 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
Get detailed information on Services Provided by each HMO
Amerigroup
Horizon NJ Health
AmeriChoice
HealthNet
University
Health Plans
Choosing an HMO
HMO SERVICES PROVIDED |
 |
|
To visit University Health Plans, Inc., click here |
|
| Where
Medical Care is Provided: (Where you go to get health care) |
Private doctor's offices, hospital based health centers, or Federally Qualified Health Centers. |
| Choosing
a Doctor: (What are the choices for a personal doctor) |
Choose a doctor from the plan's network. If you have not talked to Member Services, call to choose a doctor right away. |
| Referral
Process: (What to do to see a specialist) |
Your personal doctor will give you a referral to see a specialist when needed. |
| Obstetrician/Gynecologist
Services: (What to do to see an OB/GYN) |
You can use any OB/GYN from the plan's network. No referral is needed for two well visits a year. |
| Seeing
a Dentist: (What to do to see a dentist) |
No referral is needed to use a dentist in the network. For Plan D, coverage is limited to preventive services for children under 12. |
| Eye
Care and Glasses: (What eye care services are provided) |
Exams,
selected frames and lenses available through network
provider. No referral is needed for exam for eyeglasses. For Plan D, one pair of eyeglasses or contacts covered in a 24 month period or as medically necessary. Eye exams, including one routine eye exam per year. |
| Emergency
Care: (Who you should call first and where you should go in case of an emergency. When are emergency room visits covered) |
If possible, contact your personal doctor when an emergency occurs. If life threatening, go to the nearest emergency room. Follow-up care must be provided by your personal doctor. |
| Other
Benefits: (Other things the HMO offers) |
Prenatal, Asthma, Hypertension, Diabetes and Immunization programs and Wellness Workshops. Certain over-the-counter medicines as prescribed by the child's doctor. |
| Pharmacy: (What pharmacies can be used) |
You
can use any pharmacy in the “PAID” pharmacy
network. Contact Member Services to locate a pharmacy
nearest you. |
| Member
Services: (Customer helpline number) |
Call
1-800-JOIN-UHP |