Sunflower Health Plan PROVIDER DIRECTORY SOUTHWEST KANSAS COUNTIES
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Sunflower Health Plan PROVIDER DIRECTORY SOUTHWEST KANSAS COUNTIES 1-877-644-4623 Toll Free TTY 711 SunflowerHealthPlan.com WELCOME TO SUNFLOWER HEALTH PLAN We would like to welcome your family to Sunflower Health Plan. Sunflower Health Plan provides quality healthcare benefits that are convenient and accessible. Our main priority is making sure you receive high-quality healthcare coverage. This is your provider directory. The next few pages tell you how to use the directory. Let us know if you need help understanding this. If you need them, interpreter services are provided free of charge to you – including sign language and real-time oral interpretation. To get an interpreter, call our Customer Service line at 1-877-644-4623 (for TTY, dial 711) We are adding new providers every day. If your doctor is not listed or their information does not look complete, please check online (https://www.sunflowerhealthplan.com/find-a-doctor.html) for new updates or call our Customer Service line at 1-877-644-4623 (for TTY, dial 711) EASY TO USE Getting benefits from Sunflower Health Plan is easy. We believe the best way for you to keep good health is to develop a good relationship with your family physician. That is why you, and any of your family who are members of Sunflower Health Plan, need to choose a Primary Care Provider (PCP). When you need care, start with a call to your PCP for an appointment. Tell them you are covered by Sunflower Health Plan. If needed, your PCP will make a referral for specialized care. It’s that simple. If you choose a clinic or a doctor working at a clinic to be your PCP, you will be able to see any doctor at that clinic. ACCESSIBILITY If you use a wheelchair, walker, or other aids and need assistance getting into your provider’s office, call their office before you get there. This way someone will be ready to help you when you get there. If you would like help talking with your provider about your special needs, call Sunflower Health Plan Customer Service at 1-877-644-4623 (for TTY, dial 711) In addition you may find symbols after your provider’s information. These indicate different types of features your provider offers. They include: P = parking – Parking spaces, including van spaces, are accessible. Pathways have ramps at the parking lot, office and drop-off locations. EB = exterior building – Curb ramps and other ramps to the building are wide enough for a wheelchair or scooter. There are handrails on both sides of the ramp. There is an accessible entrance to the building. Doors open wide enough for a wheelchair or scooter user to enter. The door handles are easy to use. IB = interior building – Doors open wide enough for a wheelchair or scooter user to enter. The door handles are easy to use. Inside ramps are wide enough and have handrails. Stairs have handrails. You can use the elevator at all times the building is open. The elevator has enough room for a wheelchair or scooter user to turn around. If there is a platform lift, you can use it without help. R = restroom – The restroom is accessible. The doors are wide enough for a wheelchair or scooter to pass through. They are easy to open. The restroom has enough room for a wheelchair or scooter to turn around and close the door. There are grab bars for easy transfer from the wheelchair to the toilet. The sink is easy to get to. The faucets, soap, and toilet paper are easy to reach and use. E = exam room – The entrance to the exam room is accessible, with a clear path. The doors open wide enough for a wheelchair or scooter. They are easy to open. The exam room has enough room for a wheelchair or scooter to turn around. T = exam table/scale – The exam table moves up and down. The scale has handrails for people with wheelchairs and scooters. A wheelchair fits on the weight scale. TAKING CARE OF YOU AND YOUR FAMILY We encourage you and your family to make appointments for regular check-ups. Benefits with Sunflower Health Plan include. • Screenings. • Diagnostic x-rays. • Lab tests. • Mammograms. • Eye exams. IF YOU HAVE TO BE HOSPITALIZED If you need hospitalization, your PCP or a Specialist will admit you to a hospital where he/she is affiliated. The hospitals you would be admitted to are listed in this directory. IMMEDIATE AND EMERGENCY CARE With Sunflower Health Plan, you have access to medical services 24 hours a day, 365 days a year. If you have a serious illness or injury that needs immediate attention, first call your PCP. They know your medical history best. In the event of a potentially life threatening emergency, call 911. Or go to the nearest emergency room. If you are admitted to the hospital, they will call Sunflower Health Plan within 48 hours to notify us of your medical situation. Some examples of emergencies are: • Multiple episodes of vomiting • Severe pain of any kind. or diarrhea. • Change in mental status. • Bleeding that won’t stop. • Change in neurological status. • Injuries that cause loss of • Complications of pregnancy. function to a body part. • Chest pain. • Symptoms of substance • Poisoning. abuse. • Acute allergic reactions. • Psychiatric disturbances. • Severe shortness of breath. • Overdose of medication. • Abdominal pain. FOR ADDITIONAL INFORMATION If you want to recommend a healthcare provider who is not part of this directory or believe they may have questions, please direct them to our Customer Service line at 1-877-644-4623. Please Note: Sunflower Health Plan does not and cannot guarantee the initial or continued availability of any particular provider. The current participation status of any provider can be obtained by checking online at www.sunflowerhealthplan.com/for-members/find-a-provider/ or by calling Sunflower Health Plan’s Customer Service at 1-877-644-4623 (TTY 711) Authorization or referral may be required to access some providers. REPORTING INACCURATE PROVIDER INFORMATION You may report inaccurate provider information in this directory or on our website using the following methods: • Via phone at 877-644-4623 (TTY: 711) • Via email at [email protected] • Online at SunflowerHealthPlan.com BIENVENIDO(A) A SUNFLOWER HEALTH PLAN Nos gustaría dar la bienvenida a su familia a Sunflower Health Plan. Sunflower Health Plan proporciona beneficios de atención médica de calidad, que son convenientes y accesibles. Nuestra principal prioridad es asegurarnos que usted reciba cobertura de atención médica de alta calidad. Este es su directorio de proveedores. Las páginas siguientes le informan sobre cómo usar el directorio. Infórmenos si necesita ayuda para entender esto. Los servicios de intérprete se le ofrecen de manera gratuita, incluyendo el lenguaje de señas e interpretación oral en tiempo real, si los necesita. Para obtener los servicios de un intérprete, llame a nuestra línea de Servicio al cliente al 1-877-644- 4623 (para TTY, marque 711) Todos los días añadimos nuevos proveedores. Si el nombre de su médico no aparece en la lista o su información no parece completa, verifique en línea (https://www.sunflowerhealthplan.com/find-a-doctor.html) para actualizaciones recientes, o llame a nuestra línea de Servicio al cliente 1-877-644-4623 (para TTY, marque 711) FÁCIL DE USAR Es fácil obtener beneficios de Sunflower Health Plan. Creemos que la mejor forma en que usted puede mantener una buena salud es desarrollar una buena relación con su médico familiar. Es por eso que usted, y cualquier miembro de su familia que esté afiliado a Sunflower Health Plan, necesitan elegir un Proveedor de atención primaria (PCP). Cuando necesite atención médica, comience con una llamada a su PCP para hacer una cita. Dígales que está cubierto por Sunflower Health Plan. De ser necesario, su PCP hará una referencia para cuidado especializado. Es así de simple. Si selecciona una clínica o un médico que trabaja en la clínica para que sea su PCP, usted podrá consultar cualquier médico en esa clínica. ACCESIBILIDAD Si usa una silla de ruedas, andador u otras ayudas y necesita asistencia para entrar al consultorio de su proveedor, llame al consultorio de su proveedor antes de llegar. De esta manera alguien estará listo para ayudarle cuando llegue. Si desea recibir ayuda para hablar con su proveedor sobre sus necesidades especiales, llame al departamento de Servicio al cliente de Sunflower Health Plan al 1-877-644-4623 (para TTY, marque 711) Además, puede encontrar símbolos después de la información de su proveedor. Estos indican tipos distintos de características que ofrece su proveedor. Entre ellos se incluyen: P = parking (estacionamiento) – Los espacios de estacionamiento, incluso los espacios para camionetas, son accesibles. Los caminos tienen rampas en el lote de estacionamiento, el consultorio y los lugares donde se deja a las personas. EB = exterior building (parte exterior del edificio) – Las rampas de las aceras y otras rampas para entrar al edificio son lo suficientemente anchas para una silla de ruedas o escúter. Hay pasamanos en ambos lados de la rampa. Hay una entrada accesible al edificio. Las puertas se abren dejando espacio suficiente para que el usuario de silla de ruedas o escúter entre. Las agarraderas de las puertas son fáciles de usar. IB = interior building (parte interior del edificio) – Las puertas se abren dejando espacio suficiente para que el usuario de silla de ruedas o escúter entre. Las agarraderas de las puertas son fáciles de usar. Las rampas interiores son lo suficientemente anchas y tienen pasamanos. Las escaleras tienen pasamanos. Usted puede usar el ascensor en todo momento que el edificio esté abierto. El ascensor tiene suficiente espacio para que un usuario de silla de ruedas o escúter pueda girar.