What
is the Good Health Care Services Program?What
is the Good Health Care Services Program?
t
is a discount membership program that provides access to healthcare providers
and aims to preserve the doctor patient relationship. Our goal is to bring unsurpassed
service, affordable pricing and outstanding quality to your individual and family
health care needs. These are not insurance products and do not provide
indemnity to our members. We are a supplement to primary insurance,
we are a means of offsetting the cost of services not covered by insurance.
The most recognizable discounts benefits are vision, prescription, and emergency
travel. You will receive personal ID cards and a membership guide.
What
is the Total Health Care Services Program?
By
upgrading to the Total Health Care Services program you and your family will
get today’s most complete health care benefits available in today’s
marketplace. You will receive all the benefits of the Good Health Care Services
program plus further savings on our: Physician Networks, Hospital Networks,
Dental Care, Alternative Medicine Network, LifeGuard Support™-Counseling
Services, LifeGuard Support™ for Eldercare, Long Term Care and Personal
Patient Advocacy Service programs. You will receive your personal I.D. card,
and membership guide.
How
do I know if there is a benefit or provider is in my area?
Our
benefits are available throughout the United States. We have established the
most comprehensive network of benefit providers available today. We have “blended”
the multiple provider networks available for each benefit, offering members
coverage in nearly every locale. If the population demands it, we have a provider
there.
What
kind of discounts will I receive?
The
benefit discounts range from 5% up to 50%. There are absolutely no gimmicks
or fine print. The contracted discount price will vary slightly by the individual
provider.
Can
I add my physician or dentist as a provider?
We
have enclosed a provider nomination form for your convenience. Please feel free
to copy this form to use for nomination of other providers. You may nominate
your physician or any other provider by filling out the form and forwarding
to the address located on the form. We will be more then happy to invite your
provider to apply for participation in our provider network. This process is
a courtesy to our members, but it is not a guarantee that your provider will
agree to provide said discounts.
Why
must I fill out the personal enrollment form that is requested?
We
cannot activate your Good Health Care/Total Health Care Services until receipt
of your personal enrollment activation form. We cannot issue your personal ID
cards and/or membership guides without the required information from you and/or
your family dependents. This is not a gimmick discount program. Your personal
ID and group ID numbers are required by our network providers as well as our
provider relation specialists to help secure your discounts and let them know
that you are active in the system.
When
can I begin using my Good Health Care/Total Health Care Services?
You
can begin using your benefits as soon as you receive your personal ID cards.
Those are sent to you within 7 to 10 business days of our receiving and processing
your personal enrollment activation form.
Who
is eligible and are their any restrictions?
Individuals
and families living in the U.S. are eligible. Your entire immediate family is
included in your membership. Immediate family members include spouse and all
dependent children. There are no restrictions due to pre-existing conditions,
occupation or age (dependent children are covered up to the age of 24).
You
will be eligible for discounts on all standard procedures that are provided
by the providers in our network. This includes medical, dental, vision care,
prescriptions, chiropractic care, pediatrics, surgery, physical therapy, and
much more!
Follow
the steps below:
Step 1: Enclosed in your Health Care Membership Guide are detailed instructions on how to use each of the services. You may also call the toll free numbers listed in the information provided on the back of your membership card or visit our website for further information or to use our “Provider Search” capability for provider location nearest you.
Step 2: Follow the instructions in your membership guide or on the back of your membership ID card to confirm participation of the provider you have selected prior to making your appointment with the provider.
Step 3: When you visit the provider, identify yourself by showing your membership ID card. Have your provider call the number listed on the back of your card corresponding to the service being rendered if they need to verify your benefits.
Step 4: After confirming the savings immediately applied to your visit, you will be asked to pay at the time services are rendered.
How
many membership cards will a family receive?
Each
individual or family membership includes one (1) set of membership identification
cards. Your card will display the primary members first and last name along
with any dependents (if the information was provided on your enrollment application).
Additional cards may be requested for a small processing fee.
Who
can qualify as a dependent under my plan? Is there a limit to the number of
dependents?
All
immediate family members (spouse and children) of the applicant are eligible.
There is no limit to the number of dependents.
Do
I have to file a claim form to get the savings?
NO.
There are no claim forms or other paperwork to file. Most providers will provide
you with the network price immediately during your visit.
What
if there is a pre-existing condition?
There
are no limitations on the use of the program, regardless of previous or current
health conditions. For the discount benefits, there are also no waiting periods.
How
do I know if a physician is a participating provider?
Our
networks have over 350,000 physicians and over 50,000 ancillary centers. On
the back of your membership ID card or in the membership kit you have received
are toll free numbers which you can call to locate a commonly used healthcare
provider in your area who is in the program. You may also use the provider search
capability that is on our website. Once you have located a provider, please
call the physician and hospital department number which is located on the back
of your membership ID card to confirm the physician you have selected is still
participating.
What
discounts do providers typically give?
Preferred
medical prices vary and could be as much as 30% or more below the usual fees.
The contracted discount price will vary by individual doctor. Since this is
not an insurance plan, you are responsible for 100% of the bill less the appropriate
discounts. You will be asked to pay at the time services are rendered.
Is
their a co-payment or deductible?
NO.
There are no co-pays or deductible.
Can
this service be used if I already have medical insurance?
In
some instances your medical insurance coverage may not cover a specific procedure
preformed by your doctor. In that event you may use your membership card to
reduce your out-of-pocket expenses by having the bill outlining the non-covered
insurance procedures submitted to the physician and hospital services department
for re-pricing.
Are
their any drugs excluded with your pharmacy plan?
NO.
Unlike some other programs, our program is “open formulary”, meaning
that a doctor may subscribe the most suitable medication to treat a particular
aliment or condition.