March 2023 11 You are not alone in this journey of maintaining a healthy body and healthy kidneys.There is help and that help starts with your National Elevator Industry Health Benefit Plan. Your National Elevator Industry Health Benefit Plan provides comprehensive health care services that enable individuals to successfully identify and treat diseases that affect the kidneys, such as diabetes, as well as protect overall kidney health. Regardless of if you are simply finding out the health of your kidneys, treating a chronic illness such as diabetes that can negatively affect your kidneys, treating chronic kidney disease or having to schedule a kidney transplant, the Plan has you covered with the following services: 1. Preventive Care and Wellness Program a. Annual Wellness tests and screenings i. Cholesterol screenings ii. Complete blood counts (includes kidney function specific testing such as Creatinine and BUN tests) iii. General physical exam iv. Urinalysis – (includes kidney function specific tests) v. EKG testing vi. Screening for Gestational Diabetes 2. Medical a. Blue Cross Blue Shield PPO offers an extensive network of medical providers including specialists such as nephrologists, the doctors who treat kidney disease b. The Plan give you freedom to visit any provider you’d like and when you visit a provider in the BCBS network, your covered medical expenses are generally paid at 100% of the provider’s negotiated charge (after meeting deductible) 3. Diabetes Management Programs a. Self-Management Training Program b. Virta Diabetes and Obesity Treatment 4. Health Management Program a. Disease Management, Case Management and Utilization Management i. Coordinated health care interventions and communications designed to support individuals with acute and chronic illnesses such as cardiovascular disease and diabetes 5. Smoking Cessation Program a. The Plan offers the Quit for Life Program at no cost 6. Prescription Drug Coverage a. Retail pharmacy and home delivery program 7. End-Stage Renal Disease Treatments (for individuals diagnosed with kidney failure) a. Hemodialysis treatments b. Peritoneal dialysis treatments 8. Transplantation a. For those who are faced with the life-saving services of transplantation, the Plan offers comprehensive and expansive transplant surgery services. b. Benefits are payable for certain organ transplants when services are provided through a facility in the OptumHealth Complex Medical Conditions Transplant Network. The OptumHealth network has transplant facilities throughout the country that are proficient in performing heart, kidney, bone marrow, liver, lung, intestinal and pancreas transplants Do not wait to find out about the health of your kidneys! Get tested today!
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