Chronic Care Management

Chronic Care Management (CCM) is a program available to Medicare patients living with more than one chronic condition, such as arthritis, diabetes, depression, asthma, high blood pressure or other long-term conditions.

Support for Chronic Illnesses

  • Chronic rhinosinusitis and nasal polyps: Reinforce medical therapy, monitor symptoms, and help patients stay compliant with long-term treatment plans.
  • Post-surgical sinus patients: Support recovery through postoperative education, medication adherence, and early identification of complications or recurrence.
  • Patients with asthma or AERD: Coordinate care across providers to improve control of chronic inflammatory disease.
Woman smiling while talking on the phone on her sofa

How Chronic Care Management Helps You

A Dedicated Care Coordinator

Someone who understands your complete medical history.

Help Available 24/7

Access to health care assistance any time, day or night.

A Personalized Treatment Plan

Built for you by your care team.

Health Care Tasks Handled

Help scheduling appointments, requesting refills and more.

Everyday Needs Too

Help arranging transportation, registering for available community programs and more.

Your Care Kept In Sync

Coordination between your pharmacy, specialists, testing centers and hospitals.

Coordination of Care

Chronic Care Management extends care outside of the four walls of your physician’s practice to help you maintain the best possible health. Each month, a dedicated Care Coordinator can call you to:

  • Assist with scheduling appointments, lab tests or other tests
  • Explain how and when to take your medications
  • Coordinate any home health or medical equipment needs
  • Connect you with health education resources, services and programs
  • Identify available community resources
  • Coordinate follow-up care after leaving the hospital
  • Access other support services you need to stay well

There is also a 24/7 Care Coordinator Phone Line to help answer questions day or night outside of your monthly calls with your Care Coordinator.

Woman speaking with her care coordinator on the phone at home

Cost and Coverage

It is best to review exactly what your Medicare insurance plan covers, but this service is subject to your annual deductible and coinsurance, usually 20%.

If you have a secondary or supplemental insurance plan, your coinsurance may be covered.

You can only sign up for Chronic Care Management services with one CareHarmony care coordination team at a time. You may opt-out at any time. There are no strings attached.

Frequently Asked Questions

What is Chronic Care Management?

Chronic Care Management is a care coordination program designed by Medicare to help patients better manage chronic conditions. It gives you greater support and access to care between office visits, even while at home.

What is a chronic condition?

A chronic condition is an ongoing, long-lasting health condition that requires continual management and treatment. Examples include asthma, diabetes, arthritis, hypertension and heart disease.

What is care coordination?

Care coordination is the organization of patient care activities and the sharing of information among the people involved in a patient’s care. CCM provides extra layers of support between doctor visits for eligible patients with two or more chronic conditions.

Who is eligible?

To be eligible for Chronic Care Management, you must be a Medicare beneficiary and have two or more chronic conditions expected to last at least 12 months, or until end of life. If you are unsure whether your conditions qualify, contact your provider for guidance.

Do I have to be a Medicare member?

Yes. At this point the program is only being offered to Medicare patients.

Why does my doctor want this for me?

Managing and coordinating care can be difficult if you have multiple chronic conditions, see different types of doctors, or take several medications. Coordinated care helps your doctors get the information they need, when they need it.

But what if I feel fine?

One benefit of Chronic Care Management is helping you maintain good health. The program can help you keep up with preventive care, connect with specialists, locate healthcare resources, and access community services.

What does this program cost?

Many Medicare patients have secondary insurance, which often covers CCM copays. If not, CCM may be subject to coinsurance, usually 20%, as well as your deductible. It is best to review exactly what your insurance plan covers.

Is my information private and secure?

Yes. The same rules that protect your medical information in your doctor’s practice apply here as well. Your information is secure and handled according to HIPAA guidelines.

Why should I enroll?

Chronic Care Management extends your care beyond office visits. You will be matched with a dedicated Care Coordinator and have access to support 24/7. Your Care Coordinator can help with scheduling, refills, lingering questions, treatment planning and communication across your care team.

How do I enroll?

Give us a call at (210) 864-2103 to learn more about the program and get answers to your questions.

How do I opt out of the program?

There is no long-term commitment. You may opt out any time by notifying us by phone. You will be unenrolled at the end of the current month.

Signing Up Is Simple

  • Step 1

    Contact Us Today

    Give us a call at (210) 864-2103 to learn more about how you can benefit from this program and to get answers to any questions you may have.

  • Step 2

    Enroll in the Program

    Consent to being a participant in the CCM program. You can only enroll with one provider.

  • Step 3

    Start Feeling Better

    Your dedicated care coordinator will call you to discuss your health goals and build a treatment plan designed to help you get, and stay, as healthy as possible.

Looking to Enroll? Have Questions?

If you have questions about this service and would like to learn more about the program or how to enroll, please call (210) 864-2103 to speak with a Care Coordinator.

Find out more about CareHarmony here:

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Get the ongoing support and care coordination you need to better manage your chronic conditions.

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