SelectHealth | Total Fitness | Spring 2014 - page 12

When you are traveling, peace of mind is
priceless. It’s important to know where to
go if you need medical care.
OUTSIDE THE STATE
If you have an emergency or need
urgent care outside of Idaho or Utah,
participating benefits apply to services
you receive in a doctor’s office, urgent
care facility, or emergency room. In an
effort to reduce your medical out-of-
pocket expenses incurred while traveling,
SelectHealth has made an arrangement
with the Multiplan and PHCS networks
of healthcare providers and facilities. They
have agreed to accept an allowed amount
for covered services, which means you
will not be responsible for excess charges
when using these providers. In addition,
they will bill SelectHealth directly. Always
present your ID Card when visiting
providers or facilities. The logos on the
card give you access to these networks. To
find Multiplan or PHCS providers and
facilities, call Multiplan at
800-678-7427
or visit
multiplan.com
.
OUTSIDE THE COUNTRY
If you are traveling outside the country
and need urgent or emergency care, visit
the nearest doctor or hospital. You may
need to pay for the treatment at the
time of service and submit a claim to
SelectHealth that includes the following:
A printed receipt with the provider’s
address and phone number
The date of service
A description of the
treatment received
The amount charged
Care provided outside of the United
States for ongoing or chronic issues is not
covered unless it has been preauthorized.
For more information or
help finding a provider,
call Member Services at
800-538-5038
, or visit
selecthealth.org
.
Out-of-area
coverage
ABO30329
Dealing with urgent or ongoing
medical needs can be overwhelming.
We’ll make sure you don’t have to do it
alone. Our care managers are registered
nurses who are specially trained in
all areas of healthcare. They can help
you navigate the system and follow
doctors’ recommendations—answering
questions about health and benefits and
coordinating the best care possible.
Whether you’re dealing with a major
trauma, a new diagnosis, or managing
a condition you’ve had for a while,
care managers provide expertise and
a listening ear so you can focus on
getting better. Our care managers are
local and familiar with area providers,
hospitals, and healthcare services. There
is no additional cost to consult with a
Our care managers are
here to help
care manager, and the information shared
is confidential. A SelectHealth
representative often contacts members
immediately following certain diagnoses
to see if they would like assistance.
However, we urge you to contact us
if you have questions or feel you or
someone you know would benefit from
these services.
WE’VE GOT ADDITIONAL
SUPPORT FOR DISEASE
MANAGEMENT
We offer ongoing care management
support for those with chronic health
conditions. You may receive educational
materials, follow-up phone calls, and one-
on-one access to a nurse as you learn to
manage your condition long term.
We specialize in the following
conditions, among others:
Allergies and rhinitis
Asthma
Cancer
Chronic obstructive
pulmonary disease
Depression
Diabetes
Heart disease
High blood pressure
High-risk pregnancy
Migraines
If you have questions or feel
you or someone you know
would benefit from these services,
call
800-442-5305
.
Total Fitness | spring 2014 |
selecthealth.org
safe & sound
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