When it comes to selecting health coverage, location can be everything
When you need to see a
doctor, you don't want to have to drive 30 miles (and two or more hours)
to get to their office. If you're feeling ill or just need answers,
time and distance are the most important factors for medical care.
But how do you know that a health coverage plan you choose will
give you the services you need nearby? The answer is to ensure a plan
works with medical centers or hospitals in your neighborhood.
MemorialCare makes this easy by featuring offices in every SoCal corner.
"Most
people choose a primary care doctor close to home, or close to their
job," said John Cascell, senior vice president of managed care at
MemorialCare.
"When it's time for you to see a specialist or have a
procedure done at a surgery center, your doctor will refer you to the
best specialist, the best imaging center and the best hospital, all in
the same network, for your continuing care," Cascell said. "And it helps
if they all are close to home."
There are
several networks in the region, but MemorialCare features extensive
locations in both L.A. and Orange counties. Its health care providers
span from the South Bay to south Orange County.
"Our service area
extends from Torrance and Palos Verdes, heads inland to Anaheim and
Tustin, and all the way to San Clemente," Cascell said.
"MemorialCare
has two hospitals in Long Beach, Long Beach Medical Center and Miller
Children's & Women's Hospital Long Beach. MemorialCare's two Orange
County hospitals are Orange Coast Medical Center in Fountain Valley and
Saddleback Medical Center in Laguna Hills."
In addition to the
four hospitals, there are 240 affiliated primary care doctors in 35
locations, and as many as 2,000 specialists, said
Judy Shubin, vice president of payer contracts for the MemorialCare
Medical Foundation.
More importantly, though: Will your health insurance be accepted?
Each
health care system works out contracts with major insurance companies,
as well as smaller, more local ones. These coverage contracts are
agreements between the health system and each insurer about what
services are covered, from wellness office visits to major surgery, and
how much each will cost.
MemorialCare is a network provider for
nearly all insurers in our region, whether Medicare, Medicare
supplements or private, and it accepts both Health Maintenance
Organization (HMO) and Preferred Provider Organization (PPO) plans,
Cascell said. About half of the contracts involve employer-issued
policies and Covered California, he added. The rest are close to evenly
split between Medicare and Medicaid.
Medicare Advantage and other HMO
plans require their members to have a primary care doctor who will
handle all the referrals for a patient's specific care. In PPO plans,
consumers can go to any doctor they wish, including specialists, for a
slightly higher premium or copay. For those who move throughout Southern
California often, either through long commutes or post-retirement
adventures, this can be a perfect option.
Most health systems
recommend that people find a primary care doctor who can track all their
health care needs and help to coordinate treatment. Health systems like
MemorialCare make this easy and time-saving with comprehensive location
information, on line scheduling, physician biographies and more on
their website.
For more, information, visit their website at choosememorialcare.org.
– CATHERINE GAUGH
Custom Publishing Writer
