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Home > Using Plan Services

Using HMO & PPO Plan Services

man with a knee injury in physical therapyYour HMO or PPO health plan offers many services, or benefits. But how do you use them? Understand your plan's rules for how to use different types of benefits. Know what services require a referral from your primary care physician and a pre-authorization from your health plan before you get them.

Preventive care

Preventive care—also called routine care—helps your doctor prevent problems or find them before they become serious. Many health plans now offer free preventive care services. Learn more...

Specialists

Most of us need specialist care now and then. Find out how to get care from a specialist...

Emergency care

Know how to get emergency care before you need it. Learn more...

Hospital care

Ask your doctor where you would go if you need hospital care, also called inpatient care. Learn more about hospital care...

Care for chronic conditions

A chronic condition is a health problem that can be managed but usually not cured. Your plan must cover services that you need to keep your condition stable or prevent it from getting worse. Learn more...

Medicines / prescription drugs

Not all health plans cover prescription drugs. If your plan does, usually your membership card will list your co-pays. Learn more...

We use more prescription drugs than we used to. Using them safely is important. Learn tips for using medicines safely...

Mental health care

Health plans provide more mental health care services now than in the past. By law, they must cover certain severe mental health problems. Learn more...

Medical supplies or equipment

Your plan may cover medical supplies and durable medical equipment. By law, certain supplies and equipment must be provided. Learn more...

Home care or nursing home care

Health plans offer limited coverage for home health care and nursing home care. Learn more...

Hospice care

Hospice is care to keep a person comfortable in the last months of life. Health plans must cover hospice care. Learn more...

Language assistance

To help you get care in your language, your health plan must provide an interpreter if you need one. Learn more...

Disability assistance

Health plans must make sure that people with disabilities can access care. This includes physical access and communication assistance. Learn more...

Health Plan Problems?

Call 1-888-466-2219

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