ConditionCare Is All About You

We’re here to help you learn more about your health, keeping you and your needs in mind at every step. Our ConditionCare (CC) programs give you the opportunity to ask questions about your condition, get information about your benefits, and connect you with local resources.

How It Works

 

Our CC staff are here to help you better manage your condition, or health issue, which may improve your quality of life.

 

When you join one of our CC programs, our staff will:

 

 Help you create health goals and make a plan to reach them.

 

 Coach you and support you through one-on-one phone calls.

 

 Track your progress.

 

 Give you information about local support and caregivers.

 

 Answer questions about your condition and/or treatment plan (ways to help health issues).

 

 Send you materials to learn about your condition and overall health and wellness.

 

 Coordinate your care with your healthcare providers, like helping you with:

  • Making appointments.
  • Getting to healthcare provider visits.
  • Referring you to specialists in our health plan, if needed.
  • Getting any medical equipment you may need.

What Programs Do We Offer?

We offer healthcare and support services for members with any of these conditions: 

 Asthma

 

 Bipolar Disorder

 

 Cancer

 

 Chronic Obstructive Pulmonary Disease (COPD)

 

 Congestive Heart Failure (CHF)

 

 Coronary Artery Disease (CAD)

 

 Diabetes

 HIV/AIDS

 

 Hypertension

 

 Major Depressive Disorder — Adult

 

 Major Depressive Disorder — Child and Adolescent

 

 Schizophrenia

 

 Substance Use Disorder

Who Can Join?

Any Anthem member with any of the health conditions listed can participate in a CC program. Our CC case manager can talk with you about your health history, health goals, and work with you to offer strategies and support so you can live well.

 

They can also offer educational materials and tools for weight management and tobacco cessation (how to stop using tobacco, like quitting smoking).

How To Join

 

Members, you’ll get a letter welcoming you to a CC program, if you qualify. You also can call us toll free at 888-830-4300 (TTY 711) from 8:30 a.m. to 5:30 p.m. Eastern time Monday through Friday.

When you call, we’ll:

 

  • Set you up with a CC case manager to get started.
  • Ask you some questions about your or your child’s health.
  • Start working together to create your or your child’s plan.

 

You can also email us at: ConditionCare-self-referral@anthem.com .

Please be aware that emails sent over the internet are usually safe, but there is some risk third parties may access (or get) these emails without you knowing. By sending your information in an email, you acknowledge (or know, understand) third parties may access these emails without you knowing.

 

You can choose to opt out (we’ll take you out of the program) at any time. Please call us toll free at 888-830-4300 (TTY 711) from 8:30 a.m. to 5:30 p.m. Eastern time Monday through Friday to opt out. You may also call this number to leave a private message for your CC case manager 24 hours a day.

ConditionCare Rights And Responsibilities

When you join a ConditionCare (CC) program, you have certain rights and responsibilities. You have the right to:

 Get details about us, such as:

  • Programs and services we offer.
  • Our staff and their qualifications (skills or education).
  • Any contractual relationships (deals we have with other companies).

 

 Opt out of CC services

 

 Know which CC case manager is handling your CC services and how to ask for a change

 Get support from us to make health care choices with your healthcare providers

 

 Ask about all CC-related treatment options (choices of ways to get better) mentioned in clinical guidelines (even if a treatment is not part of your health plan), and talk about options with treating healthcare providers

 

 Have personal data and medical information kept private

 Know who has access to your information and how we make sure your information stays secure, private and confidential

 

 Receive polite, respectful treatment from our staff

 

 Get information that is clear and easy to understand

File complaints/grievances to Anthem by calling 888-830-4300 (TTY 711) toll free from 8:30 a.m. to 5:30 p.m. Eastern time Monday through Friday and:

  • Get help on how to use the complaint/grievance process.
  • Know how much time Anthem has to respond to and resolve issues of quality and complaints/grievances.
  • Give us feedback about the CC program.

You Also Have A Responsibility To:

 

 Follow the care plan that you and your CC case manager agree on.

 

 Give us information needed to carry out our services.

 

 Tell us and your healthcare providers if you choose to opt out (leave the program).

 

For a written version of your CC rights and responsibilities or information on this website, please print this page or call Member Services.

 

Marketing Statement:

 

ConditionCare does not market products or services from outside companies to our members. CC does not own or profit from outside companies on the goods and services we offer.

Useful Phone Numbers

In an emergency, call 911.

Condition Care

Leave a private message for your CC case manager 24 hours a day. Toll free: 888-830-4300 (TTY 711) Monday through Friday 8:30 a.m. to 5:30 p.m. Eastern time

24/7 Nurseline

After-hours: Call 24/7 NurseLine 24 hours a day, seven days a week 844-430-0341 (TTY 711)

 

Healthy Families

Healthy Families is a six-month program for members ages 7–17. The goal of the program is to help families form healthy eating habits and become more active. For kids who qualify, parents will get one-on-one coaching phone calls with us to:

  Create health goals just for your child that are clear and that they can meet.

 

  Make a plan to reach those goals.

 

  Talk about getting and staying active and healthy food choices.

 

  Help find resources to support a healthy life in your area.

 

  Find out if your health plan has extra benefits to help with living a healthier life.

 

Learn More And Join

Give us a call at 844-912-0938 (TTY 711)

 

Monday through Friday from 8:30 a.m.–5:30 p.m. Eastern time to find out more about the program.

 

We’ll ask you some questions about your child’s health to see if they qualify.