Carefirst health insurance wiki

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Stelter discussed the growing mental health crisis adolescents are facing, as well as steps students, parents, and teachers can take to support youth mental health. Blue Shield of California is investing in 4 organizations that are working to support youth mental health in California. Mental illness is the number one reason children in the state are hospitalized, and half of all lifetime cases of mental illness begin by the age of Over the last year, BlueSky and its programs almost doubled the number of educators it trained to spot warning signs of mental health concerns in youth, conducted more than 4, counseling sessions, and supported cultivating a pipeline of diverse youth to work in the mental health field.

The new financial support will continue enhancing these mental health supports with a focus on reducing health disparities. Getting treatment sooner rather than later is important, and seniors should start by making an appointment to see a primary care doctor or a mental health care professional to discuss whether treatment might help, said Jennifer Christian Herman, vice president, Mindbody Medicine at Blue Shield of California.

The clubs provide peer-led support for students with mental health conditions, students whose family members have a condition, or students who are interested in the field or in advocacy — all focused on the goal of reducing mental health stigma among youth.

The Health Care Service Corporation is providing access to an online self-service platform to help fill a gap for some untreated members who have been reluctant to seek care or had difficulty finding it.

The platform, provided by an independent company called Learn to Live, offers around-the-clock mental health assessments and online cognitive behavioral therapy CBT for mild to moderate depression, substance use, social anxiety, insomnia, and stress, worry, and anxiety.

It is available at no added cost to 11 million members, starting at 13 years of age, in most group health plans across its communities in Illinois, Montana, New Mexico, Oklahoma, and Texas. All 4 grant recipients will use the funds to help improve pediatric behavioral health. Blue Cross and Blue Shield of Montana BCBSMT is providing access to an online self-service platform to help fill a gap for some untreated members who have been reluctant to seek care or had difficulty finding it.

The platform, provided by an independent company called Learn to Live, offers around-the-clock mental health assessments and online cognitive behavioral therapy CBT for mild to moderate depression, substance use, social anxiety, insomnia, and stress, worry and anxiety. It will be available at no added cost to members at least 13 years old in most of group health plans.

Blue Cross and Blue Shield of Montana is becoming more strategic in coordinating access to life-saving behavioral health services for members throughout the state — particularly in its most isolated areas. The company also helped fund a new psychiatry residency to bring more mental health professionals to Montana, as well as other programs. To improve access, leaders are working with providers and policymakers to develop care models that will keep members closer to home and reduce obstacles to care, including expanded telehealth services.

The effort is part of a larger initiative to create more medical and behavioral health access and better care management for BCBSMT members no matter where they live. Without intervention, these youth have a higher likelihood of violence, homelessness, incarceration, and poverty in their adult lives. The grant also supports an anti-hunger component that provides healthy and nutritious meals to address food insecurity.

Blue Cross and Blue Shield of North Carolina is expanding its network of behavioral health providers through a collaboration with Headway, a mental health care company that works with insurers to deliver high-value mental health care.

Together the 2 companies will make it easier for Blue Cross NC members to quickly access — as soon as 48 hours — in-network therapists and psychiatrists who meet their specific needs. The focus of the collaboration is on improving access to care for underserved communities, including rural and socially vulnerable counties, children and adolescents, and individuals across diverse racial and ethnic backgrounds.

The program leverages expertise from the tech-enabled behavioral health management company to expand access to behavioral health services and will launch on January 1, Blue Cross NC will work with Mindoula to directly address the mental health crisis and health care shortage in North Carolina by providing tech-enabled support that expands outpatient behavioral health care to members in the greater Triangle area, as well as eligible members outside of North Carolina. Blue Cross and Blue Shield of Oklahoma has made a grant to the National Alliance on Mental Illness of Oklahoma to support mental health efforts focused on young children.

The book is available in English and Spanish for families, organizations, teachers, and young people across Oklahoma at no cost. The grant will enhance intake and admissions coordination services for CalOptima Medi-Cal members who need behavioral health services. The two-year grant will ensure CalOptima members have timely access to services, assessment and placement into care through an improved intake and coordination process at the Be Well Orange Campus. The cost of coordination includes staffing, training and development, administrative services, and a phone system upgrade.

