Disease Management Program

The Health Plan’s Disease Management and Health Promotion Programs are developed to proactively identify populations with, or at risk for, chronic medical conditions. We currently manage members with diabetes, chronic heart failure, and chronic obstructive pulmonary disease. The Health Plan’s pregnant members are also monitored with the intent to identify those at high risk for premature delivery.

“Disease management is a system of coordinated health interventions and communications for populations with conditions in which patient self-care efforts are significant.” -- Disease Management Association of America

Our disease management programs support the practitioner-patient relationship and plan of care, emphasize the prevention of exacerbations and complications using evidence based practice guidelines and patient empowerment strategies. The Health Plan programs continuously evaluate clinical, humanistic, and economic outcomes with the goal of improving overall health status.

•  Enrollment Form

  Health Plan members who have been diagnosed with diabetes, heart failure, or chronic obstructive pulmonary disease (COPD) can enroll in the appropriate disease management program by accessing this form.  A Health Plan nurse will call you.

•  Pregnancy Enrollment Form 

  Pregnant Health Plan members with concerns or questions about their pregnancy can enroll in the Pregnancy Program by accessing this form. A Health Plan nurse will call you.

If you have questions or would like more information in addition to the material provided on this website, please feel free to call Customer Service at 740.695.7902 or 1.888.847.7902 in the Ohio Valley/Mountaineer Region and 330.837.6880 or 1.800.426.9013 in HomeTown Region.