DOCSLIB.ORG

ACO Nonhmo Aetna Whole Health Integris

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
ACO Nonhmo Aetna Whole Health Integris Quality health plans & benefits Healthier living Financial well-being Intelligent solutions This directory lists participating health Directory care professionals for the following: Aetna Open Access® Managed Choice® Plan AETNA WHOLE HEALTHSM Current directory information available on DocFind® INTEGRIS HEALTH PARTNERS NETWORK at www.aetna.com. Many health care professionals listed in this directory are accepting new patients. There may be others who are accepting existing patients only. Please call the provider to confirm. Notice to Members Manage your health better with our quality provider network Aetna Whole HealthSM — INTEGRIS Health Partners Network We’ve joined with Aetna Whole Health (AWH) - INTEGRIS Health Partners Network to offer you a quality provider network in Oklahoma. AWH – INTEGRIS Health Partners Network plans feature highly coordinated provider networks to help you improve and better manage your health. Coverage and Savings for you and your family The AWH – INTEGRIS Health Partners Network provides members in Canadian, Cleveland and Oklahoma counties the same types of coverage as other Aetna medical plans. Just at lower overall costs. Savings come through enhanced coordination between local providers. The plan also covers: • Doctor visits and hospital stays • Preventive care • Prescription drugs You can also log in to your secure self-service website at www.aetnanavigator.com It’s easy to get the care you need Be sure to select a primary care physician (PCP) when you enroll. You'll see your PCP for your annual wellness exam and preventive screenings. And he or she leads the health care team you get with this network. If you get sick or need other health care services, your PCP can treat you. He or she can make all parts of your care work together. Your benefits summary provides more details regarding costs. Get your questions answered easily Simply call us at the number listed on your member ID card. I Table of Contents Participating Hospitals..........................................................................................................................................................................................2 Institutes of Excellence™ Transplant Facilities...............................................................................................................................................4 Institutes of Excellence™ Pediatric Congenital Heart Surgery Facilities ..............................................................................................12 Institutes of Excellence™ Infertility Services.................................................................................................................................................14 Primary Care Physicians .....................................................................................................................................................................................18 Obstetricians and Gynecologists / Women’s Health Specialists ............................................................................................................28 Specialists ...............................................................................................................................................................................................................32 Behavioral Health Providers..............................................................................................................................................................................60 Other Participating Providers............................................................................................................................................................................74 Index of Providers Speaking Additional Languages...................................................................................................................................78 Index of Providers .................................................................................................................................................................................................82 Need a doctor or specialist? Use the DocFind® online directory. You can find doctors by name, specialty and location. You'll also find maps, directions and more. You can even look for doctors who speak your language. Try DocFind at www.aetna.com. Health benefits and health insurance plans are offered, underwritten or administered by Aetna Life Insurance Company (Aetna). III Aviso a los miembros Administre mejor su salud con nuestra PCP puede atenderlo. Su PCP puede hacer que red de proveedores de calidad todas las partes de su atención médica trabajan juntos. Aetna Whole HealthSM: INTEGRIS Health Su Resumen de Beneficios ofrece más detalles Partners Network acerca de los costos. Nos hemos unido con Aetna Whole Health (AWH, por sus siglas en inglés): INTEGRIS Health Partners Obtenga respuestas a sus preguntas Network para ofrecerle una red de proveedores de con facilidad calidad en Oklahoma. Los planes de AWH: Simplemente llámenos al número de teléfono que INTEGRIS Health Partners Network destacan redes aparece en su tarjeta de identificación de de proveedores muy bien coordinados para miembro. ayudarle a mejorar y administrar mejor su salud. Cobertura y ahorros para usted y su familia El plan AWH: INTEGRIS Health Partners Network ofrece a sus miembros en los condados de Canadian, Cleveland y Oklahoma los mismos tipos de cobertura que otros planes médicos de Aetna. Justo a costos globales más bajos. Los ahorros llegan a través de una mejor coordinación