New Health Care Advocacy Service

Learn more about Quantum Health

Navigating health care isn’t easy. That’s why in January 2024 we’re introducing health care advocacy through Quantum Health. If you enroll in any of the CareFirst medical plans, you’ll have access to live personalized support through your personal Care Coordinator, who can help you:

Get answers to your claims, billing, and benefits questions.
Find in-network providers.
Verify coverage and, if needed, get prior approval.
Access clinical support from trained nurses.
Set up appointments, get service authorizations, and make preadmission or post-discharge plans for hospital stays.
Save on out-of-pocket costs.
Get the most out of your JHU medical benefits.

With a single tap, click, or call, your Care Coordinator is available to do whatever it takes to help you reach your personal health goals. Quantum Health’s Care Coordinators are unbiased and independent of our medical insurance providers. And you can work with the same, dedicated Care Coordinator each time you contact Quantum Health.

Frequently Asked Questions About Quantum Health

What is Quantum Health, and what does it do?

Quantum Health is the industry-leading health care navigation and care coordination company. Organizations hire Quantum Health to help employees and family members navigate their benefits and the cost and complexity of health care. Quantum Health works with health care providers and claims processors to make sure its members get the best care for the best cost, and that medical claims are paid correctly. Quantum Health can also help you understand and connect with all the medical benefits available to you. When you don’t know where to begin, Quantum Health’s Care Coordinators can help.

Who are Care Coordinators?

Your personal Care Coordinator leads a team of nurses and medical benefits experts who work with you and your providers to make your care simpler and more affordable. They can help you find providers who understand your unique needs and background and advocate on your behalf to ensure that you receive the best possible care. When you need help solving a claims issue, learning about your medical benefits, or anything else that can make your health care easier, you can contact Quantum Health online or over the phone.

When can I access Quantum Health?

Care Coordinators will be available by phone beginning December 1, 2023, and the member web portal will be available January 1, 2024. More information will be provided before year-end.

How do I know if I will have coverage?

If you have any questions about coverage, start with Quantum Health. You can reach out to your Care Coordinator to confirm coverage or view your benefits in your online account.

What if I have an issue with my medical bill?

Your Care Coordinator is an expert at understanding your coverage and can help work with you to ensure that even the most complex medical bills are correct.

Quantum Health believes no request is too big or too small for your Care Coordinator to help.