Manage Chronic Conditions
Use your coverage to access support and treatment.
Chronic conditions are common and can affect your quality of life. Fortunately, they can be prevented or controlled through a healthy lifestyle, preventive care and ongoing management.
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Take Control of Your Health
With healthcare coverage through SEIU 775 Benefits Group, you have access to many benefits designed to help you prevent and manage chronic conditions.
Free doctor visits
Preventive care visits are free. Your doctor (also called a Primary Care Providers, or PCP) can also refer you to specialists and condition-specific programs.
Wellness Coaching
A free wellness coach can provide one-on-one guidance to develop healthy habits like eating well, reducing stress and being physically active.
Management programs
Specialized programs are available by referral from your doctor. In these programs, a personalized care team will help you manage your condition.
Diabetes and Prediabetes
Your coverage includes personalized diabetes management programs, wellness coaching for a healthy lifestyle, medication and supplies for little-to-no cost.
For KPWA and KPNW members, your doctor can refer you to specialized diabetes management programs.
- New Insulin Start Program: A 12-week program for those starting insulin for the first time, led by a diabetes nurse.
- Personalized Care Plan: A 12-24 week program led by a dedicated diabetes nurse who will teach you skills for self-managing your diabetes.
- Ongoing Diabetes Case Management* A program for general diabetes guidance and support from a case manager.
If you are interested in any of these programs, get started by speaking to your doctor.
*KPWA members only: If you have the Kaiser Permanente smartphone app, you can get diabetes case management support on your phone. This is an opt-in service (English only).
No doctor referral is required for Aetna’s diabetes management program.
If you have diabetes or are prediabetic, call Aetna Member Services at 1-855-736-9469 number and ask for a case manager. They can:
- Provide support and coaching.
- Identify gaps in care.
- Share information about benefits.
- Review medication details.
- Refer you to specialists.
- Provide care in your preferred language or bring an interpreter.
Download the Aetna Health App to access the diabetes management program in English and Spanish.
For KPWA and KPNW members, wellness coaching is available at no-cost and is helpful for people with diabetes, prediabetes and anyone looking to improve their health. No referral from your doctor is required, and you can get coaching from the comfort of your home. A wellness coach can help you:
- Set goals and stick to them.
- Eat healthier.
- Reduce stress.
- Quit smoking.
- Increase physical activity.
- Manage your weight.
Call 1-866-862-4295, Monday to Friday from 7 a.m. to 7 p.m. to make an appointment with a wellness coach or learn more at Kaiser Permanente – Wellness Coaching. Interpretation services are available for this benefit.
Aetna members have free access to AbleTo.
AbleTo gives personalized virtual support to manage chronic pain and improve your physical and emotional health. Through a
mix of therapy and coaching, you can set goals and learn how to meet them over 8 weeks.
Call 1-866-287-1802, Monday to Friday from 9 a.m. to 8 p.m EST. or visit AbleTo.com/Aetna to get started.
AbleTo is available in English and Spanish, with translation services in other languages.
Insulin: $0 for preferred generic and preferred brand insulin.
Supplies: $0 for in-network diabetic supplies such as needles, syringes and lancets and equipment such as insulin pumps and blood glucose monitors.
Contact your insurance provider’s Member Services for details.
KPWA: 1-888-901-4636
KPNW: 1-800-813-2000
Aetna: 1-855-736-9469
Chronic Pain
Most chronic pain can be treated and prevented with proper care and support, like physical therapy, massage and acupuncture — available through your coverage.
$15 co-pay (visit limits apply – see your plan summary for details). Referral required.
To find a physical therapist: Call Member Services or go to your Kaiser Permanente Member Portal and log in. From there, you can request a referral from your primary care doctor and find an in-network physical therapist.
$15 co-pay (visit limits apply – see your plan summary for details). No referral required.
To find a physical therapist: Call Member Services (1-855-736-9469) or go to your Aetna Member Portal and log in. From there, you can find an in-network physical therapist.
MedBridge is a physical therapy app available at no-cost to you. After a visit with your physical therapist, you will get a link to get easy access to an exercise and stretching program personalized to your needs, goals and ability.
Hinge Health is a physical therapy app available at no-cost to you. The program provides all the tools you need to get pain relief from the comfort of home.
No referral is needed for Hinge Health. Sign up today to access a care team and get an exercise and stretching program personalized to you.
At this time, Hinge Health is only available in English and Spanish.
KPWA:
Acupuncture, massage therapy, naturopathy and chiropractor visits: $0 co-pay (visit limits apply – see your plan summary for details). Referral required for massage therapy only.
KPNW:
- Acupuncture, naturopathy and chiropractor visits: $0 co-pay (visit limits apply — see your plan summary for details).
- Massage therapy: $25 co-pay for up to 12 self-referred visits per year. Referral required.
- Acupuncture, naturopathy and chiropractor visits: $0 co-pay (visit limits apply — see your plan summary for details).
- Massage therapy: $15 co-pay for up to 20 self-referred visits per year.
High Blood Pressure
If you have been diagnosed with high blood pressure or just want to adopt a healthier lifestyle—coverage includes resources like free webinars, group coaching, virtual care and blood pressure monitoring.
Annual visits are a great time to check your blood pressure. KPWA members can get a loaner blood pressure cuff if needed.
Skip the wait and try on-demand care with a CVS Virtual Primary Care. Upon registration, you will receive a blood pressure monitor and a heart rate monitor to use for your visit.
Additional healthy living resources, fitness deals, and wellness coaching are available through your health plan.
Mental Health
You have many great options available through your coverage that can help with stress, anxiety, depression and burnout, including in-person and virtual counseling and therapy, medication and online resources.
Not sure which health plan you have?
Check your Member ID card or use the Health Plan Finder.
To learn more about your specific plan or to access your Health Benefits Guide, enter your ZIP code below.
The medical plan available to you is based on your home ZIP code. To confirm what plan you are on or which one is available to you, you can log into your Health Benefits Account.
Aetna is the plan available for your zip code. See plan highlights.
Kaiser Permanente of the Northwest (KPNW) is the plan available for your zip code. See plan highlights.
Kaiser Permanente of Washington (KPWA) is the plan available for your zip code. See plan highlights.
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