to help individuals:

  • Recognize worsening symptoms and know when to see a doctor
  • Establish questions to discuss with their doctor
  • Understand the importance of following doctors' orders
  • Develop health habits related to nutrition, sleep, exercise, weight, tobacco, and stress
  • Prepare for a hospital admission or recover after a hospital stay
  • Make educated decisions about treatment options

Enhanced Caremark Direct Retail Program

You can purchase non-covered drugs through your local CVS network pharmacy and receive the convenience, safety, and confidentiality you already benefit from with covered prescriptions. Our Enhanced CaremarkDirect Retail is offered at no additional charge to you. Using this program at your local CVS Pharmacy, as well as all major chains, for both covered and non-covered prescriptions will help ensure overall patient safety. The program allows you to get a discount on many prescription drugs not covered by our prescription benefits.

Enhanced CaremarkDirect Retail is a value-added program that provides you with safe, convenient access to competitively priced, non-covered prescriptions, and certain over-the-counter drugs. 

You may call 800-933-NALC (6252), 24 hours a day, 7 days a week, for a complete listing of available medications and their cost.

Health Assessment

The Health Assessment is an online program that analyzes your health related responses and gives you a personalized plan to achieve specific health goals. Your Health Assessment profile provides information to put you on a path to good physical and mental health.

  • When one covered member completes the HRA, you may choose one of the following:
    • Self only CignaPlus SavingsSM discount dental program;
    • Waiver of two $20 PPO medical office visit copayments (when the Plan is the primary payor) incurred in the same year as the Health Assessment is completed; or
    • A wearable actifity tracking device.
  • When two or more covered family members (including the member) complete the HRA, you may choose one of the following:
    • Family CignaPlus SavingsSM discount dental program,
    • Waiver of two $20 PPO medical office visit copayments (when the Plan is the primary payor) incurred in the same year as the Health Assessment is completed; or
    • A wearable activity tracking device (limit 2 devices per enrollment  

Note: You must be 18 years or older to be eligible to complete the Health Assessment. Individuals age 13 and older can access other services offered by CareAllies/Cigna.

CignaPlus SavingsSM is a discount dental program that provides members access to discounted fees with participating dental providers. For more information on this program, call 877-521-0244 or visit www.cignaplussavings.com.

Healthy Rewards Program

A program available to all members that provides discounts on services that are not usually covered by the Plan. You will receive discounts on weight management and nutrition services, fitness clubs, vision and hearing care, magazine subscriptions, and healthy lifestyle products. This program promotes wellness, good health, and healthy behaviors. For more information call 800-558-9443 or visit our Web site.

Personal Health Record

Our Personal Health Record allows you to create and maintain a complete, comprehensive, and confidential medical record containing information on allergies, immunizations, medical providers, medications, past medical procedures, and more. Participation is voluntary and access is secured. Access this tool from our home page.

Solutions for Caregivers

For members or spouses that are caring for an elderly relative or disabled dependent, this program provides expert assistance from a Care Advocate, a registered nurse with geriatric, disability and community health experience. Your benefit gives you a bank of six free hours per calendar year, which may be used for any combination of the following services:

•  Evaluating the elder’s/dependent’s living situation

•  Identifying medical, social and home needs (present and future)

•  Recommending a personalized service plan for support, safety and care

•  Finding and arranging all necessary services

•  Monitoring care and adjusting the service plan when necessary

You also have the option to purchase continuing services beyond the six hours offered. You must call 877-468-1016, 24 hours a day, 7 days a week, to access the services of Solutions for Caregivers. Hours of operation are 8:00 a.m. to 8:30 p.m. (Pacific time), with a Care Advocate on call after hours and on weekends.

Substance Use Disorder (SUD)

This program offers assistance in finding In-Network providers and treatment options in the area and provides education about the SUD condition. Call OptumTM at 855-780-5955 to speak with a licensed clinician who can help guide you to an In-Network treatment provider or treatment center. Better treatment outcomes occur when you have a lear individualized treatment plan within your community.

Telehealth services

Virtual doctor visits are available through NALCHBP Telehealth. Download the mobile app, visit www.nalchbptelehealth.org or call 888-541-7706 to access high quality, affordable care, when you need it, where you need it. Care is provided by U.S. board licensed and credentialed physicians and nurse practitioners who can write a prescription for medication, if appropriate. Virtual visits can be used for adults or children with minor acute, non-emergency medical conditions such as flu, sinus problems, allergies, abrasions or minor wounds. See Section 10 for definition and more examples.

Note: This benefit is only available through NALCHBP Telehealth.

Weight Management Program

The Real Appeal® Program through Optum™ is an online weight loss program that offers group and one-on-one personalized coaching through an online and mobile platform. The program focuses on weight loss through proper nutrition, exercise, sleep and stress management. Members will have access to a Transformation Coach and a suite of online tools to help track food and activity. Members will also receive a Success Kit to support their weight loss journey including a food and weight scale, resistance band, workout DVDs and more!

Coaching sessions are scheduled online at the members’ convenience and educational content is provided throughout the year. Coaches will be able to see the participants’ progress throughout the course of the program and be able to offer personalized support. Real Appeal® encourages members to make small changes toward larger long-term health results with sustained support throughout the duration of the program.

Members can enroll in the Real Appeal® Program online at www.nalchbp.org.

Non-FEHB benefits

CignaPlus Savings® (discount dental program)

CignaPlus Savings® (discount dental program) – Non-FEHB benefit

CignaPlus Savings® is a discount dental program that provides members access to discounted fees with participating dental providers. This program is available only to members, and their dependents, of the NALC Health Benefit Plan. The monthly Self Only premium is $3.00 and $5.00 for Self and Family. This is a discount program and not insurance, and the member must pay the entire discounted charge for dental services.  For additional information or to join call 877-521-0244 or visit our Web site.