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Effective Date: November 1, 2009 November 1, 2009 November 1, 2009 • The Healthy Families Program brochure/application will include a chart comparing responses to commonly asked questions. These questions will be generated using input received at the MRMIB public meetings, available market research, and in consultation with the Healthy Families Advisory Panel. These may include answers to questions such as: • How many times can a child change their primary care physician in one benefit year? • Does the plan require physicians to prescribe pharmacy products from a list of drugs (a formulary) approved by the plan? • What is the total number of primary care physicians in the plan? • MRMIB’s experience in purchasing health benefits for small employers and their employees’ families through HIPC shows that most families want to know the plans that include the child’s physician when selecting a plan. To respond to this consumer need the Healthy Families Program will create a Provider Information Service. The Provider Information Service will be modeled on the Physician Super Directory developed by MRMIB for its small employer purchasing pool. It will include a listing of the pediatricians, family practice and general practice doctors, clinics/medical groups and hospitals that will be available through Healthy Families participating health plans. Additional information will include languages spoken in the physician’s office, the gender of the physician, and if the physician is accepting new patients. The Provider Information Service will be available to families as they make their initial health plan choices and again at each annual open enrollment. • MRMIB will require all plans providing services to Healthy Families program subscribers to prominently display in their Evidence of Coverage documents the grievance procedures of the plan and the plan’s regulatory entity’s toll free phone number. • Application/enrollment materials will be available in English, Spanish, and other threshold languages designated by the Department of Health Approval Date: HFP Family Contribution Increase HFP Co-Payment Increase HFP Limited Dental Plan Choice for New Subscribers
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