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Manage your condition

Disease Management is all about you.

We are here to help you learn more about your health, keeping you and your needs in mind at every step. Our Disease Management program gives you the opportunity to ask questions about your condition, get information about your benefits, and connect you with local resources.

female doctor examining male patient's glands in clinic

How it works 

Our DM care managers are registered nurses. They will help you to better manage your condition, or health issue, which may improve your quality of life.

When you join one of our DM programs, a DM care manager will:

  • Help you create health goals and make a plan to reach them.
  • Coach you 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/or treatment plan (ways to help health issues). 
  • Send you materials to learn about your condition and overall health and wellness.
  • Coordinate your care with your health care providers, to help you:
    • Make appointments. 
    • Schedule rides to health care provider visits (for eligible members).
    • Secure referrals to specialists in our health plan, if needed.
    • Get any medical equipment you may need.

Any Healthy Blue member with any of the health conditions listed can participate in a DM program. Our DM care manager can talk with you about your health history, health goals, and work with you to offer strategies and support so you can live well.

They can also offer educational materials and tools for managing your weight and quitting smoking or using tobacco.  

Members will get a letter welcoming you to a DM program if you qualify. Or, call us at 888-830-4300 (TTY 711) Monday through Friday from 8:30 a.m. to 5:30 p.m. local time.

When you call, we will:

  • Set you up with a DM care manager to get you 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 dmself-referral@healthybluemo.com.

Please be aware that emails sent over the internet are usually safe, but there is some risk third parties may access these emails without you knowing. By sending your information in an email, you understand third parties may access these emails without you knowing.

You can choose to opt out of the DM program (we’ll take you out of the program) at any time. Call us at 888-830-4300 (TTY 711) Monday through Friday from 8:30 a.m. to 5:30 p.m. local time to opt out. You may also call this number to leave a private message for your DM care manager 24 hours a day.

When you join a Disease Management 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 and education.
    • Any contractual relationships we have with other companies. 
  • Opt out of DM services.
  • Know which DM care manager is handling your services and how to ask for a change.
  • Get support from us to make health care choices with your health care providers.
  • Ask about all DM-related treatment options mentioned in clinical guidelines, even if a treatment is not part of your health plan, and talk about options with your health care 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 grievances to Healthy Blue by calling 888-830-4300 (TTY 711) Monday through Friday from 8:30 a.m. to 5:30 p.m. local time and:
    • Get help with the grievance process.
    • Know how much time Healthy Blue has to respond to and resolve issues of quality and grievancess.
    • Give us feedback about the Disease Management program. 

You also have a responsibility to:

  • Follow the care plan that you and your DM care manager agree on.
  • Give us information needed to carry out our services.
  • Tell us and your health care providers if you choose to opt out of the program.

For a written version of your DM rights and responsibilities, or information on this website, you can print this page or call Member Services at 833-388-1407 (TTY 711) Monday through Friday from 8 a.m. to 5 p.m. local time.

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

What programs do we offer?

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

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 health care provider to complete. This will help monitor your condition, stay away from your triggers and manage your medication. 

Learn more:
Know Your Triggers
Asthma Attack
Asthma Action Plan

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

It can feel uneasy to learn you are living with bipolar disorder, so we’re here to help. With proper treatment and support, you can enjoy a healthy, happy and productive life.

Learn more:
Bipolar Disorder
When to Call a Doctor

Making care easier when you need it most

Managing all the pieces of your care when you’re dealing with ongoing health issues can feel overwhelming. Our Cancer Care Navigator resource can help. This resource 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 of those 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 resource can help you: Call the Cancer Care Navigator team toll free at 833-649-0669 (TTY 711) Monday through Friday, 7 a.m. to 8 p.m., and Saturday, 8 a.m. to 6:30 p.m. Central time.

Taking part in the resource is optional, but encouraged. Choosing not to take part in the resource does not impact your benefits.

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 to possibly 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.

Learn more:
COPD: Learning to Breathe Easier

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 so you and your health care provider(s) can work together to help you feel your best.

Learn more:
Heart Failure
When to Call a Doctor

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 good food choices and following up with your doctor, to keep your CAD in check.

Learn more:
Coronary Artery Disease (CAD)
Health tools
When to Call a Doctor

If you are living with diabetes, you are not alone. Diabetes happens when your body’s blood sugar levels are usually higher than normal. It means there is a problem making enough of a hormone called insulin, or your body is not using insulin like it should. 

We can give you tools and information to lower your risk of complications and to help make your quality of life better.

Learn more:
Type 1 diabetes
Type 2 diabetes
Take care of your feet
Healthy eating tips

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 the HIV virus. 

We can 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.

Learn more:
HIV (Human Immunodeficiency Virus) Infection
Health Tools

Hypertension is also called 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 to manage your blood pressure. 

Learn more:
High Blood Pressure
What Increases Your Risk

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

Depression is common and a real 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. 

Learn more:
Symptoms of Depression

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

We can help kids and teens talk with their families and health care providers about MDD, get treatment and live a healthier life. 

Learn more:
Depression in Children and Teens

Schizophrenia is a behavioral health disorder that affects a person’s thoughts, feelings, emotions, decisions and actions. Some even have a hard time with focusing and memory loss. It can get in the way of daily life. 

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

Learn more:
Schizophrenia: When Hospital Care is Needed
When to Call a Doctor

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

We can help those with substance use disorder work with their to talk about treatment options and finding local community programs and resources.

Learn more:
Substance Use Disorder
For Family and Friends
When to Call a Doctor

Useful phone numbers

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In an emergency, call 911, or go to your nearest emergency room, even if it is not in the Healthy Blue network.

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Disease Management
Leave a private message for your DM care manager 24 hours a day.
888-830-4300 (TTY 711)
Monday through Friday
8:30 a.m. to 5:30 p.m. local time

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Call the 24-Hour Nurse HelpLine
24 hours a day, seven days a week
833-388-1407 (TTY 711)