The Roper Corporation Employee Wellness Center

Size: px
Start display at page:

Download "The Roper Corporation Employee Wellness Center"

Transcription

1 The Roper Corporation Employee Wellness Center Operated by Redmond Regional Medical Center, Rome, Georgia 1 The Redmond Wellness Roper Corporation

2 This booklet is intended as a service to employees of Roper Corporation and eligible patrons of Redmond Wellness Roper Corporation. The contents of this publication are subject to frequent revision. For the most current version, visit on the internet. For more information about Roper Corporation employee benefits or services provided by the Redmond Wellness Roper Corporation contact: Human Resources Roper Corporation 1507 Broomtown Road LaFayette, Georgia Phone: The Redmond Wellness Roper Corporation

3 The Redmond Wellness Roper Corporation January 2016 Table of Contents 4 Welcome 4 Suggestions 5 Patient Rights and Responsibilities 6 Eligibility 6 Hours of Operation 6 Appointments 7 Cancellations 7 Security 8 Services Provided to Employees and Dependents 9 Urgent/Acute Care 9 Primary Care 9 Additional Services 9 Primary Care 10 Medical Emergencies 10 Dispensary 10 Reciprocal Treatment for Roper Employees 10 Other Resources and Services 13 Privacy Statement 13 Roper Corporation Right to Know Information 13 Workers Compensation 13 Family Medical Leave Act 14 Frequently Asked Questions 3 The Redmond Wellness Roper Corporation

4 Welcome Welcome to the Redmond Wellness Roper Corporation. The Center provides a variety of primary health care and urgent care services for employees enrolled in the Roper Corporation Employee Health Plan and their eligible dependents (those covered under the Roper Corporation Employee Health Plan Benefit). The healthcare professionals and the services they provide through the Wellness Center are the central focus for Roper Corporation s HealthAhead initiatives. HealthAhead is Roper Corporation s commitment to actively promote and support healthy lifestyles for employees and their families through wellness, nutrition, and physical activity. This patient Guidelines booklet provides a variety of useful information regarding the services provided through the Redmond Wellness Roper Corporation. The Center is staffed and operated by Redmond Regional Medical Center in Rome, Georgia, a healthcare services provider specializing in high quality hospital care and onsite healthcare services to companies like Roper Corporation. If you should have further questions or require more information, please contact the Wellness Center directly. Suggestions Employees and their dependents with ideas or suggestions for improving the services or operations of the Redmond Wellness Roper Corporation can share their thoughts in either of two ways: By using any company PC and accessing RC MENU>Walk Up Computer Menu and clicking button E Wellness Suggestions, or, By using a home computer and accessing the contact us link on the Wellness Center page at 4 The Redmond Wellness Roper Corporation

5 Patient Rights and Responsibilities Statement of Rights and Responsibilities for Patients Utilizing the Services of the Redmond Wellness Roper Corporation. PATIENT BILL OF RIGHTS A patient has the right to be treated with respect, consideration and personal dignity and with protection of his/her need for privacy. A patient has the right to impartial treatment regardless of race, national origin, religion, or handicap. A patient has the right to a prompt and reasonable response to questions and requests. A patient has the right to know who is providing medical services and who is responsible for his/her care. A patient has the right to be given information concerning diagnosis, planned course of treatment, alternatives, risks and prognosis. A patient has the right to refuse any treatment and be informed of the medical consequences of that refusal. A patient has the right to express grievances regarding any violation of his/her rights without fear of refusal of medical services. A patient has the right to confidentiality of his/her medical records. PATIENT RESPONSIBILITIES A patient is responsible for providing the clinic, accurate and complete information about present complaints, past illnesses, hospitalizations, medications and other matters related to his/her health. A patient is responsible for reporting to the provider any unexpected changes in his/her condition. A patient is responsible for listening to the provider's instructions and for asking questions if he/she does not understand the information given. A patient is responsible for following the treatment plan recommended by the provider. A patient is responsible for his/her actions if he/she refuses treatment or does not follow the provider's instructions. A patient is responsible for keeping appointments and when he/she is unable to do so, for notifying the clinic 30 minutes prior to the appointment time. A patient is responsible for treating the provider and health care staff with respect, consideration and personal dignity. Shouting, inappropriate language and behavior will not be tolerated. Patients that do not comply with these measures may be prevented from receiving personal care in the wellness center. 5 The Redmond Wellness Roper Corporation

6 Eligibility Employees and Employee Dependents covered under the company s employee health benefit plan are eligible for Wellness Center services. Employees who wish to use the services of the Wellness Center for anything other than work related injury or illness must be covered under the company s employee health benefit plan. Hours of Operation Physician and Provider Hours 6:00am 7:00pm Monday Wednesday 6:00am 7:00am Nurse only 6:00am 5:00pm Thursday - Friday 6:00am 7:00am Nurse only 8:00am 4:00pm Saturday Physical Therapy Hours 10:00am 7:00pm 12:00pm 4:00pm Monday Thursday Friday Dietician Hours 2:00pm 5:30pm Tuesday Some Saturdays ** Service interruptions and other special information regarding hours of operation will be communicated through employee communications at Roper Corporation and on the Wellness Center page at Appointments All visits to the Redmond Wellness Center are by appointment only unless the visit is work related or urgent care is needed (for example: brought in by first responders, asthma attack, etc.) To schedule an appointment, call direct to (706) or dial extension 206 on the Roper Corporation factory phone network. To avoid interrupting the schedules of other Wellness Center patients and the staff, it is important that you arrive 5 minutes before your scheduled appointment. Employees Employees are required to clock out during working hours for all visits to the Wellness Center unless the visit is work related (work-related accident, random drug screen, forklift physical, mandatory hearing test, etc.) Dependents Eligible Dependents may schedule appointments by calling (706) Dependents requesting appointments may be required to provide some personal information, including their Blue Cross Blue Shield of Georgia ID number, over the phone for purposes of verifying identification. New patients seeking primary care services will be required to undergo an initial physical exam to include a medical history and baseline measurements of the patient's height, weight, blood pressure, and any labs the provider feels appropriate. Patients will be required to show a photo ID and their Blue Cross Blue Shield card when signing in for their appointment. Dependents cannot be treated without first providing proof of identification and their Blue Cross Blue Shield of Georgia card. 6 The Redmond Wellness Roper Corporation

