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Care management services

Humana Healthy Horizons® in South Carolina members 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
  • HumanaBeginnings™ care management 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 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 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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