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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. We also have an on site Case Manager at the University of Iowa, who performs concurrent review and discharge planning which aids in the timely, smooth transition back to our health care providers. 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.