• Gastrointestinal Disorders: Ulcerative Colitis, Crohn’s Disease • Oncology: Breast, Prostate, Colorectal, Lung • Endocrine Disorders: Diabetes (type 1 and type 2) • Genitourinary Disorders: Chronic Kidney Disease (CKD) Maternity CARE Maternity CARE provides pre-pregnancy education and high-risk pregnancy identification to help mothers carry their babies to term. This program increases the number of healthy, full-term deliveries and decreases the cost of long-term hospital stays for both mothers and babies. Program members are contacted by CARE nurses at least once each trimester and once postpartum. This program also offers an educational call and materials specifically to assist the participant’s support person. UMR’s pre-pregnancy support program helps women learn about risks and take action to prevent serious and costly medical complications before they become pregnant. Women with pre-existing health conditions, such as diabetes and high blood pressure, face risks not only to their babies, but also to themselves while they are pregnant. Members self-enroll in the Maternity CARE program by calling our toll-free number or enrolling online at www.umr.com. They are then contacted by CARE nurses who have extensive clinical backgrounds in obstetrics/gynecology. Plans may choose to utilize UMR’s standard incentive, which is a prepaid reward card to each member who enrolls in the first or second trimester and actively participates in the Maternity CARE program. Additional CARE Provisions Real Appeal Program: This Plan provides the Real Appeal Program, which represents a practical solution for weight-related conditions, with the goal of helping individuals at risk from obesity-related diseases and those who want to maintain a healthy lifestyle. This program is designed to support Covered Persons over the age of 18. This intensive, multi-component behavioral intervention provides a 52-week virtual approach that includes one-on-one coaching and online group participation with supporting video content, delivered by a live, virtual coach. The experience will be personalized for each participant though an introductory call. This program will be individualized and may include, but is not limited to, the following: • Online support and self-help tools: Personal one-on-one coaching, group support sessions, including integrated telephonic support, and mobile applications. • Education and training materials focused on goal setting, problem-solving skills, barriers, and strategies to maintain changes. • Behavioral change guidance and counseling by a specially trained health coach for clinical weight loss. Participation is completely voluntary and without any additional charge or cost share. There are no Co-pays, Plan Participation, or Deductibles that need to be met when services are received as part of the Real Appeal Program. If Covered Persons would like to participate, or would like any additional information regarding the program, they can visit the Real Appeal website at Coach.WeRally.com. -82- 7670-00-413597
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