- Secure Care Advantage 1000 De Manual Pdf
- Secure Care Advantage 1000 De Manual Para
- Secure Care Advantage 1000 De Manual
- Secure Care Advantage 1000de Manual
SecureCare is an Independent Physicians Association (IPA) that has been in business for over 25 years and is able to deliver results at a fraction of the cost of competitors due to our focus on targeted technology. Our proprietary clinical review model is managed by providers licensed within the same musculoskeletal specialty and is based on a data-driven, best-practices approach. SecureCare's unique solutions include data analytics, clinical review, contract management, and a clinical assistance program.
SecureCare is URAC accredited as a CVO in provider credentialing. SecureCare is able to fully credential providers on behalf of payers with no added cost to the providers.
PayersIn order to help realize and address your particular challenges in achieving value-based care, we offer a wide range of services and solutions. With 130 years of experience in healthcare across three sectors – medical devices, pharmaceuticals, and consumers – we are confident that we will be able to find one that is just right for you. Blue Cross Medicare Advantage plans are HMO, HMO-POS and PPO plans provided by Health Care Service Corporation, a Mutual Legal Reserve Company (HCSC), an Independent Licensee of the Blue Cross and Blue Shield Association. HCSC is a Medicare Advantage organization with a Medicare contract. Enrollment in HCSC's plans depends on contract renewal. Secure Advantage 2000: Secure Advantage 1000: Secure Advantage 500: Secure Advantage 300: Excess Medical Accident Expense Benefits: Excess Accident Medical/Dental Expense Benefit - $2,500. This is an Association Membership offered and administered by United Service Association For Health Care, P.O. Box 200905, Arlington, TX, 800. Ray and SecureCare have been terrific partners in our asset tracking project.They've been available to answer questions and address concerns every step of the way. We both knew from the beginning that our mixed material facility was going to be challenging to cover, but Ray and his team persevered and installed a robust system suited to our needs. Thank you for paying your Care Advantage invoice online. For any billing questions or concerns please call 804.323.9464. If you haven't already registered for an online payment account, please do so using the form below. You will be notified via email once the account has been setup.
Our technologically driven, state-of-the-art platform makes SecureCare a leader in clinical review, credentialing, and being a valued partner to insurance companies.
Insurance companies benefit from our internal clinical review system that reduces fraud, waste and abuse. SecureCare's network of providers is held to a practitioner performance standard that is continually monitored and managed.
There are no fees for insurance companies to participate. The SecureCare business model has a proven track record of effectively managing costs, while ensuring payer and provider satisfaction.
ProvidersSecureCare delivers ongoing monitoring and feedback to all participating providers. Under our care-management model, members of SecureCare are held to a practitioner performance standard. Variable levels of oversight are applied, depending upon how far a provider's utilization patterns deviate from normative targets and standards of care.
If a provider fails to meet the appropriate standard of care, the clinical support team may implement one, or a combination of intervention strategies. These would help identify and educate providers regarding required performance improvements.
SecureCare - Option I (HMO) is a 2015 Medicare Advantage ('Part C' or 'MA Plan') plan by The Health Plan. This plan from The Health Plan works with Medicare to give you significant coverage beyond Part A and Part B benefits. If you decide to sign up for SecureCare - Option I (HMO) you still retain Original Medicare. But you will get additional Medicare Part A (Hospital Insurance) and Medicare Part B (Medical Insurance) coverage from The Health Plan and not Original Medicare. With Medicare Advantage plans your always covered for urgently needed and emergency care and you receive all of the benefits of Original Medicare from this plan except hospice care. Original Medicare still provides you with hospice care even if you sign up for a Medicare Advantage Plan.
2015 Medicare Advantage Plan Details
Plan Name: | |
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Plan ID: | H5151-012 |
Provider: | The Health Plan |
Plan Year: | 2015 |
Plan Type: | Local HMO * |
Monthly Premium C+D: | $35.00 |
MOOP: | $6,700 |
Coverage Area for SecureCare - Option I (HMO)
(Click county to compare all available plans)
State: | Ohio West Virginia |
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County: | Belmont, Guernsey, Harrison, Jefferson, Monroe, Muskingum, Noble, Washington, Barbour, Boone, Braxton, Brooke, Cabell, Calhoun, Clay, Doddridge, Fayette, Gilmer, Grant, Greenbrier, Hancock, Hardy, Harrison, Jackson, Lewis, Lincoln, Logan, Marion, Marshall, Mason, McDowell, Mercer, Monongalia, Monroe, Nicholas, Ohio, Pleasants, Pocahontas, Preston, Putnam, Raleigh, Randolph, Ritchie, Roane, Summers, Taylor, Tucker, Tyler, Upshur, Wayne, Webster, Wetzel, Wirt, Wood, Wyoming, |
The SecureCare - Option I (HMO) H5151-012 is available to residents in Ohio, West Virginia, and has a in-network Maximum Out-of-Pocket limit of $6,700 MOOP. This means that if you get sick or need a high cost procedure your co-pays are capped. If you enroll in SecureCare - Option I (HMO) plan you will stop paying co-pays for the rest of the year once you pay out of pocket $6,700 This is a very nice safety net. This plan does not provideadditional Medicare prescription drug (Part-D) coverage.
