Ways to Stay Healthy.

Screenings are tests that look to identify diseases before you experience symptoms. Early detection is important to identify and treat diseases early. You can get some screenings in your doctor's office. Others need special equipment, so you may need to go to a different office or clinic.

Conditions commonly screened for include:

• Abdominal aortic aneurysm
• Colorectal Cancer
• Breast Cancer
• Cervical Cancer in women
• Prostate Cancer in men
• Lung Cancer
• Skin Cancer
• Depressions and Suicide Risk
• Diabetes (blood glucose)
• Blood pressure
• Cholesterol
• Osteoporosis

• Overweight and obesity

   

Your doctor will help to determine which tests you need based on age, sex, family history, and risk factors for certain diseases.

Visit our screenings page to learn more about recommended screenings and vaccines.

Based on age and gender, your provider may suggest recommended preventive screenings to keep you healthy. Use the Preventive Health Reports below to help you keep track of which recommended screenings have been completed and which ones are still needed each calendar year. The Personalized Health Report can also be brought with you to office visits to ensure your providers keep your information current, track completed screenings and review current medications.

Medicare 

Individual

Pediatric 

Medicare members are eligible to receive a Comprehensive Health Assessment (CHA) once a year. The CHA is a 60-minute visit in home*, from a clinician with the goal of updating medical history, providing information to the primary care physician, and care coordination. Upon completing your Comprehensive Health Assessment, members can earn a $50 reward.

A CHA can be performed in addition to the Medicare Annual Wellness Visit.

For further assistance scheduling your appointment contact Matrix calling 321-434-6712 (TTY/TDD relay: 1-800-955-8771).

If you are seeing a Health First Medical Group primary care provider, you may also have the option for an in-office CHA.

Available to Medicare members.

Members are eligible to receive an annual preventative visit with a Primary Care Provider at no cost. This visit serves as an opportunity to discuss personal health, review medications, family history, and address any other health concerns. The visit may include a comprehensive physical exam, lab work, and an update of one’s medical history. This annual visit also provides an opportunity to assess preventative health indicators such as vaccines and recommended screenings. Early signs of health concerns can be detected and addressed to help prevent health concerns from becoming worse.

Silver&Fit (Medicare members only) Exercise & Healthy Aging Program provides members access to a broad network of participating fitness centers including Pro-Health, YMCAs, and more. Home Fitness programs are also offered through Silver&Fit where members are given a choice of up to two home fitness kits per benefit year at no cost to you. In addition, all enrolled Silver&Fit members may view Healthy Aging materials online or request that they be mailed.

This program is available to eligible Medicare members. To register visit SilverandFit.com or call 1.877.427.4788 (TTY/TDD: 1.877.710.2746)

Through our Nurse Advice Line, you have access to speak with a healthcare professional 24 hours a day, 7 days a week. You'll speak directly with an experienced Registered Nurse who can answer your healthcare questions, as well as direct you to the right level of care. Your nurse can discuss medication questions, review non-emergency symptoms, and connect you with valuable resources and programs.  The Nurse Advice Line is not able to prescribe treatment or medications. 

Call 1.800.308.5848 to speak with a nurse. 

As a member of Health First Health Plans, maintaining your health and wellness is our top priority. We employee full-time social workers that are available to you at no cost. They can assist with a variety of needs such as food, housing, transportation, community resources, and education. 

• Home: Do you have trouble bathing, getting dressed or making meals?
• Safety: Do you feel safe at home or have concerns with where you live?
• Food: Is getting or preparing food difficult? There are places like food pantries and meal delivery services that may be able to assist.
• Finances: Rent, bills, or other payment problems?
• Medicines: Mail order or home delivery options may be available in your area.
• Transportation: Ride assistance options through insurance or other agencies in your area.
• Mental and Emotional health: Have you been experiencing symptoms of depression or anxiety? Maybe you have lost a loved one or are having relationship problems.     

For assistance determining what services are available to you call 321.434.4560.                                                                 

Our Condition Management programs are offered to eligible members with Diabetes, Heart Failure, Chronic Kidney Disease, Hypertension, and High Cholesterol. Members will receive ongoing one-on-one quality interactions with a nurse to help ensure the most appropriate goal-oriented treatment plan, tools, and resources are in place to successfully manage existing conditions and reach goals of maintaining better A1C control, blood pressure control, and kidney function values. This includes tailored education, self-monitoring techniques, support coordinating health care needs and identifying community resources. Our goal is to help members with these chronic conditions recognize danger signs early and improve quality of life through self-management skills that help promote wellness and health.

For assistance determining what services are available to you call 321.434.4560.

Medical Nutrition Therapy is a program that helps members choose the right foods to eat for specific health conditions with a focus on members who are overweight, underweight or have: diabetes, severe kidney disease, high blood pressure, congestive heart failure, or high cholesterol.

The program includes an appointment with a registered dietician, an initial nutrition and lifestyle assessment, nutrition counseling, diet management, and follow up sessions to monitor progress. This program is available to eligible Medicare & Commercial members through a provider referral.

Available to Brevard and Indian River County residents. 

The Equity Navigation Team’s role is to assist members who have disabilities, receive low-income subsidy, and those who are dual eligible for Medicaid and Medicare. Specifically focusing on improving accessibility to healthcare by assisting members close their gaps in care by scheduling preventive healthcare appointments and facilitating communication with providers.

Closing “Care Gaps” helps with early identification of healthcare problems, to allow for early intervention and treatment. The Equity Team proactively contacts members by phone to assist them with scheduling appointments for Mammograms, Colorectal Cancer Screenings, Diabetes testing, Immunizations and Controlling Blood Pressure as well as with Primary Care Providers (PCPs) as needed. The Equity Team also provides access to programs helping members overcome barriers to getting healthcare such as scheduling transportation or applying for financial assistance through government programs.

