MEDICAL & DENTAL. Mabuhay! neighborcare.org
|
|
- Carmel Page
- 6 years ago
- Views:
Transcription
1 MEDICAL & DENTAL Mabuhay! neighborcare.org
2 Mabuhay! Mabuhay! Welcome to Neighborcare Health Meridian Center for Health Neighborcare Health at Meridian is located within the Meridian Center for Health, a health center offering comprehensive health care and social services in one location. It is a partnership between Neighborcare Health, Public Health Seattle & King County and Valley Cities Behavioral Health. We work together to provide medical, dental, behavioral health, WIC nutrition, maternity support services and other social services to shared patients. The center also offers community resources, classes, and space for gathering and meeting, fostering better health and wellness for the North Seattle community. Thank you for choosing Neighborcare Health at Meridian Neighborcare Health is committed to creating a health care home, encouraging longterm relationships between patients and providers. This means offering medical care as well as dental care, behavioral health (mental health and substance use recovery) services, health education and other services to care for the whole person. We meet our patients where they are geographically, culturally, physically and emotionally. We also encourage our patients to be actively involved in their own health, ask questions and take an interest in getting well and staying well.
3 Appointments Medical & Dental: Same-day appointments are often available. Please call for exact days and hours of operation, or visit our website neighborcare.org. We are closed most federal holidays. If you are going to be late to or miss your appointment, please call as soon as possible. We require one business day notice if you cancel or change an appointment. This allows us to make your appointment available to others. We will be happy to reschedule your appointment. Same-Day and After-Hours Care For urgent medical or dental care, walk-in services are available on a first-come, first-served basis. Please call for a same-day appointment or for after-hours care when we are closed. A free 24-hour nurse advice line is also available at
4 Medical Services / We provide a range of primary care health services for adults and children. We care for you when you are sick and help you stay healthy with regular check-ups and tips for living a healthy lifestyle. We will also help coordinate your care within Neighborcare Health and in the community. Services we offer include: n Preventive primary medical care n Family medicine n Help with chronic conditions, like diabetes n Free 24-hour nurse advice line n Connection to WIC nutrition and Maternity Support Services in the same building provided by Public Health Seattle & King County n Connection to additional mental health and drug and alcohol recovery services in the same building provided by Valley Cities Behavioral Health n Care coordination with hospitals, rehabilitation centers, and other care providers n Access for you and your family to evidencebased care and self-management support n Diabetes education and management n Gynecology and reproductive health care (family planning) n Pregnancy and newborn care including midwifery n Pediatrics and well-child care n Vaccinations n Screening and counseling of sexually transmitted infections n Nutrition counseling and health education n Integrative behavioral health (mental health, substance use, healthy lifestyle changes) n Social work services n Pharmacy and laboratory services n Referrals to specialists
5 Dental Services / Neighborcare Health at Meridian provides comprehensive general dentistry and emergency dental care to patients of all ages. We are committed to partnering with our patients to improve their dental health and wellness through education, tips for a healthy diet, and regular access to dental care. A healthy mouth is essential to keeping the rest of your body healthy, therefore we want to see you regularly for your dental check-ups and care. Services we offer include: n Dental exams, X-rays, cleanings, sealants, fillings and extractions n Oral health education Pharmacy Services / For your convenience, Neighborcare Health at Meridian has a pharmacy on site. n Pharmacy staff can work directly with your provider on site. n Pharmacy staff members can answer questions in many languages. n Reduced prices on medications are available to patients who qualify for our sliding-fee discount program. If you use a non-neighborcare Health pharmacy, please coordinate with your pharmacy for your prescription requests. n Specialty care, including limited oral surgery, crown, denture and root canal services n Emergency care services for all patients on a first-come, first-served basis Interpreter Services Patients speaking more than 45 different languages and dialects visit our clinics. We have interpreters and other staff members at our clinics who speak Somali, Spanish, Vietnamese and many other languages. We also provide on-site interpretation services in other languages.
6 What to Bring If you are a new patient: Please bring any written records of your medical care outside of Neighborcare Health. Also, please bring the following: n Any medications you are currently taking. n Your insurance or ProviderOne card. If you are uninsured: We ask all uninsured patients to make an appointment with an eligibility specialist to learn if they qualify for health insurance through the Washington Healthplanfinder, the Neighborcare Health Sliding Fee Discount Program, or other programs. Please bring the following documents to your eligibility appointment: Income Verification: n Taxable earned gross income for the past 30 days for every working member in household. (Ex., pay stubs, tips, pension, unemployment, alimony, unearned income, etc.) n 1040 Federal Tax Form (most recent year) n Other documentation (if applicable) Employer letter containing employer name and address, and income information. Award letter of benefits (Ex., Social Security, pension, etc.) Unemployment award letter or last two unemployment check stubs. A letter of support or reference from an individual or organization. Identity and Residence Verification: n If you are a US citizen, please bring Social Security numbers, Certificates of Naturalization (if available,) passports (if available) and names of family members to be enrolled. n If you are a legal immigrant, please bring a Permanent Resident Card (green card), passport (if available) and Social Security numbers of family members to be enrolled. n A current photo ID such as driver s license, state-issued identification card, or military ID. If you do not have access to these documents please speak to an eligibility specialist. We provide services regardless of immigration status. Other Important Information: n An address, if available. n Additional documents may be required on a case-by-case basis. Family Size Verification: n Birth and marriage certificates for all family members if 1040 Federal Tax Form is not available.
