| print |
close |
Member Services Story
A member contacted Gateway Health Plan® Member Services Department for help locating a physical therapy provider in his local area. The member was very frustrated because he had been looking in the phonebook to find a provider, but was not sure if he was selecting providers who participated with his insurance.
The member services representative explained that there are easier ways to locate this kind of information.
* Select a provider from Gateway’s Medicaid Provider Directory. Upon request, a Provider Directory can be sent via postal mail or email.
* Visit GatewayHealthPlan.com and click on the “Find A Provider” link on the right.
* Contact the Member Services Department at 1-800-392-1147 and speak with a member services representative. A representative can help members locate participating provider and answer questions.
After speaking with the represen-tative, the member realized that there were quite a few participating physical therapy providers in his area. The representative also informed the member that the therapy sessions would require his doctor to request a prior authorization from Gateway and assured the member that his doctor would receive timely notification once a decision is made.
The member thanked the represen-tative for easing the stress of finding a physical therapy facility and agreed to make sure a provider accepts Gateway insurance before scheduling an appointment.
|
|