Chronic & Complex Conditions
No one should have to face managing their conditions alone. If you or a family member are dealing with an existing chronic condition (e.g. asthma, diabetes or depression) or a complex chronic condition (e.g. HIV, cancer, stroke, spinal cord injury), we have resources to help you to better manage and understand your condition.
Our Member Care Management team offers you the opportunity to work directly with a nurse care manager. Our goal is to develop a partnership with you, the nurse case manager and your physician. Our team can help members understand their condition and treatment options, and encourage treatment plan adherence. There are no additional fees for participation.
Mental Health & Substance Abuse
In addition to plan coverage for treatment of mental health and/or substance issues, we also have online tools (in partnership with New York State) that will help you to determine risk levels and the appropriate level of care for at-risk individuals. Support is there for you and your family with our network of mental health and substance abuse providers.
Continuing in outpatient care after discharge from an inpatient admission can greatly help patients avoid a relapse of their mental health symptoms. Our Behavioral Health staff work with members to eliminate barriers to adhering to their discharge plan.
We have implemented a program is to increase the skill and knowledge of pediatricians and family practitioners in managing psychiatric illness for their patients through phone consultations with a Board Certified Child and Adolescent Psychiatrist.
The New York State Office of Alcoholism and Substance Abuse Services (OASAS) has created an online tool to make recommendations as to the appropriate level of care for individuals in need of substance use disorder treatment based on an individual's risks and resources.
FEAT is a program targeting 18-25 year old patients who have recently been diagnosed with Schizophrenia (or Schizophreniform Disorders), or who are experiencing psychotic symptoms but have yet to be diagnosed. The program offers members and families who meet criteria access to Multi-Family Group Treatment at designated mental health facilities in their area.