Cardiac Management

Heart disease is the leading cause of illness and death in the United States. About 950,000 Americans die of cardiovascular disease each year, which amounts to one death every 33 seconds. Although deaths per year from heart disease are starting to decline, it is important to continue this trend. The goal of the Cardiac Health and Lifestyle Management Program is to help you track your individual health issues, assist you in addressing your health concerns and medical care, provide telephonic counseling as needed, educational materials, and other support to help improve your cardiovascular health. Enrollment in the program is strictly voluntary. There is no cost to join the Cardiac Management Program. Member Benefits:     To begin utilizing the following benefits, you must enroll. Up to 3 office visits per plan year (height, weight, and blood pressure required) - Visit will be paid at 100% when provided by an in-network provider. CPT Codes: 99201-99215, 99241-99245, 99381-99404 Up to 3 HbA1c (glucose 3 month average) - paid at 100% when provided by an in-network provider. CPT Code: 83036 Up to 3 Fasting blood sugar (fasting glucose) - paid at 100% when provided by an in-network provider. CPT Code: 82947 Up to 3 Lipid profile (cholesterol, HDL, LDL, and triglycerides) - paid at 100% when provided by an in-network provider. CPT Codes: 80061 and/or 82465 1 visit to your local health screening per plan year. For additional information regarding health screening events, South Dakota Employee Health Plan members go to www.bopweb.com, Associated School Board members contact your business manager. Additional Benefits: Comprehensive educational material. One-on-one member counseling with a health coach to promote informed decision making and goal setting. You will be responsible for additional cost related to routine tests or lab work and any charges over "Usual and Customary and Reasonable" (UCR). Note: At your office visit, please inform the nurse to code the visit as "cardiac" related (272.0, 272.4, 401.XX-414.9, 796.2, V70.9, V71.7, V77, V77.91, V82.9, V81, V81.0, V81.1, V81.2) in order for the claim to be paid accordingly. You are encouraged to visit the Cardiac Management website at www.hcmti.com/cardiac for more information and to enroll. Members may utilize this site to access online resources that may be useful in managing your cardiac issues. For questions, contact us @ 877-977-0159, or email: cardiac@hcmti.com. All information that is provided is strictly confidential. Click here for the cardiac fact library!