Wayne is in his early 70s, and has diabetes and a history of high blood pressure. He was overwhelmed trying to manage both conditions at the same time. His doctor told him that Medicare includes chronic care management services to better manage his health conditions. Now, a health care professional helps Wayne keep track of his medical history, medications, and all the doctors he sees.
Like Wayne, about two-thirds of people with Medicare have 2 or more chronic conditions. In fact, about a third of people with Medicare have 4 or more chronic conditions. If you live with 2 or more chronic conditions—like arthritis, asthma, depression, diabetes, osteoporosis and high blood pressure that have lasted, or are expected to last, at least a year—Medicare may pay for a health care provider’s help to manage those conditions.
Chronic care management may include:
- At least 20 minutes a month of chronic care management services
- Personalized help from a dedicated health care professional, like a doctor, nurse or physician’s assistant, who will work with you to create a care plan based on your needs and goals
- Care coordinated between your doctor, pharmacy, specialists, testing centers, hospitals, and other services
- Phone check-ins between visits to keep you on track
- Emergency access to a health care professional, 24 hours a day, 7 days a week
- Expert help with setting and meeting your health goals
You may have to pay a monthly copayment for chronic care management services. If you have supplemental insurance or Medicaid, they may help pay the monthly costs.
Wayne now feels reassured knowing he can make contact with a health care professional regardless of the time of day or day of week, and has his high blood pressure and diabetes under control. Get the connected care you need—talk to your doctor or health care professional to see if you’re eligible for chronic care management, and watch our video to learn more about what’s covered. Health care professionals and community partners can learn more by visiting the Connected Care page at go.cms.gov/ccm.