Citi Benefits Handbook
Oxford
Taking care of a long-term health problem or serious illness can be very time consuming, frustrating, and expensive. Oxford's disease management programs can help you control your illness, and, in the long run, may save you some health care dollars by helping you stay as healthy as possible.
To contact Oxford about any of the disease management programs, please call the phone number on the back of your ID card.
Care Coordination
If you are facing serious health issues, care coordination can help. With a dedicated team of nurses, Oxford provides education and care coordination to help you manage your condition, reduce readmissions, and improve quality of life.
Heart Failure Program
This program helps you notice changes in your symptoms and helps you decide when a visit to the hospital is appropriate. The program can also help teach you about how to take your medications correctly, according to your doctor's treatment plan.
Coronary Artery Disease Management Program
The program provides information and resources to assist in reducing or eliminating risk factors, maintaining a healthy lifestyle, effectively managing the condition, and receiving the most clinically appropriate, cost-effective, and timely diagnostic testing and procedures.
Program highlights include:
  • Comprehensive assessments by registered nurses to determine the appropriate level of intervention
  • Focus on compliance with medication regimens and reducing/eliminating risk factors
  • Individualized action plans to help participants proactively monitor symptoms
  • Proactive outbound and responsive inbound nurse calls
  • Educational programs that promote good lifestyle choices and self care
  • Satisfaction and quality-of-life surveys
Diabetes Management Program
Learn how to maintain optimum blood glucose, blood pressure, and LDL cholesterol levels; prevent the onset of complications with evidence-based care; and manage co-morbidities related to diabetes, including hypertension, obesity, and depression. You can also learn about risk factors for this disease, as well as how to maintain a healthy lifestyle.
Diabetes program interventions include:
  • Comprehensive assessments by specialty-trained registered nurses to determine the appropriate level of intervention
  • Focus on adherence with medication regimens and reducing/eliminating risk factors
  • Individualized action plans to help program participants monitor symptoms
  • Proactive outbound and responsive inbound nurse calls
  • Educational programs that promote good lifestyle choices and self care
  • Satisfaction and quality-of-life surveys.
If you are enrolled in a Citi medical plan and you or a family member has diabetes, you can participate in Livongo's diabetes management program (Livongo for Diabetes™). See "Other Health Management Programs" for more information.
HealtheNotes Reminders
One of the best things about HealtheNotes is you don't have to do a thing to receive one. Oxford will send them to you automatically when they have a message or recommendation they think may benefit you. For example, if you have diabetes and Oxford's evidence-based medicine guidelines suggest lab tests twice a year, they may send you a HealtheNotes message in the mail.
Managed Infertility Program
The Managed Infertility Program (MIP) helps with precertification (sometimes referred to as preauthorization) of infertility services. Through this program, you also receive medical consultation and education to help with what could be complicated and often stressful infertility services.
Neonatal Resource Services
Neonatal Resource Services (NRS) manages intensive care cases when your newborn needs to stay in the hospital. This program helps you get the information and support you need. NRS has a dedicated team of nurses and full-time medical directors who are ready to provide support to parents of fragile infants who need intensive care.
Transplant Solutions
Transplant Solutions helps get you to some of the nation's leading transplant caregivers through the Centers of Excellence network. Nurses can provide information to help you through every step of the transplant process.
Bariatric Resource Services (BRS)
Oxford's Bariatric Resource Services (BRS) program can help reduce complications associated with weight loss surgery for morbid obesity. The BRS team offers comprehensive solutions to help manage obesity-related bariatric surgical costs, ensure the appropriateness of surgery and improve the quality of life for members. The program also addresses significant health care expenses associated with co-morbid conditions, length of stay, complications, pharmacy and other medical costs. The program includes guidance to Centers of Excellence in bariatric surgery, case management pre-and post-surgery to assess for complications and to reinforce lifestyle changes (including nutrition and exercise).
Decision Support
Decision Support invites and empowers members to actively participate in decisions about their health care and treatment options. By providing access to evidence-based, objective information along with proactive guidance through Decision Support services, you can avoid care that is not needed and ensure that you obtain care that is necessary and beneficial. Decision support nurses provide access to accurate, objective and relevant health care information that allows you to have realistic expectations for treatment and hospitalization. Decision support nurses will help you find quality health care options available at the lowest costs as well as prepare for you a personalized decision aid that summarizes the conversation for future reference or to share with your physician.
Chronic Kidney Disease (CKD)
Through this program, a nurse will be available to help you in a number of ways, from referring you to a nephrologist to helping you manage other conditions you may have as a result of kidney disease (e.g., diabetes, high blood pressure, and heart disease). You also can get help preparing for dialysis, including home therapies and outpatient treatment.
Kidney Resource Services (KRS)
Based on medically approved guidelines to help when you have end-stage renal disease (ESRD), KRS' focus is to help improve treatment results and your health while reducing your costs. It features management and care coordination if you have ESRD and are receiving dialysis. You can also get phone-based help from a nurse who specializes in kidney disease and program oversight from a nephrologist medical director.
Better Breathing®
If you or one of your covered dependents is diagnosed with asthma, you may be eligible to participate in the Better Breathing program. The Better Breathing program aims to help covered individuals learn more about asthma, the medications used to treat it, monitoring devices, and how a healthy lifestyle can help keep asthma under control. If you participate, you'll receive educational materials and, upon request, can also receive supplies like spacers and peak flow meters.
Heart Smart℠
If you have cardiovascular disease (CVD), the Heart Smart program may help you understand and improve your health and quality of life. The program addresses your health needs if you are at risk for CVD or have experienced a CVD-related event. Educational materials about hypertension, cholesterol management, and lifestyle modification, including smoking, diet, and exercise, are also available.