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Managed Care WebLinks

Understanding
Managed Care

It is important that you understand the basic requirements of your insurance plan. Different plans allow you to go out of network, some don't need referrals, some give prescription plans, most allow physicals.

Please find out from your benefits people what you are entitled to in your plan so we can best accommodate you. You can also link to your insurance company directly and they will be able to answer your questions.

Mary, ext #6234, is the head of our billing department. She is the most knowledgeable staff member in regards to billing questions.

We encourage our patients that have internet access to register at www.zumbox.com to obtain and review medical billing statements.

Different doctors in the office are on different plans, and in different capacities - specialist vs. primary care. The following list attempts to clarify which doctors in the office see patients in which plans.

INSURANCE PROVIDERS PARTICIPATION

Click the chart below to see it full-size.

This information was updated on  06/17/11

CREDIT CARDS
Paying With A Credit Card - Important Information -
Click here

Is My Procedure Covered?
Click here to determine if your procedure is covered by your insurance.

Managed Care Websites

List of All Plans
http://www.healthplandirectory.com/HealthPlans/Directory/Default.asp
http://www.oxhp.com/  Oxford
http://www.aetna.com/index1.htm
http://www.bluecares.com/ 
http://www.unitedhealthcare.com/
http://www.phcs.com
http://www.selectpro.com/
http://www.cigna.com/healthcare/index.html
http://www.phshmo.com/home.htm
http://www.multiplan.com/
http://www.medicarehmo.com/?rURL=http://www.medicarehmo.com Medicare HMO info
http://www.anthem-inc.com Anthem Health Insurance (insurance company)
What is Managed Care?
Managed Care Re-Education - a Yaffe Ruden document
http://special.northernlight.com/managedcare/index.html#prof managed care update
http://www.money.com/money/101/lessons/17/flavors.html Understanding health Insurance
http://www.mceconnection.com/index.cfm Managed Care education directory
http://www.shriver.org/Service/CommunityFamilyServices/ManagedCare/index.htm
http://www.wnet.org/archive/mhc/Overview/essay.html
http://www.mcareol.com/inmcodic.htm  managed care dictionary
http://www.ahcpr.gov/consumer/hlthpln1.htm choosing a plan
http://www.aarp.org/monthly/managedcare/home.html
http://www.familiesusa.org/managedcare/consumer.htm#general
http://home.patientaccess.com/pac patient coalition for good healthcare
http://www.mcare.net/resources.html managed care resources
https://www.ehealthinsurance.com/cgi-bin/gx.cgi/applogic+Alliance?allid=INS10388&partne r=8&type=ALL insurance availability and info
http://www.insweb.com/health_insurance/health_insurance.htm health insurance from InsWeb
http://www.mybodyscan.com/features/hmos.cfm  Understanding how medical insurance reaaly works
http://insurance.yahoo.com Insurance center
http://insurance.com/insurance_options/health/health_index.asp health insurance quotes and info
http://www.mcare.net/brochure.html disability and managed care
http://www.dranonymous.com/links.html managed care empowerment
http://www.epn.org/ideacentral/health health policy
http://insurance.about.com/industry/insurance/cs/healthinsurance/index.htm Managed Care Information
http://www.aahp.org/AAHP/index.cfm?ContentID=95B8CC84-EAD2-11D3- QBDAD00A0C98ECA2F&Layout=Content&oid=E78B6532-B1AD-11D3-BDA400A0C98ECA 2F&JZXD=C4CA4238-A0B9-2382-0DCC509A6F75849B FAQ for health insurance
http://www.definedcare.com  defined care
http://www.definedcare.com/deflink.htm  defined care articles
http://www.mcol.com  managed care resource
Managed Care Legal Help
http://www.health.state.ny.us/nysdoh/mancare/appeal/std-desc.htm 
Medicare
http://hiicap.state.ny.us/medicare/index.htm
Feedback
http://planetfeedback.com/companyWrapper/0,1262,100-0-D,00.html Feedback to hmo's and hospitals

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