Jane Dotson
Parkland Community Health Plan offers Medicaid STAR and CHIP health plans to members in seven North Texas counties. It was started in 1999 by Parkland Health as a managed care organization to provide services for Texas STAR Medicaid and Children's Health Insurance Program (CHIP) recipients. Parkland Medical Center also offers financial assistance for patients without insurance who need emergency or non-elective services.
| Characteristics | Values |
|---|---|
| Name | Parkland Community Health Plan |
| Year Started | 1999 |
| Service Area | Dallas, Collin, Ellis, Hunt, Kaufman, Navarro, and Rockwall counties, North Texas |
| Services | Medicaid STAR and CHIP health plans |
| Number of Doctors and Specialists | 9,000+ |
| Number of Hospitals and Urgent Care Centers | 40+ |
| Contact Number | 800-849-0829 |
| Timings | 8 am to 5 pm CST, Monday - Friday (except state holidays) |
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What You'll Learn
Parkland Community Health Plan: Medicaid and CHIP Plans
Parkland Community Health Plan is a managed care organization that was started in 1999 by Parkland Health. It provides access to high-quality healthcare services for Texas STAR Medicaid and Children's Health Insurance Program (CHIP) recipients. The service area covers seven North Texas counties: Dallas, Collin, Ellis, Hunt, Kaufman, Navarro, and Rockwall. Members can seek care from more than 9,000 doctors and specialists and over 40 hospitals and urgent care centers.
The Parkland Community Health Plan offers benefits and services designed to help members manage illnesses and health conditions. For example, pharmacy benefits include a wide range of prescription and over-the-counter (OTC) drugs through Navitus Health Solutions. Carelon Behavioral Health provides behavioral health treatment for issues such as depression, anxiety, marriage and family problems, and alcohol and drug abuse. These services are accessible without a referral from a regular doctor, and English/Spanish interpreter services are available around the clock.
The plan also provides dental benefits for members aged 20 and younger through a dental managed care organization. Vision care is offered through Avēsis, allowing members to choose or change their eye doctor by contacting Member Services.
Parkland Community Health Plan's approach to healthcare extends beyond traditional medical visits. They consider the member's entire lifestyle and partner with local organizations to create a holistic wellness experience. This includes initiatives such as providing access to a large network of contracted providers, including doctors, specialists, and hospitals, to deliver quality care to their members.
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Financial assistance for uninsured patients
Parkland Medical Center offers financial assistance for uninsured patients needing emergent or non-elective services. Patient Benefit Advisors are available to evaluate eligibility for various Local and State Programs, including County Assistance and Medicaid. Parkland Medical Center has a Financial Assistance Policy that provides free hospital care for patients who have received non-elective care, do not meet Medicaid qualifications, and whose income is less than 200% (usually) of the Federal Poverty Level. To qualify for free care, you must complete a Financial Assistance Application and provide supporting income documentation. For patients with balances over $1,500 and incomes between 201 and 400% of the Federal Poverty Level, an expanded charity policy may reduce the amount owed.
Additionally, Parkland Community Health Plan offers access to healthcare services through STAR Medicaid and CHIP health plans in seven North Texas counties: Dallas, Collin, Ellis, Hunt, Kaufman, Navarro, and Rockwall. Members can access care at over 9,000 doctors and specialists and more than 40 hospitals and urgent care centers. Parkland Community Health Plan provides a holistic wellness experience, partnering with local organizations to offer managed care. Members can learn about their benefits, covered services, and rewards by contacting Member Services. Interpretive services are also available free of charge.
UT Southwestern Medical Center also provides financial assistance for vulnerable patients facing financial hardships. They offer charity care for Texas residents who are uninsured or underinsured, with annual household incomes at or below 400% of the FPG. These patients qualify for financial assistance if their balance exceeds their annual gross income by 100% after all discounts or insurance adjustments. Eligible patients must meet residency/citizenship requirements and have a low income; demographic details are not considered. UT Southwestern is committed to fulfilling EMTALA, ensuring that initial medical screenings and lifesaving treatments are not impeded by payment inquiries.
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Eligibility for County Assistance and Medicaid
Parkland Community Health Plan provides access to healthcare services through STAR Medicaid and CHIP health plans. The service area covers Dallas, Collin, Ellis, Hunt, Kaufman, Navarro, and Rockwall counties in North Texas.
The Children's Health Insurance Program (CHIP) is a healthcare plan for children aged 0-18 years. CHIP is for families who earn too much to qualify for Medicaid but cannot afford private health coverage. CHIP perinatal coverage is also available for unborn children of pregnant women who are not eligible for Medicaid. Once the child is born, they will receive Medicaid or CHIP benefits, depending on their income.
