8 ·
My Health
Your pharmacy
benefits program
There are great tools to help you manage your
prescriptions online. And they’re easy to use. At our
site, you can:
•
•
Find out medicine (drug) costs.
•
•
Order a drug refill.
•
•
Check for drug-to-drug interactions, side effects
and major risks.
•
•
View and search the Anthem Drug List.
•
•
Fill your prescription at an in-network pharmacy.
You can get a list of these pharmacies on our
website or by calling the Customer Care Center
number on your ID card.
•
•
Find out other information about certain drugs.
Some drugs require that you get an OK before you
can get the prescription. There also may be step
therapy, quantity limits, an exception, or age or
gender limits, depending on the drug. Or it might
be a drug that’s right for dose optimization. (This
is when you take a drug more than once a day;
sometimes your doctor can prescribe a higher
amount that you only have to take once a day.)
Different rules help make sure drugs are used
safely and correctly.
•
•
See if a drug has a limit in place. If it does, it
will be noted on the drug list. The drug must be
approved by your plan first. Please call us with
any questions.
To learn more, go to
anthem.com/ca
. You may
also ask for a paper copy to be faxed or mailed to
you. Or you can call us at
1-800-407-4627
. Please
remember to check the website for periodic updates
throughout the year. If you have hearing or speech
loss, please call the TTY line at
1-888-757-6034
.
Need extra help?
Care management
is there for you
Case managers, who are nurses or
other health experts, are here to
help when you have a serious health
condition or medical event. The
Care
Management
program is private
and voluntary. And there’s no cost
to you.
You, your family and your doctors
will work with a case manager who
will give you phone support at a
time that works best for you. The
case manager will give you extra
support when you need it most. He
or she will work with you to help
you manage your condition, answer
questions about your benefits and
learn what kind of care or support
might be helpful.
To join the program, just ask your
doctor to refer you. You also can
refer yourself, or your caregiver
can refer you. To learn more or be
part of the program, call us toll-free
at
1-888-334-0870
. If you have
hearing or speech loss, call the TTY
line at
1-888-757-6034
.
If you have asthma, you have it all the time – even
when you do not have symptoms. If you learn what
to do and get help from your doctor, you can help
make your asthma attacks a thing of the past.
To manage asthma
You can take control with three key steps:
1
Know what things make your asthma worse,
and avoid those triggers. Triggers are different
for different people. They include:
•
Smoke (including
tobacco and
secondhand
smoke).
•
Air pollution.
•
Dust mites.
•
Cockroaches and
their droppings.
•
Furry pets.
•
Mold.
2
See your doctor, and take prescribed drugs in
the right way at the right time. Be sure you
take drugs exactly as your doctor tells you to.
3
Create an action plan with your doctor to
control your asthma. This plan should be
reviewed when you see your doctor to make sure
it stays up-to-date. Go to
www.nhlbi.nih.gov/
health/public/lung/asthma/asthma_actplan.pdf
for a sample action plan. Look on page 2 for
a list of possible asthma triggers and ways to
avoid them.
Have asthma?
Take action so you
can breathe easier!
Our ConditionCare program
If you have an ongoing illness or health problem,
like asthma, our nurses can help you take care
of the symptoms. They gather information from
you and your doctor. Then they create a personal
plan for you. Join
ConditionCare
by calling
1-855-753-2147
. Calling can be your first step
on the road to better health. You’ll find you can
breathe a little easier and enjoy life a little better!
Sources: Centers for Disease Control and Prevention website:
CDC.gov; National Heart, Lung, and Blood Institute website:
Asthma Action Plan
(April 2007): www.nhlbi.nih.gov/health/public/
lung/asthma/asthma_actplan.pdf
