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Clinical Care

For Capital Blue Cross Medicare HMO and PPO Members

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Disease Management Program

Members with chronic conditions like these can talk to a care guide or nurse:

  • Coronary Artery Disease
  • Diabetes
  • Chronic Obstructive Pulmonary Disease
  • Heart Failure

To find out more, please call Capital Blue Cross Medicare PPO at 866.987.4213 (TTY: 711) or Capital Blue Cross Medicare HMO at 800.779.6962 (TTY 711) from 8:00 AM - 8:00 PM, Sunday through Saturday.

Case Management Programs

Our registered nurses and licensed social workers can help manage your health and coordinate care.

Our case management programs may help you if you:

  • Have been diagnosed with a serious medical condition
  • Have multiple injuries or medical problems
  • Are at risk for a future serious medical condition due to an existing condition
  • Are undergoing an extended hospital stay
  • Are seeing several doctors
  • Have had recurring re-admissions for a single diagnosis
  • May need an organ transplant
  • Have a condition that makes it hard or impossible to perform independent living activities

To learn more, you or your physician may call us at 888.320.2583 from 8:00 AM - 8:00 PM, Sunday through Saturday.

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Updated January 1, 2025

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