Alyssa Lane
AultCare is a health insurance company that has been providing quality healthcare at affordable costs for over 38 years. It offers health plans for young adults, students, self-employed individuals, early retirees, and families. With a focus on innovation, superior customer service, and a high-quality network, AultCare strives to satisfy its enrollees and remains committed to making healthcare accessible and understandable. Members can access personalised guidance, choose their preferred healthcare providers, and benefit from cost control strategies for pharmacy and medical spending. AultCare is dedicated to improving community health and giving back through its AultCaring in the Community initiative.
| Characteristics | Values |
|---|---|
| Type of Insurance | Health Insurance |
| Area Served | Ohio |
| Network | Over 7,300 providers, over 30 hospitals, all CVS MinuteClinics® nationwide, Teladoc® Services 24/7/365 access nationwide |
| Customer Service | Personalized, accessible, multilingual |
| Plan Types | Individual, family, employer |
| Plan Networks | Premier Select Network, Select Network |
| Plan Features | In-network hospitals, choice of Primary Care Physician (PCP) and specialty care providers |
| Plan Enrollment | Annual Open Enrollment (November 1 to January 15), Special Enrollment after qualifying life events |
| Financial Assistance | Advanced Premium Tax Credit (APTC), cost-sharing reductions, government assistance |
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What You'll Learn
- AultCare offers affordable health insurance plans for individuals and families
- AultCare's customer service is personalised and accessible
- AultCare's Care Coordination program offers integrated, comprehensive care
- AultCare plans cover essential health benefits of the Affordable Care Act (ACA)
- AultCare has over 7,300 providers, over 30 hospitals, and nationwide CVS MinuteClinics
AultCare offers affordable health insurance plans for individuals and families
AultCare is a health insurance company that has been providing affordable health insurance plans for individuals, families, students, young adults, self-employed individuals, and early retirees for over 38 years. The company is committed to providing quality healthcare at affordable costs through innovative plan designs, superior customer service, and a high-quality network.
AultCare's health insurance plans offer access to a large network including over 7,300 providers, over 30 hospitals, all CVS MinuteClinics® nationwide, and Teladoc® Services, available 24 hours a day, 7 days a week, across the nation. They also provide multilingual support, ensuring that members can receive assistance and information in their preferred language at no additional cost.
The company prioritizes personalized customer service, guiding members through the complexities of the healthcare system. They are known for their commitment to answering calls directly, ensuring members speak to a local representative who understands their community's culture.
AultCare also offers financial assistance to eligible individuals and families. Those with a household income above 138% of the federal poverty level may qualify for the Advanced Premium Tax Credit (APTC) to help pay for health insurance. Additionally, individuals with incomes between 138% and 250% of the federal poverty level may be eligible for cost-sharing reductions to lower out-of-pocket expenses.
AultCare's mission is to lead its community towards improved health, and it continually evaluates its performance against national and regional standards. By utilizing data from HEDIS® (Healthcare Effectiveness Data and Information Set) and CAHPS® (Consumer Assessment of Healthcare Providers and Systems), AultCare ensures it remains committed to providing quality care and superior customer service.
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AultCare's customer service is personalised and accessible
AultCare is a health insurance company that has been providing quality healthcare at an affordable cost for over 38 years. The company is committed to providing superior customer service and access to quality care. AultCare's customer service is personalised and accessible in several ways. Firstly, they offer a Care Coordination program that provides integrated and comprehensive care to its members. This program ensures that members can easily navigate the complex healthcare system and receive guidance and support from a dedicated team of professionals, including physicians, nurses, dietitians, and pharmacists.
AultCare also strives to make their services accessible to all members, including those with special communication needs. They provide translator services and hearing-impaired services (TTY) to ensure that all members can understand their rights and benefits. The company communicates appeal rights in multiple ways, including through plan documents, Explanation of Benefits, and benefit denial letters. Members can easily initiate appeals and understand their additional rights if the original decision is upheld.
Additionally, AultCare offers multiple ways to contact customer service, including phone, email, and online inquiries. Their customer service team is available during extended hours, Monday through Friday, making it convenient for members to reach out for assistance. The company also provides a dedicated webpage with detailed information about their programs and services, as well as a member guide that outlines rights and responsibilities.
AultCare's commitment to personalised and accessible customer service is further demonstrated by their continuous performance evaluation. They utilise data from HEDIS® (Healthcare Effectiveness Data and Information Set) and CAHPS® (Consumer Assessment of Healthcare Providers and Systems) to gauge their performance against national and regional standards. By collecting and analysing this data, AultCare ensures that they are meeting the needs and expectations of their members and continuously improving their services.
Overall, AultCare's customer service stands out for its personalisation and accessibility. Through a combination of dedicated programs, multiple communication channels, extended hours, and a commitment to continuous improvement, they ensure that their members receive the guidance and support they need to navigate the complex healthcare system and make informed decisions about their health and well-being.
