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PHF Member Handbook - Parkland Community Health Plan, Inc.

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What if I need help understanding or reading the <strong>Member</strong> <strong>Handbook</strong><br />

We have special services for people who have trouble reading, hearing, seeing, or speak a language other than<br />

English or Spanish. You can ask for the <strong>Member</strong> <strong>Handbook</strong> in audiocassette or other languages. You can also<br />

ask for the <strong>Member</strong> handbook in Braille or larger print. If you need the audiocassette, we will mail it to you. To<br />

get help, just call or write <strong>Parkland</strong> HEALTHfirst <strong>Member</strong> Services at 1-888-672-2277, or mail to <strong>Parkland</strong><br />

<strong>Community</strong> <strong>Health</strong> <strong>Plan</strong>, Attention: <strong>Member</strong> Services, P. O. Box 569005, Dallas, TX 75356-9005.<br />

Information about the <strong>Parkland</strong> HEALTHfirst Identification Card<br />

(HEALTHfirst ID Card)<br />

You will get a <strong>Parkland</strong> HEALTHfirst Identification (ID) card from us when you enroll in <strong>Parkland</strong><br />

HEALTHfirst. A copy of the <strong>Parkland</strong> HEALTHfirst ID card is shown below.<br />

Front<br />

of card<br />

<strong>Parkland</strong> <strong>Community</strong> <strong>Health</strong> <strong>Plan</strong><br />

Attention Doctor/Hospital—You Must Call<br />

1-888-672-2277 For Precertification Or Case Management<br />

MEMBER NA ME:<br />

MEDICAID ID:<br />

EFF. DATE<br />

PCP:<br />

PCP EFFECTIVE DATE:<br />

PCP TEL:<br />

Carry this card with you and present it at time of service.<br />

<strong>Member</strong> Services / Servicios para Miembros: 1-888-672-2277<br />

24 hours / 7 days per week / 24 horas del dia/siete dias de la semana<br />

<strong>Parkland</strong> Nurse Line / Linea de Enfermeras de <strong>Parkland</strong>: 1-888-667-7890<br />

Block Vision of Texas, <strong>Inc</strong>. Services line / Linea de Servicios para<br />

Miembros de Block Vision of Texas, <strong>Inc</strong>.: 1-800-879-6901<br />

Behavioral <strong>Health</strong> (NorthSTAR) / Salud Mental: 1-888-800-6799<br />

24 hours / 7 days per week / 24 horas del dia/siete dias de la semana<br />

Relay Texas TT/TDD: 1-800-735-2989<br />

MEMBER NOMBRE:<br />

MEDICAID NÚM:<br />

EFFECTIVO:<br />

PCP:<br />

FECHA DE EFECTIVIDAD EL PCP:<br />

TELÉFONO DEL PCP:<br />

Lleve esta tarjeta con usted y preséntela antes de recibir servicios.<br />

Back of<br />

card<br />

In a Medical Emergency<br />

1. Go to the nearest hospital or emergency room immediately.<br />

2. Emergency room personnel: Please notify the patient's<br />

Primary Care provider within 24 hours or as soon as<br />

possi bl e.<br />

For additional information regarding emergency services,<br />

please refer to your <strong>Health</strong>first <strong>Plan</strong> member handbook<br />

Mail claims to this address:<br />

Claims Processing Center<br />

P.O. Box 61088<br />

Phoenix, AZ 85026<br />

In case of an emergency,<br />

please call 911<br />

En caso de una emergencia médica<br />

1. Vaya inmediatamente a la sala de emergencias o al hospital más<br />

cercano.<br />

2. Personal de la sala de emergencias: favor de avisarle al Proveedor<br />

de Cuidado Primario del Paciente dentro de las 24 horas o lo<br />

más pronto posible.<br />

Para más información sobre servicios de emergencia, favor de<br />

referirse al Manual para Miembros del <strong>Plan</strong> de Salud de <strong>Parkland</strong><br />

<strong>Health</strong>First.<br />

Envie reclamaciones a este<br />

dirección.<br />

Claims Processing Center<br />

P.O. Box 61088<br />

Phoenix, AZ 85026<br />

En caso de una emergencia, por<br />

favor llama al 911<br />

093-MH-050509<br />

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