Part II: PCP Selection-Preventative Screening (4-5 months post enrollment) – Updated 2023 Please enable JavaScript in your browser to complete this form.Consumer Name: *Navigator: *County of Residence:Type:MarketplaceMedicaidMixAge Range:Child (0-12)Adolescent (13-18)Adult (19-64)Senior (65+)Date: *Survey Complete: *YesNoAnswer and VoicemailAnsweredNo Answer and No VoicemailNo Answer and Left VoicemailPhone in ServiceYesNoAttempts:1st2nd3rdDuration of call: (Voice Mail Message) Hi_____. My name is ______ and I'm a Navigator with ASPIN. I/One of my co-workers helped you/your family apply for health insurance on _________. I wanted to reach out with a few important reminders to make sure you get the most out of your health insurance. If you can please return my call, my number is _______. Thank you and have a great day. *Always send a text message afterwards summarizing voicemail script.Hi. Is___ available? Hi ____. My name is _____ and I'm a Navigator with ASPIN. I/One of my co-workers helped you/your family with Medicaid/Marketplace health insurance. I’m reaching out because I have a few reminders and some questions regarding your health coverage. Although you can get healthcare in many different places, including the emergency department, it’s best for you to get routine care and recommended preventive services from a primary care provider. Having a primary care provider can save you time and money.I. Select Primary Care Provider1. Have you been to the doctor in the last year?YesNo2. Have you selected a Primary Care Provider?If YES: Great! Having a Primary Care Provider is important to monitor your overall health.If NO: Having a Primary Care Provider is important to monitor your overall health. They will work with you to get your recommended preventative screenings, keep your health records, help you manage chronic conditions like asthma or diabetes, and link you to other types of providers if needed. If you do not have a Primary Care Provider, your insurance company will auto-assign one, but it can still be changed to the provider of your choice.Insurance companies have contracted with specific facilities, providers, and suppliers to provide healthcare services. If you pick an "in-network" provider, your insurance will cover more of the costs. If you pick an "out-of-network" provider, you will have to pay most or all of the costs out of your own pocket. You can check to see if your provider is "in-network" by contacting your insurance company.3. Do you know if your Primary Care Physician is considered "in-network" by your insurance company?YesNo- Insurance companies have contracted with specific facilities, providers, and suppliers to provide healthcare services. If you pick an “in-network” provider, your insurance will cover more of the costs. If you pick an “out-of-network” provider, you will have to pay most or all of the costs out of your own pocket. You can check to see if your provider is “in-network” by contacting your insurance company or I’d be more than happy to assist you with this process.II. Preventive Screening/Services Reminder – Preventive screenings and services are free. Routine checkups and screenings can help you avoid serious health problems and/or obtain early diagnosis and treatment, allowing you and your doctor to work as a team to manage your overall health. Some examples of preventive screenings include blood pressure, depression, diabetes, immunizations, breast cancer and tobacco use.4. Also, when you signed up, you may have heard something about preventive care or well exams. Did you know this service is free?YesNo (Skip to question 6)5. Have you scheduled a preventive screening or service with your doctor?Yes – Great! (Skip Question 6)NoAt www.healthfinder.gov you can type in your gender and age to receive a list of recommendations to stay healthy.6. Will you commit to getting a free well exam this year?YesNoIII. Health Improvement7. Do you feel that having health insurance coverage has had a positive influence on your health?YesNoIf no, why not?8. On a scale of 1-10 (10 being greatest) has having health insurance improved your health?NA012345678910Thank you so much for taking the time to answer these questions! We will follow up with you in the next few months to make sure you get the most out of your health insurance. If you ever have any questions about your health insurance or need assistance, please let me know or you can also call the ASPIN Call Center at 877-313-7215.Comments:NameSubmit