مدیریت مراقبت

با Care Management کمک بیشتری دریافت کنید

TotalCare helps you get all the medical, dental and vision services, prescription medicines and behavioral health services you need. You will be assigned to a Care Manager to help you work with your doctors to meet your personalized health goals.

در اینجا چند راه وجود دارد که می توانیم کارها را آسان تر کنیم:

• After the hospital: Did you just get out of the hospital? We can help you set up important follow-up appointments and make sure you get your medicines.
• Getting around: Do you need a ride to see the doctor? No problem! We can arrange no-cost transportation for you. Learn about our خدمات حمل و نقل.
• Personal support: We check in with you at least once a year in person or by video, depending on what works best for you.
• Health Risk Assessment (HRA): We will ask you a few questions when you first enroll and once a year after that to learn more about your health and what matters to you.
• A custom care plan: Based on your HRA and your needs, we create a care plan just for you. This helps your care team stay on the same page and support your needs.
• Your care team: We bring together your doctors, nurses, social workers and others to form your Interdisciplinary Care Team (ICT), a group that works together to support your care.

Some people have more serious health needs and that is okay! If you are one of those people, you may be able to get extra help. TotalCare offers services to give you the support you need.

ما می توانیم در شرایط زیر به شما کمک کنیم:

• You have conditions that need special attention like diabetes, asthma or obesity.
• You have gone to the hospital a lot of times.
• You need help checking your medicines.
• You have serious health challenges like a tough injury, HIV/AIDS or are near the end of life.
• You have other health concerns like a seizure, a stroke, a wound that is not healing or a condition like multiple sclerosis or Parkinson's disease.

We also offer special support if you have complex needs.

We offer extra care for those who:

• Are living without stable housing.
• Having memory loss or dementia.
• Have serious mental health or substance use conditions.
• Are coming out of jail or prison.
• Are pregnant or recently had a baby.
• Live in a nursing home or are returning home from one.
• Have a serious illness and need help managing symptoms like pain, fatigue, or stress — even while still getting treatment for the illness (this is called palliative care).

You can stop these services at any time, just tell your care manager. Stopping these services will not affect your coverage or benefits.

ما فقط یک تماس تلفنی فاصله داریم!

If you want to find out more or if you are ready to get started with our care management services, please call the Care Management team at 800-700-3874, ext. 5512 (TTY: 800-735-2929 (Dial 711)). You can also call TotalCare Member Services at the number at the bottom of this page.