The goal of the investments is to support, expand, diversify, and train the behavioral health workforce. The collaboration will help eliminate obstacles to providing and accessing behavioral health while delivering quality, easy-to-access mental health care for all members. This allows providers to focus on quality care delivery, rather than administrative tasks. The funds from the grant will be used to hire 1 additional full-time peer support specialist and 1 Ukrainian speaking clinician that will support the increasing demand for care.

The grant will also help fund additional support for the broader Ukrainian community. The peer support specialist will provide timely support to Ukrainian refugees to help address mental health and trauma and connect clients to the appropriate services and resources. Services include individualized psychological first aid such as mental health counseling, emotional support groups, workshops to aid in resettlement and referrals for any additional needs like wellness exams, immunizations, housing, employment and more.

Numerous national studies have shown that these communities are disproportionately impacted by lack of access to mental health support. Over the past 2 years, the collaboration has hit several milestones, most recently resulting in expanded payments for culturally specific providers that leverages both traditional payment models by increasing rates and Health Related Service dollars to compensate providers for time invested in outreach and engagement activities.

CareSource is collaborating with Clarigent Health to bring artificial intelligence to behavioral health providers in Ohio. Between the 2 networks, more than , families and youth will have access to the technology. These funds will provide school partners with the emergency, life-saving medication naloxone, develop a custom training course for school staff and connect schools to evidence-based prevention programs.

Services such as after-school and day programming, and therapeutic supports will be embedded in each respite opportunity. Mental well-being is especially important now as youth continue to experience stressors from the COVID pandemic. Centene health plans across the country helped raise awareness by hosting virtual and in-person events in February and March to encourage inclusion and teach children how to combat isolation.

They worked with schools across 10 states, engaging at least 48, students in educational and fun activities. Programs spanning communities in 16 states will receive critical financial support enabling them to positively impact thousands of children across the country. Cordani unveiled new findings about the growing mental health crisis among teenagers and the impact it is having on parents, both at home and work.

Cigna and Evernorth, its health services business, commissioned the study from Economist Impact to examine the mental health effects of the COVID pandemic on teenagers and their parents. The support is focused on equitable, quality access to mental health care services and resources, particularly among the Black, Indigenous, and People of Color BIPOC community.

The survey also found more Americans agree that the pandemic has made them more comfortable seeking support for mental health and using technology to address it. Elevance Health is working to address the behavioral and mental health care needs of all members, at every age. Through the Sydney Health app, for example, a spectrum of care delivery options is available: digital, virtual, and in-person. Sydney Health can connect eligible members to a virtual text visit or a video visit with a behavioral or mental health provider such as a therapist or counselor.

The app allows users to get important information about benefits and claims, track progress toward health goals, access a member ID card, and more.

This approach is personalized and intentional, ensuring that people can receive individualized care. Twelve nonprofit organizations across the state share in the investment, which will support community-based programs that directly improve access to and quality of mental well-being services, particularly for the underserved and uninsured, including racial and ethnic minorities, and low-income populations.

Highmark is encouraging members to focus on mental health in and is reminding them of resources that are available to better manage stress, anxiety, and depression. One new option for members is Meru Health, a week evidence-based program to treat depression, anxiety, and burnout that mixes a clinical human touch with technology, self-care, and data via a discreet smartphone app.

The week treatment program includes consultation with a dedicated licensed therapist, evidence-based video lessons, guided mindfulness practices, habit-changing activities, and anonymous peer support groups, all done on a mobile device. Members will also have access to on-going support following the completion of the week program. Equip offers Family-Based Treatment for eating disorders through a 5-person virtual care team including a therapist, dietitian, medical provider, peer mentor, and family mentor.

Equip is designed to replace the residential level of care and support families throughout their journey to really be the last treatment they will need.

Horizon Blue Cross and Blue Shield of New Jersey is offering eligible members access to MindRight Health, a mental health coaching service that leverages texting to provide coaching and emotional support to young adults ages 13 to Once users sign up on their phones no face-to-face meeting or phone call required , they can receive guidance from a team of coaches supervised by licensed mental health clinicians. Independence Blue Cross released a video featuring Independence and community experts discussing how the COVID pandemic has changed the ways in which people think about mental health and access behavioral health services.

