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QualChoice Health Insurance
QualChoice is a Cleveland-based medical insurance provider that serviced employer, Medicare, and Medicaid health plans for the area. On September 1, 2006, their Medicaid Select plan was sold to Anthem Blue Cross/Blue Shield. On December 31, 2006, their business and Medicare plans were discontinued. QualChoice is still administering any services provided while the company was covering these plans.
The Anthem Blue Cross/Blue Shield Company is an affiliate of the publicly traded WellPoint Company, which is part of the Blue Cross/Blue Shield Association. These companies all together offer some form of low cost health insurance coverage in all states of the union. Mostly independent, and either regional or state-based, these companies were some of the earliest managed health care companies in the U.S., dating from the 1920s and 1930s. Anthem manages Medicaid and Medicare coverage. Coverage is also available for individuals and businesses.
QualChoice Coverage
QualChoice6000 Parkland Blvd.
Mayfield Hts., Ohio 44124
http://www.qualchoice.com
Some of the features of the Anthem Blue Cross/Blue Shield health plans for employers, individuals, and families are:
- Group health plans for small business, including traditional, PPO, and HMO plans
- Separate rate scales for in-network and out-of-network, but flexibility to use doctors and facilities near you.
- Choice of plans, including those with or without a deductible
- Go to a network specialist with a referral
- Family planning services, as well as physical therapy and speech therapy are covered in some plans
- Preauthorization is required for many procedures
Anthem plans include a range of deductibles and co-pays, including a high deductible plan for use with a health savings account and a short-term coverage plan. All individual plans are limited to residents of Ohio who are not eligible for Medicare.
