L.A. Care | Wellpoint SSB | My Health | 2014 - page 9

My Health
· 9
Donate organs to save lives
One organ donor can save up to eight lives. More
than 100,000 people are waiting for organs. They
need your help. Become an organ donor. To learn
more, speak with your doctor about it. Or visit
organdonor.gov
to sign up online.
Source: U.S. Department of Health and Human Services’ organ
donation website: organdonor.gov
Do you have questions about our health plan
operations, your benefits, and how we protect
your privacy and make decisions about coverage?
There are three easy ways to get the answers.
1
Go online to
anthem.com/ca
.
2
Look in your
Member Handbook.
3
Call us at the
number shown
on your member
ID card.
Just choose one of the steps above to access
information on:
•   
Our Notice of Privacy Practices and how to
get a printed copy of it along with your rights
and responsibilities as an L.A. Care Health
Plan member.
•   
Our Quality Improvement program and what
we’re doing to improve the benefits and services
we offer.
•  
Free case management services to help you manage
a serious health condition. You or your caregiver
can self-refer or your doctor can refer you.
Looking for a provider,
hospital or pharmacy?
It’s a snap. You can search for doctors, dentists,
pharmacies, hospitals and other health care providers
in both English and Spanish. Go to
anthem.com/ca
.
Choose the
Find a Doctor
tool on the home page.
It lets you search by plan type, name, specialty,
gender or location. You can also get information
about a doctor’s skills and training, such as languages
spoken and board certification.
If you don’t have Internet access, or you would like more
information about the professional qualifications of the
doctors in our network, call us at the number on your
member ID card. A staff member will search the web for
you using the criteria you provide and read, mail or fax
the results to you.
Got questions about our health plan?
•   
Finding a primary care provider (PCP),
specialist, behavioral health provider,
hospital or pharmacy in the L.A. Care
Health Plan network.
The process and forms needed for filing a
complaint or appealing a decision.
The professional qualifications of our
network providers.
•   
Your benefits with a list of covered and
noncovered services, including those
obtained outside the health plan
service area.
•   
How to see your PCP and get care.
What to do when you are out of the
plan’s service area.
•   
How to access emergency care and
911
services.
•   
How to get care after normal office hours.
•   
How to file a claim for covered services.
•   
How we stay on top of new medical
treatments and procedures and update
or create health policies as needed.
•   
Your pharmacy benefits, our preferred
drug list and network pharmacies.
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