Gwinnett Clinic offers comprehensive care for Medicare patients.

We invite Medicare patients and their families to take advantage of our team-oriented, multidisciplinary approach.

Do I qualify for Gwinnett Clinic’s Medicare services?
  • Traditional Medicare
  • Medicare with commercial secondary insurance
  • Medicare / Medicaid
  • We do not see patients on Medicare Advantage plans at this time.
What is unique about Gwinnett Clinic’s approach to caring for Medicare patients?
  • We care for you like you’re a part of the family. You’ll truly get to know your team of compassionate doctors, nurse practitioners, and staff. Relationships are the cornerstone of keeping you healthy!
  • Annual Wellness Visit: annual comprehensive review of your health
  • 7-day week access: see your trusted team for all of your chronic problems and sick visits. No need to go to the emergency room or urgent care unless it is a true emergency!
  • Same-day sick visits: call ahead or walk-in to see your team any day
  • Easy in, easy out access: particularly helpful for patients who have trouble walking. No parking decks or elevators at many of our primary care offices!
  • Home delivery of medications: a free service coordinated by our in-house pharmacy
  • Preventive services: scheduled in one facility for your convenience
  • Balance / gait training: led by our in-house physical therapist with support from orthopedics and neurology
  • Memory loss / dementia: managed by our in-house neurology team
  • Advance care (end-of-life) planning

Medicare Chronic Care Management

What is Chronic Care Management (CCM)?

Chronic Care Management is a Medicare program that provides monthly care coordination for patients with multiple chronic conditions.

Who is eligible for the CCM program?

Any Medicare patient with two or more chronic conditions is eligible. Some of the most common chronic conditions are:

  • Arthritis
  • Alzheimer’s
  • COPD
  • Diabetes
  • High blood pressure (hypertension)
  • High cholesterol
  • Heart failure
  • Kidney disease
What will CCM involve?

As a CCM patient, your primary care provider will spend extra time coordinating your care on a monthly basis. This could involve working with a pharmacist to manage your medications or talking with other specialists you see. You will also receive a phone call once a month from a Gwinnett Clinic staff member to check on your conditions.

What is a comprehensive care plan?

Your provider will work with you to create a plan to manage your chronic conditions. This plan will include:

  • A list of all diagnoses
  • Measurable treatment goals
  • Symptom management
  • Medication management
  • A plan for coordinating care from multiple specialists
What is required to participate?

Depending on your insurance, Chronic Care Management may require a monthly copay up to $9. While you participate in CCM at Gwinnett Clinic, you will not be able to enroll in CCM at any other organization.

How to enroll in CCM?

Coming soon!

Remote Patient Monitoring Program

Coming soon!

Let us take care of you.

Request an Appointment

Request an
Appointment