Provider Visits | Right Choices Program | Hoosier Healthwise Members

MDwise Right Choices Program
Make the Most of Your Provider Visit

What if you get sick when your provider’s office is closed?

If you have an emergency, call 911 or go to the nearest emergency room. But do not go to the emergency room for routine or regular care. If it is not a matter of life or death, call the NURSEon-call at: 1-800-356-1204 and choose Option #3.

Be Prepared:

Tell your PMP about any medicines or treatments (including natural or alternatives) that you are taking even medicines your PMP did not order.
Make a list of the medicines, over-the-counter medicines, and vitamins that you take. Include the amount you take and when you take them. You can also take your medicines in their bottles with you to your appointment, see managing your medicine.
Have your medical records, reports, results of lab tests and x-rays mailed or faxed to your PMP before your visit, see what is a personal health record?
Tell your PMP about your family’s medical history.
Take your Hoosier Health Card with you.

Be Honest:

Tell your PMP all you know about your problem. Things you notice about your health can help your PMP help you feel better.
Tell your PMP anything you have done that has helped your symptoms or made them worse.
Don’t be afraid to voice your fears about what you’ve heard. Your PMP may be able to ease your concerns.
Tell your PMP about your family’s medical history.
Even if you’re uncomfortable, being open and honest will only help you. Most doctors know that people can feel uncomfortable about asking questions. Doctors try to be good listeners.

Get Information:

Ask questions if you don’t understand everything that was said.
Write down your questions before your visit so you won’t forget them.
You might want to bring someone along to help you ask questions.
Take notes to help you remember.

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Take Information Home:

Ask for written instructions if you need to care for yourself at home.
Your doctor may also have brochures, CDs, or DVDs that can help you.

Once you leave your doctor's office, you may need to follow up with someone. The following list may help you know how:

If you have questions, call your Care Manager.
If your symptoms get worse or if you have problems with your medicine, call your Care Manager.
If you had tests and do not hear from your provider, call your PMP for your test results.
If your provider said you need to have certain tests, make appointments at the lab or other offices to get them done.
If your PMP said you should see a specialist, ask for a written referral and make an appointment.

What if you have a problem with your Right Choices PMP?

Talk to your PMP! Explain what the problem is and try to work it out.
Call your Right Choices Care Manager. Tell them that you are having a problem with your Right Choices PMP. They can help work out problems.
File a complaint. If the problem is a serious one, you have the right to file a complaint. To do this, call the MDwise Customer Service number or read more about complaints and grievances in your MDwise Member Handbook.

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Members

MDwise Right Choices Program Make the Most of Your Provider Visit