The Equity Team can be reached through our Equity Support hotline number at 321.434.7096.

Prescription medications can be lifesaving when taken properly but can also cause problems if not taken as prescribed or if taken with other medications. We provide professional counseling from a licensed pharmacist to help members follow provider's orders and ensure the medications prescribed can be taken together safely. This program is available to eligible Medicare Members with multiple health conditions who also take multiple medications

The pharmacist is also available to help answer any questions as well as offer helpful guidance about current medications such as:

• Side effects or other drug-related problems.
• Information on over-the-counter drugs and how they could interact with prescriptions.                           

To speak with a licensed pharmacist, please call 321.434.4396. 

Medicare members can click here to learn more about the full benefits of Medication Therapy Management and how to qualify.

Health First Heath Plans contracts with Health First Private Duty to offer Medicare members a one-hour in-homesafety assessment and up to eight hours of in-home support after being discharged from a qualified stay. Members have up to six months after discharge from a healthcare facility to receive these in-home support benefits. 

Safety Assessment: During the visit, a Registered Nurse performs a safety assessment that includes, but is not limited to; reviewing for risk factors associated with falls, a home safety check to identify and remove potential harmful items in the home that may lead to a fall, and assess the need for home modifications such as the installation of safety devices. A comprehensive plan of care is created with the member to help prevent falls.

In-Home Support: Services may include bathing, dressing, toileting, assistance with ambulation, light housekeeping, meal preparation, and more.

Our Transitions of Care team provides personalized assistance to members who are discharged from a hospital or care facility and transitioning home. This service ensures our members have a safe and seamless transition home. It also helps prevent any readmissions and unnecessary emergency room visits.

Our care managers work with members to ensure they receive medication as prescribed, understand how to take medications properly, ensure follow up appointments have been scheduled, and educate members on self-management skills.

If you should need assistance post discharge, please call our Care Navigation Line at 321.434.4560.

The Care Team at Health First Health Plans conducts outreach calls to members who have been identified as having unmet care needs as a results of frequent Emergency Department visits. Our goal is to help ensure members have access to a Primary Care Provider (PCP), receive education on the importance of regular provider visits to help manage existing chronic conditions, understand the discharge plan, and get additional support or resources needed to help manage their condition.

If you should need assistance post discharge, please call our Care Navigation Line at 321.434.4560.

Available to Brevard and Indian River County residents. 

Our program is focused on engaging with and assisting pregnant mothers who have been identified as high risk. Services will continue should the infant need NICU or specialized care for any condition identified at birth. Clinicians support parents during pregnancy, provide resources, support group information, guidance with clinical questions, and assistance navigating the healthcare system.

This program is available to eligible Medicare and Commercial members who are at risk for having premature births or low birth weight infants based on various risk factors.

This outreach service is focused on engaging new mothers after delivery to address any concerns during the immediate postpartum period, identifying any potential signs of postpartum depression and assisting with getting timely treatment as needed. Our team helps to ensure postpartum follow up and pediatric care is set up and completed. 

If you have recently delivered and are interested in being contacted by a nurse, please contact Customer Service.

This service is available to eligible Medicare and commercial members. 

Complex Care Management is a program for members with serious or complex health needs who may need extra help navigating the healthcare system, learning about their condition, and/or accessing community support. The care team is led by a registered nurse who works one-on-one with members to assess needs, provide clinical support, and supplement the services of healthcare providers with the goal of helping members achieve optimal health. 

If you need assistance post discharge, please call our Care Navigation Line at 321.434.4560.

Complex Case Management

Acute and Catastrophic Transitions is a highly specialized team of Nurse Care Managers that are available to assist eligible members in the most stressful times when facing difficult medical conditions such as newly diagnosed cancers, transplant services or complex pediatric condition(s).

Care Managers provide support, education, guidance, and assistance navigating the healthcare system to help members get the appropriate care, tests, or treatments needed. The goal is to help members improve their quality of life though education and self-management skills.

If you need assistance post discharge, please call our Care Navigation Line at 321.434.4560.

The Integrated Care Program is a special team of providers, nurses, pharmacists, and care coordinators who work together to support your health. We help members stay well by providing extra time, frequent check-ins, and better coordination of care.

This program works alongside the care you already receive from your primary care provider (PCP). It’s designed for members who need more support, more frequent visits, or faster access to care than their PCP can provide. Our goal is to help you manage your chronic conditions, prevent emergency room visits, and make it easier for you to take charge of your health.

The program is available at no extra cost for eligible Medicare and Individual & Family Plan members.* To see if you qualify, call us at 321.434.4113 toll free 1.877.228.0861 (TTY/TDD relay: 1.800.955.8771).

*In-person ICP appointments are available to members who reside in Brevard and Indian River County. ICP at Home is available to all members in all counties.

Our behavioral health provider, Optum, specializes in treatment and management for mental health and substance abuse by providing a member-focused behavioral health program to our members. The clinical staff works together with your primary care provider (PCP) to coordinate prevention interventions, care plans, community support, and resources. Members are given unique access to a website where a variety of tools, resources guides and mental health resources are available. 

Two ways to receive support

Talk to your PCP and share how you're feeling. They'll discuss your care options, ask questions, and help you plan your next steps.

Support is available anytime, day or night for members needing crisis management or help finding a provider by calling Optum at 1.877.890.6970 (TDD/TTY: 711).

To find a provider online click here.

Medicare access code: HealthFirstMA

Individual & Family Plans access code: HealthFirst