• Welcome to Connected Care from 

    Boston Urogyn

    To get started, please complete the enrollment form below

    Connected Care is a Medicare service for patients diagnosed with chronic conditions like overactive bladder, urinary incontinence, fecal incontinence, chronic cystitis, interstitial cystitis, vaginal atrophy, and vaginal prolapse. Our dedicated care team will provide you with the best possible care between visits by partnering with you to proactively manage your health and help achieve your health goals!

    Connected Care gives you on-demand access to care when you want it.

    Patient Benefits:

    No more phone tag. Text us anytime.

    Not feeling well? Need a refill? Have a question? Simply text us at your convenience. Handle all the little things faster without waiting for a callback or scheduling a visit so you can spend more time doing what you love.

    A personal healthcare assistant. Text your care team for help with:

    - Scheduling appointments, follow-ups, and sick visits
    - Questions about your health, medication, and symptoms
    - Requests for refills, referrals, lab results, and more

    Your very own health coach. A dedicated care manager to help with:

    - Personalized care plan to help you achieve your health goals
    - Weekly health reminders, tips, and assistance via text
    - Monthly care plan review to keep you on track

    No out-of-pocket cost for most patients.

    Standard Medicare cost sharing applies, but most patients have supplemental plans that cover cost sharing. Dual eligible patients with Medicare & Medicaid are not responsible for cost sharing. In addition, this service helps patients avoid more costly services by proactively managing your health and preventing more expensive complications.

    We look forward to partnering with you to achieve your health goals!

    As part of my enrollment in Connected Care, I agree and consent to the following:

    Connected Care - Chronic Care Management (CCM) Services

    As a patient of Boston Urogyn (“Healthcare Provider”) with chronic conditions, your Healthcare Provider recommends that you enroll in a CCM program.

    ✓ I agree to receive CCM services.

    Medicare (and Medicaid in some states) will allow your healthcare provider to bill for these services during any month that they have provided eligible CCM services. Your provider is conducting this program in part by using Phamily, an electronic patient communication platform that helps them more easily manage your care.

    ✓ I am not receiving CCM services from another provider at this time.

    I acknowledge that only one practitioner can furnish CCM services to me during any 30-day period. 

    ✓ I have the right to stop CCM services at any time.

    I may discontinue CCM services by revoking this agreement, verbally or in writing, effective at the end of the then current calendar month.

    ✓ I may be responsible for copays if relevant and not covered by secondary insurance.

    I permit my Healthcare Provider to bill my insurance provider for monthly CCM on my behalf. I acknowledge that standard Medicare cost sharing could apply if relevant and my secondary insurance does not cover that cost.

    Phamily - Patient Communication Platform

    Phamily is a text, mobile, and web based messaging platform that helps connect health care providers, patients and their loved ones. Your health care provider has chosen to use Phamily to get updates on your health, send you reminders, answer questions, and improve access to your health care provider.

    ✓ I agree to the Phamily Terms of Use.

    I represent that I am eighteen (18) years of age or older and I acknowledge that I have read and agree to be bound by the Phamily End User Terms of Use as may be updated from time to time.

    ✓ I agree to communicating over plain unencrypted text messages and/or email.

    I hereby authorize Boston Urogyn and its affiliated medical professionals or staff members that it has designated to access and use the Phamily services on its behalf, to communicate with me, and any permitted Caregivers, about my medical conditions and treatment using unencrypted text messages and/or unencrypted email, including outreach that could be considered marketing messages.

    I acknowledge that text messages are inherently unsecure and may be able to be accessed by third parties.

    ✓ I will only use Phamily for routine and non-urgent needs.

    I understand that the Phamily service should only be used for routine and non-urgent matters.

    If you are experiencing a medical emergency or life-threatening symptom, please go to a hospital or contact 911 or your local emergency medical services agency.

    I understand and agree to participate in the Connected Care CCM service powered by Phamily:
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