THE CONNECTICUT MENTAL HEALTH CENTER CLINICAL RESOURCE DIRECTORY
|
|
|
- Drusilla Rogers
- 8 years ago
- Views:
Transcription
1 THE CONNECTICUT MENTAL HEALTH CENTER CLINICAL RESOURCE DIRECTORY 2002
2 Contents I. Community Health Care Van II. III. IV. Connecticut Mental Health Center A. Medical Consultation Service Geriatric Services A. Alder Geriatric Assessment Center HIV Services A. Hospital of Saint Raphael: Haelen Clinic B. Yale-New Haven Hospital: Nathan Smith Clinic V. Medical Services A. Fair Haven Community Clinic B. Hill Health Center C. Hospital of Saint Raphael: Primary Care D. Yale-New Haven Hospital: Primary Care VI. Pain Services A. Advanced Diagnostic Pain Treatment Center B. Comprehensive Pain & Headache Treatment Center VII. Sleep Services A. Yale Center for Sleep Medicine
3 COMMUNITY HEALTH CARE VAN Provides FREE and CONFIDENTIAL Medical Services to Adults INCLUDING: Blood Pressure Glucose Screening Pregnancy Testing STD Screening Condoms Tuberculosis Screening HIV Counseling/Testing Drug Treatment Advocate Hepatitis B Screening/Vaccine Flu Shots Social Services Referrals Physical Exam for work and/or drug programs Daily Locations At the corner of Monday, Tuesday, Wednesday, Friday Thursday Dixwell and Basset Street 8:00 AM-9:00 AM 8:00 AM-9:00 AM Congress Avenue and Asylum Street 9:00 AM-10:15 AM 9:00 AM-10:15 AM Chapel and Day Street 10:30 AM-12:30 PM 10:30 AM-11:30 PM Kimberly Square 3:15 PM-4:45 PM 3:30 PM-5:00PM Saltonstall Avenue and Ferry Street 5:10 PM-7:30 PM 5:15PM-7:30 PM Telephone:
4 Connecticut Mental Health Center 34 Park Street New Haven, CT Telephone: (203) Fax: (203) Web Site: w:/index.htm Medical Resource Directory for CMHC Medical Consultation Service The Connecticut Mental Health Center enlists the services of three Internal Medicine physicians to provide consultative services to clients receiving care at CMHC. The clinic times are used for clients with no insurance who have a medical problem. Consultants: Walter Kernan, M.D. George Yuen, M.D. Karen Brown, M.D. Monday, Wednesday and Friday 1:30PM to 4:00 PM None required. To make an appointment, call: Brian Lenoci, PA-C or Cookie Lenoci, PA-C at (203)
5 Adler Geriatric Assessment Center Yale New Haven Hospital 20 York Street New Haven, CT Telephone: (203) Fax: (203) Web Site: Medical Resource Directory for CMHC Geriatric Services The Dorothy Adler Geriatric Assessment Center is an outpatient consultative service that provides comprehensive assessment of older persons. The center works with persons who have medical, psychological, cognitive or social problems impeding function or threatening independent living. The goal of the assessment is to identify and treat corrective problems and to locate and coordinate community resources to optimize the patient s and family s living situation. The Centers staff consists of Geriatric physicians and Psychologists, Case Managers, a Geriatric nurse practitioner, and a Patient Care Associate. Medical Director: Sidney T. Bogardus, M.D. Liaison: Kathy Maturo Monday, Wednesday and Thursday 8:30AM to 5:00 PM Tuesday and Friday 8:00AM to 4:30 PM Medicare covers approximately 80% of the charges for the visit. Some managed Medicare plans. Language: Interpreter services are available.
6 Hospital of Saint Raphael Haelen Center MOB Chapel Street New Haven, CT Telephone: (203) Fax: (203) Web site: Medical Resource Directory for CMHC HIV Services Medical Records Same Telephone and Fax as above. Multidisciplinary Team, which provides specialized medical care, education, and counseling to persons living with HIV and AIDS. Goal is to work with clients and their loved ones to improve the quality of life. Medical Director: Sharon Weissman, M.D. Monday through Friday 8:00AM to 4:30 PM Monday Evening Clinic every other week No one is denied. Financial Counselors available. Services Available: Social Work and Case Management Pastoral Counseling Comprehensive Medical Care Language: Language Bank available.
