2023 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
• Kidney Health Management Program We partner with Healthmap Solutions to deliver comprehensive care for members with chronic kidney disease (CKD) and end-stage renal disease (ESRD). Healthmap’s Kidney Health Management (KHM) program works with your doctor to identify and support your health needs, while helping you manage your chronic condition.
• Opioid Treatment Program Services Members with opioid use disorder (OUD) can receive coverage of services to treat OUD through an Opioid Treatment Program. 
  
  

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. If you meet the criteria for eligibility, you will be contacted by Matrix to schedule a visit at your convenience in your 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.