SecureCare - Option I (HMO) is a Local HMO *. With a health maintenance organization (HMO) you will be required to receive most of your health care from an in-network provider. Health maintenance organizations require that you select a primary care physician (PCP). Your PCP will serve as your personal doctor to provide all of your basic healthcare services. If you need special care for a physician specialist, your primary care physician will make the arrangements and tell you where you can go in the network. You will need your PCPs okay, called a referral. Without getting a referral or services received from out-of-network providers are not typically covered by the plan.
Ratings for SecureCare - Option I (HMO) H5151
2015 Overall Rating |
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Part C Summary Rating |
Part D Summary Rating |
Staying Healthy: Screenings, Tests, Vaccines |
Managing Chronic (Long Term) Conditions |
Member Experience with Health Plan |
Complaints and Changes in Plans Performance |
Health Plan Customer Service |
Drug Plan Customer Service |
Complaints and Changes in the Drug Plan |
Member Experience with the Drug Plan |
Drug Safety and Accuracy of Drug Pricing |
Member Experience with Health Plan
Total Experience Rating |
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Getting Needed Care |
Timely Care and Appointments |
Customer Service |
Health Care Quality |
Rating of Health Plan |
Care Coordination |
Member Complaints and Changes in SecureCare - Option I (HMO) Plans Performance
Total Rating |
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Members Leaving the Plan |
Complaints about Health Plan |
Health Plan Quality Improvement |
Health Plan Customer Service Rating for SecureCare - Option I (HMO)
Total Customer Service Rating |
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Timely Decisions About Appeals |
Reviewing Appeals Decisions |
Staying Healthy, Screening, Testing, & Vaccines
Total Preventative Rating |
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Breast Cancer Screening |
Colorectal Cancel Screening |
Cardiovascular Screening |
Diabetes Care |
Annual Flu Vaccine |
Improving Physical |
Improving Mental Health |
Monitoring Physical Activity |
Adult BMI Assessment |
Ratings For Managing Chronic And Long Term Care
Total Rating |
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SNP Care Management |
Medication Review |
Functional Status Assessment |
Pain Screening |
Osteoporosis Management |
Diabetes Care - Eye Exam |
Diabetes Care - Kidney Disease |
Diabetes Care - Blood Sugar |
Diabetes Care - Cholesterol |
Controlling Blood Pressure |
Rheumatoid Arthritis |
Improving Bladder Control |
Reducing Risk of Falling |
Plan - Cause Readmissions |
Ratings For Member Experience with the Drug Plan
Total Rating |
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Rating of Drug Plan |
Getting Needed Prescription Drugs |
Drug Safety and Accuracy of Drug Pricing
Total Rating |
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MPF Price Accuracy |
High Risk Medication |
Diabetes Treatment |
Drug Adherence for Diabetes Medications |
Drug Adherence for Hypertension (RAS antagonists) |
Drug Adherence for Cholesterol (Statins) |
Ratings For Member Complaints and Changes in the Drug Plans Performance
Secure Care Advantage 1000 De Manual Pdf
Total Rating |
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Complaints about the Drug Plan |
Members Choosing to Leave the Plan |
Drug Plan Quality Improvement |
SecureCare - Option I (HMO) Drug Plan Customer Service ratings
Source: CMS.
Plans as of September 2, 2014.
Star Rating as of Oct 3, 2014. 2016 cadillac xlr service manual free.
Secure Care Advantage 1000 De Manual Para
For More Information on Ratings Please See the CMS Tech Notes Here.
Notes: Data are subject to change. All contracts for 2015 have been finalized. Nvivo 11 for mac. For 2015, enhanced alternative plans may offer additional cost sharing reductions in the gap on a sub-set of the formulary drugs, beyond the standard Part D benefit
Secure Care Advantage 1000 De Manual
Includes 2015 approved contracts/plans. Employer sponsored 800 series plans and plans under sanction are excluded.