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123456789012345678901234567890121234567890123456789012345678901212345678901234567890123456789012 Marci’s Answers On Medicare 1 1 1 1 1 1 1 1 1 1 Canyon Villas
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Dear Marci, can take place when the complaint is 1 Active Retirement Living
unrelated to the clinical quality of health
I have arthritis, and I recently went to care, or when it is related to the clinical
my doctor to talk about some new SENIOR APARTMENTS IN CANYON COUNTRY
symptoms I’ve been experiencing. In my quality of health care, but does not rise
opinion, my doctor does not take my to the level of being a significant quality
$1,350
concerns seriously, and I’m worried of care concern. For example, immediate 1 BEDROOM, 1 BATH starting from $790
about the quality of care I am receiving. advocacy could be used to address
What can I do? -Enid (Newark, complaints about a hospital staff’s poor Largest recreation center in the Valley • Lots of fun activities
NJ) communication. In cases when
immediate advocacy is used, the issue Gated community • Lush landscaping & ponds • Swimming pool
Dear Enid, should be resolved within no more than Free transportation • Great location • Walk to shopping & dining
two business days. This process is not HUD/Section 8 Welcome...
If you have a concern about the quality available if you wish to remain
of care you receive from a Medicare anonymous.
provider, your concern can be handled Call for information on waiting list
by the Beneficiary and Family Centered · Quality of care complaints: If (661) 298-1154 or (800) 698-8788
Care-Quality Improvement Organization you have concerns related to the quality
(BFCC-QIO) for your area. The BFCC- of clinical care that you have received, 27850 Solamint Rd., Canyon Country
QIOs are made up of practicing doctors you can file a complaint with the BFCC-
and other health care experts. Their role
buy fresh produce all year
buy fresh produce all year
buy fresh produce all year
buy fresh produce all year
is to monitor and improve the care given QIO so they can review the case. You can buy fresh produce all year
to Medicare enrollees. BFCC-QIOs do this by calling your QIO or
review complaints about the quality of submitting a written complaint. When
care provided by: the BFCC-QIO gets your complaint, they The Orange Farmers and
· Physicians should call you to ask clarifying Here are two locations. One in Artisans Market is held every
· Inpatient hospitals questions about your complaint and to Orange County and one in Los Saturday from 9am to 1pm at
Angeles County.
· Hospital outpatient departments get the contact information for your If you want your location
provider. A physician of matching 304 N. Cypress Street, Orange, CA
· Hospital emergency rooms published, please send information
specialty will review the medical record 92866. Find more details on
· Skilled nursing facilities (SNFs) to determine whether the care provided to nbynews@juno.com
· Home health agencies (HHAs) met the medical standard of care, or website www.orangehomegrown.org
· Ambulatory surgery centers whether the standard of care was not The Farmers Market at Mt. SAC
Examples of situations that you might met. The review process can take up to a is held on Saturdays from 8AM -
wish to file a quality of care complaint few months, and when the review is 2PM on Parking Lot B, 1100 N
about include: over, you and your doctor will be
· A medication mistake notified by phone and in writing. Grand Ave in Walnut, CA Rain or
· Picking up an infection during a Shine, sponsored by the Regional
stay in a facility Livanta and KEPRO are currently the Chamber of Commerce San
· Receiving the wrong care or two BFCC-QIOs that serve the entire Gabriel Valley.
