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

Care Coordinators 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. 

As of January 2021, we are experiencing high enrollment volumes due to an increased interest in Coordinated Care.  This is great news and we're exclited to work with all our new members.  When you enroll, you can expect a welcome email with the name of your Care Coordinator.  After that, it may take up to three weeks for your Care Coordinator to call you to establish your program goals.  We are completing all new enrollments as quickly as possible.  Please log in to your Healthy Choice portal, which will display updates to your enrollment status and personal program goals.  We appreciate your patience.


 

Additional Resources

Coordinated Care Depression Medication Reimbursement List
Coordinated Care Congestive Heart Failure Medication Reimbursement List  
Coordinated Care Asthma Medication Reimbursement List  
Coordinated Care Diabetes Medication Reimbursement List  
Coordinated Care Hyperlipidemia Medication Reimbursement List  
Coordinated Care Migraine Medication Reimbursement List  
Coordindated Care Hypertension Medication Reimbursement List  
Coordinated Care Participant Rights and Responsibilities
Coordinated Care FAQ
Coordinated Care Incentive FAQ
Surgical Weight Managment FAQ      Florida Surgical Weight Management FAQ
Coordinated Care Satisfaction Survey
Cleveland Clinic - Educational Resources
Interpreter Services and Nondiscrimination Notice