entre los proveedores locales. El plan también ofrece cobertura para: • Visitas al médico y hospitalizaciones • Cuidado preventivo • Medicamentos bajo receta También puede iniciar sesión en su sitio de Internet de autoservicio seguro en www.aetnanavigator.com. Es fácil obtener la atención médica que necesita Cuando se inscriba, asegúrese de elegir un proveedor de atención primaria (PCP). Usted se atenderá con su PCP para un examen anual de bienestar y pruebas de detección preventivas. Y el PCP dirige el equipo de atención médica que usted obtiene con esta red. Si se enferma o necesita otros servicios de atención médica, su V Índice Hospitales de la red................................................................................................................................................................................................2 Centros médicos de trasplantes de los Institutes of Excellence™................................................................................................................4 Centros médicos pediátricos de cirugía de enfermedades cardíacas congénitas de los Institutes of Excellence™...................12 Servicios de infertilidad de los Institutes of Excellence™..............................................................................................................................14 Proveedores de atención primaria ..................................................................................................................................................................18 Obstetras y ginecólogos / Especialistas de la salud para la mujer ........................................................................................................28 Especialistas...........................................................................................................................................................................................................32 Proveedores de la salud del comportamiento.............................................................................................................................................60 Otros proveedores de la red..............................................................................................................................................................................74 Índice de proveedores que hablan otros idiomas.......................................................................................................................................78 Índice de proveedores.........................................................................................................................................................................................82 ¿Necesita un médico o especialista? Utilice el directorio en Internet DocFind®. Usted puede buscar médicos por nombre, especialidad y ubicación. También encontrará mapas, direcciones y mucho más. Incluso puede buscar a médicos que hablen su idioma. Consulte DocFind® en www.aetna.com. Los beneficios médicos y planes de seguro médico están ofrecidos, suscritos o administrados por Aetna Life Insurance Company (Aetna). V II Participating Hospitals For transplant and transplant-related services, please refer to the Institutes of Excellence Transplant Facilities section of this directory. Facilities are only considered participating for transplants if listed in that section of the directory. www.aetna.com Participating Hospitals To review patient safety results for hospitals in your area, members should go to http://www.leapfroggroup.org and click on Compare Hospitals Now. If you do not have Internet access or if you desire the comfort of a human voice, please contact Member Services at the toll-free number listed on your ID card; Monday through Friday from 8 a.m. to 6 p.m., local time. Any member who visits Aetna’s website at www.aetna.com can link to our DocFind® Online Provider Directory and then to the Leapfrog Group. The Leapfrog Group is a
Load more

Recommended publications
  • INTEGRIS MARSHALL COUNTY MEDICAL CENTER (A Division of Baptist Healthcare of Oklahoma, Inc.)
    INTEGRIS MARSHALL COUNTY MEDICAL CENTER (A Division of Baptist Healthcare of Oklahoma, Inc.) Basic Financial Statements March 31, 2012 and June 30, 2011 (With Independent Auditors’ Report Thereon) INTEGRIS MARSHALL COUNTY MEDICAL CENTER (A Division of Baptist Healthcare of Oklahoma, Inc.) Table of Contents Page Independent Auditors’ Report 1 Basic Financial Statements: Balance Sheets as of March 31, 2012 and June 30, 2011 3 Statements of Revenues, Expenses and Changes in Net Assets for the nine months ended March 31, 2012 and year ended June 30, 2011 4 Statements of Cash Flows for the nine months ended March 31, 2012 and year ended June 30, 2011 5 Notes to Basic Financial Statements 6 Report on Internal Control over Financial Reporting and on Compliance and Other Matters Based on an Audit of Financial Statements Performed in Accordance with Government Auditing Standards 17 KPMG LLP 210 Park Avenue, Suite 2850 Oklahoma City, OK 73102-5683 Independent Auditors’ Report Governing Board INTEGRIS Marshall County Medical Center (A Division of Baptist Healthcare of Oklahoma, Inc.): We have audited the accompanying balance sheets of INTEGRIS Marshall County Medical Center, a division of Baptist Healthcare of Oklahoma, Inc., (the Medical Center) as of March 31, 2012 and June 30, 2011, and the related statements of revenues, expenses and changes in net assets and cash flows for the nine months ended March 31, 2012 and the year ended June 30, 2011. These financial statements are the responsibility of the Medical Center’s management. Our responsibility is to express an opinion on these financial statements based on our audits.