7 Fees and Insurance We believe that quality health care should be available to everyone. No one is denied services due to ability to pay. We accept Washington Apple Health (Medicaid), Medicare and most types of insurance. Proof of insurance or payment is expected at the time of service, including co-pays. We ask uninsured patients to meet with an eligibility specialist to determine if they are eligible for public insurance or a sliding fee discount. If you are uninsured and choose not to apply for public insurance or the sliding fee discount, we ask for a deposit to cover the initial cost of your care. Deposits: n $80 for medical n $90 for dental $5 discount if fee paid at time of your appointment If you qualify for the sliding fee discount program, the fees start at: n $20 for a medical appointment n $45 for a dental appointment $5 discount if fee paid at time of your appointment Neighborcare Health patients are billed directly by LabCorp for any lab tests and services. Patients are responsible for paying LabCorp directly. Neighborcare Health informs LabCorp if a patient is eligible for the sliding fee discount, and LabCorp applies the discount. Patients with questions or concerns about a bill are welcome to contact our billing department at Neighborcare Health is a non-profit organization. Public grants and insurance reimbursement cover only a portion of our expenses. Even a small tax-deductible gift can help cover the unmet need to care for a patient. thank you! Patient Rights and Responsibilities As a patient of Neighborcare Health You have the right to: n Care and service: With privacy and confidentiality, That respects your beliefs and values, In a safe, secure, comfortable and clean environment. n Information about: Our services and providers, Your health and proposed treatments, How to provide feedback to us about your care. n Participate in decisions about your health care treatments and procedures. n Language assistance services. You have the responsibility to: n Provide complete information about your health history and current health. n Participate in decisions about your health care treatments and procedures. n Follow the treatment plan developed with your provider or inform your provider if you are unable to follow through. n Treat Neighborcare Health staff, patients and property respectfully. n Make and keep appointments and notify the clinic if you are going to be late or need to cancel an appointment. n Pay the bills and fees for the health care services provided to you. Neighborcare Health does not discriminate against any person on the basis of race, color, national origin, creed, religion, sex, gender identity or expression, age, citizenship, past or present military service, marital status, sexual orientation, political ideology, or physical, mental or sensory disability, or any other factor that the law protects.
8 We re in your neighborhood. 1. Neighborcare Health at 45th Street 1629 N 45th St, Seattle, WA Neighborcare Health Youth Clinic at 45th Street 1629 N 45th St, Seattle, WA Neighborcare Health at Bailey Gatzert Elementary 1301 E Yesler Way, Seattle, WA Neighborcare Health at Ballard 1753 NW 56th St, #200, Seattle, WA Neighborcare Health at Boren 1930 Boren Ave, Seattle, WA Neighborcare Health at Central District 2101 E Yesler Way, Seattle, WA Neighborcare Health at Chief Sealth International High School 2600 SW Thistle St, Seattle, WA Neighborcare Health at Columbia City th Ave S, Seattle, WA Neighborcare Health at Dearborn Park Elementary 2820 S Orcas St, Seattle, WA Neighborcare Health at Denny International Middle School 2601 SW Kenyon St, Seattle, WA Neighborcare Health at Georgetown th Ave S, Seattle, WA Neighborcare Health at High Point th Ave SW, Seattle, WA Neighborcare Health at Highland Park Elementary 1012 SW Trenton St, Seattle, WA Neighborcare Health at Lake City th Ave NE, #101, Seattle, WA Neighborcare Health at Madison Middle School th Ave SW, Seattle, WA Neighborcare Health at McDermott Place rd Ave NE, #200, Seattle, WA Neighborcare Health at Mercer Middle School 1600 S Columbian Way, Seattle, WA Neighborcare Health at Meridian Meridian Ave N., Seattle, WA Neighborcare Health at Pacific Tower th Ave S., 4th Floor, Seattle WA Neighborcare Health at Pike Place Market 1930 Post Alley, Seattle, WA Neighborcare Health at Rainier Beach 9245 Rainier Ave S, Seattle, WA Neighborcare Health at Roosevelt High School 1410 NE 66th St, Seattle, WA Neighborcare Health at Roxhill Elementary th Ave SW, Seattle, WA OFF MAP lake city Northgate 24. Neighborcare Health at St. Vincent de Paul Aurora Aurora Ave North, Seattle, WA Neighborcare Health at Van Asselt Elementary 8311 Beacon Ave S, Seattle, WA Neighborcare Health at Vashon SW 210th St, Vashon, WA Neighborcare Health at West Seattle Elementary th Ave SW, Seattle, WA Neighborcare Health at West Seattle High School 3000 California Ave SW, Seattle, WA = Medical = Dental = School-based Health Center = Pharmacy
