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Member Programs 

Regence offers the following programs as enhancements to the total benefit package provided to our members. These programs help our members live healthier lives and reinforce and support treatment plans from their physician or other health care professional.

Find additional information on some of these programs.

AdviCare Disease Management
AdviCare Care Management can help your patients better understand and control chronic conditions, such as asthma, congestive heart failure and diabetes. The program encourages patients to take a more active role in self-care and emphasizes the importance of compliance with physician recommendations and treatment plans.

This voluntary program identifies eligible participants using predictive modeling software and claims data. Participants receive educational materials and personalized support from designated, trained health care professionals, including registered nurses and dieticians. While the frequency and methods of contact differ for various levels of member participation, AdviCare offers every participant medication adherence and pharmacy support, comorbidity management, behavioral health intervention, and health and wellness support. Easy-to-use tools and practical resources are designed to make the delivery of quality care easier.

AdviCare supports patients and their families with the following conditions:

Core Conditions

  • Asthma
  • Diabetes
  • Heart failure
  • Coronary artery disease
  • Chronic obstructive pulmonary disease

Impact Conditions

  • Lupus
  • Stroke
  • Back pain
  • Depression
  • Dyslipidemia
  • Hypertension
  • Cystic fibrosis
  • Hepatitis B & C
  • Crohn’s Disease
  • Ulcerative colitis
  • Seizure Disorder
  • Multiple sclerosis
  • Migraine Headache
  • Peptic ulcer disease
  • Barrett’s esophagus
  • Rheumatoid arthritis
  • Transient ischemic attack
  • Cerebral vascular disease
  • Peripheral vascular disease
  • Gastroesophageal reflux disease

When appropriate to a patient’s condition, AdviCare offers:

  • Welcome calls
  • Depression screenings
  • Toll-free access to nurses, 24/7
  • Test, vaccine and check-up reminders
  • Welcome packets with program and disease-specific information
  • Care calls from a dedicated nurse that provide individual support
  • Self-care reminders; may also include tools for tracking physician visits, exams and other health-related information

CareEnhance
This nurse advice line program, administered through McKesson Health Solutions, offers eligible members:

  • Toll-free access to registered nurses utilizing:
    • General health information
    • Algorithm-based symptom assessment
    • Appropriate care advice and follow-up as necessary
  • Access over 1,200+ topics in our Audio Health Library (500+ in Spanish)
  • Assistance in making more informed health care decisions 24-hours a day, seven days a week
  • Quarterly mailings to raise awareness and encourage utilization of available services; includes refrigerator magnets and wallet cards

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Health Coach
This program provides one-on-one support for your patients to set and reach goals for a healthier lifestyle. Participants receive personalized support and educational resources for health issues such as:

  • Nutrition
  • Stress management
  • Weight management
  • And more – all with the focus of getting and staying healthy

Health Coaches step participants through:

  • Stages of change
  • Assessing readiness
  • Confidence to make changes
  • Preparing to overcome barriers and meet goals

Regence Advantages
Discounts are offered to our members from a number of leading health-related companies.

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Special Beginnings
The Special Beginnings® Maternity Management program provides a nurse advice line, available toll-free, 24 hours a day, 7 days a week.  The program includes:

  • Newsletters
  • Prenatal education
  • Help finding resources
  • Individual needs assessment
  • Personal support to help achieve a healthy pregnancy and ultimately a healthy, full-term baby

Eligibility
Many members’ benefits include Special Beginnings at no additional cost. Call our Special Beginnings Department during business hours to verify patient eligibility, 1 (888) 569-2229..

The Pregnancy Center
All members can use the Pregnancy Health Center through myRegence.com.

The Web site offers:

  • Glossary
  • Labor & Delivery
  • 9-Month MiracleTM
  • Before you get pregnant
  • Special-care pregnancies
  • Planning for baby’s arrival
  • Your baby’s first few weeks

Turning Point
An evidenced based program designed to reduce the prevalence and incidence of obesity. The Turning Point program is available to purchase by certain self-insured employer groups as a buy-up program option.

Turning Point targets:

  • The causes of obesity
  • The treatment of obesity
  • The prevention of obesity

Program goals are intended to help your patients:

  • Get healthier
  • Reduce medical costs
  • Become more productive

The program is designed to reinforce the care you are providing by further educating and supporting patients in adhering to prescribed treatment and taking an active role in managing their health care needs.

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