Contact Us Online Form
The Contact Us form will send your message to Superior HealthPlan as an email. The email is not encrypted and is not transmitted in a secured format. By communicating with Superior through email, you accept the risks associated thereof. Superior does not accept responsibility or liability for any loss or damage arising from the use of email. To ensure the safety of your protected health information , please send us a message through the Secure Member Portal or Provider Portal, or you can call us at the Member Services number on the back of your Superior ID card to speak directly to a customer service representative.
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Working Together For Healthier Employees
UnitedHealthcare pharmacy and medical benefits are built to work together to deliver a more complete picture of employee health care and medication use. That kind of big-picture visibility is central to improving outcomes, like:
- Alerting a doctor when a patient misses a critical prescription refill to avoid new complications
- Identifying an employee as a potential genetic match for lower-cost cancer treatment
- Avoiding prior authorization delays with real-time analysis of medical claims data
Employees with integrated UnitedHealthcare medical and pharmacy benefits had 18% better medication adherence for top chronic conditions than employees without integrated benefits3
Acpny Providers At This Location
Accepted Insurance Plans
Hours at Richmond Hill Medical Office
Online scheduling is not available. Please call
Accepted Insurance Plans
Hours at Richmond Hill Medical Office
Online scheduling is not available. Please call
Accepted Insurance Plans
Hours at Richmond Hill Medical Office
Online scheduling is not available. Please call
Accepted Insurance Plans
Hours at Richmond Hill Medical Office
Online scheduling is not available. Please call
Accepted Insurance Plans
Hours at Richmond Hill Medical Office
Online scheduling is not available. Please call
Accepted Insurance Plans
Hours at Richmond Hill Medical Office
Online scheduling is not available. Please call
Accepted Insurance Plans
Hours at Richmond Hill Medical Office
Online scheduling is not available. Please call
Accepted Insurance Plans
Hours at Richmond Hill Medical Office
Online scheduling is not available. Please call
Accepted Insurance Plans
Hours at Richmond Hill Medical Office
Online scheduling is not available. Please call
As it relates to the COVID-19 infection, are you completing an isolation or quarantine period or awaiting COVID-19 test results? You may schedule your in-office vaccination appointment after the release from isolation / quarantine period or once you have received negative COVID-19 results.
Have you been in close contact with anyone with laboratory confirmed COVID-19 in the last 10 days?
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Preferred Network Retail Pharmacies
We want you to pay the lowest price possible for your medications. When you choose to get your medications at one of these preferred retail pharmacies, youll often pay much less. And with so many retail pharmacies with preferred cost-shares, finding one is easy.1
View our 2023 Medicare Advantage Preferred Network Retail Pharmacies
View our 2022 Medicare Advantage Preferred Network Retail Pharmacies
View our 2023 Medicare Part D Preferred Network Retail Pharmacies
View our 2022 Medicare Part D Preferred Network Retail Pharmacies
Emergency Prescription Fill Policy
We authorize pharmacies to provide up to a 30 day supply of medication for an emergency fill when a licensed pharmacist has used his or her professional judgment in identifying that there is an emergency medical condition for which lack of immediate access to pharmaceutical treatment would result in, placing the health of the individual or, with respect to a pregnant woman, the health of the woman or her unborn child, in serious jeopardy serious impairment to bodily functions or serious dysfunction of any bodily organ or part.
Review our emergency fill policy for full details.
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Questions To Ask Your Doctor
Arizona Complete Health-Complete Care Plan wants you to be as healthy as possible. This includes knowing about the different medicines you need to take. To help, we have included a list of questions you should always ask your provider about a prescription.
- Why am I taking this medicine? What is it supposed to do for me?
- How should the medicine be taken? When? For how any days?
- Are there any side effects or possible allergic reactions to this medicine?
- What should I do if I have a side effect or allergic reaction?
- What will happen if I dont take this medicine?
Carefully read the drug information the pharmacy gives you with your medicine. It will tell you what you should and should not do while taking the medicine. If you have questions after you get your medicine, ask to speak with the pharmacist or call your provider.
Kroger Safeway Strike Back Against Walmart/humana Part D Drug Plan
MINNETONKA, Minn. Could the economy and the bare-knuckles competition that now defines pharmacy retailing lower the price bar even further for widely used generic drugs? Its already happening.
Walmart upended the low-price end of the pharmaceutical market four years ago when it launched a widely imitated, much-publicized blanket price point of $4 for many of its generic prescription drugs. Over time, $4 has become the de facto price standard for multisource generics at many outlets. But two major developments in recent weeks threaten to upend the uneasy status quo that has existed in prescription discounting over the past two or three years.
Ironically enough, Walmart itself is the source of the new upheavel. In late September, the company announced a new, steeply discounted prescription drug plan to serve seniors enrolled in Medicare Part D. The plan, launched in partnership with insurance provider Humana and marketed as the Humana Walmart-Preferred Rx Plan, will offer enrollees monthly premiums below $15 and co-payments as low as $2 on some generic prescriptions.
