A care team that checks in on you all month long - not just at appointments.
Med Care Outreach provides ongoing, physician-supervised care management for Medicare patients living with two or more chronic conditions. We work alongside your existing doctors to help you stay on track between visits.
- Provider-led organization
- We work with your current doctors
- No pressure - enrolling is your choice
Made for people managing more than one health condition
If you have Medicare and live with two or more ongoing conditions - such as diabetes, high blood pressure, heart disease, COPD, arthritis, or kidney disease - managing everything between doctor visits can feel like a full-time job. That is where we come in.
Medicare patients
Adults 65 and older (and other Medicare beneficiaries) who want more support managing their day-to-day health.
Family caregivers
Adult children and caregivers who want a knowledgeable partner keeping an eye on a loved one's care plan.
Physicians & referral partners
Doctors' offices looking for a trusted, clinically run program to support their patients between visits.
Chronic Care Management, in plain language
Chronic Care Management (CCM) is a Medicare program that provides ongoing, non-face-to-face care support for people with two or more chronic conditions. Between your regular appointments, a dedicated care team stays in touch, keeps your care plan up to date, and helps coordinate the moving parts of your care.
A care plan built around you
We develop and maintain a patient-centered care plan that reflects your conditions, medications, goals, and the care you receive from your doctors.
Regular monthly contact
Our care team reaches out throughout the month - by phone - to check in, answer questions, and catch small issues before they become big ones.
Coordinated care
When appropriate and authorized, we help coordinate among your doctors, specialists, pharmacy, caregivers, and other members of your healthcare team.
What a typical month can look like
Every patient's plan is different, but here is an example of the kind of steady, month-long attention CCM is designed to provide.
Week 1
Check-in callHow are you feeling? Any changes since your last appointment? We review your medications and update your care plan.
Week 2
Follow-throughWe help you prepare for an upcoming specialist visit and make sure you understand the next steps in your care.
Week 3
CoordinationA prescription question? A referral to sort out? We help connect the dots with your pharmacy and doctors' offices.
Week 4
Looking aheadWe recap the month, note anything your doctor should know, and set reminders for what is coming next.
This is an illustrative example, not a guarantee of specific services or outcomes. Your actual plan is personalized with you and your care team.
See if you may qualify
Answer three quick questions. This is a general guide only - final eligibility is verified during enrollment, and participation always requires your consent.
This self-check is for general information only. It does not verify eligibility, guarantee Medicare coverage, or establish a patient-provider relationship. Coverage rules and patient cost-sharing (such as deductibles and coinsurance) vary; some patients have supplemental insurance that may help with cost-sharing. We confirm eligibility and review any costs with you before you enroll.
What monthly care management can include
Services are tailored to each patient's care plan and provided as appropriate under the Medicare CCM program.
Personalized care plan
A comprehensive, patient-centered care plan we build with you and keep current.
Monthly outreach
Regular calls from your care team to check in and answer questions.
Medication & appointment reminders
Help staying on top of refills, dosing schedules, and upcoming visits.
Care coordination
Helping your doctors, specialists, and pharmacy stay on the same page.
Support between visits
A knowledgeable point of contact when something changes with your health.
Understanding next steps
Plain-language help understanding your care plan and what comes next.
Caregiver coordination
Keeping properly authorized family members and caregivers in the loop.
Access as required by CCM
Patient access to the care team as required under the applicable Medicare CCM program, plus connections to appropriate community and healthcare resources.
Enrolling is simple - and always your choice
Reach out
Send an inquiry or call us. Tell us a little about yourself - no medical details needed yet.
Talk with our team
We explain the program, answer your questions, and verify Medicare eligibility and any cost-sharing that may apply.
Give your consent
If you decide to enroll, we obtain and document your consent - and you can stop the service at any time.
Start your care plan
We build your personalized care plan and begin regular monthly support.
A healthcare organization - not a call center
Many chronic care programs are run by software vendors or outsourced administrative services. Med Care Outreach is different: we are the clinical care-management organization itself, delivering your care under physician supervision.
- Provider-led. Your care management is delivered by our care team under physician supervision.
- Fully integrated. We own and control our care-management workflow, software, and billing processes - so nothing about your care is handed off to a third party you have never heard of.
- Built to work with your doctors. We complement - never replace - your existing healthcare team, and we help you stay connected between regular appointments.
- Nonprofit, patients first. Med Care Outreach is a Florida nonprofit organization and a Medicare participating provider - we accept Medicare assignment on covered services.
- Transparent from day one. Consent, eligibility, and any cost-sharing are explained clearly before you enroll - and you may stop the service at any time.
Peace of mind for the people who love them
Caring for a parent or spouse with multiple health conditions is a lot to carry - especially from a distance. With the patient's proper authorization, our care team can keep designated family members and caregivers informed and involved.
- A consistent care team that knows your loved one's plan.
- Help keeping appointments, medications, and referrals organized.
- Coordination with caregivers when properly authorized by the patient.
Frequently asked questions
CCM is a Medicare program that provides ongoing care-management support - outside of regular office visits - for people with two or more chronic conditions. It includes a comprehensive care plan, regular non-face-to-face contact with a care team, and help coordinating care among your providers.
Generally, CCM is for Medicare patients with two or more chronic conditions expected to last at least 12 months (or until end of life). Not every person with Medicare qualifies, and eligibility must be verified before enrollment. Our team will review your situation with you - with no obligation.
No. Our services complement your existing healthcare team. You keep seeing your own doctors and specialists exactly as you do today. We help you follow your care plan and stay connected between those regular appointments.
Med Care Outreach is a Medicare participating provider and accepts Medicare assignment on covered services. CCM is a covered Medicare service for eligible patients, but standard Medicare cost-sharing - such as deductibles and coinsurance - may apply. Supplemental insurance (such as a Medigap plan or Medicaid) may cover some or all of that cost-sharing, depending on your coverage. We review any potential costs with you clearly before you decide to enroll. We cannot guarantee coverage or say the service will be free for everyone.
Enrollment starts with a conversation. After we verify eligibility and answer your questions, enrollment requires your documented consent. Participation is completely voluntary, and you may stop the service at any time.
Our program is not an emergency service. If you are experiencing a medical emergency, call 911 or your local emergency number right away, or go to the nearest emergency room.
We take patient privacy seriously and handle health information in accordance with applicable privacy laws. Please do not share private medical details through this public website - we will collect any needed health information only through secure channels after you contact us.
Request more information
Tell us a little about yourself and how to reach you. A member of our team will follow up. Prefer to talk? Call us at 954-248-0096.
Thank you - your inquiry has been received.
A member of our team will follow up using your preferred contact method during office hours. If you need to reach us sooner, call 954-248-0096.
In a medical emergency, call 911 or your local emergency number immediately.
Med Care Outreach does not provide emergency or urgent medical care, and this website is not monitored for emergencies.