Plan Provider Directory: A Case Study

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Provider and Pharmacy Directory/Directorio de proveedores y farmacias FLORIDA Y0050_14_1000_0004_LR ProvPharmDir Y0050_14_1000_0004_LR ProvPharmDirSP 2014 Accepted Accepted Molina Medicare Plan Provider Directory This directory provides a list of Molina Medicare’s network providers. This directory is for the State of Florida in the counties of Broward, Hillsborough, Miami-Dade, Palm Beach, Pasco, Pinellas and Polk. This directory is current as of October 1, 2013. Some network providers may have been added or removed from our network after this directory was printed. We do not guarantee that each provider is still accepting new members. To get the most up-to-date information about Molina Medicare’s network providers…show more content…
How to change your PCP? You may change your PCP for any reason, at any time. To change your PCP, simply call Member Services at (866) 553-9494, 7 days a week, 8 a.m. to 8 p.m., local time. TTY/TDD users should call 711. When you call, be sure to tell Member Services if you are seeing specialists or getting other covered services that needed your PCP’s approval (such as home health services and durable medical equipment). Member Services will help make sure that you can continue with the specialty care and other services you have been getting when you change to a new PCP. They will also check to be sure that the PCP you want to switch to is accepting new patients. Member Services will change your membership record to show the name of your new PCP, and will tell you when the change will take effect. They will also send you a new membership card that shows the name and phone number of your new PCP. What if your doctor or provider leaves Molina Medicare? Sometimes a doctor, specialist, clinic, or other network provider that you are using might leave the…show more content…
If you don’t have a referral before you get services from a specialist, you may have to pay for these services yourself. Each PCP has certain network specialists they use for referrals. The Molina Medicare specialists you can use may depend on which PCP you choose. If there are specific specialists you want to use, find out whether your PCP refers patients to these specialists. You can change your PCP at any time if you want to see a network specialist that your current PCP does not refer to. If you want to change your PCP, simply call Member Services at (866) 553-9494, 7 days a week, 8 a.m. to 8 p.m., local time. TTY/TDD users should call 711. If there are specific hospitals you wish to use, find out whether your PCP uses these hospitals. The “network providers” listed in this directory have agreed to provide you with your health care and plan benefit services coverage. You may go to any of our network providers listed in this directory; however, some services may require a referral. If you have been going to one network provider, you

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