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Joe

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Joe’s Managed Care Options – Medicare Medicaid Financial Alignment Initiative (MMAI) MCO coverage of all health and long term services and supports (hospital care, doctor services, prescription drugs, mental health, long term care facility, and home/community-based services.)

Joe’s Care Coordination Options

Together4Health (CCE)

Together4Health is a Care Coordination Entity that will serve older adults and adults with disabilities in Cook County. If Joe chooses to receive care coordination service through Together4Health, he will receive care through their network of participating providers and choose a ‘medical home’ (doctor, hospital, or both). Together4Health staff will help him manage all of his care (hospital, doctor, mental health, prescription drugs, etc.).

Aetna Better Health

Managed Care Organization (MCO)

Healthcare Consortium of Illinois (CCE)

Healthcare Consortium of Illinois is a Care Coordination Entity that will serve older adults and their eligible family members in 13 zip codes on the south side of Chicago. The project will use a Comprehensive Care Plan to help Joe manage his care (including hospital care, doctor services, prescription drugs, mental health, etc.)

Community Care Alliance of Illinois (MCCN)

Community Care Alliance of Illinois is a Managed Care Community Network that will serve older adults and adults with disabilities in Cook County. If Joe chooses to receive care coordination service through CCAI, he will need to use their network of providers and choose a ‘medical home’ (doctor, hospital, or both). CCAI staff will help him manage all of his care (hospital, doctor, mental health, prescription drugs, etc.).

IlliniCare

Managed Care Organization (MCO)

Meridian Health Plan

Managed Care Organization (MCO)

Joe is 72 years old and lives on the south side of Chicago. He currently has coverage through both Medicare and Medicaid.

What will be Joe’s options for coverage in July 2014?

HealthSpring

Managed Care Organization (MCO)

Original Medicare & Medicaid (or a Medicare Advantage Plan)

Blue Cross Blue Shield

Managed Care Organization (MCO)

Humana

Managed Care Organization (MCO)

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