Manage Your Policy

Making a Payment

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In Person

 

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Manage Your Policy

Member Services

For all of your policy management needs call Member Services at 800.683.3781 TDD/TTY 711 

*Please note the hours of our Member Services team are Monday through Thursday, 8:00 a.m. to 6:00 p.m., and Friday 9:00 a.m. to 6:00 p.m. 

For Example:

  • Request a certificate of coverage letter
  • Request a provider directory
  • Request an appeal/grievance/fair hearing 

Member Handbooks & Contracts

 

Additional Member Materials

        


Utilization Management

YourCare Health Plan makes decisions regarding the provision of healthcare services based solely on the appropriateness of care and services and the existence of coverage.

YourCare Health Plan does not:

  • Pay any employee, consultant, provider, or independent contractor any financial incentive to deny care;
  • Specifically reward practitioners or other individuals conducting utilization management  review for issuing denials of coverage or of care; or
  • Provide incentives for utilization management decision-makers that result in under utilization of appropriate services.