The video discussed changes in the workplace, the increased use of telemedicine, persistent disparities in health care, and how Independence can support young people who have suffered losses during this time. The Yogathon helped raise awareness of suicide prevention as well as funds to benefit mental health programs at Mental Health Advocates of WNY. The Bell Seal is a workplace mental health certification that recognizes employers who strive to create mentally healthy workplaces for their employees.

The program provides emotional support and trauma-informed training to staff members, who then help other staff members and students. The grant will extend support for staff members, students, and families who are experiencing traumatic stress following the Marshall Fire. A mental health initiative developed by Kaiser Permanente and esports organization Cloud9 has been found to be an effective way of supporting the mental health of young adult esports players and fans, according to a new study from the NEJM Catalyst.

Presence of Mind launched in May with the goal of reaching teens and young adults with positive mental health messages in places where they spend a lot of their time: online gaming and esports platforms.

As of May , the training sessions have been accessed by more than 51, teens and young adult gamers who have learned how to better manage their mental health and support their friends when they need it most. A telehealth program at Kaiser Permanente Northern California KPNC is expanding support for people with serious, persistent mental illness by adding psychiatric clinical pharmacists to their care teams.

The care teams deliver a package of comprehensive care for a highly vulnerable patient population, who are more likely to have chronic conditions such as diabetes and hypertension and a lifespan shortened by 10 to 25 years. The program takes advantage of a growing workforce of clinical pharmacists with 2 years of postgraduate training in psychiatry.

Kaiser Permanente adult members in Colorado now have access to a day subscription to Ginger, an on-demand mental health care solutions provider.

Ginger provides confidential emotional support through on-demand coaching via text-based chats and skills-building content. The private, one-on-one texting sessions provide support in coping with common challenges such as managing stress or getting better sleep. The program will provide 1, youth and youth-serving adults with evidence-informed suicide prevention and bullying prevention training over 6 months and will enable Mental Health America of Hawaii to increase training to individuals in rural areas of Oahu, Hawaii Island, and Kauai.

Magellan will host events Sept. Magellan Health, Inc. Magellan confidential consultation services are offered at no charge to the communities to assist individuals as they work to cope with the feelings of fear, sadness, anger, or hopelessness related to these kinds of incidents. Crisis line callers may also seek information and guidance to other available resources, such as community-based support.

Magellan Health has opened a complimentary hour crisis line for individuals impacted by the elementary school shooting that occurred in Uvalde, Texas. The line is available to all Superior HealthPlan members and the local community. The toll-free number to access free, confidential consultation services is Magellan confidential consultation services are offered at no charge to the community to assist individuals as they work to cope with the feelings of fear, sadness, anger, or hopelessness related to these kinds of incidents.

Magellan Healthcare has launched a Digital Emotional Wellbeing program that helps members improve overall health and wellbeing, manage stress, and build resilience in a confidential manner. Participating Magellan members with emotional concerns who use the NeuroFlow app or website receive recommendations and have access to activities to help them improve their overall health.

Magellan Healthcare is offering resources to support the emotional wellness of first responders, health care workers, and the National Guard in Idaho who are serving on the front lines of the coronavirus pandemic. Magellan continues to make available a free, confidential hour crisis line. This is available for all first responders, health care workers, and the Idaho National Guard citizen soldiers and airmen. Look up human resources for health in Wiktionary, the free dictionary.

It perfectly demonstrates how glass can be used as a vessel for ambition, style, and sophistication. The bottle was created with none of the usual visual cues of a standard whiskey bottle. Instead, it was crafted to celebrate the liquid inside and the process behind its creation. The design takes its cues from laboratory glassware found in the micro-distillery and the paneling of a whiskey cask. It has been shaped to refract and bounce light. The side panel embossing produces a Kaleidoscope of patterns within the body of the bottle, bringing Method and Madness together.

