What is Managed Care?

  • March 30, 2017
  • |Quartz
|
The first step to receive the benefits of managed care is to choose a primary care physician.
What is managed care and what are the benefits of having it? Learn more about the managed care services offered through Quartz here.

Managed Care

Managed care is designed to help keep members healthy. Managed care empowers members to seek preventive health care services and to work with their Primary Care Physician (PCP) to make the appropriate health care choices.

Managed care members have rights and responsibilities to assure they receive quality care and services. This includes the right to –

  • Choose a PCP
  • Privacy and confidentiality

In addition, you as a member are responsible for providing accurate
information and –

  1. Using your Unity PCP to coordinate your care.
  2. Contacting Unity Customer Service any time you have questions about your Unity benefits.

What are the benefits of Managed Care?

Unity’s Managed Care plans promote the following –

  • Convenient access. 
    Unity’s service area includes 26 counties throughout southwestern Wisconsin. Contact Unity Customer Service for more details.
  • Streamlined administration. 
    There is very little, if any, follow-up paperwork when you seek care from a Unity participating provider. Just show your member ID card at the time of service, pay any copayment, coinsurance or deductible and, in most instances, your practitioner will submit claims and prior authorizations on your behalf.
  • Care management. 
    Unity’s network of doctors, nurses and other health professionals work with your PCP to review your care and help ensure you receive medically necessary and appropriate services.
  • Health education and wellness. 
    Unity partners with UW Health and a variety of community providers to offer health education classes and services to improve your health and well-being. Visit unityhealth.com/health-wellness for more information.
  • Preventive health care. 
    Unity promotes preventive health care services, such as physical exams, well-child care, routine Pap tests and mammograms. Unity has adopted the Preventive Health Care Guideline, which is based on the U.S. Preventive Services Task Force. For a copy of the guideline, visit unityhealth.com/preventive.

 

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