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Health & wellness Simply Healthcare

Details: Health A to Z is an online health resource. It’s easy to use and provides information and answers on many health topics. You can also check your symptoms with our symptom checker and explore our interactive tools to help guide your health care decisions.

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Manage your condition Simply Healthcare

Details: We offer health care and support services for members with any of these conditions: Alzheimer’s disease/dementia. Alzheimer’s disease is a brain disease. It’s also the most common form of dementia. Dementia is a general term used for a group of symptoms. Signs and symptoms of dementia affect a person’s memory, thinking, and reasoning

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Simply Healthcare plans Simply Healthcare

Details: Clear Health Alliance is a health plan for people on Medicaid who are living with HIV/AIDS. Members of the plan can see highly trained HIV/AIDS doctors and get community services to help them stay well. Get access to the health care and services you need with extra benefits to live healthier.

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Useful Health Apps Simply Healthcare

Details: Managing Your Health on the Go. Where can you get help managing your health while you’re on the go? We’ve found some free apps we think you’ll find useful. Simply Healthcare. Make healthy happen, wherever you go. Always have your member ID card with you. Make check-in easier at your doctor visits or to manage prescriptions.

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› Url: https://www.simplyhealthcareplans.com/florida-medicaid/get-help/health-wellness/useful-apps.html Go Now

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Medicare & Medicaid Insurance Plans Simply Healthcare

Details: Formed in December 2009, Simply Healthcare is a Florida licensed health maintenance organization established to meet the needs of Floridians enrolled in government-sponsored healthcare programs. Simply Healthcare is led by an experienced management team with a proven record of success.

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Over-the-Counter (OTC) benefits Simply Healthcare

Details: Simply Healthcare Plans, Inc. is a Medicare-contracted coordinated care plan that has a Medicaid contract with the State of Florida Agency for Health Care Administration to provide benefits or arrange for benefits to be provided to enrollees.

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Log In Simply Healthcare

Details: Have questions? Call or write us! Managed Medical Assistance: 844-406-2396 (TTY 711) Florida Healthy Kids: 844-405-4298 (TTY 711) Long-Term Care: 877-440-3738 (TTY 711)

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Simply Healthcare Plans Providers

Details: Behavioral health provider. We work collaboratively with hospitals, group practices and independent behavioral health care providers, community and government agencies, human service districts and other resources to successfully meet the needs of members with mental health, substance use, and intellectual and developmental disabilities.

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CG-DME-30 Prothrombin Time Self-Monitoring Devices

Details: Health Technol Assess. 2007; 11(38):iii-iv, ix-66. Garcia-Alamino JM, Ward AM, Alonso-Coello P, et al. Self-monitoring and self-management of oral anticoagulation. Cochrane Database Syst Rev. 2010;(4):CD003839. U.S. Food and Drug Administration (FDA). Center for Devices and Radiological Health: Device Summary Information. IVD Database: Prothrombin.

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SURG.00143 Perirectal Spacers for Use During Prostate

Details: This document addresses the use of perirectal spacers placed prior to prostate radiotherapy as a method of rectal displacement. Such products include SpaceOAR ® (Boston Scientific, Marlborough, MA.), an injectable liquid hydrogel product intended to create distance and serve as a spacer between the prostate and the anterior rectal wall in individuals undergoing radiotherapy for …

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Health Education

Details: Our health education and outreach approach emphasizes healthy behaviors, preventive care and wellness. Additionally, we offer eight NCQA accredited disease management (DM) programs that incorporate outreach, education, care coordination and follow-up to improve treatment compliance and enhance self-care. Disease Management.

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Simply Healthcare

Details: Simply Healthcare Plans, Inc. is a Medicare-contracted coordinated care plan that has a Medicaid contract with the State of Florida Agency for Health Care Administration to provide benefits or arrange for benefits to be provided to enrollees.

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Simply Medicaid Plan benefits Simply Healthcare

Details: Whether it’s 3 a.m. or a Sunday afternoon, health issues come up. That’s why you can always call our 24-hour Nurse HelpLine and speak directly to a nurse. Call 1 …

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Be ready, be healthy Simply Healthcare

Details: 24-hour Nurse Helpline. - SMMC - 1-844-406-2396 (TTY 711) - Florida Healthy Kids (FHK) - 1-844-405-4298 (TTY 711) - Behavioral Health - 1-844-375-7215. Primary care provider (PCP) Any specialists you see. Your pharmacy - You can also store a list of your medications under this number for quick reference.

