Managing Your Care

Care Management

Our Care Management department is staffed by doctors, nurses, pharmacists, social health coach and dietitians. We're here to help you make the best possible decisions about your healthcare.

Our goal is to offer clinical programs and services that provide you with health guidance and access to high quality care.

  • We help coordinate your healthcare.
  • You get support from a multidisciplinary healthcare team.

How Do I Know If I Would Benefit from Care Management Services?

The best way to help our nurses know if you will benefit from our care management services is to take a Personal Health Assessment (PHA). This tool will review your current and past health issues and habits to determine your overall state of health.

What Can I Do to Manage My Health?

We provide you information, tools and other resources to support you in making informed healthcare decisions and in managing a number of health conditions.

How Can I Contact a Nurse?

If you wish to ask about our programs, please call the Case and Disease Management Unit at 800-317-2299.

Am I Eligible for $0 Drug Copays?

Find out if you are eligible to get certain drugs that treat chronic conditions for $0 by calling 1-800-317-2299.

Case Management

Our Case Management program provides help when you or a family member have a complex medical condition, or a catastrophic illness or accident. Our nurses have experience with: 

  • Cancer treatment
  • Transplants
  • High-risk pregnancy
  • Children with special needs
  • Traumatic injuries
  • Other conditions

What Can the Program Do for You?

  • Help you coordinate your healthcare services and serve as an advocate for your healthcare needs.

  • Provide you with educational materials and information about community-based resources.

  • Promote a healthy lifestyle. We will help you set positive healthcare goals and coach you to reach them.

Ready to Get Started with Case Management?
Call or email for more information or to refer a member.
Monday-Friday, 8 a.m.-5 p.m.

800-317-2299, option 1

help@lablue.com

Disease Management

Our Disease Management program helps you if you have a chronic condition, such as heart disease or a heart condition, high blood pressure or hypertension, or diabetes. We work with providers to improve your health and your ability to live successfully with your condition.

Program Overview

Key components of the program include:

  • We determine what your physical, mental health, financial and living situation needs are;

  • We promote proactive health programs that help you better understand your awareness of the health risks that come with certain personal behaviors and lifestyles;

  • We set health management goals and help you learn more about topics such as primary prevention and changing behaviors. We also try to help you and your primary care doctor get on the same page.

  • We help you try to manage your own health by making better decisions with your health and lifestyle behaviors.

Ready to Get Started?
Call or email for more information
or to refer a member.

800-317-2299, option 1

help@lablue.com

Wellness Reminders

All members who are not part of the Federal Employee Program (FEP) are eligible to receive periodic reminders about important health screenings.

These reminders will be sent automatically when you reach a certain age (depending on gender and risk level) if you have not received specific preventive services.

The chart below shows who may be contacted and why.

MAIL REMINDERS
Service Needed Who Receives Reminders? Why?
Childhood Immunizations Children 1, 2, 12 and 13 years old in the month of their birthdays To keep children up to date on immunizations based on CDC recommendation
Diabetic Screenings Any member 18-75 years old who has been identified as diabetic based on claims data To ensure diabetic members receive ADA screenings each year
PHONE REMINDERS
Service Needed Who Receives Reminders? Why?
Mammograms Women ages 40-69 without a claim for a mammogram in either the current or previous year Increase awareness of risk of breast cancer
Pap Smears Women ages 21-64 without a claim for a pap smear in either the current or previous year Increase awareness of risk of cervical cancer
Colorectal Screenings Members ages 50-80 without a claim for certain colorectal screening tests within specific time periods Increase awareness of risk of colorectal cancer

Behavioral Health

Blue Cross and Blue Shield of Louisiana (Louisiana Blue) includes behavioral health services as part of Care Management programs. Our in-house clinical team includes behavioral health case managers who work with eligible members to help them get services that work with their overall health goals and benefits. There is no cost to work with a Louisiana Blue behavioral health case manager.

Get Support for Behavioral Health Needs, Including:

  • Depression
  • Anxiety
  • Substance Use
  • ADHD
  • Autism
  • Bipolar Disorder
  • Schizophrenia

Our care team is here to support you on your journey to better health.

Connect with a behavioral health case manager by calling 1-844-210-6863 or calling Customer Service at the number on the back of your member ID card

  • If you are having a behavioral health issue and need urgent support, call Louisiana Blue’s 24/7 behavioral health crisis line: 1-800-821-2742

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