9 Neighborcare Health is the largest provider of primary medical and dental care in the Seattle area for low-income and uninsured families and individuals, serving our community for almost 50 years. Mabuhay! Meridian Ave N, Seattle, WA Phone: Fax: neighborcare.org Photography by Djordje Zlatanovic, Clare Barboza, Stefanie Felix, NBBJ & istockphoto.com December 2016
2600 SW Thistle St., Seattle, WA Phone: neighborcare.org
2600 SW Thistle St., Seattle, WA 98126 Phone: 206-938-1360 neighborcare.org Welcome! Neighborcare Health at Chief Sealth International High School is a full service health clinic that provides medical,
More informationWelcome To Clinica! Patient Guide To Services, Hours and Important Information About Clinica. Page 1
Welcome To Clinica! Patient Guide To Services, Hours and Important Information About Clinica 2018 Page 1 Important Phone Numbers Medical Appointments...303.650.4460 Dental Appointments...303.650.4460 Financial
More informationWelcome to BCHC Your Medical Home
START HERE 1 Welcome to BCHC Your Medical Home Thank you for choosing Berks Community Health Center (BCHC) as your medical home. This booklet gives you information about being a patient at BCHC and what
More informationC O M M U N I T Y H E A L T H C E N T E R S 1
C O M M U N I T Y H E A L T H C E N T E R S 1 Medical/Dental Home? A Patient Centered Medical/Dental Home is called a "home" because we would like it to be the first place you think of for all your healthcare
More informationCONNECT TO HEALTHCARE IN PINELLAS COUNTY FLORIDA
CONNECT TO HEALTHCARE IN PINELLAS COUNTY FLORIDA CLEARWATER FREE CLINIC ADDRESS: 707 N FORT HARRISON AVE, CLEARWATER, FL 33755 PHONE: (727) 447-3041 ST PETERSBURG FREE CLINIC IN ST. PETERSBURG, FLORIDA
More informationWoonsocket Health Hut Handbook
Woonsocket Health Hut Handbook Keeping Kids Healthy at School and at Home A partnership of Thundermist Health Center of Woonsocket and the Woonsocket School Department. Serving Woonsocket High School.
More informationSPRING BRANCH COMMUNITY HEALTH CENTER
Hillendahl Clinic 1615 Hillendahl Blvd., Suite 100 Houston, TX 77055 (713) 462-6565 Pitner Clinic 8575 Pitner Road Houston, TX 77080 (713) 462-6545 Mon, Wed, Fri: 8am-5pm Tues & Thurs: 8am-8pm 1 st & 3
More informationSUMMARY OF DISTRICT FACILITIES: SCHOOL YEAR. Total District Sites (Owned by SPS: 119 Schools in Leased Space: 2)
SUMMARY OF DISTRICT FACILITIES: 2016-17 SCHOOL YEAR Total District Sites - 121 (Owned by SPS: 119 Schools in Leased Space: 2) Administrative and other sites - 5 John Stanford Center for Educational Excellence
More informationCharity Care Application: An application used by SHC financial counselors and designed to determine if patients are eligible for Charity Care.
POLICY NAME: EFFECTIVE DATE: 1/18/16 PAGE: 1 of 8 PURPOSE: Shriners Hospitals for Children (SHC) is committed to providing care to children with neuromusculoskeletal conditions, burn injuries and certain
More informationPeachCare for Kids. Handbook
PeachCare for Kids Handbook Table of Contents What is PeachCare for Kids?...2 Who is eligible?...3 How do you apply for PeachCare for Kids?...3 Who will be your child s primary doctor?...4 Your child s
More informationDISCLAIMER: ECHO Nevada emphasizes patient privacy and asks participants to not share ANY Protected Health Information during ECHO clinics.
DISCLAIMER: Video will be taken at this clinic and potentially used in Project ECHO promotional materials. By attending this clinic, you consent to have your photo taken and allow Project ECHO to use this
More informationInformation about the District s financial assistance and charity care policy shall be made publicly available as follows:
SCOPE (choose from: District wide, Family Medicine, Home Health Hospice, Hospital): District Wide LEVEL (any departments within service areas that the procedure applies to): Patient Financial Services
More informationCongressional Regional Plan BlueChoice HMO Referral Gold 80 Non-Integrated Deductible
Congressional Regional Plan BlueChoice HMO Referral Gold 80 Non-Integrated Deductible Summary of Benefits Services In-Network You Pay 1 FIRSTHELP 24/7 NURSE ADVICE LINE Free advice from a registered nurse.
