RCBP offers several types of Care Management (CM) Programs that can help you with your care coordination for acute or chronic conditions. This program provides education, clinical support, and access to support and well-being tools to help you better manage your health.
Our Care Management Program offers:
- One-on-one personalized nurse support who can help you:
- Assist in developing a plan to address your specific health needs and achieve your goals
- To help you understand your benefit offerings
- To answer your health-related questions
- Digital support
- Customized health action plans based on your needs and preferences
- Group coaching
- Personalized communications to assist you with making informed health decisions
To start using our digital support tools, log in to the Aetna member website. First-time users will need to register.
We’re committed to giving you all the support you deserve. That’s why we offer digital, nurse support, and group coaching so you can move easily between the services.
We offer several digital health and wellness related programs and resources:
- Personal health record–organize and store your health history and information, plus get health alerts and notifications.
- Health assessment – get a custom, step-by-step plan based on questions about your health and habits.
- Health Decision Support – learn about your healthcare and treatment
- Digital coaching programs – find dynamic health coaching programs that give you personalized support.
- Health Dashboard–view your health information and find entry points to health and wellness programs and resources.
Our CM Program includes:
Back & Joint Care
Provides digital support for members dealing with musculoskeletal (MSK) issues, acute and chronic pain, and either taking opioids or trying to avoid opioids. The program helps you improve your quality of life by helping you manage and reduce your chronic MSK pain, without surgery or drugs.
If RCBP identifies that there is an opportunity to help you improve your care, you will be invited to participate. Eligible participants will receive access to exercise therapy, motivational coaching, one-on-one support and education that is tailored to the participant’s specific needs.
Behavioral Health Support
RCBP provides resources and support to help you address mental health or behavioral health conditions like anxiety, depression, substance use disorders, domestic violence and more. Our team will work with you, help you understand your benefits and guide you through the wellness programs we offer.
We’re here to support you, get you connected with a clinical social worker, psychologist or other behavior health professional so you have the right treatment, the best services and resources to manage the daily obstacles that may be keeping you from achieving a healthier happy life.
Provides dedicated proactive support to individuals along their cancer journey. We understand that a cancer diagnosis is life changing and can be overwhelming. That’s why we’re here to help you. Through our program, individuals will better understand their benefits, locate the right provider for their specific need and get certain services approved. Individuals will also receive care management support for holistic care, treatment side effects, and medication management.
Offers you service and support when you or a family member have a serious illness or face imminent end-of-life decisions. The program provides you tools and information to encourage advanced planning for the kind of issues often associated with an advanced illness, such as living wills, advance directives, and tips on how to begin conversations about these issues with loved ones. This program is designed to provide quality of life improvement through health condition management and to reduce costs for you and your family at the end of life through timely member and caregiver education.
Provides support and educational resources for total knee or hip replacement surgery. The program gives you the tools and resources you need to prepare for a successful surgery and healthy recovery. It provides you access to benefit information specific to joint services, holistic overview of pain management options, digital, personalized education on recovery resources, mental and physical health tips and more.
Our social work program is designed to help you improve your quality of life by helping you locate the right resources. Social Workers can help connect you with community resources that can provide you services in times of need. Some examples include:
- Local food pantries
- Utility or rental assistance programs
- Home-delivered meal services
- Support groups
- Counseling services
- Federal and state programs
Our social workers are licensed and degreed professionals with experience in a variety of settings, including government and non-profit organizations, hospitals, schools and clinics.
Transform Diabetes Care
Helps members keep their diabetes and hypertension in check. The program uses medical claims, pharmacy claims, biometric screening data, and lab results to identify opportunities to help members improve their health. Members are provided personal guidance in five areas of focus: medication adherence, taking the right medication, self-monitoring of blood glucose and blood pressure, lifestyle and comorbidity management and recommended screenings. These focus areas are all based on the member’s specific needs. You do not need to enroll in this program. If RCBP identifies there’s an opportunity to help you improve your care, we will contact you. You may hear from us by phone, letter, email, or even in person by a CVS pharmacist or MinuteClinic® provider.
If you would like to contact the plan for more information about our program or services, please call 1-800-638-8432 (TTY: 711). We’re available to assist you Monday-Friday from 6 AM to 5 PM MT.