7 Nathan Smith Clinic 15 York Street New Haven, CT Telephone (203) Fax: (203) Medical Response Directory for CMHC HIV Services The Nathan Smith Clinic provides comprehensive health care services for HIV positive persons at all stages of their infection. Medical Director: Wagner Belton, M.D. Patient Services Manager: Beverly M. Belton, RN Monday through Friday 8:00AM to 4:30 PM Private insurance, Medicaid, Medicare Services Available: Social Work Pastoral Counseling Psychiatric Consultation Neurology Consultation Nursing Services GYN Care Medical Care Access to Clinical Trials Language: Spanish speaking staff and/or interpreters available. For appointments and further information, please call (203) or (203)
8 Fair Haven Community Clinic 374 Grand Avenue New Haven, CT Telephone: (203) Fax: (203) Web site: Medical Resource Directory for CMHC Medical Services Medical Records Telephone: Fax: Fair Haven Community Health Center is a non-profit agency that offers Medical and Psychosocial services through the life span. Eligible clients must reside in the Fair Haven Catchment Area. Medical Director: Laurie Bridger, M.D. Liaison: Betsy McMinn, MS, LPC Monday through Thursday 9:00AM to 12:30 PM and 1:30 PM to 5:00 PM and 5:00 PM to 9:00 PM Friday 1:00 PM to 5:00 PM Medicaid, Medicare, SAGA. Sliding Scale available. Services Available: Cardiac Care Diabetes Wellness Clinic HIV Related Illnesses School Based Care Satellites: Bella Vista Clinton Avenue School Fair Haven Middle School Wilbur Cross High School Language: Spanish
9 Hill Health Center 428 Columbus Avenue New Haven, CT Telephone: (203) Fax: (203) Web Site: Medical Resource Directory for CMHC Medical Services Medical Records Telephone #: Fax #: The Hill Health Center is a non-profit, federally funded community health center, which provides medical, dental, mental health and substance abuse treatment to people in the greater New Haven area. The mission is to provide high quality medical care to undeserved people of all ages at an affordable price. Medical Director: Karen Michels, M.D. Liaison: Gary Spinner, PA, and Chief Operating Officer Monday, Wednesday, Friday; 8:30 AM 5 PM Tuesday and Thursday; 8:30 AM 8:30 PM Saturday; 8:30 AM 12:30 PM : Medicare, Medicare, SAGA, commercial insurance Most managed care plans Sliding Scale available Services Available: Pediatrics, behavioral health, womens health services, homeless care, substance abuse treatment, school based clinics, family planning, pharmaceutical services, dental, internal medicine, obstetrics and gynecology and nutrition counseling to name a few. HIV-related services are provided through the primary care clinic. Languages: Spanish, Italian and Portuguese
10 Medical Resource Directory for CMHC Medical Services Satellites: West Haven Health Care Telephone: (203) Community Health Connection-Ansonia Telephone: (203) Women s Health Services Telephone: (203) Dental Clinic Derby Telephone: (203) Northside (Substance abuse) Telephone: (203) Grant Street Partnership (Substance Abuse) Telephone: (203) South Central Rehabilitation Center Telephone: (203) Adult Mental Health Clinic Telephone: (203) Child Guidance Center Telephone: (203) Dixwell Health Clinic Satellite Telephone: (203)
11 Hospital of Saint Raphael Primary Care 1450 Chapel Street New Haven, CT Telephone: (203) Fax: (203) Web site: Medical Resource Directory for CMHC Medical Services Medical Records Fax (203) The Hospital of Saint Raphael Primary Care Clinic is a medical clinic that offers a variety of services for adults. Services offered include primary care for adults and referral to medical subspecialty clinics as needed. Medical Director: Stephen Atlas, M.D. Liaison to CMHC: Jay Pinsonce Monday through Friday 8:30AM to 4:30 PM Managed Medicaid, SAGA, Medicaid, Medicare Sliding scale available. Subspecialty Services Available: OB/GYN Clinic, Monday through Friday 8:30 AM 4:30 PM and Monday-Wednesday-Friday Evenings until 8 PM Location: HSR Medical Office Building, 2 nd Floor Telephone: (203) HIV Services, Haelen Center at HSR Monday through Friday 8:30 AM-4: 30 PM Telephone (203) Surgical Specialty Clinics by appointment or referral Telephone (203) Languages: Bilingual: English and Spanish Translation services available for other languages.
12 Medical Resource Directory for CMHC Medical Services Yale-New Haven Hospital Primary Care Center 789 Howard Avenue New Haven, CT Telephone (203) Appointment Desk Telephone: (203) Main Fax: (203) Medical Records Fax (203) Web Site: The Yale New Haven Hospital (YNHH) Primary Care Center offers high quality, cost-effective health care services to all patients. The center also provides support and services that respond to the area s health care needs through health education, health promotion and access to care. Yale New Haven Hospital is a teaching hospital that uses and performs the latest research to enhance care delivery. Medical Director: Karen Brown, MD, Walter Kerner, MD and George Yuen, MD Monday through Friday 8:30AM 4:30PM Private insurance, Managed Medicaid, Medicaid Sliding scale and Free care program Primary Care Services available: (list is not inclusive) Education regarding management of asthma and diabetes. Further services from YNHH available by referral from the Primary Care Center include the following: * Dental care * Me and my baby program for pregnant women * Ear, nose and throat clinic * renal clinic * Cardiology clinic * neurology clinic * Diabetes education * women s care * Nathan Smith Center * general surgery clinic etc. Languages: Interpreter Service:
13 Medical Resource Directory for CMHC Pain Services Advanced Diagnostic Pain Treatment Center 150 Sargent Drive New Haven, CT Telephone (203) Fax (203) The Advanced Diagnostic Pain Treatment Center runs presently as a private practice model focusing on the management of chronic pain. All the physicians are board certified and fellowship trained in pain management. Pain is managed in a variety of ways using the most conservative approaches first. Treatment may include medications, trigger point injections, epideroscopy, etc. There is an affiliated research laboratory in Albany and Providence. The providers also consult at Hospital of Saint Raphael and Hospice. Providers: Lloyd Saberski, M.D. Steve Levin, M.D. Dwight Ligham, M.D. Monday through Friday 8:00 AM 5:00 PM Entitlements/Insurance Self Pay Medicare Private Insurance Referral Process: Client is referred from their Health care Provider by calling in to the main number. A phone call will be returned within 2 hours. Languages: Spanish, Polish and French. Arrangement may be made when making the appointment.
