2021 Additional Benefits

• Behavioral Health (including depression, mental health, substance use disorder and social case management)
• Complex Care Management
• Care Coordination
• Disease Management (including asthma, chronic obstructive pulmonary disease, congestive heart failure, coronary artery disease, diabetes and hypertension)
• Diabetes and Congestive Heart Failure Care Management Program For members who have been diagnosed with both Diabetes and Congestive Heart Failure (CHF), you may be eligible to enroll in our Diabetes/CHF Care Management Program. Please talk to your doctor. Upon enrollment and successful completion of the Diabetes/CHF Care Management Program, you will be eligible for copayment reimbursement for visits with your primary care provider, endocrinologist, podiatrist, cardiologist, certified diabetic educator, and nutritional counselor.
• Falls Prevention Program For members who have an abnormality of gait diagnosis or are at risk for falling, you may be eligible to enroll in our Falls Prevention Program. Please talk to your doctor. The goals of this program are to decrease falls, thereby preventing injuries and hospital or rehab stays, and maintain your independence. Upon enrollment and successful completion of the Falls Prevention Program, you will be eligible for copayment reimbursement for your physical and occupational therapy.
  • Do you think you are at risk for falling? Use this resource to evaluate your risk for falling and bring with you to your next PCP visit.

This program is available to help Medicare Advantage members plan a smooth transition after a hospital stay. We offer one-on-one support from a certified nurse at no additional cost. The nurse offers coaching that will help guide you before and during your transition to home or a rehabilitation facility.

Health New England works closely with Matrix Medical Network to offer a comprehensive in-home health visit at no cost to Medicare Advantage members. Scheduled at your convenience in your own home, the Matrix visit is nearly an hour of uninterrupted time with a licensed, board-certified medical provider who reviews your medical history and medications, and can answer your health questions. If you’d like more information about a Matrix in-home health visit, call (855) 205-0431 or go to MatrixForMe.com.