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Care management services for Humana Healthy Horizons in South Carolina members

Children and adults with special healthcare needs often can benefit from care management. We offer care management services to all members who may benefit.
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Care management and outreach services

Our care management team can provide personalized support to our members who may benefit from care management. This support can include:

  • Connecting members to resources in their community
  • Coordinating healthcare services

Enrolling in care management

We may reach out to you about care management if:

  • Your doctor asks us to call you
  • You ask us to call you
  • We feel you and/or your family may benefit from this type of support

Care management services

Once an member is enrolled in one or more of our care management programs, we can:

  • Answer questions about any medicine you take
  • Connect you with resources in your community
  • Follow up with the doctors you see
  • Help set up visits with your doctor(s)
  • Help you figure out where to get the care you need when you need it
  • Help you set and reach health goals
  • Make sure you continue getting the care you need if you change doctors

Care management programs

We offer our members access to several care management programs. These programs include:

  • Complex care management – For members who experience multiple hospitalizations or have complex medical needs that require frequent and ongoing help
  • Disease management – For children and adults with chronic conditions who need access to integrative care services
  • Moms First program – For our pregnant members during and after their pregnancy

Care transitions

If you are hospitalized, our care managers can help you before you leave the hospital. We can:

  • Answer questions you have about leaving the hospital or any medicine you’re prescribed
  • Help set up doctor visits or any support you need at times that fit your schedule

Call Member Services at 1-866-432-0001 (TTY: 711) if you or a family member need(s) help:

  • When you get out of the hospital
  • If you need help transitioning back to your home from other places where you get treatment

Call Care Management Support Services at 1-866-432-0001 (TTY: 711) to:

  • Learn more about our care management programs
  • Self-refer into one of our care management programs

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