Skilled Nursing Facility Program

The AvMed Skilled Nursing/Acute Rehabilitation Transition Program works closely with our Members who have been admitted to or discharged from a SNF or Acute Inpatient Rehabilitation facility to prevent a readmission back to the hospital.  By participating in our program, an AvMed Skilled Nursing/Acute Rehabilitation Transitions Nurse will assist with you with your transition to home after your discharge.  There is no cost for the program and it is confidential.
Skilled Nursing Facility/Acute Rehabilitation Transition staff are available Monday through Friday from 8:00 a.m. to 5:00 p.m. by calling Member Support at 800.882.8633, TTY: <711>,  or by emailing utilization.management@avmed.org

How does the Skilled Nursing Facility/Acute Rehabilitation Transition program work?

We will work with you to:

  • Define your needs and goals
  • Assist you with arranging your appointment with your PCP
  • Review the medications you should be taking after your discharge
  • Assist you with obtaining the services you need after your discharge
  • Make proactive plans to prevent readmission to the hospital
  • Provide you with health information

How was I chosen to be in a program?

All Members who are admitted to a Skilled Nursing Facility (SNF) or Acute Inpatient Rehabilitation Facility are eligible to participate in the transition program. Your provider may have told you about the program. There is no cost for enrollment.

When are program services available? What are the hours of the program?

Skilled Nursing Facility/Acute Rehabilitation Transition staff are available Monday through Friday from 8:00 a.m. to 5:00 p.m. by calling Member Support at 800.882.8633, TTY: <711>,  or by emailing utilization.management@avmed.org

What if I need assistance after 5 pm?

You can call the Nurse on Call line at 1-888-866-5432; TTY: <711> to speak confidentially with a registered nurse about any health concerns or issues. In an emergency, call 911.

Where do I find more information about this program?

Feel free to call us through our Member Engagement team at 800.882.8633, TTY: <711> Monday through Friday between 8:00 a.m. to 5:00 p.m. by calling Member Support at 800.882.8633, TTY: <711>,  or by emailing utilization.management@avmed.org to talk about our transition program.

What if I’m not sure I want to be in a program?

If you do not want to be in a program now, that is okay.   The program is available to you for thirty days after discharge from the facility. You are able to opt-in and opt-out of our Skilled Nursing Facility/Acute Rehabilitation Transition  program  by calling 800.882.8633, TTY: <711>, or by emailing utilization.management@avmed.org

How can I give feedback on the program?

You can give us your feedback by calling Member Support at 800.882.8633, TTY: <711>, or by emailing utilization.management@avmed.org

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AvMed Medicare is an HMO plan with a Medicare contract. Enrollment in AvMed Medicare depends on contract renewal.
Address: 9400 S. Dadeland Blvd. Miami, FL 33156


Prospective Members: 888-492-8633 (TTY 711)
Current Members: 800-782-8633 (TTY 711)
October 1–March 31, 8 am-8 pm, 7 days a week.
April 1–September 30, 8 am-8 pm, Monday-Friday, Saturday 9 am-1 pm.

H1016_AD977-092019_2020. Last updated October 1, 2019.