Case management is the coordination of care, services and resources for members with certain complex or chronic conditions. There is no cost for this service to health plan members and employees can refer themselves.

Case management staff work closely with patients and caregivers to navigate medical and community services and coordinate resources to deliver the best care possible. A case manager can help develop goals and action plans to improve health and quality of life.

Case management staff may –

  • Provide education about your health condition and care
  • Support and reinforce treatments and therapies recommended by your health care provider
  • Coordinate health services and clarify insurance benefits
  • Connect you to community services or programs

Members can take advantage of case management services by calling (866) 884-4601.


Who might benefit?

  • Members who have more than one serious health problems such as diabetes, heart failure or COPD
  • Members who have experienced a significant event or diagnosis like cancer, stroke or traumatic brain injury
  • Members who have had several emergency room visits or hospital stays