Care Transitions

At Gateway Health, your care doesn't end when you leave the doctor's office.

Embedded Care:
Somebody You Can Count On

We place care managers where a high volume of Gateway Health members seek assistance. That way, somebody you can count on is always close by. They can help arrange transportation to and from doctor visits and inform you about community services that may help you.

Transition Care:
Home, Hospital and Everywhere In Between

Gateway Health is here to help you at all times. Soon after leaving the hospital, one of our Transition Care Managers will check in to see how you're recovering. They are a great resource for setting up follow-up appointments and closing up any gaps in care that may arise.

Complex Care:
The Quality of Care You Need

Gateway Health provides a Complex Case Management program for eligible members. A Care Manager can help you to better understand your health condition and benefits and can also help to coordinate your health care services by talking with your doctor. We can also tell you about community organizations and resources that may meet your needs.

You may be eligible for the Complex Care Program if you are a Gateway Health Member and you:

  • Have multiple medical conditions
  • Have a complex medical history
  • Need assistance to become more self-reliant in managing their health care

Gateway Health offers HMO plans with a Medicare Contract. Some Gateway Health plans have a contract with Medicaid in the states where they are offered. Enrollment in these plans depends on contract renewal. This information is not a complete description of benefits. Contact the plan for more information. Limitations, copayments and restrictions may apply. Benefits, premiums and/or copayments/coinsurance may change on January 1 of each year. You must continue to pay your Medicare Part B premium – The State pays the Part B premium for full dual members. Please contact the plan for further details. The Formulary, pharmacy network, and/or provider network may change at any time. You will receive notice when necessary.


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