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Simply Healthcare Plans, Inc. Member Appeal Process

Details: Health or Ability to attain, maintain or regain maximum function. You can also ask for an expedited appeal if the doctor who treats this medical condition believes the time for a standard appeal will cause you severe pain. Severe pain is pain that can’t get better without the service mentioned in this appeal.

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Recovery Library Simply Healthcare

Details: CommonGround Recovery Library. CommonGround is an approach to recovery. Whether you're getting better from a behavioral health condition, an addiction or both, the CommonGround Library offers plans and tools to help you start recovery and deal with daily hardships. The CommonGround Library has 28 Learning Tracks.

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Simply Healthcare

Details: As a Simply Healthcare Plans, Inc. member, you get an extra over-the-counter (OTC) benefit of $25 each month, per household, to use for medicines and health-related items from our OTC catalog. You can even ship the items to your home for free! Remember! Unused benefits do not roll over to the next month.

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Simply Healthcare Plans, Inc. Medicare Managed Care

Details: Health Alliance (Simply), please provide the authorization number with your submission. For questions or to submit your request, use the following: Statewide Medicare Managed Care Managed Medical Assistance — prior authorization (PA) phone: 1-844-405-4297; PA fax: 1-866-959-1537

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Shop Medicare Plans

Details: The directory displays information about the providers that are part of the network for your plan, and nearest to you in the plan's service area which includes your zip code. To get detailed information about health care coverage for a specific plan and the plan’s service area, please see the Summary of Benefits or Evidence of Coverage documents.

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My Wellness Guide Simply Healthcare

Details: Get health tips from the experts. Connect your device. Connect your smartphone or fitness tracker to see how your daily actions affect your body and mind. Get the free app now! Simply resources. Know where to go – getting care 24/7. How to enroll with Simply. How to renew your benefits.

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Forgot Username Simply Healthcare

Details: Have questions? Call or write us! Managed Medical Assistance: 844-406-2396 (TTY 711) Florida Healthy Kids: 844-405-4298 (TTY 711) Long-Term Care: 877-440-3738 (TTY 711)

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Provider Services: https://provider.simplyhealthcareplans

Details: Children’s Health Insurance Program — Florida Healthy Kids Page 9 Reminder: Florida Healthy Kids claims submission methods Page 8 Medicare Advantage Page 10 DME checklist of information needed from providers Page 9 Medical Policies and Clinical Utilization Management Guidelines update Page 10 Clear Health Alliance Page 11

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Eligibility & Provider Reports

Details: Select the health plan. From the Payer Spaces homepage, select the Resources tab. From the Resources tab, select Provider Online Reporting. If you don't see it in the list, se­lect Next from the right-hand side at the bottom of the page. From the Provider Online Reporting page, select Member Panel Listings. Registration for provider online

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Anthem Health Care Services & Options Anthem.com

Details: Your Health Care Calendar. Preventive care is an important part of your overall health. Find out the recommended screening and vaccine schedule recommended for you and your age group and gender. There are also unique guidelines if you are pregnant.

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Caregiver Resources Simply Healthcare

Details: Health plan resources, like a nurse who can answer health questions anytime, day or night, at 1-844-406-2396 (TTY 711) Caregiver training and educational resources. The member’s care plan. Keep track of your loved one’s phone numbers, appointments, finances and more with the Simply Caregiver Organizer. This all-in-one binder lets you easily

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2019 Formulary (List of Covered Drugs)

Details: plan in consultation with a team of health care providers, which represents the prescription therapies believed to be a necessary part of a quality treatment program. Our plan will generally cover the drugs listed in our formulary as long as the drug is medically necessary, the prescription is filled at a plan network pharmacy, and

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Contact us Simply Healthcare

Details: Simply Healthcare Plans, Inc. is a Medicare-contracted coordinated care plan that has a Medicaid contract with the State of Florida Agency for Health Care Administration to provide benefits or arrange for benefits to be provided to enrollees.

