508C BlueCare Plus (HMO SNP) Patient Assessment and Care Planning Form BlueCare Plus (HMO SNP) Patie 2025

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  1. Click ‘Get Form’ to open it in the editor.
  2. Begin by entering the patient's personal information, including name, gender, marital status, email address, date of birth, and member ID. Ensure accuracy as this data is crucial for assessment.
  3. Proceed to the allergies section. If there are none, select 'None.' If there are allergies or medications, list them along with their reactions.
  4. Fill out the hospitalizations section by providing dates and reasons for any past year hospital visits. If none, indicate accordingly.
  5. Complete the current medications section by listing all medications along with dosage and frequency. This helps in medication reconciliation.
  6. Continue through each section methodically, ensuring all fields are filled out accurately. Use checkboxes where applicable for conditions and assessments.
  7. Once completed, review all entries for accuracy before saving or sharing the document directly from our platform.

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As a mission-driven, not-for-profit company, weve been part of the community for 75 years as the trusted insurer for individuals, families and employees in Tennessee. So, you can expect excellent coverage, benefits and support for all your health care needs.
BlueCare is owned and operated by Volunteer State Health Plan, Inc. (VSHP), which is an independent licensee of the BlueCross BlueShield Association and a licensed affiliate of its parent company, BlueCross Blue Shield of Tennessee.
All BlueCare Plus Tennessee members get an allowance they can use on over-the-counter items, healthy food and housing utilities. Want to learn more? Give us a call at 1-888-413-9637, TTY 711 seven days a week from 8 a.m. to 9 p.m. ET.
BlueCare Tennessee sponsors BlueCare Plus, a Medicare Advantage Dual Eligible Special Needs Plan (D-SNP), which enrolls over 15,000 members across the state of Tennessee. It also operates a plan under TennCare CHOICES, Tennessees Medicaid managed long-term services and supports (MLTSS) program.