Preventive Health

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Population Health Programs

Care Management Programs

The Martin’s Point Population Health Programs are available to members through self-referral and through targeted outreach, based on specific criteria. Our current Population Health Programs include:

Chronic Care ProgramCare management services for adults with chronic diseases such as asthma, diabetes, high cholesterol, obesity with sleep apnea, with sleep apnea, congestive heart failure (CHF), chronic obstructive pulmonary disease (COPD), uncontrolled hypertension, amyotrophic lateral sclerosis (ALS), multiple sclerosis (MS), and other chronic conditions.

Maternity ProgramCare management services for pregnant members to promote health for both mothers and newborns.

Behavioral Health ProgramCare management services for members of any age with mental health diagnoses and/or substance substance use diagnoses. Members recently hospitalized for a behavioral health condition and children and adolescents being treated with specific high-risk medications are a priority for this program.

ECHO ProgramThe ECHO program is offered to US Family Health Plan pediatric beneficiaries (of active-duty sponsors) who are diagnosed with autism, developmental delays, moderate or severe mental retardation, a serious physical disability, or an extraordinary physical, complex medical, or psychological condition.

If you feel you or your loved one could benefit from care management, please call our Health Management department at 1-877-659-2403 to ask about enrolling.

Colon Cancer Screening Test KitsThrough targeted outreach we mail an Insure FIT kit (at-home screening kit) to members between 50–75 years of age with a gap in their colorectal cancer screening.

Colon cancer CAN be prevented Get the screening that’s best for you! Each year, over 140,000 Americans are diagnosed with colorectal cancer, and more than 50,000 die from this disease. The good news is that this is one of the few cancers that can be PREVENTED before it starts. That’s why timely screening is so important.

The US Family Health Plan covers several different kinds of colon cancer screening tests at a $0 copay! See the table below to learn about each kind of screening and then talk with your doctor about which screening is right for you:
Screening Test 

NOTE: If the doctor finds and removes (pre)cancerous tissue during the examination, the test will change from a “screening” test to a “medical" procedure. A copayment may be charged.

Questions? Call your Member Services team at 1-888-674-8734

*As recommended by the US Preventive Services Task Force for people who are not in a surveillance program. Check with your primary care provider to see what schedule is right for you.

If you would like to receive a colorectal screening test kit, please call Member Services at 1-888-674-8734

The following programs are available through Martin’s Point targeted outreach (not available through self-referral):

Breast Cancer ScreeningWe mail reminder postcard to female members 50–74 years of age with a gap in their mammography for breast cancer screening.

Gaps in Care MailingsThroughout the year, we may send member mailings out addressing specific gaps in care. Members are identified through claims information. These efforts may change from year to year based on our analysis of available data.

COPD—Members a diagnosis of COPD discharged from an acute care hospital or Emergency Department visit will receive a post-discharge call from a MPHC nurse care manager for medication reconciliation and are offered a follow-up call with a pharmacist for medication review.

Immunization Schedules

Ages 0-6 years

Ages 7-18 years

Ages 4 months to 18 years who missed getting some immunizations

Ages 19 years and older


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