Anthem Care Management Program Overview

This document provides information about Anthem's Care Management program, designed to assist individuals facing complex health issues by offering support from a team of health experts.

Facing a complicated health issue? Don’t go it alone. The Care Management program is here to support you How we can help We’re here for you A nurse care manager may reach out to you if they think the Care Management program would be right for you. 1053231MUMENABS VPOD 05/23 Dealing with a mental or physical health issue can be stressful — but you don’t have to go through it alone. That’s why your Anthem plan provides the Care Management program, designed to help see you through it. The Care Management program is here to make dealing with a complicated health condition simpler. When you enroll, you’ll be paired with a nurse care manager, who will offer you one-on-one support as you work through your issue. This service is included with your Anthem plan at no extra cost. Your nurse care manager is backed by a team of health experts, including doctors, nurses, and pharmacists, who will work together to make sure you’re getting the right care at the right time. Think of it as an extra layer of support, on top of the care you’re getting from your regular doctor . People typically use the Care Management program to get help working through health issues, including: If you’d like to sign up right away or have questions, call Member Services at the number on your ID card.  Serious illnesses, such as cancer or kidney failure  Chronic conditions, such as diabetes, asthma, or heart failure  Trauma or injuries after an accident  Mental and behavioral health conditions, such as anxiety, depression, substance use, or eating disorders

What to expect The program will be tailored to your exact situation and what you hope to achieve. Depending on your needs, a nurse care manager can help you: 1. Meet your nurse care manager 2. Stay in touch 3. Get better First, you’ll talk to your nurse care manager on the phone about your health situation and what you hope to achieve. Together, you’ll create a plan to help you reach your health goals and feel better. Your nurse care manager will call you regularly to see how you’re doing and guide you through any issues that come up. You’ll also have their direct phone number, so you can reach out anytime. If you decide you don’t need the program anymore, just let your nurse care manager know. You can stop participating at any time. Anthem Blue Cross and Blue Shield is the trade name of: In Colorado: Rocky Mountain Hospital and Medical Service, Inc. HMO products underwritten by HMO Colorado, Inc. Copies of Colorado network access plans are available on request from member services or can be obtained by going to anthem.com/co/networkaccess. In Connecticut: Anthem Health Plans, Inc. In Georgia: Blue Cross Blue Shield Healthcare Plan of Georgia, Inc. In Indiana: Anthem Insurance Companies, Inc. In Kentucky: Anthem Health Plans of Kentucky, Inc. In Maine: Anthem Health Plans of Maine, Inc. In Missouri (excluding 30 counties in the Kansas City area): RightCHOICE® Managed Care, Inc. (RIT), Healthy Alliance® Life Insurance Company (HALIC), and HMO Missouri, Inc. RIT and certain affiliates administer non-HMO benefits underwritten by HALIC and HMO benefits underwritten by HMO Missouri, Inc. RIT and certain affiliates only provide administrative services for self-funded plans and do not underwrite benefits. In Nevada: Rocky Mountain Hospital and Medical Service, Inc. HMO products underwritten by HMO Colorado, Inc., dba HMO Nevada. In New Hampshire: Anthem Health Plans of New Hampshire, Inc. HMO plans are administered by Anthem Health Plans of New Hampshire, Inc. and underwritten by Matthew Thornton Health Plan, Inc. In Ohio: Community Insurance Company. In Virginia: Anthem Health Plans of Virginia, Inc. trades as Anthem Blue Cross and Blue Shield in Virginia, and its service area is all of Virginia except for the City of Fairfax, the Town of Vienna, and the area east of State Route 123. In Wisconsin: Blue Cross Blue Shield of Wisconsin (BCBSWI), underwrites or administers PPO and indemnity policies and underwrites the out of network benefits in POS policies offered by Compcare Health Services Insurance Corporation (Compcare) or Wisconsin Collaborative Insurance Corporation (WCIC). Compcare underwrites or administers HMO or POS policies; WCIC underwrites or administers Well Priority HMO or POS policies. Independent licensees of the Blue Cross and Blue Shield Association. Anthem is a registered trademark of Anthem Insurance Companies, Inc.  Understand your health condition and treatment options.  Set health goals and make a plan to reach them.  Find doctors and other care providers in your plan’s network to help save you money.  Talk with all your care providers, including doctors, counselors, specialists, and make sure they’re talking to each other.  Review your medications, if you take any, to make sure they’re working for you.  Make the most of your health plan benefits.  Connect with helpful local and online resources.