Manage Your Health Condition West Virginia

Condition Care is all about you.

Our Condition Care (CNDC) programs give you the opportunity to ask questions about your condition, get benefit information, and connect you with local resources.

What programs do we offer?

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

Asthma

Bipolar disorder

Cancer

Chronic Obstructive Pulmonary Disease (COPD)

Congestive Heart Failure (CHF)

Coronary Artery Disease (CAD)

Diabetes

HIV/AIDS

Hypertension (high blood pressure)

Major depressive disorder in adults

Major depressive disorder in children and teens

Schizophrenia

Substance use disorder

How it works

Our CNDC case managers are registered nurses. 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 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 treatment plan.
Send you materials to learn about your condition and overall health.
Plan your care with your healthcare providers. They can help you:
- Make appointments.
- Get to healthcare appointments.
- Refer you to specialists in our health plan, if needed.
- Get any medical equipment you may need.

Who can join?

Any West Virginia Wellpoint member 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 find solutions to help you live well.

Case managers also offer tools for healthy weight management and quitting tobacco.

How to join

Call us at 888-830-4300 (TTY 711) from 8:30 a.m. to 5:30 p.m., 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 with you to create your or your child’s plan.

You can also email us at Condition-Care-Self-Referral@Wellpoint.com.

Please be aware 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 know third parties may read these emails without your consent.

You can choose to opt out (we’ll take you out of the program) of the program at any time. Please call us at 888-830-4300 (TTY 711) from 8:30 a.m. to 5:30 p.m., 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.

Your 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 skills or training
- 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) from 8:30 a.m. to 5:30 p.m., Monday through Friday, and:
- Get help on how to use the complaint process.
- Know how much time Wellpoint has to answer and resolve complaints.
- Give us feedback about the Condition Care program.

You also have a responsibility to:

Follow the care plan you and your CNDC case manager agree on.
Give us information needed to carry out our services.
Tell us and your healthcare providers if you choose to leave the program.

Condition Care does not market products or services from outside companies to our members. CNDC does not own or profit from outside companies on the goods and services we offer.

For a written version of your CNDC rights and responsibilities or information on this website, please print this page or call the Customer Care Center.