Connect with Care Management | EmblemHealth

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Connect with Care Management

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We're Here to Help

As an EmblemHealth member, you can access our Care Management programs if you have a complex health condition.  There is no cost to join. Our Care Management team provides personalized service to help you and your loved ones get the care, education, and resources you need to better manage your health.

To learn more about our approach, or to confirm eligibility, call us at
800-447-0768 or fill out the form below. Our Care Management staff will be
in touch.

Our Programs

A team approach to managing diabetes

If you’re a City of New York GHI PPO member* with diabetes, you have access to our nationally recognized A1chieve program. As an accredited diabetes self-management program, we help members with Type 1, Type 2, and gestational diabetes (diabetes during pregnancy). Our staff of registered dietitians and registered nurses are certified diabetes care and education specialists here to provide ongoing support. Best of all, this program is available to you at no cost.

The A1chieve program can you help you learn more and set goals around:

  • Medication management, including blood glucose monitoring
  • Healthy eating and physical activity
  • Developing habits to better manage overall wellness
  • Problem solving to better manage challenges
  • Behaviors to reduce risks and complications

Connect with us

Fill out the contact form to have a care manager call you to answer any questions you may have, and to register.

You can also call 800-447-0768 (TTY: 711), 9 a.m. to 5 p.m., Monday through Friday, to learn more about the program.

*Members must be age 18 or older

Complete support for those who need it most

Complex Case Management is a 90-day program serving members with complex chronic medical conditions that, if not well-managed, can lead to serious medical emergencies. Our team will work closely with you to evaluate and monitor your health to improve and better manage your conditions. We will coordinate health care services and communication between hospitals, clinics, and doctors to best support you and your family.

Keeping you healthy after hospitalization

Transition of Care is a member-centered coaching intervention to empower members to better manage their health after hospital admission. Our team will work with you to make sure you are educated about your condition, have support and resources, and get the right care to feel better.

Support includes, but is not limited to:

  • Making sure you have follow-up primary care doctor and specialist appointments.
  • Help with durable medical equipment and homecare orders, medication management, and clear personal health records.
  • Health education about your conditions and help spotting signs for when to seek immediate care.

Providing connection and support for members with HIV/AIDS

Using a multidisciplinary team approach, our HIV/AIDS program will help you find community resources and navigate health care to better manage your condition. Our team will help you take charge of your own health, and give you support to balance your medical needs with your work, home life, finances, and more.

Members will receive information on topics including:

  • How to access anonymous and/or rapid testing for sexual partners.
  • How the law protects personal and confidential health information.
  • Precautions you can take to keep yourself and others safe.
  • Proper use of medicines, including dosage and side effects.
  • Coordination among your physicians, community organizations, and other services.

EmblemHealth members diagnosed with HIV/AIDS qualify to enroll in the HIV/AIDS Case Management program. You can enroll or ask questions by calling our Case Management program at 800-447-0768, Monday through Friday, 9 a.m. to 5 p.m.

Learn more about HIV/AIDS

Learn more about common conditions like diabetes and steps you can take to control them on our Way Forward page.

 

EmblemHealth Care Management Program

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For Members: I understand that the phone numbers I provided on this form may be used by EmblemHealth or any of its contracted parties to contact me about my account, my health benefit plan or related programs, or services provided to me.

For Non-Members: To request information, please call customer service at 877-344-7364 (TTY 711), 8 am to 8 pm, seven days a week. We will be happy to help you.