    [Show full text]
  • Code of Conduct
    Code of Conduct Table of Contents Letter from the President............................................................... 1 Introduction.................................................................................... 2 Corporate Compliance Program ................................................... 3 Patient Care .................................................................................. 4 Admissions, Treatment and Referrals........................................... 5 Billing and Coding ......................................................................... 7 Proper Accounting and Recordkeeping ...................................... 10 Conflicts of Interest ..................................................................... 11 Business Courtesies, Gifts and Customer/Supplier Relations ................................................................................ 13 Competition and Antitrust............................................................ 16 System Property, Technology and Confidential Information ............................................................................. 17 Workplace Behavior and Equal Employment Opportunities.......................................................................... 18 Safety, Health and Environmental Matters ................................. 20 Marketing and Media Inquiries.................................................... 21 Dealing with Government Officials and Regulatory Agencies .............................................................. 22 Privacy and Security
    [Show full text]
  • OHIP/OSIM Health Efficiency and Effectiveness Workgroup
    OHIP/OSIM Oklahoma Health Improvement Plan / Oklahoma State Innovation Model Health Efficiency and Effectiveness Workgroup PICTORIAL DIRECTORY CHAIR: R EBECCA PASTERNIK-IKARD DEPUTY STATE M EDICAID DIRECTOR, OKLAHOMA H EALTH CARE A UTHORITY As a member of the Oklahoma Health Care Authority’s executive leadership team, Ms. Pasternik-Ikard currently serves as the Deputy State Medicaid Director and provides overall direction for the Behavioral Health and the Insure Oklahoma Premium Assistance Programs. In addition, Ms. Pasternik-Ikard is the lead OHCA collaborator with the Oklahoma Health Improvement Plan (OHIP) and the Oklahoma State Innovation Model (OSIM) grant, and state agency partners including the Department of Mental Health and Substance Abuse Services, the State Department of Health and the Department of Human Services. Her previous experience at OHCA includes Member Services, Provider/Medical Home Services and Population Care Management. She is a member of OHCA’s team for the CMS Innovation Center’s multi-payer Comprehensive Primary Care initiative seeking to transform care in the primary care setting. Also, she is a member of the National Association of State Health Policy (NASHP) Academy, of the CMS Managed Care and Children’s Coverage Technical Advisory Groups, of the Public Health Institute of Oklahoma Board, and contributes to multiple state and national workgroups and projects related to health care access, coverage and system reform. Before joining the Health Care Authority, she served as an Assistant Attorney General for Oklahoma in the litigation and administrative law sections. Ms. Pasternik-Ikard has a Juris Doctorate, a Master of Science and a Bachelor of Science in Nursing.
