The Foreign Service Benefit Plan offers additional services under our Care Management (CM) Programs that assist you with your care coordination for your acute or chronic conditions at no additional cost. These programs provide education, clinical support and access to digital support and well-being tools to help you better manage your health. CM Programs offer you:
- One-on-one support with a nurse or social worker who serves as a trusted resource for you and your family. To begin call 1-800-593-2354 (TTY: 711);
- Group coaching on personalized health topics that is designed to provide health guidance in one thirty to sixty-minute class;
- Digital support that provides a variety of resources to help you manage your health better. To begin using the digital support of CM Programs, log in to Aetna’s secure member website. First-time users will need to register and then go to your health dashboard; and
- Customized health action plans based on your needs and preferences. We offer digital support, nurse support, and group coaching so you can move easily between the services. We offer several digital health and wellness related programs and resources:
- Personal health record – organize and store your health history and information, plus get health alerts and notifications.
- Health evaluation – get a custom, step-by-step plan based on questions about your health and habits.
- Health decision support – learn about your healthcare and treatment options.
- Digital Coach Programs – find dynamic health coaching programs that give you personalized support
- Health dashboard – view your health information and find entry points for health and wellness programs and resources.
Our CM Programs include:
Social Work Program
The Social Work Program is designed to assist you in improving your quality of life by taking steps to help you locate the right resources. Social workers help connect you with community resources that can provide services to you in times of need. Some examples include:
- Local food pantries
- Utility or rental assistance programs
- Home-delivered meal services
- Support groups
- Counseling services
- Federal and state programs Our social workers are licensed and degreed professionals who work in a variety of settings, including government and non-profit organizations, hospitals, schools and clinics.
Social workers also help treat mental, emotional and behavioral issues in clinical settings.
Pain Management Program
The Pain Management Program offers support for members with chronic pain and either taking opioids or trying to avoid opioids. Members enrolled will receive coaching and support, which includes assisting with identifying the availability of other treatment plans that may include non-pharmacologic modalities for the treatment of pain such as, but not limited to: targeted digital exercise therapy, injection therapies, cognitive therapies, psychosocial supports, medical devices (e.g. nerve stimulators) and additional chiropractic, acupuncture, massage therapy, or physical therapy visits. The program also provides assistance with psychological effects of chronic pain, reduction of opioid use, avoiding opioid use and resources for those who are dependent on opioid medications.
Compassionate Care Program
The Compassionate Care Program offers you service and support when you or a family member have a serious illness or face imminent end-of life decisions. The program provides you tools and information to encourage advance planning for the kind of issues often associated with an advanced illness, such as living wills, advance directives and tips on how to begin conversations about these issues with loved ones. This program is designed to provide quality of life improvement through timely member and caregiver education. It encourages better use of community-based services and resources, systemic palliative care integration and enhanced hospice utilization and retention. This program is voluntary and provided to you and your dependents at no additional cost.
Cancer Care Program
The Cancer Care Program provides dedicated proactive support to individuals with a diagnosis of cancer, which can be life changing and overwhelming. Through our program, individuals will better understand their benefits, have the ability to locate the right provider for their specific need and get certain services approved. Individuals also will receive care management support for holistic care, treatment side effects, and medication management.
Behavioral Health Program
The Behavioral Health Program provides resources and support to help you address behavioral health conditions such as anxiety, depression, substance use disorders, domestic violence and more. Our team can work with you to connect you with resources such as a clinical social worker, psychologist or other behavior health professional to obtain the right treatment.
Healing Better Program
The Healing Better Program provides support and educational resources for total knee or hip replacement surgery. The program gives you the tools and resources you need to prepare for a successful surgery and healthy recovery. It provides you access to benefit information specific to joint services, holistic overview of pain management options, digital, personalized education on recovery resources, and mental and physical health tips.
Kidney Support Program
The Kidney Support Program provides support and education to individuals with chronic kidney disease. The program uses advanced analytics, which includes medical claims data, pharmacy data, and lab data to identify individuals who are at high-risk for late-stage kidney disease. Eligible participants will receive a mailer notifying them that they are eligible for the program and will be contacted via phone call to enroll. Our program works to engage you on a regular basis with appropriate interventions based on your specific condition and risk of progression. We will help you manage your comorbidities, diet, medications, and overall health. For patients with end-stage renal disease, or kidney failure, the program will help you understand your various treatment options: transplant, dialysis, or supportive care.
If you would like to contact the Plan for more information about the CM Programs, please call 1-800-593-2354 (TTY: 711). We are available to assist you Monday-Friday from 6:00 a.m. – 5:00 p.m. Mountain Standard Time (MT).