Member Handbook

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Member Handbook MEMBER HANDBOOK Welcome to Heritage Victor Valley Medical Group We are the High Desert leader and innovator in life-changing health programs and high-value member benefits. Heritage members can expect a high-touch customer experience through increased patient contact, quick response, and everyday coordinated care, as well as an eager-to-please OUR PROMISE member services team. Heritage Victor Valley Medical Group covers Southern California’s High Desert and Mountain Communities and is “To connect with you and the expanding to the Inland Empire with neighborly doctors and a wide range of specialists. We offer access to the best community through a spirit of tertiary hospital care in Southern California. Members are excellence, to contribute to the surrounded with abundant no-cost services that bring peace of mind. Our use of technology, streamlined operations, well-being of all through personal and automation, delivers faster referrals and better results. health and wellness solutions Heritage LifeFit integrates a healthy lifestyle approach to personal health through prescriptive fitness, education, and to generate a remarkable and comprehensive fitness training for most ages. Heritage experience that leaves you combines these resources and expertise with Five Star rated quality measures - partnering with you and your family - for reassured and highly satisfied.” total coordinated care. We are committed to delivering more than you expect. 02 Insurance04 Benefits 08 Services 10 Doctors24 Departments26 Urgent30 Hospitals Care32 Lab 34Services Imaging38 FAQ42 Contact 1(800) 655-9999 | hvvmg.com | [email protected] 1 Insurance Plans FAMILIES & INDIVIDUALS SENIORS Aetna Aetna Blue Cross Anthem - Blue Cross Blue Shield Blue Shield Care 1st Cigna Alignment Covered California / Easy Choice Health Net United Healthcare Health Net IEHP Inter Valley Health Plan Molina SCAN Secure Horizons United Healthcare 2 1(800) 655-9999 | hvvmg.com | [email protected] 1(800) 655-9999 | hvvmg.com | [email protected] 3 MEMBER BENEFITS Annual Wellness Physical Exam Everyday Savings and Value Heritage works with every member to have an annual Discounts up to 50% at major wellness exam which assists in charting their personal brand outlets, and exclusive health strategy. deals at local businesses with the no-cost Heritage Benefits mobile app. Nearby Doctors Complimentary membership at World Gym 45 primary care doctors and more than 200 specialists for Heritage members at both Victorville locations. across the High Desert and Mountain Communities, and expanding to the Inland Empire. Access to Preferred Hospitals New Speedy Referrals System Heritage has contracted access to the most sought-after hospitals locally and across Southern California. A referral in your hands in three days, with curbside VIP assistance. Thriving Senior Social Life Nearly ER Levels of Urgent Care Seniors enjoy the most highly attended seniors program in the region with numerous activities five days a week, Heritage Urgent Care Plus offers High Acuity Urgent Care, field trips, and fitness programs. which is a sophisticated level of technology and services similar to those offered in the hospital emergency room Robust Personal Health & Fitness Community but with much shorter wait times. This is the only service Experience a new level of it’s kind available in the High Desert. of personal health and Locally-Based Member Services become part of a thriving fitness social community with Our highly-responsive, locally-based, member services our free fitness programs. team is readily available in person, by phone, and online. Wide Variety of Personal Health Services Coordinated Care Surrounds You Heritage members enjoy a variety of free benefits such as Heritage members enjoy coordinated care through prescriptive fitness, health education, personal health increased patient contact and quick response times - consultations, and annual wellness exams. assisting members with every aspect of their care. 4 1(800) 655-9999 | hvvmg.com | [email protected] 1(800) 655-9999 | hvvmg.com | [email protected] 5 Heritage LifeFit Fitness has training programs for women and men, boys and girls of most ages and fitness levels. Come join the fun and discover a healthier, more active, and happier you! 6 1(800) 655-9999 | hvvmg.com | [email protected] 1(800) 655-9999 | hvvmg.com | [email protected] 7 SERVICES Primary Care Physicians Fitness Services 45 primary care doctors across the High Desert and Heritage LifeFit fitness programs include all major disciplines, Mountain Communities and expanding to the Inland Empire. from strength and conditioning to competitive events and 1(800) 655-9999 teams, and is offered at no cost. (760) 261-6462 Specialty Care Prescriptive Fitness Heritage has over 200 specialists as well as access to the Prescriptive fitness improves extensive Heritage Providers Network throughout Southern overall health and well-being. California. 