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2019 Directorio De Proveedores/Farmacias

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2019 Directorio De Proveedores/Farmacias 2019 Directorio de proveedores/farmacias CARE N’ CARE CLASSIC (HMO) Care N’ Care Insurance es un plan HMO y PPO que tiene un contrato con Medicare. La inscripción en Care N’ Care depende de la renovación del contrato. Y0107_H2171S_19_144_C Page 1 Care N’ Care Insurance Company, Inc. Directorio de proveedores del plan HMO Este directorio está vigente a partir del 11 de octubre de 2018. En este directorio se ofrece una lista de los proveedores actuales de la red de Care N’ Care (HMO). Este directorio es para los condados de Collin, Dallas, Denton, Hood, Johnson, Parker, Rockwall, Tarrant y Wise. Para acceder al directorio de proveedores en línea de Care N’ Care (HMO), visite www.cnchealthplan.com/search Si tiene alguna pregunta sobre la información que contiene este directorio, comuníquese con el Departamento de Servicios a los Miembros al 1-877-374-7993, desde el 1.° de octubre hasta el 31 de marzo, los 7 días de la semana, de 8:00 a.m. a 8:00 p.m., hora estándar del centro, o desde el 1.° de abril hasta el 30 de septiembre, de lunes a viernes, de 8:00 a.m. a 8:00 p.m., hora estándar del centro. Los usuarios de TTY deben llamar al 711. Care N’ Care es un plan HMO y PPO que tiene un contrato con Medicare. La inscripción en Care N’ Care depende de la renovación del contrato. Esta información está disponible en otro formato alternativo, letra grande e inglés. Llame a Servicios a los Miembros al número que figura arriba si necesita información sobre el plan en otro formato o idioma. This information is available in a different format, including large print and Spanish. Please call your Healthcare Concierge at the number listed above if you need plan information in another format or language. Page 2 Índice Sección 1: Introducción .............................................................................................................4 ¿Cuál es el área de servicio de Care N’ Care? ......................................................................5 ¿Cómo busca proveedores de Care N’ Care en su área? .......................................................5 Sección 2: Lista de proveedores de la red .................................................................................6 Proveedores de atención primaria (PCP) Especialistas Hospitales Centros de enfermería especializada (SNF) Centros de diálisis Equipo médico duradero (DME) Agencias de atención médica en el hogar (HHA) Otros proveedores de servicios de salud Farmacias Page 3 Sección 1: Introducción En este directorio se ofrece una lista de los proveedores de la red de Care N’ Care (HMO). Para obtener información detallada sobre su cobertura de atención médica, consulte la Evidencia de cobertura (EOC). Deberá elegir uno de nuestros proveedores de la red que figuran en este directorio para que sea su médico de atención primaria (PCP). El término “PCP” se usará en todo el directorio. En general, debe recibir los servicios de atención médica de su PCP. Su PCP es un médico, un enfermero con práctica médica o un profesional de atención médica que cumple con los requisitos estatales y tiene la formación necesaria para brindarle atención médica. Su PCP también puede coordinar el resto de los servicios cubiertos que necesita. Esto incluye radiografías, análisis de laboratorio, tratamientos, especialistas, ingresos en el hospital y atención de seguimiento. Su PCP también se comunica con otros proveedores de la red para comentar las actualizaciones en su atención o tratamiento. Los proveedores de la red detallados en este directorio han acordado brindarle servicios de atención médica, odontológicos, oftalmológicos y auditivos. Puede acudir a cualquier proveedor de la red incluido en este directorio. Si ha estado acudiendo a un proveedor de la red, no es necesario que continúe con el mismo proveedor. En algunos casos, es posible que reciba servicios cubiertos de proveedores que no pertenecen a la red. Si desea usar un especialista u hospital específicos de Care N’ Care, debe consultar con su PCP para asegurarse de que pueda brindarle remisiones a ese especialista u hospital. Puede acudir a cualquier proveedor de la red incluido en este directorio; no obstante, es posible que algunos servicios requieran una remisión. Si necesita atención de emergencia, tiene cobertura las 24 horas del día, los 7 días de la semana, en cualquier parte del mundo, ya sea que esté dentro o fuera del área de servicio de Care N’ Care. Llame al 911 o vaya a la sala de emergencias más cercana. La atención de emergencia se puede recibir siempre dentro o fuera del área de servicio por parte del proveedor más cercano disponible. La atención posterior a la estabilización se refiere a los servicios médicamente necesarios relacionados