14 Medical Resource Directory for CMHC Pain Services Comprehensive Pain & Headache Treatment Center, LLC Office Locations: 130 Division Street, Derby, CT Orchard Street, New Haven, CT Main Street, Bridgeport, CT Lewis Avenue, Meriden, CT Mott Avenue, Norwalk, CT Main Office Telephone: Main Fax #: Referral #: Referral Fax #: Web Site: The Comprehensive Pain & Headache Treatment Centers, LLC specialize in evaluating and treating chronic pain and severe headache. The centers offer a multidisciplinary approach, which integrates conventional, alternative, behavioral and rehabilitative techniques. Treatments include nerve blocks, epidermal injections, medications and rehabilitation. Other techniques offered include implantable pain devices, electrical stimulation, investigation medications, EEG biofeedback, and osteopathic and alternative treatments. Providers: Mark Thimineur, M.D. Tamara Kaliszewski, PA-C Pardeep Sood, M.D. Per-Erik Johansson, APRN Mohan Vodapally, M.D. Edward Kravitz, Ph.D. Rakesh Patel, M.D. (by appointment and referral only) Monday through Friday 8:00 AM 4:30 PM For Managed Care Plans clients must obtain referral from primary care physician. Co-payments are due and payable at the time of service. Questions regarding billing or insurance call Billing Department at With Privileges at: Griffin Hospital Hospital of Saint Raphael St. Vincent s Medical Center Mid-State Medical Center Norwalk Hospital See Attached Referral Form
15 Comprehensive Pain & Headache Treatment Centers, LLC Telephone Referrals Main Fax Referral Fax Prescriptions Mark Thimineur, M.D. Tamara Kaliszewski, PA-C 130 Division Street, Derby, CT Pardeep Sood, M.D. Per-Erik Johansson, APR 330 Orchard Street, New Haven, CT Rakesh Patel, M.D. Edward Kravitz, Ph.D Main Street, Bridgeport, CT Mohan Vodapally, M.D. 435 Lewis Avenue, Meriden, CT Mott Avenue, Norwalk, CT REFERRAL/PATIENT INFORMATION FORM Date of Referral: Date Scheduled: With: Patient Name: Address: City: State: Zip: Home # Soc. Sec # Work # DOB: Insurance: Type of plan: Group # ID# Effective Date: Auth # # of visits Secondary ins: Type: Worker s Comp Company: Case Manager s Name: Tel # Fax # DOI Employer: Claim # Primary Care Physician: Address: City State: Zip Tel # Fax # UPIN # Referring Physician: Address: City State: Zip Tel # Fax # UPIN # PATIENT S PAIN HISTORY Please fax this form and any pertinent medical information, i.e., current dictations, MRI or Surgical reports to Providing ALL the Information on this form will facilitate and appointment on the soonest possible date. Thank you.
16 Medical Resource Directory for CMHC Sleep Disorders Yale Center for Sleep Medicine Yale University School of Medicine 40 Temple Street-Suite 3C New Haven, CT Telephone: (203) Fax: (203) Web Site: Center provides state of the art sleep study and treatment services led by physicians board certified in sleep and pulmonary studies. Sleep problems evaluated include snoring and sleep apnea, excessive sleepiness; movement disorders, and shift work and travel related sleep disorders. Medical Director: Vahid Mohsenin, M.D. Monday through Friday 8:30 AM 5:00 PM for appointment scheduling Monday through Friday 7:30 PM 7:00 AM for studies All major insurance plans exception Blue Care Family Plan & First Choice Plan Criteria for Service: Must have transportation to and from Center Must be independent in ADL s, stable medically and not a flight risk A completed referral form and a recent H&P or office note must accompany the referral request.
