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Disease Management

Q. 
How do I find out more about the WellYou programs for Diabetes, Asthma, and High Blood Pressure?
A. 
Shaw offers WellYou programs for Diabetes, Asthma, and High Blood Pressure through QuadMed. See the WellYou brochure for more information. Program enrollment can be completed at any time with the WellYou enrollment packet
Q. 
How do I enroll in the Well You Programs through QuadMed?
A. 
Enrollment for QuadMed's Well You Programs can be completed at any time.  You may see your Occupational Health Nurse to complete the enrollment forms for this program or click here for the enrollment packet.
Q. 
Can my spouse and/or dependents participate in the Well You programs?
A. 
Yes, covered spouses and dependents are eligible to enroll in QuadMed's Well You Programs. Click here for the enrollment packet.
Q. 
What are the incentives for participating in the Well You Programs?
A. 
All programs (Diabetes, Asthma and High Blood Pressure) will provide zero member cost for prescription drugs on the Express Scripts Preventive List for each condition (no deductible). Also, educational opportunities are available through unlimited access to your Well You team of educators. 
Q. 
In the Well You Program for Diabetes, what is covered under "Diabetic Medications and Supplies"?
A. 
The Well You Program for Diabetes will provide zero member cost for prescription drugs on the Express Scripts Preventive List for diabetes (no deductible). 

Diabetic medications and supplies filled through the prescription plan are covered with the $0 member cost at the pharmacy or home delivery order when enrolled in the Shaw Medical plan.  Durable medical equipment, such as insulin pumps and supplies, diabetic shoes, and diabetic monitors, would be billed under the medical plan instead of at the pharmacy and as a result are not eligible for coverage under this program.
Q. 
What do I have to do to remain in the Well You Programs each year?
A. 
Below is the annual compliance for QuadMed's Well You Programs:


Q. 
When do the Well You Program requirements have to be completed?
A. 
Program compliance will be tracked for each enrolled condition when the anniversary date of each enrolled condition is approaching. Compliance reviews will be done throughout the year to help you stay on track.