Nā Papahana Ola
Hoʻolālā akuʻo Ambetter i nā koho o ka hoʻolālā olakinoʻekolu,ʻo ke kumukūʻai o Gold , Silver and Bronze . Ma ka kohoʻana i ke kumumanaʻo keleawe e hāʻawi iāʻoe i nā uku o nā malama kula haʻahaʻa akā eʻoi aku ka nui o nā lilo hoʻolimalima. ʻO ke kumukūʻai gula ke uku nui loa i kāu mālamaʻana akā ke hele pū mai nei nō hoʻi me ke kumukūʻaiʻoi aʻe. Hoʻolālā ke kumukūʻai kālā i ka palena ma waena o nā kumukūʻai hoʻolimalima a me nā lilo o loko-o-pocket. ʻO nā kumu waiwai o ka mālama ola olakino i mālamaʻia e nā papahana a pau:
- Nā Hana Paʻiwahō:
- Nā Hale Hana
- Nā lawelawe hōʻailona aiʻole lawelawe
- Hana mālama a maikaʻi
- Ka mālama hānai a me ke keiki hānai
- Nā lawelawe keiki
- Nā lawelawe o nāʻoihana likeʻole (ex. Physical Therapy)
- Nā lāʻau'aloʻai
- Nā lawelawe Laboratory
- Nā Hana Hana Ola Hana a me nā Hana Hana Hana
Hiki keʻikeʻia ka nānāʻana i ke kelepona ma kekahi mau papa hana (ka nānāʻana i nā pediatric no nā nānāʻana o nā maka, ke nānā maka maka maka.
Hiki iāʻoe ke kelepona i nā huapalapala no nā kohoʻokoʻa.
Nui nā kohoʻokoʻa i loaʻa iāʻoe a hiki iāʻoe ke koho i nā koho e pili ana i kāu kūlana haʻahaʻa o kaʻilihune, nā koho i unuhiʻia, nā hōʻai'ē o waho, a me nā uku waiwai. E kōkua ka papa helu hoʻolako iāʻoe eʻike i kahi mea hoʻolako ma kāu wahi.
Eia kekahi hiʻohiʻona o ke Palena Hoʻolālā Kūʻai Aʻo :
- Nā Hana Paʻiwaho:ʻAʻohe kuleana
- Kāleka kaʻapilikia /ʻAmelika (Air a iʻole ka Honua):ʻAʻohe uku
- Ka Papa Hana Ula:ʻAʻohe uku no nā mea kikowaena pūnaewele
- ʻO ka pilina o ka makahiki a me ka nānā / hoʻopili āpau / pēpē maikaʻi:ʻAʻohe uku
- Mākaʻikaʻi nui e mālama i nā maʻi a iʻole nā hōʻeha a me nā heleʻana i ka makuahine:ʻAʻohe uku
- Nā huakaʻi kūikawā (kaʻao, podiatry, chiropractic):ʻAʻohe uku
- Ke kiʻi (CT / PET / MRI):ʻAʻohe uku
- Kōkuhi X (Diagnostic / Imaging):ʻAʻohe kuleana
- Kākoʻo Kāhua Inpatient:ʻAʻohe uku
- Nā Hana Hana Hana a me nā Hana Hana Inpatient:ʻAʻohe uku
- Nā Nānā Lapaʻau Nānā / Nānā Hana:ʻAʻohe kuleana
- Nā Papa Hana Hana Hana Hana & Hoʻolālā:ʻAʻohe kuleana
- Hoʻolālā i ke kino / kūlana olakino a me ka hoʻohanaʻana i nā mea hoʻohana i nā maʻi hōʻailona:ʻAʻohe uku
- ʻO ka nānāʻana i ka nānā houʻana (1 kipa i kēlā me kēia makahiki): 100 pakeneka ka nui
- Nä Eyeglasses (ka pahu 1 ma ka makahiki): 100% ka nui
- Lenses (no ka hui): 100 pakeneka ka nui
- NĀ KAHUʻANA'ĀINA:ʻAʻohe uku no nā kinaika, nā hua'ōlelo lapaʻau i makemakeʻia, nā hua'ōlelo lapaʻauʻole aʻoiʻole paha.