MEDICAL/DENTAL/ FREE CLINICS
Residents must be independently mobile or semi-mobile Zuni Presbyterian Center 5279 Homegrown Lane Zuni, VA 23898 Phone: (757) 242-6131 Fax: (757) 242-6138 Capacity 0045 Residents must be independently
Benefit Summary - A, G, C, E, Y, J and M
Benefit Summary - A, G, C, E, Y, J and M Benefit Year: Calendar Year Payment for Services Deductible Individual $600 $1,200 Family (Embedded*) $1,200 $2,400 Coinsurance (the percentage amount the Covered
II.D. HOSPITALS AND CLINICS
II.D. HOSPITALS AND CLINICS A.G. HOLLEY STATE HOSPITAL COMPLEX 1199 West Lantana Road Lantana, FL 33462 Phone: (561) 582-5666 (800) 482-4636 (Tuberculosis Hotline) Hours: 24 hour facility Fees: Contact
Topics: Abuse and Dating Violence AIDS, Sexual and Sexual Health Alcohol and Drugs
Topics: Abuse and Dating Violence AIDS, Sexual and Sexual Health Alcohol and Drugs Cutting Food Allergies Eating Disorders Gay, Lesbian, Bisexual, Transgender General Mental Health Grief Counseling Rape
A Guide to Patient Services. Cedars-Sinai Health Associates
A Guide to Patient Services Cedars-Sinai Health Associates Welcome Welcome to Cedars-Sinai Health Associates. We appreciate the trust you have placed in us by joining our dedicated network of independent-practice
Healthy Michigan MEMBER HANDBOOK
Healthy Michigan MEMBER HANDBOOK 2014 The new name for Healthy 1 TABLE OF CONTENTS WELCOME TO HARBOR HEALTH PLAN.... 2 Who Is Harbor Health Plan?...3 How Do I Reach Member Services?...3 Is There A Website?....
BridgeSpan Health Company: BridgeSpan Oregon Standard Gold Plan MyChoice Northwest
BridgeSpan Health Company: BridgeSpan Oregon Standard Gold Plan MyChoice Northwest Summary of Benefits and Coverage: What this Plan Covers & What it Costs Questions: Call 1 (855) 857-9943 or visit us at
Hawaii Benchmarks Benefits under the Affordable Care Act (ACA)
Hawaii Benchmarks Benefits under the Affordable Care Act (ACA) 10/2012 Coverage for Newborn and Foster Children Coverage Outside the Provider Network Adult Routine Physical Exams Well-Baby and Well-Child
Provider Identifier Code
Provider Identifier Code Description: Code identifying an organizational entity, a physical location, or an individual Allowable Values: 1G, 1H, 1O, 1Q - 1X, 1Z, 2P, 2S, 2Y, 2Z, 3A - 3Z, 4A 4J, 4L 4S,
2015 Medicare Advantage Summary of Benefits
2015 Medicare Advantage Summary of Benefits HNE Medicare Premium No Rx and HNE Medicare Basic No Rx January 1, 2015 - December 31, 2015 H8578_2015_034 Accepted HNE MEDICARE ADVANTAGE ENROLLMENT KIT 2015
Important Questions Answers Why this Matters: In-network: $2,000 Single / $4,000 Family Out-of-network: $3,000 Single / $6,000 Family
This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at www.independenthealth.com or by calling 1-800-501-3439. Important
HNE Premier 1 (HMO) and HNE Premier 2 (HMO)
2016 Medicare Advantage Summary of Benefits HNE Premier 1 (HMO) and HNE Premier 2 (HMO) January 1, 2016 - December 31, 2016 H8578_2016_429 Accepted HNE MEDICARE ADVANTAGE ENROLLMENT KIT 2016 SECTION I
Staff. Ten family practice physicians. One nurse practitioner. Two orthopedic physicians. Four staff psychiatrists
Go Cyclones! Staff Ten family practice physicians One nurse practitioner Two orthopedic physicians Four staff psychiatrists Eighteen nursing staff Six health promotion & wellness professionals Three pharmacists
In addition to the completed application, we will need the following:
Thank you for your interest in becoming a Consociate Care Network Provider. In addition to the completed application, we will need the following: Copy of CV Copy of medical license Copy of DEA license
Effective January 1, 2014 through December 31, 2014
Summary of Benefits Effective January 1, 2014 through December 31, 2014 The benefit information provided is a brief summary, not a complete description of benefits. For more information contact the plan.
Welcome to INTERIM LSU PUBLIC HOSPITAL & CLINICS SYSTEM INTERIM LSU PUBLIC HOSPITAL
Welcome to INTERIM LSU PUBLIC HOSPITAL & CLINICS SYSTEM INTERIM LSU PUBLIC HOSPITAL Our nationally recognized Level 1 Trauma Center Provides Care to 10 Parishes. Orleans Jefferson Tangipahoa Washington
2015-2016. New England Conservatory. Student Health PPO Plan. Policy Number: SP100104. Underwritten by Tufts Insurance Company.
New England Conservatory Student Health PPO Plan Underwritten by Tufts Insurance Company. Policy Number: SP100104 2015-2016 Form Number: 100104-1-1R3 New England Conservatory Health and Counseling Services
Covered Benefits. Covered. Must meet current federal and state guidelines. Abortions. Covered. Allergy Testing. Covered. Audiology. Covered.
Covered Benefits Services Abortions Allergy Testing Audiology Birth Control Services Blood & Blood Plasma Bone Mass Measurement (bone density) Case Management Chemotherapy Chiropractor Services (manipulation/subluxation)
Ryan White Program Services Definitions
Ryan White Program Services Definitions CORE SERVICES Service categories: a. Outpatient/Ambulatory medical care (health services) is the provision of professional diagnostic and therapeutic services rendered
Molina Marketplace. We have a plan to keep you healthy.
