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Health Care Services
 What does Health Care Services have to offer?
Personalized Care – Our Case
Managers act as a resource for the various types of plans – Full
pay, co-pay, Point of Service, Community Plan, and Medicare. – Allows
for our members to have a “go to” person, someone to answer
their questions, to be their advocate.
- Locally based service – we are your neighbors,
your friends – we have a vested interest in providing quality
care. Our members can stop by to get their questions answered quickly.
- Quality, Cost Effective Care – This is always
a challenge. Our Nurses are aware of all of the services available so
before a member is referred out of plan we make sure that all internal
resources are utilized. And then once a member is referred out of plan,
we need to ensure that the member be redirected back in plan when appropriate.
- Less Paperwork /Less Hassle – Our members
need only call Health Care Services about care needed out of service
area such as for students, vacationers. The Case Manager can walk the
member through getting the care they need, and no paperwork is needed.
Again, our 800-telephone number is good within the boundaries of the
U.S. and is answered 24 hours a day.
- Continuity of Care – Health Care Services
staff work to coordinate care for our members be it making the transition
from hospital to home a smooth one, coordinating emergent /urgent care
that is needed out of the service area between the hospital and home,
making the transition to home a smooth one. After hours these services
continue through Patient Services. If after hours, an inpatient admission,
emergency care, or out of area care that is needed, Health Care Services
is kept informed and can follow-up as needed or enter into the out information
system so claim is processed in a timely manner.
- Value added service – many insurance companies
have additional charges for the above types of services. Medical Associates
Health Plans includes all of these services with their coverage.
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