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What You Need to Know About Referrals and Pre-authorization
While QualChoice does not require referrals, some services require pre-authorization (pre-approval). Find out ahead of time if the services you need call for a pre-auth. Your claim could be denied if pre-authorization was needed and you didn’t get it before you received care.
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Outpatient Surgery? Consider an ASC
There are more options available today to get quality health care at a lower cost. If you need outpatient surgery, an Ambulatory Surgery Center (ASC) may be an option to consider.
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Tips for Choosing a Health Plan
Whether you’re choosing a plan for the first time, or during your employer’s open enrollment period, it can be confusing. Use this checklist as a guide in making your decision.
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Health Insurance How-To: Avoid Balance Billing
If you use an out-of-network provider, you might end up with a much larger bill than you expected. This is because of a practice called balance billing.
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Health Insurance How-To: Submit a Claim
For most covered services, there’s no paperwork to fill out. Just show your QualChoice ID card and pay your plan’s cost share amount.
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Get Medical Help via Video and Phone
QualChoice is making it easier for Arkansans to get the medical care they need through telemedicine (telehealth). This allows members to visit a doctor, nurse practitioner or physician assistant remotely.
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Making the Most of Your Benefits
Healthcare can be confusing — and costly. Here are some ways you can make the most of your health insurance benefits. Master these points to stay healthy and save on your healthcare costs!
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Understanding Your Explanation of Benefits (EOB)
As a QualChoice member, you will receive an EOB every 14 days if you have had any claims during that time. Review the EOB closely and compare it to the receipt or statement from your doctor.* Keep it for your records, along with your medical bills..
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How to Have a Successful Doctor’s Appointment
Regular health exams by a Primary Care Physician (PCP) can stop problems before they start or catch problems early, giving you better chances for treatment and cure.
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Beware of Balance Billing!
Balance billing by out-of-network providers can be a nasty surprise. But what does it mean exactly?
