Complex Case Management program
Please note, this communication applies to Anthem HealthKeepers Plus, Medallion offered by HealthKeepers, Inc.
Managing illness can be a daunting task for Medallion and FAMIS members enrolled in HealthKeepers, Inc. It is not always easy to understand test results, to know how to obtain essential resources for treatment, or to know who to contact with questions and concerns.
HealthKeepers, Inc. is available to offer assistance in these difficult moments with our Complex Case Management program. Our case managers are part of an interdisciplinary team of clinicians and other resource professionals working to support members, families, primary care physicians and caregivers. The complex case management process uses the experience and expertise of the Case Coordination team to educate and empower our members by increasing self-management skills. The Complex Case Management process can help members understand their illnesses and learn about care choices to ensure they have access to quality, efficient healthcare.
Members or caregivers can refer themselves or family members by calling the Member Services number located on the back of their ID card. They will be transferred to a team member based on the immediate need. In addition, physicians can refer their patients by contacting us telephonically or through electronic means. We can help with transitions across levels of care so that patients and caregivers are better prepared and informed about healthcare decisions and goals.
If you have any questions about this communication, call Anthem HealthKeepers Plus, Medallion Provider Services at 800‑901‑0020 or Anthem CCC Plus Provider Services at 855‑323‑4687. Case Management business hours are Monday through Friday from 8 a.m. to 6 p.m. ET.
October 2022 Anthem Provider News - Virginia