1(800) 655-9999 It is designed to increase activity levels, endurance, Urgent Care Plus and strength, and is tailored Heritage Urgent Care Plus offers High Acuity Urgent Care to your health needs and the only service of its kind available in the High Desert. fitness level. (760) 952-1222 High Acuity Care is a sophisticated level of technology and services similar to the hospital emergency room but with Member Services shorter wait times. (760) 261-5292 Our solution-oriented member services team is locally based. Always connect to a live team member, in person, on the Senior Services phone, or online. 1(800) 655-9999 Heritage senior services are the most comprehensive, numerous, and highly regarded in the region. (760) 261-5206 Behavioral Health Service Programs and resources providing support and Wellness and Health Education Center encouragement to help people cope with various life These multi-faceted services include annual wellness exams, challenges. 1(800) 655-9999 eye health, health education, and general health information. Many workshops and support groups are free of charge and Industrial / Occupational Medicine open to the public. (442) 242-6719 We work with many companies to ensure that the most qualified candidates are considered for employment - helping to maintain a safe, drug-free work environment. (760) 261-6466 8 1(800) 655-9999 | hvvmg.com | [email protected] 1(800) 655-9999 | hvvmg.com | [email protected] 9 DOCTORS Apple Valley Bikramjit Ahluwalia, MD Craig Mueller, MD Internal Medicine (PCP), Rheumatology, General Practice (PCP) Board Certified 15863 Kasota Road 16143 Kokanee Road, Suite C (760) 946-1100 (760) 242-6442 Om Prakash, MD Mohinder “Paul” Ahluwalia, MD OB/GYN - PCP, Board Certified Internal Medicine (PCP), Pulmonary Disease 18056 Wika Road, Suite B 16143 Kokanee Road, Suite A (760) 242-2223 (760) 242-9577 Sylvia Rivera, RNP Mikel Alwis, MD Works with William Ortiz-Rivera MD General Practice (PCP), Urgent Care 18484 US Highway 18, Suite 225 12143 Navajo Road (760) 242-2341 (760) 240-1144 William Rivera-Ortiz, MD Lu-Wei (Teddy) King, MD General Practice- (PCP) OB/GYN OB/GYN (PCP), Board Certified 18484 US Highway 18, Suite 225 18182 US Highway 18, Suite 101 (760) 242-2341 (760) 242-3539 Mayra Velazquez, PA-C James Krider, MD Works with Craig Mueller, MD General Practice (PCP) 15863 Kasota Road 18182 US Highway 18, Suite 105 (760) 946-1100 (760) 242-1234 Ziad Richard Sawan, MD Martha Moreno, MD General Practice (PCP) Internal Medicine, Family Practice (PCP) 16003 Tuscola Road, Suite F 12143 Navajo Road (760) 242-8221 (760) 240-1144 10 1(800) 655-9999 | hvvmg.com | [email protected] 1(800) 655-9999 | hvvmg.com | [email protected] 11 DOCTORS Victorville Gunjeet Kala Ahluwalia, MD Esther Fermin, MD Pediatrics (PCP), Pediatric Nephrology, Internal Medicine (PCP), Hematology Board Certified 15203 11th Street, Suite A 12408 Hesperia Road, Suite 2 (760) 245-6455 (760) 553-7000 David Hernandez-Rodriguez, MD Mikel Alwis, MD Internal Medicine (PCP), Board Certified General Practice (PCP), Urgent Care 14829 Seventh Street, Suite D 15626 Hesperia Road (760) 245-6925 (760) 952-0244 Erin Hosty, RNP Neal Blank, D.O. Works with Prakash Yakkundi, MD Family Practice 12408 Hesperia Road, Suite 2 12408 Hesperia Road, Suite 2 (760) 553-7000 (760) 553-7000 Arthur Jimenez, MD Dorina Castelo, MD Family Practice (PCP) General Practice 15381 7th Street, Suites 2 & 3 14829 Seventh Street, Suite D (760) 245-2380 (760) 245-6925 Ruth Chambi-Hernandez, MD Francisco Jimenez, MD Family Medicine General Practice (PCP) 16498 Victor Street 15532 Bear Valley Road (760) 243-3033 (760) 245-5959 Celestina De La Cruz, MD Miriam Kraus, FNP Pediatrics (PCP), Board Certified Works with Glenn Matney, MD 15247 11th Street, Suite 800 12402 Industrial Blvd., Suite B-1 (760) 245-1769 (760) 245-9363 12 1(800) 655-9999 | hvvmg.com | [email protected] 1(800) 655-9999 | hvvmg.com | [email protected] 13 DOCTORS Victorville (cont.) Jonathan Luna, PA-C William Pazdral, MD Works with Roger Moushabek, MD Pediatrics (PCP), Board Certified 12408 Hesperia Road, Suite 4 15247 11th Street, Suite 500 (760) 952-1222 (760) 952-3443 Glenn Matney, MD Romeo Samouh, MD Pediatrics (PCP), Board Certified Family Practice, Board Certified 12402 Industrial Blvd., Suite B-1 12408 Hesperia Road, Suite 2 (760) 245-9363 (760) 553-7000 Martha Moreno, MD Prakash Yakkundi, MD Internal Medicine, Family Practice (PCP) Internal Medicine, Board Certified 15626 Hesperia Road 12408 Hesperia Road, Suite 2 (760) 952-0244 (760) 553-7000 Roger Moushabek, MD Internal Medicine (PCP), Board Certified 12408 Hesperia
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