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Case Management Program

EXC-MBR-MDM Case Management Program page content

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:

For information regarding Behavioral Health Care Management services in all regions

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Excellus BlueCross BlueShield contracts with the Federal Government and is an HMO plan and PPO plan with a Medicare contract. Enrollment in Excellus BlueCross BlueShield depends on contract renewal. Submit a complaint about your Medicare plan at www.Medicare.gov or learn about filing a complaint by contacting the Medicare Ombudsman. Y0028_5994_C.

This page last updated 10-01-2019.