Transplant Management

The Transplant Case Management program is designed to provide you and your family with education, support and advocacy. It is also designed to help you coordinate services throughout the transplant process.

A registered nurse case manager, with experience in transplant management, will contact you to help you obtain and coordinate necessary health care services, while assisting to maximize health care benefits.  Your case manager will act as a resource regarding transplant information, cost issues, community resources, and care options by providing:

  • Prior authorization and medical necessity review for the transplant procedure
  • Member and provider education
  • Care coordination among providers
  • Response to transplant inquiries
  • Ongoing clinical support for member and families
  • Linkage and collaboration with specialty pharmacy services

To enroll or for more information about the case management program, call 1-877-878-8785.