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Welcome to Care at HomeSM, by ConcertoCare

For eligible Highmark Medicare Advantage members

As a Highmark Medicare Advantage member, you may be eligible to receive medical care and support services right in your own home and at no additional cost to you through the Care at Home Program administered by ConcertoCare.

ConcertoCare is an in-home medical provider that delivers additional care support. With them, you can keep your current primary care provider, specialists, and all the benefits you already have through Highmark.

Care at Home, administered by ConcertoCare, gives you an extra layer of support through personalized, in-home medical services that will help manage your health.

ConcertoCare Services

Regular At-home Check-ups (or somewhere convenient for you).

Urgent Visits.

24/7/365 clinical team availability by phone.

Virtual Visits (our teams can help you with this).

Medication Help.

Mental Health Support.

Hospital Stay and Aftercare Help.

Caregiver Support.

ConcertoCare Services

Doctors.

Physician Assistants.

Nurse Practitioners.

Nurses.

Pharmacists.

Social Workers.

Mental Health Professionals.

Community Health Workers.

And more.

ConcertoCare also works with your existing providers and with Highmark to make sure your care is seamless. That means you won't need to spend your own time making sure everyone understands your medical needs. Our teams do that for you.

To learn more or schedule your first visit at no additional cost to you, call us now.

If you’re enrolled in a Highmark Medicare Advantage plan in Western New York or Northeastern New York: Contact us at 888-580-0211 (TTY 711), 8 a.m. to 5 p.m. Monday through Friday.

If you’re enrolled in a Highmark Medicare Advantage plan in Pennsylvania: Contact us at 888-369-4330 (TTY 711), 8 a.m. to 5 p.m. Monday through Friday.

If you call outside normal hours, leave a voicemail and we’ll call you back the next business day.

Why is Highmark offering this program?

Highmark has teamed up with ConcertoCare as part of its commitment to improving its members’ health and well-being. The program is meant to provide Highmark members with a new option for easy-to-access, in-home medical care and services that can help them manage their health.

Why is Highmark offering this program?

Am I eligible to be a part of this program?

Eligibility for the Care at Home program is based on certain medical conditions. If you are eligible, you should have received a letter in the mail and may have also been contacted by phone. If you are a Highmark member who did not receive any outreach, you can still contact us to find out if you are eligible. If you’re enrolled in a Highmark Medicare Advantage plan in Western New York or Northeastern New York: Contact us at 888-580-0211 (TTY 711), 8 a.m. to 5 p.m. Monday through Friday. If you’re enrolled in a Highmark Medicare Advantage plan in Pennsylvania: Contact us at 888-369-4330 (TTY 711), 8 a.m. to 5 p.m. Monday through Friday.

Am I eligible to be a part of this program?

What happens next if I decide I want to join?

If you decide to join the Care at Home program with ConcertoCare, contact us and we can take care of the rest in an easy three-step process: We schedule your first in-home visit. This will be based on your schedule and needs Before your first in-home visit, we call to confirm your appointment and ask some questions. This helps our team plan for the visit and provide the best care possible During your first visit, you sign ConcertoCare’s short program agreement. Then we conduct our initial check-up to help us understand your health and needs From there, our teams work with you and your regular doctor to develop a personal care plan that will help manage your health and well-being. Examples from a Care Plan could include: Traditional medical care such as a specialist follow-up or help with following a certain medication plan Fitness plans Coaching sessions Connections to community resources It looks different for everyone because everything is personalized to your needs. As long as you remain a member of the Care at Home program, you will have access to a whole team dedicated to you. This includes regular in-home checkups, urgent visits, phone access to our team, and so much more.

What happens next if I decide I want to join?

I received outreach about the program but I’m healthy and rarely visit the doctor. Why should I join?

ConcertoCare offers in-home care and services designed to meet each member’s individual goals and needs. There is no one size fits all. It might mean support to manage one or more chronic conditions. This could help with your goal of reducing the number of flare-ups that cause hospital visits. For someone else, it could mean an annual in-home checkup and a little bit of coaching. This could help with a goal for weight management or keeping in touch with family who lives far away. If you are healthy, there is still an advantage of enrolling today in the Care at Home program administered by ConcertoCare, because it is an investment in your future and your peace of mind. With just a short initial in-home visit, you will get to know a team who personally understands your health. If there is a change to your health, the care team is on call to help you when you need them. You will be able to call a provider who already knows you, and who is available. Someone will come to your home, and there are no bills to deal with after the visit. As a reminder, there is no additional cost to you for joining the program, now or ever.

I received outreach about the program but I’m healthy and rarely visit the doctor. Why should I join?

