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10/8/2019 7:01:53 PM
https://www.dmhc.ca.gov/HealthCareinCalifornia/TypesofPlans.aspx
Medi-Cal Managed Care Health Plan
Blue Shield of California Promise Health Plan (800) 605-2556
“The main one is that managed care plans usually require you to get your health care from the managed care network of providers.
If the network is not adequate to meet your needs, the managed care plan has an obligation to expand the network so that it is adequate, or to provide you with out-of-network services if necessary to meet your needs.”
네트워크 내부 서비스(network of providers)가 귀하의 요구를 충족시키기에 충분하지 않은 경우, 관리 형 케어 플랜(managed care plan)은 네트워크를 확장하여 귀하의 요구를 충족시키기 위해 필요한 경우 네트워크 외부 서비스(out-of-network services)를 제공 할 의무가 있습니다.
보험카드에 적혀있는 member services 에 전화를 하시여 ‘골다공증 주사를 맞으려하는데’
(Providers; Hospitals, physicians and other health care providers that are part of the managed care network) 메디칼 메니즈드 케어 (Blue Shield of California Promise Health Plan Medi-Cal managed care) 와 계약을 맺은 의사, 병원 등에 관한 정보를 받아서. . .여러 options 등에 관하여 상담하세요.
Medi-Cal Managed Care Health Plan
Blue Shield of California Promise Health Plan (800) 605-2556
“The main one is that managed care plans usually require you to get your health care from the managed care network of providers.
If the network is not adequate to meet your needs, the managed care plan has an obligation to expand the network so that it is adequate, or to provide you with out-of-network services if necessary to meet your needs.”
네트워크 내부 서비스(network of providers)가 귀하의 요구를 충족시키기에 충분하지 않은 경우, 관리 형 케어 플랜(managed care plan)은 네트워크를 확장하여 귀하의 요구를 충족시키기 위해 필요한 경우 네트워크 외부 서비스(out-of-network services)를 제공 할 의무가 있습니다.
보험카드에 적혀있는 member services 에 전화를 하시여 ‘골다공증 주사를 맞으려하는데’
(Providers; Hospitals, physicians and other health care providers that are part of the managed care network) 메디칼 메니즈드 케어 (Blue Shield of California Promise Health Plan Medi-Cal managed care) 와 계약을 맺은 의사, 병원 등에 관한 정보를 받아서. . .여러 options 등에 관하여 상담하세요.