7 Appointment Times - The staff of the Wellness Center will make every effort to see patients with scheduled appointments as close to their scheduled times as possible. However, treatment of medical emergencies will always take precedent over treatment of non- emergencies. For this reason, patients may not always be seen at their exact appointment times. Tardiness - Patients more than 15 minutes late may have to be rescheduled at the next available appointment unless there is an opening available at that time. Cancellations Employee patients who will not be able to make their scheduled appointment are reminded to call the Wellness Center at (706) or extension 206 on the Roper Corporation factory phone network, as soon as possible to notify them of the need to cancel. If you cannot reach the Wellness Center staff, please leave a message on the Wellness Center's voice mail notifying them of your cancellation. Dependent patients who will not be able to make their scheduled appointment are reminded to call the Wellness Center at (706) as soon as possible, preferably more than 24 hours before their appointment if possible, to notify them of the need to cancel. If you cannot reach the Wellness Center staff, please leave a message on the Wellness Center's voice mail notifying them of your cancellation. The Wellness Center may restrict the services offered to patients who persistently cancel appointments without notice or are "no-shows" for appointments consistently. Security To help ensure the safety of Roper Corporation employees and visitors to the facility, all visitors including anyone visiting the Wellness Center-must first register with Security at the Main Entry Gate. Visitors will be required to present the Security Office with their driver s license or other picture ID and will be provided an identification badge and a parking permit. Children will be registered as visitors under the care of a supervising adult. Children should not be left unattended at any time during their visit. The Security Officer will direct visitors to the designated parking area for Wellness Center visitors. While onsite, Wellness Center visitors are restricted to the Wellness Center facility only. Unauthorized entry into other areas of the facility may result in expulsion from the plant and restricted further use of the Wellness Center services. 7 The Redmond Wellness Roper Corporation

8 Services Provided to Employees and Dependents The Redmond Wellness Roper Corporation provides services to employees and their eligible dependents enrolled in the company health benefit plan. Services are paid for by the company at no charge to the employee. These services include, but are not limited to: Occupational Medicine (employees only) Health education and supportive counseling with emphasis on prevention of chronic illness Primary and Urgent/Acute medical care (see definition below) Emergency stabilizations/transport Specialist referrals Diagnostic referrals Hearing and Vision referrals Sore Throat/Ears/Headaches Glucose monitoring Cough/Sinus/Respiratory Wellness Exams for both men and women Aches/Pains/Sprains Rashes Weight monitoring Cholesterol & Hypertension Screenings Minor dermatological conditions Physicals - Routine/Sports/Pre-employment Flu, mono, strep, and pregnancy testing Lab work - The Wellness Center will draw and send labs ordered by outside personal MD if: The labs meet the standard lab criteria. If the tests are covered by Roper health benefit plan The results of lab work ordered by an outside physician will be sent directly to the ordering physician. Copies of lab work results ordered by an outside physician will not be available from the Wellness Center. Physical therapy - A physical therapist from PerFormance Physical Therapy & Sports Medicine, provides physical therapy at specific times for patients referred by any physician or other licensed Practitioner, such as Physician's Assistant, Nurse Practitioner or Chiropractor. 8 Services Provided to Employees and Dependents

9 Urgent / Acute Care Work-in patients (those who don t have a scheduled appointment) may seek urgent or acute care and treatment at the Wellness Center during normal business hours. Depending upon the patient load at the time of the visit, however, there is no guarantee that non-emergency work-in cases will be seen. The Wellness Center may be able to see patients on a work in basis depending on the clinic schedule and the severity of the problem. We are not a walk in clinic (being seen without calling the Center in advance). Urgent/Acute care is defined as the short term treatment of sudden onset illness or injury and is provided to employees and their dependents that are enrolled in the employee health benefit plan. Proof of identity and a copy of your employee health plan insurance card will be required during registration for treatment. Examples of urgent/acute care needs include, but are not limited to: Sprains Sore throat Vomiting Diarrhea High Fevers Abdominal pain Ear Infections Skin infections Urinary Tract Infection Cough, Sinus infections Primary Care Primary care service is defined as long-term care by the healthcare professional serving as the patient s principal healthcare provider. Primary care services may include regular treatments for chronic conditions and services that are often referred to as wellness care. These available only to employees and their dependents enrolled in the employee health benefit plan. Proof of identity and a copy of your employee health plan insurance card will be required during registration for treatment. Additional Services Procedures involving work related accidents In an accident occurs at work that results in an injury, the employee must notify their Business Leader (BL) and report to the Wellness Center for assessment and treatment. Treatment for work related injuries is provided by the Wellness Center regardless of whether or not the injured employee participates in the company health benefit plan. The employee must bring a completed incident reports with them to the Wellness Center including the details of how and when the injury occurred, unless emergent treatment is needed (according to Roper policy). The Occupational Health Nurse will notify the BL for completion of an accident investigation form. The employee will be assessed, treated and returned to normal duty OR if modified duty is required, the Wellness Center will notify the BL to make accommodations by finding suitable work. Medical will fill out the restrictions on the Transitional Work Assignment and instruct the 9 Redmond Wellness Roper Corporation

10 employee to report BL. The Wellness Center, HR, and the BL will agree on modified work and the Transitional Work Assignment will be completed including review dates and an outline to transition to full duty. If the injury requires diagnostic tests or a referral out to a Worker's Compensation Certified medical provider, Collins and Company, Roper Corporation's third-party administrator for worker's compensation, will be notified and the Wellness Center/Collins will make the initial appointment and coordinate with the employee and panel provider. If the injury requires appointments for medical treatment or surgery including days away from work, a return to work release form will be filled out and presented to the Wellness Center when the employee returns to work. The Wellness Center, Roper Corporation's Worker's Compensation administrator, HR, and the BL will follow the employee's progress until a release to full duty occurs. Refer to the Roper Corporation Policy and Procedures Manual for more information on policies and procedures regarding work-related injuries. Physical therapy for work related injuries A physical therapist provides regularly scheduled physical therapy sessions Monday - Friday in the Wellness Center for patients with qualifying injuries that have been referred by a physician or licensed professional. Medical Emergencies In the event of a medical emergency, seek immediate medical treatment by calling 911 or visiting the nearest hospital emergency room or urgent care center. In the event of a medical emergency while on site at Roper Corporation, seek immediate medical treatment by visiting the Wellness Center or by calling 311from any company phone. The Redmond Wellness Roper Corporation is not equipped to serve as a medical emergency treatment facility. Employees who experience serious medical emergencies while at work will be stabiliz ed by the Wellness Center staff and transported to suitable medical facilities for treatment. 10 Redmond Wellness Roper Corporation

