Blue Care Network of Michigan

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• Managing your health
  • Rewards for BCN Advantage members
  • Living with illness
  • Cardiovascular program
  • Heart failure program
  • COPD program
  • Depression program
  • Diabetes program
  • Kidney disease program
  • Prevention initiatives
  • Programs for getting better
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Programs for getting better

At Blue Care Network of Michigan, we encourage our members to seek their highest possible level of health and fitness and support them through their recovery when they need us.

Behavioral health: Our members can contact BCN’s behavioral health care managers at any time — around the clock — for help with behavioral health and substance abuse problems. A referral from the member’s primary care physician is not needed. Our behavioral health care managers evaluate our member’s situation and arrange services.

Case managers: Our nurses are available to educate members and coordinate services for a variety of conditions. Our case managers not only provide a comprehensive and confidential assessment, but also develop a care plan in collaboration with the member and his or her doctor. We have nurse specialists for heart disease, high-risk pregnancies, oncology, transplants and renal management.

Blue Distinction Centers^®: Blue Care Network and Blue Cross Blue Shield of Michigan have awarded the national Blue Distinction Centers for Specialty Care^® designation to Michigan hospitals that meet strict requirements for delivering quality health care in specific specialties.

• Visit Blue Distinction Centers^®

Depression program: When one of our members fills a prescription for antidepression medication, we send information about how to take the medication and a tip sheet on depression. We contact members who fail to fill or refill antidepression medications.

Emergency room intervention: Our nurses call members who use the emergency room frequently to review the reasons for the emergency care and, when it’s appropriate, redirect them to other care settings.

Follow-up after hospital stays: Our nurses review hospital stays and work closely with patients, their family members and physicians when additional care is needed after discharge. Our nurses contact patients after they leave the hospital to make sure they understand their medical condition, their medications and the need to follow-up with their physician.

Partnering with doctors: We provide our physicians with important information to help them care for our members. This includes patient-specific reports, summaries of their medical and pharmaceutical practice patterns, the latest treatment protocols and notices when their patients are hospitalized or seek emergency care.

Pneumonia and flu intervention: We send reminders to our members at greatest risk to encourage them to get the flu and pneumonia vaccines.

Quit the Nic! (for our commerical members): Our free smoking cessation program has a proven track record of helping members give up tobacco for good. Our physicians are leading the charge to encourage our members to stop using tobacco — three-quarters of our smoking members were advised about our program last year by their doctors. Members enrolled in our Quit the Nic! program can have their over-the-counter drugs covered for three months. This coverage is renewable if they re-enroll in the program.

Stroke and heart attack prevention: BCN monitors for anticoagulation medications prescribed following atrial fibrillation. We also contact our members who’ve had heart attacks to inform them of the importance of beta-blocker treatments.