Health Choice Generations
Text Size: Smaller Font Larger Font Reset Font  
Click to Expand Members
Introduction About Us About Medicare Member Registration Member Services
Medical Services
Member Newsletters Cultural Competency Community Resources and Links Behavioral Health Connections Frequently Asked Questions What's New
Click to Expand Providers
Appeals Provider Log-In/Sign-Up Provider Manual Network Services MedSolutions Benefits and Covered Services Commonly Used Forms Fraud Waste and Abuse Provider Resources and Links Multi-Cultural Resources Why Join HC Generations? National Provider Identifier Claim Information and Updates Important Notices for Providers DRA Training
Click to Expand Medicare Part D Plans
What is Part D Why join HC Generations HC Generations Drug Coverage Denies Coverage for a Prescription Drug Drug Formulary Guide Formulary Change Notice Grievances and Appeals Coverage Determination / Coverage Re-determination Prior Authorization Mail-order Program Medication Therapy Management Program Plan Transition Process Plan Ratings
Click to Expand Members Need to Know
Rights and Responsibilities Fraud and Abuse Grievances and Appeals Appointment of Representative Advance Directives
Click to Expand Health Education
Introduction Diabetic Education Depression Ready, Set, Quit! Be Smart, Get Active Phone Scams Protect your Identification Dog Days of Summer UV Safety Safe Swimming Tips Preventative Care and Screening Tips Behavioral Health Connections Safe Stay Strategies
Health Choice Arizona
Click to go to KPHO website
Most of the documents posted on the Health Choice Generations' Web sites are available for viewing or printing in Adobe PDF format. If you do not have Adobe Reader installed, please download from here for free:
 
Medical Services

Health Choice Generations has specialized areas within the Medical Services Department to better serve your medical and prescription drug needs.

A few examples are:

  • Behavioral Health
  • Care Coordination
  • Case Management
  • Quality Management

Behavioral Health

As a member of Health Choice Generations, you may be eligible for Behavioral Health services. Behavioral Health services can help people learn new ways to think and feel so they can cope with life in healthier ways. These services can also help people stop drinking and using drugs. Members who qualify for behavioral health services will receive these services through the Regional Behavioral Health Authority, also known as RBHA. The Health Choice Generations Behavioral Health Coordinator and/or your primary care physician can help you get these services. You can call the Behavioral Health Coordinator at 1-800-322-8670 x4423 or call Health Choice Generations Member Services at 1-800-656-8991.

Care Coordination

The Care Coordination Department was developed to assist busy provider offices in coordinating the care of our members. This may be any provider a member is seeing for care.

This department will help schedule appointments with specialists, schedule special testing, and transportation if needed. In the event of an emergency we also assist your primary care physician in selecting a contracted specialist as needed. This specialist will be close to the member's residence.

Once an appointment has been scheduled with the specialist, the member will receive a telephonic notification regarding the appointment. At that time arrangements for transportation can also be made.

Case Management

Health Choice Generations provides Case Managers who are committed to assisting members in obtaining medically necessary care. This can include education regarding disease management, referrals for specialized care, and communication with the member's PCP.

The Case Manager's goal is to assist the member to better care for themselves and to understand their disease.

Quality Management

The Quality Management Department investigates all health plan complaints regarding care or services to ensure quality care for our members and providers. The Quality Management department also oversees quality improvement projects, which enhance services for members, providers, and the health plan.

back to top