11 Examples of medical emergencies emergencies requiring treatment at a hospital or emergency room include but are not limited to: Chest pain Difficulty breathing or shortness of breath Broken bones Uncontrolled bleeding Seizure or loss of consciousness Severe allergic reactions Dispensary Services In some instances, the healthcare professionals in the Wellness Center may be able to provide patients with commonly prescribed medications at no cost to the patient through the center s prescription medication dispensary. If the medications are available from the dispensary, the patient will be given a one-month supply of their medications from the dispensary at no cost to the patient. A prescription for any refills will be written for filling at the patient s expense at a commercial pharmacy. Reciprocal Treatment for General Electric Employees Employees of General Electric who subscribe to the GE Employee Health Benefit plan are eligible for treatment at the Redmond Wellness Roper Corporation through a reciprocal agreement between GE and Roper Corporation. GE employees can contact Roper Corporation Human Resources office for full details. Other Resources and Services Wellness Services One of the most effective ways to avoid serious illness is to have regular check-ups with your health care provider. To help encourage Roper Corporation employees and their dependents to have regular wellness exams, our employee health benefits provide coverage for a number of preventative services for children and adults, including screenings and other services to detect medical conditions in advance. Covered Services include, but are not limited to: Treatment for preventative services including periodic health examinations for adults and dependent children. Flu vaccines (age restrictions apply) Mammograms Pap smears Prostate exams and testing 11 Redmond Wellness Roper Corporation

12 Pediatric Services age 2 and up. Sports physicals Acute care of viral and bacterial illnesses Evaluation and treatment of various skin conditions Laboratory testing NOTE ON LAB WORK : The results of lab work ordered by an outside physician will be sent directly to the ordering physician. Copies of lab work results ordered by an outside physician or medical provider will not be available from the Wellness Center. Blue Cross Blue Shield of Georgia 24/7 NurseLine Enrollees in the Roper Corporation employee health plan benefit qualify for use of the Blue Cross Blue Shield of Georgia 24/7 NurseLine. By calling , you can speak directly to a nurse about your health questions or concern, 24 hours a day, 7 days a week, get information about BCBS of Georgia member services, or you can listen to recorded information on a variety of health topics. After hours EMPLOYEES WORK RELATED In the event of an injury when the Wellness Center is not open (weekends, holidays, plant closures), Security should be notified by dialing 311from any plant telephone. Security will then page-out for a 1st Responder. If a 1st Responder is not available, Security will call 911for an ambulance. If away from work - Call Security at The Security Officer will notify the appropriate staff member of your situation. PERSONAL In the event of a medical emergency you should seek immediate medical treatment by calling 911. If you need non-emergency medical advice during non-office hours you can call the Blue Cross Blue Shield of Georgia 24/7 Nurse line at There you can speak directly to a nurse about your health questions or concern, 24 hours a day, 7 days a week. DEPENDENTS In the event of a medical emergency you should seek immediate medical treatment by calling 911. If you need non-emergency medical advice during non-office hours you can call the Blue Cross Blue Shield of Georgia 24/7 NurseLine at There you can speak directly to a nurse about your health questions or concern, 24 hours a day, 7 days a week 12 Redmond Wellness Roper Corporation

13 Privacy Statement The privacy of your medical records is protected under specific Federal laws. The third party administrator of the Redmond Wellness Center is Redmond Regional Medical Center does collect and maintain medical information on the patients treated. A copy of the Wellness Center Privacy Policy is available upon request at the Receptionist desk. Roper Corporation Right to Know Information No one from Roper Corporation will have access to the personal medical records in the Wellness Center. However, there are exceptions that relate to administering pre-hire physicals, Workers Compensation, Family Medical Leave, short term disability, or long-term disability. Worker s Compensation All medical information on an individual who alleges a work related injury can be reviewed by medical staff. The law states that any previous medical condition even personal could be pertinent to a work related case. Since the Georgia law allows all medical providers in the Wellness Center may pull the file and review all medical information to determine if any personal medical information should be considered in the case. All relevant medical information will be determined by the on-site medical staff. Family Medical Leave Act Roper Corporation s Human Resources office administers the time and attendance policy. The Wellness Center qualifies requests for Family Medical Leave Act (FMLA). All requests for FMLA are brought to the Wellness Center. 13 Redmond Wellness Roper Corporation

14 Frequently Asked Questions Why can't people that don't have Roper Corporation Insurance go to the Wellness Center? Some of us can't afford it. All employees have an opportunity to choose medical coverage here at work once a year at open enrollment.we have not increased our insurance cost in several years and we have great coverage at a very low cost in comparison to other employers in the area. Employees can purchase insurance on themselves for $10/week if they pass the HRA and only $20 if they don't pass. However, employees are not required to take insurance coverage, they have a choice. Our Wellness Center is not open to the public. It is an enhanced benefit for those employees carrying insurance coverage on yourself (and family) here at work. Insurance premiums, FSA Accounts and 401K Accounts are all tax free income to employees under Federal Law. If we opened the Wellness Center to employees who don't carry our insurance, all employees and guests would have to file insurance through the employee's private insurance coverage (BCBS or other coverage). Employees would have to pay their co-pay and deductibles the same as any other Physicians office. The Wellness Center would be a stand-alone business, including paying taxes on income. It would no longer be a non-profit benefit for employees electing company insurance. Our Wellness Center was never intended to be open to the public. ******** Can you visit the Wellness Center during working hours? If so, will this count against your attendance? Employees are required to clock out during working hours for all visits to the Wellness Center unless the visit is work related (work-related accident, random drug screen, forklift physical, mandatory hearing test, etc.) The attendance policy allows employees to take a wellness day for visits to the Wellness Center. These wellness days for appointments in the Wellness Center will not affect the 90 days of attendance required to get a positive point, nor will it stop you from attaining Perfect Attendance. You will not need prior day approval for a Wellness Day used in the Wellness Center, but you will need to make your TL and AL aware of your appointment time in advance. ******** Will the Wellness Center give you prescriptions for weight loss medications? No. Studies have shown that such medications do not result in long-term weight loss. We want to assist you in making the necessary life-style changes that will result in long term weight loss and a healthier overall way of living. Please make an appointment with one of the Wellness Center providers and/or dieticians to discuss options. ******** 14 Redmond Wellness Roper Corporation

15 How do you know what to report? You are going to hurt on a new job? Yes, that may be true. Many people do suffer some soreness on a new job due to work hardening. Still, you should let your BL know, especially if the soreness does not go away after more than two days or if you suddenly start hurting from a job you have been doing for a while. ************************* For the mammogram visits, can we use the providers at the Wellness Center as our doctor of reference? I don t have a regular doctor and would like to have a mammogram and wanted to know before setting up an appointment. Yes, you may now have mammogram results sent to the Wellness Center. You will see the name of the Wellness Center s Medical Director on the mammogram. ************************ What is our contract with BCBS in regards to wellness visits? And what qualifies as a Wellness visit? Wellness visits are yearly well-person checkups for adults, or periodic well-baby check-ups for infants. Wellness check-ups performed by the staff of the Redmond Wellness Roper Corporation are provided at no cost to employees and their dependents covered under the Company s employee health benefit plan. Wellness checkups through providers other than the Wellness Center are paid 100% after the $50 copay for primary care and $65 for specialists due to changes in the new federal healthcare bill. However, if you go to the doctor for a checkup and they find a problem, like high blood pressure, kidney infection or any other ailment they treat you for and bill you with that medical code, the insurance administrator will probably not recognize it as a well visit. If you have a specific concern, please see HR for a more detailed explanation. ************************ Do they do X-rays in the Wellness Center? Not at this time, but one of the rooms is specially equipped for the future possibility of adding X-ray equipment. ************************* 15 Redmond Wellness Roper Corporation

