Information to Ask For
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.