More informationPARTICIPANT HANDBOOK. City and County of San Francisco Department of Public Health Updated February 2017
PARTICIPANT HANDBOOK City and County of San Francisco Department of Public Health Updated February 2017 www.healthysanfrancisco.org Contents About this Handbook...1 What is Healthy San Francisco?...1 Your
More informationApril L. Lyons, MSN, RN Director of Clinical Operations Westside Family Healthcare
April L. Lyons, MSN, RN Director of Clinical Operations Westside Family Healthcare U.S. Incarceration Rates The incarceration rate of the United States is the highest in the world, at 716 per 100,00 of
More informationDear Kaniksu Patient,
Dear Kaniksu Patient, Welcome to Kaniksu Health Services (KHS), a Community Health Center that provides quality and affordable medical, pediatric, dental, behavioral health and veteran care, regardless
More informationPatient rights and responsibilities
Patient rights and responsibilities (Also: Billing FAQs) Legacy Health Patient Information: Rights/Responsibilities, It s OK to Ask, Billing FAQs 1 Patient rights and responsibilities Your hospital experience
More informationUnderstanding Health Care in America An introduction for immigrant patients
Patient Education Understanding Health Care in America An introduction for immigrant patients The health care system in the United States is complex. Some parts of the system are different in different
More informationThe enclosed yellow sheet includes a chart that describes the services covered for each benefit package and a list of helpful phone numbers.
5503 XX#### XX P2 ENG AT PO BOX ##### SALEM, OR 97309 DO NOT FORWARD: RETURN IN 3 DAYS Branch name/division: OHP/CAF Worker ID/Telephone: XX/800-699-9075 JOHN DOE 123 MAIN ST HOMETOWN OR 97000 The name
More informationPOLICY AND PROCEDURE
POLICY AND PROCEDURE POLICY #: 53.05 SUBJECT: FINANCIAL ASSISTANCE POLICY POLICY: It is a policy of The Valley Hospital to provide medically necessary healthcare services to all patients, while carefully
More informationPOLICY FINANCIAL ASSISTANCE FOR THE UNINSURED & UNDERINSURED PURPOSE MGH&FC
PURPOSE Mason General Hospital and Family of Clinics (the District ) is committed to the provision of emergency health care services to all persons in need of medical attention regardless of ability to
More informationST. CLARE HEALTH CLINIC PATIENT HANDBOOK
ST. CLARE HEALTH CLINIC PATIENT HANDBOOK Important Information For You! 1121 South Indiana Avenue Crown Point In 46307 (219) 663-2160 FAX (219) 663-7658 PN.9440.0030 REV. 3/19/15 3/STAPLE Affiliated with
More informationNew Patient Packet. Shawnee Health Care (618) Welcome to.
New Patient Packet Welcome to Shawnee Health Care www.shawneehealth.com (618) 519-9200 Table of Contents Page Welcome............................. 4 Our Mission............................ 4 Our Commitment
More informationBlueChoice HMO HSA/HRA Silver 2000 Integrated Deductible
BlueChoice HMO HSA/HRA Silver 2000 Integrated Deductible Summary of Benefits Services In-Network You Pay 1 FIRSTHELP 24/7 NURSE ADVICE LINE Free advice from a registered nurse. Visit www.carefirst.com/needcare
More informationWhat does it mean. What is the Patient Advocacy program at Open Door? What is the Behavioral Health program
What does it mean to be an FQHC? FQHC s like Open Door are required to: Serve a medically underserved area or population. Offer a sliding fee scale. Provide comprehensive services. Meet rigorous health
More informationPreventative Guidelines
Preventative Guidelines Well Care Services-determined by age and gender Services paid at 100 percent, meaning- at no cost to you. Ages: Newborn-18 years of age Adults: 19 years and up Diagnostic Checkups
More informationCommunity Needs Assessment. Swedish/Ballard September 2013
Community Needs Assessment Swedish/Ballard September 2013 Why Do This? Health Care Reform Act requirement Support our mission to give back to community while targeting its specific health needs Strategically
More informationGREENWOOD LEFLORE HOSPITAL FINANCIAL ASSISTANCE POLICY
GREENWOOD LEFLORE HOSPITAL FINANCIAL ASSISTANCE POLICY Scope: This Greenwood Leflore Hospital ( Hospital ) Financial Assistance Policy ( FAP ) applies to all charges for emergency and medically necessary
More informationStop, if you are under the age of 21 and living with your parents, an office visit is required.
