Medicaid Managed Care - U.S. Senate Special Committee on Aging

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4. participating in community public
health initiatives.
V. Consumer Information,
Education, and Choice
<strong>Managed</strong> health care plans have a responsibility
to inform and educate consumers.
This applies both to the information needed
to select an appropriate health plan and
to the knowledge required to make effective
use of services and options offered by
a plan. <strong>Managed</strong> care organizations
should:
1. use marketing and public information
materials that are accurate and understandable
2. make available information for
selecting a plan, including:
* premium rates, out of pocket
expenses, and other enrollee
obligations
* access to and location of primary
and specialty providers
* financial incentives to
participating providers
* coverage of out-of-plan care,
including policies on using
specialty physicians and facilities
that are not within the plan
* any services that are excluded and
any limitations on the use of
services
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