Past Issues

Health Options promotes open and free communication between providers and patients.

We congratulate physicians and other providers who maintain welldocumented medical records.

Health Options has a financial incentives policy in place that is designed to assist practitioners, providers, employees, and supervisors involved in (or who supervise those involved in) making coverage and benefit utilization management or utilization review (UM/UR) decisions.

Health Options has accepted and approved standards established by the National Committee for Quality Assurance and the Centers for Medicare and Medicaid Services for accessibility services for its HMO members.

HEDIS can identify improvement needs To help us meet member expectations, Health Options periodically conducts customer satisfaction surveys and analyzes a number of indicators that relate to effectiveness and accessibility of care, as well as use of services.

Blue Cross and Blue Shield of Florida, Inc. and its HMO subsidiary, Health Options Inc., respect the privacy of our members and have policies and procedures in accordance with the Privacy Rule to safeguard personal information in all forms – spoken, written and electronic.

Health Options is committed to offering quality health care coverage as well as maintaining the dignity and integrity of our members.

The types of treatments, devices and drugs covered by Health Options are extensive. In light of the rapid changes in medical technology, it is important to continually look at new medical advances to determine which will be covered by our health plan.

Patient safety is a priority Blue Cross and Blue Shield of Florida and Health Options share a concern about the safety of its members and support practitioners and providers in the endeavor to continually improve patient safety. Several programs monitoring and evaluating safety are currently in place as part of our overall Quality Program. These include credentialing and utilization measures, as well as monitoring patient concerns and pharmacy issues. Members receive information regarding their responsibility in the promotion of patient safety via our member publication, Florida Blue.

Health Options has established a process for reviewing a member’s complaints and grievances/appeals.

Health Options treating physicians have the opportunity to discuss any adverse determination based on medical appropriateness or necessity with the physician reviewer making the decision.

In our effort to continuously improve the health status of our members, we have adopted nationally recognized guidelines for preventive services and disease management.

Special Issue We are commited to quality care and service. Blue Cross and Blue Shield of Florida (BCBSF) and our HMO subsidiary, Health Options, fully support the standards established by regulatory agencies and the National Committee on Quality Assurance (NCQA).