We understand that availability of routine care has been limited due to the COVID-19 pandemic. This September, we’re sending health and wellness reminders to certain members to help them maintain their health during these unprecedented times.
All members with asthma, coronary artery disease, or diabetes will receive letters to remind them about preventive services that are important to managing their health.
|Members who have||And as of December 31, 2020 are||Will receive information about||Sample letter|
|Asthma||Ages 5+||Medication to control asthma:
||See samples of health and wellness reminders. Log on and find this article in News>Clinical and Pharmacy, and open links to the adult and pediatric reminder letters.|
|Coronary artery disease||
Members who do not have one of the conditions listed above but who are eligible for routine mammography or colorectal cancer screening will get a call, email, or text telling them of the importance of these services.
|Members who did not have||And as of December 31, 2020 are||Will receive a message about|
|Either a flexible sigmoidoscopy, colonoscopy, FIT-DNA, or fecal occult blood test during the measure period1||
||The importance of screening for colorectal cancer|
|A mammogram during the measure period2||
||The importance of screening for breast cancer|
1For colorectal cancer screenings, we identify members back to January 1, 2019 who have been continuously enrolled for two years, and review for a screening claim in the following time frames:
2For mammography, we identify members back to October 1, 2018 who have been continuously enrolled for two years and look for a screening mammogram claim between October 1, 2018 – June 30, 2020
As always, we urge our members to discuss any tests or treatments with their doctors. Please help reinforce these messages to your patients with these conditions and those who are due for screening services.
To review the guidelines we use for our recommendations, log on and go to Clinical Resources>Clinical Programs & Information>Treatment Resources. Click on the appropriate condition and you’ll see links to nationally recognized treatment guidelines.