If you do, please call Member Services. ConnectiCare members are entitled to an initial assessment of their health care status within ninety (90) days of enrollment in the Plan. ConnectiCare Medicare Advantage plans include a number of Medicare Advantage Plans. Initial mental health consultation The ID card lists the following information: ConnectiCare member ID number ConnectiCare members may directly access care through self-referral to a participating clinician for covered services and certain Medicare-covered services at designated frequencies and ages, including: Annual routine eye exam (Prime and Custom Plans only) You can sometimes get advance directive forms from organizations that give people information about Medicare. Question 3. We must tell you in writing why we will not pay for or approve a service, and how you can file an appeal to ask us to change this decision. You also have the right to receive an explanation from us of any utilization management requirements, such as step therapy or prior authorization that may apply to your plan. Member satisfaction with ConnectiCare is very important. Below are the additional benefits covered by ConnectiCare. Register for an account For No Surprises Act First time visitor? That goes for you, our providers, as much as it does for our members. ConnectiCare offers both employer-sponsored plans and individual insurance plans. PHC's Member Services Department is available Monday - Friday, 8 a.m. - 5 p.m. You can call us at 800 863-4155. If a complaint about you or your office staff is received, ConnectiCare will contact you and request information relating to the complaint. Question 5. Note: These procedures are covered procedures, but do not require preauthorization when performed by in-network providers. Visit Performance Health HealthworksWellness Portal. Members under 12 years of age call PHC's Care Coordination Department at (800) 809- 1350. ConnectiCare reserves the right to terminate coverage for members who repeatedly fail to make the required copayments, coinsurance or deductibles, subject to the terms outlined in the applicableMember Agreement, Evidence of Coverage, or other governing contract. Provider Portal Info > MultiPlan including benefit designs and Sutter provider participation in your provider network. You must call ConnectiCares Notification Line at 860-674-5870 or 888-261-2273 to advise ConnectiCare of the admission. I called in with several medical bills to go over and their staff was extremely helpful. In-office procedures are restricted to a specific list of tests that relate to the specialty of the physician. Any personal information that you give us when you enroll in this plan is protected. Read the Membership Agreement, Evidence of Coverage, or other Plan document that describes the Plans benefits and rules. You may also search online at www.multiplan.com: Click on the Search for a Doctor or Facility button PET scans If you make a complaint, we must treat you fairly (i.e., not retaliate against you) because you made a complaint. No prior authorization requirements. Not condition the provision of care or otherwise discriminate against an individual based on whether or not the individual has executed an advance directive. We hope that our members are satisfied and decide to stay with ConnectiCare; however, should you learn that a member plans to disenroll, you may avoid payment delays by: 1. Box 450978 Westlake, OH 44145. You may also search online at www.multiplan.com: If you are currently seeing a doctor or other healthcare professional who does not participate in the PHCS Network,you may use the Online Provider Referral System in the Patients section of www.multiplan.com, which allows you tonominate the provider in just minutes using an online form.
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