What if I join and then decide the program is not for me?

The Care at Home Program administered by ConcertoCare is a completely optional program that is offered as an “add-on” to everything you already have access to as a Highmark member. Joining the program does not change your normal provider, and it does not change any of your other existing benefits or services. If you decide to try the program and it isn’t right for you, that’s okay. Your plan will not change, and there will be no additional paperwork.

What if I join and then decide the program is not for me?

For providers who serve members of Aetna

What is ConcertoCare?

ConcertoCare is an in-home provider of medical, pharmacy, and behavioral services. We have been engaged by Aetna to help manage the care of a portion of its members. ConcertoCare does not replace the care that you deliver as a primary care provider or specialist. Instead, our services are intended to help you manage the health of your patient by augmenting the care you provide as part of your existing physician-to-patient relationships.

Our multidisciplinary teams work with you and your staff to:

Help jointly develop and manage care plans for your patients that encompass the full range of their medical, pharmacy, behavioral, and social needs.

Help your patients with day-to-day activities that allow them to manage their health in between their visits with you – things like making sure they understand and consistently take their medications, supporting them in self-managing their conditions and knowing when to seek additional care, helping them arrange transportation to medical visits, and more.

Help you stay on top of when your patients need your attention – or example, when they have a sudden change in health status or have an acute visit

Help your patients connect with and make use of additional community resources that benefit them

What does collaborating with ConcertoCare look like?

ConcertoCare's teams are here to work with you in service of your patients. Knowing that every practice is unique, we are flexible in our approach to working with you and your team. We can communicate with your practice in whatever way is most seamless – including phone, fax, or EHR-based information sharing. Collaboration includes:

Pre-visit communications

Whenever a patient opts into the program and prior to our first visit with them, ConcertoCare will contact the patient’s primary care provider, inform them of our intent to engage with a patient in their practice, and request medical records for pre-visit preparation.

Post-visit communications

Immediately following all home visits, our team faxes documentation and treatment plans to patients' PCPs and as applicable, key specialists, and work to align on the patient's care plan. We also work to coordinate identified patient needs such as orders, referrals, or prescriptions.

If you are a provider and want to connect directly with ConcertoCare’s team in New York, contact us at 888-580-0211 (TTY 711), 8 a.m. to 5 p.m. Monday through Friday, or email us at NY@concertocare.com.

If you are a provider and want to connect directly with ConcertoCare’s team in Pennsylvania, contact us at 888-369-4330 (TTY 711), 8 a.m. to 5 p.m. Monday through Friday, or email us at PA@concertocare.com.

Care at Home℠ is a program for Highmark Blue Cross Blue Shield and Highmark Blue Shield members and is administered by ConcertoCare. ConcertoCare is a separate company. Other providers are available in our network.

®Blue Cross, Blue Shield and the Cross and Shield symbols are registered service marks of the Blue Cross Blue Shield Association, an association of independent Blue Cross and Blue Shield plans.

Highmark Blue Cross Blue Shield and Highmark Blue Shield are Medicare Advantage HMO, PPO, and/or Part D plans with a Medicare contract. Enrollment in these plans depends on contract renewal.

Benefits and/or benefit administration may be provided by or through the following entities, which are independent licensees of the Blue Cross Blue Shield Association:

Western NY: Highmark Western and Northeastern New York Inc. d/b/a Highmark Blue Cross Blue Shield.

Northeastern NY: Highmark Western and Northeastern New York Inc. d/b/a Highmark Blue Shield.

Central and Southeastern PA: Highmark Inc. d/b/a Highmark Blue Shield, Highmark Health Insurance Company, Highmark Choice Company or Highmark Senior Health Company.

Western and Northeastern PA: Highmark Inc. d/b/a Highmark Blue Cross Blue Shield, Highmark Choice Company, Highmark Health Insurance Company, or Highmark Senior Health Company.

All references to “Highmark” in this document are references to the Highmark company that is providing the member’s health benefits or health benefit administration and/or to one or more of its affiliated Blue companies.

The Plan complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex.

Tenemos servicios gratis de interpretación para responder cualquier pregunta que pueda tener sobre nuestro plan médico o de medicamentos. Para obtener un intérprete, simplemente llámenos al número que figura en la parte de atrás de su tarjeta de ID (TTY: 711). Alguien que hable español puede ayudarlo. Este servicio es gratis.

我们免费提供口译服务，为您解答有关我们健康计划或药物计划的任何疑问。如需口译服务，只需拨打您 ID 卡背面的电话号码（TTY：711）与我们联系即可。说中文的工作人员可为您提供帮助。此项服务免费。

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