TIME SAVING TIPS! IMPORTANT INFORMATION FOR MEDI-CAL APPLICANTS ONLY APPLYING FOR MEDI-CAL? MAIL IN YOUR APPLICATION AND SAVE TIME! Stop, if you are under the age of 21 and living with your parents, an
More informationFINANCIAL ASSISTANCE BUSS_0040 Start Date: 3/1/2018 Approval Date:
I. PURPOSE: Bay Area Hospital is committed to providing charity care to persons who have healthcare needs and are uninsured, underinsured, ineligible for a government program, or otherwise unable to pay
More informationGUIDE. to your Medicare Benefits. Effective January 1- December 31, Look inside for more information on:
GUIDE to your Medicare Benefits Effective January 1- December 31, 2018 Look inside for more information on: $0 monthly premium $2,000 dental coverage $75 a quarter for OTC items More brand name drugs No
More informationPinellas County Health Program. Client Handbook. (Revised December, 2017)
Pinellas County Health Program Client Handbook (Revised December, 2017) The Pinellas County Health Program (PCHP) is a primary care and prevention-focused health care program for eligible Pinellas County
More informationRESOURCE CENTER ASSISTANCE APPLICATION
RESOURCE CENTER ASSISTANCE APPLICATION Please clearly print all information on application. Complete the application in blue/black ink. Do not leave any blank spaces enter 0 or N/A if it does not apply.
More informationBoston Medical Center Financial Assistance Policy. Introduction
Boston Medical Center Financial Assistance Policy Introduction The mission of Boston Medical Center (the Hospital or BMC ), in partnership with its licensed Community Health Centers, is to provide consistently
More informationI. Purpose. II. Definitions
Financial Assistance Policy and Charity Care Policy EFFECTIVE DATE: 1/01/07 REVISED DATE: 3/01/12 REVISED DATE: 9/26/12 REVISED DATE: 12/26/12 REVISED DATE: 2/20/13 REVISED DATE: 4/1/13 REVISED DATE: 1/15/2014
More informationPEDIATRIC CENTER FOR WELLNESS, P.C. CRYSTAL B. HOOD, M.D KLONDIKE RD SW SUITE 205 CONYERS, GA TELEPHONE FAX
PEDIATRIC CENTER FOR WELLNESS, P.C. CRYSTAL B. HOOD, M.D. 1506 KLONDIKE RD SW SUITE 205 CONYERS, GA 30094 678-750-4000 TELEPHONE 678-750-4005 FAX www.pcfwellness.com Dear Family, We are excited to welcome
More informationSeattle Public Schools Five Year School Projections ( ) Last Updated: 10/19/2016
Student Assignment and Projections Overview Seattle Public Schools elementary, middle, and high school students are initially assigned to a designated attendance area school based on where the student
More informationNew Patient Welcome. elrio.org
New Patient Welcome elrio.org Welcome to EL RIO Your HEALTHCARE HOME A healthcare home is a place where healthcare professionals know your needs, history, and how to help you stay healthy. A healthcare
More informationThe Healthy Michigan Plan Handbook
The Healthy Michigan Plan Handbook Introduction The Healthy Michigan Plan is a health care program through the Michigan Department of Community Health (MDCH). The Healthy Michigan Plan provides health
More informationWelcome to The Brevard Health Alliance
Welcome to The Brevard Health Alliance The Brevard Health Alliance, Inc. (BHA) is a Community Health Center serving Brevard County residents providing comprehensive medical services to all residents. It
More informationWelcome New Patients:
Welcome New Patients: Thank you for choosing HealthSource of Ohio. Our promise to you is to provide quality patient-centered health care. We hope you will find the information in this packet to be useful
More informationCareFirst BlueChoice. District of Columbia
CareFirst BlueChoice District of Columbia Welcome We are pleased to offer you enrollment in our CareFirst BlueChoice Health Maintenance Organization (HMO) plan. Designed for today s health conscious and
More informationQuick start guide (TTY 711) AVA-MEM
Quick start guide www.anthem.com/vamedicaid 1-800-901-0020 (TTY 711) AVA-MEM-0732-17 Welcome to the Anthem HealthKeepers Plus plan We re glad you chose us! This booklet will help you learn how to use your
More informationHealth Coverage + Care
SACRAMENTO WOMEN S GUIDE TO Health Coverage + Care Women in Sacramento County have new options for getting health coverage and care. Use this guide to find out which option is right for you. This guide
More informationWelcome to Baptist Medical Group - Westside. Please read the below information carefully to prepare for your upcoming appointment.
BAPTISTMEDICALGROUP.ORG Westside Welcome to - Westside Please read the below information carefully to prepare for your upcoming appointment. Please arrive 15 minutes prior to your regularly scheduled appointment
More information2018 CareOregon Advantage Plus (HMO-POS SNP) Summary of Benefits
2018 CareOregon Advantage Plus (HMO-POS SNP) Summary of Benefits For Oregon counties: Clackamas, Clatsop, Columbia, Jackson, Josephine, Multnomah, Tillamook, Washington and Yamhill H5859_1099_CO_1018 CMS
More informationLahey Clinic Hospital, Inc. Financial Assistance Policy
Lahey Clinic Hospital, Inc. Financial Assistance Policy This policy applies to Lahey Clinic Hospital, Inc. DBA Lahey Hospital and Medical Center ( the hospital ) and specific locations and providers as
More informationAdult Health History
Adult Health History Name: DOB: Please list medications, including: vitamins, herbs, homeopathic remedies, and nonprescription medicines on the attached medication sheet. Medical History: High blood pressure
More informationComprehensive Dental Care Using General Anesthesia
UW MEDICINE PATIENT EDUCATION Comprehensive Dental Care Using General Anesthesia This handout provides the information you need to make an informed choice about having general anesthesia to complete your
More informationOPEN DOORS FINANCIAL ASSISTANCE. oceancommunityymca.org. The Y: So Much More.
