Case Management — We’re here to help.
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What is Case Management?
Case management is a personalized service designed to help you navigate your healthcare journey. A dedicated case manager works closely with you, your doctors and your care team to coordinate care, answer questions, and make sure you’re getting the services you need.
How Case Managers Support You
Depending on your unique needs, a case manager may:
- Help coordinate doctor visits, treatments and services
- Assist with follow-ups after a hospital stay
- Connect you with local community resources
- Educate you about your medications and treatment plans
- Support you in managing chronic conditions like diabetes, heart disease or COPD
- Advocate for your care and well-being
Who Can Benefit?
Case management is especially helpful for individuals who:
- Have complex or long-term health conditions
- Are recovering from a serious illness or surgery
- Take multiple medications
- Need help organizing their care across multiple providers
This service is typically included at no extra cost as part of your Medicare Advantage plan.
Getting Started Is Easy
If you’re enrolled in a Medicare Advantage plan and think you could benefit from case management, simply contact your plan’s customer service team. They can help determine if case management is right for you and connect you with a care manager who understands your needs.
You don’t have to manage your health alone. With the support of a Medicare Advantage case manager, you’ll have a caring partner by your side—every step of the way.
What do Case Managers do?
Make clear your health issue and how to spot and treat symptoms.
Help you join programs to improve your health, such as preventive care and healthy living, or giving support for hard end-of-life issues.
Review your medicines, make sure you know how to take them and discuss possible side effects.
Arrange care between your doctor(s) and specialists, and support their efforts to keep you healthy.
Help you set goals and aid you as you work toward them.
Support you and your family with changes of care between health care settings, such as from home to hospital or hospital to skilled nursing facility.
Who qualifies for Case Management?
Anyone can apply for assistance from Case Management. It is most helpful for members who:
Have more serious health concerns like diabetes with uncontrolled blood sugar
Find it hard to pay for their medications
Make frequent trips to the Emergency Room
How can I access HealthSpring Case Management?
Provider Referral
One of your doctors may suggest you. A Case Manager will call or mail you to review your needs.
Health Plan Referral
HealthSpring may name you as a good choice for case management. If so, we will give you a call.
Caregiver Referral or Personal Request
You, a family member or a caregiver can also talk to us by calling
Programs and Services
Get solutions for issues like depression and anxiety and help finding a provider.
If you take multiple medications for a chronic condition, get help from a pharmacist.
Provider and Pharmacy Directories
Find in-network providers and pharmacies quickly.
Learn More About Medicare
The basics of Medicare.
Steps to follow when deciding which plan is right for you.
What is Original Medicare (Part A and Part B)?
Find out how Original Medicare (Part A and Part B) works.