Information to Ask For

April 13, 2006

	Visited: 98
	Not rated
	Rate:

In order to best evaluate the plans that you are considering offering to employees, you should ask the companies to provide you with the following information:

a list of participating physicians or clinics that are located near your employees
a list of hospitals and outpatient clinics that are near your employees
an explanation of the quality control measures they use to screen for quality medical providers
in your chosen geographic area, an adequate number of licensed primary care givers
in your chosen geographic area, an adequate number of licensed specialists
statistics on patient satisfaction
a list of other employers in the area that contract with them
a copy of a sample agreement they would ask you to sign

Consumer protection. Managed care plans must be filed with each state insurance department and must be approved by those departments before they can be offered. As a consequence, as a consumer, you at least have some assurance that a managed care plan has been examined by the state and has conformed to state rules.