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AultCare's Care Coordination program offers integrated, comprehensive care
AultCare is a leading health insurance provider that has been offering quality healthcare at affordable costs for almost 40 years. AultCare's Care Coordination program is a testament to its commitment to providing integrated and comprehensive care to its members. This program is a unique approach that sets AultCare apart from ordinary health insurers.
The Care Coordination program offers a seamless integration of services, connecting all aspects of a member's care. This includes a team of physicians, nurses, dietitians, pharmacists, and other clinical and non-clinical staff who work together to meet the diverse needs of their members. By fostering a culture of teamwork, AultCare ensures that its members receive convenient and local care of the highest standard.
The program's strength lies in its ability to provide personalized customer service. AultCare's members can navigate the complex healthcare system with ease, thanks to the guidance and support offered by their dedicated team. This includes helping members understand their healthcare needs and make informed decisions. For instance, members with chronic conditions such as congestive heart failure or diabetes can opt for educational telemonitoring services, where they work with a health coach and gain exclusive access to educational materials.
AultCare's PrimeTime Health Plan is a shining example of their comprehensive approach. It combines an all-encompassing Care Coordination Program with exceptional customer service. The clinical departments work collectively to manage the care of members, ensuring timely provision of services according to individual healthcare plans. By monitoring the health and wellness of their members, the program goes beyond a basic health plan, offering a value-added service that enhances the overall member experience.
AultCare's commitment to its community is evident through its dedication to providing superior customer service, access to quality care, and continuous performance evaluation. Through initiatives like the Care Coordination program, AultCare demonstrates its understanding that healthcare is about well-being and being well, empowering its members to be the best versions of themselves.
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AultCare plans cover essential health benefits of the Affordable Care Act (ACA)
AultCare is a leading health insurance provider that has been offering quality healthcare at affordable costs for over 38 years. AultCare offers several health plan options to meet your needs, all of which cover essential health benefits, including medical and pharmacy benefits.
AultCare plans can be purchased directly from AultCare or on the Marketplace, a federal government service for individuals seeking a health plan. The Marketplace may provide subsidies and tax credits to those who qualify. For example, those with a household income greater than 138% of the federal poverty level (FPL) may be eligible for the Advanced Premium Tax Credit (APTC) to help pay for health insurance through the Marketplace.
AultCare's health plans cover the essential health benefits outlined in the Affordable Care Act (ACA). Before the ACA, patients often faced unexpected dollar limits on services that were technically covered by their plans, resulting in financial burdens. The ACA's requirement that essential health benefits be covered without annual dollar caps provides patients with more comprehensive coverage and reduces financial strain. This is especially beneficial for people with mental health or substance abuse disorders, as their plans must now cover their needs comprehensively.
AultCare is committed to providing superior customer service and access to quality care. They utilize innovative plan designs, a high-quality network of healthcare providers, and a Care Coordination program to deliver integrated and comprehensive care to its members. AultCare's NCQA Accreditation recognizes their commitment to providing quality healthcare, and their HMO and PPO Accreditation status was awarded after rigorous evaluation of preventive health services, member satisfaction, and quality improvement.
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AultCare has over 7,300 providers, over 30 hospitals, and nationwide CVS MinuteClinics
AultCare is a health insurance company that has been providing quality healthcare at affordable costs for almost 40 years. It is the region's leading health insurance provider, offering innovative plan designs, superior customer service, and a high-quality network of healthcare providers.
AultCare's network includes over 7,300 providers, more than 30 hospitals, and CVS MinuteClinics located across the nation. This extensive network ensures that members have convenient access to quality care, regardless of their location. With such a large number of providers, members have the flexibility to choose their preferred Primary Care Physician (PCP) and specialty care providers.
The insurance company also offers a comprehensive Care Coordination Program, where the clinical team, including Utilization Management, Case Management, Population Health Management, Wellness, and Pharmacy, integrates with local hospitals, pharmacies, and physicians. This integration is key to providing cost-effective care and improving the overall health of the population.
AultCare is committed to providing superior customer service and has a unique approach to serving its members. When a member calls, they always speak to a local representative who understands the culture of the community. This personalized approach ensures that members receive guidance and support as they navigate the complex healthcare system.
AultCare's dedication to its members and the community is evident through its initiatives. The company values teamwork and strives to offer convenient, local care through its team of healthcare professionals. Additionally, through the AultCaring in the Community initiative, employees volunteer their time and energy to give back to local non-profit organizations.
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Frequently asked questions
AultCare is a health insurance company that has been providing affordable healthcare to its community for over 38 years.
AultCare offers health plans for young adults, students, self-employed individuals, early retirees, and families. They have a network of over 7,300 providers, over 30 hospitals, and all CVS MinuteClinics® nationwide.
You can shop for an AultCare insurance plan on or off the Marketplace. Individual Health Insurance can be purchased during the Annual Open Enrollment period (November 1 to January 15).
AultCare strives to provide affordable health insurance to its members. They offer plans with lower monthly premiums and access to local providers. You may also qualify for financial help through government assistance or tax credits.
