The following is a description of all plan types offered by ConnectiCare, Inc. and its affiliates. (SeeOther Benefit Information). Please refer to your Membership Agreement, Certificate of Coverage, Benefit Summary, or other plan documents for specific information about your benefits coverage. While you may contact us by telephone, you will be asked to place your concerns in writing. UHSM is NOT an insurance company nor is the membership offered through an insurance company. In addition, some of the ConnectiCare plans include Part D, prescription drug coverage. Medicare members who elect to become members of ConnectiCare must meet the following qualifications: Members must be eligible for Medicare Part A and be enrolled in and continue to pay for Medicare Part B. (A 12-month waiting period may apply for members in individual [ConnectiCare SOLO] plans.). If a member tells you that he/she has disenrolled from ConnectiCare, ask where the bill should be sent. (214) 436 8882 ConnectiCare cannot reverse CMS' determination. MedAvant, an online transaction system available to ConnectiCare participating providers, also offers a secure means for entering and verifying referrals. allergenic extracts (or RAST allergen specific testing); 2.) If you are admitted to the hospital, they will ask you whether you have signed an advance directive form and whether you have it with you. Notifying providers when seeking care (unless it is an emergency) that you are enrolled in our plan and you must present your plan enrollment card to the provider. Claims or Benefits questions will not be answered here. Your right to make complaints The following information was provided by the Connecticut Office of Attorney General for the Department of Public Health and Addiction Services and the Department of Social Services. Answer 1. Actual copayment information and other benefit information will vary. In addition, to ensure proper handling of your claim, always present yourcurrent benefits ID card upon arrival at your appointment. A PHCS logo on your health insurance card tells both you and yourprovider that a PHCS discount applies. Prostate cancer screening (age restrictions apply) Multiplan or PHCS | Mental Health Coverage | Zencare Zencare No specialist-to-specialist referrals permitted, except OB/GYNs may make referrals. ConnectiCare takes all complaints from members seriously.
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