Condition Care is all about you
We’re here to help you learn more about your health, keeping your and your family’s needs in mind at every step. Our Condition Care (CNDC) programs give you the chance to ask questions about a condition that affects you, get information about benefits, and help connect you with local resources.
How it works
Our CNDC case managers are registered nurses. They’ll help you to better manage conditions that may impact your or your family’s health. The goal is to improve quality of life.
When joining one of our CNDC programs, a CNDC case manager will:
- Help you create health goals and make a plan to reach them
- Coach you and support you through one-on-one phone calls
- Track your progress
- Provide information about local support and caregivers.
- Answer questions about specific conditions and/or treatment plans (ways to help with health issues).
- Send you materials to learn about your condition and overall health and wellness
- Coordinate your care with your health care providers, like helping you with:
- Making appointments
- Getting to health care provider visits
- Referring you to specialists in our health plan, if needed
- Getting any medical equipment you may need
What programs do we offer?
We offer health care and support services for members with any of these conditions:
Alzheimer’s disease is a brain disease. It’s also the most common form of dementia. Dementia is a general term used for a group of symptoms. Signs and symptoms of dementia affect a person’s memory, thinking, and reasoning skills.
For members with long-term care benefits, we can help you by making sure you’re getting follow-up care and taking your medications.
Learn more:
Alzheimer’s DiseaseDementia
Caregiver Tips
Asthma is a long-term condition that makes it hard to get air into the lungs. Asthma may cause wheezing, tightness in the chest, shortness of breath, and coughing.
We can give you an asthma action plan to be completed by a healthcare provider. The action plan can help you monitor the condition. It’s a good idea to stay away from triggers and that medication is managed.
Learn more:
AsthmaKnow Your Triggers
Asthma Attack
Asthma Action Plan
Bipolar disorder is a brain disorder that can cause unusual changes in mood, energy, activity level, and make it hard to carry out day-to-day tasks.
It can feel uneasy to hear a diagnosis of bipolar disorder, so we’re here to help. With proper treatment and support, those living with the condition can enjoy a healthy, happy, and productive life.
Learn more:
Bipolar DisorderSymptoms
When to Call a Doctor
COPD is a condition in which damage to the lungs has caused the airways to change shape and feel partly blocked. This makes it hard to breathe.
We can help with learning to breathe easier in hopes of improving quality of life. We’ll help you learn how to use inhalers, spacers, nebulizers and other devices, along with other skills for living with COPD.
Learn more:
COPDCOPD: Learning to Breathe Easier
Taking care of your heart is one of the best things you can do for good health. The heart pumps blood into the whole body. Having CHF means the heart can’t pump as hard as it should.
We can help you understand CHF better. That way, you and your healthcare provider(s) can work together to help with overall well-being.
Learn more:
Heart FailureSymptoms
When to Call a Doctor
The heart is only the size of a fist, but it’s one of the most important muscles in the body. Arteries throughout the body supply blood to the heart. When those arteries are blocked, and blood flow to the heart is reduced, it causes CAD.
We can help you with tips and tools, like making good food choices and following up with the doctor to keep CAD in check.
Learn more:
Coronary Artery Disease (CAD)Symptoms
Health tools
When to Call a Doctor
Managing diabetes is a team effort. Diabetes happens when the body’s blood sugar levels (the amount of sugar in the blood) are usually higher than normal. It means there’s a problem making enough of a hormone called insulin, or the body isn’t using insulin like it should.
We can work together to help lower the risk of complications (problems or issues) for a better quality of life.
Learn more:
Type 1 DiabetesType 2 Diabetes
Taking Care of Your Feet
Healthy Eating Tips
Hypertension is also called high blood pressure. Blood pressure is the amount of force it takes for your heart to pump blood through the body. High blood pressure can lead to other health problems.
Together, we can create short- and long-term goals to help manage blood pressure.
Learn more:
High Blood PressureSymptoms
What Increases Your Risk
Everyone feels sad sometimes, but these feelings shouldn’t last very long. When a person has major depressive disorder (MDD or clinical depression), these feelings don’t go away easily. They can get in the way of everyday life.
Depression is common and a real illness. The important thing to know is that it can be treated. We’re here to help you find resources in your area or help you talk with your family or caregiver about MDD.
Learn more:
DepressionSymptoms of Depression
Kids and teens can also have major depressive disorder (MDD or clinical depression).
We can help kids and teens talk with their families and healthcare providers about MDD, get treatment, and live a healthier life.
