Transplant Case Management is a statewide resource for both members and providers. It assists in identifying, facilitating, and coordinating transplant services with an appropriate transplant center. Transplant Case Management provides services while a member is being considered for a transplant, throughout the transplant process until the member is successfully transplanted and stable (usually 1 year after transplant), and requires no further specific interventions. There is no cost for the program and it is confidential.
This program provides general information. It is not the practice of medicine or a substitute for services from your doctors. All questions about your health status and treatment should be directed to your treating provider.
How does Case Management work?
We work with you to:
- Define your needs and goals
- Coordinate services with your provider(s), when you give us permission
- Provide transplant authorizations
- Develop an individualized plan
- Ensure you are accessing transplant services at an appropriate facility
- Provide education on transplant services
How was I chosen to be in a program?
There are several ways a member may be identified for the Transplant Case Management program. Most referrals are received directly from the transplant facility and/or your physician. You may have been referred as a result of a recent hospitalization, where you were identified as needing transplant services. You may have referred yourself.
When are program services available? What are the hours of the program?
Case Management staff are available Monday through Friday from 8:00 a.m. to 5:00 p.m. by calling 1-800-972-8633 and choosing option 3; TTY: <711>; or by emailing CM@avmed.org.
What if I need assistance after 5 pm?
You can call the Nurse on Call line at 1-888-866-5432; TTY: <711> to speak confidentially with a registered nurse about any health concerns or issues. In an emergency, call 911.
Where do I find more information about this program?
Feel free to call us at 1-800-972-8633, option 3; TTY: <711> Monday through Friday between 8:00 a.m. to 5:00 p.m. to talk about our Transplant Case Management Program.
What if I’m not sure I want to be in a program?
If you do not want to be in a program now, that is okay. You can join a program in the future if you change your mind. You are able to opt-in and opt-out of any of the Transplant Case Program by calling 1-800-972-8633, option 3, or by sending an email to CM@avmed.org.
How can I give feedback on the program?
You can give us your feedback by calling 1-800-972-8633, option 3; TTY: <711> Monday through Friday between 8:00 a.m. to 5:00 p.m; or by sending an email to CM@avmed.org.
Each year, Members are also surveyed about satisfaction with this program. If you receive a letter or call regarding your participation in this program, we hope you will take a few minutes to participate.
AvMed Medicare is an HMO plan with a Medicare contract. Enrollment in AvMed Medicare depends on contract renewal.
Address: 9400 S. Dadeland Blvd. Miami, FL 33156
Prospective Members: 888-492-8633 (TTY 711)
Current Members: 800-782-8633 (TTY 711)
October 1–March 31, 8 am-8 pm, 7 days a week.
April 1–September 30, 8 am-8 pm, Monday-Friday, Saturday 9 am-1 pm.
H1016_AD1098-092020_2021. Last updated October 3, 2020.