Molina Marketplace We have a plan to keep you healthy. Access. Quality. Commitment. With the new Health Insurance Marketplace, you have a choice. Molina Healthcare is the answer. Here is why you should
Student Health Insurance Plan Insurance Company Coverage Period: 07/01/2015-06/30/2016
This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at www.studentplanscenter.com or by calling 1-800-756-3702.
Molina Marketplace. We have a plan to keep you healthy.
Molina Marketplace We have a plan to keep you healthy. Access. Quality. Commitment. With the new Health Insurance Marketplace, you have a choice. Molina Healthcare is the answer. Here is why you should
How To Get A Medical Checkup
NAFISA TEJPAR, M.D., F.A.C.S. 2501 N. Orange Ave, Ste 513 Orlando, FL 32804 (407) 894-1280 APPOINTMENT TIME: (Please be at the office 30 minutes before) Welcome to NAFISA TEJPAR, M.D. PA. We appreciate
Blue Cross of NEPA: Custom PPO Option 10014 Coverage Period: 03/01/2015-02/29/2016
This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at www.bcnepa.com or by calling 1-888-345-2346. Important Questions
Coventry Health and Life Insurance Company PPO Schedule of Benefits
State(s) of Issue: Oklahoma PPO Plan: OI08C30050 30 Coventry Health and Life Insurance Company PPO Schedule of Benefits Covered Services Contract Year Deductible For All Eligible Expenses (unless otherwise
Physicians Plus Insurance Corporation Coverage Period: 01/01/2016 12/31/2016
This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at www.pplusic.com or by calling 1-800-545-5015. Important Questions
What is the overall deductible? $250 per person/$500 per family. Are there other deductibles for specific services? No.
This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at www.etf.wi.gov or by calling 1-877-533-5020. Important Questions
1-855-CTDENTAL (1-855-283-3682).
1-855-CTDENTAL (1-855-283-3682). Some services may require prior authorization. If you have any questions regarding your coverage, please contact our call center. We are available Monday through Friday,
Wellesley College Health Insurance Program Information
Wellesley College Health Insurance Program Information Beginning August 15, 2013 Health Services All Wellesley College students, including Davis Scholars and Exchange students are encouraged to seek services
Important Questions Answers Why this Matters:
This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at www.pplusic.com or by calling 608-282-8900 (1-800-545-5015).
Even though you pay these expenses, they don t count toward the out-ofpocket limit.
This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at www.studentplanscenter.com or by calling 1-800-756-3702.
Regence BlueCross BlueShield of Oregon: Regence Oregon Standard Bronze Plan Coverage Period: Beginning on or after 01/01/2014
Regence BlueCross BlueShield of Oregon: Regence Oregon Standard Bronze Plan Summary of Benefits and Coverage: What this Plan Covers & What it Costs Coverage Period: Beginning on or after 01/01/2014 Coverage
Medical Management. G.2 At a Glance. G.3 Procedures Requiring Prior Authorization. G.5 How to Contact or Notify Medical Management
Page1 G.2 At a Glance G.3 Procedures Requiring Prior Authorization G.5 How to Contact or Notify G.6 When to Notify G.11 Case Management Services G.14 Special Needs Services G.16 Health Management Programs
Outpatient/Ambulatory Health Services
Outpatient/Ambulatory Health Services Service Definition Outpatient/ambulatory medical care includes the provision of professional diagnostic and therapeutic services rendered by a physician, physician
National Guardian Life Insurance Company Maine College of Art Student Health Insurance Plan Coverage Period: 09/01/2015-08/31/2016
J3A59 National Guardian Life Insurance Company This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at www.studentplanscenter.com
Michigan Department of Licensing and Regulatory Affairs Pain and Symptom Management Speakers Bureau
Michigan Department of Licensing and Regulatory Affairs Pain and Symptom Management Speakers Bureau Are you looking for a speaker to present at your conference, ground rounds, or brown bag lunch? If you
Summary of Services and Cost Shares
Summary of Services and Cost Shares This summary does not describe benefits. For the description of a benefit, including any limitations or exclusions, please refer to the identical heading in the Benefits
The Healthy Michigan Plan Handbook
The Healthy Michigan Plan Handbook Introduction The Healthy Michigan Plan is a health care program through the Michigan Department of Community Health (MDCH). Eligibility for this program will be determined
National Guardian Life Insurance Company: Kenyon College Student Health Insurance Plan Coverage Period: 08/15/2015-08/15/2016
This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at www.studentplanscenter.com or by calling 1-800-756-3702.
National Guardian Life Insurance Company: Post University Student Health Insurance Plan Coverage Period: 08/14/2015-08/13/2016
This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at www.studentplanscenter.com or by calling 1-800-756-3702.
Even though you pay these expenses, they don t count toward the out-ofpocket limit.
This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at www.studentplanscenter.com or by calling 1-800-756-3702.
