Care Coordination and Management

Care management services

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:

• Development of a plan of care by a health care professional or team of professionals
• 20-60 minutes per month of care management services
• Increased care coordination among your providers, pharmacies, and other facilities
• Regular check-ins with you between doctor’s office visits
• Continuous emergency access to a health care professional
• Help with financial and social services

Costs

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.