Learn to better manage a chronic medical condition and live healthier every day

Condition Management

  • Better manage a chronic medical condition. Call 1-877-458-4975 to request that a nurse reach out to you.

  • Condition management services can help you avoid or reduce complications.

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Did you know? You could earn a HealthFund Healthy Actions credit* when you participate in a Condition Management program. Both enrolled employees and enrolled spouses are eligible. If your claims or RealAge Test indicate that you may qualify, someone will call to invite you to participate. You can also request to participate. Just call 1-877-458-4975 (select option 3) and ask for a nurse to call you back.

The LM HealthWorks Plan has a Condition Management program called Aetna One Choice (A1C).

 

The A1C program is designed to help members who have more serious health issues, like chronic conditions and acute medical events. For example, if you’re diagnosed with diabetes or high blood pressure or if you’re facing surgery or a hospital stay.

With A1C, you can connect by phone with a registered nurse, called a Care Manager, who can give you one-on-one support for high-risk health situations. You’ll work with the same Care Manager for all of your health issues. Your Care Manager can get to know you and your unique health issues, so you never have to repeat yourself. In fact, you can have the same Care Manager for all of your covered family members, too.

If your claims data or health assessment indicates you could benefit from an A1C Care Manager, an A1C representative will call to invite you to join the program. In addition, if you complete one goal (as determined in conjunction with your A1C Care Manager), you could earn a $100 HealthFund credit.

But, you don’t have to wait for a phone call. If you have been diagnosed with a condition, or have an upcoming surgery scheduled, just call Aetna Member Services at 1-877-458-4975, and select Option 5. Member Services can direct you to the appropriate Care Management program, to see if you qualify and/or to get started.

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