member news
We’re
committed
to your
satisfaction
W
e want you to be happy with your
health care and with our service. But
sometimes you might not be. When
that’s the case, we want to hear about it.
If the complaint is about your provider’s
office, it’s best to talk to them first. Let someone
on staff know what happened. Ask him or her
for help fixing the problem.
The same goes for a complaint about hospital
care. Ask to speak with a nurse, social worker or
patient advocate.
For questions about charges, call the billing
department at the number on your statement.
Let them know what insurance you have. Ask
them to bill your insurance.
If you prefer, though, you can tell us about
the problem. You can do this by calling
Member Services. You can also write a
letter, or fill out a form on our website at
www.ccah-alliance.org.
Let us know if:
■
■
You’re not happy with the care your doctor is
giving you
■
■
You’re not pleased with the services you get
from your plan
■
■
You don’t think the plan should have denied
you certain services
Someone will look into your complaint. We’ll
do all we can to help you. If you’re still unhappy
after we try to resolve your case, we’ll tell you
what steps you can take next.
Your satisfaction is important to us. Please
tell us if there’s something you think we could
be doing better.
Drug name
Used for
Action
butenafine 1% cream and
miconazole 2% spray
Topical fungal infection
Added
Eurax 10% cream and lotion
Scabies
Added
Abreva 10% cream
Cold sore
Added
Polysporin and triple antibiotic
cream and ointment (generic only)
Topical antibacterial
Added
Dapsone 25mg and 100mg tablet
Anti-infective
Added
Niacin flush free 500mg
capsule, Prevalite, and Questran
(generic only)
High cholesterol
Added
metoprolol succinate 25mg, 50mg,
100mg, and 200mg tablet
High blood pressure
Added as step therapy
after trial and failure of
metoprolol tartrate
chlorthalidone 25mg, 50mg
tablet and indapamide 1.25mg,
2.5mg tablet
Diuretics
Added
valsartan 40mg, 80mg,
160mg, 320mg tablet
High blood pressure
Added
valsartan with hydrochlorothiazide
80-12.5mg, 160-12.5mg,
160-25mg, 320-12.5mg,
320-25mg tablet
High blood pressure
Added
balsalazide 750mg capsule and
mesalamine 4g/6mL enema
Ulcerative colitis
Added
tropicamide 0.5%, 1% drop and
acetazolamide 500mg tablet
Glaucoma
Added
Eye wash drop
Eye wash
Added
Formulary changes
living
healthy
5