OPEN DOORS FINANCIAL ASSISTANCE The Y: So Much More. oceancommunityymca.org Frequently Asked Questions Scholarships are available to adults, children, and families who are unable to attend the Y or its
More informationA guide to choosing your Anthem Blue Cross health plan MANPOWER TEMPORARY SERVICES (NON-CORE HMO) Effective January 1, 2016
What's Inside Getting started with health insurance...3 A health plan that works for you...4 More coverage for you...5 Frequently asked questions (FAQs)...6 A guide to choosing your Anthem Blue Cross health
More informationLetter from the CEO. At Columbia Basin Health Association, the faces of success are as varied as the faces of our patients.
2010 Annual Report Letter from the CEO At Columbia Basin Health Association, the faces of success are as varied as the faces of our patients. Success is The diabetic patient who, with the help of their
More informationSchool Year
2017-2018 School Year Dear Parents/Guardians: Did you know that your son or daughter can get Health Care at school? Vashon Island High School has a School-based Health Center (SBHC) that is located in
More informationAdministrative Policies and Procedures UW Medicine CHARITY CARE. Effective Date: 4/27/15. Review Date: 4/15/15
Administrative Policies and Procedures UW Medicine CHARITY CARE Division: Effective Date: Administration 4/27/15 Review Date: 4/15/15 Reviewer: Jerry Brooks / Matt Lund / Cheryl Sullivan POLICY This Charity
More informationStaying Healthy Guide Health Education Classes. Many classroom sites. Languages. How to sign up. Customer Service
Staying Healthy Guide Health Education Classes We care about the health of our members. That is why our health plan offers health education classes to help our members stay healthy and learn how to be
More informationPatient Handbook 34 Benwood Ave Buffalo, NY
Patient Handbook 15 Table of Contents Mission/Vision..1 Values. 2 Our Services...3 - Specialty Care - Diagnostic Services - Support Services Visits to your Primary Care Provider....4 The Order Patients
More informationPatient Registration Form
Date: Padma Sripada MD, Columbia Internal Medicine 2500 Pond View, Suite 202 Castleton on Hudson, NY 12033 Phone: 518-391-2889 Patient Registration Form First Name Middle Last Name... Sex: M F Date of
More informationPATIENT-FOCUSED EXCELLENCE SINCE Annual Report
PATIENT-FOCUSED EXCELLENCE SINCE 1972 Annual Report Letter from the CEO CBHA turns 40! On March, 26, 2012, CBHA will officially reach this milestone. Some see the Big 4-0 as the entry to middle age and
More informationCommunity Health Center of Snohomish County. Annual Report 2006
Community Health Center of Snohomish County Annual Report 2006 Artist s rendering of our 112th Street Clinic, scheduled to open summer 2007 Mission, Vision, Values Mission Our mission is to reach out to
More informationContinuing Certain Medicaid Options Will Increase Costs, But Benefit Recipients and the State
January 2005 Report No. 05-03 Continuing Certain Medicaid Options Will Increase Costs, But Benefit Recipients and the State at a glance Florida provides Medicaid services to several optional groups of
More informationNOTICE OF PRIVACY PRACTICES
NOTICE OF PRIVACY PRACTICES THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY. WHAT IS A NOTICE
More informationAdult Learning. Initiation Client identifies adult learning need(s). Date
Birth Adult Learning Client identifies adult learning need(s). Date Partner with client to establish and review educational and/or career goals. Document goal(s) and desired outcome(s). Goals: Assist client
More information2015 Annual Report to the City of Seattle. Approved March 9, 2016 by the PHPDA Governing Council
Approved March 9, 2016 by the PHPDA Governing Overview Purpose & Mission The (PHPDA) is a public development authority established under Seattle Municipal Code 3.110 and a 501(c)(3) organization. In 1981,
More informationReDiscover. Client Handbook. Our Mission
ReDiscover Help, Hope, and Healing Client Handbook Our Mission To deliver mental health and substance use disorder services to help individuals and families achieve healthier and more productive lives.
More informationDear Patient, We would like to personally welcome you to our clinic. We are pleased that you have chosen us to be your primary care provider.
