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OhioBWC - Basics: Health Partnership Program (HPP)
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Health Partnership Program (HPP)
Bringing high-quality, cost-effective workers' compensation
health care to the employers and employees of Ohio!
HPP and the Qualified Heath Plan (QHP) - for
self-insuring employers ushered in a new era in health care for Ohio's injured
workers.
Through the combined efforts of BWC, business, organized labor and
health-care providers, we've created a workers' compensation managed-care system
we hope will meet our customers' needs for years to come.
HPP is truly a partnership, BWC and the private-sector managed care
organizations (MCOs) certified to participate in HPP work together to
provide comprehensive claims-management and medical-management services to the
employers and employees of Ohio.
If your employer is participating in the HPP, you can expect:
- Higher quality medical care;
- Timely access to medical services;
- Choice of any BWC-certified health-care provider.
In an emergency or initial visit, any provider is
covered by HPP. If your claim's date of injury is prior to
Oct. 20, 1993, you may continue to see that
provider regardless of certification. However,
if you change doctors, you must choose a BWC-certified provider;
- 100-percent coverage of an allowed claim's medical costs;
- No co-pays;
- To receive a card that will identify your employer's MCO to providers;
- Your MCO, your employer and BWC to provide training.
If your employer is self-insured and has a QHP, you can expect:
- Higher quality medical care;
- Timely access to medical services;
- To be provided with the list of health-care
providers participating in your employer's QHP;
- Choice of any QHP panel provider or an option to
choose a non-panel, BWC-certified, health-care provider;
- To seek initial treatment from a QHP provider;
- Your employer's QHP to medically manage your claim
regardless of provider and panel relationship;
- The option to return to a QHP panel provider
at any time.
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