16 If you go up to the Wellness Center because you're sick and they say you should go home, why does it count against you? We have a no fault policy, if you have an acute illness, like sinusitis, or sore throat and you are advised to rest and take medicine causing you to miss work, it would cause an occurrence under our attendance policy. ******** What is a Physical Therapist? Physical Therapists apply research and proven techniques to help people recover function and get back in motion. All physical therapists are required to have a graduate degree and state license. They are trusted health care professionals with extensive clinical experience who examine, diagnose and then prevent or treat conditions that limit the body's ability to move and function. ******** Do I need a referral from the Wellness Center Physician to go to physical Therapy at Roper? No. Any outside physician or other licensed practitioner such as physician assistants, nurse practitioners and chiropractors may refer you to physical therapy. ******** Are the people who work in the Wellness Center Roper Corporation employees? No. The Wellness Center staff are employees of Redmond Regional Medical Center in Rome, Georgia, our third-party professional healthcare administrator. Roper Corporation contracts with Redmond Regional to operate the Redmond Wellness Roper Corporation. The physical therapists are employees of Performance Physical Therapy and Sports Medicine. The dieticians are employees of Dynamic Dietetics. ******** More Information For more information about the Redmond Wellness Roper Corporation, you may contact the Wellness Center directly by calling (706) or by dialing extension 206 on the company's factory phone network; or you may contact the Roper Corporation Human Resources Department at Redmond Wellness Roper Corporation

A Plan For Better Health

A Plan For Better Health A Plan For Better Health Welcome to Crystal Run Health Plans PPO Plans Your health and that of your family is most important. Your health plan should be designed for all your needs giving you access to

More information

A Family Caregiver s Guide to Urgent Care Centers

A Family Caregiver s Guide to Urgent Care Centers Family Caregiver Guide A Family Caregiver s Guide to Urgent Care Centers Urgent care centers help fill the gap between a doctor s office and a hospital s emergency room (ER). They provide treatment for

More information

Healthy Michigan MEMBER HANDBOOK

Healthy Michigan MEMBER HANDBOOK Healthy Michigan MEMBER HANDBOOK 2015 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?....

More information

A Guide to Patient Services. Cedars-Sinai Health Associates

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

More information

MDwise Right Choices Program

MDwise Right Choices Program Welcome to the MDwise Right Choices Program Helping you get the right care at the right time at the right place. MDwise Right Choices Program What is the Right Choices program? The Right Choices program

More information

Good health happens together

Good health happens together Good health happens together CITY OF BALTIMORE 2016 HEALTH CARE OPTIONS WHAT S INSIDE BENEFITS OVERVIEW WELLNESS RESOURCES ONLINE TOOLS Thank you for considering UnitedHealthcare. We are proud to again

More information

FAIRBANKS NORTH STAR BOROUGH SCHOOL DISTRICT FAIRBANKS URGENT CARE PA CLINIC PROGRAM

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

More information

Information for Our Patients

Information for Our Patients Information for Our Patients Locations Artemis Health 2561 Lac De Ville Boulevard, Suite 202 Rochester, NY 14618 585-244-7330 Greece Health Center 470 Long Pond Road Rochester, NY 14612 585-227-7600 Irondequoit

More information

AUBURN MEMORIAL MEDICAL SERVICES, P.C.

AUBURN MEMORIAL MEDICAL SERVICES, P.C. AUBURN MEMORIAL MEDICAL SERVICES, P.C. Office Policies We would like to thank you for choosing as your medical provider. We have written this policy to keep you informed of our current office policies.

More information

How to get the most from your UnitedHealthcare health care plan.

How to get the most from your UnitedHealthcare health care plan. How to get the most from your UnitedHealthcare health care plan. Your UnitedHealthcare health care plan includes many features and benefits that help you get the care you need and enjoy better overall

More information

How to Ensure Your Healthcare Gets Paid For West Virginia

How to Ensure Your Healthcare Gets Paid For West Virginia Cancer Legal Resource Center 919 Albany Street Los Angeles, CA 90015 Toll Free: 866.THE.CLRC (866.843.2572) Phone: 213.736.1455 TDD: 213.736.8310 Fax: 213.736.1428 Email: CLRC@LLS.edu Web: www.disabilityrightslegalcenter.org

More information

Telemedicine Frequently Asked Questions (FAQs) For Highmark Delaware Members

Telemedicine Frequently Asked Questions (FAQs) For Highmark Delaware Members Table of Contents Telemedicine Frequently Asked Questions (FAQs) For Highmark Delaware Members Overview and Eligibility.....Pages 1-3 Member Out-of-Pocket Costs......Pages 3-4 Amwell and Doctor on Demand

More information

Welcome to Crozer-Keystone Health Network Primary Care

Welcome to Crozer-Keystone Health Network Primary Care Welcome to Crozer-Keystone Health Network Primary Care A Guide to Your CKHN Patient-Centered Medical Home: What you can expect from us... What we will need from you......so you can gain the full benefits

More information

Telehealth Benefits. Member FAQs

Telehealth Benefits. Member FAQs Why do people see doctors online? Telehealth Benefits Member FAQs Telehealth allows for reliable and convenient doctor visits at any time with trained and certified physicians. Patients see a doctor online

More information

Cultural Vistas Inbound Frequently Asked Claim Questions (FAQ) (For New J-1 Visa Holders in the U.S.A. as of 5-1-2012)

Cultural Vistas Inbound Frequently Asked Claim Questions (FAQ) (For New J-1 Visa Holders in the U.S.A. as of 5-1-2012) Specializing in international health insurance for groups. TOLL FREE: 866-433-7462 (within USA) Phone: 607-272-2707 (collect from overseas) FAX: 607-272-2703 EMAIL: claims@iees.com WEB: www.iees.com PO

More information

Your guide to better health Grow healthy. Live well.

