Manage Your Condition

If you qualify, you will get a letter welcoming you to a Condition Care program. You can also call us toll free at 888-830-4300 (TTY 711), Monday through Friday, from 8:30 a.m. to 5:30 p.m. Eastern time.

When you call, we will:

• Set you up with a Condition Care 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 Condition-Care-Self-Referrral@anthem.com.

Please be aware that emails sent over the internet are usually safe, but there are some risks and 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.

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

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 Condition Care services (leave the program).
• Know which Condition Care case manager is overseeing your Condition Care services and how to ask for a change.
• Get support from us to make healthcare choices with your healthcare providers.
• Ask about all Condition Care-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 Anthem by calling toll free 888-830-4300 (TTY 711), Monday through Friday, from 8:30 a.m. to 5:30 p.m. Eastern time and:
  • Get help on how to use the complaint process.
  • Know how much time Anthem has to respond to and resolve issues of quality and complaints.
  • Give us feedback about the Condition Care program.

You Also Have A Responsibility To:

• Follow the care plan that you and your Condition Care case manager agree on.
• Give us the information needed to carry out our services.
• Tell us and your healthcare providers if you choose to opt out (leave the program).

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

For a written version of your Condition Care rights and responsibilities or information on this website, please print this page or call Member Services.

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 you monitor your condition, stay away from your triggers, and manage your medication.

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ADHD is very common in children. Children with ADHD have difficulty focusing, have a challenging time learning, and can be overly active. ADHD may present challenges throughout childhood and into adulthood. Regular follow-up visits can support your child’s health.

We are here to help support you and your child’s care with doctors, teachers, and any other caregivers.

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Each child with autism is different, and an autism diagnosis affects families in lots of ways. Anthem’s Autism Spectrum Disorders (ASD) Program creates a support network that includes your whole family. The ASD Program provides you and your family with the resources to live full, healthy lives. Call the ASD Program team at 844-269-0538 to learn more about how we can help you and your family.

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Bipolar disorder is a brain disorder that can cause unusual changes in mood, energy, and activity level, and make it hard to conduct day-to-day tasks.

It can feel uneasy to learn you are living with bipolar disorder, so we’re here to help. We can guide you to treatment and support to help you.

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Managing all the pieces of your care when you are 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 resources 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 kidneys are among the most important organs in your body. They help you get rid of waste, keeping your blood and tissues healthy. Chronic kidney disease is a condition where your kidneys slowly lose the ability to get rid of your body’s waste. Over time your kidneys may not work as well or stop working completely. When kidneys stop working, people may need dialysis or a kidney transplant.

We are here to help walk you through your treatment plan and provide resources to help support you.

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COPD is a condition in which damage to the lungs has caused the airways to change shape and feel partly blocked. This makes it hard to breathe.

We can help you learn to breathe easier and help improve your quality of life. We will help you learn how to use inhalers, spacers, nebulizers, and other devices, along with other skills for living with COPD.

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Taking care of your heart is one of the best things you can do for your health. The heart pumps blood to the whole body. Having CHF means the heart cannot pump as hard as it should.

We can help you understand CHF better. That way, you and your healthcare providers can work together to help you feel your best.

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Your heart is only the size of a fist, but it is 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 healthy food choices and following up with your doctor to keep your CAD in check.

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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.

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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 is not treated, it can lead to AIDS. AIDS stands for acquired immunodeficiency syndrome. It is the last stage of HIV.

We are 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.

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Hypertension is also known as high blood pressure. Blood pressure is the amount of force it takes for your heart to pump blood through your body. When your blood pressure is high, it can lead to other health problems.

We can help you make short- and long-term goals that will help you manage your blood pressure.

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Everyone feels sad some of the time, but these feelings do not last very long. When a person has major depressive disorder (MDD or clinical depression), these feelings may not go away easily. They may get in the way of your everyday life.

Depression is a common illness. The important thing to know is that it can be treated. We are here to help you find resources in your area or help you talk with your family or caregiver about MDD.

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Kids and teens can also have major depressive disorder (MDD or clinical depression).

We can help kids and teens talk with their families and healthcare providers about MDD, get treatment, and feel healthier.

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Schizophrenia is a behavioral health disorder that affects thoughts, feelings, emotions, decisions, and actions. Some people with schizophrenia even have a tough time with focus and memory loss. It can get in the way of your daily life.

We are here to help you learn how to manage schizophrenia with medication, treatment, and support.

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Sickle cell disease is a genetic red blood cell disorder. It changes normal, round red blood cells into cells shaped like crescent moons. Sickle cells can get stuck in blood vessels and block them, which stops oxygen from getting through. That can cause a lot of pain and can harm organs, muscles, and bones.

We can help you manage the symptoms of sickle cell disease.

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

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

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