Living With Your Condition Made Easier
AvMed has several programs designed specifically to help Members living with complex medical conditions.
Plan Sales: 888-492-8633 (TTY 711)
Current Members: 800-782-8633 (TTY 711)
Hours: Monday-Friday 8am-8pm, Saturday 8am-1pm
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Manage Conditions
Personalized Treatment Plans for Medicare Members
AvMed’s case managers are registered nurses or social workers with extensive clinical experience in many specialties. They collaborate with Medicare members and physicians to personalize a patient’s suggested treatment plan and coordinate the different types of care most complex cases require. There's no cost for the programs through your AvMed Medicare Advantage plan and it is confidential.
Medical directors support the case managers, helping to ensure the use of clinical protocols proven by medical science. This, in turn, helps bring the best clinical outcomes. AvMed designed this service for Members who have experienced a critical event or diagnosis that requires extensive use of resources.
Programs within Case Management include:
- Complex Case Management
- Maternity Case Management
- Short-term Case Management
- Care Transitions
This program provides general information. It is not the practice of medicine or a substitute for services from your doctors. All questions about your health status and treatment should be directed to your treating provider.
Questions?
If you think you can benefit from one of our Case Management programs, please contact our Case Management Department at 800-972-8633 (option #3) (TTY 711), Monday-Friday 8 am-5 pm or you may email us at CM@avmed.org.
If you are the member’s caregiver or designated representative, you may also call to request assistance or to make a referral to one of our programs.
Skilled Nursing Facility Program
The AvMed Skilled Nursing/Acute Rehabilitation Transition Program works to help ease the transition back home after a hospital or in-patient stay. Our program nurses work closely with you after discharge to assist in recovery. There is no cost for AvMed Medicare Members.
Skilled Nursing Facility FAQ
Care Navigator Program
The Care Navigator Program provides Medicare plan Members* with one-on-one support from our Care Navigator team; from providing assistance with finding a PCP and scheduling appointments, to informing you on the benefits available to you. There is no cost for the program, and it is confidential.
Contact the Care Navigator team at 305-340-3621, 24 hours a day, 7 days a week.
*Excludes Medicare One plan Members.
Care Navigator FAQs
Healthy Expectations Program
The Healthy Expectations Program provides you with additional support, assistance with coordination of benefits and regular phone contact with our OB team. The program is designed to assist high risk maternity Members. There is no cost for the program and it is confidential.
Contact AvMed Case Management at 800-972-8633 select option #2 for Healthy Expectations. We are available 8:00am to 5:00pm, Monday through Friday.
Healthy Expectations FAQs
Transplant Case Management
Transplant Case Management is a statewide resource for both members and providers. It assists in identifying, facilitating and coordinating transplant services with an appropriate transplant center.
Transplant Case Management provides services while a member is being considered for a transplant, throughout the transplant process until the member is successfully transplanted and stable (usually one year after transplant) and requires no further specific interventions. There is no cost for the program and it is confidential.
Transplant Case Management FAQ
Disease Management
When you are living with a chronic condition, AvMed’s highly trained disease management team works closely with you to answer health-related concerns, consider treatment options, provide condition specific education, and assist in coordinating your care.
Contact Disease Management at 833-609-0735 or DM@avmed.org. We are available 8:30am to 5:00pm, Monday through Friday.
Chronic conditions include:
- Asthma
- Coronary artery disease
- Chronic obstructive pulmonary disease
- Congestive heart failure
- Diabetes