ONGOING SUPPORT FOR YOUR HEALTH

Feel Supported in Managing Your Health, Every Day

Managing ongoing health conditions can feel overwhelming. Compass AgeWell helps you stay on track with monthly check-ins, medication and appointment reminders, and care coordination — with a Vietnamese-speaking team by your side.

Or call now855-999-9911
Monthly health monitoringA Vietnamese-speaking team
A care coordinator calling an older client at home
Regular touchpointsOne call, every month
About the service

What is chronic care management?

Managing two or more chronic conditions can mean keeping track of medications, remembering appointments, and coordinating with different healthcare providers. It can be difficult to know what needs attention and whom to contact when questions come up.

Chronic Care Management helps eligible patients manage their ongoing health needs between office visits. Compass AgeWell provides monthly check-ins, care coordination, and support with medications and appointments through a Vietnamese-speaking team.

  • Your care plan is developed and updated as appropriate by the responsible healthcare professional, based on your health needs.
  • Medication-related support can help identify potential medication concerns and support safer medication use.
  • The care coordinator calls every month: checking your blood pressure, blood sugar and any new symptoms; reviewing the medications you take; and reminding you of upcoming appointments.

You stay home and simply take the call. No clinic visit, no app to install.

Eligibility

Who May Qualify for Chronic Care Management?

You may be a good fit if:

  • You are living with chronic health conditions that require ongoing management.
  • You may qualify for Medicare Part B coverage, depending on your eligibility and applicable requirements.
  • You have two or more chronic conditions that may benefit from ongoing care coordination.
  • Your conditions are expected to last at least 12 months or until the end of life.
  • You may benefit from regular health monitoring and support to help manage your conditions.

Common chronic conditions:

High blood pressureDiabetesHeart diseaseAtrial fibrillationCOPDHeart failureOsteoarthritisRheumatoid arthritisAlzheimer’s and dementiaDepressionAsthmaOsteoporosisChronic kidney diseaseCancer

And many other chronic conditions. If you have 2 or more, call us to check your eligibility.

Not sure if you qualify or which payment option is right for you? Call 855-999-9911 and our team will help you check.

How it works

Three simple steps

1

Sign up

Call the hotline or fill out the sign-up form. The AgeWell team checks your insurance and eligibility. Then our doctor holds a first visit with you to set up your care plan.

2

Get a monthly call

Every month, a Vietnamese-speaking care coordinator calls you for at least 20 minutes — checking on your health, reviewing your medications, tracking your numbers, and answering all of your questions. All by phone, from home.

3

Peace of mind all month

You just follow the care plan and the coordinator’s reminders. The team keeps track of everything: medications on time, appointments as scheduled, labs on time. If anything is off, the doctor is notified right away.

Why choose Compass AgeWell

Concrete benefits

For you

  • A Vietnamese-speaking team by your side: the coordinator calls every month, with the doctor and pharmacist joining when needed. You are never alone with your illness.
  • Early detection of changes such as rising blood pressure, fluctuating blood sugar or new symptoms — before a hospital visit.
  • No need to remember appointment and lab dates yourself. The team reminds you.
  • A pharmacist reviews every medication you take to avoid dangerous interactions.
  • When you need to see a doctor urgently, the team connects you right away. No calling around.
  • Covered by Medicare Original Part B based on your benefits, if you meet the eligibility requirements.

For your family

  • Peace of mind knowing a professional team monitors your parents’ or grandparents’ health every month.
  • No taking time off work for routine visits.
  • Clear updates in Vietnamese about your loved one’s health.
  • A team to call when you notice something unusual and don’t know who to ask.
Transparent, no surprises

Flexible Payment Options for Your Care

Contact Compass AgeWell today for service pricing or to check your insurance benefits.

Chronic Care Management is covered by Medicare Original Part B according to your plan’s benefits. Some Medicare plans may require a copay depending on the specific benefits.

We will check and clearly inform you before providing any service. No surprise costs.

Not sure how much your insurance covers?

Check your cost
Answers

Frequently asked questions

No. The entire service takes place by phone, right at home. The care coordinator calls you each month at the agreed time. You don’t have to go anywhere.
No. You keep your family doctor and specialists. CCM is an added companion that connects and coordinates you with all of your doctors, so nothing falls through the cracks.
The care coordinator is a trained professional working under a doctor’s supervision. They are the bridge between you and your doctor. When a medical decision is needed, the doctor is directly involved.
You can call us 24/7. For an urgent issue, we connect you with a doctor right away. In an emergency, we guide you to call 911.

See all frequently asked questions

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