Members

Support for Healthy Living

Healthy Living in contentPremier Health Plan presents Support for Healthy Living, our care programs to help you live your best, healthiest life. You will begin to see this graphic displayed on communications that are a part of our clinical programs outlined below.

We strongly support patient care and want to make sure you have the attention you need to thrive. That’s why we created our clinical programs, to match you with caring providers to help you get well and stay well.

Clinical Programs

We offer six programs for Premier Health Plan members. Our goal is to help you improve your health and address the specifics of your care. Members must meet certain eligibility requirements to participate in our Care Advising programs. Our Care Advisors will determine which members are eligible for which programs. However, members may self-refer to any of the Care Advising programs by calling (855) 859-1734(855) 859-1734.. TTY users call (855) 250-5604(855) 250-5604.

  • Complex Care Program - Your care team of local providers gives added care if you have one or more serious illnesses. The care advisor, a registered nurse, works with you and your providers throughout the care plan to help meet your goals. 
  • Transition Care Program - Your care team helps you make a safe move from the hospital back home. This program helps you lower the chance that you’ll have to go back to the hospital. Your care may include home visits and follow-up appointments. If you have added needs, your care team may recommend you to the Complex Care Program.
  • Condition Care Program –This program offers education to those with serious conditions. This helps you learn things that you can do yourself to manage your condition. Programs include:
    • Asthma
    • Diabetes
    • Coronary Artery Disease (CAD)
    • Heart Failure
    • Chronic Obstructive Pulmonary Disease (COPD)
     
  • Emergent Care Program - Your care advisor and providers look after your needs so you don’t make unnecessary trips to the ER.
  • Catastrophic Care Program - This program supports you and your caregivers when you have a life-changing health condition.
  • Advanced Illness Care Program –This program is for members who have a serious illness or end of life needs. A care advisor works as a go-between for the patient and providers. The care advisor gives added support and comfort and assists with treatment plans and care choices. Offered to Medicare members only.

If you are eligible for these programs you will be contacted directly from a Premier Health Plan Care Advisor. 

Members may self-refer to any of the Care Advising programs by calling (855) 859-1734(855) 859-1734. TTY users call (855) 250-5604(855) 250-5604.