Your guide to better health Grow healthy. Live well. Your guide to better health Grow healthy. Live well. FREDERICK COUNTY PUBLIC SCHOOLS Look Inside Where do I go for health tools and resources? How can I get and stay healthy? What mobile applications are

More information

Frequently Asked Questions. Healthpointe Center

Frequently Asked Questions. Healthpointe Center Frequently Asked Questions Healthpointe Center Q: What is the Healthpointe Center? A: The Healthpointe Center is a state-of-the-art onsite medical clinic, located at the Healthpointe Building on the Pleasanton

More information

Member Handbook 312-864- 8200 1-855- 444-1661

Member Handbook 312-864- 8200 1-855- 444-1661 Member Handbook 312-864- 8200 1-855- 444-1661 Assistance available for those who are deaf, hard- of hearing, or speech impaired by calling the Illinois Relay DIAL 711 Monday- Friday Visit CountyCare 8am-

More information

Welcome to Our Practice Welcome to Patriot Pediatrics!

Welcome to Our Practice Welcome to Patriot Pediatrics! Welcome to Our Practice Welcome to Patriot Pediatrics! Thank you for choosing Patriot Pediatrics to care for your child s health. You are your child s most important caregiver, and we look forward to working

More information

Undergraduate Student Health Insurance Plan (USHIP) Benefits 2015-2016

Undergraduate Student Health Insurance Plan (USHIP) Benefits 2015-2016 Undergraduate Student Health Insurance Plan (USHIP) Benefits 2015-2016 For your insurance ID card or additional information on this plan, visit: www.4studenthealth.com/uci How USHIP Works For UC Irvine

More information

Community Health Centers of Pinellas, Inc. Women s Health Services Obstetrics & Gynecology

Community Health Centers of Pinellas, Inc. Women s Health Services Obstetrics & Gynecology Community Health Centers of Pinellas, Inc. Women s Health Services Obstetrics & Gynecology Amy Gabriel, M.D. Amber Nash, D.O. Erica Schneider, M.D. Angela Stoehr, M.D. Jamie Keene, ARNP Joyce Kepto, ARNP

More information

PPO. Participating Provider Option. Your Guide to the National Participating Provider Option Plan. Blue Cross and Blue Shield

PPO. Participating Provider Option. Your Guide to the National Participating Provider Option Plan. Blue Cross and Blue Shield PPO Participating Provider Option Your Guide to the National Participating Provider Option Plan Blue Cross and Blue Shield Contents PPO Gives You Choices.......................................1 Benefits

More information

Blue Cross of NEPA: Custom PPO Option 10014 Coverage Period: 03/01/2015-02/29/2016

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

More information

Updated as of 05/15/13-1 -

Updated as of 05/15/13-1 - Updated as of 05/15/13-1 - GENERAL OFFICE POLICIES Thank you for choosing the Quiroz Adult Medicine Clinic, PA (QAMC) as your health care provider. The following general office policies are provided to

More information

A GUIDE TO UNDERSTANDING, GETTING AND USING HEALTH INSURANCE. The. Health Insurance

A GUIDE TO UNDERSTANDING, GETTING AND USING HEALTH INSURANCE. The. Health Insurance A GUIDE TO UNDERSTANDING, GETTING AND USING HEALTH INSURANCE The of Health Insurance THE ABC S OF HEALTH INSURANCE: WHY IS HEALTH INSURANCE IMPORTANT? Even if you are in GOOD HEALTH, you will need to

More information

Welcome to the Student Health & Wellness Services (SH&WS)

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.

More information

Title: Workers Compensation Program Number: ES-5.02.01

Title: Workers Compensation Program Number: ES-5.02.01 Title: Workers Compensation Program Number: ES-5.02.01 I. PURPOSE AND SCOPE Approved: October 27, 2010 Cancels: ES-5.02.01 dated July 13, 2009 Originator: Department of Employee Services Review: October

More information

Gonzaga Student Accidental / Injury Insurance Plan 2015-2016 IMPORTANT NOTE

Gonzaga Student Accidental / Injury Insurance Plan 2015-2016 IMPORTANT NOTE Gonzaga Student Accidental / Injury Insurance Plan 2015-2016 IMPORTANT NOTE This Reference Guide provides general summary of your coverage and key information about the program. A complete description

More information

Virginia. A guide for individuals and families. The health insurance benefits you want, at a cost you can afford

Virginia. A guide for individuals and families. The health insurance benefits you want, at a cost you can afford Virginia A guide for individuals and families CoventryOne is an individual product (for individuals and families) offered by Coventry Health Care, an Aetna company. The health insurance benefits you want,

More information

Physician s Practice Organization D/b/a Doctors Park Family Medicine Patient Information Brochure. To Our Patients

Physician s Practice Organization D/b/a Doctors Park Family Medicine Patient Information Brochure. To Our Patients Physician s Practice Organization D/b/a Doctors Park Family Medicine Patient Information Brochure To Our Patients Thank you for choosing Doctors Park Family Medicine as the healthcare provider for you

More information

Understanding Your Health Insurance Plan

Understanding Your Health Insurance Plan Understanding Your Health Insurance Plan Slide Catalog for Assisters Updated May 6, 2015 Health Insurance Costs Terms to Know: Premium Premium: The monthly bill you pay to your health insurance company.

More information

Important Questions Answers Why this Matters: In-network: $0/Individual; $0/Family Out-of-network: $500/Individual; $1,000/Family

Important Questions Answers Why this Matters: In-network: $0/Individual; $0/Family Out-of-network: $500/Individual; $1,000/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.anthem.com or by calling 1-800-445-7490. Important Questions

More information

Nurse Aide Training Program Application Checklist

Nurse Aide Training Program Application Checklist Nurse Aide Training Program Application Checklist The following checklist must be completed before enrolling in the Nurse Aide Training course: Complete, sign, and date the Application Form Have the physical

More information

A GUIDE TO UNDERSTANDING, GETTING AND USING HEALTH INSURANCE. The. Health Insurance

A GUIDE TO UNDERSTANDING, GETTING AND USING HEALTH INSURANCE. The. Health Insurance A GUIDE TO UNDERSTANDING, GETTING AND USING HEALTH INSURANCE The of Health Insurance THE ABC S OF HEALTH INSURANCE: WHY IS HEALTH INSURANCE IMPORTANT? Even if you are in GOOD HEALTH, you will need to

More information

Welcome aboard. Getting to know your health insurance

Welcome aboard. Getting to know your health insurance Welcome aboard Getting to know your health insurance Thank you for trusting us with your health insurance needs. A lot has changed in health care recently, so we created this guide* to make sure you understand

More information

What is the overall deductible? Are there other deductibles for specific services?

