Secure Care Advantage 1000 De Manual

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Page 1 Installation and Operating Manual Advantage DK ADV-1000 ADV-1000i (intercom) Digital Access Control Station This product available from: D.A.D.S., Inc. 1-800-442-9925 US & Canada. 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 13215 Birch Dr # 200 Omaha, NE 68164.


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:
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)

Secure Care Advantage 1000 De Manual Pdf

State:Ohio
West Virginia
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,

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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.

Secure Care Advantage 1000 De Manual Para


Ratings for SecureCare - Option I (HMO) H5151

2015 Overall Rating
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

Secure
Total Experience Rating
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

Manual
Total Rating
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
Timely Decisions About Appeals
Reviewing Appeals Decisions

Staying Healthy, Screening, Testing, & Vaccines

Total Preventative Rating
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
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
Rating of Drug Plan
Getting Needed Prescription Drugs

Drug Safety and Accuracy of Drug Pricing

Total Rating
MPF Price Accuracy
High Risk Medication
Diabetes Treatment
Drug Adherence for Diabetes Medications
Drug Adherence for Hypertension (RAS antagonists)
Drug Adherence for Cholesterol (Statins)
Secure Care Advantage 1000 De Manual

Ratings For Member Complaints and Changes in the Drug Plans Performance

Total Rating
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.

For More Information on Ratings Please See the CMS Tech Notes Here.

Programming

Notes: Data are subject to change. All contracts for 2015 have been finalized. 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

Includes 2015 approved contracts/plans. Employer sponsored 800 series plans and plans under sanction are excluded. Download psd kolase foto wedding keren.


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