treatment country. To find out which BFCC-QIO
serves your state or territory and how to
· Running into barriers to contact them, 123456789012345678901234567890121234567890123456789012345678901212345678901234567890123456789012123456789012 12345678901234567890123456789012123456789012345678901234567890121234567890123456789012345678901212345678901 2 2
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receiving care visit www.qioprogram.org/contact or 12345678901234567890123456789012123456789012345678901234567890121234567890123456789012345678901212345678901 Receive Not Born Yesterday! by Mail 2 2 2 2
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Two ways that the BFCC-QIO might call 1-800-MEDICARE. 12345678901234567890123456789012123456789012345678901234567890121234567890123456789012345678901212345678901 2 2 2 2
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review this complaint are: 12345678901234567890123456789012123456789012345678901234567890121234567890123456789012345678901212345678901 SUBSCRIPTION BLANK 2 2 2 2
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· Immediate advocacy: If you have a Medicare Advantage 12345678901234567890123456789012123456789012345678901234567890121234567890123456789012345678901212345678901 RENEWAL $16 per year NEW 2 2 2 2
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Plan, you can choose to make complaints 12345678901234567890123456789012123456789012345678901234567890121234567890123456789012345678901212345678901 2 2 2 2
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Immediate advocacy is an informal about the quality of care you receive 12345678901234567890123456789012123456789012345678901234567890121234567890123456789012345678901212345678901 2 2 2
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process used by the BFCC-QIO to quickly through your plan’s grievance process, 12345678901234567890123456789012123456789012345678901234567890121234567890123456789012345678901212345678901 2 2 2 2
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resolve a concern or complaint. This through the BFCC-QIO, or both. If 12345678901234567890123456789012123456789012345678901234567890121234567890123456789012345678901212345678901 NAME 2 2 2 2
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process starts when you, a family you file a grievance with your 12345678901234567890123456789012123456789012345678901234567890121234567890123456789012345678901212345678901 2 2 2
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member, or an advocate gives the BFCC- plan about the quality of care you 12345678901234567890123456789012123456789012345678901234567890121234567890123456789012345678901212345678901 ADDRESS 2 2 2 2
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QIO permission to address the concern or receive, the plan should inform you of 12345678901234567890123456789012123456789012345678901234567890121234567890123456789012345678901212345678901 2 2 2 2
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complaint. The BFCC-QIO will then your right to file a complaint with the 12345678901234567890123456789012123456789012345678901234567890121234567890123456789012345678901212345678901 CITY STATE ZIP + 4 2 2 2
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contact your provider. If your provider BFCC-QIO. 12345678901234567890123456789012123456789012345678901234567890121234567890123456789012345678901212345678901 2 2 2 2
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agrees to participate in the resolution of 12345678901234567890123456789012123456789012345678901234567890121234567890123456789012345678901212345678901 2 2 2 2
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the issue, the BFCC-QIO will work with 12345678901234567890123456789012123456789012345678901234567890121234567890123456789012345678901212345678901 EMAIL ADDRESS 2 2 2
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Interested on serving on a jury?
Interested on serving on a jury?
Interested on serving on a jury?
Interested on serving on a jury?
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Jur
Jur
Jury Service
both you and your provider to resolve Interested on serving on a jury? 12345678901234567890123456789012123456789012345678901234567890121234567890123456789012345678901212345678901 2 2 2 2
Jury Sery Servicevice
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the issue. If your provider declines to Jury Sery Servicevice 12345678901234567890123456789012123456789012345678901234567890121234567890123456789012345678901212345678901 PHONE NUMBER Month, Day & Year of Birth 2 2 2 2
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participate, you will be able to file a Orange County: 657-622-7000 12345678901234567890123456789012123456789012345678901234567890121234567890123456789012345678901212345678901 2 2 2 2
Orange County: 657-622-7000
Orange County: 657-622-7000
Orange County: 657-622-7000
Orange County: 657-622-7000
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written complaint. Immediate advocacy San Bernardino: 909-884-1858 12345678901234567890123456789012123456789012345678901234567890121234567890123456789012345678901212345678901 Make check payable to Senior Industry Professionals, Inc. 2 2 2
San Bernardino: 909-884-1858
San Bernardino: 909-884-1858
San Bernardino: 909-884-1858
San Bernardino: 909-884-1858
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Los Angeles: lacourt.org
Los Angeles: lacourt.org
Los Angeles: lacourt.org
Los Angeles: lacourt.org
Los Angeles: lacourt.org 12345678901234567890123456789012123456789012345678901234567890121234567890123456789012345678901212345678901 Mail to P.O. Box 722, Brea, CA 92822 [2020] 2 2 2
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14 January 2020
