Connect with Quantum Health

​If you are enrolled in the PPO, EPO, or HDHP medical option, you and your covered family members have access to care navigation through Quantum Health, starting April 1. When you have questions about your medical or prescription drug benefits, Quantum Health's Care Coordinators are just a call, click, or tap away. 

한국어 | Leer en español

Quantum Health's Care Coordinators are a dedicated team of nurses, benefits experts, and claims specialists who provide you with personalized support on your healthcare journey. No request is too big or small for your Care Coordinator. Ready to connect with Quantum Health? Here are three convenient ways. 

Call Quantum Health

Want to speak with someone? Call Quantum Health at 855-497-1237 (TTY 711), Monday through Friday, 8:30 a.m. to 10 p.m. ET whenever you have a question related to your medical or prescription drug benefits.* All calls are answered by a Quantum Health Care Coordinator instead of an automated voice response system. Bilingual support is available for Korean and Spanish speakers.

Care Coordinators are well-versed in your benefits and can assist with anything to help make the healthcare process easier, including

  • verifying coverage;
  • explaining the copays, deductibles, and/or coinsurance that may apply;
  • answering questions about a medical test or procedure;
  • precertifying care when required;
  • locating network providers, including Centers of Excellence;
  • answering claims or billing questions;
  • tracking refills through Express Scripts home delivery;
  • ordering replacement ID cards;
  • advocating for your care; and
  • connecting you with other benefits and resources available to you from the Board of Pensions.
*Members enrolled in Triple-S and GeoBlue should refer to their plan provisions for details about their benefits and continue to contact those plans as before. Similarly, because benefits provided by the Medicare Supplement Plan are coordinated between Medicare and Blue Cross Blue Shield, members enrolled in that plan will continue to contact Highmark Blue Cross Blue Shield with questions.

Click on the MyQHealth website

 

When you register for the MyQHealth website, you can access benefits and claims information, search for network providers near you, print and save a copy of your medical ID card, and live chat with a Quantum Health Care Coordinator. You can also schedule a phone call with a Care Coordinator at a time that's convenient for you. 

Earn Call to Health Points

You can earn 50 Call to Health points when you connect with Quantum Health by registering on the MyQHealth website and another 50 points when you download the MyQHealth mobile app. To receive your points, be sure to log on to the Call to Health website, join the challenges, and record the date you completed each activity.

One-time registration for the MyQHealth website is required:  

  • Visit myqhealthpcusa.org.
  • Click Register.  
  • Provide the information requested. Anything with an asterisk (*) is required. (While not required, your mobile number can be used for account verification via SMS code. Otherwise, Quantum Health will use the email address you provide.)  
  • Click Next
  • A verification code will be sent to your mobile phone, if provided, or your email address.   
  • Enter the verification code. 

Note: Medical claims for services or care you received January 1, 2022, or later will be available through myqhealthpcusa.org. If you have a question about a claim from 2021 or earlier, a Care Coordinator can help you, or you may log on to highmark.com/pcusa to view these claims. 

Tap on the MyQHealth mobile app

Use the MyQHealth mobile app for on-the-go support and guidance whenever you need help with your healthcare.  

With just a tap on the mobile app, you have instant access to  

  • replacement ID cards; 
  • up-to-date benefits information; 
  • current claims and balance-due support; 
  • real-time health and wellness guidance; 
  • network providers near you; 
  • and more.

Follow these steps to download the free MyQHealth app: 

  • Open the iOS App Store on your iPhone or Google Play on your Android device.  
  • Search for MyQHealthCare Coordinators
  • Select the app and tap Install to begin downloading. 
  • Open the app and register your account.  

Learn more about care navigation

Read how care navigation helps members enrolled in the PPO, EPO, or HDHP and their covered family members receive the right care, at the right place, at the right time.