Cci

Clinical Care

Your Kentucky Health Cooperative has processes, policies and people in place to insure that its members receive the required services to appropriately manage their healthcare. From reviewing the services its members receive, to providing programs designed to help better understand, monitor and manage specific healthcare needs, your Kentucky Health Cooperative makes every effort to provide our members with timely and appropriate healthcare services.

Concurrent Review

If a member requires a service over a period of time (an in-patient admission or home health care, or out-patient therapy as examples) our Concurrent Care Review (CCR) nurses conduct routine reviews to assure that the services that are being provided are timely and appropriate for your specific care.

New Technology

Healthcare is constantly changing, evolving, expanding. There are new medications, new uses for current medications, new procedures, new treatments and new devices being evaluated and put into use. It is the goal of our “New Technology Committee” to thoroughly investigate these changes in health care by researching current medical literature and medical practice and thoroughly discussing the findings. By this process KYCH makes every effort to determine how new advancements can be included in our members’ benefits, ensure our members have equitable access to safe and effective care and ensure awareness of changes in the health care industry.

If you are aware of a specific new procedure, medication, treatment, or device, and would like us to consider covering it please send your written request to the Chief Medical Officer at Chief Medical Officer Kentucky Health Cooperative, 9700 Ormsby Station Road, Suite 100 Louisville, KY 40223.

Language Assistance

We are committed to communicating with our Members about their health plan, regardless of their language. We employ a language line interpretation service for use by all of our Customer Service call centers. We have Customer Service staff who speak other languages. Simply call the Customer Service at 1-855-687-5942 (M-F 8am-7pm / Sat. 8am-2 pm EST) and a representative will be able to assist you.

Translation of written materials about your benefits and how to access services can also be requested by contacting Customer Service. All documents and publications relating to your membership in KYHC are available in Spanish, Braille, large print and electronic form. For members who require TDD/TTY services please call 1-800-648-6056.

NECESITA ESTA INFORMACION EN espanol? Este libro contiene informacion queusted necesita saber. Para obtener este libro en espanol, llame al Servicio al Cliente al 1-855-OUR-KYHC (1-855-687-5942). Tambien puede llamar para que le lean el libro. En espanol.