Health > Getting health services with managed care
Know Your Rights
Find answers to your legal questions
There are 19 resources
What is managed care?
What is managed care?
(Separate Website)
This fact sheet explains what managed care is, including some important information to help you understand how this this type of health insurance coverage works.
By: National Health Law Program - HealthCareCoach.com
Getting the best out of managed care
(Separate Website)
This fact sheet will help you understand how managed care works and how to choose the best health plan.
By: National Health Law Program
Read this in:
Spanish / Español
Figuring out which health care plan meets your needs
(Separate Website)
Quality information about health plans can be overwhelming. This fact sheet helps you pick out the information that will be helpful to you. You will learn how to pick the health plan that best meets your needs.
By: National Health Law Program
Read this in:
Spanish / Español
Helping you choose a quality health plan
(Separate Website)
Here you can check to see if a facility is approved by JCAHO using their Quality Check.
By: Joint Commission on Accreditation of Healthcare Organizations (JCAHO)
Understanding quality measures
(Separate Website)
In order to figure out whether one health plan is
better than another one, you need to have a way to measure each plan. Here you will learn what measurements are used to look at how well a health plan works.
By: National Health Law Program
Read this in:
Spanish / Español
Report cards
(Separate Website)
This fact sheet will help you find and understand health plan report cards. It will also help you “to read between the lines” on report cards.
By: National Health Law Program
Read this in:
Spanish / Español
Consumer surveys
(Separate Website)
This fact sheet help you find consumer surveys of
health plans. It also gives you pointers on how to look at these surveys, get the information you need, and avoid getting misled by surveys.
By: National Health Law Program
Read this in:
Spanish / Español
What everyone should know before joining a Medicare HMO
(Separate Website)
By: Medicare Rights Center
Compare Medicare health plans
(Separate Website)
This tool will give you with a list of health plans near you who take Medicare. There are also descriptions of the benefits you get and other information to help you choose the plan that is best for you.
By: U.S. Department of Health & Human Services, Center for Medicare & Medicaid Services
Read this in:
Spanish / Español
Choosing and using a health plan
(Separate Website)
This Web site has information on choosing a health plan, comparing health plans, and how to use a health plan.
By: Agency for Healthcare Research and Quality
Getting your employer to cover speech-language and hearing services
(Separate Website)
Here are tips on how to ask your employer to add or improve speech and hearing services under your health plan.
By: American Speech-Language-Hearing Association
Getting your health plan to cover your prescription medications
(Separate Website)
The doctor says that you need the medication, but your health plan won't pay for it. What now?
By: National Health Law Program - HealthCareCoach.com
How to use your managed care plan
(Separate Website)
Answers for families with children.
By: American Academy of Pediatrics
Managed care rules, rights, and responsibilities
(Separate Website)
By: AARP
Workers’ right to health plan information
(Separate Website)
What rights do you have to get a summary plan description?
By: U.S. Department of Labor
How do I file a grievance in my health plan?
(Separate Website)
Has your health plan denied coverage for a service that you need? Here is some information on how to file a grievance and increase your chances of winning.
By: National Health Law Program - HealthCareCoach.com
Solving problems with your health plan
(Separate Website)
If you have problems with your managed care plan.
By: American Bar Association
What to do when your Medicare HMO leaves
(Separate Website)
By: Medicare Rights Center
Handling disputes with your employer or private health plan
(Separate Website)
This guide will help you through your employer or private health plan's internal review procedure and any external review program your state may have. The guide is not for people who have Medicare or Medicaid coverage.
By: Kaiser Family Foundation
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