BlueChoice HealthPlan

providers

Case Management

Great Expectations®† Case Management is for members who have extraordinary medical needs or conditions. This includes members with advanced stage cancer, severe trauma, multiple chronic conditions, complex wounds requiring negative pressure wound therapy, gastric bypass, Hepatitis C, brain injury, transplants and neuro-muscular diseases.

With Case Management, everyone involved in a member’s health care works as a team. This includes the member, the member’s family, the member’s doctors and other health care staff and a BlueChoice HealthPlan case manager. An experienced registered nurse case manager partners with members to help them navigate through the complicated health care system. When members are in case management, they're in good hands. Our team of highly skilled case managers includes nurses who typically have over 20 years of experience and have received a special certification in case management (CCM, or Certified Case Manager).

    There are many benefits to participating:

  • Telephone counseling to assess member issues and treatment options.
  • Help using and understanding pharmacy and medical benefits. 
  • Referrals to helpful resources. 
  • Ongoing coordination with the member's physicians, therapists, home health nurses and social workers.
     

Members can take advantage of Great Expectations Case Management just by being a member of BlueChoice HealthPlan. There is no charge!

We identify members who may qualify for case management. Doctors can also refer their patients who are BlueChoice HealthPlan members, or members can request we evaluate them for participation in the program. Members can call (800) 327-3183, extension 25588. A case manager will review the member's information to see if he or she qualifies for our case management program.

For more information or to enroll in a Great Expectations®† program, members can log into My Insurance Manager. They should select "Enter My Health Center" in the middle of the page. They can then select "Online Enrollment in the Health Management Programs" under the Great Expectations®† for Health section.

®† Registered mark of BlueCross BlueShield of South Carolina.



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BlueChoice HealthPlan is a wholly owned subsidiary of BlueCross BlueShield of South Carolina. Both are independent licensees of the Blue Cross and Blue Shield Association.
® Registered Marks of the Blue Cross and Blue Shield Association, an Association of Independent Blue Cross and Blue Shield Plans.
sm Service mark of BlueChoice HealthPlan of South Carolina, Inc.