Nemours Medically Enrolled- Quantum Health

Paying Org Description: Nemours acts as a healthcare navigation service, acting as a "Healthcare Warrior" navigator for benefits, connecting employees and families to the right care, guiding them to in-network providers, explaining benefits, and helping manage costs, essentially a personalized guide to simplify the complex healthcare system with live support from nurses and care coordinators to improve outcomes and reduce stress. 

Landing Page-https://www.vida.com/quantum/

Programs Offered: Tier 3 - (Medical Weight Loss Program) (Use Case 3)

• Nemours Medically Enrolled VP Card: Use this for administrative and operational checks. It covers Account Eligibility , program details,  and exclusions
• Devices: Use  Standard Device Criteria or Clinical Device FAQs Vendor Transition members DO NOT automatically receive a device form
• Nemours Medically Enrolled Prescribing Overview: Use this for clinical inquiries. It houses all Pharmacy Benefits information, including Drug Coverage , formularies, and specific GLP-1 details 
• Drug list
  • No Formulary
• Grandfathering: all PA'S will expire as of 5/1/26 and members must come to Vida for prescribing. They have a 120 day grace period from 1/1/26.
  • If someone is calling saying their PA is expiring, ensure that they enroll in Vida and see a VMP.
  • Ask are they currently on a GLP-1.
    • If yes, they need to be enrolled in Vida to avoid gaps in scripts
      • Full reassessment, no guarantee.

• Gold-carded: Yes

   

Additional Info

• What segment is this org in?
  • Partnership through Quantum
• Are there any Fees at risk (FAR) org?
  • Yes 
• When did we launch with this org?
  • 1/1/2026
• How is the service being paid for?
  • Vida is available at no cost to employees
• How do members enroll?
  • Vida App, VSC outreach campaign.
• Where should non-eligible members be directed?

  • Nemours (both)

    • Call: (844) 460-2817

    • Visit: benefits4nemours.com

    • Download: The Quantum Health app

  • Vida is available to Quantum Health members at no additional cost. 
• Is the org on the eligibility file?
  • Yes
• How often will eligibility terminations take place?
  • Eligibility files will be sent daily
    • Will follow our standard termination process
• Do we offer Phone and/or Email support?
  • Phone + email
• Is VSC outreach involved?
  • Yes