Logo

 

Frequently Asked Questions about 

Integrity Health & Partnership Health Center

 

How does Integrity Health benefit public employers and employees alike?

Integrity Health is an advocate for employee health and promotes care in unprecedented ways-- by arming members with detailed knowledge about their options, by providing a free and 100% voluntary state-of-the art health care center, by promoting early care and wellness, and by providing no-hassle, plain-language bills. Healthy employees represent the most financially beneficial position for employers.


Do benefits change if an employer switches to Integrity Health?

No. Integrity Health is scrupulous in following the benefit design parameters of “equal-to- or-better-than” to honor contract requirements. In addition to coverage requirements remaining unchanged, members have access to a dedicated, 0ne-stop-shopping Partnership Health Center to be used on a voluntary basis for primary care as well as referrals and care coordination purposes. There, they can visit outstanding doctors and other providers. In addition to medical services, they can receive their medications, X-rays and lab work at one location with no copay.

 

Do co-pays and deductibles change?

No. Even better—if a member chooses to use the Partnership Health Center services, there are no copays, deductibles or any other out-of-pocket expense.

 

Can members visit the doctor of their choice?

Yes. Integrity Health allows employers and health plan sponsors access to a customized provider network as large as any available. Moreover, Integrity Health has a unique and powerful way to recruit providers who will not participate in any network. The Integrity Health program is based on the premise that encouraging access to healthcare is wise not only for health purposes, but financially as well. Of course, a doctor can call us to join at any time.

 

How do I find out if a doctor participates in an Integrity Health network?

Integrity Health will provide access to a list of network providers online. If a doctor or facility of your choice is not listed, Integrity Health requests that you alert us to this situation so we may recruit the provider.

 

Will I get credit for the deductible amount already applied?

Yes. Integrity Health will obtain necessary information to properly reflect these credits.

 

Many times during an in-network hospital stay you have no control over the providers who take care of you.  What happens in those cases?

During an in-patient stay at a participating facility, all ancillary providers will be paid as in-network.

 

What happens if I am in the middle of care with a provider who is in-network with our current carrier, but is out of network with an Integrity Health network?

During the first three-month transition to Integrity Health there is a grace period for care programs underway prior to Integrity Health’s start date.  Those specific services will be covered as in-network during the grace period.                                               

 

What is the purpose of the Partnership Health Center?

The Partnership Health Center (PHC) provides employees and their dependents with high quality, convenient medical services, including primary care, medications, lab work and X-ray services. All PHC services are accessed on a voluntary basis without copays.

 

Where will the Health Center be located?

Integrity Health  identifies potential PHC sites that are the right size for the population and provide the greatest convenience for the greatest number of people with the best available parking and accessibility. We are confident that convenient access to dedicated healthcare providers is the key to better health.

 

Must I use the Partnership Health Center?

No. It is a component of the health plan and always voluntary and free from out-of-pocket cost to members.

 

Who is eligible to use the Partnership Health Center?

All employees and their dependents who are covered by the employer’s medical benefits plan.

 

What services are offered in the Partnership Health Center?

Anything that is routinely provided in a family practice or internal medicine physician’s office will be provided in the Health Center.  Medical services include, but are not limited to the following: urgent care, sore throats/ear/headache, strains, sprains, musculoskeletal problems, non-specific abdominal pain, non-specific chest pain, cough, sinus, allergies, Depo injections as well as allergy and B12 injections (with patients supplying drug/vitamin), rashes, acute urinary complaints, personal hygiene related problems, acute injuries, acute routine office procedures, minor surgical procedures, such as sutures for laceration treatment, flu shots, and well woman exams.  Medications are available and laboratory testing can be done.

 

Can I visit the Health Center for urgent care? For example, if my child falls and I suspect she has broken a bone, should I visit the Health Center instead of a hospital emergency room?

Yes, you may visit the Health Center in such instances. The Health Center is well equipped with X-Ray and other equipment and with expert staff to handle such events.  However, life-threatening emergencies such as those that require an ambulance service should be treated in a hospital emergency room.

 

Are my visits or anything about them shared with my employer?

No. State and federal laws which protect patient medical records apply to the Health Center as they do with any health provider.  Integrity Health and its service providers are fully HIPAA compliant. Members’ privacy is critically important to us. We don't sell, rent or share any personally-identifiable information (except when asked to do so by a member). We won't send any unsolicited e-mail ("spam"). No personally-identifiable information collected through the Integrity Health website will ever be used to limit members’ health benefits coverage.

 

Do I need an appointment to visit the Partnership Health Center?

It is always a good idea to have an appointment, but we know that things do come up without notice. Because Partnership Health Center is not open to the public and is dedicated exclusively to those covered by the employer’s health plan, same-day appointments are often available. In the event of a serious, medical emergency, you should always go directly to a hospital emergency room.

 

Are the staff qualified, experienced and well trained?

Yes. All Partnership Health Center staff are fully qualified and be specifically trained to address your health care needs.

 

Can I get all my medications from the Partnership Health Center?

Partnership Health Center stocks pharmaceutical products associated with primary care but also has additional inventory of certain, maintenance medications.  When you visit the health center, you will find a list of available medications. Controlled substances are not available at Partnership Health Center.

 

Will the Partnership Health Center forward copies of my records to other doctor(s) I may use outside of the center?

Yes. Once you sign a release of information, the Health Center will send a copy of your records either to you or directly to a doctor of your choice.

 

Can the Partnership Health Center make referrals to any specialists?

Yes, the Partnership Health Center can refer you to specialists. Referrals are based on a provider’s quality of care, irrespective of network affiliation. There is never a requirement that a PHC-referred provider be used by a member; that is always voluntary.

 

How does Partnership Health Center save money?

Partnership Health Center saves the district and members money in three, basic ways: 1) salaried medical staff as opposed to fee-for-service providers is economically efficient, e.g., receiving primary care in an emergency room is 5 times the cost of PHC; 2) care coordination efforts of PHC providers reach outside specialists and hospitals to promote the most effective health pathways for patients; and 3) rigorous audit of provider bills protects the plan and its members from inappropriate billing practices. Only by promoting better health and better health treatment will the health plan’s cost trend be reduced for employers and employees alike.

 

Who can visit the Health Center?

Only the plan sponsor’s employees (and their dependents) covered by the medical plan can use the Health Center. The Health Center is not open to the general public. It is dedicated to serve the needs of employees and dependents covered by the medical benefits plan.

 

Who’s paying for the Partnership Health Center?

Partnership Health Center is a component of the employer’s health plan and is paid for as part of the annual health plan budget.

 

If the PHC makes an error, is the employer liable?

No. Partnership Health Center doctors and nurses are not employees of the district. They are licensed professionals performing primary care services who are covered by appropriate insurance which insulates the employer and employees from liability.

 

Is Integrity Health an insurance company?

No.  This is one of the reasons why Integrity Health can more easily save employers and employees health care dollars. It is a health benefits company managing customized health benefit programs for public and private sector employers. Although it is not an insurance company, Integrity Health offers plan sponsors and their employees a turnkey and complete program for healthcare coupled with insurance protection from a rated carrier. We encourage you to visit our website (www.integrityhealth.com) to review our company and philosophy of care.