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Health management programs
Your plan can do a lot for you. If you have questions about your health or a condition that requires special care, we can help.
Chronic health issue management
If you have a chronic health issue like asthma, diabetes or heart disease, you may be eligible for Healthy Endeavors℠. With Healthy Endeavors, you can talk with a trained nurse health coach at no extra cost to you.
Case management program
If you’ve been diagnosed with a complex health condition, our nurse case managers can teach you about your condition, give you reading materials to learn more, coordinate your care with your doctor, and help create a preventive care plan for healthier living. There's no extra cost to you.
Free mobile health app
Wellframe® is a free mobile application that connects you to a confidential and supportive health care team.1 Wellframe can give you personalized daily care plans, appointment reminders, and encouragement and support, and health checklists tailored to you. Call the Federal Employee Customer Service line to learn more.
Medication therapy management
Blue Cross NC provides medication therapy management (MTM) to members with a Service Benefit Plan. With MTM, clinical pharmacists can help you identify, prevent and resolve any medication-related problems, from side effects and drug interactions to drug use for non-medical purposes. Call to get one-on-one counseling from a clinical pharmacist.
Member resources
Prescription drugs
Some prescription medications require pre-approval from Blue Cross NC. Before you buy, you can check to see if your prescriptions need pre-approval by visiting the FEP Blue pharmacy page. You can also call the Retail Pharmacy Program at 800-624-5060, or check your plan brochure for more information.
Pre-approvals for medical services
Some procedures and services require pre-approval from Blue Cross NC. Services that may require pre-approval include:
- Hospice care
- Inpatient hospital admission
- Organ and tissue transplants
- Behavioral health (mental health and substance use disorder)
Before you make your appointment for these services, have your doctor or provider call us at 800-222-4739. Your doctor can also find pre-approval forms on our provider prior authorization page.
Forms and resources
Agency Benefits Officers (ABOs)
We have a suite of programs designed to meet the needs of your workforce.
Need more help?
Whether it’s a question about health insurance, a chronic condition or something else, we can connect you with someone who has the answers. Call 800-222-4739 for assistance.
Disclosures:
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Wellframe is an independent company solely responsible for the services it provides and does not offer Blue Cross or Blue Shield products or services. The purpose of the program is to assist you in maintaining and improving your health. The services and information provided by the Blue Cross NC nurse advocates are intended as a resource and are not intended to provide medical advice. Results are not guaranteed. Before making any decisions regarding changes in your care or medications, be sure to consult your doctor.
Blue Cross NC offers wellness programs as a convenience to aid members in improving their health; results are not guaranteed. Blue Cross NC may contract with independent third-party vendors for the provision of certain aspects of our wellness programs and is not liable in any way for goods or services received from them. These vendors do not offer Blue Cross or Blue Shield products or services. Blue Cross NC reserves the right to discontinue or change our wellness programs at any time. These programs are educational in nature. They are intended to help members make informed decisions about their health and comply with their doctor’s plan of care. Decisions regarding care should be made with the advice of a doctor.
Blue Cross and Blue Shield of North Carolina does not discriminate on the basis of race, color, national origin, sex, age or disability in its health programs and activities. Learn more about our non-discrimination policy and no-cost services available to you.
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