Get to Know Your Plan
Understand your plan to get the most out of your membership.
Depending on the type of plan you have, Traditional or Non-traditional, you may have coverage for these services:
- Preventive care
- Eye care
- Labs and X-rays
- Newborn care
- Over-the-counter drugs
If you’re already a member and want to know more about what’s covered by your plan, log in to My Health. Even though some benefits may not be covered by Select Health Community Care, you may be able to get them through state Medicaid. These include mental health, dental, and chiropractic, and transportation services.
Your Rights and Responsibilities
You have rights to make sure you are treated fairly. You must also follow the rules of your plan.
We do not exclude because of current health issues, color, creed, age, national origin, handicap, religion, sex, or sexual orientation. If you have questions or you have not been treated fairly, call the Select Health Civil Rights Coordinator at 801-442-9950.
Get to know your rights and the rules of your plan.
Adverse Benefit Determinations, Appeals, and Grievances
Generally speaking, members are issued an Adverse Benefit Determination when a benefit is denied or coverage is rescinded. If you’ve received notice of an Adverse Benefit Determination, you have 60 days to ask for an appeal.
If you need help filing an appeal, please call the Appeals and Grievances department at 844-208-9012. Foreign language interpreters are available, and we offer assistance for those with hearing problems.
Understanding Adverse Benefit Determinations
An Adverse Benefit Determination is when Select Health:
- Denies care or approves less care than you wanted
- Denies a covered service you've had access to previously
- Lowers the number of services you can get or ends previously approved service
- Denies payment for care that you may be responsible for paying
- Does not take care of an Appeal or Grievance as soon as we should
If you have a problem with an Adverse Benefit Determination, please call Member Services. They can help you work through most problems. If you still need help or have additional questions, you can file an appeal or grievance