Care Management is here when you need us most.
Who can you turn to for help?
If you were recently hospitalized due to a major injury or unforeseen catastrophic illness, you may be unprepared to deal with your health care needs after your discharge. A Blue Cross Blue Shield of Georgia (BCBSGa) case manager may be able to help. Your case manager can coordinate home care agency services; provide you with information on community and financial resources and work to improve communication between members of your medical team.
Coping with a serious illness, injury or chronic condition can be both confusing and frustrating. Fortunately, we are here to help. Our Care Management Program teams you, your family and your health care providers with a BCBSGa case manager to help support you better in meeting your health objectives.
Case Managers Guide You through the Care Process.
Our case managers are registered nurses who can offer added support when you need it. The role of a case manager is to:
• work to help ensure you receive the appropriate benefits available to you under your health care benefits plan
• provide access to information that will help you manage your condition and make informed choices
• help you and your family better understand and utilize your treatment options
• help you locate other available resources — such as community aid and assistance
A Voluntary, Confidential Program
The Care Management Program is strictly voluntary and available to BCBSGa members at no additional cost. It is also confidential. If you choose to participate, we will focus on assisting the person at the center of the program — you. Participation does not affect your policy or the premiums of your health care benefits plan and you may choose to stop participating at any time.
If you need case management services based on the above description you may self-refer to Care Management by calling 1-800-353-0923.
Your assigned case manager will invite you to participate in this voluntary program. Then, your case manager will talk with you to gain an understanding of your condition and your personal wellness goals, so they can create a support plan with you and your health care providers.
Working with Your Individual Case Manager
Your case manager will contact you on a regular basis in an effort to assess your health status and determine your progress in following your treatment plan. This type of regular interaction, as well as feedback from you and your health care providers, allows your case manager to design a support plan specific to your health needs and objectives. You will also have your case manager’s direct telephone number, so you may call with health questions, or to discuss benefits or other services available to you. The case manager’s role complements the treatment offered by your health care team.
Our Care Management Program services are designed to support you and your health care providers in an effort to increase healthy behaviors. The case manager does not provide care. We realize this responsibility rightly belongs to the people who understand your condition best — you and your health care providers.