Another group or vendor provides the info on the next page. If you don’t want to leave our site, choose the “X” in the upper right corner to close this message. Or choose “Go on” to move forward.
Questions?
You can contact your care manager by calling Member Services at 1-855-456-9126 (TTY: 711). We’re here for you 24 hours a day, 7 days a week.
How care management works
How care management works
Your care management team includes your nurse care manager, a social worker and a care management associate. They work together to make sure you get the right care and services.
To better understand your needs, your nurse care manager will:
- Speak your language
- Know your health status
- Find out if you have any barriers to getting health care
- Come to your home, if needed
- Develop your plan of care with you, your doctor and your caregiver (if you have one)
You care management team can also help you:
- Schedule doctors’ visits
- Find nearby specialists and mental health services
- Get admitted to the hospital, if needed
- Get rides to your doctor, pharmacy or hospital
- Get medical and dental services, supplies and equipment
You can call your team for help at any time. Don’t worry if it’s after work hours or on weekends. Someone who can help will answer. They’ll let your team know about your call and any help they provided.
Health care equality
Health care equality
Everyone deserves the same quality of health care. Yet some inequalities can make it harder to get the care you need. We call these “social determinants of health.” These are things like your:
- Age
- Main language
- Education level
- Income
- Race or cultural background
- Religion
- Access to transportation
If needed, your care manager will design your plan of care with these things in mind. They’ll make sure you get equal care and access to the services you need.
Managing chronic conditions
Managing chronic conditions
Some health issues need more care. If you’re managing a chronic condition, a care manager can help you get the treatment you need to feel better. They can help you manage conditions like diabetes, congestive heart failure (CHF), chronic obstructive pulmonary disease (COPD) and more.
Advance directives
Advance directives
Do you have an advance directive? These tell your doctors what medical care you want (or don’t) if you’re too sick to speak for yourself. There are two types of advance directives you should know about:
- Health care proxy
- Living will
Both let you make important decisions about your health care ahead of time. That way your care management team and family can be sure your wishes are carried out.
