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New Health Rewards Look Inside for More Information

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New Health Rewards Look Inside for More Information TABLE OF CONTENTS / TABLA DE CONTENIDO Introduction / Introducción ...................................................................................................................................................... 3 Clinics / Clínicas ............................................................................................................................................................................. 7 Primary Care Providers / Proveedores de Cuidado Primario ......................................................................................................................................... 10 OB-GYN / Ginecoobstetricia ..................................................................................................................................................... 30 Specialists / Especialistas ........................................................................................................................................................... 36 Routine Vision Services / Servicios de la Vista de Rutina ................................................................................................................................................ 78 Behavioral Health Services / Servicios de Salud Mental y Abuso de Sustancias ............................................................................................................ 80 Hospitals / Hospitales ................................................................................................................................................................. 89 Pharmacy / Pharmacia ................................................................................................................................................................ 90 Ancillary / Auxiliario .................................................................................................................................................................... 93 Index of Primary Care Providers / Indice de Proveedores de Cuidado Primario ..................................................................................................................... 94 Index of Pharmacy Providers / Indice de Proveedores de Pharmacia .................................................................................................................................. 97 Index of Behavioral Health Providers / Indice de Proveedores de Servicios de Salud Mental y Abuso de Sustancias ..................................................................................................................................... 98 Index of Hospitals / Indice de Hospitales ........................................................................................................................... 100 Statement of Non-Discrimination / Declaración de no discriminación .......................................................................................................................................... 101 Last update on August 12, 2021 EPHM3912108 Texas STAR Program / Programa STAR de Texas i El Paso Health has implemented a Fraud, Waste & Abuse program as required by law. If you suspect that a person or entity has acted in a possible fraudulent, wasteful, or abusive manner please report such actions to our Fraud Hotline (toll free) at 1-866-356-8395. • • • • • • • • • • El Paso Health ha implementado un programa contra el malgasto, fraude y abuso, como lo exige la ley. Si sospecha que una persona o entidad posiblemente ha cometido fraude, malgasto o abuso, por favor, denuncie estas acciones a nuestra Línea contra el Fraude (gratis) al 1-866-356-8395. 2 Texas STAR Program / Programa STAR de Texas Welcome to El Paso Health Bienvenido al El Paso Health Welcome, and thank you for picking El Paso Health. Bienvenido y gracias por escoger el El Paso Health. El Paso Health works to provide you with the best managed El Paso Health trabaja para ofrecerle la mejor atención médica care possible. administrada posible. Through the Texas STAR Program, El Paso Health provides ser- Por medio del Programa STAR de Texas, El Paso Health presta vice to members living in El Paso and Hudspeth Counties. servicios a miembros que viven en los condados de El Paso y Hudspeth. El Paso Health is considered a closed network. What this means is that all of the providers in this book have been reviewed and El Paso Health es una red cerrada. Esto significa que todos los approved by our Board of Directors. proveedores de este libro han sido revisados y aprobados por nuestra Junta de Directores. El Paso Health also provides behavioral health services (mental and substance abuse) for our members. What this means to El Paso Health también presta servicios de salud