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Chronic Care Management (CCM)

A Care Team That Checks In On You Every Month.

Living with a chronic condition means you need more than an annual appointment. With CCM, your care team is in your corner every month — proactively managing your health.

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Who Chronic Care Management Is For
  • Diabetes
  • Heart Disease
  • Hypertension
  • COPD
  • Chronic Kidney Disease
  • Arthritis
  • Depression
  • Alzheimer's
How It Works
  1. A dedicated care coordinator calls to check in on how you're feeling.
  2. Your medications are reviewed and updated if needed.
  3. Specialist appointments are scheduled and coordinated for you.
  4. Your care plan is updated based on what's changed, with 24/7 access for urgent questions.
What You Get With Chronic Care Management
  • A written care plan personalized to your conditions and goals
  • Monthly calls with your care team
  • Coordinated care between all your doctors and specialists
  • 24/7 phone access for urgent health questions
  • Help scheduling tests, procedures, and follow-up visits
Covered by Medicare

CCM is a Medicare-covered service under Part B. Patients with two or more qualifying chronic conditions expected to last 12+ months are typically eligible with little to no out-of-pocket cost.