Is Case Management right for you?

You may benefit from Case Management services if you have any of the following conditions:

• If you have more than one of these conditions: Heart Disease, Diabetes, Asthma, or Chronic Obstructive Pulmonary Disease.
If you have recently been discharged from an inpatient hospital setting.
• If you have had a psychiatric admission or if you have been diagnosed with any of these illnesses: Bipolar Disorder, Major Depressive Disorder, Paranoid Disorder, Schizophrenia, or schizoaffective disorder.
• If you take 8 or more different medications.
• If you struggle with alcohol, opioids, or other recreational drugs.

Who can access Case Management services:

Members who are enrolled in Solis and live in the service area of Miami-Dade, Broward, Palm Beach, Hillsborough, Pinellas, and Polk counties may be eligible to participate in Solis’ Case Management Services.

Who can make a referral to Case Management?

• Physician offices.
• Case Managers/Discharge Planners.
• Social Workers.
• Medicaid or Social Security Case Workers.
• Customer Service Representatives.
• A Member or their Responsible Party.

How can Case Managers help you?

A Case Manager:

• Works to improve your quality of life, functional status and overall health.
• Helps you navigate the complex care system.
• Helps you understand your individual health care benefits so that you can get the most from your plan.
• Serves as an educator when you have questions regarding your health care.
• Helps you access the community resource you need to live better.
• Supports and reinforces your recommended treatments and therapies.

Our Case Managers believe in taking a holistic approach to health care. They will work with you to form a personalized care plan to help you establish your priorities and achieve your maximum health potential. A Solis Case Manager will also collaborate with you, your care team, providers and in-network specialists to ensure you receive high-quality care.

Case Management Facts:

• Complex Case Management is a free, voluntary service for GHC-SCW insurance members.
• You can stop Case Management at any time.
• You don't need a referral from a doctor to participate in Case Management.

To get started: Call Care Management directly at (833) 896-3762.