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Manage your condition

Disease Management (DM) is all about you.

The Healthy Blue Disease Management (DM) program gives you a choice and a voice in how to care for your health. Our care managers are registered nurses. With their help, you will learn to better manage your condition and improve your quality of life.

How it works

DM care managers work with you by phone to create health goals and develop a plan to reach them. They educate you about your condition and help you take more control of your care.

Who can take part?

Any Healthy Blue member with any of the following:

  • Behavioral health conditions such as depression, schizophrenia, bipolar disorder and substance use disorder
  • Heart conditions such as congestive heart failure (CHF), hypertension and coronary artery disease (CAD)
  • Diabetes
  • Lung conditions such as asthma and chronic obstructive pulmonary disease (COPD)

Healthy Blue includes you in our programs unless you choose to opt out. You can choose to opt out at any time.

Our care managers also assist with weight management and smoking cessation education.

DM services

If you take part in the DM program, you will get:

  • One-on-one help from a care manager to help you manage your health
  • Help to make sure you have the right medical equipment for your health condition
  • Screenings for other problems
  • Information about local caregivers
  • News about the most up-to-date treatment for your condition
  • Help with coordinating care between your primary care provider and other specialists

To serve you better, we also:

  • Keep track of your progress with any health condition you are being treated for
  • Give your doctors information on the latest treatments for your condition
  • Give you and your doctor updates on your health
  • Ask you about how we can help you
  • Ask you for your ideas to find ways to make the program even better

How to participate

Call 1-888-830-4300 (TTY 711). You will be asked some questions about your health to help get you started. You can also enroll by emailing dmself-referral@healthybluenc.com.

Learn more about how we can help you manage these conditions:

Healthy Blue can help you with your behavioral health condition. Services include:

  • One-on-one help with depression, schizophrenia, bipolar disorder or substance use disorder
  • Treatment from a licensed mental health caregiver
  • Specialist referrals, if needed
  • Information about resources in your area
  • Phone calls to you and your doctors to track your progress

Making care easier when you need it most

Managing all the pieces of your care when you’re dealing with ongoing health issues can feel overwhelming. Our Cancer Care Navigator program can help. This program provides a team of nurses and other health care providers to help support your care if you have been diagnosed with cancer. We will work with your doctors to simplify the ins and outs of cancer care and make sure you receive the care you need at no extra cost.

Plus, the Cancer Care Navigator will connect you to helpful resources. Some of those include a dietitian, help with managing medications, customized care plans, goal setting, and support after hours.

Get back time to focus on your well-being with extra support. Learn more about how the program can help you: Call the Cancer Care Navigator team toll free at 833-649-0669 (TTY 711) Monday through Friday, 8 a.m. to 9 p.m., and Saturday, 9 a.m. to 7:30 p.m. ET.

Taking part in the program is optional, but encouraged. Choosing not to take part in the program does not impact your benefits.

If you have diabetes, a care manager can work with you by phone. They will help you set goals and create a care plan. Your care manager can help you:

  • Set up a doctor appointment
  • Identify health goals and create a care plan
  • Obtain and use a glucometer
  • Find information about diabetes education programs in your area
  • Learn about diabetes

Healthy Blue covers health care and support services based on your heart condition. Some of these are coronary artery disease (CAD), hypertension and congestive heart failure (CHF). Services include:

  • Heart health education materials
  • Medical equipment you need, such as a scale, to help you manage your health
  • Details about heart education programs in your area
  • Phone calls to you and your doctors to track your progress

Healthy Blue has a care management program for HIV/AIDS. This program will help you better understand and manage your HIV/AIDS. We can assist you to set health goals and create a care plan that fits your lifestyle.

Healthy Blue covers health care and support services based on your lung condition. Lung conditions include asthma and chronic obstructive pulmonary disease (COPD). Services include:

  • One-on-one support from a DM care manager
  • Written education materials sent to your home
  • Medical equipment you need, such as:
    • Nebulizers
    • Spacers
    • Peak flow meters
  • Information about education programs in your community
  • Phone calls to you and your doctors to track your progress

Helpful phone numbers

Your care manager

Call 1-888-830-4300 (TTY 711).

You can also leave a private message for your care manager.

Your PCP

For routine health questions, call your primary care provider. You can find your PCP’s phone number on your member ID card.

24/7 NurseLine

Call the 24/7 NurseLine at 1-844-545-1427 (TTY 711). Get answers to your medical questions.

In an emergency, always call 911.

Your rights and responsibilities

As a member enrolled in the Disease Management (DM) program, you have certain rights and responsibilities.

You have the right to:

  • Get details about us, including:
    • Programs and services we provide
    • Our staff and their qualifications
    • Any contractual relationships
  • Opt out of DM services
  • Know which care manager is handling your disease management services, as well as how to ask for a change
  • Get support from us to make health care choices with your providers
  • Be told about all disease management-related treatment options mentioned in clinical guidelines (even if a treatment is not covered), and to discuss options with treating providers
  • Have personal data and medical information kept private
  • Know who has access to your information and know our procedures used to ensure security, privacy, and confidentiality
  • Be treated politely and with respect by our staff
  • File complaints to Healthy Blue and receive guidance on how to use the complaint process as well as know our standards of timeliness for responding to and resolving issues of quality and complaints
  • Receive information that is clear and easy to understand

You also have a responsibility to:

  • Follow the plan of care you and your care manager agree on
  • Provide us with information needed to carry out our services
  • Tell us and your provider if you decide to leave the program

For a written version of your DM Rights and Responsibilities or information on this website, please print this page or call your care manager at 1-888-830-4300 (TTY 711).

Disease Management does not market products or services from outside companies to our members. DM does not own or profit from outside companies on the goods and services we offer.