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.
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.
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
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:
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.
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
Follow these steps to download the free MyQHealth app:
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.