Resources for selecting a health plan, provider, getting the most from your plan and what you can do when things go wrong

Do you have health plan questions or problems?

• Call your health plan. A customer service representative at your health plan can explain the plan’s policies and procedures. Look on the back of your health plan ID card for the member services phone number.
• Contact your provider’s office.
• If you are in an HMO, contact your medical group. Medical groups can help you find a doctor, and work out billing or authorization problems.

Become your own patient advocate!

Take the initiative to manage your health care before you need to access care and/or are in a crisis situation.

• Selecting a provider that is best suited for you and your family is a foundation for good health care. Good communication and a professional relationship with your provider goes a long way to ensuring your good health. 
• Review the Evidence of Coverage (EOC) booklet for your plan: This is where you will find detailed information about what is covered and what is not covered under the plan. Be sure to also call your plan before receiving a service to ensure you have coverage.
• You can appeal a decision rendered by your health plan: Most plans provide information in the EOC booklet on the appeal process.
• Stay updated on the latest information regarding your UC-sponsored health plans by visiting UCnet regularly.