1.

Will My Plan Allow Me To See My Nephrology Professionals As Often As I Need Or Want To See Them?

Answer»

Your HMO should not restrict the days or HOURS that you may be seen by the plan's providers. However, you should keep in mind that another function of managed care plans is to DELIVER quality care while limiting unwarranted or UNNECESSARY services.

If your HMO refuses to provide services you request or feel that you need, you may make a complaint, in WRITING, directly to your HMO. (Every HMO has a system to handle complaints. HMO's are also required to give you INSTRUCTIONS on how to file a complaint.)

Your HMO should not restrict the days or hours that you may be seen by the plan's providers. However, you should keep in mind that another function of managed care plans is to deliver quality care while limiting unwarranted or unnecessary services.

If your HMO refuses to provide services you request or feel that you need, you may make a complaint, in writing, directly to your HMO. (Every HMO has a system to handle complaints. HMO's are also required to give you instructions on how to file a complaint.)



Discussion

No Comment Found