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A wide network of
physicians, hospitals, dentists, pharmacies,
pharmaceutical manufacturers, home health
agencies and hospices contribute to the
care of thousands of Kentuckians without
health insurance through the statewide program
Health Kentucky.
Physicians
Information
Pharmacies Information
Physicians' Sign
Up Sheet
Pharmacies Sign Up
Sheet
Advanced Registered Nurse Practitioner agreement
Physicians:
The Kentucky Physicians
Care Program exists through the generosity
of 3,000 volunteer physicians from across
the state. These physicians provide a valuable
service by treating eligible patients at
no charge. More than 500 primary care physicians
participate and every specialty is represented.
To encourage continued
support from the medical community, Health
Kentucky makes it as easy as possible for
physicians to participate.
Q. Why should a physician
participate in the Kentucky Physicians Care
program?
- No paperwork.
You are not required to maintain any paperwork
or fill out forms other than your own
standard office files.
- Careful screening.
Patients are screened by the local Department
for Community Based Services office to
ensure they do not qualify for Medicare
or Medicaid or are not privately insured.
- You're already
seeing patients for free. Physicians have
and always will see certain people without
expectation of payment. This program empowers
the physician to write a prescription
and know that the patient can have it
filled for free.
- You set the rules.
By participating, physicians agree to
see as many patients as they can financially
contribute to. Physicians tell Health
Kentucky how many patients they want to
see and we honor their requests.
- Convenient scheduling.
Use normal appointment procedures. If
you can't see a patient for several weeks,
patients can call the hot line for a referral
to another physician.
- The right to refuse
any patient. Because participation is
voluntary, physicians have the right to
refuse to see any patient.
- One visit free
of charge. Because participating physicians
generally don't want to begin an open-ended
arrangement, the first routine office
visit is all a physician is required to
provide for free. Any subsequent visits
are based on your arrangements with the
eligible patients. However, many physicians
continue to see patients in their office.
- Network support.
Thousands of physicians, including every
specialty, participate in the program,
along with every hospital, home health
agency and hospice in Kentucky. Hundreds
of pharmacies fill prescriptions from
the free medications provided by eight
pharmaceutical manufacturers.
Pharmacies:
The Kentucky Pharmacy
Providers Program consists of 525 hospital
and retail pharmacies that generously donate
their services to fill prescriptions for
eligible patients. To encourage continued
support from the state's pharmacies, Health
Kentucky makes it as easy as possible for
pharmacies to participate.
Q. Why should a pharmacy
participate in the Kentucky Pharmacy Providers
program?
- Medications are
the key. A physician can diagnose a patient's
illness, but without access to proper
medications the treatment ends. Pharmacists
and pharmaceutical manufacturers play
a key role in treating patients.
- Electronic Reimbursement.
Starting in March 2002, pharmacies will
"bill" Anthem Prescription Management
(APM) to get reimbursed for medications
that are provided to eligible patients.
Reimbursement consists of replenishing
the supply of dispensed medications. APM
will provide details about which medications
are covered so pharmacies will know the
medications they fill will be reimbursed.
APM will also know if the patient is eligible
at the time you fill the prescription.
This new process will eliminate the paperwork
involved in requesting reimbursement for
eligible patients' prescriptions.
- Medication availability.
Eight pharmaceutical manufacturers donate
prescription drugs to assist the uninsured
through the Health Kentucky program. This
ensures that pharmacies will be reimbursed
for the prescriptions they dispense. The
pharmaceutical companies are Abbott Laboratories,
AstraZeneca, Bristol-Myers Squibb, Eli
Lilly, Johnson & Johnson, Novo Nordisk,
Pharmacia-Searle Division and Pfizer.
- Careful screening.
Patients are screened by the local Department
for Community Based Services office to
ensure they do not qualify for Medicare
or Medicaid or are not privately insured.
- Network support.
Thousands of physicians, including every
specialty, participate in the program,
along with every hospital, home health
agency and hospice in Kentucky. Hundreds
of pharmacies fill prescriptions from
the free medications provided by eight
pharmaceutical manufacturers.
- The right to refuse
any patient. Because participation is
voluntary, pharmacies have the right to
refuse to fill any prescription.
- Replenishment of
products. Participating pharmacies fill
prescriptions for patients, submit replenishment
information and are reimbursed the medications
from the participating pharmaceutical
companies, usually within 30 days.
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