Medi-Cal | Wellpoint SSB | My Health | 2014 - page 9

My Health
· 9
Donate organs to save lives
One organ donor can save up to eight lives. More
than 100,000 people are waiting for organs. They
need your help. Become an organ donor. To learn
more, speak with your doctor about it. Or visit
organdonor.gov
to sign up online.
Source: U.S. Department of Health and Human Services’ organ
donation website: organdonor.gov
Do you have questions about our health plan
operations, your benefits, or how we protect your
privacy and make decisions about coverage?
There are three easy ways to get the answers.
1
Go online to
anthem.com/ca
.
2
Look in your
Member
Services Guide.
3
Call us at the
number shown
on your member
ID card.
Looking for a provider,
hospital or pharmacy?
It’s a snap. You can search for doctors, dentists,
pharmacies, hospitals and other health care providers
in both English and Spanish. Go to
anthem.com/ca
.
Choose the
Find a Doctor
tool on the home page.
It lets you search by plan type, name, specialty,
gender or location. You can also get information
about a doctor’s skills and training, such as languages
spoken and board certification.
If you don’t have Internet access, or you would like
more information about the professional qualifications
of the doctors in our network, call us at the number on
your member ID card. A staff member will search the
web for you using the criteria you provide and read,
mail or fax the results to you.
Got questions about our health plan?
Just choose one of the steps above to access
information on:
•   
Our Notice of Privacy Practices and how
to get a printed copy of it along with your
rights and responsibilities as an Anthem
Blue Cross member.
•   
Our Quality Improvement program and
what we’re doing to improve the benefits
and services we offer.
•   
Free case management services to help you
manage a serious health condition. You or
your caregiver can self-refer or your doctor
can refer you.
•   
Finding a primary care provider (PCP),
specialist, behavioral health provider, hospital or
pharmacy in the Anthem Blue Cross network.
The process and forms needed for filing a
complaint or appealing a decision.
The professional qualifications of our
network providers.
•   
Your benefits with a list of covered and
noncovered services, including those
obtained outside the health plan service area.
•   
How to see your PCP and get care.
What to do when you are out of the plan’s
service area.
•   
How to access emergency care and
911
services.
•   
How to get care after normal office hours.
•   
How to file a claim for covered services.
•   
How we stay on top of new medical treatments
and procedures and update or create health
policies as needed.
•   
Your pharmacy benefits, our preferred drug list
and network pharmacies.
Speak to a nurse anytime of day
Problems don’t just crop up between 9 a.m. and 5 p.m.
Sometimes you’re miles from the doctor’s office. Or it’s
late at night when your child gets a high fever. What
should you do?
You can reach a registered nurse – for free – anytime of
the day or night from anywhere in the U.S. Simply call
our nurse line at
1-800-224-0336
. Add this number to
your cell phone contacts today. If you have hearing or
speech loss, call
1-800-368-4424
.
Nurses have been carefully trained to help you figure
out the care you need or what to do next. If you have
a true emergency, always call
911
first or go to the
nearest emergency room right away. A true emergency
comes on suddenly and shows severe symptoms.
If it’s not an emergency, call your doctor or the
number at left. One easy call can help you make
the right choice about where to go and how to get
the care you need.
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