Dear Patient, We would like to personally welcome you to our clinic. We are pleased that you have chosen us to be your primary care provider. It is our responsibility to deliver the best healthcare possible
More informationChild Care Assistance Provider Agreement
Child Care Provider Information Iowa Department of Human Services Child Care Assistance Provider Agreement In order for you to receive payment under the Child Care Assistance Program, you must provide
More informationCharity Care Application: An application used by SHC financial counselors and designed to determine if patients are eligible for Charity Care.
POLICY NAME: EFFECTIVE DATE: 1/18/16 PAGE: 1 of 8 PURPOSE: Shriners Hospitals for Children (SHC) is committed to providing care to children with neuromusculoskeletal conditions, burn injuries and certain
More informationCampus Health Services
Campus Health Services WHERE ARE WE? Patient Confidentiality If a student is UNDER 18, parents/guardians will be contacted about treatment except for encounters related to: Substance Abuse Mental Health
More informationChoptank Community Health System Caroline County School Based Health Centers Healthy Children Are Better Learners MEDICAL
Choptank Community Health System Caroline County School Based Health Centers Healthy Children Are Better Learners MEDICAL Dear Parent/Guardian: As a student in the Caroline County Public School system,
More informationGIC Employees/Retirees without Medicare
GIC Active Employees & Retirees without Medicare 7/1/18 GIC Employees/Retirees without Medicare HMO Summary of Benefits Chart This chart provides a summary of key services offered by your Health New England
More informationWhat Does Medicaid Do?
Page 1 of 5 Texas Department of Health What Does Medicaid Do? Table 4.1 Medicaid Eligibility in Texas: 1998 TANF-Related Categories (dollar amounts = maximum income limit for eligibility: asset cap: $2000)
More informationEastern Oklahoma Donated Dental Services (E.O.D.D.S.)
Eastern Oklahoma Donated Dental Services (E.O.D.D.S.) Dental Applicant Information E.O.D.D.S. operates on a first come, first serve bases; and you will not receive any notification that you have been approved
More informationSignature (Patient or Legal Guardian): Date:
X-Ray Patient Information: [ ] Male [ ] Female Patient Name: Date of Birth: / / SS#: Mailing Address: City: State: Zip: Phone # s: (Home) (Work) (Cell) Referring Physician: Phone #: /Fax#: Additional Physician:
More informationCape Cod Hospital, Falmouth Hospital Financial Assistance Policy
Introduction This policy applies to Cape Cod Hospital, Falmouth Hospital and any other specific locations and providers as identified in this policy. The hospital is the frontline caregiver providing medically
More informationProvider Rights and Responsibilities
Provider Rights and Responsibilities This section describes Molina Healthcare s established standards on access to care, newborn notification process and Member marketing information for Participating
More informationPrograms for Native Americans Living in Scott County
Shakopee Mdewakanton Sioux Community Programs for Native Americans Living in Scott County SMSC Health Department Childcare Subsidy Program 6 Shakopee Dakota Dental Clinic 2 Emergency Assistance Programs
More informationSummary of Benefits Silver 70 HMO Trio
Blue Shield of California is an independent member of the Blue Shield Association Summary of Benefits Silver 70 HMO Trio Individual and Family Plan HMO Benefit Plan This Summary of Benefits shows the amount
More informationTABLE OF CONTENTS. Primary Care 3. Child Health Services. 10. Women s Health Services. 13. Specialist Health Services 16. Mental Health Services.
TABLE OF CONTENTS Primary Care 3 Child Health Services. 10 Women s Health Services. 13 Specialist Health Services 16 Mental Health Services. 24 2 PRIMARY CARE What is it? Primary care is a patient's first
More informationGoing Above & Beyond. Annual Report
Going Above & Beyond Annual Report February 2012 January 2013 To the Members of Our Community It has been another outstanding year for Community Health Centers. In December 2012, CHC celebrated our 40th
More informationMember Handbook. HealthChoices Allegheny County
Member Handbook HealthChoices Allegheny County Contents Welcome to Community Care! 3 About Community Care 6 Behavioral Health Services for HealthChoices Members 9 Getting Help 11 Your Rights and Responsibilities
More informationHealthy Kids Connecticut. Insuring All The Children
Healthy Kids Connecticut Insuring All The Children Goals & Objectives Provide affordable and accessible health care to the 71,000 uninsured children Eliminate waste in the system Develop better ways to
More informationBenefits at a Glance. Vectrus Systems Corporation Policy Number: 04804A. OAP Global Plan
Benefits at a Glance Vectrus Systems Corporation Policy Number: 04804A OAP Global Plan Vectrus Systems Corporation Long Benefits at a Glance Policy # 04804A Effective Date January 1, 2016 Vectrus Systems
More informationSkagit Regional Health Financial Assistance/Sliding Fee Scale Business Office - Hospital Official (Rev: 6)
Page 1 of 5 Purpose Skagit Regional Health Policy Skagit Regional Health Financial Assistance/Sliding Fee Scale Business Office - Hospital 59792 Official (Rev: 6) Skagit Regional Health (SRH) is committed
More informationSummary of Benefits Platinum 90 HMO Trio
Blue Shield of California is an independent member of the Blue Shield Association Summary of Benefits Platinum 90 HMO Trio Individual and Family Plan HMO Benefit Plan This Summary of Benefits shows the
More informationPATIENT NOTICE. If you are already taking any of the above medications, your provider may want to talk to you about alternative treatments.
