KeepWell’s care teams provide members with the most clinically appropriate engagement so they can get the right care at the right time. This means better, more lasting health outcomes with the power to lower medical costs over time.

Sustainable weight loss, lower HbA1c levels and medication adherence are most effective when lifestyle changes are part of the solution. KeepWell’s certified coaches, registered dieticians, doctors and licensed therapists engage members with programs, resources and support to both improve and maintain their health. When drug therapies are indicated, KeepWell works within your prescription benefits and aligns with your drug list and prior authorization criteria.

A streamlined member experience and more affordable prescriptions mean care can start sooner. Ongoing support helps members stay on their drug therapies for complicated, long-term or rare conditions.

The Advocate+ Pharmacy Match team coordinates smoothly between the provider, member and pharmacy to keep prior authorization seamless and find the best-fit pharmacy for the member’s needs. Real-time price shopping means that they — and your plan — are paying lower costs for specialty medications.

Personalized pharmacy support can drive better clinical outcomes and smarter cost management.

Advanced Rx Care is a connected benefits concept in development for 2028. It delivers a personalized, clinician-led pharmacy experience designed to close care gaps, improve medication use, and uncover cost-saving opportunities for members with chronic conditions. Built on integrated medical and pharmacy analytics, the program identifies members with clinical risks, multiple prescriptions or opportunities for more cost-effective therapies. The program includes direct pharmacist outreach to members and their providers, ensuring the most clinically appropriate care and the safest, most effective drug therapies for their conditions and lifestyle.

Medical Benefit Drug Solutions will advance better outcomes through smarter, more sustainable care.

Medical Drug Benefit Solutions is an emerging concept we anticipate delivering in 2027. It will expand our existing value-based care options for specialty drug therapies covered under your medical benefits. The evolving solution focuses on improving members’ access to manufacturer copay assistance and helping them get care in the most appropriate setting for clinical and financial efficiency. This will empower you to support consistent, high-quality care while staying ahead of the rising costs of specialty drugs.