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Medical Management Programs

• Utilization Management
• Case Management
• Medical Claim Review
• Healthy Pregnancy
• Disease Management
• Nurse Support Services

Healthy Pregnancy

Your employees can enroll in our Healthy Pregnancy program by calling the toll-free number on the back of their ID card. It's that easy. They'll automatically receive:

• Education kit - including a pregnancy calendar and guides to a healthy pregnancy
• Specialized pregnancy education materials - for women with special health needs
• Specialized pregnancy care management - from case management obstetrical nurses

The program is managed by a special team of obstetrical nurses who help ensure a healthy pregnancy by providing information and working with the plan member's physician to coordinate specialized care.