Manual Para Miembros Medicaid

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Manual Para Miembros Medicaid medicaid manual para miembros P.O. Box 30192 Salt Lake City, UT 84130-0192 800-538-5038 selecthealth.org Estimado(a) Miembro: Gracias por elegir SelectHealth. Usted va a recibir o ya ha recibido una tarjeta de identificación de Medicaid del estado. Por favor, lleve consigo esa tarjeta. Se le pedirá para mostrar cada vez que reciba atención médica o un medicamento recetado. Le invitamos a elegir un proveedor de atención primaria (PCP). Al ver a un PCP puede ayudarle a mantenerse saludable y reducir sus costos de salud. Por favor, llame a Servicios al Miembro para decirnos a quien le prefiere. Si necesita ayuda para encontrar un médico, llame a SelectHealth Member Advocates. Ellos pueden ayudarle a encontrar los médicos más cercanos y programar citas para usted. Para ponerse en contacto con Member Advocates, llame 800-515-2220 lunes a viernes de 7:00 a.m. a 8:00 p.m., y los sábados de 9:00 a.m. a 2:00 p.m. También puede encontrar médicos participantes visitando selecthealth.org/findaprovider. Si usted no tiene un PCP en el archivo, elegiremos uno en su área para usted. Si tiene preguntas, llame a los Servicios al Miembro al 855-442-3234 lunes a viernes, de 7:00 a.m. a 8:00 p.m., y los sábados, de 9:00 a.m. a 2:00 p.m. Usuarios de TTY deben llamar 711. Atentamente, Russ Elbel Medicaid Program Director SelectHealth Fair Treatment Notice � SelectHealth complies with Federal civil rights laws. ध्यान दिनुहोस्: तपार्इंले नेपाली बोल्नुहुन्छ भने We do not discriminate or treat you differently because of your race, color, national origin, age, तपार्इंको निम्ति भाषा सहायतासेवाहरू निःशुल्क रूपमा disability, or sex. उपलब्ध छ । SelectHealth: 1-800-538-5038 मा फोन We provide free: गर्नुहोस्। > � Aid to those with disabilities to help them FAKATOKANGA’I: Kapau ‘oku ke lea fakatonga, communicate with us, such as sign language ko e kau fakatonu lea te nau tokoni atu ta’etotongi, interpreters and written information in pea te ke lava ‘o ma’u ia. Telefoni ki he SelectHealth: other formats (large print, audio, electronic formats, other). 1-800-538-5038. > � Language help for those whose first language ОБАВЕШТЕЊЕ: Ако говорите српски језик, is not English, such as Interpreters and member materials written in other languages. услуге језичке помоћи доступне су вам бесплатно. Позовите SelectHealth: 1-800-538-5038. For help, call SelectHealth Member Services at 1-800-538-5038 (TTY Users: 711) PAUNAWA: Kung nagsasalita ka ng Tagalog, maaari If you feel you’ve been treated unfairly, call kang gumamit ng mga serbisyo ng tulong sa wika SelectHealth 504/Civil Rights Coordinator at nang walang bayad. Tumawag sa SelectHealth: 1-844-208-9012 (TTY Users: 711) or the Compliance Hotline at 1-800-442-4845 (TTY Users: 711). You 1-800-538-5038. may also call the Office for Civil Rights at 1-800-368-1019 (TTY Users: 1-800-537-7697). ACHTUNG: Wenn Sie Deutsch sprechen, stehen Ihnen kostenlos sprachliche Hilfsdienstleistungen Language Access Services zur Verfügung. Rufnummer: SelectHealth: 1-800-538-5038. ATENCIÓN: Si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame a ВНИМАНИЕ: Если вы говорите на русском языке, SelectHealth: 1-800-538-5038. то вам доступны бесплатные услуги переводчика. Позвоните SelectHealth: 1-800-538-5038 注意:如果您使用繁體中文,您可以免費獲得語 ةدعاسملا تامدخ نإف ،ةيبرعلا ثدحتت تنك اذإ :ةظوحلم :言援助服務。請致電 SelectHealth ةكرشب لصتا .ناجملاب كل رفاوتت ةيوغللا 。 .1-800-538-5038 SelectHealth: 1-800-538-5038. CHÚ Ý: Nếu bạn nói Tiếng Việt, có các dịch vụ hỗ trợ ngôn ngữ miễn phí dành cho bạn. Gọi số សម្គាល់៖ បើសិនជាអ្នកនិយាយ ភាសាខ្មែរ SelectHealth: 1-800-538-5038. សេវាជំនួយផ្នែកភាសា ដោយមិនគិតថ្លៃ 주의 한국어를 사용하시는 경우 언어 지원 គឺអាចមានសំរាប់ អ្នក។ សូមទូរស័ព្ទមក : , SelectHealth: 1-800-538-5038 서비스를 무료로 이용하실 수 있습니다. ។ SelectHealth: 1-800-538-5038. ATTENTION : si vous parlez français, des services d’aide linguistique vous sont proposés gratuitement. 번으로 전화해 주십시오 . Contactez SelectHealth: 1-800-538-5038. Díí baa akó nínízin: Díí saad bee yáníłti’go Diné 注意事項:日本語を話される場合、無料の言語 Bizaad, saad bee áká’ánída’áwo’dęʹęʹ’, t’áá jiik’eh, éí 支援をご利用いただけます。SelectHealth: ná hólǫʹ, kojį’ hódíílnih SelectHealth: 1-800-538-5038. 1-800-538-5038. まで、お電話にてご連絡くださ い。 © 2017 SelectHealth. All rights reserved. 