Care Management
Managing health concerns and figuring out the health care system can feel overwhelming, but there’s good news! You don’t have to do it on your own.
HealthSelectSM medical plan participants, including those enrolled in Consumer Directed HealthSelectSM, have access to a dedicated team of care management clinicians who can address all types of health-related questions.
Care management clinicians are available by phone to provide extra support and guidance at no additional cost to you.
A local support system built for you
The Texas-based clinical team consists of nurses, social workers, and mental health clinicians who take a holistic approach to address your health concerns and questions rather than focusing only on one condition at a time. Because clinicians recognize that a one-size fits all approach may not work for all situations, they make it a point to talk to you about your health history and any ongoing health challenges you may be facing. They then offer individualized guidance and support throughout your health care journey.
How our clinicians can help
Clinicians are available to support you and your family. Your nurse can help you better manage chronic conditions such as asthma, diabetes, high blood pressure, high cholesterol or heart disease There are also nurses available who specialize in diabetes management, cancer care and high-risk pregnancy.
Dedicated mental health clinicians can help with conditions including substance use, anger management, anxiety, depression, domestic violence, grief, post-traumatic stress disorder and stress.
Whether you have questions about an upcoming surgery or a recent surgery, need follow up support, or if you were recently diagnosed with, or are managing a condition, a clinician is available to support you and your family. All conversations with your clinician are confidential.
Clinicians can have a confidential conversation with you about:
- a newly diagnosed health condition,
- managing a health condition,
- understanding a procedure or hospital stay,
- considering residential treatment,
- following your therapist or physician’s treatment plan,
- health and wellness resources and
- the Connect to Care program.
Dedicated social workers are also available to help connect you to local resources for transportation, housing, food and other social or financial assistance you might need.
Digital Care Management portal
If you have a qualifying health condition, you may receive an email, text or for certain conditions, a phone call from a clinician inviting you to join the digital care management portal called Connect to Care. Access to the portal is provided at no additional cost. In the Connect to Care portal, you will be able to participate in a self-guided care journey that includes educational content about your condition along with self-guided health surveys.
If you receive a phone call from a clinician inviting you to the portal, the clinician will be dedicated you working with you. They will help you set personalized goals specific to your clinician-led journey with the portal and they will provide support and guidance as you work towards your goals. While your clinician may schedule periodic check-ins, you will also have the option to chat or schedule telephone check-ins with them within the portal at a time that is convenient for you.
Get started
If you have questions for a clinician about a physical or mental health concern or condition, call Blue Cross and Blue Shield of Texas toll-free at (800) 252-8039 (TTY: 711) between 8 a.m. and 6:30 p.m. CT Monday – Friday and ask to speak with a clinician.
You can get help with mental health or substance use concerns 24 hours a day, seven days a week. If you or your covered dependent are experiencing a crisis, you can also call (800) 252-8039 (TTY: 711 and ask to speak to a clinician.
The care management team identifies participants that may benefit from extra support. If one of our clinicians reaches out to you, please answer the call. Know you will be in good hands.