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CLEAR OUTSTATE 2012.sv - Medica

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6<br />

• Accessibility. You want your doctor to be available when needed. Ask<br />

about office hours, how long it takes to schedule a visit and how patients’<br />

after-hours needs are handled. Some providers offer extended hours.<br />

Contact your clinic for more information.<br />

• The doctor’s approach to preventive medicine. You want a doctor who<br />

emphasizes staying healthy. A good indicator of this is if the doctor asks<br />

about your eating habits, exercise routines, alcohol or tobacco use or any<br />

other health risk factors.<br />

• Reassure your self: Check out a doctor’s qualifications. Do you want<br />

more information about the qualifications of a primary or specialty<br />

provider, such as medical school attended, residency completed, or board<br />

certifications? Use the following resources:<br />

o American Board of <strong>Medica</strong>l Specialists at 1-866-275-2267 or<br />

www.abms.org<br />

o Minnesota Board of <strong>Medica</strong>l Practice at 612-617-2130 or<br />

www.minnesotamedicalboard.com<br />

o North Dakota Board of <strong>Medica</strong>l Practice at 701-328-6500 or<br />

www.ndbomex.com<br />

o South Dakota Board of <strong>Medica</strong>l Practice at 605-367-7781 or<br />

www.sdbmoe.gov<br />

The network providers listed in this directory have agreed to provide you with<br />

your health care coverage. You may go to any of our network providers listed in<br />

this directory. If you have been going to one network provider, you are not<br />

required to continue going to that same provider. In some cases, you may get<br />

covered services from non-network providers.<br />

<strong>Medica</strong> Clear Solution does not require members or their providers to obtain a<br />

referral or authorization from our plan as a condition for covering medically<br />

necessary services that are covered by our plan. If you have any questions<br />

about whether we will pay for any medical service or care that you are<br />

considering, you have to right to ask us whether we will cover it before you get<br />

the service or care.<br />

Emergency Services<br />

Emergency care can always be obtained in or out of the service area from the<br />

nearest available provider. When you have a “medical emergency,” you believe<br />

that your health is in serious danger or your health could be seriously harmed if<br />

you do not receive medical care immediately. A medical emergency can include<br />

severe pain, a bad injury, a sudden illness, or a medical condition that is quickly<br />

getting much worse.<br />

In a medical emergency, please go to the nearest emergency facility or hospital<br />

wherever the emergency occurs, including outside the United States.<br />

Dial 911 in the United States.

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