Manage your condition
Condition Care is all about you
We’re here to help you learn more about your health, keeping you and your needs in mind at every step. Our Condition Care (CNDC) programs give you the opportunity to ask questions about your condition, get information about your benefits, and connect you with local resources.
How it works
Our CNDC case managers are registered nurses. They’ll help you to better manage your condition, or health issue, which may improve your quality of life.
When you join one of our CNDC programs, a CNDC case manager will:
- Help you create health goals and make a plan to reach them
- Coach you and support you through one-on-one phone calls
- Track your progress
- Give you information about local support and caregivers
- Answer questions about your condition and/or treatment plan (ways to help with health issues)
- Send you materials to learn about your condition and overall health and wellness
- Coordinate your care with your healthcare providers, like helping you with:
- Making appointments
- Getting to healthcare provider visits
- Referring you to specialists in your health plan, if needed
- Getting any medical equipment you may need
Who can join?
Any Highmark member with any of the health conditions listed can participate in a CNDC program. Our CNDC case manager can talk with you about your health history, health goals, and work with you to offer strategies and support so you can live well.
They can also offer educational materials and tools for weight management and tobacco cessation (how to stop using tobacco, like quitting smoking).
How to join
Members, you’ll get a letter welcoming you to a CNDC program, if you qualify. Or, call us toll free at 888-830-4300 (TTY 711) from 8:30 a.m. to 5:30 p.m. local time Monday through Friday.
When you call, we’ll:
- Set you up with a CNDC care manager to get started
- Ask you some questions about your or your child’s health
- Start working together to create your or your child’s plan
You can also email us at dmself-referral@bcbswny.com.
Please be aware that emails sent over the internet are usually safe, but there is some risk third parties may access (or get) these emails without you knowing. By sending your information in an email, you acknowledge (or understand) third parties may access these emails without you knowing.
You can choose to opt out (we’ll take you out of the program) of the program at any time. Please call us toll free at 888-830-4300 (TTY 711) from 8:30 a.m. to 5:30 p.m. local time Monday through Friday to opt out. You may also call this number to leave a private message for your CNDC care manager 24 hours a day.
Condition Care rights and responsibilities
When you join a Condition Care program, you have certain rights and responsibilities. You have the right to:
- Get details about us, such as:
- Programs and services we offer
- Our staff and their qualifications (skills or education)
- Any contractual relationships (deals we have with other companies)
- Opt out of CNDC services
- Know which CNDC care manager is handling your CNDC services and how to ask for a change
- Get support from us to make healthcare choices with your healthcare providers
- Ask about all CNDC-related treatment options (choices of ways to get better) mentioned in clinical guidelines (even if a treatment is not part of your health plan) and talk about options with treating healthcare providers
- Have personal data and medical information kept private
- Know who has access to your information and how we make sure your information stays secure, private, and confidential
- Receive polite, respectful treatment from our staff
- Get information that is clear and easy to understand
- File complaints to Anthem by calling 888-830-4300 (TTY: 711) toll free from 8:30 a.m. to 5:30 p.m. local time Monday through Friday and:
- Get help on how to use the complaint process
- Know how much time Anthem has to respond to and resolve issues of quality and complaints
- Give us feedback about the Condition Care program
You also have a responsibility to:
- Follow the care plan that you and your CNDC care manager agree on
- Give us information needed to carry out our services
- Tell us and your healthcare providers if you choose to opt out (leave the program)
Condition Care does not market products or services from outside companies to our members. CNDC does not own or profit from outside companies on the goods and services we offer.
For a written version of your CNDC rights and responsibilities or information on this website, please print this page or call Member Services.
What programs do we offer?
We offer health care and support services for members with any of these conditions:
Useful phone numbers
In an emergency, call 911.
Condition Care (CNDC)
Leave a private message for your CNDC care manager 24 hours a day.
Toll free: 888-830-4300 (TTY: 711)
Monday through Friday
8:30 a.m. to 5:30 p.m. Eastern time
Wellpoint Insurance Services, an independent company, administers utilization management services for Highmark Blue Cross Blue Shield's managed Medicaid. Highmark Western and Northeastern New York Inc. d/b/a Highmark Blue Cross Blue Shield is an independent licensee of the Blue Cross Blue Shield Association.