The Healthy Living Care Management Program is here when you need a little help and professional support. For example, maybe you have a chronic condition such as diabetes or high blood pressure, recently had a health crisis such as a heart attack, or just got out of the hospital following surgery.
The program is offered through our medical plan carriers, Anthem Blue Cross and Blue Shield (Anthem BCBS) and UnitedHealthcare (UHC), for those enrolled in the Healthy Advantage or Core Plus Medical Option. Your carrier is in the best position to identify any potential need for special attention, because it processes and tracks your medical and prescription drug claims and also has records of your Wellness Screening results.* Your Health ACE nurse will have real-time access to information on your benefits and claims, so he or she can provide more effective support, guidance and education. The same nurse will be with you as you go through treatment, hospitalization or recovery.
An invitation to participate in the Care Management Program is based on a complete picture of an individual’s health. The most important drivers will be a hospital pre-certification and medical and prescription drug claims data. If you’re invited to take advantage of this special program, please take the call and speak to your Health ACE nurse. The purpose of the Health ACE nurse is to promote the best possible results by educating you and helping you manage your care.
- If your Wellness Screening results indicate a very serious health concern, you will receive a call from a Health ACE nurse to discuss your results.