FAQ

Who will be invited to join the program?

Who will be invited to join the program?

Enrollment is by invitation only to patients with specific conditions or need for extra support such as those taking many medications or members with multiple disease states, cancer, autoimmune disease, recent hospital discharges, or multiple Emergency Department visits.

If I get sick, can I request access to the program?

If I get sick, can I request access to the program?

No, but if you are suffering from an illness that causes you to access multiple physicians, be admitted to the hospital, or take more than ten prescription medications or certain medications, you may be eligible for the program.

I received a call or letter encouraging me to join. Why was I contacted?

I received a call or letter encouraging me to join. Why was I contacted?

We are here to support you to achieve optimum health, based on your individual needs. A review of your claims history and health information suggests you could benefit from additional resources to help you manage your medical condition.

What is the cost?

What is the cost?

This is a service provided by UNC Health Care System. There is no additional cost to you.

To use this benefit, am I limited to UNCHC physicians and facilities for care?

To use this benefit, am I limited to UNCHC physicians and facilities for care?

No, you may see any health care providers you choose and your Personal Health Advocate will work directly with your providers whether or not they are part of UNCHC. If you do not have a primary care physician, or would like to switch to a new one, we will help you with that.

What’s the benefit to UNCHC? Why are they offering this program?

What’s the benefit to UNCHC? Why are they offering this program?

The good health of those we serve is very important to us. Our ultimate goal is to provide better care for patients that have more complex care needs so that they can be healthier and happier.

Do I have to join if asked?

Do I have to join if asked?

This program is a valuable service offered by UNC Health Care. Some may receive a financial benefit for participation. All that join will have access to valuable care coordination benefits.

How is this different from other programs offered by health insurance plans?

How is this different from other programs offered by health insurance plans?

Unlike other programs, we will support your current treatment plan by coordinating directly with your physicians, the hospital or other health care providers that you may benefit from seeing through comprehensive care management tailored to meet your needs. If you don’t currently have a treatment plan or access to appropriate providers, we can help you with these.

     

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