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Condition Care is all about you

We’re here to help you learn more about your health, keeping you and your needs in mind at every step. Our Condition Care (CNDC) programs give you the opportunity to ask questions about your condition, get information about your benefits, and connect you with local resources.

How it works

Our CNDC case managers are registered nurses. They’ll help you to better manage your condition, or health issue, which may improve your quality of life.

When you join one of our CNDC programs, a CNDC case manager will:

Help you create health goals and make a plan to reach them.
Coach you and support you through one-on-one phone calls.
Track your progress.
Give you information about local support and caregivers.
Answer questions about your condition and/or treatment plan (ways to help with health issues).
Send you materials to learn about your condition and overall health and wellness.
Coordinate your care with your healthcare providers, like helping you with:
- Making appointments.
- Getting to healthcare provider visits.
- Referring you to specialists in our health plan, if needed.
- Getting any medical equipment you may need.

Who can join?

Wellpoint members with any of the health conditions listed can participate in a CNDC program. Our CNDC case manager can talk with you about your health history, health goals, and work with you to offer strategies and support so you can live well.

Case managers can also offer educational materials and tools for weight management and tobacco cessation (how to stop using tobacco such as quitting smoking).

You can choose to opt-out (we’ll take you out of the program) of the program at any time. Please call us toll free at 888-830-4300 (TTY 711) from 8:30 a.m. to 5:30 p.m. local time, Monday through Friday to opt out. You may also call this number to leave a private message for your CNDC case manager 24 hours a day.

How to join

Members will get a letter welcoming you to a CNDC program, if you qualify. Or call us toll free at 888-830-4300 (TTY 711) from 8:30 a.m. to 5:30 p.m. local time, Monday through Friday.

When you call, we’ll:

· Set you up with a CNDC case manager to get started.

· Ask you some questions about your or your child’s health.

· Start working together to create your or your child’s plan.

You can also email us at dmself-referral@Wellpoint.com.

Please be aware that emails sent over the internet are usually safe, but there is some risk third parties may access (or get) these emails without you knowing. By sending your information in an email, you acknowledge (or understand) third parties may access these emails without you knowing.

Behavioral health and substance use

Substance use disorder and specialty behavioral health services are provided through the Maryland Public Behavioral Health System. You can reach them for support by calling toll-free at 800-888-1965.

Condition Care rights and responsibilities

When you join a Condition Care program, you have certain rights and responsibilities.

You have the right to:

Get details about us, such as:
- Programs and services we offer.
- Our staff and their qualifications (skills or education).
- Any contractual relationships (deals we have with other companies).
Opt out of CNDC services.
Know which CNDC case manager is handling your CNDC services and how to ask for a change.
Get support from us to make healthcare choices with your healthcare providers.
Ask about all CNDC -related treatment options (choices of ways to get better) mentioned in clinical guidelines (even if a treatment is not part of your health plan), and talk about options with treating healthcare providers.
Have personal data and medical information kept private.
Know who has access to your information and how we make sure your information stays secure, private and confidential.
Receive polite, respectful treatment from our staff.
Get information that is clear and easy to understand.
File complaints to Wellpoint by calling 888-830-4300 (TTY 711) toll free from 8:30 a.m. to 5:30 p.m. Eastern time, Monday through Friday and:
- Get help on how to use the complaint process.
- Know how much time Wellpoint has to respond to and resolve issues of quality and complaints.
- Give us feedback about the Condition Care program.

What programs do we offer?

We offer healthcare and support services for members with any of these conditions:

Asthma is a long-term condition that makes it hard to get air into the lungs. Asthma may cause wheezing, tightness in the chest, shortness of breath and coughing.

We can give you an asthma action plan for you and your healthcare provider to complete. This will help monitor your condition, stay away from your triggers, and manage your medication (meds).

Learn more about asthma

Making care easier when you need it most

Managing all the pieces of your care when you’re dealing with ongoing health issues can feel overwhelming. Our Cancer Care Navigator program can help. This program provides a team of nurses and other healthcare providers to help support your care if you have been diagnosed with cancer. We will work with your doctors to simplify the ins and outs of cancer care and make sure you receive the care you need at no extra cost.

Plus, the Cancer Care Navigator will connect you to helpful resources. Some of those include a dietitian, help with managing medications, customized care plans, goal setting, and support after hours.

Get back time to focus on your well-being with extra support. Learn more about how the program can help you: Call the Cancer Care Navigator team toll free at 833-649-0669 (TTY 711) Monday through Friday, 8 a.m. to 9 p.m., and Saturday, 9 a.m. to 7:30 p.m. Eastern time.

Taking part in the program is optional, but encouraged. Choosing not to take part in the program does not impact your benefits.

Your heart is only the size of a fist, but it’s one of the most important muscles in your body. Arteries throughout the body supply blood to your heart. When those arteries are blocked, and blood flow to the heart is reduced, it causes CAD.

We can help you with tips and tools, like making good food choices and following up with your doctor, to keep your CAD in check.

Learn more about coronary artery disease

If you’re living with diabetes, you’re not alone. Diabetes happens when your body’s blood sugar (the amount of sugar in the blood) levels are usually higher than normal. It means there’s a problem making enough of a hormone called insulin, or your body isn’t using insulin like it should.

We can help you lower your risk of complications (problems or issues) and make your quality of life better.

Learn more about diabetes

Human immunodeficiency virus (HIV) is a virus that attacks the immune system (the body’s natural defense against illness). It makes it hard for the body to fight infection and disease. If HIV isn’t treated, it can lead to AIDS. AIDS stands for acquired immunodeficiency syndrome. It is the last stage of the HIV virus.

We’re here to help you with simple steps for living with HIV/AIDS. Taking your medications the right way, eating healthy, staying active, and following your treatment plan can make a difference.

Learn more about HIV/AIDS

Everyone feels blue or sad some of the time, but these feelings don’t last very long. When a person has depression, these feelings don’t go away easily. They can get in the way of your everyday life.

Depression is common and a real illness. The important thing to know is that it can be treated. We’re here to help you find resources in your area or help you talk with your doctor.

Learn more about depression

Substance use disorder is a disease that leads to the use of drugs, alcohol, or other substances in a way that causes problems for your health or in your life.

We can help those with substance use disorder work together with their healthcare provider(s) to talk about treatment options (choices of ways to get better) and finding local community programs and resources.

Learn more about substance use disorders

Useful phone numbers

Call Condition Care (CNDC)

Call us toll-free at 888-830-4300 (TTY 711), Monday through Friday 8:30 a.m. to 5:30 p.m. Eastern time. Leave a private message for your CNDC case manager 24 hours a day.