High Option Plan

Wellness and Other Special feature

24-hour help line for mental health and substance use disorder

You may call 877-468-1016, 24 hours a day, 7 days a week, to access in-person support for a wide range of concerns, including depression, eating disorders, coping with grief and loss, alcohol or drug dependency, physical abuse and managing stress.

24-hour nurse line

Call CareAllies 24-Hour Nurse Line at 877-220-NALC (6252) to access a registered nurse 24 hours a day, 7 days a week. This nurse line seeks to influence consumer behavior by providing tools, education, counseling and support to help members make decisions with respect to their health and use of healthcare services.

Behavioral Health Coaching Program

Bend’s Behavioral Health Coaching Program through Optum is a live video-based service that supports children and families seeking to modify challenging behavior to achieve their behavioral health goals. Along with age and symptom-specific care programs, the coaching program offers interactive content, resources, parenting tips, tools, and peer community support (for caregivers) that members can access to support their progress.

Onboarding and assessment protocols ensure that clinically appropriate care programs are selected and provide ongoing monitoring of progress, risks, and clinical needs. In addition, coaches are supervised by licensed mental health providers at all times to ensure the appropriateness of services and the potential need for a higher level of care.

Members can enroll in the Bend Health program online at www.bendhealth.com/nalchbp.

Childhood Weight Management Resource Center

Visit our Web site for information and tips on weight management and overcoming childhood obesity. You can access numerous articles on food, nutrition, exercise and fitness specifically geared for children of all ages. You can also find recipes, meal suggestions, and a BMI chart designed for children from age 2 through 20.

Through this on-line tool, parents can sign up for a free OptumHealth Live and Work Well monthly email newsletter that can be tailored to their child’s age and special interests.

Complex and Chronic Disease Management Program

Accordant Health Management offers programs for the following complex chronic medical conditions:

• Amyotrophic Lateral Sclerosis (ALS-Lou Gehrig's Disease)
• Chronic Inflammatory Demyelinating Polyradiculoneuropathy (CIDP)
• Crohn's Disease • Cystic Fibrosis (CF)
• Dermatomyositis
• Gaucher Disease
• Hemophilia
• Hereditary Angioedema
• Human Immunodeficiency Virus (HIV)
• Multiple Sclerosis (MS)
• Myasthenia Gravis (MG)
• Parkinson's Disease (PD)
• Polymyositis
• Rheumatoid Arthritis (RA)
• Scleroderma
• Seizure disorders (Epilepsy)
• Sickle Cell Disease (SCD)
• Systemic Lupus Erythematosus (SLE)
• Ulcerative Colitis 

Disease management programs

- Your Health First

Through a clinical identification process, individuals are identified who have a chronic medical conditions uch as asthma, COPD, depression, diabetes, heart disease, and musculosketletal disorders. Health advocates trained as nurses, coaches, nutritionists and clinicians use a one-on-one approach to help individuals:

• Recognize worsening symptoms and know when to see a doctor
• Establish questions to discuss with their doctor
• Understand the importance of following doctors' orders
• Develop health habits related to nutrition, sleep, exercise, weight, tobacco, and stress
• Prepare for a hospital admission or recover after a hospital stay
• Make educated decisions about treatment options

Enhanced Caremark Direct Retail Program

You can purchase non-covered drugs through your local CVS network pharmacy and receive the convenience, safety, and confidentiality you already benefit from with covered prescriptions. Our Enhanced CaremarkDirect Retail is offered at no additional charge to you. Using this program at your local CVS Pharmacy, as well as all major chains, for both covered and non-covered prescriptions will help ensure overall patient safety. The program allows you to get a discount on many prescription drugs not covered by our prescription benefits.

Enhanced CaremarkDirect Retail is a value-added program that provides you with safe, convenient access to competitively priced, non-covered prescriptions, and certain over-the-counter drugs. 

You may call 800-933-NALC (6252), 24 hours a day, 7 days a week, for a complete listing of available medications and their cost.

Health Assessment

A free Health Assessment is available under Quicklinks at www.nalchbp.org. The Health Assessment is an online program that analyzes your health related responses and gives you a personalized plan to achieve specific health goals. Your Health Assessment profile provides information to put you on a path to good physical and mental health.

Any eligible member or dependent over the age of 18 can earn $30 in health savings rewards by completing the Health Assessment. See Wellness Incentive Programs in this section for more details. Or, you may be eligible to choose from the following:

• When one covered member completes the Health Assessment, you may choose one of the following: 
• Self only CignaPlus Savings® discount dental program. We will pay the CignaPlus Savings® discount dental premium for the remainder of the calendar year in which you completed the Health Assessment provided you remain enrolled in our Plan; 
• Waiver of two $25 PPO medical office visit copayments (when the Plan is the primary payor) incurred in the same year as the Health Assessment is completed. Copayment waivers will be applied to claims for services rendered after completion of the Health Assessment; or 
• A wearable activity tracking device. 
• When two or more covered family members (including the member) complete the Health Assessment, you may choose one of the following: 
• Family CignaPlus Savings® discount dental program. We will pay the CignaPlus Savings® discount dental premium for the remainder of the calendar year in which you completed the Health Assessment provided you remain enrolled in our Plan; 
• Waiver of four $25 PPO medical office visit copayments (when the Plan is the primary payor) incurred in the same year as the Health Assessment is completed. Copayment waivers will be applied to claims for services rendered after completion of the Health Assessment; or 
• A wearable activity tracking device (limit 2 devices per enrollment). 