UnitedHealthcare Choice Plus. UnitedHealthcare Insurance Company. Certificate of Coverage
UnitedHealthcare Choice Plus UnitedHealthcare Insurance Company Certificate of Coverage For the Plan 7EG of Educators Benefit Services, Inc. Enrolling Group Number: 717578 Effective Date: January 1, 2012
Connecticut Department of Public Health Public Sexually Transmitted Diseases Clinics in Connecticut
Bridgeport Bridgeport Health Department 752 East Main Street (203) 576-7468 Monday, 12:30-3:00 PM Wednesday, 8:30 11:30 AM Friday, 9:00-11:00 AM No appointment necessary. $10.00 fee. Danbury Danbury Community
PPO Hospital Care I DRAFT 18973
This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at www.ibx.com or by calling 1-800-ASK-BLUE. Important Questions
UnitedHealthcare Choice Plus. UnitedHealthcare Insurance Company. Certificate of Coverage
UnitedHealthcare Choice Plus UnitedHealthcare Insurance Company Certificate of Coverage For the Health Savings Account (HSA) Plan 7PD of Educators Benefit Services, Inc. Enrolling Group Number: 717578
What is the overall deductible? Are there other deductibles for specific services? Is there an out-ofpocket
Regence BlueShield: Regence Direct Gold with Dental, Vision, Individual Assistance Program Coverage Period: Beginning on or after 01/01/2014 Summary of Benefits and Coverage: What this Plan Covers & What
SHBP: MEDICARE PENSIONERS
This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at www.seafarers.org or by calling 1-800-252-4674. Important
December, 1999. Dear Health Care Professional:
December, 1999 Dear Health Care Professional: In 1998, the Oklahoma Legislature passed a law dealing with credentials verification. That law directed the Board of Health to promulgate rules and the Oklahoma
Coverage Period: 8/1/2013-7/31/2014 Coverage for: Insured Student+Dependent Plan Type: PPO. Important Questions Answers Why this Matters:
This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at www.gallagherkoster.com/colgate or by calling 1 877-371-9621.
UnitedHealthcare Choice Plus. United HealthCare Insurance Company. Certificate of Coverage
UnitedHealthcare Choice Plus United HealthCare Insurance Company Certificate of Coverage For Westminster College Enrolling Group Number: 715916 Effective Date: January 1, 2009 Offered and Underwritten
MAYFLOWER MUNICIPAL HEALTH GROUP ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ PPO REVIEW OF BENEFITS
Fiscal Year 2015 2016 MAYFLOWER MUNICIPAL HEALTH GROUP ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ PPO REVIEW OF S ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
Welcome to the Student Health & Wellness Services (SH&WS)
Student Health Insurance Plan Information 2014 2015 Welcome to the Student Health & Wellness Services (SH&WS) Cleveland State University offers health care to all students of the University community.
Uniform Credentialing Application
Uniform Credentialing Application 63 O.S. Supp. 1998, Section 1-106.2 This form must be completed in full and typed or printed legibly (i.e. do not state see CV ). Write N/A in areas that do not apply
January 1, 2015 December 31, 2015
BLUESHIELD FOREVER BLUE MEDICARE PPO VALUE AND BLUESHIELD MEDICARE PPO 750 (PPO) (a Medicare Advantage Preferred Provider Organization (PPO) offered by HEALTHNOW NEW YORK INC. with a Medicare contract)
Schedule of Benefits HARVARD PILGRIM LAHEY HEALTH VALUE HMO MASSACHUSETTS MEMBER COST SHARING
Schedule of s HARVARD PILGRIM LAHEY HEALTH VALUE HMO MASSACHUSETTS ID: MD0000003378_ X Please Note: In this plan, Members have access to network benefits only from the providers in the Harvard Pilgrim-Lahey
MIT Student Health Plan
M A S S A C H U S E T T S I N S T I T U T E O F T E C H N O L O G Y MIT Student Health Plan 2011-12 What you should know about 2 health insurance Rates 2 What MIT Medical offers 3 Your medical benefits
2015 Summary of Benefits
2015 Summary of Benefits Effective January 1, 2015, through December 31, 2015 H3909 Y0041_H3909_PC_15_18889 Accepted 09/01/2014 Section I: Introduction to Summary of Benefits You have choices about how
Important Questions Answers Why this Matters: What is the overall deductible?
Important Questions Answers Why this Matters: What is the overall deductible? Are there other deductibles for specific services? Is there an out of pocket limit on my expenses? What is not included in
What is the overall deductible? Are there other deductibles for specific services? Is there an out-ofpocket
Regence BlueCross BlueShield of Oregon: Preferred Coverage Period: 08/15/2015-08/14/2016 Summary of Benefits and Coverage: What this Plan Covers & What it Costs Coverage for: Individual & Eligible Family
Important Questions Answers Why this Matters: What is the overall deductible?
This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at http://knowyourbenefits.dfa.ms.gov or by calling 1-866-586-2781.
