Noblesville Schools Medical Plan 113 Clinical Programs and Resources Complex Medical Conditions, Programs and Services Cancer Resource Services (CRS) Program Your Plan offers Cancer Resource Services (CRS) program to provide you with access to information and member assistance through a team of specialized cancer nurse consultants and access to one of the nation's leading cancer centers. To learn more about CRS, visit www.myoptumhealthcomplexmedical.com or call the number on your ID card or call the program directly at 1-866-936-6002. Coverage for oncology services and oncology-related services are based on your health plan's terms, exclusions, limitations and conditions, including the plan's eligibility requirements and coverage guidelines. Participation in this program is voluntary. Your Plan Sponsor is providing you with Travel and Lodging assistance. Refer to the Complex Medical Conditions Travel and Lodging Assistance Program. Kidney Disease Programs Kidney Resource Services (KRS) program End-Stage Renal Disease (ESRD) The Kidney Resource Services program provides Covered Persons with access to a kidney case manager who specializes in helping individuals experiencing End Stage Renal Disease. Participants engage with a case manager who will provide you with knowledgeable care management, education including transplantation, and personalized support. The kidney case manager also helps you manage other conditions, such as diabetes, high blood pressure, and cardiovascular disease. He or she may also help you find doctors, specialists and dialysis centers. The interdisciplinary team includes a medical director, diabetic nutritional educator, and social worker. This voluntary program is designed to help you be your own best advocate for your health. You may have been referred to the kidney program by your medical provider or from past claim information. As part of your health insurance benefits, it’s available at no extra cost to you. The kidney program provides access to nearby quality affordable dialysis centers based on your preferred dialysis modality type. You will receive treatment based on a “best practices” approach from health care professionals with demonstrated expertise. There are thousands of contracted dialysis centers across the country. In situations where you cannot conveniently access a contracted dialysis center, CKS may negotiate affordable patient-specific agreements on your behalf. KRS case manager advocates are available Monday through Friday toll-free at 1-866-561-7518 (TTY: 711). Coverage for dialysis and kidney-related services are based on your health plan’s terms, exclusions, limitations and conditions, including the plan’s eligibility requirements and coverage guidelines. Participation in this program is voluntary. Transplant Resource Services (TRS) Program Your Plan offers Transplant Resource Services (TRS) program to provide you with access to one of the nation's leading transplant programs. Receiving transplant services through this program means your transplant treatment is based on a "best practices" approach from health care professionals with extensive expertise in transplantation. To learn more about Transplant Resource Services, visit www.myoptumhealthcomplexmedical.com or call the number on your ID card.
[UHC] HDHP Basic - Medical Plan Summary Page 119 Page 121