Introducing Care Coordinators: A New Health Benefit from Wespath

Along with a new health insurance provider (Blue Cross Blue Shield) Wespath has partnered with Quantum Health to provide Care Coordinators who are ready and waiting to help HealthFlex participants navigate their health care in 2024.

Care Coordinators provide expert consultation to help HealthFlex participants use their benefits as efficiently and effectively as possible, improve overall health care experience, and reduce your health care costs.

Care Coordinators are available at (833) 762-0876, Monday-Friday, 8:30 a.m.- 10:00 p.m.

Primary participants can access their Care Coordination account now at mywespathhealth.com and message or chat with a Care Coordinator. Participants can also access their account via Benefits Access.

Have more questions? Wespath has a helpful FAQ document (read it here), including questions like:

Q: Who are the Care Coordinators?
A: Care Coordinators are your personal team of nurses and benefits experts working with you and your providers to make your care simpler and more affordable. When you need help finding a provider in your network, solving a claims issue, learning about your benefits, and anything that can make your health care easier, your Care Coordinators are the ones to contact. Care Coordinators are employed by Quantum Health, but they are an extension of the Wespath team in supporting you.

Q: What can Care Coordinators help with?
A: Care Coordinators can help you with anything related to your health care and benefits—especially items related to your medical, pharmacy, and behavioral health benefits. Whether you have a question about your claims or bills, need help knowing what’s covered under your health plan, can’t remember how to submit a manual claim, want to prepare for an upcoming doctor’s visit, or just need a new ID card, Care Coordinators are here for you. No question is too big or too small.

Q: Can my Care Coordinator explain my medical bill?
A: Care Coordinators are experts at explaining benefits and helping you understand even the most complex medical bills. If something is wrong on your bill, we’ll help you fix it.

Q: What if I have questions about something my doctor recommended?
A: It’s OK to have questions about your diagnosis or treatment plan. Get help and guidance from a Nurse Care Coordinator whenever you are uncertain about your care. Your Nurse Care Coordinator will work with you and your doctor to provide assistance with prescriptions, specialist referrals, medical plan coverage and more.

Q: When should I call my Care Coordinator vs. Wespath?
A: If you are enrolled in HealthFlex and have a question about your medical, pharmacy, or behavioral health benefits, we recommend you contact your Care Coordinator first. If you have any questions about dental, vision, health account, or wellbeing benefits, you can contact Wespath or email healthteam@wespath.org.

Q: When should I call my Care Coordinator vs. Blue Cross Blue Shield or OptumRx?
A: You never need to contact Blue Cross Blue Shield directly and can always contact your Care Coordinator for any medical or behavioral health questions. If you need to fill or refill a medication at OptumRx home delivery or are responding to outreach from OptumRx, you may want to contact OptumRx directly. If you have any questions or concerns about your medications or potential medications, your Care Coordinator can assist and get you to the right place.

Download the full FAQ here.