Specialized care, comfort and guidance when you need it most
Wellmark’s Case Management Program works closely with members who have severe or complex health conditions. If you are part of the Case Management Program, you will have the security and comfort of working with a case management professional who knows your unique health situation.
Case managers are clinically skilled registered nurses or licensed social workers committed to understanding your employees’ unique health care needs and creating individualized care plans to help them meet health care goals.
Call to learn more or get started.
Who can benefit from case management?
In the United States, six in 10 young adults live with at least one chronic condition (Centers for Disease Control and Prevention, 2026). Wellmark members can refer themselves to case management or be referred by their provider. The Wellmark Case Management Team may also reach out to members if claims data shows signs of a serious or complex condition.
Here are just a few situations that may benefit from our Case Management Program:
- Cancer
- Heart disease
- Diabetes
- Behavioral health
- Pregnancy support
Coverage for case management
Case management services are included in most Wellmark plans, cost you nothing and are confidential. Keeping your contact information current in myWellmark® ensures a case management nurse or social worker can reach you when you receive a complex diagnosis and need some extra support.
Learn more about Wellmark’s Case Management Team.
To find out how Wellmark's Case Management Program can help you, call 1-800-552-3993.
Case managers help you navigate health care
In addition to providing education and care coordination, Wellmark's Case Management Team also answers questions about claims and coverage, helps you avoid duplication of services and makes sure you're getting the most from your health plan. Wellmark wants all members to focus on getting and staying healthy.
Complex case management
If you have a serious or ongoing health condition, complex case management offers personalized support to make care easier. A case manager will work with you and your providers to understand your needs, coordinate services and create a personalized care plan. From answering questions to helping you prepare for appointments and avoid gaps in care, complex case management can simplify your experience so you can focus on your health.
If you think complex case management is right for you, you can learn more on myWellmark or call 800-800-7622.
Self-referral
You don’t need to wait for us to reach out. If you think case management can help, you can refer yourself anytime through your myWellmark account.
Just log in, go to Care & Costs and select Care Support. Explore the programs and choose the one that fits your needs.
Self-referral helps you get the right support for your situation whether you need help with mental health, pregnancy, LGBTQ+ specific health concerns and more. Not sure what program is right for you? Call Wellmark Case Management at 800-800-7622.