What is Care Management (PCM/CCM/APCM)?

Care Management programs are built for individuals that participate in Medicare living with long-term, or chronic, health conditions, such as asthma, arthritis, high blood pressure, heart disease or diabetes. If you qualify for the program, you can receive remote care management on a monthly basis from a qualified healthcare provider. Care Management services include:

• Personalized attention by your Care Coordinator each month
• A direct line of communication between you and your provider via the Care Coordinator
• Consistent help and encouragement with any and all health goals you may have

Why is Wellbox contacting me?

Based on your health profile, your healthcare provider has identified you as eligible for care management services. These services are provided on a monthly basis via phone and/or email and are in addition to your regular office visits. Your privacy in all these exchanges is secure, and in compliance with the Health Insurance Portability and Accountability Act (HIPAA).

Why should I participate?

The Care Management programs provided by Wellbox have been shown to have a positive impact on health outcomes — including fewer emergency visits and hospitalizations. The goal of the program is to anticipate and address health concerns or complications earlier when they are easier to treat, or even prevent.

Who will I be talking with? What will we talk about?
A team of nurses, acting as an extension of your doctor, will provide care management services. They will be familiar with your medical history and will update your health record after every interaction so your doctor can review the content of your interaction, and direct your care as he or she sees fit.

Discussions and patient education topics will include your care plan, prescriptions, other preventative services available to you, lifestyle recommendations, and assistance with scheduling specialist appointments.

How much does Care Management cost?

Similar to in-office services, after you’ve met your deductible, Medicare covers 80% of every care management visit. Most secondary insurances cover the remainder of the costs however if your secondary does not cover the cost or you do not have a secondary insurance you may be responsible for a small monthly co-pay. Your insurer would be able to provide you specifics for your plan.