Important Questions Answers Why this Matters:
This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at www.cfhp.com or by calling 1-800-434-2347. Important Questions
2015 Summary of Benefits
2015 Summary of Benefits Plans 003 and 004 H6298_14_027 accepted Summary of Benefits January 1, 2015 - December 31, 2015 This booklet gives you a summary of what we cover and what you pay. It doesn t list
American Society of Addiction Medicine
American Society of Addiction Medicine Public Policy Statement on Treatment for Alcohol and Other Drug Addiction 1 I. General Definitions of Addiction Treatment Addiction Treatment is the use of any planned,
State Health Plan: Savings Plan Coverage Period: 01/01/2015-12/31/2015
This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at www.eip.sc.gov or by calling 1-888-260-9430. Important Questions
HMO Blue Basic Coinsurance Coverage Period: on or after 01/01/2015
HMO Blue Basic Coinsurance Coverage Period: on or after 01/01/2015 Summary of Benefits and Coverage: What this Plan Covers & What it Costs Coverage for: Individual and Family Plan Type: HMO This is only
Important Questions Answers Why this Matters:
This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at https://eoc.anthem.com/eocdps/aso or by calling 1-888-650-4047.
National Guardian Life Insurance Company: Rider University International Student Health Insurance Plan Coverage Period: 08/20/2015-08/20/2016
This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at www.studentplanscenter.com or by calling 1-800-756-3702.
Important Questions Answers Why this Matters: What is the overall deductible? Are there other deductibles for specific services?
This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at www.etf.wi.gov or by calling 1-877-533-5020. Important Questions
OFFICE OF GROUP BENEFITS 2014 OFFICE OF GROUP BENEFITS CDHP PLAN FOR STATE OF LOUISIANA EMPLOYEES AND RETIREES PLAN AMENDMENT
OFFICE OF GROUP BENEFITS 2014 OFFICE OF GROUP BENEFITS CDHP PLAN FOR STATE OF LOUISIANA EMPLOYEES AND RETIREES PLAN AMENDMENT This Amendment is issued by the Plan Administrator for the Plan documents listed
January 1, 2016 December 31, 2016. Summary of Benefits. Aetna Medicare Value Plan (HMO) H3312-060 H3312.060.1
January 1, 2016 December 31, 2016 Summary of Benefits H3312-060 H3312.060.1 Y0001_2016_H3312_060 Accepted 9/2015 Summary of Benefits January 1, 2016 December 31, 2016 This booklet gives you a summary of
America s Family Benefit Plan First Choice Health Care Plan Frequently Asked Questions
Q: What is First Choice? A: First Choice is a Hospital Preferred Provider Network (PPN) which offers enhanced benefit coverage for services provided within the First Choice provider network. Q: What hospitals,
Zoom Health Plan, Inc. (ZOOM+): ZOOM+ Oregon Standard Gold Coverage Period: January 1, 2016 December 31, 2016
This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at www.zoomcare.com or by calling 1-844-ZOOM-777. Important
Community HealthEssentials. 2014 Guide
Community HealthEssentials 2014 Guide Community HealthEssentials - Summary Community HealthEssentials is the new name for Community Health Plan of Washington s (CHPW) individual commercial products offered
SCHEDULE OF BENEFITS
SCHEDULE OF BENEFITS Premier HealthOne Bronze 5500 Health Maintenance Organization (HMO) Individual Certificate of Coverage This schedule of benefits (SOB) is part of your Certificate of Coverage (COC)
FIRSTCAROLINACARE INSURANCE COMPANY 2015 Summary of Benefits. FirstMedicare Direct PPO Plus (PPO)
FIRSTCAROLINACARE INSURANCE COMPANY 2015 Summary of Benefits FirstMedicare Direct PPO Plus (PPO) Chatham, Hoke, Lee, Montgomery, Moore, Richmond, Scotland Counties 1 P age SECTION I - INTRODUCTION TO SUMMARY
2015 Summary of Benefits
2015 Summary of Benefits Effective January 1, 2015, through December 31, 2015 H3952 Y0041_H3952_KS_15_18734 Accepted 09/01/2014 Section I: Introduction to Summary of Benefits You have choices about how
HIV/AIDS Services in Connecticut by Area. Greater New Haven Area
HIV/AIDS Services in Connecticut by Area Greater New Haven Area AIDS Interfaith Network, Inc. 1303 Chapel Street New Haven, CT 06511 Tel.: 203-624-4350 Fax: 203-789-8631 Services: Case management, primary
Important Questions Answers Why this Matters:
This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at www.studentplanscenter.com or by calling 1-800-756-3702.
RIT Blue Point2 POS B No Drug Coverage Period: 01/01/2016-12/31/2016 Summary of Benefits and Coverage: What this Plan Covers & What it Costs
This is only a summary. If you want more detail about your medical coverage and costs, you can get the complete terms in the policy or plan document at www.excellusbcbs.com or by calling 1-800-499-1275/V.
Iowa Wellness Plan Benefits Coverage List
Iowa Wellness Plan Benefits Coverage List Service Category Covered Duration, Scope, exclusions, and Limitations Excluded Coding 1. Ambulatory Services Primary Care Illness/injury Physician Services Should
Coverage for: Individual/Family Plan Type: HMO. What is the overall deductible?
Blue Cross Blue Shield Basic 103, a Multi-State Plan SM Coverage Period: 01/01/2016-12/31/2016 Summary of Benefits and Coverage: What this Plan Covers & What it Costs Coverage for: Individual/Family Plan
$6,600 /person $13,200 /family Does not apply to preventive care. Yes. $6,600 /person. Important Questions Answers Why this Matters:
This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at www.healthrepublicinsurance.org or by calling 1-888-990-6635.
