Anthem Blue Cross and Blue Shield is dedicated to simplifying healthcare and making it more manageable for our members. A key part of this commitment is our Care Management Program, designed to provide personalized support and guidance. Our experienced care managers act as partners, helping members navigate the complexities of the healthcare system, understand available services, and actively participate in their own care journey.
Who Can Benefit from a Care Manager?
Your healthcare provider may suggest care management, or you might find yourself needing extra support. Anthem care managers proactively reach out to members who could benefit from their services. You might receive a call from a care manager if:
- You, or your doctor, believe care management could be beneficial.
- You have recently been discharged from the hospital and require assistance with coordinating follow-up appointments and care.
- You frequently visit the emergency room for non-urgent health concerns that could be effectively addressed by your primary care physician.
- You have contacted the 24/7 NurseLine and require ongoing support for a health issue.
- You are managing complex or chronic physical health conditions that require extra assistance.
- You are facing behavioral health challenges and need help coordinating care among different healthcare providers.
How Anthem Care Managers Provide Support
Anthem care managers offer a range of services tailored to individual member needs. They can assist with:
- Healthcare Service Coordination: Connecting you with the right healthcare services and resources within the Anthem network.
- Referrals and Authorizations: Streamlining the process of obtaining necessary referrals and prior authorizations for specialist visits and procedures.
- Understanding Your Care Plan: Reviewing and clarifying your plan of care to ensure you understand your treatment and health goals.
What to Expect When an Anthem Care Manager Calls
We understand that you may have questions if you receive a call from an Anthem care manager. When our dedicated nurses or social workers reach out, they will always:
- Clearly Identify Themselves: Providing their name, title, and affiliation with Anthem Blue Cross and Blue Shield, ensuring transparency and trust.
- Explain Available Services: Detailing the specific care management services available to you and how they can be of assistance.
- Discuss Your Health Needs: Engaging in a confidential conversation about your health and overall well-being to understand your unique situation and provide personalized support.
By providing this comprehensive support, the Anthem Blue Cross Blue Shield Care Management Program aims to empower members to take control of their health and well-being, leading to better health outcomes and a more positive healthcare experience.