First to fire back directly are two of the nations biggest supermarket chains. In late November, Kroger and Safeway announced the launch of a new, low-price prescription plan for Medicare Part D beneficiaries, in partnership with UnitedHealth Group.
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Safeway Administering Special Senior Flu Shots
All Safeway pharmacies in the United States are able to administer a new high-dose flu vaccine called Fluzone High-Dose that has been approved by the Food & Drug Administration for use in people 65 years of age and older.
Although adults over 65 make up 15 percent of the U.S. population, they account for 65 percent of flu-related hospitalizations and 90 percent of flu-related deaths, making flu vaccines for this age group critical. Fluzone High Dose contains the same components as regular-strength flu vaccine but provides a better immune response in older people.
The Pleasanton, Calif.-based grocer, which operates 1,712 stores in the United States and western Canada, is offering the vaccines on a walk-in basis at its Safeway, Vons, Pavilions, Carrs, Dominicks, Genuardis, Randalls and Tom Thumb pharmacies while supplies last. Stores without pharmacies will hold scheduled flu vaccine clinics.
Consumers can find information about stores offering the flu vaccine at www.safeway.com/flu or by contacting a Safeway pharmacy. Those covered by Medicare Part B will receive their flu shots free.
Jacksonville, Fla.-based Winn-Dixie is also offering the high-dose flu vaccines in its 379 in-store pharmacies in Florida, Alabama, Louisiana, Georgia and Mississippi.
Medications Not On The Approved Drug Lists
If your medicine is not on our approved-drug list, you can:
- Ask your provider for a similar drug that is on the list.
- Ask your provider to ask Arizona Complete Health-Complete Care Plan to cover your drug. Your provider will go through a prior authorization process. Your provider will know how to do this.
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Expedited Authorization Codes And Criteria
What is expedited authorization ?
The EA process is designed to eliminate the need to request authorization. The intent is to establish authorization criteria and associate these criteria with specific EA codes, enabling pharmacies to enter the appropriate EA code when approval criteria is met.
How is an EA code used?
To bill Coordinated Care for drugs that meet the expedited authorization criteria listed in the table below, the pharmacy must enter the appropriate EA code with claim submission.
| 85000000133 |
What Are My Rights & Responsibilities As A Patient
As a patient of Safeway Specialty Care services, you have the right to:
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About Richmond Hill Medical Office
Located between Kew Gardens and Ozone Park, the Richmond Hill Medical Office provides primary and specialty care services to several different neighborhoods in central Queens. Make it your home for health and get to know a Care Team dedicated to the health of you and your loved ones.
Nearby Subways: A, J, Z, E, F
Nearby Buses: Q41, Q8
Other Care, Services, and Hours at this Office
Mondays 6-8pm are for Pediatric care only.
Radiology
Radiology services are provided by Lenox Hill Radiology.
This service is not provided by ACPNY it is co-located with our medical office for patient convenience.
Radiology
Radiology services are provided by Lenox Hill Radiology.
This service is not provided by ACPNY it is co-located with our medical office for patient convenience.
Mail Order Pharmacy Service
Mail Order Service
If a member takes medications on a regular basis, mail service pharmacy may be the right choice. Home delivery is a convenient and safe way to order the medications a member takes every day. Medications will be shipped to members home at no cost. The member can receive up to a 90-day supply of maintenance medications or up to a month of non-maintenance medications.
There are three easy ways to get started:
- Sign up online at caremark.com
- Enroll over the phone, call 888-624-1139
- Mail a completed enrollment form to CVS Caremark
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Second Opinion Network Program
As mandated by the legislature in RCW 74.09.490, the Health Care Authority developed the second opinion program to improve prescribing practices in children.
In collaboration with The Pediatric Mental Health Advisory Group and the Drug Utilization Review Board, HCA established pediatric mental health guidelines to identify children who may be at high risk due to off-label use of prescription medication, use of multiple medications, duplicated therapy, high medication dosage, or lack of coordination among multiple prescribing providers.
The HCA requires a review by an agency-designated mental health specialist from the Second Opinion Network when drugs used to treat mental health conditions are prescribed outside of the established guidelines set by the pediatric childrens mental health workgroup.
Payment for time spent engaging in SON review
Providers can submit procedure code 99441 on the claim to receive payment for the time spent engaging in medication review process with the SON.
Partnership Access Line
Pharmacy Maximum Allowance Cost Appeal
As of 5/1/2017, Pharmacy Services MAC appeals are being managed by CVS Caremark®. All Pharmacy Services MAC appeals must be submitted using the MAC Appeal Form that can be accessed via the CVS Caremark Pharmacy Portal.
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Unitedhealthcare Connected For Mycare Ohio
UnitedHealthcare Connected® for MyCare Ohio is a health plan that contracts with both Medicare and Ohio Medicaid to provide benefits of both programs to enrollees. If you have any problem reading or understanding this or any other UnitedHealthcare Connected® for MyCare Ohio information, please contact our Member Services at from 7 a.m. to 8 p.m. Monday through Friday for help at no cost to you.
