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MEDICAL MANAGEMENT OVERVIEW


InHealth Cares

At InHealth, we make sure that you are able to make an informed choice in all clinical decisions related to your care. That's why we provide our members with a patient-centered medical management program that has several specialty programs. Along with services that support your health, wellness and options for healthcare services, we also provide clinical oversight of services, member advocacy, member clinical support, member education and improved access and availability to appropriate and necessary care.

As you consider and investigate medical options, you can turn to InHealth for educational, oversight and management support through these five programs:

  • Utilization management programs
  • Care coordination and case management programs
  • 24/7 nurse advice line
  • Wellness programs* including maternity which also provides a Baby Welcome Kit with a diaper bag, baby monitor and breast pump or first month of formula

Chronic disease management 12-module education programs* that include free case management, self-care and educational materials. For members enrolled in these programs, there will not be a copay for any visit, prescription, or supplies associated with managing their disease (PCP/specialist). This does NOT apply to ER visits or hospitalizations. There are programs for:

  • Asthma
  • Depression
  • Diabetes
  • Coronary Artery Disease
  • Congestive Heart Failure
  • Kidney Disease

*Restrictions apply. Some of these benefits are not available to members enrolled in catastrophic and HSA plans.


MEDICAL MANAGEMENT OVERVIEW


InHealth Cares

At InHealth, we make sure that you are able to make an informed choice in all clinical decisions related to your care. That's why we provide our members with a patient-centered medical management program that has several specialty programs. Along with services that support your health, wellness and options for healthcare services, we also provide clinical oversight of services, member advocacy, member clinical support, member education and improved access and availability to appropriate and necessary care.

As you consider and investigate medical options, you can turn to InHealth for educational, oversight and management support through these five programs:

  • Utilization management programs
  • Care coordination and case management programs
  • 24/7 nurse advice line
  • Wellness programs* including maternity which also provides a Baby Welcome Kit with a diaper bag, baby monitor and breast pump or first month of formula

Chronic disease management 12-module education programs* that include free case management, self-care and educational materials. For members enrolled in these programs, there will not be a copay for any visit, prescription, or supplies associated with managing their disease (PCP/specialist). This does NOT apply to ER visits or hospitalizations. There are programs for:

  • Asthma
  • Depression
  • Diabetes
  • Coronary Artery Disease
  • Congestive Heart Failure
  • Kidney Disease

*Restrictions apply. Some of these benefits are not available to members enrolled in catastrophic and HSA plans.