7. How Can I Get the Most from My Plan?
You will get the best care if you:
Stay Informed
- Read your health insurance policy and member handbook. Make
sure you understand them, especially the information on
benefits, coverage, and limits. Sales materials or plan
summaries cannot give you the full picture.
- See if your plan has a magazine or newsletter. It can be a
good source of information on how the plan works and on
important policies that affect your care.
- Talk to your health benefits officer at work to learn more
about your policy.
- Ask how the plan will notify you of changes in the network
of providers or covered services while you are part of the
plan.
Take Charge
- Ask your doctor about regular screenings to check your
health. Discuss your risk of getting certain conditions. What
lifestyle choices and changes might you need to make to lower
your risks or prevent illness?
- Ask questions and insist on clear answers.
- Ask about the risks and benefits of tests and treatments.
Tell your doctor what you like and dislike about your choices
for care.
- Make sure you understand and can follow the doctor's
instructions. You may want to bring another person along or
take notes to help you remember things.
Keep Track
- Write down your concerns. Start a health log of symptoms to
help you better explain any health problems when you meet with
your doctor.
- Set up health files for family members at home. This will
help you to monitor care. Include health histories of shots,
illnesses, treatments, and hospital visits. Ask for copies of
lab results. Keep a list of your medicines, noting side
effects and other problems (such as other drugs and foods that
should not be taken at the same time).
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