Commonwealth Care Member Guide - BMC HealthNet Plan

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WORKING TOGETHER FOR TOTAL HEALTH 7 YOU You need to help yourself stay healthy. And you have support from us, your PCP and other healthcare professionals you may need. Always carry your BMC HealthNet Plan ID card with you. You must show your ID card to any healthcare provider before receiving health and pharmacy services. Make an appointment with your PCP right away. Fill out your Health Risk Assessment (HRA) right away so we can help you get the care you need. Join a fitness club or Weight Watchers ® to maintain or improve your health – and get money back. In an emergency, go to the nearest emergency room or call 911 right away. No referral or prior-authorization is necessary. LEARN MORE ABOUT OUR SPECIAL HEALTH PROGRAMS AT NO COST TO YOU AT BMCHP.ORG.
YOUR PCP Your primary care provider (PCP) is a health professional who delivers or coordinates the care you need and helps you stay healthy. Let us know if you have trouble making an appointment with your provider. Your PCP… Gives you advice to help you get better and keep you healthy Writes prescriptions if you need them Sends you to see a specialist provider if needed YOUR HEALTH PLAN At BMC HealthNet Plan we work with your medical providers to help you get the right care and the most out of your health insurance. We have people working in our offices across the state to help you. Don’t wait until you get sick. Call your PCP to make an appointment right away. What happens during your first visit to your PCP? Your PCP will most likely… Give you a physical exam Ask you questions about you and your family’s health Recommend any tests you may need TO MAKE YOUR FIRST APPOINTMENT WITH YOUR PCP, CALL HIS OR HER OFFICE. By using the private, online member selfservice feature you may… Order ID cards Search for a claim Change your address Pick or change a PCP Fill out (online) or print a Health Risk Assessment (HRA) form View member benefits specific to your plan type BMC HealthNet Plan’s Web site (bmchp.org) On our main Web site you may… Search for a network provider near your home Read about your benefits (Evidence of Coverage) Find out about our special health programs Access our pharmacy web page Changing your PCP— online or by phone You may change your PCP up to three times a calendar year for any reason. Examples include: Your current PCP moves out of the network You don’t like the way your PCP treats you during an office visit You did not select your current PCP IF YOU NEED HELP PICKING YOUR PCP, CALL MEMBER SERVICES. AND LET US KNOW IF YOU HAVE TROUBLE MAKING AN APPOINTMENT. 8
Page 1 and 2: Your Plan for Total Health COMMONWE
Page 3 and 4: GENERAL MEMBER INFORMATION Welcome
Page 5 and 6: BMC HEALTHNET PLAN, COMMONWEALTH HE
Page 7: You enrolled with BMC HealthNet Pla
Page 11 and 12: WE CARE ABOUT A HEALTHIER YOU CALL
Page 13 and 14: WAYS TO GET INFORMATION 12
Page 15 and 16: HAVING TROUBLE BALANCING YOUR LIFE
Page 17 and 18: HEALTHY BEHAVIORS WANT TO JOIN A FI
Page 19 and 20: PREPARING TO SEE YOUR HEALTHCARE PR
Page 21 and 22: MEMBER BENEFIT REQUEST (MBR)-An app
Page 24: TO ANSWER ALL YOUR QUESTIONS, OR FI

Commonwealth Care Member Guide - BMC HealthNet Plan

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