L.A. Care | Wellpoint SSB | My Health | 2014 - page 8

8 ·
My Health
One-on-one help for your health
Are you having a hard time managing an ongoing health
condition? Would you like to have a nurse who can work
with you by phone whenever you need help? That’s what our
disease management care team can do for you.
The Disease Management Centralized Care Unit (DMCCU)
works closely with our members. We’re here to help you
manage all of your health care and get the care you need
from your health care providers. We can talk with you and
mail you information to learn how to manage your health
conditions. Our programs include care management for:
Lung conditions like asthma and chronic obstructive
pulmonary disease (COPD).
Diabetes.
HIV/AIDS.
There are great tools to help you manage your
prescriptions online. And they’re easy to use. At our
site, you can:
•   
Find out medicine (drug) costs.
•   
Order a drug refill.
•   
Check for drug-to-drug interactions, side effects
and major risks.
•   
View and search the Anthem Drug List.
•   
Fill your prescription at an in-network pharmacy.
You can get a list of these pharmacies on our
website or by calling the Customer Care Center
number on your ID card.
•   
Find out other information about certain drugs.
Some drugs require that you get an OK before
you can get the prescription. There also may be
step therapy, quantity limits, an exception, or
age or gender limits, depending on the drug.
Or it might be a drug that’s right for dose
optimization. (This is when you take a drug more
than once a day; sometimes your doctor can
prescribe a higher amount that you only have to
take once a day.) Different rules help make sure
drugs are used safely and correctly.
•   
See if a drug has a limit in place. If it does, it
will be noted on the drug list. The drug must be
approved by your plan first. Please call us with
any questions.
To learn more, go to
anthem.com/ca
. You may
also ask for a paper copy to be faxed or mailed to
you. Or you can call us at
1-888-285-7801
. Please
remember to check the website for periodic updates
throughout the year. If you have hearing or speech
loss, please call the TTY line at
1-888-757-6034
.
Your pharmacy benefits program
By registering on the member website, you
can also:
Learn about your copays and costs you
will have to share (if any).
View existing claims.
Search our provider and hospital directory.
Change your primary care provider (if it applies
to your health plan).
Order a new member ID card.
If you do not have access to the internet, cannot
find the information you’re looking for or need a
paper copy of any of our latest notices, please
call
1-888-285-7801
(TTY
1-888-757-6034
).
More reasons to go online
Have asthma?
Take action so you
can breathe easier!
Asthma is a chronic condition, like diabetes or high blood
pressure. It does not go away, but the symptoms can be
controlled. If you learn what to do and get help from your
doctor, you can help make your asthma attacks (asthma out
of control) a thing of the past.
To manage asthma
You can take control with these key steps:
1
Know what things make your asthma worse (triggers),
and avoid those triggers. Triggers are different for
different people. They can include:
Smoke (including
tobacco and
secondhand smoke).
Air pollution.
Dust mites.
Cockroaches and their
droppings.
Furry pets.
Mold.
2
See your doctor and take prescribed drugs in the right
way at the right time. Be sure you take drugs exactly as
your doctor tells you to. If you aren’t sure how to use the
medicines, ask your doctor or pharmacist to demonstrate
so you know how to use the medicines the right way.
3
Create an action plan with your doctor to control your
asthma. This plan should be reviewed when you see your
doctor to make sure it stays up-to-date. Go to
/
asthma_actplan.pdf
for a sample action plan. Look
on page 2 of this sample for a list of possible asthma
triggers and ways to avoid them.
Asthma is now the most common chronic condition of
children. It causes more missed school days and parents’
missed days of work than any other illness. Working with
your child’s doctor, follow these tips:
Find and avoid triggers.
Use the medicines your child’s doctor orders (inhalers for
asthma control are key here—use with spacers, which help
your child breathe in the medicines fully).
Have your child’s doctor write and go over with you and
your child an “Asthma Action Plan” for use at home and
school. Make sure to get the plan updated when your child
goes back for follow-up doctor visits.
Go to the LA County Breathmobile website
labreathmobile.com
for additional resources.
Heart conditions like coronary artery disease (CAD),
congestive heart failure (CHF) and hypertension (high
blood pressure).
Behavioral health conditions such as major depressive
disorder, bipolar disorder, schizophrenia and substance
use disorder.
We also offer help with weight management and tobacco
cessation. We can help you find local resources, improve your
overall health and get past barriers to achieve your goals.
To speak with a DMCCU case manager, please call
1-888-830-4300
(TTY
1-800-855-2880
). You can call us
from 8:30 a.m. to 5:30 p.m. local time, Monday through
Friday. You can also visit us on the web at
anthem.com/ca
.
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