Chronic care management in New York State for Medicare members
Free eligibility check · No commitment · Takes 5 minutes
Managing chronic conditions is easier with the right team behind you. POD Health supports Medicare members with two or more chronic conditions through monthly check-ins, telehealth appointments, remote patient monitoring, 24-hour call support, and a personalized care management plan built around your needs. We coordinate with your doctors, track your health remotely using at-home devices, and connect you with behavioral health support and nutrition counseling, all covered by Medicare benefits.
*Copays and deductibles may apply.
What is chronic care management?
Medicare chronic care management is a structured Medicare Part B program for members with two or more chronic conditions. It provides ongoing support between doctor visits through care coordination, telehealth, remote patient monitoring, and social benefit navigation.
A chronic care management program is not meant to replace your doctor. It fills the gap between appointments, catches problems early, and keeps every piece of your care working together. Chronic conditions do not stop between visits. Neither does POD Health.
Why chronic care management matters?
Managing a chronic condition in New York often means dealing with winter weather, crowded transit, and buildings that are not always easy to get in and out of, and new symptoms do not wait for better weather.
Without a structured chronic care management plan, small changes can go unnoticed until they become serious. POD Health’s telehealth closes that gap, keeping you connected with your care team every month, monitoring your health data, and reaching out when something needs attention.
Supporting New York State's Medicare community
New York is home to one of the largest and most diverse Medicare populations in the country, and POD Health’s team understands the realities of coordinating care across the state’s boroughs, from language access to transportation. Wherever you live, your chronic care management plan stays consistent and personal, with in-person support available at our Brooklyn and Bronx locations.
How POD Health supports chronic care management
POD Health brings a full range of services together in one coordinated program, all covered by Medicare for eligible members across New York State.
Monthly care coordination calls
Our dedicated care coordinator calls you every month to review your health, check your medications, and make sure your chronic care management plan is working.
Telehealth appointments
POD Health connects you with your care team by phone or video without leaving home. Telehealth chronic care management gives you access to clinical support between your regular doctor visits, so nothing falls through the cracks.
Remote patient monitoring
We send you at-home devices to track your blood pressure, blood sugar, weight and more based on your condition. Our team reviews every reading and contacts you if anything is out of range.
Medication refills
POD Health coordinates medication refills on your behalf, so you never run out of the medications you need to manage your chronic conditions.
Specialist referrals
If you need to see a specialist, our care coordinator handles the referral and makes sure the specialist has your full health history before your appointment.
Personalized care plan
We build a custom care plan tailored to your specific conditions, including guidance on diet, exercise, medication management, and lifestyle habits that support your long-term health goals.
Emotional health support
Our care team connects you with behavioral health integration support to help you manage the emotional aspects of living with chronic conditions.
Social benefits navigation
POD Health helps you access social benefits you may be entitled to, including transportation assistance, meal delivery, housing support, and other community resources.
In-office visit
You are welcome to come in for an office visit to meet our care team, set up your monitoring devices, and get started with your personalized care plan in person. Visit us in Brooklyn or the Bronx.
The real benefits of chronic care management for Medicare patients
Reduces hospital visits
Consistent chronic care management through telehealth helps keep conditions stable and reduces the risk of emergency visits and hospitalizations.
Catches problems early
Daily monitoring and monthly check-ins help identify changes in your health before they become serious complications.
Supports your mental health
Regular behavioral health check-ins help you stay motivated and manage the emotional weight of living with chronic conditions.
Coordinates your entire care team
POD Health works alongside your doctors, specialists, and pharmacists so every provider has the information they need.
Does Medicare cover chronic care management?
Yes. Medicare Part B covers chronic care management for New York State members with two or more chronic conditions, including mental health conditions like depression. Most eligible POD Health members pay $0 out of pocket for these services.
You likely qualify if you meet all three of the following:
- You have Medicare Part B
- You want ongoing support between doctor visits
- You have two or more chronic conditions. Qualifying conditions include:
- Hypertension (high blood pressure)
- Diabetes or prediabetes
- Heart disease or congestive heart failure
- COPD or chronic respiratory conditions
- Chronic kidney disease
- Obesity or weight-related conditions
- Hyperlipidemia (high cholesterol)
- Depression or anxiety
What POD Health patients receive:
- Monthly care coordination calls to review your health, medications, and care plan
- Telehealth appointments for chronic care management by phone or video
- At-home remote patient monitoring devices to track blood pressure, blood sugar and weight
- Specialist referrals with your full health history shared in advance
- A personalized nutrition plan with guidance on diet, exercise, and lifestyle habits
- Emotional health support with regular emotional wellness check-ins
- Social benefits navigation to connect you with transportation, meal delivery, and community resources
Note: services are provided based on individual needs. Copays and deductibles may apply.
