Frequently Asked Questions - ActiveHealth

ActiveHealth Management Nurse Care Program helps people with long-term medical conditions reach their best health. It provides information and coaching by registered nurses. Members tell us that one of the most valuable parts of the program is working with a nurse one-on-one over the phone. Members also receive helpful information in the mail.

The HLIC (Health & Life Insurance Committee) which is comprised of both management and staff representatives took part in the decision-making process.

ActiveHealth’s services are included with your medical plan. Based on the information we received from your medical plan, it looks like you might have or be at risk for a long-term health condition and could benefit from working with an ActiveHealth Management nurse.

Yes, you can call active health and provide information for input to your PHR.

If we identify a possible opportunity to improve the quality of the healthcare you receive, the information may be shared with your doctor. ActiveHealth understands and respects the privacy of personal health information. Our programmes are secure and confidential, in full compliance with federal and state laws. Your health information cannot be used to affect your employment in any way.

The program is available to Aetna and BC members who travel outside the US, but not who reside outside of North America.

No. This program is offered as part of your medical benefits and comes at no extra cost to you.

Health plans and employers buy ActiveHealth’s services for their members and employees. They want their members and employees to be as healthy as possible, and they recognize that better healthcare means lower healthcare costs for everyone over the long term.

The Claims file is transmitted by Electronic File Transfer. 

The program is voluntary and you can choose to decline participation any time. However, many people have found the program beneficial, and we hope you will give it a try.

PHR data is accessible to the individual member; parents have access to dependents children’s PHR if they are less than 18 years old. Members may provide temporary or ongoing access to treating physicians. The data is protected on a secure server which has not been breach during its 10 years history.

No, the ActiveHealth Management Nurse Care program has no effect on what is – or is not – covered under your medical plan. It is an added service to help you reach your best health.

The insurance carrier has no access to the Active Health recommendations and processes claims in accordance to provision of the medical plan as outlined in the Headquarters circular.

Your nurse will schedule a call with you about four times a year, or more frequently depending on your individual needs.

Participation is anticipated to result in healthier staff members. This will, in turn, result in a decrease in claims and eventually in premium cost.

It only takes about 10 to 15 minutes to get started. Your nurse is flexible and will work with your schedule.

The RN’s come to ActiveHealth with 5 to 10 years of clinical experience all licensed in the state of Virginia. Many also hold licenses in DC, New Jersey, Pennsylvania and other states.

No, only your doctor can decide what treatment is right for you. Your nurse is an additional resource who can help you work more effectively with your doctor. Some of our members say it is helpful to talk with their ActiveHealth Disease Management nurse right before or after their doctor visits.

Absolutely. We encourage you to talk with your doctor about the program and to share this Q&A. If you doctor has any questions, we would be happy to speak with him or her about the program.

Studies show that when patients receive the correct treatments and avoid care errors, hospitalization, surgeries, and attending procedures and treatments are reduced.

Recommendations from Active Health doctors and nurses, and based on established clinical data based on Care Engine data and patient PHR input. Your doctor may or may not have the same level of information; therefore you are advised to consult further with your doctor.

Active Health professionals provide recommendation to you and your treating physician. They do not write prescriptions.

Active Health’s physician specialty areas include cardiology, Internal Medications, Family Practice, Emergency Medicine, Nephrology, GI, Pediatrics and Geriatrics. (Care considerations consults are conducted with Harvard and Columbia medicine Specialist).

ActiveHealth is a company focused on healthcare quality. We help doctors and patients in many different ways, including providing personalized information that can help patients receive better quality healthcare. Our nurses also coach patients over the telephone.

Yes, all UNHQ enrollees have access to the active health program.