Overview

DSM provides several important programs and resources to give you more support for your health and wellness.

Horizon CareOnline — Telehealth

Horizon CareOnline — Telehealth

Chat with a doctor by phone or online, anytime and anywhere. The BCBS telehealth program is provided through Horizon CareOnline. If you are in a PPO plan, you pay a $5 copayment for medical and behavioral health visits. If you are in the CDHP, you pay no more than $39 for medical health visits, and what you pay for behavioral health visits varies based on the service/provider. Deductible and coinsurance apply if you are in the CDHP.

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SupplementalAIM Specialty Health Programs

AIM Specialty Health Programs

DSM partners with BCBS and AIM Specialty Health to provide employees information and support to make an informed decision when selecting a diagnostic imaging provider or deciding on a treatment for a sleep disorder. Both programs can help you save on out-of-pocket costs for services, especially if you are enrolled in the CDHP. Be sure to talk with your doctor about the AIM program if your doctor is recommending an imaging service or sleep study.

Primary Nurse Health Management Program

Primary Nurse Health Management Program

Managing multiple chronic conditions can be tough. Horizon BCBS also provides professional support for managing chronic conditions, such as diabetes, asthma and heart disease.

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Smoking Cessation
Tobacco Cessation Resources

Tobacco Cessation Resources

Smoking harms nearly every organ of the body, causing many diseases and affecting the general health of smokers. DSM provides resources to help you quit the tobacco habit and stop smoking.

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Helping HandsRethink Benefits

Rethink Benefits

Rethink’s program provides families raising children with learning, social or behavior challenges, or developmental disabilities with valuable support and research-based resources. Families have access to: live tele-consultation with behavior experts, hundreds of easy-to-follow videos, printable materials, and training to best support their children in reaching their top potential.

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Rethink Benefits

Rethink’s research-based program provides support to families raising children with learning, social or behavior challenges, or developmental disabilities at NO COST.

Caregivers can take advantage of live teleconsultation with skilled behavior experts to answer questions and provide guidance as they support their children in reaching their top potential. Teleconsultations can take place over the phone or via video chat, day or night, any day of the week. Behavioral experts hold advanced degrees and have many years of experience supporting parents. Common teleconsultation topics include:

  • Teaching new skills
  • Addressing problem behaviors at home
  • Troubleshooting lack of progress
  • Collaborating with school and other providers
  • Coping with the stress of a new diagnosis or ongoing daily struggles at home
  • Getting the most out of the Rethink program

Rethink provides families with a variety of resources, training, and support in a simple web-based format. Families have access to printable materials such as flashcards, worksheets, schedule templates, and token boards. They can watch hundreds of easy-to-follow videos from an expansive library depicting behavior experts and educators teaching children skills such as:

  • Language: from beginning speech to back and forth conversation
  • Socialization: from making eye contact and basic sharing to telling jokes and working in groups
  • Self-help: from using utensils and dressing to brushing teeth, hygiene, and doing laundry
  • Academics: from matching and following directions to answering reading comprehension and math word problems
  • Vocational: from filing and sorting to filling out a job application

To learn more about this no cost benefit, register for a webinar or visit the Rethink Benefits website.

Additional Resources

Horizon CareOnline — Telehealth

DSM medical plan participants can contact the telehealth program for help with non-emergency medical issues, such as cold and flu symptoms, migraines, allergies, pinkeye, and stomach pain. Doctors can diagnose and treat many medical issues. In some states, telehealth doctors can even prescribe medication. In other states, the service is not available at this time. Any service restrictions will be noted at the time of your visit.

Horizon CareOnline offers access to behavioral health clinicians including psychologists, psychiatrists and social workers, who have experience in a range of conditions and situations, including anxiety, attention deficit disorder (ADD), depression, eating disorders, grief and stress. Services will be available for children age 10 and older. Behavioral health clinicians will be available via scheduled appointments seven days a week, between 7 a.m. and 11 p.m. ET.

If you are in a PPO plan, you pay a $5 copayment for medical and behavioral health visits. If you are in the CDHP, you pay no more than $39 for medical health visits, and what you pay for behavioral health visits varies based on the service/provider. Deductible and coinsurance apply if you are in the CDHP. Your cost will be displayed on the screen, and you can pay with a credit card prior to your visit. If in-person follow-up care is recommended, the telehealth doctor can help you identify providers based on their proximity to you, but please note that you are responsible for checking to see if they are in-network with BCBS as the telehealth program partners with many health care providers. Before seeking care, go to Horizon CareOnline to locate a network provider.

