Every year, we measure member access to care. We do this in many ways. For example, we review:
The surveys are conducted on a random sampling of primary care and specialty care providers. And we appreciate your participation in these phone surveys.
We do all this to comply with NCQA accreditation standards and various state regulations.
You’ll find the access standards that we measure against in the Office Manual for Health Care Professionals.
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Each main plan type has more than one subtype. Some subtypes have five tiers of coverage. Others have four tiers, three tiers or two tiers. This search will use the five-tier subtype. It will show you whether a drug is covered or not covered, but the tier information may not be the same as it is for your specific plan. Do you want to continue?