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Medicare and other insurance carriers pay for a health care provider to help manage chronic conditions if you have two or more serious chronic conditions that are expected to last at least a year. The goal of care management is to provide you with high-quality, coordinated care to better maintain your health and functioning.
You may be eligible for care management if you have two or more chronic health conditions. A chronic health condition is a health issue that may last at least 12 months and which places you at significant risk of functional decline or death. Examples include arthritis, asthma, diabetes, and heart disease.
Chronic care management services include:
You may pay a monthly fee for care management services. Original Medicare cost-sharing (deductibles, copayments/coinsurances) also applies.
We have a care coordination team to help coordinate your care, help you to achieve your goals and troubleshoot any barriers you encounter. Complex care coordination typically involves weekly to monthly check-ins to help you manage your conditions at home.