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Managing chronic diseases
If you’re managing a chronic condition, we can help you get the treatment you need to feel better. You’ll learn more about your condition, including ways to manage your symptoms, so you can be your healthiest.
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Our care management team
Our care management team
Our team will come up with a care plan that’s right for you. They’ll ensure you get the care and services you need.
You’ll have nurses and social workers to help you:
Connect to other resources and get referrals for specialized care
Work with your health care providers
Understand your symptoms
Get services after normal business hours when you really need them
Arrange services for children with special health care needs, such as well-child care, health promotion, disease prevention and specialty care
Chronic disease programs
Asthma is common and affects people in different ways. Talk with your provider about your symptoms. Here’s how we can help:
First, we’ll see if your asthma is low risk or high risk. If it’s low risk, we’ll give you tips on caring for yourself year-round. That way, you can better manage your symptoms when they appear.
If it’s high risk, a care manager will call you to talk about your asthma care. You’ll talk about things like:
How to take care of your asthma at home
Why you should take your medicine as prescribed
What might cause an asthma attack
How to change your habits so you can feel better
ADHD is one of the most common mental health disorders in children. It’s usually first diagnosed in childhood and often lasts into adulthood.
Children with ADHD may show symptoms such as:
- Having trouble focusing or paying attention
- Feeling restlessness or being overly active
- Not being able to control impulsive behaviors (may act without thinking about what the result will be)
Children with ADHD might:
- Daydream a lot
- Forget or lose things
- Squirm or fidget
- Talk too much
- Make careless mistakes or take risks
- Have a hard time with say “no” to things
- Have trouble taking turns
- Have trouble getting along with others
Some adults have ADHD but have never been diagnosed. The symptoms can cause problems at work, at home or with relationships. Symptoms can also become more severe when the demands of adulthood increase.
Deciding if a child has ADHD is a process with many steps. One step of the process involves having a medical exam, including hearing and vision tests. This helps rule out other problems with symptoms like ADHD.
A care manager can offer you support. Certain things like behavioral therapy, medication and keeping a healthy lifestyle can make it easier to live with symptoms.
Learn more about ADHD and the family
COPD is a lung disease. If you have COPD, we’ll help you get the support you need to feel better.
First, we’ll see if your COPD is low risk or high risk. If it’s high risk, a care manager will check in on you to make sure you’re getting the help you need. They’ll talk to you about your treatment. In some cases, you might get a prescription for oxygen therapy or more medicine. If you smoke, your care manager can help you plan to quit.
CAD is the most common form of heart disease. Cholesterol can start to collect in your arteries. This makes the heart work harder to do its job.
Tell your provider if your family has any history of CAD. We’ll create a care plan to help prevent and treat your symptoms.
Living with Multiple Chronic Cardiac Conditions
This program helps people with long-term cardiac health problems, including:
- High blood pressure (hypertension)
- Congestive heart failure (CHF)
- Coronary artery disease (CAD)
If you are diagnosed with a chronic cardiac condition, you are eligible for this program.
Are you or someone you know feeling sad? Feeling sad sometimes is normal. But if that sadness continues or begins to create other symptoms, it becomes depression. Call your provider right away if you’re feeling depressed.
Some common signs and symptoms of depression include:
- Feeling like nothing will ever get better
- Losing interest in things that used to be enjoyable
- Gaining or losing lots of weight in a short amount of time
- Sleeping more or less than usual
- Increased anger or grumpiness
- Increased feeling of tiredness
- Feeling low self-worth
- Behaving recklessly
- Having trouble making decisions or remembering things
Diabetes can be a lot to handle alone. We’re here to help you manage and treat diabetes. First, we’ll work with you and your provider to see if your diabetes is low risk or high risk.
If it’s low risk, we’ll get you the info and help you need to take care of yourself.
If your diabetes is high risk, we’ll help you learn how to:
- Manage your diabetes
- Watch your blood sugar
- Take your medicine
- Care for your feet
- Practice healthy habits
Diabetes Comprehensive Solutions Program
This program supports those who have been diagnosed with type 1 or type 2 diabetes mellitus (DM). Members can learn about:
- How to manage their condition
- Prevention tips
- Other resources and info
You may be eligible for this program if you’ve received a diagnosis of:
- Type 1 or type 2 DM
- Hyperglycemia
- Obesity
- Prediabetes
Do you have shortness of breath doing everyday activities? If so, this may be a sign of heart failure.
We’ll work with your provider to help you prevent and manage any symptoms. Through different treatment options, you can get the care you need. Many of our members with heart failure live healthy, active lives.
The hepatitis C virus affects your liver. If you have the virus, we can help you manage symptoms, like:
Bleeding easily
Bruising easily
Losing appetite
Itching skin
Yellowing of skin
When you have high blood pressure, your blood puts a lot of pressure on your artery walls. Over time, this can damage your arteries, heart and kidneys. You may not know these problems are happening. And if not treated, high blood pressure can lead to other severe issues, like heart attack and stroke.
Normal blood pressure should be below or around 120/80. Your provider can tell you what blood pressure is best for you. We can work with them to help you find ways to lower it or manage it.
HIV stands for human immunodeficiency virus. It can make fighting infections harder for you. With help from our team, you can get the support you need. They’ll arrange care with your providers and help you manage symptoms, like:
Swollen lymph glands
Fever
Night sweats
Diarrhea
Skin rashes
Sores
Obesity is commonly known as having too much body mass. For children, we measure obesity against growth charts.
Being overweight and obesity are linked to serious health issues, like:
Type 2 diabetes
Cancer
Bone and joint problems
High blood pressure and cholesterol
Sleep disorders
Many things can cause obesity, including:
Behaviors like eating patterns and not getting enough sleep or physical activity
Certain medicines
Genetics and family history
If you’re managing obesity in children, you’re not alone. Our care managers are here for you. We’ll connect you to the right resources for help.
If you had a recent hospital stay, you may get a call from someone from our care management team. This person will ask you questions related to your hospital stay. And they can help you with things, like:
- Scheduling a follow-up with your primary care provider (PCP)
- Getting prescription medicines
- Understanding your instructions for discharge (leaving the hospital)
- Finding support or resources for anything else you might need