203540 03/17 NÚMEROS DE TELÉFONO E INFORMACIÓN DE CONTACTO DE SELECTHEALTH Servicios para miembros Teléfono: 855-442-3234 Horario: de lunes a viernes de 7:00 a. m. a 8:00 p. m., y sábados de 9:00 a. m. a 2:00 p. m. Los usuarios de TTY/TDD pueden llamar al 711. SelectHealth Member Advocates® Teléfono: 800-515-2220 Horario: de lunes a viernes de 7:00 a. m. a 8:00 p. m., y sábados de 9:00 a. m. a 2:00 p. m. Behavioral Health AdvocatesSM Teléfono: 800-876-1989 Horario: de lunes a viernes de 8:00 a. m. a 6:00 p. m. Administración de la salud Teléfono: 800-442-5305, opción 2 Horario: de lunes a viernes, de 8:00 a. m. a 5:00 p. m. SelectHealth Healthy Beginnings® Teléfono: 866-442-5052, opción 1 Horario: de lunes a viernes, de 8:00 a. m. a 5:00 p. m. Programa de restricción Teléfono: 800-442-5305, opción 2 Servicios de farmacia Teléfono: 800-442-3129 Horario: de lunes a viernes de 7:00 a. m. a 8:00 p. m. y sábados de 9:00 a. m. a 3:00 p. m. Apelaciones Teléfono: 844-208-9012 Horario: de lunes a viernes de 8:00 a. m. a 5:00 p. m. Health Answers® de Intemountain Teléfono: 844-501-6600 (Línea de consejos de enfermería 24/7) Sitio web de SelectHealth selecthealth.org OTROS NÚMEROS DE TELÉFONO IMPORTANTES Control toxicológico de Utah: Teléfono: 800-222-1222 Horario: 24 horas al día, 7 días a la semana UNI CrisisLine: Teléfono: 801-587-3000 Horario: 24 horas al día, 7 días a la semana MANUAL PARA MIEMBROS DE SELECTHEALTH MEDICAID DE SELECTHEALTH MIEMBROS PARA MANUAL Manual para miembros de Medicaid 2018 NÚMEROS DE TELÉFONO E INFORMACIÓN DE CONTACTO DE MEDICAID ESTATAL Teléfono del Representante del Teléfono: 866-608-9422 programa de salud de Medicaid (HPR, por sus siglas en inglés) Línea de información de Medicaid Teléfono: 800-662-9651 Horario: de lunes a viernes de 8:00 a. m. a 5:00 p. m. Línea directa de Medicaid Teléfono: 800-662-9651 Horario: de lunes a viernes de 8:00 a. m. a 5:00 p. m. Línea para riesgos durante el embarazo Teléfono: 800-822-2229 Todas las llamadas telefónicas son gratuitas y confidenciales. Horario: de lunes a viernes de 8:00 a. m. a 5:00 p. m. Sitio web de Medicaid medicaid.utah.gov Glosario de Abreviaturas CHEC Evaluación y atención de la salud infantil CHIP Programa de seguro de salud infantil DAAS División de Servicios para Adultos y Personas de la Tercera Edad DWS Departamento de Servicios Laborales EOB Explicación de beneficios HPR Representante del protrama de salud de Medicaid MBS Resumen de Beneficios de Medicaid PCP Proveedor o médico de atención primaria PHI Información de salud protegida PMHP Plan de salud mental prepago OTC De venta sin receta Para su referencia, anote el nombre y número de teléfono de su médico y del médico de sus niños. Médico de atención primaria (PCP): Nombre Teléfono Médico de su niño: Nombre MANUAL PARA MIEMBROS DE SELECTHEALTH MEDICAID DE SELECTHEALTH MIEMBROS PARA MANUAL Teléfono Manual para miembros de Medicaid 2018 Manual para miembros de Medicaid Tabla de contenido TABLE OF CONTENTS NÚMEROS DE TELÉFONO E INFORMACIÓN DE CONTACTO DE SELECTHEALTH ........................I NÚMEROS DE TELÉFONO E INFORMACIÓN DE CONTACTO DE MEDICAID ESTATAL ................ II TABLA DE CONTENIDO ..................................................................................................................... V BIENVENIDO ........................................................................................................................................ 1 Su nombre, dirección y número de teléfono ..................................................................................................... 1 SERVICIOS DE IDIOMA ....................................................................................................................... 1 ¿Cómo puedo obtener ayuda en otros idiomas? ............................................................................................. 1 DERECHOS Y RESPONSABILIDADES ................................................................................................ 1 ¿Cuáles son mis derechos? ..................................................................................................................................... 1 ¿Cuáles son mis responsabilidades? ................................................................................................................... 2 Terminar su membresía ........................................................................................................................................... 2 Cancelación ................................................................................................................................................................ 3 Políticas médicas ...................................................................................................................................................... 3 CÓMO CONTACTARME CON MI PLAN DE MEDICAID ......................................................................3 ¿A quién puedo llamar cuando necesito ayuda? ............................................................................................ 3 BENEFICIOS DE MEDICAID ................................................................................................................3 ¿Cómo uso mis beneficios de Medicaid? .........................................................................................................
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