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.  For information on Tobacco Treatment click here.


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 Coordinated Care can be reimbursed for some of their copayments medically necessary screening equipment, such as glucometer testing supplies for the diabetes program or Blood pressure monitor for the Hypertension program. . Once all of your Educational  and Clinical goals are successfully met  you may be eligible for reimbursement of some of your Tier 1 physician visit copayments related to your condition   And after you have met all goals in the program you may qualify for reimbursement on some of your medicationsIf the EHP member is enrolled in the Healthy Choice Coordinated Care program and is eligible for medication reimbursement, the member must utilize a Cleveland Clinic/Akron General Pharmacy to qualify for medication reimbursement.  Medications obtained from the CVS/Caremark Mail Service Program are NOT reimbursable unless the policy holder resides in a state that is not serviced by Cleveland Clinic Home Delivery Pharmacy.  Appropriate documentation must be submitted with the request, which includes both the tax receipt and cash register receipt.  Please see Cleveland Clinic/Akron General Employee Health Plan Coordinated Care Incentive FAQ for additional information.  Please communicate with your EHP Care Coordinator to learn if your medication qualifies for reimbursement.  
 

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:

2018 Coordinated Care Weight Management Guidelines
Coordinated Care Participant Rights and Responsibilities
Coordinated Care FAQ
2018 Coordinated Care Incentive FAQ
 
Coordinated Care Satisfaction Survey
Cleveland Clinic - Educational Resources
Interpreter Services and Nondiscrimination Notice