It recognises a successful initiative, by a trade association, to tackle an important issue that will drive the future prosperity and growth of its members.

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CloseKnit's care teams offer preventive and urgent care, behavioral and mental health, chronic condition prevention, medication management and more. Learn More. We're on a mission to make quality care affordable, easy to use and available to everyone in Maryland, Washington, D. Learn about who we are and who we advocate for. Discover how we're investing in the health of our communities. Learn how we're working to transform healthcare.

Our online resources, tools and support make doing business with CareFirst easy, so you can focus on patient care. Apply Now. Interested in making a meaningful difference in our community? Explore our career opportunities to find your place with one of the world's most ethical companies. Search Jobs. Have a question for us? If you are looking to buy or renew a CareFirst plan, please contact us at Have a question about individual or family plans?

Visit our contact us page. Skip Navigation. Login Register. Explore our Insurance Basics pages. Need Insurance? Log In or Register. Acupuncture, bariatric surgery, cosmetic surgery, dental care adult , hearing aids, infertility treatment, long-term care, private-duty nursing, routine foot care, and weight loss programs. To use the Find a Doctor tool, log in or select the Guest option.

Enter your zip code and then select a network. Choose All Plans, then Medical from the drop down list. You will then see an option to search Primary Care Providers. This tool will show you primary care physicians who are in-network for CareFirst's Blue Cross Blue Shield coverage, with their specialty, whether they are accepting new patients, what languages they speak, where they went to medical school, and their practice address and phone number.

Learn more about selecting a doctor. Members may seek specialty care and behavioral healthcare from in-network or out-of-network providers. Be sure to talk with your primary care provider about your preferences. Depending on your plan, you may need a referral from your primary care provider in order to access specialty care. Refer to your member benefit booklet for details. Members can log in to My Account to find participating in-network providers and facilities with the Find a Doctor tool.

Certain nonemergency hospital and other medical services require preapproval from CareFirst. Customer Service can assist you with the directory or help you locate a practitioner or facility within a specific geographic area.

Video Visit doctors are U. HMO and POS plans: When you see an out-of-area participating BlueCross BlueShield doctor or hospital for emergency or urgent care, you only pay out-of-pocket expenses, like a copayment.

Your provider files the claim, which is paid at the in-network level. If your plan provides out-of-network benefits, those covered services are paid at the out-of-network benefit level. After you receive medical attention, your provider will file the claim. CareFirst pays all participating and preferred doctors and hospitals directly.

You are only responsible for any out-of-pocket expenses non-covered services, deductibles, copayments or coinsurance. If the provider does not participate with a BCBS plan, you must pay at the time of service. However, if you visit a non-participating provider or non-participating pharmacy for service, you must submit the claim yourself. You can submit your claim one of two ways:. To ensure you are receiving the most appropriate medication for your condition s , additional information may be required from your doctor before filling certain prescriptions.

In those instances, CareFirst will work with you and your doctor to manage the process. To see whether your drug is excluded or requires prior authorization, step therapy or quantity limits, visit the Drug Search page and select your plan year to find your specific formulary. If the drug does not meet the needs of your particular condition or is excluded from the formulary, your doctor can request an exception with a Prior Authorization Form. To ensure our members have access to safe and effective care, CareFirst reviews new developments in medical technology and new applications of existing technology for inclusion as a covered benefit.

We evaluate new and existing technologies for medical and behavioral health procedures, medications and devices through a formal review process. We also consider input from medical professionals, government agencies and published articles about scientific studies. If you have concerns regarding a decision that adversely affect coverage, such as a denial, a reduction of benefits, or a denial of authorization for services, you may call the Member Services telephone number on the back of your member ID card.

A representative can assist you with resolving the issue or initiating the appeal process. If needed, language interpretation is available.

If you would like to review the procedure for filing an appeal, visit carefirst. For a printed copy, call Member Services at the telephone number on the back of your member ID card. In addition, many members have a right to an independent external review of any final appeal or grievance decision. Refer to your Evidence of Coverage for more specific information regarding initiating an external review, a final appeal determination or a complaint.

If you need language assistance or have questions, call the Member Services telephone number on the back of your member ID card.

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