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HealthCheck+ at MFM Health

Ongoing Support for Managing Chronic Conditions

Your health doesn’t stop between visits—and neither do we. HealthCheck+ is MFM Health’s proactive care program designed for patients living with chronic conditions, including but not limited to, diabetes, hypertension, heart disease, and COPD. This program may include one or more of the following services, depending on your needs:

  • Advanced Primary Care Management (APCM)

  • Chronic Care Management (CCM)

 

These services work together to support your care plan, reduce health risks, and improve your day-to-day well-being.

Program Overview

HealthCheck+ offers regular, personalized support outside of your standard office visits. We work closely with you through phone calls, virtual check-ins, and in some cases, at-home devices that monitor your health in real time (Remote Patient Monitoring/RPM). All services are coordinated by your care team to ensure you get the right level of care at the right time.

Nurse checking blood pressure

What is Advanced Primary Care Management (APCM)?

APCM is designed for patients with two or more chronic conditions with support established such as:

  • A personalized care plan

  • Coordination between health care settings and with specialists

  • Education and monitoring of chronic conditions and medication adherence

 

APCM focuses on preventing complications and helping you stay on top of your health goals.

MFM Health Danver Chronic Care Management with patient

What is Chronic Care Management (CCM)?

CCM provides additional support between office visits for patients managing ongoing conditions. Services include:

  • Personalized Care Plan

  • Improved access to care through available telehealth appointments, extended office hours, access to 24/7 triage nurse support. 

  • Telephone outreach from our care management team for symptom monitoring and management of chronic conditions. 

  • Assistance with coordination of care across the healthcare system including discharge from inpatient settings to outpatient referrals.

  • Education on symptom and disease management to help with better medication adherence, lifestyle changes and self-management strategies to improve overall health.

Remote Patient Monitoring Bloog Pressure MFM Health Danvers

What is Remote Patient Monitoring (RPM)?

RPM uses connected health devices to send vital health data directly to your care team. This might include:

  • Blood pressure monitors

  • Glucose monitors

  • Weight scales

  • Pulse oximeters

 

The data from these devices is reviewed in real time by our pharmacist partners at V-Care Pharmacy and outreach to your provider is made if anything concerning is detected. 

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RPM helps us catch potential issues early and fine-tune your treatment as needed, often times without requiring a visit to the office.

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Note: RPM may be recommended based on your health needs. Costs and coverage vary by insurance. Our team will walk you through your benefits before you begin.

Continuous Support

Stay connected with a dedicated care coordinator who tracks your health progress between visits.

Comprehensive Care

Your care is seamlessly coordinated between your primary care provider and specialists.

Improved Outcomes

Proactive monitoring detects changes early, preventing emergencies.

Convenience

Access care remotely without leaving home—our team is just a call away.

Benefits of HealthCheck+ at MFM Health

How do I know if I’m eligible?

Patients with two or more chronic conditions expected to last 12 months or more are typically eligible for HealthCheck+. These may include conditions such as diabetes, high blood pressure, heart disease, asthma, or depression.

 

You may receive proactive outreach from MFM Health inviting you to enroll, or your provider may discuss the program with you at your next appointment. If you’re not sure whether you qualify, your care team can review your medical history and let you know if HealthCheck+ is a good fit for you.

  • How do I know if my insurance was billed correctly?
    Once your insurance has been billed, you will receive an Explanation of Benefits (EOB) from your insurance company. This document explains what services were billed, how much your insurance covered, and any remaining balance that you may owe. If you have any questions or feel there was an error, please contact our billing office.
  • Can I set up a payment plan for my bill?
    Yes, we offer flexible payment plans to help patients manage their medical bills. Please contact our billing department to discuss available options.
  • Who do I contact if I have questions about my bill?
    For any billing inquiries, you can reach our billing department. Our team is happy to assist with any questions regarding charges, insurance, or payment options.
  • What should I do if my insurance information has changed?
    If your insurance information has changed, please notify us as soon as possible to ensure accurate billing. You can update your insurance details by contacting our billing office.
  • What happens if my insurance denies a claim?
    If your insurance denies a claim, you will receive a notification explaining the reason for the denial. Our billing department can assist you in understanding the reason for the denial and provide guidance on how to appeal the decision if necessary. You may also be responsible for the balance if your insurance company does not cover the service.
  • Do you bill secondary insurance?
    Yes, if you have secondary insurance, we will submit claims to both your primary and secondary insurance providers. Please ensure we have up-to-date information for all of your insurance plans.
  • Why do I have to pay a copay if I already met my deductible?
    Your deductible is the amount you need to pay out-of-pocket before your insurance starts covering certain services. However, copays are separate fees required for specific services, such as office visits or specialist consultations, and are often required regardless of whether you’ve met your deductible. Please contact your insurance company for more information about your out-of-pocket payment responsibilities.
  • Why am I receiving multiple bills for one visit?
    You may receive separate bills for different services provided during your visit. For example, a lab test or imaging service may be billed separately from your MFM Health office visit. If you have any questions about specific charges for services you received at an MFM Health location, feel free to contact our billing office for clarification. If your MFM Health provider orders testing or imaging at an external, non-MFM Health facility, those services will be billed separately by the outside provider. For any questions or concerns regarding bills for these services, please contact the billing department of the external facility directly.
  • Can I receive an estimate for my out-of-pocket costs before my visit?
    Yes, we can provide a cost estimate for many services. Please contact our billing office before your visit to request an estimate based on your insurance plan and the services you may need.
  • How can I dispute a charge on my bill?
    If you believe there is an error on your bill, please contact our billing department as soon as possible. We will review the charges and work with you and your insurance company to resolve any discrepancies.
  • Will I be billed for missed appointments?
    Yes, missed appointments without proper notice may result in a fee. We ask that patients cancel or reschedule at least 4 hours in advance to avoid being charged for a missed visit. Please see our No Show/Late Arrival policy for more information.
  • Why do I have to pay out-of-pocket when my insurance didn’t cover the full amount?
    Insurance companies have coverage limitations based on your specific plan. If a service is not fully covered, or if it’s considered out-of-network, you may be responsible for the remaining balance. Our billing team is happy to help clarify what your insurance covers and for what portion you are responsible.
  • Why did I receive a bill for my annual exam?
    You may have received a bill for your annual exam because certain services performed during the visit may not be covered under your preventive care benefits. Annual exams are typically covered in full as preventive care; however, if additional issues were addressed, such as new concerns, chronic condition management, or diagnostic tests, these may fall outside of preventive coverage and be billed separately. For a detailed explanation of what may impact your bill, visit our blog post here: Why Did I Get a Bill for My Annual Exam?
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