One Call-Quantum

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

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

• 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
• 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: As of 1/1, any net new prescriptions will get a pharmacy denial and must come to Vida. For any members who had PA's issued prior to 1/1, WellDyne has updated these have an expiration date of 3/31/26 to prevent pharmacy denials during the 90 day grace period. As of 4/1, prescribing must be done by Vida or members will receive POS pharmacy denials.
  • 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, not 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?

  • One Call

    • Call: (866) 952-0366

    • Visit: onecallhealthplans.com

    • Download: The Quantum Health app
• Who is eligible?
  • 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