Blue Cross Premier Bronze Extra
An individual PPO health plan from Blue Cross Blue Shield of Michigan. You will have a broad choice of doctors and hospitals within Blue Cross Blue Shield of Michigan s unsurpassed statewide PPO network
Medicine in Osteopathic Family Practice and Manipulative Treatment
0BBasic Standards for Fellowship Training in Addiction Medicine in Osteopathic Family Practice and Manipulative Treatment American Osteopathic Association and the American College of Osteopathic Family
Healthcare Associates Caring for You
Healthcare Associates Caring for You Welcome to Healthcare Associates Dedicated to You At Healthcare Associates (HCA), patients come first, and caring for you is what we do best. We are pleased to offer
Lifetime Maximum Applies to all expenses; Part A and Part B expenses cross accumulate to the lifetime maximum
This is a summary of benefits for your Joint Trusteed Health and Welfare Medicare Supplement (Part A & B) plan. Medicare Part D prescription drug plan deductibles, out-of-pocket maximums, copays and annual
Physicians Plus Insurance Corporation State HDHP Uniform Benefits Coverage Period: 2015 Summary of Benefits and Coverage: Single Plan: EHRNSWPE
This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at www.etf.wi.gov or by calling 1-877-533-5020. Important Questions
BRIDGEPORT HOSPITAL ANNUAL REPORTING FISCAL YEAR 2014 REPORT 19 - SALARIES AND FRINGE BENEFITS OF THE TEN HIGHEST PAID HOSPITAL POSITIONS
BRIDGEPORT HOSPITAL 1. President & CEO $1,066,154 $381,835 $1,447,989 2. Exec VP / Administration $694,741 $261,126 $955,867 3. Senior VP of Finance & CFO $655,039 $286,770 $941,809 4. VP of Finance $545,700
(A) Information needed to identify and classify the hospital, include the following: (b) The hospital number assigned by the department;
3701-59-05 Hospital registration and reporting requirements. Every hospital, public or private, shall, by the first of March of each year, register with and report to the department of health the following
$0 See the chart starting on page 2 for your costs for services this plan covers.
This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at www.anthem.com/ca/lausd or by calling 1-800-700-3739. Important
NATIONWIDE INSURANCE $20-40 / 250A NATIONAL MANAGED CARE SCHEDULE OF BENEFITS
WASHINGTON NATIONWIDE INSURANCE $20-40 / 250A NATIONAL MANAGED CARE SCHEDULE OF BENEFITS General Features Calendar Year Deductible Lifetime Benefit Maximum (Does not apply to Chemical Dependency) ($5,000.00
OUR PRIMARY CONCERN IS YOU!
OUR PRIMARY CONCERN IS YOU! Medical Home Patient Care Guide Our Mission To be a caring, compassionate and viable community health center, proactively improving the lives of those we serve by providing
Howard University 2400 Sixth Street, NW, Washington, DC 20059 Phone: 202-806-6100
1. Academic Support Services a. Writing Lab Howard University 2400 Sixth Street, NW, Washington, DC 20059 Phone: 202-806-6100 i. Site: http://www.cetla.howard.edu/wac/ ii. Dr. Teresa M. Redd CETLA (Suite
FAIRBANKS NORTH STAR BOROUGH SCHOOL DISTRICT FAIRBANKS URGENT CARE PA CLINIC PROGRAM
FAIRBANKS NORTH STAR BOROUGH SCHOOL DISTRICT FAIRBANKS URGENT CARE PA CLINIC PROGRAM The Fairbanks Urgent Care PA Clinic Program is a special health benefit program for School District employees and eligible
2015 WPEG Coinsurance Plan Coverage Period: 1/1/2015-12/31/2015
2015 WPEG Coinsurance Plan Coverage Period: 1/1/2015-12/31/2015 Summary of Benefits and Coverage: What this Plan Covers & What it Costs This is only a summary. If you want more detail about your coverage
What is the overall deductible? Are there other deductibles for specific services?
: MyPriority POS RxPlus Silver 1800 Coverage Period: Beginning on or after 01/01/2015 Summary of Benefits and Coverage: What this Plan Covers & What it Costs Coverage for: Subscriber/Dependent Plan Type:
Coverage for: Individual/Family Plan Type: HMO. What is the overall deductible?
Blue Advantage Plus Silver HMO SM 102 - Three $0 PCP Visits Coverage Period: 01/01/2016-12/31/2016 Summary of Benefits and Coverage: What this Plan Covers & What it Costs Coverage for: Individual/Family
National Guardian Life Insurance Company: Kuyper College Student Health Insurance Plan
This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at www.studentplanscenter.com or by calling 1-800-756-3702.
Established in 1974 Non-Profit Federal Block Grant recipient Accept Medicaid, Private Insurance, and Self-Pay.
Established in 1974 Non-Profit Federal Block Grant recipient Accept Medicaid, Private Insurance, and Self-Pay. Patients are not denied treatment if they do not have the ability to pay for services Schedule