Our Care Management program provides a mix of benefit management and individual care planning to members diagnosed with a complex medical illness. Our skilled case manager will work with you and your health care team to develop short and long-term goals to help you maintain your quality of life-or, in some cases, make it better. Follow this link to learn about our Program for Children with Serious Illnesses.
To be eligible, you must:
- Have an active health care policy administered by us
- Agree to participate in our Care Management program
- Have a need that requires guidance, counsel and access to information for chronic and complex conditions including determining available member benefits and resources
Services include:
- Personalized care and coordination of services provided by a nurse case manager
- Development of a care plan that addresses both your and your physician's health care goals
- Assistance with benefit information to you and your health care team
- Help obtaining referrals to community resources
- Ability to be a liaison between you and your health care team
Care Management can:
- Emphasize the importance of maintaining regular contact with your physician's office
- Inform you about valuable community resources that can help with management of your illness
- Offer tips on how to follow the treatment plan developed by your physician
Learn More:
For more information about the program:
- Call 1-877-222-1240 (TTY: 711)
For information regarding Behavioral Health Care Management services in all regions