Diagnostic Imaging

Costs for services, such as an MRI or CAT scan, can vary depending on where you go. Sometimes the differences are significant. For example, the cost for an MRI can range anywhere from $300 to $3,000, but a higher price doesn’t necessarily guarantee higher quality. Since you share in the cost of services, AIM Specialty Health may help lower your costs.

If you are enrolled in a DSM medical plan and need a diagnostic imaging service, talk with your doctor about the AIM program. AIM will consult with your doctor’s office about your service. Once your doctor selects an imaging facility, you and AIM will be notified. AIM will contact you if there are good alternative providers based on cost and quality that you may want to consider. If you decide to use another provider, AIM will help you schedule your appointment with the new provider. There is no additional cost to you for this service.

Sleep Management

AIM Specialty Health’s sleep management program works with your doctor to coordinate care from diagnosis to treatment. If you need treatment for a sleep disorder, discuss the AIM program with your doctor. The program includes outpatient and home sleep testing and therapy. If you require sleep testing, your doctor will contact AIM Specialty Health, and depending on your medical condition, you may be asked to complete the sleep study in your home.

AIM provides support with:

  • Home sleep tests (HST)
  • In-lab sleep studies to record changes during sleep
  • Titration studies to determine the right air pressure you need to keep your airways open
  • Treatment orders for equipment and supplies

If you need continued treatment, AIM will review your care with your doctor quarterly to ensure that you are receiving appropriate care and services.

Primary Nurse Health Management Program

Managing multiple chronic conditions can be tough. You can receive professional support to manage chronic conditions, such as diabetes, asthma and heart disease. The Primary Nurse Health Management Program also provides assistance with severe and complex care needs, including cancer, high risk pregnancies/NICU care, transplants and infusion therapy. The program’s trained case managers are fully licensed health care professionals and registered nurses.

DSM employees selected to participate in this incentive-based program will be contacted by Horizon BCBS. Spouses/DPs are also eligible. The program is voluntary and offered at no additional cost to participants. Call today to speak with a personal nurse coach at 1-888-621-5894 option 2.

Tobacco Cessation Resources

Eliminate your surcharge!

DSM provides the following resources to help you quit the tobacco habit and stop smoking:

Horizon Tobacco Cessation Program

  • Horizon Tobacco Cessation Program offers a free, online Lifestyle Improvement Program for Smoking Cessation, powered by WebMD®. This interactive, personalized program, available through My Health Manager at Horizon BCBS, guides you through specific, practical tasks on a self-paced schedule. The program also includes easy-to-use tools to:
    • Track your progress, and customize your upcoming tasks to help you quit smoking
    • View smoking-cessation activities and easily navigate between different risk factor activities specific to you
  • Online message boards and a personalized goal planner also support your progress toward quitting.

Virgin Pulse’s Telephonic Coaching available through Wellness Corporate Solutions

  • Telephonic coaches provide tobacco cessation coaching in a convenient format. Morning, evening, and weekend appointments are available. Engaging with a health coach provides the support and accountability needed to reach your goals, reduce your risk of disease, and improve your health. Connect with a coach at Virgin Pulse.

Express Scripts

  • Express Scripts covers the cost of tobacco cessation medications (prescription and over-the-counter). Visit Express Scripts or call 1-866-851-0145 for more information

Delta Dental of North Carolina

  • Tobacco use is one of the most significant risk factors associated with gum disease, and it can lower the chances for successful treatment. Nearly all stages of gum disease are preventable, which is why it is important to take preventive action early. Get preventive and diagnostic care covered under the dental plans at no cost to you, with no deductible. Visit Delta Dental of North Carolina for more information.
Important!

If you and your spouse/DP enroll in a DSM medical plan, you will be required to attest to whether you and/or your spouse have used tobacco products in the past 6 months. If you complete the required tobacco cessation coaching sessions through Virgin Pulse, DSM’s wellness program partner, you can have the surcharge removed going forward whether or not you are successful in quitting smoking.