PATIENT NOTICE Our goal at is to provide quality medical care. Because of our concern for your health and well-being, there are certain types of medications we may not be able to prescribe to you. Examples
More information1199SEIU Greater New York Benefit Fund OVERVIEW OF YOUR BENEFITS
1199SEIU Greater New York Benefit Fund OVERVIEW OF YOUR BENEFITS I HOSPITAL CARE This benefit is for the hospital s charge for the use of its facility only. Coverage for services rendered by doctors, labs,
More informationEvidence of Coverage SANTA CLARA FAMILY HEALTH PLAN MEDI-CAL. Toll Free: TTY:
SANTA CLARA FAMILY HEALTH PLAN MEDI-CAL Evidence of Coverage 2016-2017 Toll Free: 1-800-260-2055 TTY: 1-800-735-2929 Hours: 8:30 a.m. to 5:00 p.m., Monday - Friday (except holidays). If you have questions,
More informationCandidates failing to include ALL required documentation will be disqualified.
To All Police Officer Candidates: Thank you for your interest in employment with the City of South St. Paul! We anticipate hiring two officers immediately with additional opening(s) occurring during the
More informationLavaca SBHC Providers, Services, Hours, and How to Make an Appointment
The Lavaca School-Based Health Center (SBHC) is located on the Lavaca Middle School campus and serves all students and staff in our district, as well as community members. Our center offers medical, dental,
More informationThe University of Chicago Guide to Student Health and Counseling Services
The University of Chicago Guide to Student Health and Counseling Services 2017 2018 Welcome to the University of Chicago! We believe good health is essential for academic success. At the University of
More informationALASKA DIRECT PRIMARY CARE AGREEMENT BETWEEN PROVIDER AND PATIENT
ALASKA DIRECT PRIMARY CARE AGREEMENT BETWEEN PROVIDER AND PATIENT The DIRECT PRIMARY CARE AGREEMENT BETWEEN PROVIDER AND PATIENT (the Alaska Direct Primary Care Agreement ), is by and between the direct
More informationBenefits and Premiums are effective January 01, 2018 through December 31, 2018 PLAN DESIGN AND BENEFITS PROVIDED BY AETNA LIFE INSURANCE COMPANY
The maximum out-of-pocket limit applies to all covered Medicare Part A and B benefits including deductible. Primary Care Physician Selection Optional There is no requirement for member pre-certification.
More informationAdministrative Hospitalwide Policy and Procedure Policy: Charity Care and Financial Assistance Policy Number: Joseph S. Gordy, CEO Flagler Hospital
Administrative Hospitalwide Policy and Procedure Policy: Charity Care and Financial Assistance Policy Number: Joseph S. Gordy, CEO Flagler Hospital Originator: Coordinating Departments: Signature: Chief
More informationSchool Year
2017-2018 School Year Dear Parents/Guardians: Did you know that your son or daughter can get Health Care at school? West Seattle High School has a School-based Health Center (SBHC) that is located in the
More informationPlan Overview. Health Net Platinum 90 HSP. Benefit description Member(s) responsibility 1,2
PureCare HSP is available through Covered CA in Kings, Madera, Sacramento, and Yolo counties, and parts of El Dorado, Fresno, Nevada, Placer, and Santa Clara counties. Plan Overview Health Net Platinum
More informationPatient Registration Form
Padma Sripada MD, Columbia Internal Medicine 2500 Pond View, Suite 202 Castleton on Hudson, NY 12033 Phone: 518-391-2889 Date: Patient Registration Form First Name Middle Last Name... Sex: M F Preferred
More informationLives (circle one): in assisted living with a relative alone
Patient name: How did you hear about us? Lives (circle one): in assisted living with a relative alone Current address (include name of assisted living or independent living facility if applicable): Current
More informationHealth plans for Maine small businesses Available through the Health Insurance Marketplace
Health plans for Maine small businesses Available through the Health Insurance Marketplace Effective January 1, 2016 We can help you navigate the health care road We re here to help. In fact, for more
More informationAdministrative Policies and Procedures FINANCIAL ASSISTANCE
Administrative Policies and Procedures FINANCIAL ASSISTANCE POLICY This Financial Assistance Policy is intended to ensure that residents of Washington State who are at or near the federal poverty level
More information2016 Open Enrollment Presentation for: University of California Senior Advantage
2016 Open Enrollment Presentation for: University of California Senior Advantage 2 Three ways we make good health easier Quality care. We do what it takes to help you get healthy, and partner with you
More information