Managed Care-Comparison Worksheet

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Family Health:
	Medical Self-Care: What is it?
	Choosing a Doctor That's Right For You
	Mammogram—Our Best Defense Against Breast Cancer
	Injury Prevention in the Home
Consumer Health:
	Medicare and Medicaid: What is the Difference
	CLAIM: Help with Insurance and Medicare
	Ten Ways to Reduce Health Care Costs
	Caution—Misleading Information Ahead
Managed Care:
	Understanding Our Changing Health Care System
	Abbreviations and Key Terms
	Comparison Worksheet
	What You Should Know About Managed Care
	What is a Health Maintenance Organization?
	What is a Gate Keeper?
	Managed Care Alphabet Soup

by Gail Carlson, MPH Ph.D, State Health Education Specialist for University of Missouri Extension

Plan Name	#1	#2	#3
Premium Amount	$	$	$
Deductible (per year)	$	$	$
Co-payment Required Hospital/Physician Prescription Drugs Ambulance Medical Supplies Other______________	$________ $________ $________ $________ $________	$________ $________ $________ $________ $________	$________ $________ $________ $________ $________
Out of Pocket Maximum	$	$	$
Maximum Lifetime Benefits	$	$	$
Are physicians who you currently use signed up with the plan? Primary Care Provider Internal Medicine Gynecology Other______________	Yes___ No___ Yes___ No___ Yes___ No___ Yes___ No___	Yes___ No___ Yes___ No___ Yes___ No___ Yes___ No___	Yes___ No___ Yes___ No___ Yes___ No___ Yes___ No___
Is emergency care covered?	Yes___ No___	Yes___ No___	Yes___ No___
Are there any limitations/ restrictions in hospitalization coverage? If yes, what are they?	Yes___ No___	Yes___ No___	Yes___ No___
Is the doctor you are considering as your primary care physician comfortable with the plan?	Yes___ No___	Yes___ No___	Yes___ No___
If you require the services of a specific specialist who is not part of the plan, will the plan refer you to that physician? What will it cost?	Yes___ No___ $	Yes___ No___ $	Yes___ No___ $
Are any of the following services covered? Dental Care Vision Care Mental Health Chemical Dependency Preventive Health Screenings Other__________________	Yes___ No___ Yes___ No___ Yes___ No___ Yes___ No___ Yes___ No___ Yes___ No___	Yes___ No___ Yes___ No___ Yes___ No___ Yes___ No___ Yes___ No___ Yes___ No___	Yes___ No___ Yes___ No___ Yes___ No___ Yes___ No___ Yes___ No___ Yes___ No___
Are there clear directions on how to use the grievance procedure?	Yes___ No___	Yes___ No___	Yes___ No___
Are you covered if you become ill away from home, including if you travel abroad?	Yes___ No___	Yes___ No___	Yes___ No___

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last updated: 09/11/09