SelectCircle Health Plans
 SelectCircle:
Quality
Care
We're affiliated with some of Indiana's finest physicians offering
a comprehensive range of medical specialties, as well as family practice,
internal medicine and pediatrics. (More than 80% of our participating
physicians are board certified in their specialty.)
Convenience
Your employees also enjoy the convenience of finding a network physician or care facility close to home. The participating hospitals are located throughout east central Indiana and Indianapolis with a statewide wrap available.
Savings
We have negotiated agreements with our network providers to ensure
quality care at substantial savings. (These agreements include hospital/facility
discounts, physician fixed fee schedules and no balance billing.) As
a result, your employees enjoy considerably lower out-of-pocket expenses
–just by choosing one of the numerous healthcare providers affiliated
with the Select Circle network.
Choice
On the other hand, your employees are not restricted to SelectCircle providers. They have the freedom to seek care from any hospital or
physician they choose and still receive reasonable benefits coverage.
 SelectCircle Review
Keeping cost in line through fair evaluations
Available either in conjunction with SelectCircle or independently,
SelectCircle Review is licensed to offer utilization management services
during all phases of care. We integrate ongoing review and case management
to ensure that necessary and appropriate care is rendered. Our panel
of knowledgeable health care professionals provides objective oversight
and reviews at all stages: pre-admission, concurrent review, case management,
disease management and retrospective review. These services can be purchased
as a package or separately.
 Case Management
Insuring appropriate care and improving access to the healthcare system
is at the heart of Select Circle’s case management program. Combining
new technology and extensive experience, Select Circle registered nurse
case managers link patients, protocols and providers to ensure the
best possible outcome for all. Select Circle’s innovative continuum
of patient management services coordinates and guides treatment while
advocating the patient through an episode of care and recovery. Case
Management is performed by telephone, onsite and in the field. Specialized
Services include catastrophic claim management and tertiary referral
coordination. Services include:
- Early Intervention
- Utilization Management
- Specialized Services
- Rehabilitation
- Reporting and Analysis
 SelectCircle Disease Management
Chronic illness cannot only be debilitating for the patient but cost-prohibitive
for the employer. With the SCDM program, we can help your employees
and their dependents manage chronic diseases such as diabetes, asthma
and cardiovascular illness.
 SelectRx
Expenses for pharmaceuticals continure to grow at alarming rates. To
respond, we have introduced a special program to help an employer control
these costs through formulary management, claim management and cost-sharing
options.
HMO
Our HMO ensures that you and your employees consistently receive the highest
quality of care and service. Your employees have the benefits of accessibility
since our affiliates are located throughout the state. It's more convenient
for your employees to receive the care they need, when they need it. Visit
M-Plan.com for more information.
To find out more about how SelectCircle can keep your employees happy
and healthy, contact us at 765-286-2150.
|
