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<br />CareAccess <br /> <br /> <br />11I-.. <br /> <br />111'\1.'1111'1 \:; <br /> <br />Care Access Health Plan, Inc. <br />An Overview <br /> <br />---_.---~ '---'~'-'-'--~--"'-------"'--"'-'--'-'._-_.--'--' '-'-~---'-- <br />-- _. -- - - - - ~. - - - -- - ~ -.. - -. - -- - -. -.-.. .~.. . --- ~. - -- ._.... -- <br /> <br />Introduction <br /> <br />The need for affordable health care coverage is not a new concept. However, until <br />now it has been difficult for employers and individuals to go into the marketplace <br />and obtain a licensed and insured affordable alternative. <br /> <br />Care Access Health Plan, Inc. was formed to provide a licensed limited <br />benefit alternative health plan as a response to the continued upward spiral <br />of health care costs. Its corporate goal is to respond to the significant and <br />pressing need for a new form of managed care solution that delivers <br />defined comprehensive preventive and routine health care benefits at <br />affordable rates; providing care to keep its members well and out of the <br />hospital. <br /> <br />Licensed at the end of 2003 as a health plan under Florida Law, Chapter 64\, Part <br />II, Care Access is proud to be the first limited benefit health plan to receive in the <br />Fall of 2005 the prestigious accreditation award from URAC, the Washington, <br />DC based nationally recognized independent review agency for quality health <br />care. <br /> <br />Care Access took a unique approach to Chapter 64 I, Part II (known as the Prepaid <br />Health Clinic Statute) when it applied for its Office of Insurance Regulation <br />(OIR) license. As approved by OIR, Care Access offers a comprehensive list of <br />preventive care services for Primary and Specialty Physician Care, Urgent Care, <br />prescription medication, routine outpatient ambulatory surgery, behavioral health, <br />hearing and vision services, diagnostic treatment, and other preventive health care <br />services by utilizing a large network of credentialed private practice doctors rather <br />than local clinics. Under the requirements of the statute, Care Access does not <br />provide inpatient hospital services. Defined, insured Hospital benefit coverage <br />may be obtained through various A-Rated insurance companies licensed in <br />Florida that provide stand-alone defined hospital benefits or catastrophic hospital <br />insurance products. <br /> <br />While the Care Access product is relatively new, its key administrative <br />services are provided by two well-established healthcare companies that <br />enjoy common ownership with Care Access. These two companies are <br />over ten (10) years old; the first is a licensed operational Third Party <br />Administrator (TP A) HS I Medical Management, which is also licensed <br />as a Private Review Agent (PRA); and the second is Health Network One <br /> <br />2006 CAHP Overview <br /> <br />5-06 Emp w-o-h <br />