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For Health Professionals

Disease Management Programs

Educational programs for your patients

Our Capital Advantage for Health Condition Management Programs are available to members with specific conditions who will benefit from long-term education and self-management support as well as monitoring of their health status.

Through our programs, individuals learn self-management skills to improve their health or the health of their children.

Disease Management Programs are available to members identified with specific diseases. Our programs currently manage the following conditions:

  • Asthma
  • Coronary Artery Disease
  • Congestive Heart Failure
  • Diabetes
  • Low Back Pain (HMO Only)
  • Depression*
  • Pediatric Asthma
  • Pediatric Diabetes

The Capital Advantage for Health Pediatric Condition Management programs also offer Capital BlueCross network providers and practitioners the opportunity for enhanced communication with parents, members and other providers by providing notification of pertinent information related to changes in the member’s condition. 

If you wish to initiate care in a disease management program for a member who may benefit from focused services, please call 800.892.3033. Our hours of operation are Monday through Friday from 8:00 am to 6:00 pm.

The quality and consistency of your self-care can make a great difference, and we're here to help. To learn if your patient qualifies for these programs, please call 800.892.3033.

*Depression Disease Management services are delivered based on referral from existing clinical management programs relative to member need and program eligibility.

Members who suffer an emergency event are encouraged to call 911 in the event of a life threatening emergency or contact their primary care physician.

Please review the member rights and responsibilities for more information. 

While participating in a chronic condition management program, member expectations include:

  • Following care advice offered by Capital BlueCross.
  • Provide Capital BlueCross with the information necessary to provide and carry out Disease Management services.
  • Notify Capital BlueCross and your treating practitioner if you decide to dis-enroll from the program.

Goods and services are not marketed, advertised or promoted within the disease management program.