To qualify for CHIP or Medicaid, the monthly household income must be below a certain threshold. Applications can be made online, by mail, or over the phone.
For those without health insurance, Parkland Medical Center offers financial assistance through County Assistance and Medicaid. Patient Benefit Advisors can help evaluate eligibility for these programs. Parkland Medical Center also has a Financial Assistance Policy that provides free hospital care for patients who have received non-elective care, do not meet Medicaid qualifications, and have an income below 200% of the Federal Poverty Level. For patients with balances over $1,500 and an income between 201% and 400% of the Federal Poverty Level, an expanded charity policy may reduce the amount owed.
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Pre-registration and admission process
To ensure a smooth pre-registration and admission process at the Parkland Medical Center, there are a few important steps to follow. Firstly, as soon as you schedule an outpatient procedure, it is advisable to check with the referring doctor's office. This is an opportunity to clarify any details about your treatment and the admission process. It is also essential to review your insurance coverage and understand your financial responsibilities, such as copay or deductible payments. If you have any questions or uncertainties about your insurance benefits, you can contact the Financial Counselor Service at (603) 421-2079.
The pre-registration process at Parkland Medical Center offers two options: online pre-registration or registration over the phone. For online pre-registration, you will need to provide personal information, including your full legal name, social security number, date of birth, and complete address. It is important to complete the online forms at least three business days before your appointment. Due to privacy concerns, if you remain idle during the process for more than 20 minutes, your form will not be saved, and you will need to restart.
On the day of your scheduled service, you will need to finalise the registration process by providing additional information and documentation. This includes signing all necessary consent forms, presenting a valid form of identification, and showing your insurance card(s). At this stage, you will also need to make any required copay or deductible payments.
To streamline the admission process, it is recommended to bring a list of all the medications you routinely take, specifying their names, doses, and schedules. Do not bring these medications with you unless specifically instructed to do so by your doctor. Additionally, ensure you have any personal assistive devices you may need during your stay, such as glasses, dentures, or hearing aids. It is advisable to leave any valuable items, such as jewellery and electronics, at home for safekeeping.
By carefully following the pre-registration and admission guidelines provided by Parkland Medical Center, you can feel more prepared and comfortable during your hospital visit. These steps help ensure that your experience is as smooth and efficient as possible.
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Contacting Parkland Medical Center
To contact Parkland Medical Center, you can call the main hospital line at (603) 432-1500. For TDD/voice calls, the number is (603) 432-1560. If you're seeking to confirm employment at Parkland Medical Center, you may need to call Thomas and Thorngren at (866) 722-5888.
The hospital also provides a phone directory with dedicated numbers for various departments and services. Here is a list of some of the departments and their respective contact numbers:
- Ambulatory Care Unit: (603) 421-2120
- Billing Inquiries: (866) 482-1972
- Case Management: (603) 421-2262
- Center for Cardiology: (603) 421-2240
- Center for Endoscopy: (603) 421-3634
- Center for Sleep Diagnostics: (603) 421-2098
- Childbirth Education/Lactation Services: (603) 421-2064
- Consult-A-Nurse (Toll-Free): (877) 642-2362
- Diabetes & Metabolism Center: (603) 432-1380
- Diagnostic Imaging/Radiology/Mammography: (603) 421-2010
Additionally, Parkland Medical Center offers an online form to send emails and an online directory to locate specific departments or employees. The physical address for Parkland Medical Center is One Parkland Dr Derry, NH 03038.
If you are inquiring about Parkland Community Health Plan, a separate entity, they can be reached at (214) 590-8000. This organization provides Medicaid and CHIP plans for members in several North Texas counties, including Dallas, Collin, and Ellis.
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Frequently asked questions
Parkland Community Health Plan is a managed care organization that provides access to high-quality healthcare services for Texas STAR Medicaid and Children’s Health Insurance Program (CHIP) recipients.
Parkland Community Health Plan offers STAR Medicaid and CHIP health plans for members in seven North Texas counties: Dallas, Collin, Ellis, Hunt, Kaufman, Navarro, and Rockwall. Members can seek care at more than 9,000 doctors and specialists and over 40 hospitals and urgent care centers.
To check your insurance coverage and benefits, you can contact the Parkland Community Health Plan Member Services department. They are available from 8 am to 5 pm CST, Monday through Friday, excluding state holidays. You can also leave a voice message during non-business hours and on weekends.