    [Show full text]
  • Susie Wallace for Immediate Release
    Contact: Susie Wallace Director of Communications [email protected] Oklahoma Hospital Association (405) 427-9537 For Immediate Release – Nov. 13, 2015 Spirit Awards Presented to Oklahoma Hospital Employees Fifty-two hospital team members statewide received an Oklahoma Hospital Association (OHA) Spirit of Achieving Cost Savings Award during the 2015 OHA Annual Convention Nov. 5. The 52 front-line, behind-the-scenes and administrative employees received the award because, through their insightful knowledge, innovative thinking and determination, they have helped their departments and the overall organization achieve substantial savings in operational costs. Award recipients were chosen by their hospitals for exemplifying the Spirit of Achieving Cost Savings by: exemplifying a willing, courageous and dedicated attitude in tackling the historical “way things have been done” within day-to-day operations; carefully evaluating current operating practices to discern where greater efficiencies could be realized; undertaking the challenge of identifying alternative methods and resources for carrying out daily functions; assembling other individuals and/or a team to elicit the best experience and knowledge to study cost-saving ideas; or documenting and presenting to management the direct annual savings that could be achieved by implementing proposed changes in operational practices. “We are pleased to honor these special hospital employees who have dedicated time, talent or expertise to improve their organizations and their communities,” said Craig
    [Show full text]
  • Community Health Needs Assessment GARFIELD COUNTY, 2018
    Community Health Needs Assessment GARFIELD COUNTY, 2018 Bass Baptist Health Center 600 S. Monroe St. • Enid, OK 73701 580-233-2300 Table of contents Introduction .................................................................4 Community Description ..............................................5 Methodology ...............................................................7 Health Status ............................................................. 11 Community Input Results .......................................... 21 Prioritized Indicators ................................................. 22 Evaluation of Impact .................................................. 25 Resources .................................................................. 27 Source ........................................................................ 28 Bass Baptist Health Center Appendix ................................................................... 29 3 Introduction This journey began when multiple agencies came together to begin the MAPP (Mobilizing for Action through Planning and Partnerships) process in 2012. The effort would be used to access the health status of Garfield County and would be the base for developing a community health improvement plan. This assessment has been updated every three years and most recently began again in July 2018. This Community Health Needs Assessment report provides an overview of the health needs and priorities associated with Garfield County. The intent of this report is to assess the health status, identify community
    [Show full text]
  • Jobs in Oklahoma Nov 20Wk2 Click on the Title for Additional Information
    Jobs in Oklahoma Nov_20Wk2 Click on the title for additional information. We different jobs found on the web. Federal Jobs, State and Local Government Jobs, Jobs found on Indeed and Simplyhired.com. And jobs sent to us. Use the table of content to browse by selecting the section. Table of Contents Federal Jobs found on usajobs.gov ................................................................................................. 2 Other federal jobs in Oklahoma.................................................................................................... 18 City and County Jobs in Oklahoma ............................................................................................... 44 City and County found at oml.org ................................................................................................. 44 Jobs found on indeed.com ............................................................................................................ 47 Jobs found in Ardmore, OK on simplyhired.com ........................................................................ 129 Jobs found in Bartlesville, OK on simplyhired.com ..................................................................... 136 Jobs found in Durant, OK found on simplyhired.com ................................................................. 143 Jobs found in Elk City, OK on simplyhired.com ........................................................................... 150 Jobs found in Guymon, OK on simplyhiredhired.com ...............................................................
    [Show full text]
  • 2020 Bright Health Pharmacy Directory
    2020 Bright Health Pharmacy Directory Individual and Family Plans - INTEGRIS Health, Norman Regional, and OU Medical, Oklahoma City For the most up to date pharmacy information, or other questions, please contact us, at 833-661-1988, 24 hours, 7 days a week (TTY 711). Changes to our pharmacy network may occur during the benefit year. This pharmacy directory was updated on 2020-02-19. Page 1 Table of Contents Welcome to Bright Health 3 Retail Pharmacies, including Chain Pharmacies 4 Mail Order Pharmacy 81 Home Infusion Pharmacies 82 Long-Term Care Pharmacies 83 Indian Health Service / Tribal / Urban Indian Health Program (I/T/U) Pharmacies 112 Page 2 Welcome to Bright Health. Enclosed is a list of all of the in-network pharmacies,included in Bright Health’s Individual and Family plans. For a complete description of your prescription coverage, including how to fill your prescriptions, please review your Certificate of Coverage and the Bright Health Plan Formulary (drug list). We call the pharmacies on this list “network pharmacies” because we’ve made arrangements with these pharmacies to provide prescription drugs to our Plan members. In most cases, your prescriptions are covered under a Bright Health plan only if you get them filled at a network pharmacy, or through our mail order pharmacy service. However, you’re not obligated to get your prescriptions filled at the same network pharmacy, and can switch network pharmacies, at any time. Keep in mind, we will fill prescriptions at non-network pharmacies only under certain circumstances and as described in your Certificate of Coverage.