Nā Pōlā Hoʻohanohano
- Hōʻike Polokalamu: E hiki iāʻoe ke loaʻa i $ 250 no ka makahiki no ka mālamaʻana i nā mea mālama.
- 24/7 Nīnau Lauku: Loaʻa kahi kahu hānai i 24/7 e pane i nā nīnau a hāʻawi i ka'ōlelo aʻo kino.
- Manaʻo mālama mālama: He papahana punahele kēia no ka kōkuaʻana i ka poʻe me nāʻano kūlana a iʻole nā kūlana loiloi koʻikoʻi.
- Nā Polokalamu Hoʻokele Ola: Kākoʻo no ka poʻe e ola hoʻomalu i nā kūlana olakino
- ʻO ke kākoʻoʻana o ka hānauʻana no nā wāhine a me nā keiki kāne: kōkua kūikawā no nā makuahine hānai a me nā keiki.
- Pūnaewele Video: ʻO ka punaewele punahele e hāʻawi i nā kumuwaiwai i nā lālā e kōkua iā lākou e noho mālie. Loaʻa nā wikiō no kahi uku uku pilikino, kahi e hele ai no ka mālamaʻana, nā pūlālā o ka melā pale, nā lawelawe mālama pale, a pehea e huli ai i kāu mea hoʻolako nui.
Pehea e komo inoa
Inā makemakeʻoe i ke kākau inoaʻana no ka hoʻopiliʻana ma o Ambetter, e hoʻolako muaʻoe i nāʻike pilikino (ka nui o kaʻohana, kālā, a me nā mea'ē aʻe) eʻike ai i nā mea i hiki iāʻoe ke kūpono a inā hiki iāʻoe ke kōkua. Loaʻa iāʻoe kahi papa inoa o nā koho. Ma hope o ka hōʻailona hiki iāʻoe ke kākau inoa no ke kikowaena. E loaʻa iāʻoe kahi kāleka ID ake a me kaʻinikua i ka leka uila.
Kākoʻo Ratua / Nānā Kūʻai
Loaʻaʻo Ambetter i ka "B-" pālākiō me ka Better Business Bureau e pili ana i 33 mau pane hoʻopiʻi a me 15 mau manaʻo pāʻoihana. Ma ke 'ano, ua loaʻa i ka' Ambetter he BBB he kikowaena 2.56 o 5 mau hōkū. ʻAʻohe'ōlelo BBB i hōʻoia. ʻOiaiʻaʻohe kuleana o nā kamaliʻi e noi i ka hoʻonaʻauaoʻana BBB, hāʻawi i nā mea kūʻai eʻike i ka hana a ka hui a me ka hoʻopiʻiʻana i ka hoʻopiʻiʻana o ka poʻe.
Aia kahi hui o nā manaʻo maikaʻi a maikaʻiʻole i ka pūnaewele pūnaewele Ambetter. ʻO kekahi mau maʻi e hoʻopiʻi no ka hōʻoleʻana o ka hui i nā kaʻina hana me ka ho'ākākaʻole. ʻO nā hoʻolālā maikaʻi maikaʻi he mau koho kūpono pili kālā a me ka lawelawe kelepa maikaʻi ma waho o ke kelepona.
Hōʻuluʻulu
ʻO ka hoʻonohonohoʻana mai ka mālamaʻana i kahiʻoihana he 30 mau makahiki i loaʻa ka mālama kino. Nui nā kumumanaʻo maikaʻi e koho ai mai kahi kokoke i ka hoʻolālā kālā a ka home a me ke kūlana maʻi. No kaʻikeʻana i nā mea hou e pili ana i nā mālama olakino kūikawā āu e kūpono ai, hiki iāʻoe ke kipa i ka pūnaewele Ambetter a iʻole e kelepona i kahi luna o ka hui ma 1-877-687-1197 (TTY / TDD 1-877-941-9238).