Managing
Your Benefits
Medical
Associates wants to make it simple for you to manage your healthcare.
My
eLINK for members is a great online tool that allows you
to view your health coverage history – securely – with
the click of a button. This tool includes a convenient Online Customer
Service feature where you can make requests and ask questions about
your plan and claims.
My Claims
You can check the status of your claims and view an Explanation
of Benefits statement for your processed claims for the entire year.
Online Customer Service
Use this feature to:
- Request member ID cards
- Submit a name, address, or phone number change
- Ask questions about your plan coverage
- Ask questions about your claims
If you prefer to speak to someone, you may call our Member Services
Department at 584-4885 or (toll free) 866-821-1365 and they would
be happy to assist you.
Appeals
and Grievances
As a Medical
Associates Health Plan member, you have the right to file a complaint—
also called a grievance—about problems you have.
A complaint
is an expression of dissatisfaction expressed to us by the member
or a member's authorized representative, about us or our providers
with whom we have a direct or indirect contract. Medical Associates
Health Plans takes all member complaints seriously and is committed
to responding to them in an appropriate and timely manner.
If you have
a complaint regarding any aspect of care or decisions made by us,
please contact our Member Services Department at 584-4885 or (toll
free) 866-821-1365. We will document and investigate your complaint
and notify you of the outcome of your complaint. If your complaint
is not resolved to your satisfaction, you can file an appeal. For
detailed information regarding these procedures, please reference
your subscriber agreement found on My
eLink under Benefit Information.
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