What is the overall deductible? Are there other deductibles for specific services? Small Group Agility MS200 Coverage Period: Beginning on or after 01/01/2015 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

More information

Important Questions Answers Why this Matters:

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.anthem.com or by calling 1-800-445-7490. Important Questions

More information

Managing Your Health Care Costs

Managing Your Health Care Costs Options for lower cost settings As a CareFirst BlueCross BlueShield or CareFirst BlueChoice, Inc. (CareFirst) member, how you use your benefits can reduce your health care costs. Use the information below

More information

2014 2015 Health Insurance Orientation Student Health and Counseling Services

2014 2015 Health Insurance Orientation Student Health and Counseling Services 2014 2015 Health Insurance Orientation Student Health and Counseling Services Presenters: Karla Abrantes Coordinator, Student Health & Counseling Immunization Student Health Insurance Plan Fred B. Hollick,

More information

Health Insurance A GUIDE TO UNDERSTANDING, GETTING AND USING HEALTH INSURANCE. The. HL-14-001 Rev. 08/2015

Health Insurance A GUIDE TO UNDERSTANDING, GETTING AND USING HEALTH INSURANCE. The. HL-14-001 Rev. 08/2015 A GUIDE TO UNDERSTANDING, GETTING AND USING HEALTH INSURANCE The of Health Insurance wahealthplanfinder.org 1-855-WAFINDER 1-855-923-4633 HL-14-001 Rev. 08/2015 THE ABC S OF HEALTH INSURANCE: WHY IS HEALTH

More information

Alternate PPO/Alternate Rx

Alternate PPO/Alternate Rx 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 capbluecross.com or by calling 1-866-802-4761. Important

More information

The Healthy Michigan Plan Handbook

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). The Healthy Michigan Plan provides health

More information

Dr. H. Lokesh M.D Dr. R. Desai M.D Tarah Savino MMS, P.A. C 4804 Rowan Road New Port Richey, FL 34653 (727) 375 5242 (727) 375 5198 Fax

Dr. H. Lokesh M.D Dr. R. Desai M.D Tarah Savino MMS, P.A. C 4804 Rowan Road New Port Richey, FL 34653 (727) 375 5242 (727) 375 5198 Fax Practice Policies for Patients It is important to read all the enclosed information carefully. Confirmation and Cancellation of Appointments: Our patients are very important to us. Missed appointments

More information

OPEN DOOR FAMILY MEDICAL CENTERS, INC. POLICY AND PROCEDURE. Appointment Scheduling RESPONSIBLE DIRECTOR: Chief Operations Officer

OPEN DOOR FAMILY MEDICAL CENTERS, INC. POLICY AND PROCEDURE. Appointment Scheduling RESPONSIBLE DIRECTOR: Chief Operations Officer OPEN DOOR FAMILY MEDICAL CENTERS, INC. POLICY AND PROCEDURE TOPIC: RESPONSIBLE DIRECTOR: AFFECTED DEPARTMENTS: AUTHORIZED BY: Appointment Scheduling Chief Operations Officer Patient Services, Nursing,

More information

CSAC/EIA Health Small Group Access+ HMO 15-0 Inpatient Benefit Summary

CSAC/EIA Health Small Group Access+ HMO 15-0 Inpatient Benefit Summary CSAC/EIA Health Small Group Access+ HMO 15-0 Inpatient Benefit Summary (Uniform Health Plan Benefits and Coverage Matrix) Blue Shield of California THIS MATRIX IS INTENDED TO BE USED TO HELP YOU COMPARE

More information

The Healthy Michigan Plan Handbook

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

More information

How to Ensure Your Healthcare Gets Paid For - Kentucky

How to Ensure Your Healthcare Gets Paid For - Kentucky Cancer Legal Resource Center 919 Albany Street Los Angeles, CA 90015 Toll Free: 866.THE.CLRC (866.843.2572) Phone: 213.736.1455 TDD: 213.736.8310 Fax: 213.736.1428 Email: CLRC@LLS.edu Web: www.disabilityrightslegalcenter.org

More information

Important Questions Answers Why this Matters:

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.anthem.com or by calling 1-877-453-5645. Important Questions

More information

Frequently Asked Questions About Our Preventative Care Offering

Frequently Asked Questions About Our Preventative Care Offering Frequently Asked Questions About Our Preventative Care Offering Q: What is different in the Preventative Care service that I would not get in the Traditional service? Time, access, and focus on healthy

More information

Quiroz Adult Medicine Clinic, P.A. General Office Policies

Quiroz Adult Medicine Clinic, P.A. General Office Policies General Office Policies Thank you for choosing Quiroz Adult Medicine Clinic P.A. (QAMC) as your health care provider. The following general office policies are provided to understand our office protocols

More information

School Board of Broward County

School Board of Broward County School Board of Broward County Open Enrollment 2013 Table of Contents Preventive Care Coverage...1 Knowing where to go can help you save on health care costs...2 Coventry WellBeing...3 WellBeing has its

More information

Patient Information Booklet. Appointments

Patient Information Booklet. Appointments Patient Information Booklet The providers and staff of Orchard Medical Center S.C. would like to welcome you to our practice. Patient satisfaction is the commitment we make to every patient seen in our

More information

No Charge (Except as described under "Rehabilitation Benefits" and "Speech Therapy Benefits")

No Charge (Except as described under Rehabilitation Benefits and Speech Therapy Benefits) An Independent Licensee of the Blue Shield Association Custom Access+ HMO Plan Certificated & Management Benefit Summary (For groups of 300 and above) (Uniform Health Plan Benefits and Coverage Matrix)

More information

OFFICE POLICIES, EFFECTIVE October 19, 2009

OFFICE POLICIES, EFFECTIVE October 19, 2009 Thank you for choosing our office for your medical care. We have written these policies to keep you informed of our current office policies. Please refer to our website for policy updates. OFFICE POLICIES,

More information

State Health Plan: High Deductible Health Plan 50/50 Coverage Period: 01/01/2016 12/31/2016

State Health Plan: High Deductible Health Plan 50/50 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 http://www.shpnc.org and click on High Deductible Health

More information

POS. Point-of-Service. Coverage You Can Trust

POS. Point-of-Service. Coverage You Can Trust POS Point-of-Service Coverage You Can Trust Issued by Capital Advantage Insurance Company, a Capital BlueCross subsidiary. Independent licensees of the Blue Cross and Blue Shield Association. Coverage

More information

HCR 101: Your Guide to Understanding Healthcare Reform

HCR 101: Your Guide to Understanding Healthcare Reform HCR 101: Your Guide to Understanding Healthcare Reform Are You Ready for Healthcare Reform? By now, you ve probably been hearing a lot about the Affordable Care Act (also known as healthcare reform or

More information

HMO Blue New England Enhanced Value Coverage Period: on or after 01/01/2015

HMO Blue New England Enhanced Value Coverage Period: on or after 01/01/2015 HMO Blue New England Enhanced Value 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

More information

FREQUENTLY ASKED QUESTIONS Healthfirst Leaf Plan Referrals

FREQUENTLY ASKED QUESTIONS Healthfirst Leaf Plan Referrals 1. How can referrals be generated for Healthfirst Leaf Plan members? Referrals can be created using the Emdeon system. Here is the website address for Emdeon https://office.emdeon.com/vendorfiles/healthfirst.html.

