Employee Health Plan – Coordinated Care 

Living with a chronic condition can be difficult, but getting it under control is easier when you don't go it alone.  That's why EHP offers over 20 Coordinated Care (disease management) programs at no extra charge. Click here for a list of the Coordinated Care programs, including those that qualify for the EHP Healthy Choice program.

How the Programs Work

Registered nurse care managers work closely with members and their doctors and share ways to manage chronic conditions and overall health through diet and fitness, setting goals, monitoring progress and preventing complications. Members have regularly scheduled phone visits with their care managers, and receive educational materials and referrals to informative, physician-approved websites. These programs do not replace a physician’s care - they reinforce your plan of care and help you stay well between doctor visits.
 

Advantages of Joining

Plan members who join can be reimbursed for copayments when they visit their doctors to arrange for any medically necessary screening equipment, such as glucometer testing supplies for the diabetes program. After members meet the goals they set with their nurse care managers, they also are reimbursed for co-payments made during condition-related office visits that took place less than 12 months ago. After six months of maintaining their goals, members additionally can be reimbursed for condition-related
pharmacy co-payments.

Questions?

For more information or to join, call the EHP Medical Management Department at 216-986-1050 or toll-free at 1-888-246-6648.
 

Additional Resources:

Coordinated Care Participant Rights and Responsibilities
Coordinated Care 2017 Weight Management Requirements
Coordinated Care FAQ
Coordinated Care Incentive FAQ
Pregnancy Weight Management Requirements
Coordinated Care Satisfaction Survey
Cleveland Clinic - Educational Resources
Interpreter Services and Nondiscrimination Notice