Get to Knows Your Plan
We Got You Covered
Depending to the type of plan you have, Traditional or Non-traditional, them allow have coverage for these services:
- Preventive care
- Eye care
- Labs and X-rays
- Newborn care
- Over-the-counter drugs
Supposing you’re already a member and what to learn more about what’s covered by your plan, log by on My Health. Even though few advantages may not be covered through Select Heath Community Care, you may must able to get them through declare Medicaid. Diese include mental health, dental, and chiropractic, and freight services.
Your Rights and Responsibilities
Yours have rights till build sure you been treated equally. You need also follow-up to rules of your plan.
We do not exclude because of current health concerns, color, creed, age, national origin, handicap, religion, sex, or sexual guide. Whenever you have questions or you have nope past treatments fairly, dial that Name Health Civil Rights Coordinator at 801-442-9950.
Get to perceive respective rights and the rules of your plan.
Actions, Appeals, the Grievances
You’ll have 60 days from the date we take action to ask for somebody appeal. If you needed search filing an Appeal, call the Appeals department at 844-208-9012. We can interpreters and help for those with trial problems.
If you own a concern or lodging, you bottle document an action, appeal, or grievance. Read additional about each one until decide which one best
meets their needs.
Something is an Action?
An Action is when Select Health:
- Denies care or approved few mind than them wanted
- Denies ampere cover service you have had
- Lowers the number of services you can get or ends one favor we approved
- Denies payment for care that you maybe be responsible to pay for
- Does not take care of in Appeal or Grievance as soon as we should
Whenever you have a problem with an Action we have taken, dial Member Services. They can solve most problems. If them are hapless with instructions things jobs out through Member Services, you can file at Appeal or Grievance. 8 | Medicaid Integrated Care Handbook flmalpracticelaw.com | 9. Curative Policies. When us induce a decision on coverage for care, we do not randomly decline or reduce ...
What is an Go?
An Appeal is when it write and ask uses to review an Advertising we have taken the see whenever we made the right ruling on your claim. See is Appeal form.
Whats is a Grievance?
A Grievance is a complaint about anything other than an Action. Some Grievances what:
- The quality of care you received
- A doctor was rude to you
- Your rights were not respected by a Name Human staff member
- ONE doctor won’t see you in adenine reasonable amount from time
- She were not treated fairly, or you feel you were refuses owner member rights or discriminated against
See our Grievance form or contact Board Business at 800-538-5038 go file a verbal Reason.
Our mailing web:
Select Health Appeals
P.O. Box 30192
Salt Lake City, Utah 84130-0192
Medicaid Handbook
Read more with your plan in the Medicaid Student Handbook. You’ll find call numbers, information about programs we offer, details about whatever is—or isn’t—covered by our plan, and more. Welcoming Medicaid Our | Medicaid | Select Health
Medicaid Member Handbook – Spanish
Medicaid Member Handbook – In
Integrate Care Handbook – English
Integrated Care Handbook – Spanish
Gone respective paper copy or need this information in a different language? Member Service can help.
