These programs provide additional support. As a Lam employee, you and your family members can use Health Advocate, no matter which medical plan you’re enrolled in.
You must be in an Anthem medical plan to access the autism, diabetes, fertility, or medical travel benefits.
Health Advocate
With Health Advocate, you and your family, including your parents and parents-in-law, have a 24-hour health concierge to support you. Turn to Health Advocate for help with health insurance and clinical issues. Health Advocate is available at no cost to you, and you don’t need to be enrolled in a Lam medical plan to use it.
What you get
Clinical advocacy
- Finding the right provider
- Scheduling appointments
- Making health care decisions
- Coordinating care
- Arranging second opinions
- Accessing extra support for seniors and parents of children with special needs
Administrative advocacy
- Resolving claims
- Understanding your benefits and medical bills
- Resolving coverage issues
- Navigating Medicare
- Finding lower-cost prescription drugs
What you need to know
Use the mobile app to access help when you need it, or call 866-695-8622. You can also register on the member website or send an email.
Where to learn more
Discover all the ways Health Advocate can support you on the Health Advocate website.
Autism spectrum disorder (ASD) support
Through the Anthem autism spectrum disorder (ASD) program, your family receives support from a dedicated team of clinicians and case managers who provide you with resources tailored to your unique situation.
What you get
- Clinical review of your child’s applied behavior analysis (ABA) to help ensure your child gets the right care from the right provider at the right time
- Coordination of care by case managers, who develop a customized care plan for your family, which helps to identify available services, secure care you may be missing, and facilitate collaboration among treatment providers
- Connection to resources to help build a strong foundation of care and family support
What you need to know
- There is no cost for Anthem members to use the ASD program.
- You don’t need a referral, although your doctor may refer you to the program.
- Call 844-269-0538 to get started.
Where to learn more
For more information, read the Autism Spectrum Disorders flyer [PDF].
Diabetes support
If you or your covered dependents are living with diabetes, the Transform Diabetes Care program from CVS Caremark helps make life easier, at no cost to you.
- A connected glucose meter that automatically uploads blood glucose readings and makes them available to your care provider, who can then provide immediate feedback via the monitor’s messaging feature
- No-cost strips and lancets, shipped right to your door
- Coaching anytime and anywhere from certified diabetes educators, available 24/7 by phone, text, and mobile app to answer your nutrition and lifestyle questions
- Extra support at your CVS pharmacy or MinuteClinic
What you need to know
- If you fill a prescription for insulin or other diabetes-related supplies, you can expect to receive a packet in your home mail from CVS Caremark, including information about enrolling in the Transform Diabetes Care program
- You pay nothing to participate in the Transform Diabetes Care program.
Anthem fertility support
If you need help growing your family, Anthem’s fertility support partner, WINFertility, is here to provide guidance, education, and support at no cost to you.
What you get
- Up to $25,000 (lifetime) for covered infertility treatment and supplies, including diagnostic tests, artificial insemination, in vitro fertilization (IVF), assisted reproductive therapy (GIFT, ZIFT), medications administered in a physician’s office, reconstructive surgery (except for sterilization reversal), supplies, and appliances
- Up to $15,000 (lifetime) for prescription fertility medications
- 24/7 access to specially trained nurse care managers who can answer questions, help you find doctors, and listen to your concerns
- Referrals to local, high-quality reproductive endocrinologists in Anthem’s network
- Authorizations for outpatient and in-office infertility services
- An individualized care plan with treatment recommendations based on your risk level and the success rate of options available to you
- Information about the causes of infertility, different treatments and medications, and finding the right doctor for your needs
- Help understanding the fertility-preservation process and selecting an in-network provider
- Guidance about medication usage, storage, and side effects
What you need to know
- WINFertility benefits are available at no cost to you and your covered dependents who have an infertility diagnosis.
- To use this service, you should be referred by your Anthem medical provider.
Where to learn more
For details, visit the WINFertility website.
Kaiser fertility support
Kaiser members have access to the following fertility services.
Assisted reproductive technology (ART) services include in vitro fertilization (IVF), gamete intrafallopian transfer (GIFT), and zygote intrafallopian transfer (ZIFT). Kaiser does not offer egg or embryo freezing for long-term storage.
| Plan | Coverage |
|---|---|
| California CDHP | Infertility treatment with $30 copay; 1 ART cycle per lifetime |
| California Deductible HMO | Infertility treatment with $30 copay; 1 ART cycle per lifetime |
| Northwest CDHP and Deductible HMO | 50% coinsurance for infertility diagnosis; 50% coinsurance for ZIFT and GIFT with a $30,000 lifetime maximum |
Medical travel reimbursement
If you or a covered dependent must travel to receive medical care you cannot receive near your home, your Anthem plan will reimburse eligible travel expenses.
What you need to know
- You can be reimbursed up to $5,000 for travel and lodging associated with a covered claim.
- You must attest that you were not able to obtain the services from an in-network or out-of-network provider near your home.
- First, file a claim for the covered medical services. Then, complete the Anthem travel claim form and include the applicable medical claim number and all itemized expense receipts.
- If you have questions about eligible medical services and travel expenses, contact Anthem at 800-810-2583.