Learn About & Select A Health Plan
How to use your ConnectiCare HMO Open Access Plan.
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First, choose a primary care physician (PCP). Simply browse our Provider
Directory. Can’t find your copy? Stop by our Web site at www.connecticare.com
or call ConnectiCare Member Services. Remember, your enrollment form needs to
include your doctor’s name and ID number. Who qualifies as a PCP? General
practitioners as well as doctors in family practice, pediatrics or internal
medicine are all considered PCPs. Since we consider obstetrician/gynecologists
as specialists, female members cannot select an ob/gyn as their PCP.
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Don’t leave home without your ConnectiCare ID card It should be kept in your
wallet. Show it whenever you visit a provider and, if your plan includes a
prescription drug rider, whenever you fill a prescription.
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As a member of our HMO Open Access Plan, no referral is necessary for any
service you are seeking so long as you select a provider in our network.
Participating providers are listed in our Provider Directory.
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If you’d like assistance finding a provider for mental health, alcohol or drug
problems, call 1-888-946-4658. Our Behavioral Health Program staff will be
happy to help you.
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Always use our participating providers, unless you have an Emergency or
need Urgent Care, or your situation is one of the limited circumstances
described in your Membership Agreement. Since physician participation changes
from time to time, be sure to visit our website at
www.connecticare.com
or call Member Services to confirm that your provider is still a participating
provider.
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If you use providers outside our network for an emergency, where permitted by
your Membership Agreement, rush us the claims. As explained above, we do accept
claims from non-participating providers in those two special situations. You
must file them within six months. But the sooner you file, the less likely you
are to forget.
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Certain services, procedures and drugs need our approval or
“pre-authorization” before you go ahead with them. We list them in the
ConnectiCare Guidebook and in your Membership Agreement, but be aware that
they’re subject to change. For the most up-to-date list, call Member Services.
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For quick facts, take out your Benefit Summary. While it isn’t the last word on
your plan (see your Membership Agreement for that), it’s a great overview
of important information like copays.
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Know which hospitals are in our network. Hospital participation in our network
changes from time to time, so be sure to visit our website at
www.connecticare.com
or call Member Services to confirm that the hospital is still in our network.
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We’re glad you’re a member. And we always have time for your questions and
concerns. Simply tell us what they are. When in doubt, you can e-mail us at
www.connecticare.com, or call Member Services at 1-800-251-7722. We can save
you guesswork, trouble and money.
We can save you guesswork, trouble and money.
