Care Management

Get the support you deserve with Ambetter Health care management. With our comprehensive care management program, you can more easily manage appointments, understand your health plan benefits, and more. For eligible members, services are available at no cost.

What is a Care Manager?

Care managers are registered nurses or social workers. Your care manager is your partner in coordinating and communicating with your whole care team.

Why Should I Work with a Care Manager?

Your care management benefits can help you stay on top of your health and wellbeing. Your care manager can:

Coordinate

Communicate with your doctors, providers, primary care provider (PCP), and caregivers
Set up appointments with doctors, providers or your primary care provider
Keep track of prescriptions and set up pharmacy home delivery
Connect you to the healthcare providers, services, and resources you may need

Educate

Explain your health plan benefits
Provide educational resources to understand and manage your health conditions
Answer questions about your health, medications, and needs
Answer questions about your plan, providers, or resources

Support

Create a plan so you can work toward your health goals
Offer tips and resources for improving your overall physical and mental health
Locate community resources — everything from support groups to food banks
Peer support services – Get support for substance use disorder with someone who has been through their own substance abuse recovery journey.
Make sure you’re getting the care you need

Caregivers Can Also Use Care Management Services

Caregivers are an important advocate for the needs of members. If you have caregivers or family members who help you manage your health needs, care management services can also support them. Our care managers can work with these approved caregivers to provide support, resources, and assistance and to help the members get the care they need.

Care Management Services - Tailored Support For You | Ambetter Health