Why care navigation?

Provided by the Board of Pensions in partnership with Quantum Health, care navigation helps Medical Plan members and their families navigate their healthcare and make the most of their medical benefits. Care navigation enhances the value of medical benefits through the Board of Pensions.

As healthcare has grown increasingly complex, the Board of Pensions wants to help members continue to have successful health outcomes. That's why we provide care navigation to PPO, EPO, and HDHP members as part of their medical benefits. Through care navigation, you ​have access to Quantum Health's highly trained Care Coordinators who serve as your personal guide, making it easier to navigate today's complicated healthcare system. Care navigation also helps you become a better-informed healthcare consumer so you can take control of your healthcare journey.

Watch this video to hear from Carly Price of Quantum Health about care navigation and how Quantum Health's Care Coordinators can provide personalized guidance and support on your healthcare journey.

Added value to your medical coverage

Care navigation complements your medical coverage through the Board of Pensions — and works seamlessly with other coverage features that you can rely on. In addition to coverage through Highmark Blue Cross Blue Shield (BCBS) including access to the BCBS national provider network and prescription drug benefits administered by Express Scripts, you also have enhanced support and resources available when you need care.

If you are enrolled in the PPO, EPO, or HDHP, Quantum Health is your primary point of contact when you have questions about your medical or prescription drug benefits or need help with a healthcare issue.* The Quantum Health toll-free number and website are listed on your medical and prescription drug ID cards.

*Members enrolled in Triple-S and GeoBlue should refer to their plan provisions for details about their benefits and contact those plans if they have questions. Similarly, because benefits provided by the Medicare Supplement Plan are coordinated between Medicare and Blue Cross Blue Shield, members enrolled in that plan should contact Highmark Blue Cross Blue Shield with questions​. Starting January 1, 2024, retired members enrolled in the Humana Group Medicare Advantage PPO plan​ should contact Humana at the number on the back of their ID card. ​  

Supporting you at every step of your journey

When you call Quantum Health, you'll speak directly with a Care Coordinator who can help and support you at every stage of your healthcare journey, whether you are 

• seeking to maintain or improve your health;
• newly diagnosed with a chronic health condition, such as diabetes or heart disease; or
• dealing with a complex medical issue, such as a cancer diagnosis or high-risk pregnancy.

With care navigation, you have someone to call when you have a question about your medical benefits or if you are facing a decision about your healthcare.  

Advocating for your care 

Your Care Coordinator serves as your personal healthcare guide, getting to know you and your health and wellness needs, and working with your providers to ensure you receive high-quality, safe, and cost-effective care. Care Coordinators are highly trained nurses, clinicians, and benefits specialists who advocate for your care.  

Care Coordinators are dedicated to helping and supporting you on your healthcare journey, no matter where you are. They are well versed in the medical benefits provided through the Board of Pensions and can answer your questions. For those whose primary language is Spanish, Quantum Health Care Coordinators who are fluent in Spanish are ready to assist with any requests or healthcare needs. Translation services are available for other languages, including Korean.  

Our partnership with Quantum Health  

Part of good stewardship means finding the best business partners who share our values and can create positive health outcomes for our members. With more than 20 years of experience, Quantum Health brings the specialized clinical expertise and healthcare industry knowledge needed by the Board of Pensions to carry out our mission.

Quantum Health is dedicated to supporting and guiding you on your healthcare journey and helping you realize a better healthcare experience. It's all they do, and they are recognized as the best in the field of care navigation.

We're still here for you  

The Board of Pensions is still here to answer any questions. We are responsible for all aspects of benefits.

If you have questions, call the Board of Pensions at 800-773-7752 (800-PRESPLAN) (TTY: 711)​. 

Members

We are the primary point of contact for questions about

• pension benefits;
• death and disability benefits; and
• the Medicare Supplement Plan.

Employers

Employers should contact the Board with questions about

• benefits selection;
• cost; and
• administration. 

 We are always here to serve!