For benefit-related questions, call Provider Services at 877-224-8230. If you are a PCP, please discuss your provisions for after-hours care with your patients, especially for in-area, urgent care. All oral medication requests must go through members' pharmacy benefits. You have the right to choose a plan provider (we will tell you which doctors are accepting new patients). Your right to use advance directives (such as a living will or a power of attorney) If you want to have an advance directive, you can get a form from your lawyer, from a social worker, or from some office supply stores. Member satisfaction with ConnectiCare is very important. ConnectiCare Medicare Advantage plans provide all Part A and Part B benefits covered by Original Medicare. ConnectiCare involuntary disenrollment Advance directives are written instructions, such as living will, durable power of attorney for health care, health care proxy, or do not resuscitate (DNR) request, recognized under state law and relating to the provision of health care when the individual is incapacitated and unable to communicate his/her desires. Oops, there was an error sending your message. Member Services can also help if you need to file a complaint about access (such as wheel chair access). Regardless of where you get this form, keep in mind that it is a legal document. Members > MultiPlan If you do not inform ConnectiCare according to these guidelines, the SNF may not receive payment for any additional days of the member's stay. We must tell you in writing why we will not pay for or approve a prescription drug or Part C medical care or service, and how you can file an appeal to ask us to change this decision. Members pay a copayment cost-share for most covered health services at the time the services are rendered. Information is protected as outlined in ConnectiCare's policies. Incorrect Email or Password - MultiPlan For preauthorization of the following radiological services, call 877-607-2363 or request online atradmd.com/. 877-585-8480. Please check the privacy statement of the website where this link takes you. For more information regarding complaint resolution, contact Provider Services at 860-674-5850 or 800-828-3407. Premier Health Solutions, LLC operates as a Third-Party Administrator in the state of California under the name PHSI Administrators, LLC and does business under the name PremierHS, LLC in Kentucky, Ohio, Pennsylvania, South Carolina and Utah. To get any of this information, call Member Services. CT scans (all diagnostic exams) Be considerate of our providers, and their staff and property, and respect the rights of other patients. Services or supplies that are new or recently emerged uses of existing services and supplies, are not covered benefits unless and until we determine to cover them. PHCS Network | AvMed PHCS PPO Network - WeShare Healthcare Note: Some services require preauthorization. PHCS (Private Healthcare Systems, Inc.) - PPO - Sutter Health On a customer service rating I would give her 5 golden stars for the assistance I received. Best of all, it's free- no downloads required or software to install. We must tell you in writing why we will not pay for a drug, and how you can file an appeal to ask us to change this decision. We must investigate and try to resolve all complaints. Providers are also required to contact ConnectiCares Notification Line at 888-261-2273 to advise ConnectiCare of the transport. Questions regarding the confidentiality of member information may be directed to Provider Services at 877-224-8230. Colorectal screening (age restrictions apply) Optional Life Insurance *. Click Here to go to the PHCS / Multiplan Provider Search. You will be contacted by Insurance Benefit Administrators regarding final pricing for the claims submitted in the weeks following submission. Provider Portal Question 4. You can sometimes get advance directive forms from organizations that give people information about Medicare.

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