Blue Cross Coordinated Care is the carrier’s nurse-led care management program for chronic or complex conditions.
Blue Cross Coordinated Care is described by the carrier as one-on-one, personalized support for members with chronic or complex conditions. The member page covers Blue Cross Blue Shield of Michigan and Blue Care Network members.
What the program is and what members do.
What the program is
The carrier describes a care management program created to give one-on-one, personalized support to members managing chronic or complex conditions. Members work with a nurse care manager and a nurse-led care team that includes pharmacists, dietitians, social workers and behavioral health specialists.
How members use it
The carrier says a nurse care manager contacts eligible members to get started, or a member can call the number on the back of the ID card to see if they qualify. Once enrolled, members stay in touch by phone or by message through their member account or the mobile app.
What it covers
The carrier lists help finding doctors and scheduling appointments, lifestyle changes, self-care tips, medication adherence, transportation, community resources, behavioral health concerns, care options such as urgent care, virtual care and the 24/7 nurse line, and working with family and caregivers. It does not publish limits on the page.
Eligibility, funding and plan design.
Who can use it
The member page is addressed to members of Blue Cross Blue Shield of Michigan and Blue Care Network who have chronic or complex conditions. A separate Medicare page describes a Blue Cross Coordinated Care Core program for Medicare members. Employers should confirm the version that applies to their group.
How it is funded or sold
The member page describes the program as free as part of the health plan. It does not discuss fully insured versus self-funded status, so a self-funded employer should confirm that it is available and whether any fee applies.
Where it fits in plan design
It sits behind the medical plan as a care management layer. The carrier’s behavioral health page also lists Coordinated Care among its offerings, and a provider document says catastrophic case management referrals come through Coordinated Care staff.
What to settle before relying on it.
Is Coordinated Care active for our group?
We would ask the carrier to confirm in writing that the group’s contract includes it, and which version applies, since the carrier has member and Medicare pages with different wording.
How are employees identified and contacted?
The carrier says a nurse care manager contacts eligible members. We would ask what triggers outreach, how member privacy is protected and what the employer will and will not see.
What reporting does the employer receive?
The page does not describe employer reporting. We would ask for participation reporting, in what form it arrives and how often, so the program can be evaluated on carrier supplied data.
Common questions about this program.
What is Blue Cross Coordinated Care?
The carrier describes it as one-on-one, personalized support from a nurse care manager and care team for members with chronic or complex conditions.
Does it cost members extra?
The member page describes it as free as part of the health plan. Employers should confirm the terms for their group.
Is there a Medicare version?
The carrier has a Medicare page that describes Blue Cross Coordinated Care Core for chronic condition management, where licensed nurses check in regularly and coordinate care after a hospital discharge. Confirm which version applies to your group.
Where these details come from.
This page summarizes what BCBSM publishes. Programs change, so confirm current details with the carrier before relying on them.
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