Case Management

Members who have been identified with certain diagnoses may benefit from our Case Management program.

A team of health care professionals called case managers works with these members and their health care providers to plan quality care by:

• Identifying options in health care delivery
• Identifying and coordinating appropriate plan benefits
• Finding available community resources
• Preserving plan benefits by negotiating costs

The case manager works directly with the patient and his or her providers to help ensure that the best care is given in the most appropriate setting, thereby eliminating unnecessary medical expenses and reducing out-of-pocket costs.  The case manager is dedicated to each case through completion of treatment, coordinates all aspects of care needed and provides additional support as necessary.

Participation in our Case Management program is completely voluntary.  However, an authorization to release medical information form must be completed before we can proceed in fully enrolling a plan member into the program.

If You Have Questions

Please refer to your Benefits Document or call the toll-free Customer Service phone number on your ID card.