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You can call Member Services at 1-855-242-0802 (TTY: 711). We’re here for you 24 hours a day, 7 days a week.
Our care management team
Our care management team
Our team will come up with a care plan that’s right for you. They’ll ensure you get the care and services you need.
You’ll have nurses and social workers to help you:
Connect to other resources and get referrals for specialized care
Work with your health care providers
Understand your symptoms
Get services after normal business hours when you really need them
Arrange services for children with special health care needs, such as well-child care, health promotion, disease prevention and specialty care
Asthma is common and affects people in different ways. If you have symptoms, you’ll want to discuss them with your provider. Here’s how we can help:
First, we’ll see if your asthma is low risk or high risk. If it’s low risk, we’ll give you tips for caring for yourself year-round. That way, you can better manage your symptoms when they appear.
If it’s high risk, a care manager will call you to talk about your asthma care. You’ll talk about things like:
How to take care of your asthma at home
Why you should take your medicine as prescribed
What might cause an asthma attack
How to change your habits so you can feel better
COPD is a lung disease. Our care management team works with members who have COPD to help them get the support they need to feel better.
First, we’ll see if your COPD is low risk or high risk. If it’s high risk, a care manager will check in on you to make sure you’re getting the help you need. They’ll talk to you about your treatment. In some cases, you might get a prescription for oxygen therapy or more medicine. If you smoke, your care manager can help you come up with a plan to quit smoking.
CAD is the most common form of heart disease. Cholesterol can start to collect in your arteries. This makes the heart work harder to do its job.
Tell your provider if your family has any history of CAD. We’ll create a care program to help treat and prevent your symptoms.
Diabetes can be a lot to handle alone. We’re here to help you manage and treat your diabetes. First, we’ll work with you and your provider to see if your diabetes is low risk or high risk.
If it’s low risk, we’ll get you the info and help you need to take care of yourself.
If your diabetes is high risk, we’ll help you learn how to:
Manage your diabetes
Watch your blood sugar
Take your medicine
Care for your feet
Practice healthy habits
Do you ever have shortness of breath doing everyday activities? If so, you might be showing symptoms of heart failure. We’ll work with your provider to help you manage and prevent those symptoms. We’ll come up with treatment options so you can get the care you need. Many of our members with heart failure live healthy, active lives.
HIV stands for human immunodeficiency virus. It can make fighting infections harder for you. With help from our team, you can get the support you need. They’ll coordinate care with your providers and help you manage symptoms, like:
Swollen lymph glands
Fever
Night sweats
Diarrhea
Skin rashes
Sores
The hepatitis C virus affects your liver. If you have the virus, we can help you manage symptoms, like:
Bleeding easily
Bruising easily
Losing appetite
Itching skin
Yellowing of skin
When you have high blood pressure, your blood puts a lot of pressure on your artery walls. Over time, this can damage your arteries, heart and kidneys. You may not know these problems are happening. And if not treated, high blood pressure can lead to other severe issues, like heart attack and stroke.
Normal blood pressure should be below or around 120/80. Your provider can tell you what blood pressure is best for you. We can work with them to help you find ways to lower it or manage it.