More information

HPSM Medi-Cal Benefits

HPSM Medi-Cal Benefits HPSM Medi-Cal Benefits A Guide on How to Get Your Health Care Health care and insurance benefits can be difficult to understand. This guide introduces you to your basic Medi-Cal benefits, to the Health

More information

Western Health Advantage: Gateway 5500B HSA Coverage Period: 12/1/2015-11/30/2016

Western Health Advantage: Gateway 5500B HSA Coverage Period: 12/1/2015-11/30/2016 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.westernhealth.com or by calling 1-888-563-2250. Important

More information

Nationwide Life Insurance Co.: University of Phoenix NJ Coverage Period: 9/24/13-8/23/14

Nationwide Life Insurance Co.: University of Phoenix NJ Coverage Period: 9/24/13-8/23/14 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.chpstudent.com or by calling 1-800-633-7867. Important

More information

PATIENT REGISTRATION

PATIENT REGISTRATION Orthopedic & Sports Therapy Center PATIENT REGISTRATION NAME DATE OF BIRTH SSN# FIRST MI LAST PHONE INFO: HOME BEST WAY TO CONFIRM APPOINTMENTS WORK CALL TEXT EMAIL MOBILE (TEXT) MOBILE CARRIER EMAIL ADDRESS

More information

Fran, Medical Assistant Kim, Office Manager, Referral Coordinator, Billing Specialist

Fran, Medical Assistant Kim, Office Manager, Referral Coordinator, Billing Specialist GFP GARDENS FAMILY PRACTICE Phone (561) 627-7433 Fax (561) 775-1055 Welcome To Gardens Family Practice! We are happy to have you join our family and would like to give you some general information regarding

More information

Patient Resource Guide for Billing and Insurance Information

Patient Resource Guide for Billing and Insurance Information Patient Resource Guide for Billing and Insurance Information 17 Patient Account Payment Policies July 2012 Update Lexington Clinic Central Business Office Payment Policies Customer service...2 Check-in...2

More information

Healthcare Associates Caring for You

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

More information

Important Questions Answers Why this Matters:

Important Questions Answers Why this Matters: Blue Cross and Blue Shield of North Carolina: Blue Select Silver Enhanced 1000 Coverage Period: 01/01/2016-12/31/2016 Summary of Benefits and Coverage: What this Plan Covers & What it Costs Coverage for:

More information

Personal Blue PPO QHDHP $5,000/$10,000

Personal Blue PPO QHDHP $5,000/$10,000 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 capbluecross.com or by calling 1-800-962-2242. Important

More information

GROUP MEDICARE PLANS AT A GLANCE FOR EMPLOYER GROUPS. Toll-free 1-800-851-3379 ext. 8024 TTY: 711 HealthAlliance.org

GROUP MEDICARE PLANS AT A GLANCE FOR EMPLOYER GROUPS. Toll-free 1-800-851-3379 ext. 8024 TTY: 711 HealthAlliance.org GROUP MEDICARE PLANS GROUP MEDICARE PLANS AT A GLANCE FOR EMPLOYER GROUPS 2016 Toll-free 1-800-851-3379 ext. 8024 TTY: 711 HealthAlliance.org Coverage You Know and Trust If you ve worked with Health Alliance

More information

Copayment Is Due At Time Of Visit. Self-pay (payment due at time of service)

Copayment Is Due At Time Of Visit. Self-pay (payment due at time of service) REGISTRATION FORM Please present your insurance card and photo ID at time of check-in. Settlement of patient financial responsibility is expected at time of service. Copayment Is Due At Time Of Visit.

More information

focus Retiree Open Enrollment What s New for You in FY17? Open Enrollment is May 11 th to May 25 th Open Enrollment Information Meetings

focus Retiree Open Enrollment What s New for You in FY17? Open Enrollment is May 11 th to May 25 th Open Enrollment Information Meetings Retiree Open Enrollment focus What s New for You in FY17? It s here again! This May s Open Enrollment is the opportunity for pre-medicare retirees and Medicare retirees to make insurance changes. Any change

More information

Activate Health & Wellness Center Frequently Asked Questions

Activate Health & Wellness Center Frequently Asked Questions Activate Health & Wellness Center Frequently Asked Questions Q. Who is Activate Healthcare? A. Activate Healthcare s mission is to transform health care by activating associates and their families to take

More information

Even though you pay these expenses, they don t count toward the out-ofpocket limit.

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.

More information

CO-OPtions Consumers' Choice Silver 12, a Multistate Plan. Cost Sharing Reduction Plan 100-150% Federal Poverty Level (94% Actuarial Value)

CO-OPtions Consumers' Choice Silver 12, a Multistate Plan. Cost Sharing Reduction Plan 100-150% Federal Poverty Level (94% Actuarial Value) CO-OPtions Consumers' Choice Silver 12, a Multistate Plan Coverage Period: 01/01/2015-12/31/2015 If you qualified for a Cost Sharing Reduction Plan on Healthcare.gov, please click on the appropriate link

More information

Healthy Michigan MEMBER HANDBOOK

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?....

More information

BCBS Premier 1, a Multi-State Plan Coverage Period: 01/01/2015-12/31/2015 Summary of Benefits and Coverage: What this Plan Covers & What it Costs

BCBS Premier 1, a Multi-State Plan Coverage Period: 01/01/2015-12/31/2015 Summary of Benefits and Coverage: What this Plan Covers & What it Costs Important Questions 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 www.bcbsmt.com/pages/policyforms.aspx

More information

Welcome! A few things you need to know about being our patient.

Welcome! A few things you need to know about being our patient. Welcome! A few things you need to know about being our patient. Our Programs and Locations Our Medical and Behavioral Health Programs: In Jefferson County: We see children in our pediatric office, school-aged

More information

LEARN. Your guide to health insurance. How to choose the best plan for you and your family

LEARN. Your guide to health insurance. How to choose the best plan for you and your family LEARN Your guide to health insurance How to choose the best plan for you and your family Table of Contents Understanding health insurance...1 Health care law and you...2 Health insurance basics...4 Why

More information

Lake Oswego Eye Clinic 530 First ST, Suite A Lake Oswego, OR 97068 Office: (503) 636-9608 Fax: (503) 636-9600

Lake Oswego Eye Clinic 530 First ST, Suite A Lake Oswego, OR 97068 Office: (503) 636-9608 Fax: (503) 636-9600 PAYMENT AGREEMENT: We accept most insurance plans as a courtesy. We encourage you to familiarize yourself with your individual plan. Insurance coverage is an agreement between patient and insurance company

More information

Excellus BCBS:Excellus BluePPO

Excellus BCBS:Excellus BluePPO Excellus BCBS:Excellus BluePPO A nonprofit independent licensee of the Blue Cross Blue Shield Association Summary of Benefits and Coverage: What this Plan Covers & What it Costs COLGATE UNIVERSITY Coverage

