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Healthy Options
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Frequently Asked Questions
Where can I get a copy of my coupon?
What about Dental Coverage?
How can I change my Primary Care Provider?
Who do I report changes and corrections (births, address
and phone, change in circumstance, birth dates, name spellings etc) to?
Where can I get a flu shot?
What can I do if a medicine that my Primary Care Physician
prescribed is not on the list of approved medicines?
Why am I getting a bill in the mail?
What is Healthy Options?
I didn’t ask to be on Columbia United Providers (CUP), I would like to be on open coupon.
Do I have a choice of health plan for Healthy Options coverage?
What about coverage for counseling or mental health benefits?
What happens to my coverage when I move outside
Columbia United Providers service
area?
How long will my coverage last?
Where can I get a copy of my coupon?
[Back to Top]
Go to the local Community Services Office at the Town Plaza Business Center.
The address is 5411 E Mill Plain Blvd, Building 1. The office is open from 8am to
5pm, Monday through Friday, except state holidays.
Recipients may also call the toll free 24 Hour Answer Line at 877-980-9220 or DSHS/Healthy
Options at 800-562-3022 to request a duplicate coupon. Recipients must have their
client ID number.
If you didn’t get a coupon for the current month, you may want to ask the state
about your eligibility.
Columbia United Providers does not send out the Medical Coupon.
What about Dental Coverage? [Back to Top]
Dental benefits are ONLY covered by the open coupon portion of your coverage. Members
who have questions about dental benefits or what dental offices in the area will
take the medical coupon need to call DSHS/Healthy Options at 800-562-3022.
Columbia United Providers does not provide dental coverage.
How can I change my Primary Care Provider? [Back
to Top]
Columbia United Providers (CUP) members can change their Primary Care Physicians
(PCP) by visiting www.cuphealth.com and entering
the Member Access Area. Fill out the PCP Change Request Form and submit the request.
A Member Services Representative will make the change and send a new CUP ID card
with the new PCP listed.
Members may also call the CUP Member Services Department at 360-891-1520 and request
to change their PCP.
PCP changes are always effective the first day of the month following the request.
Who do I report changes and corrections (births, address and phone, change in
circumstance, birth dates, name spellings etc) to?
[Back to Top]
Columbia United Providers (CUP) members must call the local Community Services Office
at 360-759-2800 or DSHS in Olympia at 800-562-3022 to report any and all changes.
CUP appreciates phone calls to update important information to allow us to better
serve our members. However, CUP cannot make decisions about eligibility for open
coupon or Healthy Options programs or change your address with DSHS in order for
you to get mailings from them.
Where can I get a flu shot?
[Back to Top]
Columbia United Providers members must get a flu shot from their Primary Care Physician’s
office.
What can I do if a medicine that my Primary Care Physician prescribed is not
on the list of approved medicines? [Back to Top]
The pharmacy will work with your Primary Care Physician (PCP) to get a prior authorization
from Med Impact. Your PCP will need to answer a few questions about why you need
a medicine that is not on the list. Med Impact is a pharmacy company that manages
Columbia United Providers’ pharmacy benefits.
Why am I getting a bill in the mail? [Back
to Top]
The provider you were seen by may not have billed Columbia United Providers (CUP).
If you get a bill in the mail, call the phone number on the bill and give them your
CUP ID number and billing address so they can send a claim to CUP.
If the provider you call about the bill tells you they billed CUP, and CUP didn’t
pay. Please call the Member Services Department a 360-891-1520. The Member Services
Representatives will be happy to help you solve your billing problem.
What is Healthy Options? [Back to Top]
Healthy Options is managed care for coupon recipients. Recipients choose a health
plan, like Columbia United Providers, in the county they live in and get their health
care from one doctor that works with the health plan chosen. All coupon recipients
are enrolled in Healthy Options and assigned to a health plan unless they request
and meet exceptions to stay on open coupon.
I didn’t ask to be on Columbia United Providers (CUP), I would like to be on
open coupon. [Back to Top]
DSHS assigns open coupon recipients to the managed care program called Healthy Options;
Columbia United Providers has no say in whether or not recipients are assigned to
CUP for Healthy Options. If recipients want to stay on open coupon, they must contact
DSHS at 800-562-3022 and ask to stay on open coupon. DSHS will review the reasons
for the request and make a decision.
Do I have a choice of health plan for Healthy Options coverage?
[Back to Top]
First paragraph of the answer updated to “Most recipients do have a choice of health plans in the county the live in. To see
a list of health plans in your county, go to:
http://fortress.wa.gov/dshs/maa/IPNDInfo/CtyHO.htm
Click on the county you live in. Columbia United Providers is only available in Clark County.
What about coverage for counseling or mental health benefits? [Back to Top]
Healthy Options members do have counseling and mental health benefits. The
benefit is limited. Please review the “What Services are Limited by CUP?” section
of the member handbook on this website, or the handbook that was mailed to your
home.
You may also call 360-449-8944 for information or help.
What happens to my coverage when I move outside Columbia United Providers service
area? [Back
to Top]
Recipients must report their move to DSHS in Olympia by calling 800-562-3022, or
by going to the Community Services Office in their new city.
Columbia United Providers will cover only urgent and emergent services for 90 days.
How long will my coverage last? [Back
to Top]
Recipients are approved for coverage for a certain period of time depending on the
program their benefits are under. Contact the Community Services Office at 360-759-2800
for additional information.
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