    [Show full text]
  • Integris Health, Inc. and Controlled Entities
    INTEGRIS HEALTH, INC. AND CONTROLLED ENTITIES Consolidated Financial Statements and Supplemental Schedules June 30, 2020 and 2019 (With Independent Auditors’ Report Thereon) KPMG LLP 210 Park Avenue, Suite 2650 Oklahoma City, OK 73102-5683 Independent Auditors’ Report The Board of Directors INTEGRIS Health, Inc.: We have audited the accompanying consolidated financial statements of INTEGRIS Health, Inc. and its controlled entities, which comprise the consolidated balance sheets as of June 30, 2020 and 2019, and the related consolidated statements of operations and changes in net assets, and cash flows for the years then ended, and the related notes to the consolidated financial statements. Management’s Responsibility for the Financial Statements Management is responsible for the preparation and fair presentation of these consolidated financial statements in accordance with U.S. generally accepted accounting principles; this includes the design, implementation, and maintenance of internal control relevant to the preparation and fair presentation of consolidated financial statements that are free from material misstatement, whether due to fraud or error. Auditors’ Responsibility Our responsibility is to express an opinion on these consolidated financial statements based on our audits. We conducted our audits in accordance with auditing standards generally accepted in the United States of America. Those standards require that we plan and perform the audit to obtain reasonable assurance about whether the consolidated financial statements are free from material misstatement. An audit involves performing procedures to obtain audit evidence about the amounts and disclosures in the consolidated financial statements. The procedures selected depend on the auditors’ judgment, including the assessment of the risks of material misstatement of the consolidated financial statements, whether due to fraud or error.
    [Show full text]
  • Integris Health, Inc
    INTEGRIS HEALTH, INC. AND CONTROLLED ENTITIES Consolidated Financial Statements and Supplemental Schedules June 30, 2015 and 2014 (With Independent Auditors’ Report Thereon) KPMG LLP 210 Park Avenue, Suite 2850 Oklahoma City, OK 73102-5683 Independent Auditors’ Report The Board of Directors INTEGRIS Health, Inc.: We have audited the accompanying consolidated financial statements of INTEGRIS Health, Inc. and controlled entities, which comprise the consolidated balance sheets as of June 30, 2015 and 2014, and the related consolidated statements of operations, changes in net assets, and cash flows for the years then ended, and the related notes to the consolidated financial statements. Management’s Responsibility for the Financial Statements Management is responsible for the preparation and fair presentation of these consolidated financial statements in accordance with U.S. generally accepted accounting principles; this includes the design, implementation, and maintenance of internal control relevant to the preparation and fair presentation of consolidated financial statements that are free from material misstatement, whether due to fraud or error. Auditors’ Responsibility Our responsibility is to express an opinion on these consolidated financial statements based on our audits. We conducted our audits in accordance with auditing standards generally accepted in the United States of America. Those standards require that we plan and perform the audit to obtain reasonable assurance about whether the consolidated financial statements are free from material misstatement. An audit involves performing procedures to obtain audit evidence about the amounts and disclosures in the consolidated financial statements. The procedures selected depend on the auditors’ judgment, including the assessment of the risks of material misstatement of the consolidated financial statements, whether due to fraud or error.
    [Show full text]
  • Download the INTEGRIS Health Fact Sheet
    Organization and History Our Mission To Improve the Health of the People and Communities We Serve INTEGRIS resulted from a merger in 1995 between Oklahoma Health System and Southwest Medical Center in Oklahoma City. It has since grown into the largest Oklahoma-owned not- Values for-profit health system in the state, and it is known for innovation and unparalleled quality offering advanced treatment options and specialties found nowhere else in the region. It is also The INTEGRIS values can be identified by three simple but very powerful one of the state’s largest private employers with hospitals, rehabilitation centers, physician concepts: Love, Learn and Lead. practices, mental health facilities, and hospice and home health agencies throughout the state. INTEGRIS is governed by a 15-member board of directors from the worlds of business, medicine and community leadership across the state. Corporate headquarters are located on the campus of INTEGRIS Baptist Medical Center in Oklahoma City. INTEGRIS is managed by President and CEO Timothy Pehrson, with the assistance of senior staff in the areas of Scope and Services physician services, facility operations, strategic services and finance. Community Benefits We believe our mission extends beyond our walls. That is why you see INTEGRIS sponsoring health fairs, Specialized Centers of Excellence wellness screenings, fitness events and scores of provide incomparable care. other health-related activities across our state. Excellence in medical care, along with research, staff education, As a not-for-profit corporation, we are able to invest support groups for patients and one hundred percent of any money earned back into their families and educational our health care system through hiring of world-class physicians, purchase of the latest technologies and programs for the community allow construction of the finest health care facilities, as well members of INTEGRIS to achieve Every year, we care for tens of thousands of Oklahomans across as programs and services to improve the health and the organization’s mission.
