Managing Your Care

Our Care Management department is staffed by doctors, nurses and pharmacists. 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 registered nurse.

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.

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

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

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

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

• 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.

Our Disease Management program helps you if you have a chronic conditions, 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.

Key components of the program include:

• We determine what your physical, psychological, economic and environmental 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.

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.

Blue Cross and Blue Shield of Louisiana has partnered with Lucet to help connect our members to behavioral healthcare when they need it. As our member, your health insurance plan may include behavioral health benefits. These include mental health services, substance use disorder treatment and more.