{"id":248569,"date":"2022-09-28T23:51:55","date_gmt":"2022-09-28T23:51:55","guid":{"rendered":"https:\/\/ewht.flywheelsites.com\/news-updates\/aproveche-al-maximo-su-cobertura\/"},"modified":"2025-10-07T19:17:08","modified_gmt":"2025-10-07T19:17:08","slug":"aproveche-al-maximo-su-cobertura","status":"publish","type":"post","link":"https:\/\/essentialworkerhealth.org\/es\/news-updates\/aproveche-al-maximo-su-cobertura\/","title":{"rendered":"Aproveche al m\u00e1ximo su cobertura"},"content":{"rendered":"

[et_pb_section fb_built=\u00bb1″ admin_label=\u00bbsection\u00bb _builder_version=\u00bb4.16″ global_colors_info=\u00bb{}\u00bb][et_pb_row admin_label=\u00bbfila\u00bb _builder_version=\u00bb4.16″ background_size=\u00bbinitial\u00bb background_position=\u00bbtop_left\u00bb background_repeat=\u00bbrepeat\u00bb global_colors_info=\u00bb{}\u00bb][et_pb_column type=\u00bb4_4″ _builder_version=\u00bb4.16″ custom_padding=\u00bb|||\u00bb global_colors_info=\u00bb{}\u00bb custom_padding__hover=\u00bb|||\u00bb][et_pb_text admin_label=\u00bbText\u00bb _builder_version=\u00bb4.18.0″ background_size=\u00bbinitial\u00bb background_position=\u00bbtop_left\u00bb background_repeat=\u00bbrepeat\u00bb hover_enabled=\u00bb0″ global_colors_info=\u00bb{}\u00bb sticky_enabled=\u00bb0″]<\/p>\n

La atenci\u00f3n preventiva es gratuita para usted<\/span> <\/span><\/h3>\n

La atenci\u00f3n preventiva se paga \u00edntegramente con cualquiera de las opciones del programa m\u00e9dico: sin franquicia ni copago. Antes de ir, aseg\u00farese de comprobar qu\u00e9 servicios de atenci\u00f3n preventiva est\u00e1n cubiertos por el plan. <\/span> <\/span><\/p>\n

Consejo sobre las prestaciones: tenga en cuenta que si acude a la consulta para recibir atenci\u00f3n preventiva, pero luego habla con su m\u00e9dico sobre otros temas, la visita puede pasar de ser una atenci\u00f3n preventiva cubierta al 100% a ser una consulta normal con un copago. Los m\u00e9dicos deben facilitar a la aseguradora los c\u00f3digos de todos los servicios que prestan. Si hay un c\u00f3digo para algo que no sea la atenci\u00f3n preventiva, se le cobrar\u00e1. <\/span> <\/span><\/p>\n

Por ejemplo: Juan acude a su m\u00e9dico de cabecera para realizar un examen f\u00edsico preventivo anual. Este servicio estar\u00eda cubierto al 100%. Sin embargo, durante la visita, John saca a relucir un dolor que ha empezado a tener en la rodilla. Su m\u00e9dico le env\u00eda a hacerse una radiograf\u00eda. Ahora Juan tiene que pagar 20$ por la visita a la consulta m\u00e1s el 20% de los gastos de la radiograf\u00eda. <\/span> <\/span><\/p>\n

Ventajas de elegir un proveedor de atenci\u00f3n primaria (PCP) <\/span><\/b> <\/span><\/p>\n

Un proveedor de atenci\u00f3n primaria (PCP) atiende a los pacientes por cosas comunes como resfriados y gripe, dolores de cabeza o dolor de espalda. Tambi\u00e9n controlan enfermedades cr\u00f3nicas como la hipertensi\u00f3n, la diabetes, la ansiedad o la depresi\u00f3n. Pueden remitirle a un especialista si tiene un problema de salud que se sale de su \u00e1mbito. Tener un PCP es una gran manera de mantener su atenci\u00f3n coordinada. Tambi\u00e9n pueden ayudarle a hacer un seguimiento de su salud de un a\u00f1o a otro y evitar costosas visitas a urgencias.<\/span> <\/span><\/p>\n

Ahorre de dos maneras con los proveedores de la red<\/span><\/b> <\/span><\/p>\n

Si est\u00e1 inscrito a trav\u00e9s de Kaiser Permanente, debe utilizar los proveedores de Kaiser Permanente, excepto en caso de emergencia. <\/span> <\/span><\/p>\n

Si est\u00e1s afiliado a trav\u00e9s de Regence PPO, puedes elegir cada vez que recibas atenci\u00f3n sanitaria: elegir un proveedor de la red o un proveedor fuera de la red. Recurrir a los proveedores de la red le ayuda a gestionar sus costes de dos maneras:<\/span> <\/span><\/p>\n

 <\/p>\n

    \n
  1. Cuando reciba servicios de proveedores de la red, su plan pagar\u00e1 una parte mayor del coste de la mayor\u00eda de los servicios que en el caso de los servicios fuera de la red.<\/span> <\/span><\/li>\n
  2. Los proveedores de la red no cobrar\u00e1n m\u00e1s que la \u00abtarifa permitida\u00bb. El cargo permitido es la tarifa con descuento que Regence PPO ha negociado con sus proveedores \u00abde la red\u00bb. Una vez que haya alcanzado su deducible, su plan pagar\u00e1 hasta el cargo permitido menos cualquier coseguro o copago que deba.<\/span> <\/span><\/li>\n<\/ol>\n

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    Hay diferentes factores que contribuyen a la forma en que su plan cubre los servicios. Aprenda m\u00e1s sobre c\u00f3mo sacar el m\u00e1ximo partido a su dinero.<\/p>\n","protected":false},"author":4,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":"","footnotes":""},"categories":[42],"tags":[],"class_list":["post-248569","post","type-post","status-publish","format-standard","hentry","category-categoria"],"acf":[],"yoast_head":"\nAproveche al m\u00e1ximo su cobertura | Essential Worker Healthcare Trust<\/title>\n<meta name=\"description\" content=\"Hay diferentes factores que contribuyen a la forma en que su plan cubre los servicios. 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