More information

Member Handbook Manual Para Miembros SALUD HEALTH M E M B E R SE R V I C E S 5 3 2-3 7 7 8 EL PASO COUNTY 10-13

Member Handbook Manual Para Miembros SALUD HEALTH M E M B E R SE R V I C E S 5 3 2-3 7 7 8 EL PASO COUNTY 10-13 SALUD Member Handbook Manual Para Miembros HEALTH M E M B E R SE R V I C E S 5 3 2-3 7 7 8 10-13 EPCCS CLINICAL EL PASO COUNTY SE RVICES, INC. Welcome Our priority is to help you stay healthy. To help

More information

PATIENT REGISTRATION Date:

PATIENT REGISTRATION Date: PATIENT REGISTRATION Date: PLEASE PRESENT YOUR DRIVER S LICENSE AND INSURANCE CARDS TO RECEPTION DESK. INSURANCE CO-PAYMENTS ARE EXPECTED BEFORE SERVICES ARE RENDERED. PAYMENT IN FULL IS EXPECTED WHEN

More information

Dermatology and Minor Surgery Services

Dermatology and Minor Surgery Services South Tyneside NHS Foundation Trust Dermatology and Minor Surgery Services Providing a range of NHS services in Gateshead, South Tyneside and Sunderland. Dermatology and Minor Surgery Services The dermatology

More information

Welcome Information. Registration: All patients must complete a patient information form before seeing their provider.

Welcome Information. Registration: All patients must complete a patient information form before seeing their provider. Welcome Information Thank you for choosing our practice to take care of your health care needs! We know that you have a choice in selecting your medical care and we strive to provide you with the best

More information

Tuberculosis: FAQs. What is the difference between latent TB infection and TB disease?

Tuberculosis: FAQs. What is the difference between latent TB infection and TB disease? Tuberculosis: FAQs What is TB disease? Tuberculosis (TB) is a disease caused by bacteria (germs) that are spread from person to person through the air. TB usually affects the lungs, but it can also affect

More information

Anthem Blue Cross and Blue Shield 80/60 Plan Coverage Period: 01/01/2015 12/31/2015

Anthem Blue Cross and Blue Shield 80/60 Plan Coverage Period: 01/01/2015 12/31/2015 Anthem Blue Cross and Blue Shield 80/60 Plan Coverage Period: 01/01/2015 12/31/2015 Summary of Benefits and Coverage: What this Plan Covers & What it Costs Coverage for:all Tiers Plan Type: PPO This is

More information

The Patient-Centered Medical Home & You: Frequently Asked Questions (FAQ) for Patients and

The Patient-Centered Medical Home & You: Frequently Asked Questions (FAQ) for Patients and The Patient-Centered Medical Home & You: Frequently Asked Questions (FAQ) for Patients and Families What is a Patient-Centered Medical Home? A Medical Home is all about you. Caring about you is the most

More information

Office Policy & Procedures

Office Policy & Procedures Office Policy & Procedures Office hours are: Monday Thursday from 8am to 8pm, Friday from 8am to 6pm and Saturday/Sunday/Holidays open for sick visits only. Appointments are not scheduled ahead of time

More information

UnitedHealth Wellness SM

UnitedHealth Wellness SM 100_6168_305 3/10/05 7:46 PM Page 1 UnitedHealth Wellness SM Resources and tools to help you stay healthy. Feel Good. Be Healthy. Live Well. SM Portfolio of UnitedHealth Wellness Programs and Services:

More information

PEDIATRIC MEDICAL HISTORY FORM

PEDIATRIC MEDICAL HISTORY FORM Patient s First and Last Name / / PEDIATRIC MEDICAL HISTORY FORM PRESENT HEALTH CONCERN (Reason for today s visit.) ALLERGIES List all allergies to medications, foods and/or other agents. Medication/Food/Other

More information

Live your life, enjoy your life

Live your life, enjoy your life Welcome Guide Live your life, enjoy your life A handbook to using your health plan Get information fast at myuhc.com Learn how to personalize your website on page 3. UnitedHealthcare member Rights and

More information

HEALTH INSURANCE CHOICES FOR AMERICAN INDIANS

HEALTH INSURANCE CHOICES FOR AMERICAN INDIANS HEALTH INSURANCE CHOICES FOR AMERICAN INDIANS HEALTH INSURANCE IS AN IMPORTANT RESOURCE THAT CAN KEEP YOU AND YOUR FAMILY HEALTHY. If you have ongoing health issues, health insurance can help pay for treatment

More information

Group Benefits. Emergency Out of Country Coverage

Group Benefits. Emergency Out of Country Coverage Group Benefits Emergency Out of Country Coverage Keep this brochure and a copy of your Emergency Medical Travel Assistance card with your passport so that you or anyone you re travelling with can get assistance

More information

BlueCross 750.0, a Multi-State Plan STD

BlueCross 750.0, a Multi-State Plan STD 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://www.capbluecross.com/sbcsia or by calling 1-800-730-7219.

More information

Managed Care Medical Management (Central Region Products)

Managed Care Medical Management (Central Region Products) Managed Care Medical Management (Central Region Products) In this section Page Core Care Management Activities 9.1! Healthcare Management Services 9.1! Goal of HMS medical management 9.1! How medical management

More information

$0. See the chart starting on page 2 for your costs for services this plan covers.

$0. See the chart starting on page 2 for your costs for services this plan covers. City of Los Angeles Access+ HMO SaveNet (Narrow) Zero Admit 15 Coverage Period: 01/01/2015-12/31/2015 Summary of Benefits and Coverage: What this Plan Covers & What it Costs Coverage for: Individual +

More information

HIPAA Notice of Privacy Practices

HIPAA Notice of Privacy Practices HIPAA Notice of Privacy Practices THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY. This Notice

More information

Holme Bubwith Medical Group Information for Patients Services at:

Holme Bubwith Medical Group Information for Patients Services at: Useful Contacts Emergency Ambulance Service 999 Out of hours Service 0845 056 80 60 NHS Direct 0845 46 47 Holme On Spalding Moor Surgery 01430 860221 Bubwith Surgery 01757 288315 East Riding of Yorkshire

More information

Physicians Plus Insurance Corporation State HDHP Uniform Benefits Coverage Period: 2015 Summary of Benefits and Coverage: Single Plan: EHRNSWPE

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

More information

Patient/Guardian Signature Witness Signature

Patient/Guardian Signature Witness Signature Today s Date Full Name Date of Birth Gender M F Social Security # Email * Home Address City State Zip Home Phone Work Phone Cell Phone Patient Employer Job Title Insurance Subscriber Subscriber Birthdate

More information