Treating providers are solely responsible for medical advice and treatment of members. The ABA Medical Necessity Guide does not constitute medical advice. The Applied Behavior Analysis (ABA) Medical Necessity Guide helps determine appropriate (medically necessary) levels and types of care for patients in need of evaluation and treatment for behavioral health conditions. You may file a complaint or concern at Medicare Complaint Form Medicare Complaint Form .By clicking on “I Accept”, I acknowledge and accept that: The Office of the Medicare Ombudsman (OMO) helps you with complaints, grievances and information requests. The Horizon® name and symbols are registered marks of Horizon Blue Cross Blue Shield of New Jersey. The Blue Cross® and Blue Shield® names and symbols are registered marks of the Blue Cross Blue Shield Association. The Benefit of Blue℠ is a service mark of the Blue Cross Blue Shield Association. All are independent licensees of the Blue Cross Blue Shield Association. Communications are issued by Horizon Blue Cross Blue Shield of New Jersey in its capacity as administrator of programs and provider relations for all its companies. Medicare Supplement plans are provided by Horizon Insurance Company. ![]() Products are provided by HIC and/or Horizon NJ Health. Enrollment in HIC Medicare products and/or Horizon NJ TotalCare (HMO D-SNP) depends on contract renewal. Horizon NJ TotalCare (HMO D-SNP) is an HMO Medicare Advantage Dual Eligible Special Needs plan with a Medicare contract and a contract with the State of New Jersey Medicaid Program. Horizon Insurance Company ("HIC") has a Medicare contract to offer HMO, HMO-POS, PPO and Part D Medicare plans, including group-Medicare Advantage plans and group Part D Prescription Drug plans. Here's a list of questions you should ask your doctor during your annual exam. Make the most of your doctor's appointment. Go over my plan of treatment, tests and any follow-up care?.Make sure that I understand the medicine I’m taking, including how to take them and possible side effects?.Encourage me to participate in making choices about treatment options?. ![]() Actively listen to and address my concerns in terms I understand?.Talk with me about my symptoms so that I understand the information provided?.Schedule any follow-up appointments before I left the office?.Taking care of your health doesn’t end when you leave your doctor’s office. Don’t be afraid to ask questions about something you don’t understand or something your doctor hasn’t covered. Make sure you understand what your doctor is telling you.Discuss your current symptoms and go over your list of questions or concerns.Make a list of questions you have concerning your symptoms, condition and treatment.Bring along medical information, such as test results and medications you are taking, including prescriptions, over-the-counter medications and herbal supplements. Here are some tips to get the most from your next doctor's visit. ![]() People who have a strong relationship with their doctor tend to be healthier and more satisfied with their care. You can also search for doctors by name, specialty or hospital affiliation and filter by your location. Select the type of care you are looking for and your plan name, Horizon NJ TotalCare (HMO D-SNP). Use our Doctor & Hospital Finder to look for doctors, dentists or specialists near you. Eligibility Information & Enrollment Instructions
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |