Q:
|
How can I enroll in Neighborhood Health
Providers (NHP) Managed Care Program? |
| A:
|
You may contact us at the following
numbers to set up an appointment with
one of our marketing representatives
who will assist you with completing
an application.
1-800-826-6240 (for CHP,FHP &
Medicaid)
1-866-345-0013 (for Medicare)
|
|
Q:
|
How do I get help after normal business
hours? |
| A:
|
There
is someone to help you at Member Services
Monday through Friday, 9:00AM - 5:00PM.
If you need to call at other times,
an operator will assist you when you
call Member Services. |
|
Q:
|
Do I need a referral to receive routine
eye care? |
| A:
|
You
DO NOT need a referral from your Primary
Care Provider for eye exam services.
You must call NHP's toll free vision
care number at 1-800-999-5431 to find
the nearest participating eye doctor.
|
|
Q:
|
How do I change my Primary Care Provider
(PCP)? |
| A:
|
If
you need to, you can change your PCP
in the first 30 days after your first
appointment with your PCP. After that,
you can change every six months without
cause or more often if you have good
reason. Please contact member services. |
|
Q:
|
Does my dentist have to be in the
same location as my Primary Care Provider? |
| A:
|
No.
Neighborhood Health Providers has a
network of Primary Care Dentists (PCD)
in your area to assist you. You may
call 1-800-468 9868 for any questions
about the dental program or to get a
list of Primary Care Dentists convenient
to you. |
|
Q:
|
What do I do if I lose my Neighborhood
Health Providers ID card? |
| A:
|
Please contact Member Services. A new
ID card will be sent to you. |
|
Q:
|
I have recently moved. How can
I change my address? |
| A:
|
Call
Member Services at 1-800-826-6240 and
your local department of Social Services
to advise us of any changes in your
life. |
|
Q:
|
What do I do if I receive a bill? |
| A:
|
You
may have to pay for any service(s) that
your PCP does not OK. This includes
non-covered services, unauthorized services
and/or services provided by providers
who are not part of Neighborhood Health
Providers. If you have any questions,
call Member Services at 1-800-826-6240.
|
|
Q:
|
Do I have the right to a second
opinion regarding a course of treatment
or surgery? |
| A:
|
Yes.
To request this, your Primary Care Provider
must complete a NHP Prior Approval Request
Form. The NHP Medical Director will
review your request. |
|
Q:
|
Where can I go for Urgent Care? |
| A:
|
You
can get an appointment for an urgent
care visit for same day or next day.
If you are home or away, contact your
PCP, any time, day or night. If you
cannot reach your PCP, call Member Services
at 1-800-826-6240. Tell the person who
answers what is happening. They will
tell you what to do. |
|
Q:
|
When I get my NHP ID Card can I
stop using my Medicaid benefit card? |
| A:
|
No,
you will need to use your Medicaid benefit
card to get services that NHP does not
cover. These exclusions vary by plan. |
|
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