    [Show full text]
  • SW Newsletter September 2019
    S E P T E M B E R 2 0 1 9 SOUTHWEST REGION NEWSLETTER Arizona, California, Colorado, Hawaii, Nevada, Oklahoma, New Mexico, Texas, Utah Message From Your I N T H I S I S S U E Delegate MESSAGE FROM YOUR DELEGATE NAHAM AFFILIATES Hello and welcome to Summer, 2019! If you weren’t aware, we just completed a fantastic National Conference in Orlando CALL FOR VOLUNTEERS last April and had (in my opinion) one of the best keynote NEWLY CERTIFIED speakers ever! There were also a number of excellent presentations from our peers and vendor friends. If you CHAM RECERTIFICATION weren’t able to attend this year, please go and look at all of the conference material and presentation recordings, which NEW MEMBERS will be available on the NAHAM website soon. MEMBER REFERRAL PROGRAM If you’ve never been to a NAHAM conference, it is a MEMBERSHIP DISCOUNT wonderful experience that brings together hundreds of MARKETPLACE experts in our field to network and share ideas on how we can continue to make Patient Access better. The 46th Annual ACCESS FORUM Conference will be in Cleveland, Ohio, May 19 – 22. CERTIFICATION PREPARATION Lastly, please make sure you sign up to take the CHAA/CHAM examination within our next testing window. This CAREER CENTER certification is nationally accredited and is a wonderful way to grow as an individual and advance your career. I hope everyone has a wonderful summer and, as always, please feel free to reach out to me with any questions, etc. I’m always happy to help.
    [Show full text]
  • Health and Welfare Benefits Handbook CONTENTS
    B enefits Health and Welfare Benefits Handbook CONTENTS 5 General Information 19 Plan Year 6 Introduction 19 Agent for Legal Process 6 How the INTEGRIS Benefit Program 19 How Benefits Are Funded Works 20 Administration of Benefits 7 Other Benefits 22 Your Rights Under ERISA 7 Who Is Eligible to Participate 10 Enrolling in the Plan 23 Your Benefits Medical Plan 11 Changing Your Benefit Options 24 Your Options 12 When Coverage Begins 25 Who Is Eligible to Participate 13 When You Reach Age 65 26 An Overview of the Medical Plan 13 If You Go on Leave of Absence 28 Prescription Drug Benefits 14 When Coverage Ends 29 Save Money with Generics 15 COBRA Continuation of Coverage 17 Coordination of Benefits – Medical Plans 29 Prescription Drug Step Therapy 29 How the Step Therapy Program Works 18 If Your Claim for Benefits Is Denied 18 Third-Party Settlements 30 How the Medical Plan Works 18 Plan Sponsor and Administrator 35 Clinical Management Services 18 Plan Amendment or Termination 36 What the Medical Plan Covers 19 Plan Sponsor Employer Identification Number 45 What the Medical Plan Does Not (EIN) Cover 2 Health and Welfare Benefits Handbook RETURN TO TABLE OF CONTENTS GENERAL INFORMATION 48 How to File a Claim 69 Imputed Income 51 Other Information 69 Accelerated Death Benefit 51 Definitions 70 If You Become Disabled 70 Dependent Life Insurance Options Employee Wellness 71 Proof of Good Health for You and Your 54 A Shared Commitment for Your Health Spouse 71 Employee PAI Options Dental Plan 72 Dependent PAI Options 57 Your Options 72 What PAI
    [Show full text]