Si tiene problemas para leer o comprender esta o cualquier otra documentación de UnitedHealthcare Connected® de MyCare Ohio , comuníquese con nuestro Departamento de Servicio al Cliente para obtener información adicional sin costo para usted al de lunes a viernes de 7 a.m. a 8 p.m. .
This is not a complete list. The benefit information is a brief summary, not a complete description of benefits. For more information contact the plan or read the Member Handbook. Limitations, copays, and restrictions may apply. For more information, call UnitedHealthcare Connected Member Services or read the UnitedHealthcare Connected Member Handbook. Benefits, List of Covered Drugs, pharmacy and provider networks and/or copayments may change from time to time throughout the year and on January 1 of each year.
Original Source And Public Disclosure Bar
The Defendant alleges that the allegations of the Relator, Thomas Proctor, are substantially similar to a previously filed qui tam complaint that was reported in the news media before the amended complaint was filed and, therefore, the amended complaint must be dismissed on the grounds of the public disclosure bar and the original source requirement.
Safeway states that Tiffany Huckels, a former pharmacist at its pharmacies in Colorado, filed a qui tam complaint against Safeway in Colorado state court on August 5, 2014. On or about March 13, 2016, after the complaint was unsealed and the case was removed to federal court, the legal news website Law360 reported and linked to the action. The amended complaint in this case was filed on March 31, 2016.
To determine whether the public disclosure bar applies, courts employ a three-step analysis. See United States ex rel. v. Wisconsin Bell, Inc., 760 F.3d 688, 690 . The Court first “examines whether the relator’s allegations have been publicly disclosed.” Id. . “If so, it next asks whether the lawsuit is based upon those publicly disclosed allegations. If it is, the court determines whether the relator is an original source of the information upon which his lawsuit is based.” Id.
The Defendant also contends that Relator Proctor does not qualify as an original source for the allegations in the amended complaint. The FCA defines “original source” as an individual who either:
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- For Human Resources-related inquiries, contact:
- For Accounts Payable-related inquiries, contact:
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Saving Time Lowering Costs: Why It Matters Where Employees Get Infusion Medications
Video transcript
Upbeat instrumental music plays throughout.
A blue u-shaped UnitedHealthcare logo appears on a white screen, then twists away, leaving behind a title:
ONSCREEN TEXT: Site of Care
Reducing costs by redirecting site of care
Now, an animated prescription bottle containing orange and yellow pills appears on a blue background. White text appears to the right of it:
ONSCREEN TEXT: Prescription drug
spend is on the rise
NARRATOR: Prescription drug spend in the U.S. is high and continues to rise.
A stacked bar graph appears, contrasting the Total Drug Spend in white, and Specialty Drug Spend in aqua. Text appears to the left of it:
ONSCREEN TEXT: 46%
NARRATOR: Specialty drugs now account for nearly half of that spending.
A title headlines a new slide:
ONSCREEN TEXT: Infusion therapy
14% year-over-year price increases
A bar chart appears below, with bars on the x axis steadily increasing each year between 2013 and 2020. The y axis is labelled up from $ to $$$.
NARRATOR: Infused specialty drugs are a key cost driver, with fourteen percent year-over-year increases.
Now, a blue circle containing an animated IV bag centers a white background. Text runs beneath it:
ONSCREEN TEXT: Infusion therapy
NARRATOR: Infusion therapy is delivered in a variety of locations.
A pair of hands cradle around a door, forming the frame of a house. Words are listed to the left, appearing beside a checkmark as the narrator speaks:
ONSCREEN TEXT: Outpatient hospital
hospital
suite
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Always Contact Member Services First To See If There Is A Network Pharmacy Near You
If you take a drug on a regular basis and are planning to travel, be sure to check your supply of the drug before you leave. When possible, take along all the drugs you will need. If you travel within the United States and territories, we may cover your drug at an out-of-network pharmacy for the same reasons as noted above. However, we cannot pay for any prescriptions filled by pharmacies outside of the United States and territories, even for medical emergency.
If you must use an out-of-network pharmacy, you generally will have to pay the full cost instead of a copay when you fill your prescription. You can ask us to pay you back for our share of the cost.
Referrals From Your Pcp
Your PCP can handle most routine health care needs. If you need to see a network specialist or other network provider, you may need to get a referral from your PCP. Your PCP will make a referral based on your health situation. They may or may not refer you to a particular specialist in this directory who you want to see. Generally, your PCP will provide follow-up care, as needed. Please see the Evidence of Coverage for information about access to specialists. This directory provides a list of skilled nursing facilities for all networks. Contact your PCP for a referral to a network skilled nursing facility. The network providers listed in this directory have agreed to provide you with your health care coverage. However, some services may require a referral. If you have been going to one network provider, you are not required to continue going to that same provider. Check your Evidence of Coverage to make sure your plan includes additional benefits or that youve signed up for optional supplemental riders before making appointments for dental, vision or hearing services.
If you dont have your copy of the Provider Directory, you can request a copy from Customer Service.
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