Note: You must be 18 years or older to be eligible to complete the Health Assessment. Individuals age 13 and older can access other services offered by CareAllies/Cigna.

CignaPlus Savings® is a discount dental program that provides members access to discounted fees with participating dental providers. For more information on this program, call 877-521-0244 or visit www. cignaplussavings.com.

Healthy Rewards Program

A program available to all members that provides discounts on services that are not usually covered by the Plan. You will receive discounts on weight management and nutrition services, fitness clubs, vision and hearing care, and healthy lifestyle products. This program promotes wellness, good health, and healthy behaviors. For more information call 800-870-3470 or visit our website.

Our Musculoskeletal Program through Hinge Health offers a convenient way to help you overcome back and joint pain, avoid surgeries, and reduce medication usage - all from the comfort of your home. This program is offered at no cost to you and your dependents. Depending on the treatment needed, this program offers access to physicians, physical therapists and health coaches, and motion sensor technology to guide you to the right care at the right time.

For more information or to enroll call 855-902-2777 or visit hingehealth.com/nalc. 

Personal Health Record

Our Personal Health Record allows you to create and maintain a complete, comprehensive, and confidential medical record containing information on allergies, immunizations, medical providers, medications, past medical procedures, and more. Participation is voluntary and access is secured. Access this tool from our home page.

Solutions for Caregivers

For members or spouses that are caring for an elderly relative or disabled dependent, this program provides expert assistance from a Care Advocate, a registered nurse with geriatric, disability and community health experience. Your benefit gives you a bank of six free hours per calendar year, which may be used for any combination of the following services:

• Evaluating the elder’s/dependent’s living situation 
• Identifying medical, social and home needs (present and future) 
• Recommending a personalized service plan for support, safety and care 
• Finding and arranging all necessary services 
• Monitoring care and adjusting the service plan when necessary 

Whether it's arranging transportation to doctors' appointments, explaining insurance options, having safety equipment instarlled, or coordinating care with multiple providers, the Care Advocate will help ensure that your elderly relative or disabled dpendent maintains a safe, healthy lifestyle.

You can call 866-463-5337 to speak with a Care Advocate from 7:00 a.m. to 5:00 p.m. (CST) Monday through Friday.

You may also access educational resources and discounted products and services anytime online at www.uhc.com/caregiving. An account is not required to access Solutions for Caregivers services.

Substance Use Disorder (SUD)

This program offers assistance in finding In-Network providers and treatment options in the area and provides education about the SUD condition. Call Optum^TM at 855-780-5955 to speak with a licensed clinician who can help guide you to an In-Network treatment provider or treatment center. Better treatment outcomes occur when you have a lear individualized treatment plan within your community.

Telehealth services

Virtual doctor visits are available through NALCHBP Telehealth. Download the mobile app for Android or iOS mobile devices by visiting Google Play™ or the Apple App Store, visit www.nalchbptelehealth. org or call 888-541-7706 to access high quality, affordable care, when you need it, where you need it. Care is provided by U.S. board licensed and credentialed physicians and nurse practitioners who can write a prescription for medication, if appropriate. Virtual visits can be used for adults or children with minor acute, non-emergency medical conditions such as flu, sinus problems, allergies, abrasions or minor wounds. See Section 10 for definition and more examples.

Note: This benefit is only available through NALCHBP Telehealth.

Weight Management Program

The Real Appeal® Program through Optum™ is an online weight loss program that offers group and one-on-one personalized coaching through an online and mobile platform. The program focuses on weight loss through proper nutrition, exercise, sleep and stress management. Members will have access to a Transformation Coach and a suite of online tools to help track food and activity. Members will also receive a Success Kit to support their weight loss journey including a food and weight scale, resistance band, workout DVDs and more!

Coaching sessions are scheduled online at the members’ convenience and educational content is provided throughout the year. Coaches will be able to see the participants’ progress throughout the course of the program and be able to offer personalized support. Real Appeal® encourages members to make small changes toward larger long-term health results with sustained support throughout the duration of the program.

Members can click here to enroll in the Real Appeal® Program.

You can earn valuable health savings rewards to use towards eligible medical expenses. We will send each eligible member, 18 years of age and older, a debit card to access his or her account. Please keep your card for future use even if you use all your health account dollars; you may be eligible for wellness incentives in subsequent benefit years. We do not send new cards to continuing participants until the card expires. If you leave the NALC Health Benefit Plan, any money remaining in your account will be forfeited. Below is a list of programs, screenings, and preventive services that are eligible for a health savings reward. See criteria to receive the reward in the section indicated.

See our official brochure or visit our Wellness Incenitive Programs page for more details.

Non-FEHB benefits

CignaPlus Savings® (discount dental program)

CignaPlus Savings® (discount dental program) – Non-FEHB benefit

CignaPlus Savings® is a discount dental program that provides members access to discounted fees with participating dental providers. This program is available only to members, and their dependents, of the NALC Health Benefit Plan. The monthly Self Only premium is $3.00 and $5.00 for Self and Family. This is a discount program and not insurance, and the member must pay the entire discounted charge for dental services.  For additional information or to join call 877-521-0244 or visit our Web site.