hcf brochure

					                                                                               Here's contact information for Health Care Facilitators
                                                                               available to serve you:                                                                      UC Human Resources website:
                                                                               Berkeley                                                                                                 atyourservice.ucop.edu
                                                                               510-643-7547
                                                                               Davis
                                                                               530-752-4264 (campus)
                                                                               916-734-8880 (UCD Medical Center)                         UC Plan Carrier Phone Numbers:
                                                                               www.hr.ucdavis.edu/hcf
                                                                                                                                         Anthem Blue Cross
                                                                               Irvine
                                                                               949-824-9065                                              of California . . . . . . . . . . . . . . . . . . . . . 1-888-209-7975
                                                                               Los Angeles                                               (Core, High Option Supplement to Medicare, Anthem Blue Cross
                                                                               310-794-3057
                                                                                                                                         PLUS, Blue Cross PPO)
                                                                               Merced
                                                                               209-228-2348
                                                                                                                                         CIGNA . . . . . . . . . . . . . . . . . . . . . . . . . . 1-800-244-6224
                                                                               Riverside
                                                                               951-827-1425                                              Health Net . . . . . . . . . . . . . . . . . . . . . . 1-800-539-4072
                                                                               Santa Barbara                                             (for behavioral health services for Health Net Medicare members
                                                                               805-893-4201                                              call Managed Health Network 1-888-935-5966)
University of California                                                       hr.ucsb.edu/benefits/health.php
Nondiscrimination and Affirmative Action Policy Statement                      Santa Cruz                                                Kaiser Permanente (CA). . . . . . . . . 1-800-464-4000
The University of California prohibits discrimination against or               831-459-3573
harassment of any person employed by or seeking employment with
the University on the basis of race, color, national origin, religion, sex,    San Diego                                                 Senior Advantage (CA) . . . . . . . . . . 1-800-443-0815
physical or mental disability, medical condition (cancer-related or            858-822-2197                                                                                                                                                                                     University of California
genetic characteristics), ancestry, marital status, age, sexual orientation,
citizenship, or status as a covered veteran (special disabled veteran,         San Francisco and Office of the President                 Kaiser Mid-Atlantic
recently separated veterans, Vietnam era veteran, or any other veteran
who served on active duty during a war or in a campaign or expedition
                                                                               415-514-3324
                                                                               www.ucsfhr.ucsf.edu/hcf                                   inside Washington DC Metro area . . . . . . 1-301-468-6000                                                                             Health Care
                                                                                                                                                                                                                                                                                Facilitator Program
for which a campaign badge has been authorized).
The University of California is an affirmative action/equal opportunity
                                                                               Lawrence Berkeley National Laboratory                     outside  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .   1-800-777-7902
employer. The University undertakes affirmative action to assure equal         510-486-6997
employment opportunity for minorities and women, for persons with              hcf@lbl.gov                                               Western Health Advantage . . . . . . 1-888-563-2250
disabilities, and for special disabled veterans, recently separated
veterans, Vietnam era veterans, and any other veterans who served                                                                        (for behavioral health services for WHA Care+ members call
on active duty during a war or in a campaign or expedition for which a
campaign badge has been authorized.                                                                                                      Magellan Behavioral Health 1-800-424-1778)
University policy is intended to be consistent with the provisions of
applicable State and Federal laws. Inquiries regarding the University’s                                                                  United Behavioral Health . . . . . . . . 1-888-440-8225
equal employment opportunity policies may be directed to:
                                                                                                                                         Delta Dental PPO . . . . . . . . . . . . . . . 1-800-777-5854                                                                          Need to resolve a problem
In conformance with applicable law and University policy, the
University is an affirmative action/equal opportunity employer. Please                                                                                                                                                                                                          with your health plan?
send inquiries regarding the University’s affirmative action and equal
opportunity policies for staff to Director of Diversity and Employee
                                                                                                                                         DeltaCare®USA . . . . . . . . . . . . . . . . . 1-800-422-4234
Programs, University of California Office of the President, 300 Lakeside                                                                                                                                                                                                        Have questions regarding
Drive, Oakland, CA 94612 and for faculty to Director of Academic                                                                         Vision Service Plan . . . . . . . . . . . . . . 1-800-877-7195
Affirmative Action, University of California Office of the President,                                                                                                                                                                                                           your Plan coverage?
1111 Franklin Street, Oakland, CA 94607.                                                                                                 Staywell . . . . . . . . . . . . . . . . . . . . . . . . . 1-800-721-2693

                                                                                                                                                                                                                                                                                Call your Health Care
                                                                                                                                                                                                                                                                                Facilitator for help


5M                                                          4811      10/09
Assistance                                         Resolution                                          Confidentiality                                  Before you call




WHAT IS A HEALTH CARE FACILITATOR?                 • Understand your UC health plan coverage and       CONFIDENTIALITY                                  Here are a few things to do before
The Health Care Facilitator (HCF) is here to         patient rights                                    The consultation offered by the UC Health        contacting your Health Care Facilitator:
help faculty and staff employees, retirees,        • Define your health care issues                    Care Facilitators is always private and confi-   • Contact your doctor’s office.
survivors and their eligible family members to     • Navigate the health care system                   dential. Health Care Facilitators comply with      One of your most important relationships is
better understand and obtain the full benefits     • Resolve issues with your doctor, medical          Health Insurance Portability and Account-          the one you have with your doctor or other
and services available from the UC-sponsored         group, or medical plan carrier                    ability Act (HIPAA) privacy and security laws      health care professional.
health plans. They are located in the Benefits     • Understand how Medicare benefits coordi-          mandating protection and safeguards for          • Contact your medical group.
Offices at all UC campuses, medical centers,         nate with UC-sponsored medical plans              access, use and disclosure of personal health      If you are in an HMO such as Kaiser, Health
and laboratories.                                  The Health Care Facilitator is also available to    information.                                       Net, PacifiCare, Western Health Advantage
ASSISTANCE and RESOLUTION:                         speak with campus, medical center, or labo-         Health Care Facilitators follow UC’s Group         (WHA), or Blue Cross PLUS, contact your
                                                   ratory groups about health coverage and/or          Insurance Regulations, the terms and condi-        medical group. Most medical groups have
The Health Care Facilitator is a knowledgeable
                                                   processes.                                          tions of the plan contracts, and Medicare          patient assistance departments that can help
counselor who will provide you with confiden-
                                                   If you need help resolving an issue with your       laws and regulations.                              you find a doctor, resolve billing problems, or
tial one-on-one assistance in resolving health
                                                   UC health plan coverage, call your Health Care                                                         obtain referrals for services.
plan issues. There is no charge for the services
provided by the UC Health Care Facilitators.       Facilitator who will provide individual guidance,                                                    • Contact your health plan.
                                                   and, if necessary, interact with the medical plan                                                      Your health plan has customer service
The Health Care Facilitator can help you to:
                                                   or UCOP HR/Benefits on your behalf.                                                                    representatives who can answer your
 The Health Care Facilitator:                      The Health Care Facilitator can help resolve                                                           questions regarding the plan’s benefits.
 • Does not provide medical or legal advice        problems with medical plans (doctors, medical                                                        If you still need help, call your Health Care
                                                   groups or providers) and with other health cov-                                                      Facilitator.
 • Does not act as a patient care advocate for
                                                   erage offered by the dental and vision plans.
   services/benefits that are not offered by
   UC’s plans                                      At some locations, the Health Care Facilitator
                                                   provides health plan coverage and utilization
 • Does not suggest treatment plans
                                                   educational programs.

				
DOCUMENT INFO
Shared By:
Categories:
Tags: health
Stats:
views:11
posted:10/30/2010
language:English
pages:2
Kang Li Kang Li http://
About