Carrum Health

Carrum Health is a surgery benefit that delivers an unparalleled experience. Carrum Health provides access to hand-picked surgeons that have lower complications, lower readmissions, and more experience as well as exclusive access to Centers of Excellence for qualified surgeries and a care concierge team that guides you through each step. These facilities and doctors provide for an improved patient experience, high quality of care, and zero or minimal out-of-pocket costs for surgeries and consultations.

Active employees, early retirees, COBRA participants and their dependents on EIA Health Anthem plans are eligible for this program. Watch this video to learn more about Carrum Health!

Which procedures are covered?

Eligible procedures include:

  1. Total hip and total knee replacement (inpatient and outpatient)
  2. Other outpatient musculoskeletal procedures:
    • Shoulder (e.g., rotator cuff repair)
    • Elbow (e.g., fracture repairs)
    • Wrist/Hand (e.g., carpal tunnel surgery)
    • Hip (e.g., hip arthroscopy)
    • Knee (e.g., meniscus and ACL repairs)
    • Ankle/Foot (e.g., Achilles tendon repair)
  3. Outpatient back pain management procedures
  4. Spinal Procedures (inpatient and outpatient cervical/lumbar spinal fusion, laminectomy, discectomy)
  5. Bariatric* Weight-Loss Surgery
  6. Coronary Bypass Surgery

For total join replacement, spinal fusion, and bariatric (weight loss) surgeries, you will be required to have a second opinion evaluation through the Carrum Health Program, prior to scheduling your procedure. If surgery is the right treatment path, you may continue through Carrum Health or get your procedure done through another provider.

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The County is excited to announce the addition of the Carrum Oncology bundle which consists of Guidance and Treatment services. The Guidance bundle supports members with any cancer diagnosis. Members utilizing the Guidance bundle will be able to get a second opinion through Carrum and receive member support from the Carrum support team in partnership with their local oncologist. To access this, you can contact Carrum either by phone, website, or app. 

The Treatment bundle is a treatment benefit available to those with non-metastatic, first-time breast cancer through City of Hope. Treatment for thyroid and colorectal cancer will follow at a later date. More information on this bundle will be coming soon!

For a full list of eligible procedures, visit Carrum Health’s website below.

Contact Information

Phone: (888) 855-7806

Website: my.carrumhealth.com/eiahealth

Reference

Carrum Health - Mandatory Second Opinion
Bariatric-Weight-Loss-Surgery-Information

FAQs