Medicare Care Coordination That Actually Works

You're eligible for coordinated care through Medicare. ElderberryMD makes sure you actually get it.

The Medicare Problem

Fewer than 5% of eligible Medicare patients are enrolled in Chronic Care Management (CCM) programs. Medicare covers care coordination services, but most patients don't know they qualify.

The result: fragmented care, missed follow-ups, and preventable complications.

You've earned these benefits. Let us help you use them.

What Medicare Covers

Chronic Care Management (CCM)

For patients with 2+ chronic conditions. Ongoing coordination between your providers, medication management, and care planning.

Principal Care Management

For patients with a single high-complexity condition that requires intensive coordination and management.

Behavioral Health Integration

For patients with mental health needs alongside physical conditions. Integrated care that addresses the whole person.

ElderberryMD is building toward full Medicare CCM billing so your care coordination may be covered by Medicare.

How ElderberryMD Works for Medicare Patients

Phone & Text First

You don't need a smartphone or computer. Call or text ElderberryMD for support. We meet you where you are.

24/7 Availability

Questions about your medications, appointments, or care plan? Ask anytime. ElderberryMD is always available.

Provider Coordination

We coordinate between your primary care doctor, specialists, and other providers so everyone stays on the same page.

Medication Management

Track medications, refills, interactions, and side effects. Never miss a dose or a refill.

Appointment Support

Preparation, scheduling, transportation coordination, and follow-up reminders for every appointment.

Care Plan Tracking

Your complete care plan in one place. Know what's next, what's pending, and what needs attention.

Are You Eligible?

  • Do you have 2 or more chronic conditions? (diabetes, heart disease, COPD, arthritis, etc.)
  • Are you enrolled in Medicare Part B?
  • Do you see multiple doctors or specialists?

If you answered yes to these questions, you may be eligible for Medicare-covered care coordination.

Getting Started

Contact us to check your eligibility. Or have a family member or caregiver reach out on your behalf.

Check Your Eligibility

For Family Members & Caregivers

Helping a parent or loved one navigate Medicare? You can set up ElderberryMD on their behalf and stay involved in their care coordination.

Learn More About Caregiver Support →

Trust & Compliance

  • HIPAA compliant
  • Built by a Medicare care coordination architect (15+ years)
  • FHIR-integrated medical records

Your data is secure. Your care is coordinated. Your privacy is protected.