Medicare Advantage PPO Members to Transition to BCBSIL Kidney Care Program

October 23, 2023

In January 2024, we’re launching a specialized care coordination program for eligible Blue Cross Medicare Advantage (PPO)SM members who have chronic or end-stage kidney disease. Our Kidney Care Program will replace the Somatus kidney care program, a service currently provided by vendor Somatus, Inc

Somatus will continue to provide a kidney care program to some BCBSIL commercial members.

Program Transition
Medicare Advantage PPO members who currently use Somatus will transition to our program from January through March 2024. During the transition, Blue Cross and Blue Shield of Illinois (BCBSIL) and Somatus care coordinators will work together to support members. Only affected members transitioning to the BCBSIL Kidney Care Program will receive a letter with details. 

BCBSIL Care Coordination
As part of our Kidney Care Program, BCBSIL care coordinators work together with providers to coordinate services and help members follow a plan of care. Our goal is to support our members as they work with you to manage their disease and improve health outcomes. The program is free of charge. 

Call the Customer Service number on the BCBSIL member ID card if you have questions or to refer a Medicare Advantage PPO member to the Kidney Care Program.

Somatus is an independent company that provides care management services for certain BCBSIL members with CKD and ESKD. Somatus is wholly responsible for its own products and services. BCBSIL makes no endorsement, representations, or warranties regarding third party vendors and the products and services they offer.