Taking Responsibility for Your Health Care
Getting involved in your health care can help you get the most from your health plan.
Know the Rules
- Understand what services your plan does not cover by reading the member handbook or talking to your employer.
- Know how to choose or change your primary care physician.
- Understand how to schedule appointments for check-ups and when you are sick.
- Know when you need referrals and how to get them.
- Know what you are required to do when using a hospital or emergency room.
Stay Informed
- Keep current about any new policies affecting how the plan works by reading member newsletters and checking the plan's Web site.
- Know the telephone numbers and hours of your physician's office and the plan's member services department.
Take Charge
- Take good care of your health by making appointments for check-ups and preventive care.
- Talk with your doctor about when you need regular health screenings.
- Call member services if you don't understand information that the plan or provider sends you.
- If you don't understand the answers to your questions, ask for clarification.
Choose a Doctor Carefully
- Ask for recommendations from medical societies, health care providers, referral services, hospitals, family members and friends.
- Get information about the doctor's training and experience from the plan or the doctor.
- Ask if the doctor is board certified in his or her specialty area.
- Check whether prospective doctors have any disciplinary actions issued against them.
Keep Records
- Write down your health concerns to help you discuss them with your doctor.
- Set up health files to keep track of the care and services received by you and members of your family.
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