Learn more:
Depression in Children and TeensSchizophrenia is a brain disorder that affects a person’s thoughts, feelings, emotions, decisions, and actions. Some even have a hard time with focusing and memory loss. It can get in the way of daily life.
We’re here to help you learn how to manage schizophrenia with medication, treatment, and support.
Learn more:
SchizophreniaSymptoms
Schizophrenia: When Hospital Care is Needed
When to Call a Doctor
Substance use disorder is a disease that can lead to the use of drugs, alcohol, or other substances in a way that causes problems with health, life, relationships, and more.
We can help those with substance use disorder work together with their healthcare provider(s) to talk about treatment options (choices of ways to get better) and finding local community programs and resources.
Learn more:
Substance Use DisorderTreatment
For Family and Friends
When to Call a Doctor
Any Simply Healthcare Plans, Inc. member with any of the health conditions listed can participate in a CNDC program. Our CNDC case manager can talk with you about health history, health goals, and offer strategies and support for a healthy life.
They can also offer educational materials and tools for weight management [and tobacco cessation (how to stop using tobacco, like quitting smoking)].
Members will get a welcome letter to a CNDC program, if eligible. You can call us toll free at 888-830-4300 (TTY 711), Monday through Friday from 8:30 a.m. to 5:30 p.m. local time.
When you call, we’ll:
- Assign a CNDC case manager to get started.
- Ask some questions about your or your family’s health.
- Start working together to create a plan for care.
You can also email us at dmself-referral@simplyhealthcareplans.com.
Please be aware that emails sent over the internet are usually safe. But there is some risk that third parties may access (or get) these emails without you knowing. By sending your information in an email, you understand that third parties may access these emails without you knowing.
You can choose to opt out (be removed) of the program at any time. Please call us toll free at 888-830-4300 (TTY 711) Monday through Friday from 8:30 a.m. to 5:30 p.m. local time, to do so.
You can also call this number to leave a private message for the CNDC case manager 24 hours a day.
Members who join a Condition Care (CNDC) program have certain rights and responsibilities. You have the right to:
- Get details about us, such as:
- Programs and services we offer.
- Our staff and their qualifications (skills or education).
- Any contractual relationships (deals we have with other companies).
- Opt out of CNDC services.
- Know which CNDC case manager is handling CNDC services for you and how to ask for a change.
- Get support from us to make healthcare choices with your or your family’s healthcare providers.
- Ask about all CNDC-related treatment options (choices of ways to get better) mentioned in clinical guidelines (even if a treatment is not part of your or your family’s health plan), and talk about options with treating healthcare providers.
- Have personal data and medical information kept private.
- Know who has access to your or your child’s information and how we make sure information stays secure, private, and confidential.
- Receive polite, respectful treatment from our staff.
- Get information that is clear and easy to understand.
- File complaints to Simply by calling 888-830-4300 (TTY 711) toll free, Monday through Friday from 8:30 a.m. to 5:30 p.m. local time, and:
- Get help on how to use the complaint process.
- Know how much time Simply has to respond to and resolve issues of quality and complaints.
- Give us feedback about the CNDC program.
- Follow the agreed upon care plan with the CNDC case manager.
- Give us information needed to carry out our services.
- Tell us and your or your child’s healthcare providers if you choose to opt-out (be removed).
For a written version of the CNDC rights and responsibilities or information on this website, please print this page or call Member Services.
Useful phone numbers
Useful phone numbers:
In an emergency, call 911.
Condition Care (CNDC):
Leave a private message for the CNDC case manager 24 hours a day.
Toll free: 888-830-4300 (TTY 711)
Monday through Friday
8:30 a.m. to 5:30 p.m. local time
After-hours:
Call 24-hour Nurse HelpLine
24-hours a day, 7 days a week
Medicaid: 844-406-2396 (TTY 711)
Healthy Families
Healthy Families is a six-month program for members ages 7–17. The goal of the program is to help families form healthy eating habits and become more active.
For children who qualify, parents will get one-on-one coaching phone calls with us to:
- Create health goals just for your child that are clear and that they can meet.
- Make a plan to reach those goals.
- Talk about getting and staying active and healthy food choices.
- Help find resources to support a healthy life in your area.
- Find out if your health plan has extra benefits to help with living a healthier life.
Learn more and join
Give us a call at 844-421-5661, Monday through Friday 8:30 a.m. to 5:30 p.m. Eastern time to find out more about the program. We’ll ask you some questions about your child’s health to see if they qualify.