If you’re enrolled in the PPO, EPO, or HDHP, your benefits include a confidential case management program, offered through your service provider.
If you have a serious health condition, the case management program can help with managing it. This program is available at no cost to you.
Your covered family members also are eligible for case management.
This program helps you when you
Case management helps you get the best available treatment when underlying health conditions are complex or challenging to address. The program can assist you by
Based on claims information, you may be contacted by a case manager (typically a registered nurse) who will work with you and your physician to facilitate approval for medically necessary covered services. Your nurse case manager will also help evaluate treatment needs and options under the direction of your attending physician.
To learn more, or if you think you could benefit from case management, call your service provider at the number on the back of your medical ID card.