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NetCare Launches New Health Risk Assessment & Wellness Tool

Netcare Opens Health & Wellness Assessment Office

Netcare Health Names New Marketing & Sales Manager

Innoviant Update - June 13, 2008

Pharmacy (PBM) changing from NMHCRX to Innoviant, Inc. effective May 01, 2008

Innoviant-Selected as new Pharmacy Benefits Manager for Netcare

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How to change my Primary Care Physician (PCP)

NetCare requires members enrolled under the Point of Service (POS) Plans to select a Primary Care Physician (PCP) for each member of the family.  Your primary care physician will be the doctor you access for all of your day to day healthcare needs.  Through regular screenings and wellness education, your PCP can prevent or manage health problems and coordinate referrals to specialists when necessary.  A goog relationship with your PCP can help ensure continuity of care and peace of mind for you and your family.

You may select an independent physician or a medical clinic from the Participating Provider Directory.  You may not select a specialist as your PCP.  If you select a clinic, you may see any primary care physician in that clinic, but if you see a specialist within the clinic, the specialist co-payment will apply.

You may change your PCP once in a 30 day period by calling our Customer Service Department by the 30th day of the month to become effective the first of the following month.  If no PCP information is received at the time of enrollment, you will automatically be assigned a PCP and will be advised in writing of this selection.

Primary Care is defined as general practice; family practice; pediatrics; internal medicine.

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Member Handbooks
Summary Plan Description
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Explanation of Benefits
Request A New Member ID Card
How to change my Primary Care Physician

Off-Island Referral
How to file a Claims Reimbursement
Appeals & Grievances Policy
Health & Wellness
Locating A Provider
Member Updates

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