|
|
|
 |
|
Getting involved in your health care can help
you get the most from your health plan.
|
Know the Rules
- Understand what services your plan does and does not cover by reading
the member handbook or talking to your employer.
- Know how to choose or change your primary care physician.
- Understand how to schedule appointments for check-ups and when you
are sick.
- Know when you need referrals and how to get them.
- Know what you are required to do when using a hospital or emergency
room.
Stay Informed
- Be sure to learn about any new policies affecting how the plan works
by reading member newsletters and checking the plan's web site.
- Know the telephone numbers and hours of your physician's office
and the plan's member services department.
Keep Records
- Write down your health concerns to help you discuss them with your
doctor.
- Set up health files to keep track of the care and services received
by you and members of your family.
Take Charge
- Take good care of your health by making appointments for check-ups
and preventive care.
- Talk with your doctor about when you need regular health screenings.
- Call member services if you don't understand information that the
plan or provider sends you.
- If you don't understand the answers to your questions, ask that
they be explained to you.
Choose a Doctor Carefully
- Ask for recommendations from medical societies, health care providers,
referral services, hospitals, family members and friends.
- Get information about the doctor's training and experience from
the plan or the doctor.
- Ask if the doctor is board certified in his or her specialty area.
- Check whether prospective doctors have had any disciplinary actions
issued against them. For information on New Jersey physicians click
here.
 |
| |