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Medicare Advantage HMO Plans Florida Simply Healthcare

Details: Simply Healthcare Plans, Inc. is a Medicare-contracted coordinated care plan that has a Medicaid contract with the State of Florida Agency for Health Care Administration to provide benefits or arrange for benefits to be provided to enrollees. Enrollment in Simply …

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Provider Services: https://provider.simplyhealthcareplans

Details: to the AIM Specialty Health ® * (AIM) Advanced Imaging Clinical Appropriateness Guidelines. Part of the AIM guideline annual review process, these updates are focused on advancing efforts to drive clinically appropriate, safe and affordable healthcare services. Read more online. * AIM Specialty Health is an independent company providing

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Useful Apps Simply Healthcare

Details: Simply Healthcare Plans, Inc. is a Medicare-contracted coordinated care plan that has a Medicaid contract with the State of Florida Agency for Health Care Administration to provide benefits or arrange for benefits to be provided to enrollees. Enrollment in Simply …

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Contact Us Simply Healthcare

Details: Call us Call Member Services. Medicaid (MMA) members 1-844-406-2396 (TTY 711) Long-Term Care (LTC) members 1-877-440-3738 (TTY 711) Our reps are available Monday through Friday from 8 a.m. to 7 p.m. Eastern time.

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Shop Medicare Plans

Details: Having a good prescription drug plan can help you cover medications if your health needs change in the future. Searching for drugs now will help you compare out-of-pocket costs across available plans. This information will not affect the monthly payment for your plan or which plans are available to you.

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A message for providers Taking Care of Baby and Me

Details: member specific health care education in a warm, easy-to-understand fashion. Eligible members receive twice-weekly messages with tailored content from a voice personality, Mary Beth, in English or Spanish. The topics include: • Obstetric high-risk screening. • Maternal and child health: • Prenatal care • Postpartum care • Well-baby care

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Important Notice: Provider Information for COVID-19

Details: Health Care Administration to provide benefits or arrange for benefits to be provided to enrollees. Enrollment in Simply Healthcare Plans, Inc. depends on contract renewal. Simply Healthcare Plans, Inc. is a Managed Care Plan with a Florida Healthy Kids contract. SFL-NL-0245-20 December 2020 516466FLPENSHP

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September 2021 Provider Nesletter

Details: Clear Health Alliance | Medicaid COVID-19 information Simply Healthcare Plans, Inc. (Simply) and Clear Health Alliance (CHA) are closely monitoring COVID-19 developments and how the novel coronavirus will impact our customers and provider partners. Our clinical teams are actively monitoring external queries and reports from the

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August 2021 Provider Nesletter

Details: Healthcare Plans, Inc. and Clear Health Alliance implemented these codes as of June 18, 2021. SBIRT is a comprehensive, integrated, public health approach to the delivery of early intervention and treatment services for persons with substance use disorders, as well as …

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Summary of Benefits

Details: Mental Health Care Inpatient visit: 1,2 Doctors and facilities in our plan: $0.00 copay Our plan has a lifetime limit of 190 days for inpatient mental health care in a psychiatric hospital. This limit does not apply to inpatient mental health services provided in a general hospital. This plan covers: 90 days for an inpatient hospital stay.

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Medicare Age 65 & What You Should Know Simply Healthcare

Details: Simply Healthcare Plans, Inc. is a Medicare-contracted coordinated care plan that has a Medicaid contract with the State of Florida Agency for Health Care Administration to provide benefits or arrange for benefits to be provided to enrollees. Enrollment in Simply …

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Provider Directory Directorio de proveedores

Details: health needs. Pharmacy is open 24 hours a day. Ϯ Is board certified. w Is wheelchair accessible and for people i th a disa bil y or isa li ies. D Treats people with disabilities. Completed culturally competent care training offered by the U.S. Department of Health & Human Services. ** Receives ongoing training.

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Learn about Availity

Details: Select the appropriate health plan. From the Payer Spaces home page, select the Resources tab. From the Resources tab, select Provider Online Reporting. If you don't see it on the list, select Next from the right-hand side at the bottom of the page. From the Provider …

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Payer ID reminder

Details: Clear Health Alliance is a Managed Care Plan with a Florida Medicaid contract. Simply Healthcare Plans, Inc. is a Medicare-contracted coordinated care plan that has a Medicaid contract with the State of Florida Agency for Health Care Administration to provide benefits or arrange for benefits to …

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