mental y abu- you is that if you need our confidential help, you can call our so de sustancias a los miembro. Esto quiere decir que si usted free 24-hour Helpline at 915-532-3778 if you are in El Paso, or necesita ayuda confidencial, puede llamar gratis a nuestra Línea 1-877-532-3778 if you are outside El Paso. de Ayuda las 24 horas del día al 915-532-3778 si está en El Paso o al 1-877-532-3778 si está fuera de El Paso. Sometimes you might need help with a personal or family problem. If you have a problem and you need help, please call Puede haber casos en que necesite ayuda con problemas our crisis line toll free at 1-877-377-6147. A trained person personales o familiares. Si usted necesita ayuda, por favor will be there to help you. hable a nuestra Línea de Crisis gratis al 1-877-377-6147. Lo atenderá una persona capacitada. We put your health first. We are a local, non-profit company that cares about our community. Su salud es nuestra prioridad. Somos una compañía local y sin fines de lucro que valora a nuestra comunidad. If you ever have any questions, please call us on our Member Ser- vices Helpline at 915-532-3778 if you are in El Paso, or 1-877- Si tiene alguna pregunta, por favor, llame a la Línea de Ayuda 532-3778 if you are outside El Paso, 8 a.m. to 5 p.m. Monday de Servicios para Miembros de 8 a.m. a 5 p.m., de lunes a viernes through Friday. al 915-532-3778 si está en El Paso o al 1-877-532- 3778 si está fuera de El Paso. How do I pick my ¿Cómo escojo a mi Primary Care Provider? Proveedor de Cuidado Primario? It’s easy! Your Primary Care Provider is the health care profes- ¡Es fácil! Su Proveedor de Cuidado Primario es el profesional sional dedicated to you and your health. A Primary Care Pro- de atención médica que se ocupa de usted y su salud. Un Prov- vider can be a family practice doctor, a doctor of internal medi- eedor de Cuidado Primario puede ser un doctor de medicina cine (doctor for adults), an OB/GYN (women’s doctor), a clinic, familiar, un doctor de medicina interna (docto para adultos), un or a federally qualified health center (FQHC). Your Primary Care ginecoobstetra (doctor para mujeres), una clínica o un Centro Provider can help you get the best health care. They are ready de Salud Aprobado a Nivel Federal (FQHC). Su Proveedor de to help you 24 hours a day 7 days a week. They will answer your Cuidado Primario le puede ayudar a conseguir la mejor aten- questions and help you make the best decisions about your ción médica. Está para servirle las 24 horas del día, los 7 días a healthcare. la semana. Contestará sus preguntas y le ayudará a tomar las mejores decisiones acerca de su atención médica. To pick your Primary Care Provider: • Look under the heading Primary Care Providers or; Para escoger a su Proveedor de Cuidado Primario: • Look in the Primary Care Provider Index in the back of • Vea bajo el título de Proveedores de Cuidado Primario o, this directory, • Vea el índice de Proveedores de Cuidado Primario al final • Pick a Primary Care Provider from the list, de este directorio, • And call the Member Helpline at 915-532-3778 if you are • Escoja a un Proveedor de Cuidado Primario de la lista, in El Paso, or 1-877-532-3778 if you are outside El Paso, • Después de escogerlo, llame a la Línea de Ayuda de Ser- with your pick. vicios para Miembros al 915-532-3778 si está en El Paso The directory also lists all of our doctors, hospitals, and o al 1-877-532-3778 si está fuera de El Paso. providers that are part of the network. El directorio también tiene una lista de todos los doctores, hos- pitales y proveedores que forman parte de la red. Member Services 915-532-3778 or 1-877-532-3778 Servicios para Miembros 915-532-3778 ó 1-877-532-3778 Behavioral Health Services 1-877-532-3778 Servicios de salud mental y abuso de sustancias 1-877-532-3778 Texas STAR Program / Programa STAR de Texas 3 Can I change my ¿Puedo cambiar de Primary Care Provider? Proveedor de Cuidado Primario? Yes, you can. There are no limits to how many times you can Sí. Puede cambiar de Proveedor de Cuidado Primario las veces change your Primary Care Provider in a year. To change your que necesite al año, no hay límite. Para cambiar de Proveedor Primary Care Provider, pick one out of this directory and call de Cuidado Primario, escoja uno de este directorio y llame a our Member Services Helpline at 915-532-3778 if you are in nuestra Línea de Ayuda de Servicios para Miembros al 915-532- El Paso, or 1-877-532-3778 if you are outside El Paso, and give 3778 si está en El Paso, o al 1-877-532-3778 si está fuera de us your new Primary Care Provider’s name. It will take about a El Paso, y díganos el nombre de su nuevo Proveedor de Cuidado month for the change to take place. Primario. El cambio entrará en vigor después de casi un mes. We will send you a new identification card with your new Pri- Usted recibirá
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