Chronic care management and Remote Patient Monitoring devices sent to your door
Our care coordinator will work with your provider to determine which devices may be right for you, based on your conditions and care plan.
Hypertension
Blood pressure monitor
Diabetes or prediabetes
Glucometer, blood pressure monitor, or weight scale
Heart disease or congestive heart failure
Blood pressure monitor, weight scale, and pulse oximeter when clinically indicated
COPD or chronic respiratory conditions
Pulse oximeter or thermometer when clinically indicated
Obesity or weight-related conditions
Weight scale
Multiple chronic conditions
A combination of devices based on your specific monitoring goals
Note: devices are provided based on individual needs and clinical indication.
Check your eligibility
Start managing your chronic conditions with POD Health today. Call us, and we will verify your Medicare coverage in minutes. No commitment needed.
How to get started with chronic care management through POD Health
Contact us
Call us or fill out a quick form. We will check your Medicare eligibility for chronic care management in a short call, with no commitment required.
We build your care plan
Our team reviews your health history and builds a personalized chronic care management plan that coordinates all your conditions, medications, and doctors.
Your care team and devices are ready
We connect you with your dedicated care coordinator and ship your at-home monitoring devices directly to you based on your conditions.
Ongoing care, on your terms
Monthly care calls, daily health monitoring, telehealth appointments, and 24–hour call support keep your chronic conditions on track so small changes never become bigger problems.
Reach out to us
Still have questions or would like to become a POD Health patient? Reach out to us, we are one call away!
Contact us
info@podhealth.com
Email us
718-819-6144
Call us
NYC
Serving all of New York State, with on-site enrollment currently available in Brooklyn and the Bronx.
Frequently Asked Questions
Still have questions? You are not alone. Here are some of the most common things people ask us. If you do not see your question here, we are happy to talk.
What is a chronic care management program?
A chronic care management program is a structured Medicare benefit that connects you with a dedicated care coordinator who checks in every month, monitors your health data, coordinates your care team, handles medication refills and specialist referrals, and helps you manage your conditions between doctor visits.
What conditions qualify for chronic care management?
Common qualifying conditions include high blood pressure, diabetes, heart disease, chronic kidney disease, COPD, high cholesterol, obesity, depression, and anxiety. Mental health conditions like depression count as qualifying chronic conditions. You need two or more chronic conditions and Medicare Part B to qualify.
How much does Medicare pay for chronic care management?
Medicare Part B covers chronic care management services. Most eligible members pay $0 out of pocket. POD Health will verify your specific coverage at no cost before you get started.
What are the benefits of chronic care management?
The main benefits include early detection of health changes, reduced hospital visits, coordinated care across all your providers, medication refill support, specialist referrals, behavioral health support, social benefits navigation, and ongoing telehealth access between doctor appointments, all covered by Medicare for eligible members.
Does POD Health offer chronic care management in New York State?
Yes. POD Health offers chronic care management to Medicare members throughout New York, with all core services available through telehealth from home. You are also welcome to visit our locations in Brooklyn and the Bronx.
How do I get started with chronic care management through POD Health?
Fill out a quick form or call us at 718-819-6144. Our team will confirm your Medicare eligibility in one quick call. Most members qualify and pay nothing out of pocket. There is no commitment required to check.
What our patients are saying
I didn’t even know I was missing benefits until Pod called. They helped me get set up with the right support and got my paperwork sorted. I didn’t have to do a thing. They really looked out for me.
Angela T., (Age 72)
Brooklyn
I was trying to help my mom get care, but it was so confusing. Pod walked me through everything in plain English and followed up until she had services at home. I honestly don’t know what we would’ve done without them.
Jason R.
Queens
Hablaron mi idioma, me ayudaron con los formularios y me llamaron cuando dijeron que lo harían. Eso importa.
Maria D.
Bronx