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Chronic Care Management

Chronic care management in Harker Heights, Texas

At Wellstone Health Partners, we believe that managing chronic care needs should be a convenient and simple process. That’s why we have partnered with CareHarmony to offer a Chronic Care Management program for Medicare beneficiaries living with two or more chronic conditions. Chronic Care Management is a care coordination program designed by Medicare to help you better manage your chronic conditions, receive support and access care, even from the comfort of your home. Wellstone Health Partners recommends all qualifying beneficiaries to enroll in this program.

Care coordination service

Our care coordination service is designed to help you take care of you! Through participation in the program, you will receive monthly phone calls from a dedicated Care Coordinator in between your scheduled appointments with your provider.

During the monthly call, your Care Coordinator will provide the following services:

  • Assist in 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 you leave the hospital
  • Access other support services you may need to stay well

There is also a 24/7 Care Coordinator phone line to help answer any questions you may have. To use the help line, please call 254-618-1070.

Costs and coverage

This service is covered by Medicare and is subject to your annual deductible and coinsurance (usually 20%). If you have a secondary or supplemental insurance plan, your coinsurance may be covered. Please call your insurance representative for more information.

Contact us

To enroll in the program or to learn more, please call 254-618-1070.

Find out more about CareHarmony here.

What is a chronic condition?

A chronic condition is an ongoing, long-lasting health condition, which will require continual management and treatment. Left untreated, a chronic condition can hinder independence and negatively impact health. Examples of chronic conditions include asthma, diabetes, arthritis, high blood pressure and heart disease.

Why should I enroll?

Chronic Care Management extends your care outside of the four walls of your provider’s practice to help you maintain the best possible health. You will be matched with a dedicated Care Coordinator and have access to help 24/7. A treatment plan (care pathway) will be created to plan for your ongoing care and better address all your health-related issues. Your Care Coordinator will help you navigate the healthcare system, including scheduling appointments, refilling medications and answering lingering questions. Your Care Coordinator acts as an extension of your provider and helps monitor and adjust your care accordingly.

How do I enroll?

Call 254-618-1070 to enroll and learn how you can benefit from the program.

Who is eligible?

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

Why does my provider want me to participate in this program?

Managing and coordinating care can be especially difficult if you suffer from multiple chronic conditions. For every medication you take, it’s important to know how it reacts with other medications and for every provider you see, there are test results and/or health information that need to be shared. Proper coordination of care helps your providers receive pertinent information regarding your condition and better care for your needs.

If I feel fine, do I need to participate?

Chronic Care Management helps you not only achieve good health, but also maintain it. The program also focuses on things such as helping you keep on top of preventive care and helping you locate specialists, valuable healthcare resources and community services.

What does this program cost?

Most Medicare members have secondary insurance, which often covers Chronic Care Management program copays. In instances where this isn’t the case, the program may be subject to a modest copy (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 provider’s practice apply here as well. Your information is and will always be secure using the latest certified information technology and following all HIPAA guidelines.

How do I opt out of the program?

With Chronic Care Management, there is no long-term commitment. You may opt out any time by calling 208-239-3722. Unenrollment will take effect at the end of the current month.