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Wellness and Behavioral Health Programs - Chapter 12, 2018 UnitedHealthcare Administrative Guide

We offer many care coordination programs. They focus on delivering skilled resources to help members understand their care provider’s care plan and medication instructions. To access these programs, have the member call the phone number listed on the back of their health care ID card.

Wellness Programs

Healthy Weight: This is an intense weight management coaching program. It focuses on changing behaviors and lifestyles to achieve long lasting weight loss, reduced health risks, and an improved quality of life.

Tobacco Cessation: We offer a comprehensive tobacco cessation solution integrating industry and employer best practices. Our Quit Power program combines specialized tobacco coaching with nicotine replacement therapy.

Wellness Coaching: This is a phone or mail-based program. It helps members identify and prioritize unhealthy behaviors and set personalized goals that focus on positive, healthy behavior change. We added new digital features, new health topics such as mindfulness, and the ability to chat with coaches.

Real Appeal: Real Appeal takes an evidence-based approach to support weight loss. The program helps people make small changes necessary for larger longterm health results, based on weight-loss research studies commissioned by the National Institutes of Health. Real Appeal uses a highly interactive weekly internet show, videos and live online coaching to drive small behavior changes week by week over a full year. The program is designed to support members who are obese (body mass index or BMI over 30), overweight (BMI of 25 to 29.9) or simply ready to lose weight.

Wellness Incentive Programs

Wellness Incentive programs available for both fully-insured and self-insured members help control health care costs while sustaining competitive employee benefits by rewarding employees with financial incentives when they participate in wellness activities and achieve targeted health outcomes.

Behavioral Health Programs

We offer specialized mental health and substance use benefits delivered by our affiliate company United Behavioral Health, operating under the brand Optum®. This may be available to members depending on their health benefit plan. To access these programs, please have the member call the phone number listed on the back of their health care ID card.

Behavioral Health Solutions: A mental health and substance use benefit helps members get help for problems such as depression, drug or alcohol use disorder and Autism. This program is available around the clock. Optum offers confidential, comprehensive services and arranges a wide array of treatment options from acute inpatient care to individual outpatient counseling. When members and caregivers call Optum for assistance, they speak directly to a specialist who can answer questions related to their mental health and substance use benefits. Working in strict confidence, trained professionals listen to each person carefully. They match referrals to specific needs using a nationwide network.

Employee Assistance Programs (EAP): This gives confidential support for a variety of everyday challenges. It is available to members and their families who have EAP benefits.

The EAP provides short-term counseling for individuals who may be struggling with stress at work, seeking financial or legal advice, coping with the death of a loved one, or just want to strengthen relationships with their family. It also offers assistance, support or referral for other concerns such as:

  • Depression
  • Stress and anxiety
  • Relationship difficulties
  • Financial and legal advice
  • Parenting and family problems
  • Child and elder care support
  • Dealing with domestic violence
  • Substance use and recovery
  • Eating disorders