con su afección médica de emergencia que recibe luego de que el médico que lo atiende determina que la afección está estable a nivel clínico. Toda la atención de seguimiento dentro y fuera de la red estará cubierta conforme los términos y condiciones de su plan. Debe usar proveedores del plan, excepto en casos de atención de emergencia o urgencia o para diálisis renal u otros servicios fuera del área. Si recibe atención de rutina de proveedores que no pertenecen a la red, ni Medicare ni Care N’ Care serán responsables de los costos. Page 4 ¿Cuál es el área de servicio de Care N’ Care? A continuación, se detallan los condados de nuestra área de servicio. • Collin • Dallas • Denton • Hood • Johnson • Parker • Rockwall • Tarrant • Wise ¿Cómo busca proveedores de Care N’ Care en su área? A fin de ayudarle a encontrar lo que necesita, Care N’ Care ha organizado este directorio con las siguientes secciones detalladas por ciudad o especialidad: • Médicos de atención primaria (PCP) • Especialistas • Hospitales • Centros de enfermería especializada (SNF) • Centros de diálisis • Equipo médico duradero (DME) • Agencias de atención médica en el hogar (HHA) • Otros proveedores de servicios de salud • Farmacias Para encontrar un proveedor de atención odontológica participante para obtener nuestra Cláusula adicional de beneficios dentales, llame al conserje de atención médica al 1-877-374-7993, desde el 1.° de octubre hasta el 31 de marzo, los 7 días de la semana, de 8:00 a.m. a 8:00 p.m., hora estándar del centro, o desde el 1.° de abril hasta el 30 de septiembre, de lunes a viernes, de 8:00 a.m. a 8:00 p.m., hora estándar del centro. Los usuarios de TTY deben llamar al 711. O bien, visite www.cnchealthplan.com/search/ Si tiene preguntas sobre Care N’ Care (HMO), llame al Departamento de Servicios a los Miembros/al Cliente al 1-877-374-7993, desde el 1.° de octubre hasta el 31 de marzo, los 7 días de la semana, de 8:00 a.m. a 8:00 p.m., hora estándar del centro, o desde el 1.° de abril hasta el 30 de septiembre, de lunes a viernes, de 8:00 a.m. a 8:00 p.m., hora estándar del centro. Los usuarios de TTY deben llamar al 711. O bien, visite www.cnchealthplan.com Page 5 Sección 2: Lista de proveedores de la red Contamos con 964 médicos de atención primaria (PCP), 4242 especialistas, 92 hospitales, 37 centros de enfermería especializada (SNF), 78 centros de diálisis, 55 equipos médicos duraderos (DME), 43 agencias de atención médica en el hogar (HHA), 497 proveedores de servicios de salud adicionales y 1262 farmacias. 10/11/2018 01:43:48 PM Page 6 Médicos de atención primaria (PCP) Carruthers, Jeffrey Todd MD Modi, Sunil Jashvantlal MD Médico de familia J Todd Carruthers MD PA Ridgeview Family Clinic PLLC Aledo 1120 Raintree Cir Ste 210 dba Express Family Clinic Allen, TX 75013 940 Ridgeview Dr Ste 150 (972) 852-1534 Allen, TX 75013 Kretzschmar, Shaun H DO Accepting New Patients (972) 672-4121 Shuan Kretzschmar DO PA Accepting New Patients 317 FM 1187 N PO Box 216 Goyle, Vandana Panda MD Aledo, TX 76008 Texas Health Physicians Group Parihar, Pradeep Singh MD (817) 441-7181 1120 Raintree Cir Ste 120 Ridgeview Family Clinic PLLC Accepting New Patients Allen, TX 75013 dba Express Family Clinic (972) 747-0777 940 Ridgeview Dr Ste 150 Stine, Matthew G DO Accepting New Patients Allen, TX 75013 Matthew G Stine DO PA (972) 672-4121 Accepting New Patients 260 Willow Bend Dr Joyner, Kevin Todd MD Aledo, TX 76008 Family Healthcare Associates (817) 441-9252 1105 Central Expy N Ste 2120 Parker, Linda Imogene MD Accepting New Patients Allen, TX 75013 Texas Health Physicians Group (972) 727-9877 311 N Allen Dr Williams, Jessica Danielle DO Accepting New Patients Allen, TX 75013 Dallas Medical Specialists PLLC (972) 954-2481 Accepting New Patients 5700 E I20 Svc Rd S Ste 100 Kellum, Michael W MD Aledo, TX 76008 Family Healthcare Associates (817) 489-7300 1105 Central Expy N Ste 2120 Rivas, Jose Antonio MD Accepting New Patients Allen, TX 75013 Texas Health Physicians Group (972) 727-9877 1120 Raintree Cir Ste 120 Allen Accepting New Patients Allen, TX 75013 (972) 747-0777 Apte, Udita MD Not Accepting New Patients Ly, Thu Mindy DO Texas Healthcare Partners Group UT Southwestern MSP 1780 W McDermott Dr Ste 200 1105 N Central Expy Ste 2120 Rogers, Sandra Dawn MD Allen, TX 75013 Allen, TX 75013 Family Healthcare Associates (214) 547-0700 (972) 727-9877 1105 Central Expy N Ste 2120 Accepting New Patients Accepting New Patients Allen, TX 75013 (972) 727-9877 Burchard, Jeffrey Lee MD Accepting New Patients Mathews, Shirley Rebecca Family Healthcare Associates MD 1105 Central Expy N Ste 2120 Family Healthcare Associates Arlington Allen, TX 75013 1105 Central Expy N Ste 2120 (972) 727-9877 Allen, TX 75013 Anagnostis, George MD Accepting New Patients (972) 727-9877 Family Healthcare Associates Accepting New Patients 1300
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