Frequently Asked Questions
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If my physician or other provider is in Colorado Accountable Care, can I still see whatever doctor I want?
Absolutely—if your physician or other provider participates in Colorado Accountable Care, you can still see any healthcare provider who accepts Medicare. Nobody—not your physician or other provider, not your hospital—can tell you who you have to see.
Is Colorado Accountable Care a Health Maintenance Organization (HMO), managed care or an insurance company?
No. Colorado Accountable Care consists of physicians, hospitals, and other health care providers who work together to provide you with better, more coordinated care. Physicians and other healthcare providers in Colorado Accountable Care communicate with you and with each other to make sure that you get the care you need when you are sick, and the support you need to stay healthy and well.
Unlike HMOs, managed care, or some insurance plans, Colorado Accountable Care can’t tell you which health care providers to see and can’t change your Medicare benefits. You always have the right to choose any physician, other provider or hospital who accepts Medicare at any time.
You will receive a letter from your primary care doctor. In addition, during your next appointment, your primary care physician will talk with you about Colorado Accountable Care and answer questions that you may have. There also will be posters about Colorado Accountable Care in your physician or other provider's waiting room as well as in our hospitals. In addition, your physician or other provider's front desk staff will have written information to hand to you. If you aren’t sure if your physician or healthcare provider participates in Colorado Accountable Care, ask him or her.
You will continue to have the same rights enjoyed by all people with Medicare. To help you get quality coordinated care, Medicare will share information about your medical information with your physicians or other providers in Colorado Accountable Care, including medical conditions, prescriptions, and visits to the physician or other provider. This is important to help your physician or other providers keep up with your medical needs and track how well they are doing to keep you healthy and helping you get the right care.
Your privacy is very important to Colorado Accountable Care and to Medicare. The privacy of your medical information is protected by Federal Law, and you may choose to have your name and other personal information removed from the information that Medicare shares with your physician or other provider by doing one of these things:
- Calling 1-800-MEDICARE (TTY users should call 1-877-486-2048); or
- Signing a form that is included in a mailing from your physician or other provider and that is also available in your physician or other provider's office.
If you receive a letter from your physician or other provider, unless you take one of these steps, your medical information will be shared automatically starting 30 days from the date you are notified.
When your health care providers have access to your health information and are able to share that information with one another, they can give you better, more coordinated care. Each of your health care providers will not only know about the health issues that they have treated, they will have a more complete picture of your health through communicating with your other health care providers.
Over time, you should see better more coordinated health care from Colorado Accountable Care where you are the center of care and your satisfaction is our goal.
For more information about Accountable Care Organizations, we suggest that you visit the the following Medicare websites:
- ACO Information from Medicare.gov
- ACO FAQ from Centers for Medicare and Medicaid Services
- ACO Program Initiatives.